Periodontics II (code 27231) is a compulsory subject, which belongs to module IV (Dental Pathology and Therapeutics), and is taught in Spanish and Basque, during both semesters of the fourth year of the Degree in Dentistry. It is the continuation of its predecessor Periodontics I.

This subject consists of 6 ECTS credits, with a student’s total dedication of 150 hours, divided into 60 classroom hours and 90 non-classroom hours.



Why is this subject important? How important is it for the development of my profession?Periodontics is the science that studies the diseases that affect the supporting tissues of the teeth and/or their substitutes (dental implants), such as gingival diseases, periodontitis and peri-implant diseases (mucositis, peri-implantitis, apical lesions associated with dental implants…), as well as their treatment.



The aim of the subject is for students to learn about the periodontal and peri-implant supporting tissues and to acquire the necessary skills to establish a diagnosis, a prognosis and a non-surgical approach when facing any periodontal and peri-implant pathology, also knowing its repercussions at both local and systemic levels. Based on this knowledge, the students’ directed, cooperative, and autonomous learning will help them in the analysis and decision-making processes when solving simulated clinical cases, in which diagnostic and therapeutic actions (basic periodontal treatment or non-surgical periodontal treatment will be applied.

Also, the hands-on workshops that are carried out in the laboratory, on simulated anatomical models (periodontal phantoms), will allow the students to avoid mistakes in their clinical practices, which will take place in the following academic years.



Relationship with other subjects:

The development of Periodontics II requires a deep knowledge of the previous subjects studied during the second and third year of Dentistry, such as Anatomy, Cell Biology, Human Histology, Physiology, Microbiology and Immunology, Radiology and Physical Medicine, Dental Prosthesis I and its predecessor, Periodontics I. The knowledge acquired in the late subject is key to identify, explain and associate the concepts that will be studied in Periodontics II and, thus, be able to apply them properly when solving simulated clinical cases or during the clinical practices with patients.



The subject Periodontics II will also be useful during the clinical practices of other subjects in which knowledge about the clinical and radiographic characteristics of the healthy and diseased periodontal and peri-implant tissues is necessary, such as Dental Prosthesis III, Dental Pathology and Therapeutics II, Oral Pathology and Medicine II and Integrated Adult Practice I and II, among others.



Other recommendations:

As new digital tools for teaching are being implemented in this subject, having basic computer skills is recommended, as well as knowledge about presentation softwares (PowerPoint/Keynote) and technical English, since the scientific literature is mostly published in this language.



Professors of the subject:

Dr. Ruth Estefanía Fresco (Associate Teacher) (Bilingual)

Dr. Aitziber Fernández Jiménez (Assistant Professor) (Bilingual)

Dr. Ana María García De La Fuente (Associate Professor) (Bilingual)



Coordinator of the subject: Dr. Ruth Estefanía Fresco



Contact:



Ruth Estefanía Fresco

ruth.estefania@ehu.eus

Office: 1.E.24



Aitziber Fernández Jiménez

aitziber.fernandez@ehu.eus

Office: 1.E.24



Ana María García De La Fuente

anamaria.garcia@ehu.eus

Office: 0.E.13



https://www.ehu.eus/es/web/graduak/grado-odontologia/profesorado; To know tutoring hours, click on the teacher's name.

Specific competences (C):

C1: The student will be able to establish an appropriate treatment, prognosis and diagnosis of the pathology of peri-implant and periodontal tissues.

C2: The student will be able to establish a multidisciplinary, sequential and integral treatment, with a limited complexity, in patients of all ages and conditions and with special needs (diabetes, hypertension, cancer, transplants, immunodeficiencies, anticoagulants…).

C3: The student will be able to establish a diagnosis and a treatment plan, taking X-rays and interpreting imaging procedures that are relevant to the dental practice.

C4: The student will be able to define and identify the patient's aesthetic conditions to satisfy his concerns.

C5: The student will be able to establish an appropriate periodontal treatment plan, including the application of local anesthesia techniques, non-surgical, pharmacologic and surgical treatment of the inflammatory processes around periodontal and/or peri-implant tissues, such as supra and subgingival periodontal instrumentation techniques (scaling and root planing, tartar removal and debridement). Additionally, the students will be able to manage acute periodontal infections, including the prescription of any appropriate medication and performing simple surgical procedures. They will also be proficient in identifying and addressing dental emergencies, thus providing the patient with suitable dental care.



