Introduction in Clinical Periodontology


Course Objective

Competences according to the General Educational Framework Dentistry
2008 covered: I a-j (4), II (4), III a-j, l, m, (4), VI a, b, d, e, h,
j, k (4).
The student
• has deep knowledge on the histological, radiographic and
morphological structures of the complete periodontal structures
(periodontium including alveolar bone, root cement, periodontal ligament
and gingiva).
• has deep knowledge on the complete tooth-root morphology for
application during periodontal treatment procedures.
• has knowledge on all parameters and procedures for proper
diagnosis of periodontal diseases
• is able to perform a complete clinical intake of a newly referred
patient: medical and dental anamnesis, registration of relevant life
style factors, periodontal chart, clinical photographs, study models and
registration of occlusion and articulation.
• is able to convey the diagnosis and treatment plan to the
• is able to perform both on mannequin and in patients with severe
destructive periodontal diseases, clinically correct procedures of
subgingival scaling and root planing on all the various types of teeth.
• has deep knowledge on the type and variety of hand instruments
and ultrasonic instruments related to non-surgical periodontal therapy,
proper tactile skills.
• has deep knowledge of the procedures and communication skills to
obtain a high level of self-care (i.e. compliance), most importantly
proper daily oral hygiene measures by the patient.

Course Content

This clinical course deals with the principles of diagnosis, prognosis
and basic treatment planning for patients with severe destructive
periodontal diseases. For this, the basics of the structures of the
periodontium of such patients in these conditions need to be known. This
knowledge must be applied to diagnostic procedures on radiographic
images and to the generation and interpretation of a full periodontal
chart. The principles of bone loss vs attachment loss and
positive/negative recessions, gain or loss of clinical attachment vs
histological gain or loss of attachment will be to focus of attention.
After proper diagnostics the student must be able to write a detailed
yet concise report to the referring dentist in the form of a letter.
Communication at the advanced level will be taught, discussed and
evaluated: communication with both the patient and the referring
dentist. To be able to perform the basics of non-surgical periodontal
therapy in patients with severe periodontitis, especially proper
subgingival scaling and root planning, 3 aspects are essential: (i) deep
knowledge on the tooth root morphology and surfaces (ii) deep knowledge
on the varies hand and mechanical instruments available, including
tactile skills, (iii) deep knowledge of the procedures and communication
skills to obtain a high level of oral hygiene by the patient. The
student will perform exercises in preclinical sessions on mannequin and
thereafter will perform treatment on his/her patients and apply in
practice the clinical skills of subgingival root debridement and root
planning, and will develop his/her tactile skills.

Method of Assessment

Portfolio assessment
• Good; Pass; or Fail.


• Reader with selected papers (compulsory)
• Capita selecta from Lindhe, J., Karring, T. & Lang, N. P. (eds).
• Reader with selected papers (compulsory)
• Clinical Periodontology and Implant Dentistry, 5th edition, Oxford:
• Reader with selected papers (compulsory)
• Blackwell Munksgaard (optional)

General Information

Course Code T_P1INTCLI
Credits 15 EC
Period Ac. Year (sept)
Course Level 400
Language of Tuition English
Faculty Faculty of Dentistry
Course Coordinator M. Bussink
Examiner M. Bussink
Teaching Staff M. Bussink
prof. dr. U. van der Velden
prof. dr. B.G. Loos MSc
dr. S. Bizzarro
dr. S. Paraskevas
dr. M.M. Danser
dr. J.A.H. Tromp

Practical Information

You need to register for this course yourself