Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.5.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Preclinical and Clinical Course in Periodontology

Main Study Course Information

Course Code
ZTMVK_060
Branch of Science
Clinical medicine; Dentistry
ECTS
6.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Una Stāmere
Structure Unit Manager
Anda Brinkmane
Structural Unit
Department of Conservative Dentistry and Oral Health
Contacts

Riga, 20 Dzirciema Street, tsk@rsu.lv, +371 67455560

About Study Course

Objective

  1. To provide dentistry students of the 3rd year of study with a comprehensive understanding of the aetiology, pathogenesis, classification and diagnostic principles of periodontal diseases, emphasising evidence-based, patient-grasped and sustainable approaches to periodontological care.
  2. Develop skills and competences in identifying risk factors for periodontal diseases, clinical investigation and treatment planning, as well as practice the correct and effective application of periodontal instruments and non-surgical therapy methods, integrating them with the principles of surgical and maintenance therapy.
  3. Promote the ability to implement quality and safe periodontal care independently and responsibly, in compliance with occupational environment ergonomics and infection control requirements, as well as develop professional cooperation skills in an interdisciplinary healthcare team, emphasising long-term patient welfare and ensuring sustainable treatment outcomes.

Preliminary Knowledge

Students must have acquired knowledge of human anatomy, histology and physiology, as well as general pathology, with a particular emphasis on head and neck anatomy. Basic knowledge of oral diseases and their diagnostic principles is required. Knowledge of oral microbiology and pharmacology is also desirable.

Learning Outcomes

Knowledge

1.Students will recognise and classify periodontal instruments according to their type and design, describe their design characteristics and outline sharpening principles. Define the intended purpose of each instrument and identify the appropriate oral areas in which the instrument is applicable.

Individual work and tests

Practical exam on a dental phantom • Midterm exam

2.Students will recognize and name the anatomical and histological structures of the periodont tissue and list their physiological functions. Identify aetiological factors of periodont diseases, characterize pathogenetic mechanisms and their effect on the structure and function of periodont tissues.

Individual work and tests

Midterm exam

3.Students will name periodont health assessment tools and essential clinical parameters.

Individual work and tests

Midterm exam

4.Students will outline the content and role of patient clinical examination data in periodontological diagnosis and treatment planning.

Individual work and tests

Clinical case presentation

5.Students will recognize different forms of periodontal disease, classify periodontal diseases and conditions, formulate basic principles of periodontal treatment, name treatment stages and their sequence, and outline the principles of team collaboration in periodontal disease care.

Individual work and tests

Teroethical exam

6.Students will formulate basic principles of periodontology, identify sources of scientific literature for in-depth study of the topic.

Individual work and tests

Individual work

Skills

1.Students will be able to correctly adapt and apply periodontal instruments on the dental phantom model according to the purpose of the instrument application, as well as demonstrate their correct sharpening.

Individual work and tests

Practical exam on a dental phantom

2.Students will be able to identify the anatomical and histological structures of the periodont, link them to clinical investigation data, and interpret the role of disease aetiology and pathogenesis in diagnosis and treatment planning.

Individual work and tests

Midterm exam

3.Students will be able to conduct clinical investigations and apply appropriate instrument adaptation techniques, atraumatically and ergonomically apply periodontal instruments in the patient’s mouth, observe principles of infection control in the workplace.

Individual work and tests

Midterm exam

4.Students will be able to systematically obtain and collect clinical data, reasonably evaluate the treatment strategy and its outcome, and prepare and convincingly present a structured clinical case analysis.

Individual work and tests

Clinical case presentation

5.Students will be able to carry out periodontal examination and determine diagnosis of periodontal diseases, evaluate prognosis of diseases and draw up an appropriate periodontal treatment plan. Will be able to diagnose and provide emergency treatment for acute periodontal conditions and use non-surgical (conventional) periodontal treatments. Students will be able to plan the stages of surgical and maintenance treatment, as well as professionally evaluate and interpret the results of periodontal therapy.

Individual work and tests

Clinical work

6.Students will be able to prepare independently for examinations, use scientific literature to promote professional development, perform simulated clinical case analysis, as well as prepare and present clinical case analysis in a structured manner.

Individual work and tests

Individual work

Competences

1.Students will be able to organise the ergonomics of the clinical work environment independently and responsibly by ensuring the correct positioning of the patient, lighting and doctor, as well as by complying with the requirements for the maintenance of a safe work environment and infection control. Will be able to select periodontal instruments according to the clinical situation and apply them atraumatically and efficiently, integrating theoretical knowledge into practical work.

Individual work and tests

Practical exam on a dental phantom • Midterm exam

2.Students will be able to integrate knowledge of periodont anatomy, histology, disease aetiology and pathogenesis into clinical activity by independently and responsibly making decisions regarding diagnosis, prevention and treatment of periodont diseases.

Individual work and tests

Clinical work

3.Students will be able to operate responsibly in the clinical environment, complying with the requirements of a safe working environment and infection control, integrate theoretical knowledge into practical activity and engage professionally with colleagues.

