Course Outline
Academic Year 2017-2018
Division: Periodontology
1) Carranza’s Clinical Periodontology, Newman M, Takei H., Klokkevold P., Carranza F. 12th
edition.
2) Periodontics, Rose, L.F., Mealey B.L., Genco R.J., Cohen, D.W. Elsevier Mosby, 2004.
3) Selected readings to be posted on Website (myCourses)
Course Director:
Instructors:
Course Content:
Review
Self-supported care
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Techniques (Hand instrumentation, ultrasonic therapy)
Outcomes
Clinical outcomes assessment
Wound healing (reattachment, repair, new attachment, and regeneration)
Effects on microbiota
Scientific evidence of efficacy
Diagnostics
Treatment of disease recurrence
Treatment of periodontal emergencies
Coordination of oral health care
Scientific evidence of efficacy
Smoking
Diabetes
Heart and pulmonary diseases
Pregnancy
Osteoporosis
Medically compromised patients
Effect of drugs on the periodontal condition
Scientific evidence
Treatment planning
5. Analyze findings and determine a prognosis from a periodontal perspective.
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6. Assess patient’s goals, values, and concerns.
7. Sequence an interdisciplinary treatment plan with specific considerations to the
periodontium for patients with up to localized moderate chronic periodontitis.
Non-Surgical Therapy
8. Explain the rationale for non-surgical therapy.
9. Describe non-surgical therapy.
a. Periodontal prophylaxis.
b. Techniques of oral hygiene to the patient.
c. Selection and manipulation of appropriate periodontal instruments.
d. Integration of pharmacological management (anti-inflammatory and
antimicrobial agents) in the treatment of periodontal conditions.
Student Responsibilities:
General Information
Lectures are mandatory and will begin at the times indicated in the schedule and conclude in
time for students to begin their clinical appointments. Students are responsible for providing
their laptop computers at all lectures and maintaining appropriate software and internet
connectivity on their laptop computers. Technical questions should be directed to the dental
school IT help desk at: Tel.: (514) 398-3398 or by email at: itsupport@mcgill.ca website:
www.mcgill.ca/it
Reading assignments are posted in the lecture outlines on myCourses and it is the student’s
responsibility to complete the assigned readings. Similarly, students are responsible for their
own notes taken at any lecture.
Periodontics Supervisor and Course Director can address questions regarding clinic protocol and
requirements. Please review the School policies concerning the consumption of food and drink
in lecture halls which is not permitted in our assigned lecture hall. Student dress and
comportment should reflect the standards of the profession at all times and the school dress
code policy.
Each student is assigned and must attend all periodontal lab sessions, as they are ALL
MANDATORY (PRE-CLINICAL EXERCISE IN THE LAB &/OR CLINICAL IN THE MAIN CLINIC).
Appropriate clinic attire (i.e. protective eyewear, clinic coat) is required. Your simulation
laboratory assignment is posted in a separate folder under myCourses information.
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Standards of Behavior
Students are expected to comply with university policy as outlined in article 5.6.1. of the
(2014-2015) Health Sciences Calendar.
http://www.mcgill.ca/study/2014-2015/sites/mcgill.ca.study.2014-2015/files/healthsciences2014-2015.pdf
Remediation:
Students are required to pass the final examination and obtain an overall mark of 70% or higher
to pass the course. Failure of either clinical and/or didactic portion of this course will dictate
the need to write a supplemental exam. The format of supplemental and/or deferred exams
remains at the discretion of the course director and may comprise of didactic and clinical
activities. Students who fail the supplemental exam are to repeat the entire course and will
not be promoted to DMD-III. No remediation will be offered for the midterm.
Mid-term/Final Exams:
There are two examinations, a midterm and a comprehensive final, in this course. They
will be weighed as follows; 45% and 55% respectively. Missed examinations will be
given a permanent grade of zero, "0", unless the examination was missed due to
circumstances beyond the student's control. You are expected to notify the course
directors as soon as you return to school from your absence, if you believe that you
have a valid reason for not being present in lecture and/or for not taking an
examination. This notification should be by email to course director’s attention and
CC’ed to the Department of Periodontics Director, as well.
If you are aware ahead of time that you will be absent (e.g. religious holiday or school
sponsored function) please see the course director or her delegate so that individual
arrangements can be made in advance. No consideration will be given if
arrangements were not made prior to an anticipated absence.