Transversal competences:

C6: The student will be able to work collaboratively as part of a team in cooperative Periodontology tasks. This includes aiding in clinical tasks, discussing clinical cases, and collaboratively formulating provisional, differential and final diagnoses. Subsequently, they will contribute to developing a comprehensive and multidisciplinary treatment plan for the patient.

C7: The student will be able to develop self-learning skills in periodontics.

C8: The student will be able to develop oral and written communication skills using the appropriate terminology in each context.



Learning outcomes of the subject (LO):

The following are the LO that students will demonstrate at the end of the course, correlated with their respective competences.



LO related to competences 1 and 4:

LO1. Identify key elements of Periodontics and Osteointegration, to perform the diagnosis, prevention and treatment of periodontal (PD) and peri-implant (PI) diseases.



LO related to competences 2, 3 and 4:

LO2. Students will be able to correctly perform the clinical history, as well as the exam of the periodontal and peri-implant tissues.

LO3: Students will be able to consistently analyze the signs and symptoms of simulated clinical cases and, based on scientific evidence, reach a differential and a final diagnosis of PD and PI diseases.

LO4: Students will be able to correctly identify and request the necessary complementary tests (radiological, serological and microbiological) for establishing the diagnosis and prognosis of PD and PI diseases.

LO5: Based on the analysis of the data obtained from the different diagnostic tests, the students will be able to correctly establish an individual and general prognosis of PD and PI diseases, as well as a comprehensive treatment plan.



LO related to competence 5:

LO6. Students will be able to properly perform scaling and root planing techniques in patients (keystone of non-surgical periodontal treatment).



LO related to competence 6:

LO7: Students will be able to collaborate on clinical tasks (periodontal chart and radiographic sequence), to analyze the information about the clinical case and to propose an initial or presumptive diagnosis, a differential diagnosis and a final diagnosis, as well as multidisciplinary and integral treatment plans for the simulated and real cases.



LO related to competence 7:

LO8: Students will be able to analyze, in an autonomous and collaborative way, the most important scientific information in the field of periodontics, for its implementation in the resolution of specific cases in this area.



LO related to competence 8:

LO9: Students will be able to use appropriate academic terminology and writing in the portfolio and in the final report.

LO10: Use of appropriate terminology and oral language adapted to different situations: dentist-patient, between professionals.

1.-Theoretical content:

Theoretical content will be taught between weeks 1-6, on Wednesdays in the hours previously established by the Faculty (see chronogram and groups).



(A) Surgical periodontal treatment:

Lesson 1.- General principles of periodontal surgery. Gingivectomy and Gingivoplasty. (2 hours)

Lesson 2.- Access periodontal surgery: flaps (1 hour)

Lesson 3.- Osseus periodontal surgery (1 hour)

Lesson 4.- Treatment of furcation lesions (1 hour)

Lesson 5.- Periodontal regenerative surgery (1 hour)

Lesson 6.- Plastic periodontal surgery - mucogingival surgery (1 hour)

Lesson 7.- Implant installation surgery. General principles (1 hour)

Lesson 8.- Supportive Periodontal Therapy - maintenance phase (1 hour)



(B) Periodontics and other disciplines:

Lesson 9.- Relationship between Periodontics and other disciplines I: Prosthesis and Conservative Dentistry (1 h)

Lesson 10.- Relationship between Periodontics and other disciplines II: Orthodontics and Periodontics; Implantology and Periodontics (2 hours)



2.-Practical contents:

Practical contents will take place between weeks 1-15, on Wednesdays and Fridays and, from week 16 to week 30, on Fridays in the hours previously established by the Faculty (see chronogram and groups).



2.1.- Clinical seminars: 15 hours of clinical seminars, in which simulated clinical cases will be solved, using active methodologies (case-problem) in small groups and then with the whole group.



