Clinical Periodontology II
| Title | Κλινική Περιοδοντολογία ΙΙ / Clinical Periodontology II |
| Code | S0202 |
| Faculty | Health Sciences |
| School | Dentistry |
| Cycle / Level | 2nd / Postgraduate |
| Teaching Period | Winter/Spring |
| Coordinator | Ioannis Vouros |
| Common | No |
| Status | Active |
| Course ID | 600023441 |
Programme of Study: PMS Periodontología kai Viología Emfyteumátōn (2024-sīmera)
Registered students: 4
| Orientation | Attendance Type | Semester | Year | ECTS |
|---|---|---|---|---|
| PERIODONTOLOGIA KAI VIOLOGIA EMFYTEUMATŌN | Compulsory Course | 2 | 1 | 4 |
| Academic Year | 2025 – 2026 |
| Class Period | Spring |
| Class ID | 600292947
|
Course Type 2021
Specific Foundation
Mode of Delivery
- Face to face
Digital Course Content
- e-Study Guide https://qa.auth.gr/en/class/1/600292947
- At the Website of the School: Υπό κατασκευή
Language of Instruction
- Greek (Instruction, Examination)
- English (Instruction, Examination)
Prerequisites
General Prerequisites
Ν/Α
Learning Outcomes
To acquire knowledge in surgical reconstruction of periodontal defects; methodologies and wound healing.
General Competences
- Apply knowledge in practice
- Retrieve, analyse and synthesise data and information, with the use of necessary technologies
- Adapt to new situations
- Be critical and self-critical
- Advance free, creative and causative thinking
Course Content (Syllabus)
Surgical periodontal anatomy
Basic principles of periodontal surgery-selection of technique
Goals of surgical treatment-Indications, Contraindications
Instruments of periodontal surgery
Local anaesthesia in periodontal surgery
Invasive techniques I,(apical flap repositioning, gingivectomy, gingivoplasty,osseous surgery, ostectomy, osteoplasty)
Invasive techniques ΙΙ (Root resection and root amputation basic principles of clinical crown lengthening)
Flap elevations-Modified widman flap
Treatment of furcation involvement type I
Treatment of furcation involvement type II
Suture types in periodontal surgery
Suture techniques in periodontal surgery
Postsurgical evaluation and instructions
Presurgical pharmaceutical changes to systemic diseases.
The role of smoking in non surgical periodontal treatment-Clinical observations
The role of smoking in surgical periodontal treatment-Clinical observations
The role of alcohol in tissue healing
Diet and tissue healing I
Diet and tissue healing ΙΙ
Management of stressed patient
Exams
Keywords
Periodontium, periodontal diseases, examination, diagnosis, treatment
Educational Material Types
- Notes
- Slide presentations
- Book
Use of Information and Communication Technologies
Use of ICT
- Use of ICT in Course Teaching
- Use of ICT in Laboratory Teaching
- Use of ICT in Communication with Students
Description
As above
Course Organization
| Activities | Workload | ECTS | Individual | Teamwork | Erasmus |
|---|---|---|---|---|---|
| Lectures | 52 | ||||
| Seminars | 52 | ||||
| Tutorial | 0 | ||||
| Total | 104 |
Student Assessment
Description
Performance during the seminars and at the final exam
Student Assessment methods
- Written Exam with Multiple Choice Questions (Summative)
- Written Exam with Short Answer Questions (Summative)
- Written Exam with Extended Answer Questions (Summative)
- Written Assignment (Summative)
Bibliography
Additional bibliography for study
Periodontal surgical anatomy - Basic principles of periodontal surgery: surgical methods
1. Flores-de-Jacoby L., Mengel R. Conventional surgical procedures. Periodontol 2000. 1995 Vol. 9; Iss. 1
2. Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017 Oct;75(1):152-188. doi: 10.1111/prd.12201. PMID: 28758300.
