Periodontics handbook

PERIODONTICS UNIT
KULLIYYAH OF DENTISTRY

PERIODONTAL EXAMINATION & DIAGNOSIS COMPETENCY
TEST RUBRIC

Student Name: ____________________________________ Date: _____
Student Matric No: ________________________________

Patient Name: _____________________________________
Patient R/N: _______________________________________

PASS/FAIL (circle )

Supervisor

signatures

Criteria Score

CHIEF COMPLAINT/ CONCERNS
Unsatisfactory (US)

1. Failure to address patient’s main complaint and the explore the main
complaint.

Satisfactory (S)
2. Adequate assessment of the patient’s main complaint

MEDICAL/DENTAL HISTORY
Unsatisfactory (US)

1. Failure to give an appropriate consideration to medical problems
which affect the delivery of dental care.

2. Inadequate knowledge of patient’s systemic problems, medications,
etc., which did not affect the delivery of dental care.

Satisfactory (S)
3. Adequate assessment of the patient’s medical conditions and its
implications for dental management

SMOKING HISTORY
Unsatisfactory (US)

1. Failure to explore patient’s smoking history & habits: no. of cigarette smoke,
attempt to stop smoking

Satisfactory (S)
2. Adequate assessment of patient’s smoking history and relates with intraoral
presentation/findings

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GINGIVAL INFLAMMATION
Unsatisfactory (US)

1. Failure to detect gingival inflammation.
2. Failure to properly classify gingival inflammation correctly.

Satisfactory (S)
3. Adequate assessment of the gingival inflammation present.

FREE GINGIVAL MARGIN & MUCOGINGIVAL JUNCTION (if required)
Unsatisfactory (US)

1. Failure to indicate the location of free-gingival margin and/or mucogingival
junction or inaccurate by greater than 2mm.

2. Failure to recognize mucogingival problems.
3. Inaccurate location of free-gingival margin or mucogingival junction by 1-2

mm.

Satisfactory (S)
4. Location of the mucogingival junction within 1 mm

BASIC PERIODONTAL EXAMINATION (BPE)
Unsatisfactory (US)

1. Inaccurate detection of codes at more than 1 sextant
2. Inability to remember the BPE codes criterion and explain the

treatment needs

Satisfactory (S)
3. Accurate periodontal probing measurements and explaination of BPE

MOBILITY (If required)
Unsatisfactory (US)

1. Failure to detect Class 2 or 3 mobility on 2 or more teeth OR failure to
detect mobility on 3 or more teeth.

2. Under or over-assessment of mobility on 2 or more teeth.

Satisfactory (S)
3. Correct assessment of the mobility of all teeth

RADIOGRAPHIC ANALYSIS (if available)
Unsatisfactory (US)

1. Major errors in radiographic analysis: e.g. failure to observe obvious
pathology or interpretation of normal anatomy as pathology.

2. Incomplete radiographic analysis of minor consequence (no effect on
therapy).

Satisfactory (S)
3. Accurate assessment of the radiographic surveys

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PLAQUE SCORE ASSESSMENT (O’leary PS)
Unsatisfactory (US)

1. Failure to detect plaque on greater than 25% of surfaces.
Satisfactory (S)

2. Adequate assessment of the patient’s plaque control

OTHER DIAGNOSTIC MEASURES
Unsatisfactory (US)

1. Failure to conduct pulpal sensitivity tests where clearly indicated
2. Failure to detect lesions involving oral soft and hard tissues (caries, fistulous

tract, etc.)
Satisfactory (S)

3. Satisfactory

DIAGNOSIS
Unsatisfactory (US)

1. Incorrect or omitted diagnosis (e.g. gingivitis vs. periodontitis).
2. Non-specific diagnosis (e.g. periodontal disease).
Satisfactory (S)
3. Correct diagnosis of the periodontal diseases
PROBLEM LIST
Unsatisfactory (US)
1. Failure in recognition of significant problems
2. Failure to individualize problem list to patient’s needs.
3. Failure in distinguishing problems from findings.
Satisfactory (S)

3. Correct problem list formulated
TREATMENT PLAN
Unsatisfactory (US)

1. Inability to formulate an adequate treatment plan.
2. Treatment plan formulated with minor inaccuracies.
Satisfactory (S)
3. Correct treatment plan formulated

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PERIODONTICS UNIT
KULLIYYAH OF DENTISTRY

SCALING COMPETENCY TEST FOR YEAR 5 [2019/2020]

1. OBJECTIVES to assess the students’ ability to:

a) show a good knowledge of basic principle of patient management.
b) perform an efficient scaling skill.
c) demonstrate a good understanding of scaling procedures.