2.2.- Clinical practices with patients:

Clinical practices will take place in the Dental Clinic Service of the UPV/EHU, in couples, under the supervision of the responsible tutoring teacher. During each clinical session (3 hours), the following procedures will be performed:

•Periodontal exam: Periodontal chart and radiographic periodontal series, to be able to establish a periodontal diagnosis, prognosis and a treatment plan

•Non-surgical or minimally invasive periodontal therapy, including:

oMotivation

oOral hygiene instructions and plaque control

oSupragingival mechanical debridement

oSubgingival mechanical debridement: Scaling and root planing

•Reevaluation of the clinical cases

•Supportive periodontal treatment or periodontal maintenance

In order for students to achieve their learning outcomes (LO), several methodologies will be used, including:



LO1: The acquisition of basic knowledge in Periodontics and Osteointegration for the diagnosis, prevention and treatment of periodontal and peri-implant diseases will be achieved through master classes for the entire group. All the concepts of this subject will be explicitly explained, and the fundamental concepts will be treated interactively. To complete LO1, students will study them in more detail through self-learning (LO8), through basic and deepening bibliography, completing activities in the virtual classroom (eGela) and consolidating knowledge through personalized tutoring.



LO2, 3, 4, 5, 7, 8, 9 and 10: They will be developed through seminars using a methodology based on clinical cases and case problems. Seminars will be held in double sessions and students will be divided into small cooperative groups.



LO2, 3, 4, 5, 6, 7, 8, 9 and 10: They will be acquired through clinical practice with patients in the Dental Clinic Service of the UPV/EHU, in groups supervised by the professor in charge.



Application of new technologies as a complementary tool:

Virtual classrooms (e-Gela) will be used as a complement to face-to-face teaching.

• Continuous Assessment System
• Final Assessment System
• Tools and qualification percentages:
  • Written test to be taken (%): 70
  • Realization of Practical Work (exercises, cases or problems) (%): 10
  • Team projects (problem solving, project design)) (%): 10
  • Portfolio (%): 10

General aspects of evaluation (continuous and final) applicable to all types of evaluation:



1. Attendance and completion of practical content: Attendance is mandatory, and all practical content must be independently developed and passed, since it allows achieving 90% of the LO of the subject. Thus, non-attendance cannot exceed the limits settled in the regulations and must be duly justified. (UPV/EHU student regulations, November 2016 resolution, (https://www.ehu.eus/documents/3026289/3106907/Reglamento_Alumnado_UPV_EHU.pdf)



2. Plagiarism: No copy or imitation of the work done by third parties may be presented as one's own. Students must know how to cite and use references. The suspicion of plagiarism may cause turning down the work and, consequently, failing the subject.



3. Evaluation system of preference and minimum requirements for passing the subject: Whenever possible, a continuous evaluation will be carried out. In order to pass the subject, the theoretical and practical contents must be passed independently.



4. Final evaluation (requirements): If a student refuses the continuous evaluation and requests a single final test, he/she must confirm his/her attendance in advance (at least 3 weeks before the test). If failing to do so, or not showing up the day of the exam will automatically result in failing the subject in both the ordinary and the extraordinary call.



Evaluation with 100% face-to-face teaching.



-Continuous evaluation. The evaluation will consist of:



1. Theoretical test: (70%) (the evaluation criteria are explained in detail in the Student’s Guide)



1.1. Written exam: 7 short questions



1.2. Resolution of a simulated clinical case, similar to those seen throughout the Seminars, establishing a diagnosis (initial, diferential and final), a periodontal prognosis (individual and general) and a staged integral treatment plan, based on scientific evidence.



In order to pass the subject, a minimum of 5 points over 10 must be obtained in this final individual exam. Also, the student must pass the short questions part (achieving a minimum of 3,5 points) and the clinical case (achieving a minimum of 1,5 points) independently.



2. Continuous evaluation of the practical content: (30% of the final mark, including the assessment of competences in oral and written communication)((the evaluation criteria are explained in detail in the Student’s Guide).



2.1. Participation and resolution of the clinical cases in the Seminars (10%)



2.2. Attendance to clinical practices, showing an active participation. Checklist: Direct observation in the Clinic (10%).



2.3. Individual portfolio: Including the Practice Notebook with the resolution of the clinical cases from the Seminars, the clinical practices and a final report of a clinical case treated by the student or a simulated clinical case, properly documented and justified (10%).



-Final evaluation. Students who request so, may choose a final test, with a theoretical and a practical part, as follows:



1. Theoretical content: (70%)



A theoretical exam, similar to that described in the continuous evaluation, including short questions and the resolution of a clinical case. The requirements to pass this part are the same as in the continuous evaluation.