3. Graziani F, Karapetsa D, Mardas N, Leow N, Donos N. Surgical treatment of the residual periodontal pocket. Periodontol 2000. 2018 Feb;76(1):150-163. doi: 10.1111/prd.12156. Epub 2017 Nov 29. PMID: 29193404.
Goals of periodontal surgery: Indications and contraindications - Instruments for periodontal surgery - Anaesthesia- Types of sutures- Suture techniques- Postoperative instructions and medications- Presurgical adjustment of medications due to systemic diseases
1. Chapter 37, p.750-755 Lindhe (clinical periodontology and implant dentistry, 6th edition)
2. Chapter 38, p.782-794 Lindhe (clinical periodontology and implant dentistry, 6th edition)
3. Chapter 29 A. Konstantinidis (Periodontology)
Resective techniques Ι, II: apically position flap, gingivectomy, osseous surgery: ostectomy, οsteoplasty
1. SCHLUGER S. Osseous resection; a basic principle in periodontal surgery. Oral Surg Oral Med Oral Pathol. 1949 Mar;2(3):316-25. doi: 10.1016/0030-4220(49)90363-1. PMID: 18112168.
2. Friedman, N. (1955), Periodontal Osseous Surgery: Osteoplasty and Osteoectomy. The Journal of Periodontology, 26: 257-269. https://doi.org/10.1902/jop.1955.26.4.257
3. Goldman, H.M. and Cohen, D.W. (1958), The Infrabony Pocket: Classification and Treatment. The Journal of Periodontology, 29: 272-291. https://doi.org/10.1902/jop.1958.29.4.272
4. Ochsenbein, C. and Bohannan, H.M. (1963), The Palatal Approach to Osseous Surgery I. Rationale. The Journal of Periodontology, 34: 60-68. https://doi.org/10.1902/jop.1963.34.1.60
5. Ochsenbein, C. and Bohannan, H.M. (1964), The Palatal Approach to Osseous Surgery II. Clinical Application. The Journal of Periodontology, 35: 54-68. https://doi.org/10.1902/jop.1964.35.1.54
6. Smith DH, Ammons WF Jr, Van Belle G. A longitudinal study of peridontal status comparing osseous recontouring with flap curettage. I. Results after 6 months. J Periodontol. 1980 Jul;51(7):367-75. doi: 10.1902/jop.1980.51.7.367. PMID: 6930476.
7. Kramer GM. The case for ostectomy--a time-tested therapeutic modality in selected periodontitis sites. Int J Periodontics Restorative Dent. 1995 Jun;15(3):228-37. PMID: 7558656.
8. Ochsenbein C. Combined approach to the management of intrabony defects. Int J Periodontics Restorative Dent. 1995 Aug;15(4):328-43. PMID: 8593984.
9. Oates TW, Kalkwarf KL. Long-term prognosis following resectional and regenerative periodontal procedures. Curr Opin Periodontol. 1997;4:69-74. PMID: 9655024.
10. Carnevale G, Pontoriero R, di Febo G. Long-term effects of root-resective therapy in furcation-involved molars. A 10-year longitudinal study. J Clin Periodontol. 1998 Mar;25(3):209-14. doi: 10.1111/j.1600-051x.1998.tb02430.x. PMID: 9543191.
Access flap, Modified Widman flap
1. Periodontal surgery, Acces therapy.: Chapter 39. J. Wennstrom, J. Lindhe, in Clinical Periodontology and Implant Dentistry, 6th edition, Wiley Blackwell, 2015.
2. Ramfjord SP, Nissle RR. The modified widman flap. J Periodontol. 1974 Aug;45(8):601-7. doi: 10.1902/jop.1974.45.8.2.601. PMID: 4529305.
3. Ramfjord SP. Present status of the modified Widman flap procedure. J Periodontol. 1977 Sep;48(9):558-65. doi: 10.1902/jop.1977.48.9.558. PMID: 409833.