2. ELIGIBILITY requirement to sit competency test:

2.1. The students must have experience performing TEN (10) scaling
procedures before the commencement of the test.

3. CASE SELECTION

3.1 The eligibility of the patient’s criteria as follows:
• Minimum of 6 teeth for both anterior and posterior teeth with calculus.
• Detectable subgingival calculus present on anterior AND posterior
tooth.

3.2 Determination of the suitable case for scaling test and evaluation will
be done only by
designated Periodontics supervisor.

4. EXAMINATION procedures:

4.1 Student is responsible to arrange the test time/session with the
respective supervisor.

4.2 The suitable cases can be approved by any Periodontics supervisor.
However, only the allocated supervisor is allowed to evaluate the test on the
day of examination.

4.3 All surfaces of teeth presence with calculus must be treated and
evaluated.

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4.4 The procedure must be completed and assessed in a single clinical
session.
4.5 Student must PASS the scaling test prior to their oral case presentation
(Periodontitis Case).
4.6 Those who obtained FAIL are not allowed to present their oral case of
Periodontitis in which may affect them to undertake the FINAL PRO IV
examination.
4.7 The FAILED student must find a new case and no restriction in number
of repeating tests.
5. RESULT of the test
5.1. PASS is given to student who earns COMPETENT performance criteria in
the test.
5.2. FAIL is given to student who earns the NOT COMPETENT performance
criteria in the test.
5.3. The marks for this test will be included as part of student clinical
requirement.

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PERIODONTICS UNIT
KULLIYYAH OF DENTISTRY

PERIODONTAL EVALUATION SHEET FOR SCALING TEST

Student Name: ______________________________ Date: _____________
Student Matric No: __________________________

Patient Name: ______________________________ Pass/Fail
Patient R/N: _______________________________ Supervisor signatures:

Evaluation criteria

Examination procedures

Good Acceptable Improvement
(7-10) (5-6) (4 and less)

Infection control and pre-operative
preparation

Position of the patient and the
operator.

Visibility, transillumination and
reflection.

Instrument stabilisation

Instrument activation

Efficiency of scaling skill

Professionalism

Understanding and completion of
treatment visit.

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Proficient Competent Not competent
56-80 40-55 40 and less

Pass Pass Fail

Comments:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

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C) Rubrics for scaling competency test

Table 12. Rubric for Scaling Test

Examination Evaluation criteria
procedures
Acceptable
Good (5-6) Improvement
(7-10) (4 and less)

Infection control and Execute a good Minor malpractice of Breach of barrier
pre-operative conduct of infection technique or other
preparation. control throughout the infection control violation of infection
procedure. control protocol.
protocol.

Instruments are clean Failure to maintain a
neat and organized
and sharp, and tray is work area.

organized with correct

instruments for proper

assessment of

procedures.

Position of the Demonstrate a proper Required assistance to Failure to demonstrate
patient and
operator. the position of the patient demonstrate a proper a good position after

and the operator position between assistance has given.

patient and operator.

Visibility, illumination Good position of One or two errors Errors occur in most of

and retraction. lighting and easy to occurs. the steps.

reach.

Good vision either
direct or indirect or
both illuminations is
desirable.

Instrument Demonstrate an Require assistance to Failure to demonstrate
stabilisation
adequate instrument demonstrate a correct a good instrument

grasp and provide a technique for control and

finger rest for instrument stabilization.

instrument stabilization.

stabilization.

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Instrument activation Correct activation of Required assistance in Failure to demonstrate
some steps. a correct instrument
the instrument activation.

throughout the

procedure.

Efficiency of scaling No remain supra and Minimal calculus Significant amount of
skill sub gingiva calculus
detected visually and found at deep fissure supra and sub gingiva
on probe examination.
of teeth without any calculus detected

remaining left for visually and on probe

both supra and sub examination after

gingiva calculus after being more than TWO

TWO (2) time being (2) time being

reviewed by reviewed by

supervisor. supervisor.

Clear evidence of soft

tissue trauma Clear evidence of soft Evidence of soft tissue
trauma related to
inconsistent with the tissue trauma procedure.

procedure. inconsistent with the

procedure.

Professionalism Be maintain Require assistance to Failure to notice
professional
appearance. control patient patient discomfort and

Maintain a good discomfort and lacking the
communication with
patient and control maintain a good communication skill
patient discomfort
appropriately. communication with with patient.

patient.

Understanding and Demonstrate a good Demonstrate an Failure to complete the

completion of understanding of adequate treatment in one visit.

treatment visit. procedures performed. understanding of

procedures performed

Record and document but assistance require Lack of understanding

clinical activities, to provide a legible regarding the

procedures and documentation. procedure.

discussions accurately

and legible.

Manage to complete Manage to complete

case in one visit case in one visit

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52 Periodontics Unit, Kulliyyah of Dentistry

International Islamic University Malaysia