2. Practical content: (30%)



2.1. Resolution of a clinical case, to evaluate the Seminars (10%)



2.2. A complete periodontal exam (periodontal chart and radiographic periodontal series) (15%)



2.3. Practical exam of the instrumental used in the clinical practices (15%)



2.4. Completion of a part of the non-surgical periodontal therapy (50%)



2.5. Writing of a final report of the clinical case, taking into account the clinical history and describing the diagnosis, prognosis and the treatment provided to the patient, using a proper and technical language (10%)



In order to pass the subject, both theoretical and practical contents must be independently passed, with a minimum of 5 points over 10 in the written test and 7 over 10 in the practical test.



If, for epidemiological reasons, a face-to-face evaluation would NOT be possible, a final assessment will be made according to such conditions.



-Evaluation of semi-face-to-face education derived from the aforementioned epidemiological situation:



Continuous evaluation of all the face-to-face and the telematic teaching activities, considering the general evaluation criteria.



Evaluation of the theoretical content (70%): a written or oral test will be conducted via eGela.



Evaluation of the practical content (30%): Through the individual digital portfolio and the continuous evaluation via checklist of the face-to-face clinical practices and seminars.



In order to pass the subject, a minimum of 5 points over 10 must be obtained in the written test, in order to add this result to the rest of the evaluation.

As in the ordinary call, the same percentages are maintained in this call: 70% theoretical content and 30% practical content.



Since attendance to seminars and clinical practices is compulsory, if the evaluation is positive, this result will be kept even for students who have failed the ordinary call, so that they will only have to do a written theoretical test of short questions and resolution of a clinical case.



The criteria mentioned in the ordinary call are also maintained regarding a possible epidemiological emergency.



Final evaluation:

All students who request it, according to the UPV/EHU student regulations (https://www.ehu.eus/es/web/graduak/normativa/evaluacion-del-alumnado-en-las-titulaciones-oficiales-de-grado) may choose a final evaluation, which will consist of a written final test and a practical test, in the same way as in the regular call.

To refuse both ordinary and extraordinary calls, it will be enough not attending the exam.

-Clinical pyjamas and cap
-Clinical material specified by the Dental Clinic Service
-Practice Notebook
-Electronic devices with internet connection (tablet, laptop, smartphone,...)
-Colored pens (blue, red, green, green and black)

Basic bibliography

-Aguirre-Zorzano LA, Estefanía-Fresco R, García-De-La-Fuente AM. (2017). "Diagnóstico periodontal: conceptos básicos". EHU.OCW 2017; https://ocw.ehu.eus/course/view.php?id=433

-Aguirre-Zorzano L.A., Estefanía-Fresco R., Fernández-Jiménez A., García-De-La-Fuente AM. "Tratamiento periodontal no-quirúrgico". EHU.OCW 2018; https://ocw.ehu.eus/course/view.php?id=470

-Aguirre Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-la-Fuente AM. "Enfermedades periodontales y periimplantarias: nuevas claves diagnósticas". EHU.OCW 2022; https://ocw.ehu.eus/course/view.php?id=585

-Berglundh et al.(2021). Lindhe´s Clinical Periodontology and Implant Dentistry. 7th edition, ed. Wiley Blackwell, Munksgaard

-Chambrone L. & Ávila Ortíz G. (2022). Tissues: Critical Issues in Periodontal and Implant-related Plastic and Reconstructive Surgery. Quintessence Publishing Company, Incorporated, 2022. ISBN: 0867159634

-García de la Fuente, Ana María, Estefanía Fresco, Ruth, Fernández Jiménez, Aitziber, Aguirre Zorzano, Luis Antonio. (2023). University Manual: "Guía práctica de periodoncia". ISBN: 978-84-1319-549-0 (digital). Link: https://web-argitalpena.adm.ehu.es/listaproductos.asp?IdProducts=UMEPD235490

-Genco et al. (1993). Periodoncia Contemporánea. Interamericana-McGraw-Hill. México

-Laskaris & Scully (2012). Periodontal manifestations of local and systemic diseases: colour atlas and text. Springer Science & Business Media. https://link.springer.com/book/10.1007/978-3-642-55596-1

-Levi et al. (2015). Non-Surgical Control of Periodontal Diseases: A Comprehensive Handbook. Springer