Individual work and tests

Clinical work

4.Students will be able to independently reflect on clinical experience, integrate theoretical knowledge with practical activity and professionally argue the chosen approach to diagnosis and treatment, demonstrate willingness to take responsibility for evaluation and communication of the clinical process in a professional environment.

Individual work and tests

Clinical case presentation

5.Students will be able to work professionally with the patient and the medical team, providing safe and high quality healthcare.

Individual work and tests

Clinical work

6.Students will be able to independently analyse and critically evaluate the sources of literature on the subjects of lectures, integrate acquired knowledge and skills into the assessment of clinical situations and formulate professional conclusions.

Individual work and tests

Individual work

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-

Preparation for examinations; individual work with literature sources on lecture topics; analysis of simulated clinical cases; preparation of a clinical case presentation.

Examination

Title
% from total grade
Grade
1.

Practical exam on a dental phantom
-
Test

At the end of the preclinical part of the study course, students shall take a practical test during which they demonstrate the recognition, characterisation, correct positioning of the patient and ergonomic working position of the physician, as well as the skills for adapting and applying instruments on the dental phantom model. The evaluation criteria are published in e-studies.
2.

Midterm exam
-
Test

The mid-semester examination consists of two separate parts, a practical test and a theoretical test.

  1. During the practical examination at the final class of the 5th semester, students in the clinical environment demonstrate on each other knowledge of periodontal instruments and periodontal clinical evaluation, as well as demonstrate the skills to atraumatically apply instruments in the patient’s mouth and perform a periodontal clinical examination. The purpose of the examination is to assess the ability of students to integrate theoretical knowledge with practical skills, taking into account the principles of a safe working environment and professional communication. The evaluation procedures and criteria shall be published in e-studies.
  2. The student is entitled to take the theoretical test only after successfully passing the practical test. The theoretical test consists of a test consisting of 100 multiple-choice questions. A student is successful if he or she has received an assessment of “almost satisfactory” (4 points) or higher. The assessment “almost satisfactory” (4 points) evaluates learning outcomes at least 55%. The examination aims to assess students' knowledge of periodontal structures, physiology, aetiology, pathology, and disease forms.
3.

Clinical work
30.00% from total grade
10 points

Students perform practical periodontal care in a clinical setting, working with real patients under the supervision of the teaching staff. As part of their clinical work, students demonstrate their ability to apply theoretical knowledge to the diagnostic and treatment process, adhere to professional and ergonomic principles, and ensure safe and high-quality care for patients. Particular attention is be paid to maintaining a safe working environment and meeting infection control and occupational hygiene requirements. Assessment of clinical work is based on demonstration of clinical skills of the student, quality of patient treatment documentation and expression of professional attitudes. The evaluation procedure and criteria are published in the e-studies.
4.

Clinical case presentation
20.00% from total grade
10 points

Students independently prepare and present one completed clinical case which has been treated during the practical classes of the study course. The presentation should not exceed 15 minutes. The purpose of the examination is to develop the student’s ability to document, analyse and present the clinical case by linking practical experience with theoretical knowledge in the field of periodontology. The evaluation criteria and sample presentation are published in the e-studies.
5.

Teroethical exam
50.00% from total grade
10 points

At the end of the study course, students shall take a theoretical exam consisting of 100 multi-answer questions covering all topics acquired in the study course.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Introduction to the instruments and work in the preclinic, demonstration on a plaster model.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Instruments for periodontology - first and second choice instruments
Instrumentation on dental phantom models, instrument sharpening.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Optimal position of clinician and patient during instrumentation.
Instrumentation on dental phantom models, instrument sharpening.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Ultrasonic instruments and powder jet devices.
Instrumentation on dental phantom models, instrument sharpening.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Instrumentation on dental phantom models, instrument sharpening.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Instrumentation on dental phantom models, instrument sharpening.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Mid-term practical exam on a dental phantom.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Introduction to clinic work and documentation, basic principles of infection control. Periodontal examination of a colleague.
Clinical work. Periodontal examination of a colleague.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical work. Periodontal examination of a colleague.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical work. Periodontal examination of a colleague.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical work. Periodontal examination of a colleague.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
3

Topics

Clinical work. Periodontal examination of a colleague.
Training and education on oral self-care.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
3

Topics

Clinical work. Periodontal examination of a colleague.
Performing simple hygiene manipulations for a colleague.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Practical test of the semester

  1. Test

Modality
Location
Contact hours
On site
Computer room
2

Topics

Theoretical test of the semester

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Oral cavity as an ecological system.

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Periodontal disease diagnostics - screening, clinical and radiological examination of the patient.

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Instruments for periodontology - first and second choice instruments
Optimal position of clinician and patient during instrumentation.