A student's final grade in the didactic portion of the course will be determined by
addition of the 2 scores from the entire semesters. A final didactic average of at least
70% must be attained in order to pass the course regardless of the student's clinical
performance. All examinations are cumulative in nature. The final examination will be
cumulative. STUDENTS MUST PASS THE FINAL EXAMINATION IN THE SPRING IN ORDER
TO PASS THE COURSE.
Grading Scheme:
Pass 70–100%
Fail 0–69%
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Means of Evaluation:
Didactic/Theoretical Mark
II. 3-hours Final Written Examination (May contain Multiple-choice short and/or long
answers). This examination will be based upon the entire course content (DMD II – Dec
2016 to June 2017) and the required readings (book and articles). This examination will
be worth 55% of the total grade.
Students must attend lectures, and workshops except when they are on rotation. Lectures start on
the hour and students are expected to be on time. For more details on the matter, please consult
the DMD Absences and Leaves Policy:
https://www.mcgill.ca/dentistry/files/dentistry/mcgill_dmd_absences_and_leaves_policy_official.pdf
The Faculty of Dentistry is dedicated to promoting integrity in the academic environment.
The McGill Handbook on Student Rights and Responsibilities is available at:
http://www.mcgill.ca/secretariat/policies/students/handbook-student-rights-and-responsibilities
The McGill University Health Sciences e-Calendar is available at:
http://www.mcgill.ca/study/2016-2017/files/study.2016-2017/health_sciences_ecalendar_2016-
2017.pdf
The Faculty of Dentistry Professionalism Standard:
https://www.mcgill.ca/dentistry/files/dentistry/professionalism_standard_official_passed_at_cc_2
1-sep-2012_ec_8-may-2015.pdf
McGill University values academic integrity. Therefore all students must understand the
meaning and consequences of cheating, plagiarism and other academic offences under the
Code of Student Conduct and Disciplinary Procedures, please visit the site for more information
at (http://www.mcgill.ca/integrity/). | L'université McGill attache une haute importance à
l’honnêteté académique. Il incombe par conséquent à tous les étudiants de comprendre ce que
l'on entend par tricherie, plagiat et autres infractions académiques, ainsi que les conséquences
que peuvent avoir de telles actions, selon le Code de conduite de l'étudiant et des procédures
disciplinaires pour de plus amples renseignements, veuillez consulter le site
(http://www.mcgill.ca/integrity/).
In accord with McGill University’s Charter of Students’ Rights, students in this course have the
right to submit in English or in French any written work that is to be graded.
If you have a disability please contact the instructor to arrange a time to discuss your situation.
It would be helpful if you contact the Office for Students with Disabilities at 398-6009 (online at
http://www.mcgill.ca/osd) before you do this.
End-of-course evaluations are one of the ways that McGill works towards maintaining and
improving the quality of courses and the student’s learning experience. You will be notified by e-
mail when the evaluations are available on Mercury, the online course evaluation system.
Please note that a minimum number of responses must be received for results to be available to
students.
“In the event of extraordinary circumstances beyond the University’s control, the content and/or
evaluation scheme in this course is subject to change.”