Treatment of furcation defects Ι, ΙΙ
1. Jepsen S, Gennai S, Hirschfeld J, Kalemaj Z, Buti J, Graziani F. Regenerative surgical treatment of furcation defects: A systematic review and Bayesian network meta-analysis of randomized clinical trials. J Clin Periodontol. 2020 Jul;47 Suppl 22:352-374. doi: 10.1111/jcpe.13238. PMID: 31860125.
2. Dommisch H, Walter C, Dannewitz B, Eickholz P. Resective surgery for the treatment of furcation involvement: A systematic review. J Clin Periodontol. 2020 Jul;47 Suppl 22:375-391. doi: 10.1111/jcpe.13241. PMID: 31912534.
3. Chapter 40, Lindhe (clinical periodontology and implant dentistry, 6th edition)
The effect of smoking on tissue healing after non-surgical periodontal treatment – Clinical observations
1. Preber H, Bergström J. The effect of non-surgical treatment on periodontal pockets in smokers and non-smokers. J Clin Periodontol. 1986 Apr;13(4):319-23. doi: 10.1111/j.1600-051x.1986.tb02229.x. PMID: 3458727.
2. Ah MK, Johnson GK, Kaldahl WB, Patil KD, Kalkwarf KL. The effect of smoking on the response to periodontal therapy. J Clin Periodontol. 1994 Feb;21(2):91-7. doi: 10.1111/j.1600-051x.1994.tb00285.x. PMID: 8144739.
3. Kaldahl WB, Johnson GK, Patil KD, Kalkwarf KL. Levels of cigarette consumption and response to periodontal therapy. J Periodontol. 1996 Jul;67(7):675-81. doi: 10.1902/jop.1996.67.7.675. PMID: 8832478.
4. Kinane, D. and Radvar, M. (1997), The Effect of Smoking on Mechanical and Antimicrobial Periodontal Therapy. Journal of Periodontology, 68: 467-472. https://doi.org/10.1902/jop.1997.68.5.467
The effect of smoking on tissue healing after periodontal surgery – Clinical observations
1. Preber H, Bergström J. Effect of cigarette smoking on periodontal healing following surgical therapy. J Clin Periodontol. 1990 May;17(5):324-8. doi: 10.1111/j.1600-051x.1990.tb01098.x. PMID: 2355098.
2. Scabbia A, Cho KS, Sigurdsson TJ, Kim CK, Trombelli L. Cigarette smoking negatively affects healing response following flap debridement surgery. J Periodontol. 2001 Jan;72(1):43-9. doi: 10.1902/jop.2001.72.1.43. PMID: 11210072.
The effect of alcohol on tissue healing
1. Park JB, Han K, Park YG, Ko Y. Association between alcohol consumption and periodontal disease: the 2008 to 2010 Korea National Health and Nutrition Examination Survey. J Periodontol. 2014 Nov;85(11):1521-8. doi: 10.1902/jop.2014.130782. Epub 2014 Jul 10. PMID: 25008215.
2. Kim HS, Son JH, Yi HY, Hong HK, Suh HJ, Bae KH. Association between harmful alcohol use and periodontal status according to gender and smoking. BMC Oral Health. 2014 Jun 20;14:73. doi: 10.1186/1472-6831-14-73. PMID: 24950716; PMCID: PMC4114163.
3. Weinstein RL, Francetti L, Maggiore E, Marchesi G. Alcol e fumo. Fattori di rischio per il cavo orale [Alcohol and smoking. The risk factors for the oral cavity]. Minerva Stomatol. 1996 Sep;45(9):405-13. Italian. PMID: 8999304.