-Palmer & Floid (2021). Periodontology. Springer

-Pattison, G. L. (1985). Instrumentación Periodontal. 1ed. Buenos Aires, Panamericana

-Rateitschack KH, Rateitschack Pluss EM, Wolf HF (1991). Atlas de Periodoncia. 2ª Ed Salvat. Barcelona

-Sato N. (2002). Cirugía periodontal: Atlas clínico. Ed Quintessence S.L. Barcelona

-Zuhr O. & Hürzeler M. (2012). Plastic-Esthetic Periodontal and Implant Surgery. A microsurgical aproach. Quintessence Publishing



Material docente en formato video (EHUTB):

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M.(2018). Higiene interdental. https://ehutb.ehu.eus/video/5af05e17f82b2b1b738b4994

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M.(2018). Técnica de Bass modificada. https://ehutb.ehu.eus/video/5af004aef82b2bcd718b49a6

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M.(2018). Técnica de Stillman modificada. https://ehutb.ehu.eus/video/5af05c4bf82b2b1b738b4991

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M. (2018). Control de placa bacteriana. https://ehutb.ehu.eus/video 5af0606ff82b2b296c8b462e

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M. (2018). Instrumental para realizar el tratamiento periodontal no quirúrgico. https://ehutb.ehu.eus/video/5af06304f82b2b316c8b463e

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M. (2018). Raspado y alisado radicular (RAR) realizado por un operador zurdo. https://ehutb.ehu.eus/video/5af06945f82b2b2f6c8b464a

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jiménez A, García-De-La-Fuente A M. (2018). Raspado y alisado radicular (RAR) realizado por un operador diestro. https://ehutb.ehu.eus/video/5af062ebf82b2bc8718b49f4

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jimenez A, García-De-La-Fuente A M.(2018). Implantes dentales: carga inmediata y provisionalización. Link: https://ehutb.ehu.eus/video/5abd2beef82b2b14768b4a28

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jimenez A, García-De-La-Fuente A M.(2018).Implantes dentales: implantes dentales e injerto de tejido conectivo. Link: https://ehutb.ehu.eus/video/5abba8f1f82b2b4c768b4994

-Aguirre-Zorzano LA, Estefanía-Fresco R, Fernández-Jimenez A, García-De-La-Fuente A M.(2018). Terapia quirúrgica: elevación de seno maxilar e implantes dentales en la misma sesión”. Link: https://ehutb.ehu.eus/video/5abd263ef82b2b15768b4a1c

-Fernández-Jimenez A, Estefanía-Fresco R, García-De-La-Fuente A M., Aguirre-Zorzano LA (2021). Técnica VISTA modificada (m-VISTA) en el tratamiento de recesiones gingivales múltiples clases III de Miller/RT2. Link: https://ehutb.ehu.eus/video/61dbfb981e3fec1af033a844

-Fernández-Jimenez A, Estefanía-Fresco R, García-De-La-Fuente A M., Aguirre-Zorzano LA. (2021). Técnica de colgajo de avance coronal (CAF) en el tratamiento de las recesiones gingivales múltiples Clase III de Miller/RT2. Link: https://ehutb.ehu.eus/video/61dbff581e3fec1af033a862

In-depth bibliography

Scientific journals (in English):
-Periodontology 2000
-Journal Clinical of Periodontology
-Clinical Oral Implant Research
-Journal of Periodontology
-International Journal of Periodontics and Restorative Dentistry
-Journal of Periodontal Research …

Databases:
-PubMed; https://www.ncbi.nlm.nih.gov/pubmed/
-ISI Web of Knowlegde; https://www.recursoscientificos.fecyt.es/
-Scopus; https://www.recursoscientificos.fecyt.es/
-Cochrane Library; https://www.cochranelibrary.com/

Journals

Scientific journals (in Spanish):
-Periodoncia Clínica (Replaces the magazine “Periodoncia y Osteointegración”) http://www.sepa.es/web_update/periodoncia-clinica-presentacion/
-Periodoncia y Osteointegración: http://www.sepa.es/web_update/po-home/

Web addresses

-Sociedad Española de Periodoncia (SEPA): https://www.sepa.es/
-European Federation of Periodontology (EFP): https://www.efp.org/
-American Academy of Periodontics (AAP): https://www.perio.org/