AAP Classification of Periodontal Diseases for Diagnosis and Furcation Navigation with Ultrasonic Instrumentation

Course Details

Friday, September 22, 2023
8:30 – 4:00 pm
7 MCE credits

Speaker: Marianne Dryer, RDH, MEd

AAP Classification of Periodontal and Peri-Implant Diseases: Aligning the Dental Hygiene Diagnosis: AM

The updated AAP classification system created in 2017 represents a multi-dimensional staging and grading framework for periodontitis and implant disease status. This course will examine the concepts of staging and grading to classify each patient by complexity of case management, likelihood of less predictable response to therapy, and potential for periodontitis development. Diagnosing, treatment planning, and executing appropriate and necessary periodontal therapies will be reviewed utilizing case presentations and group activities. A hallmark feature of the updated system brings opportunities for more case specific patient care. The need for calibration and clinician alignment with the new classification system will be discussed along with narrative examples for documentation recommendations.

Course Objectives:

  • Examine the historical timeline and evolution of the AAP Classification System.
  • Discuss the new staging/grading system for periodontal disease and how it will benefit patient
    care and management.
  • Create treatment modalities that are evidence-based protocols for specific types of periodontal
    diseases according to the new classification system.
  • Identify patients who may benefit from adjunctive strategies of disease management and overall
    health surveillance based on the updated classifications.
  • Develop individualized homecare regimens utilizing staging and grading to motivate and
    encourage patients to improve their oral health.

The Art of Furcation Navigation with Ultrasonic Instrumentation: PM

This course examines the need for proper foundational skills in ultrasonic technique with both magnetostrictive and piezo technology. A review of proper adaptation, angulation and adaptation will be discussed as well as features of both technologies to achieve better clinical outcomes. Understanding the working mechanisms of both technologies, advantages and limitations, and visual indicators to ensure proper utilization of the power scaling technologies. These fundamental principles will then be applied to advanced instrumentation in the periodontal patient with focus on furcation involvement and areas of challenging anatomical access. Maintenance of ultrasonic inserts and tips will be discussed along with optimum water management and individual patient considerations.

Course Objectives:

  • Apply the Evidence-based Decision Making (EBDM) process to periodontal instrumentation choices
  • Develop an understanding of the role ultrasonic instrumentation in biofilm reduction and access to anatomical challenges
  • Examine the differences and similarities in various ultrasonic technologies
  • Discuss the need for a variety of ultrasonic inserts/tips/instruments for thorough periodontal debridement including effective access to dental implant surfaces.
  • Identify the steps to ensure thorough removal of deposits and biofilm utilizing slim and ultrathin inserts/tips with an exploratory approach
  • Examine current trends in implant maintenance and the need to be current with the research when choosing debridement instruments.
  • Examine current trends in implant maintenance and the need to be current with the research when choosing debridement instruments.
  • Apply proper maintenance and aerosol control protocols while using ultrasonic instrumentation effectively and efficiently


Audience: Hygienists, Dentists, Dental Assistants