4. Jung MK, Callaci JJ, Lauing KL, et al. Alcohol exposure and mechanisms of tissue injury and repair. Alcohol Clin Exp Res. 2011;35(3):392-399. doi:10.1111/j.1530-0277.2010.01356.x
Nutrition and tissue healing Ι, II
1. Chapple IAN LC, PhD, BDS, FDSRCPS, FDSRCS Potential mechanisms underpinning the nutritional modulation of periodontal inflammation JADA, Vol. 140 http://jada.ada.org February 2009
2. Chapple IL, Brock GR, Milward MR, Ling N, Matthews JB. Compromised GCF total antioxidant capacity in periodontitis: cause or effect? J Clin Periodontol 2007;42(2):103-110.
3. Jenzsch A, Eick S, Rassoul F, Purschwitz R, Jentsch H. Nutritional intervention in patients with periodontal disease: clinical, immunological and microbiological variables during 12 months. Br J Nutr. 2009 Mar;101(6):879-85. doi: 10.1017/S0007114508047776. Epub 2008 Aug 20.
4. Katz J, Bimstein E. Pediatric obesity and periodontal disease: a systematic review of the literature. Quintessence Int. 2011 Jul-Aug;42(7):595-9.
5. Kaye EK. Nutrition, dietary guidelines and optimal periodontal health.Periodontol 2000. 2012 Feb;58(1):93-111. doi: 10.1111/j.1600-0757.2011.00418.x.
6. Muluke M, Gold T, Kiefhaber K, Al-Sahli A, Celenti R, Jiang H, Cremers S, Van Dyke T, Schulze-Späte U. Diet-Induced Obesity and Its Differential Impact on Periodontal Bone Loss. J Dent Res. 2016 Feb;95(2):223-9. doi: 10.1177/0022034515609882. Epub 2015 Oct 8.
7. Soory M. Inflammatory Mechanisms and Redox Status in Periodontal and Car- diometabolic Diseases: Effects of Adjunctive Nutritional Antioxidants and Statins Infectious Disorders – Drug Targets, 2012, 12, 301-315
8. Touger-Decker R, Mobley CC. American Dietetic Association.Position of the American Dietetic Association: oral health and nutrition.J Am Diet Assoc. 2007 Aug;107(8):1418-28.
9. Wakai K, Naito M, Naito T, Kojima M, Nakagaki H, Umemura O, Yokota M, Hanada N, Kawamura T. Tooth loss and intakes of nutrients and foods: a nationwide survey of Japanese dentists. Community Dent Oral Epidemiol. 2010 Feb;38(1):43-9. doi: 10.1111/j.1600-0528.2009.00512.x. Epub 2009 Nov 18.
10. Yoshihara A, Watanabe R, Hanada N, Miyazaki H. A longitudinal study of the relationship between diet intake and dental caries and periodontal disease in elderly Japanese subjects.Gerodontology. 2009 Jun;26(2):130-6. doi: 10.1111/j.1741-2358.2008.00244.x.
Dental phobic patients
1. Dental phobic patients should be identified and treated in childhood. Br Dent J. 2022 Jan;232(2):77. doi: 10.1038/s41415-022-3915-5. PMID: 35091603.
2. Bürklein S, Brodowski C, Fliegel E, Jöhren HP, Enkling N. Recognizing and differentiating dental anxiety from dental phobia in adults: a systematic review based on the German guideline "Dental anxiety in adults". Quintessence Int. 2021;0(0):360-373. doi: 10.3290/j.qi.a45603. PMID: 33491392.
3. Horenstein A, Heimberg RG. Anxiety disorders and healthcare utilization: A systematic review. Clin Psychol Rev. 2020 Nov;81:101894. doi: 10.1016/j.cpr.2020.101894. Epub 2020 Aug 6. PMID: 32818687.
Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, Sculean A, Tonetti MS; EFP Workshop Participants and Methodological Consultants. Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2020 Jul;47 Suppl 22(Suppl 22):4-60. doi: 10.1111/jcpe.13290. Erratum in: J Clin Periodontol. 2021 Jan;48(1):163. PMID: 32383274; PMCID: PMC7891343.
Last Update
10-01-2024