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FIVE CORE COMPETENCIES of CBGD 2015:
This course outline follows the recent recommendation by the Association of Canadian Faculties of
Dentistry (ACFD) educational framework for the development of competency standards in dental
programs. For more information, please consult the following link:
http://acfd.ca/files/2014/01/ACFD-Educational-Framework-for-the-Development-of-Competency-in-
Dental-Programs.pdf
PATIENT-CENTEREDCARE
COMPTENCY COMPONENTS AND INDICATORS:
1.1 Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to
Dentistry. (CMF2005)
1.2 Perform a complete and appropriate assessment of patients. (CMF2005)
1.3 Demonstrate appropriate diagnostic and treatment planning skills. (CMF2005)
1.4 Demonstrate appropriate preventive skills. (CMF2005)
1.5 Demonstrate appropriate therapeutic skills. (CMF2005)
1.6 Recognize own limits and seek appropriate consultation from other health professionals where
appropriate. (CMF2005)
PROFESSIONALISM
COMPTENCY COMPONENTS AND INDICATORS:
2.1. Demonstrate a commitment to patients and the profession by applying best practices and adhering to
high ethical standards. (CMF2015)
2.2. Demonstrate a commitment to society by recognizing and responding to the social contract in dental
health care. (CMF2015)
2.3. Demonstrate a commitment to personal health and well-being to foster optimal patient care. (CMF2015)
2.4. Demonstrate a commitment to the profession by adhering to standards and participating in profession-
led regulation. (CMF2015)
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PRACTICE & INFORMATION MANAGEMENT
COMPTENCY COMPONENTS AND INDICATORS:
Components of Competency 4 - Practice and Information Management
4.1 Implement processes to improve professional practice. (CMF2005)
4.2 Employ information technology appropriately for patient care. (CMF2005)
4.3 Apply the principles of evidence-based decision making into practice. (AAC)
COMPETENCY 5 – HEALTH PROMOTION:
The responsible use of professional expertise and influence to advance the health and well-being of
individual patients, communities and populations. (CMF2005)
HEALTH PROMOTION
COMPTENCY COMPONENTS AND INDICATORS:
5.1 Work with patients to address social determinants of health that affect them. (CMF2015)
5.2 Work with patients and their families to increase opportunities to improve or maintain their health.
(CMF2015)
5.3 Respond to the oral health promotion needs of a community or population. (CMF 2015)
CROSS SECTION OF CBDP 2005, NDEB KSA 2014, and CBGD 2015
Competencies
for the MAJOR
Beginning (M), Knowledge Skills CBGD
SUPPORT Competent Beginning Compon
Dental ING (S), and Abilities
Competency Chart ASSUMP General Dentist ent
Practitioner TIONS (A)
(2014, as per
(2015) Indicator
(2005 – now the NDEB) s
replaced by the
CBGD 2015)
Recognize the determinants S
of oral health in individuals
and populations and the role
1 15.1 Health Promotion
of dentists in health
promotion, including the
disadvantaged.
Recognize the relationship M
Patient Centered Care
between general health and 2 N/A
Health Promotion
oral health.
M Practice and
Evaluate the scientific
3a 12.1 Information
literature
Management
M Patient Centered Care
Justify management
Practice and
recommendations based on
3b 12.1 Information
the level of evidence
Management
available.
Health Promotion
Communicate effectively S
with patients, parents or
Communication and
guardians, staff, peers, other 4 13.1
Collaboration
health professionals and the
public.
Identify the patient’s chief S
Patient Centered Care
complaint/concern and
5 1.1.1 Communication and
obtain the associated
Collaboration
history.
Obtain and interpret a S
medical, dental and
psychosocial history,
including a review of Patient Centered Care
systems as necessary, and 6 1.1.1 Communication and
evaluate physical or Collaboration
psychosocial conditions that
may affect dental
management.
8
S Communication and
Maintain accurate and Collaboration
complete patient records in 7 14.2 Practice and
a confidential manner. Information
Management
Prevent the transmission of M
infectious diseases by
8 2.1.4 Professionalism
following current infection
control guidelines.
Perform a clinical M
9 1.1.2 Patient Centered Care
examination.
Differentiate between M
normal and abnormal hard
10 1.2.1 Patient Centered Care
and soft tissues of the
maxillofacial complex.
Prescribe and obtain the M
required diagnostic tests,
11 1.3.1 Patient Centered Care
considering their risks and
benefits.
Perform a radiographic S
12 4.1 Patient Centered Care
examination.
Interpret the findings from a S
patient's history, clinical
examination, radiographic
13 1.2.2 Patient Centered Care
examination and from other
diagnostic tests and
procedures.
Recognize and manage the A
anxious or fearful dental 14 2.2.1 Patient Centered Care
patient.
Recognize signs of abuse A
and/or neglect and make 15 14.4 Professionalism
appropriate reports.
Assess patient risk M
(including, but not limited
16 1.1.3 Patient Centered Care
to, diet and tobacco use) for
oral disease or injuries.
Develop a problem list and M
17 1.2.3 Patient Centered Care
establish diagnoses.
Determine the level of M
expertise required for 18a 1.3.1 Patient Centered Care
treatment.
Formulate a written request M
Communication and
for consultation and/or 18b 1.3.2
Collaboration
referral when appropriate.
Develop treatment options M
based on the evaluation of 19 1.3.3 Patient Centered Care
all relevant data.