  1. Video Lecture

Modality
Location
Contact hours
Off site
-
2

Topics

Periodontal treatment planning.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Introduction to periodontology, principles of instrumentation, types of instruments.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Anatomy and histology of periodontium.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Etiology and pathogenesis of periodontal diseases. Clinical parameters.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Classification of diseases and conditions of periodontal and peri-implant tissue.
Periodontal links to systemic diseases.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Periodontal health and gingivitis. Gingival diseases and conditions, their etiology and pathogenesis, classification.
Periodontitis, etiology and pathogenesis, classification.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Clinical case analysis and diagnostics.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Necrotising periodontal diseases - etiology and pathogenesis, classification
Clinical case analysis and diagnostics.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Endodontic periodontal lesions and periodontal abscesses - etiology and pathogenesis, classification.
Clinical case analysis and diagnostics.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Mucogingival conditions.
Peri-implant diseases and conditions.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Clinical case analysis and diagnostics.
Total ECTS (Creditpoints):
3.00
Contact hours:
70 Academic Hours
Final Examination:
Test (Semester)
Part 2

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Patient treatment in the clinic.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Clinical case presentation

  1. Video Lecture

Modality
Location
Contact hours
Off site
-
2

Topics

Periodontal flap surgery.

  1. Video Lecture

Modality
Location
Contact hours
Off site
-
2

Topics

Regenerative periodontal surgery.

  1. Video Lecture

Modality
Location
Contact hours
Off site
-
2

Topics

Treatment of gingival recessions.
Clinical crown lengthening.

  1. Video Lecture

Modality
Location
Contact hours
Off site
-
2

Topics

Non-surgical treatment of periimplant diseases.
Surgical treatment of peri-implantitis.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Methods and principles for the treatment of periodontal diseases - stages and sequence. Clinical steps (S3 guidelines).

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Non-surgical periodontal treatment - principles, objectives and tasks, methods.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Surgical periodontal treatment - principles, objectives and tasks, methods.
Regenerative periodontal surgery.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Gingivitis - diagnosis (clinical and radiological examinations), differential diagnosis, treatment.
Periodontitis - diagnosis (clinical and radiological examinations), differential diagnosis, staging and grading, treatment and evaluation of results.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Teamwork and collaborative principles in the treatment of periodontitis.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Antiseptic and antibacterial agents for the treatment of periodontal diseases (first - and second-choice medication their indications, contraindications, administration regimes).

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Periontitis risk: evaluation, prognosis and early recognition strategies.
Principles for the treatment of periimplant diseases.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Clinical case analysis - Diagnostics and treatment planning.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Principles for necrotising periodontal disease treatment.

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Acute conditions - periodontal abscesses and endodontic periodontal lesions, differential diagnosis and treatment.

  1. Test

Modality
Location
Contact hours
On site
Computer room
3

Topics

Final exam (test)
Total ECTS (Creditpoints):
3.00
Contact hours:
70 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Newman M. G., Takei H., Klokkevold P. R., Carranza F. A. Carranza`s Clinical Periodontology. 14th edition, 2023Suitable for English stream

2.

Lindhe J., Karring T., Lang N. P. Clinical Periodontology and Implant Dentistry. 7th edition, 2021.Suitable for English stream

3.

Nield-Gehring, Jill S (Jill Shiffer). Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation. 8th edition, 2020.Suitable for English stream

4.

Stāmere U., Strazdiņa-Ščerbakova A. Norādījumi periodonta un periimplanta audu slimību jaunās klasifikācijas pielietošanai klīniskajā praksē. Rīga: RSU, 2021

5.

Proceedings from the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions, Journal of Periodontology: Volume 89, Issue S1Suitable for English stream

6.

Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, Sculean A, Tonetti MS; Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2020 JulSuitable for English stream

7.

Herrera D, Sanz M, Kebschull M, Jepsen S, Sculean A, Berglundh T, Papapanou PN, Chapple I, Tonetti MS; EFP Workshop Participants and Methodological Consultant. Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline. J Clin Periodontol. 2022 Jun;49 Suppl 24:4-71.Suitable for English stream

8.

Herrera D, Berglundh T, Schwarz F, Chapple I, Jepsen S, Sculean A, Kebschull M, Papapanou PN, Tonetti MS, Sanz M; EFP workshop participants and methodological consultant. Prevention and treatment of peri-implant diseases-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2023 Jun;50 Suppl 26:4-76.Suitable for English stream

Additional Reading

1.

Metodiskie norādījumi „Zobakmens noņemšanas tehnika”./Methodical instructions "Technique for removing tartar".Suitable for English stream

2.

George, Marie D., et al. Ultrasonic Periodontal Debridement : Theory and Technique, John Wiley & Sons, Incorporated, 2014. ProQuest Ebook CentralSuitable for English stream

Other Information Sources

1.

PubmedSuitable for English stream

2.

Journal of Clinical PeriodontologySuitable for English stream

3.

Group.bmjSuitable for English stream

4.

EBSCO host web Dentistry and oral sciencesSuitable for English stream

5.

OnlinelibrarySuitable for English stream

6.

Scholar.googleSuitable for English stream

7.

MedbioworldSuitable for English stream

8.

EfpSuitable for English stream

9.

PerioSuitable for English stream

10.

Periodontologija