Discuss the findings, M
diagnoses, etiology, risks,
benefits and prognoses of
Communication and
the treatment options, with 20 1.3.4
Collaboration
a view to patient
participation in oral health
management.
Develop an appropriate S
comprehensive, prioritized
21 1.3.5 Patient Centered Care
and sequenced treatment
plan.
Present and discuss the
Communication and
sequence of treatment, 22 1.3.4
Collaboration
estimated fees, payment
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arrangements, time
requirements and the
patient’s responsibilities for
treatment.
Obtain informed consent S
including the patient’s
Communication and
written acceptance of the 23 1.3.6
Collaboration
treatment plan and any
modifications.
Modify the treatment plan M
as required during the 24 N/A Patient Centered Care
course of treatment.
Provide education regarding M
the risks and prevention of
Patient Centered Care
oral disease and injury to 25 2.1.1
Health Promotion
encourage the adoption of
healthy behaviors.
Provide therapies for the S
prevention of oral disease 26 2.1.2 Patient Centered Care
and injury.
Recognize and institute S Professionalism
procedures to minimize Practice and
27 14.3
occupational hazards related Information
to the practice of dentistry. Management
Achieve local anesthesia for
2.2.6
dental procedures and
28 2.2.7 Patient Centered Care
manage related
11.1
complications.
Determine the indications A
and contraindications for the
use of drugs used in dental 29a 2.2.6 Patient Centered Care
practice, their dosages and
routes of administration.
Write prescriptions for drugs
29b 2.2.6 Patient Centered Care
used in dentistry.
Manage dental emergencies. 30 2.2.2 Patient Centered Care
Recognize and manage
systemic emergencies which 31 2.2.3 Patient Centered Care
may occur in dental practice.
Manage conditions and M
diseases of the 32a 5.1 Patient Centered Care
periodontium.
Provide periodontal M
treatment when indicated
32b 5.1 Patient Centered Care
and monitor treatment
outcomes.
Assess the risk, extent and S
33a 1.1.3 Patient Centered Care
activity of caries.
Recommend appropriate S
non‐surgical and surgical 33b N/A Patient Centered Care
therapy.
Manage dental caries, tooth
defects and esthetic 34a 9.1 Patient Centered Care
problems and,
When restoration is A
warranted, use techniques
that conserve tooth
34b 9.1 Patient Centered Care
structure and preserve pulp
vitality to restore form and
function.
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Manage patients with S
orofacial pain and/or 35 11.3 Patient Centered Care
dysfunction.
Manage surgical procedures S
related to oral soft and hard
36 10.1 Patient Centered Care
tissues and their
complications.
Manage trauma to the
37 2.2.4 Patient Centered Care
orofacial complex.
Manage conditions and
38a 6.1 Patient Centered Care
pathology of the pulp, and
Provide endodontic
38b 6.1 Patient Centered Care
treatment when indicated.
Manage abnormalities of A
orofacial growth and 39a 8.1 Patient Centered Care
development and,
Treat minor orthodontic
39b 8.1 Patient Centered Care
problems.
Recognize and manage
functional and non‐ 40 2.2.5 Patient Centered Care
functional occlusion.
Select and, where indicated,
prescribe appropriate
41 N/A Patient Centered Care
biomaterials for patient
treatment.
Manage partially and
completely edentulous
42a 7.1 Patient Centered Care
patients with prosthodontic
needs
Including the provision of
fixed, removable and 42b 7.1 Patient Centered Care
implant prostheses.
Make records required for
use in the laboratory
43 N/A Patient Centered Care
fabrication of dental
prostheses and appliances.
Design a dental prosthesis or
appliance, write a laboratory
44 N/A Patient Centered Care
prescription and evaluate
laboratory products.
Apply accepted principles of
ethics and jurisprudence to
maintain standards and 45 14.1 Professionalism
advance knowledge and
skills.
Apply basic principles of
practice administration, Practice and
financial and personnel 46 14.5 Information
management to a dental Management
practice.
Demonstrate professional S
behaviour that is ethical,
supercedes self‐interest,
strives for excellence, is
committed to continued 47 N/A Professionalism
professional development
and is accountable to
individual patients, society
and the profession.
Legend: M : Major, S : Supportive, A : Assumptions and Definitions
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