Section 1032.8 - Portfolio Examination: Periodontics(a) The portfolio examination shall contain the following documentation of the minimum periodontic clinical experiences and documentation of the periodontic portfolio competency examination: (1) Evidence of successful completion of the periodontic clinical experiences shall be certified by the director of the school's clinical education program on the "Portfolio Examination Certification of Clinical Experience Completion" Form 33A-23P (New 08/13), which is hereby incorporated by reference, and shall be maintained in the candidate's portfolio.(2) Documentation providing proof of satisfactory completion of a final assessment in the periodontic competency examination. For purpose of this section, satisfactory proof means the periodontic competency examination has been approved by the designated dental school faculty.(b) Competency Examination Requirements. The candidate shall have the approval of his or her clinical faculty prior to beginning the competency examination. The periodontic competency examination shall include: (1) One (1) case to be scored in three parts, as follows:(A) Part A: Review medical and dental history, radiographic findings, comprehensive periodontal data collection, evaluate periodontal etiology/risk factors, comprehensive periodontal diagnosis, and treatment plan;(B) Part B: Calculus detection and effectiveness of calculus removal; and(C) Part C: Periodontal re-evaluation.(2) Nine (9) scoring factors:(A) Review Medical and Dental History (Part A);(B) Radiographic Findings(Part A);(C) Comprehensive Periodontal Data Collection (Part A);(D) Evaluate Periodontal Etiology/Risk Factors (Part A);(E) Comprehensive Periodontal Diagnosis (Part A);(F) Treatment Plan (Part A);(G) Calculus Detection (Part B);(H) Effectiveness of Calculus Removal (Part B); and(I) Periodontal Re-evaluation (Part C).(3) All three parts of the examination shall be performed on the same patient. In the event the patient does not return for periodontal re-evaluation (Part C), the student shall use a second patient for the completion of the periodontal re-evaluation (Part C) portion of the periodontic competency examination.(4) Documentation the candidate performed a comprehensive periodontal examination. The documentation shall include: (A) Evidence that the patient's medical and dental history was reviewed.(B) Evidence that the patient's radiographs were evaluated.(C) Evidence of performance of an extra-oral and intra-oral examination on the patient.(D) Evidence of performance of comprehensive periodontal data collection. Evidence shall include evaluation of patient's plaque index, probing depths, bleeding on probing, suppurations, cementoenamel junction to the gingival margin (CEJ-GM), clinical attachment, furcations, and tooth mobility.(E) Evidence of performance of an occlusal assessment.(5) Documentation the candidate diagnosed and developed a periodontal treatment plan. The documentation shall include: (A) Evidence of determination of periodontal diagnosis.(B) Evidence of formulation of an initial periodontal treatment plan that demonstrates (i) Determination of periodontal diagnosis.(ii) Formulation of an initial periodontal treatment plan that demonstrates the following: (a) Determination to treat or refer patient to periodontist or periodontal surgery;(b) Discussion with patient regarding etiology, periodontal disease, benefits of treatment, consequences of no treatment, specific risk factors, and patient-specific oral hygiene instructions;(c) Determination on non-surgical periodontal therapy;(d) Determination of re-evaluation need; and(e) Determination of recall interval.(6) Documentation of performance of non-surgical periodontal therapy. The documentation shall include: (A) Detected supragingival and subgingival calculus;(B) Performance of periodontal instrumentation, including:(C) Demonstration that excessive soft tissue trauma was not inflicted; and(D) Demonstration that anesthesia was provided to the patient.(7) Documentation of performance of periodontal re-evaluation. The documentation shall include: (A) Evidence of evaluation of effectiveness of oral hygiene;(B) Evidence of assessment of periodontal outcomes, including: (i) Review of the patient's medical and dental history;(ii) Review of the patient's radiographs;(iii) Performance of comprehensive periodontal data collections (e.g. evaluation of plaque index, probing depths, bleeding on probing, suppurations, cementoenamel junction to the gingival margin (CEJ-GM), clinical attachment level, furcations, and tooth mobility.(C) Evidence of discussion with patient regarding current periodontal status as compared to the pre-treatment status, patient-specific oral hygiene instructions, and modifications of specific risk factors;(D) Evidence of determination of further periodontal needs including the need for referral to a periodontist and periodontal surgery; and(E) Evidence of establishment of a recall interval for periodontal treatment.(c) Acceptable Patient Criteria for Periodontics Competency Examination:(1) The examination, diagnosis, and treatment planning shall include: (A) A patient with a minimum of twenty (20) natural teeth, with at least four (4) molars;(B) At least one probing depth of five (5) mm or greater shall be present on at least four (4) of the teeth, excluding third molars, with at least two of these teeth with clinical attachment loss of 2 mm or greater;(C) A full mouth assessment or examination(D) The patient shall not have had previous periodontal treatment at the dental school where the examination is being conducted. Additionally, the patient shall not have had previous non-surgical or surgical periodontal treatment within the past six (6) months.(2) Calculus detection and periodontal instrumentation (scaling and root planing) shall include:(A) A patient with a minimum of six (6) natural teeth in one quadrant, with at least two (2) adjacent posterior teeth in contact, one of which shall be a molar. Third molars may be used if they are fully erupted.(B) At least one probing depth of five (5) mm or greater shall be present on at least two (2) of the teeth that require scaling and root planing.(C) A minimum of six (6) surfaces of clinically demonstrable subgingival calculus shall be present in one or two quadrants. Readily clinically demonstrable calculus is defined as easily explorer detectable, heavy ledges. At least four (4) surfaces of the subgingival calculus shall be on posterior teeth. Each tooth is divided into four surfaces for qualifying calculus: mesial, distal, facial, and lingual. If additional teeth are needed to obtain the required calculus and pocket depths two quadrants may be used.(3) Re-evaluation shall include: (A) A thorough knowledge of the patient's case;(B) At least two (2) quadrants of scaling and root planing on the patient being reevaluated.(C) At least two documented oral hygiene care (OHC) instructions with the patient being reevaluated 4-6 weeks after scaling and root planing is completed. The scaling and root planing shall be completed within an interval of 6 weeks or less.(D) A patient with a minimum twenty (20) natural teeth with at least four (4) molars.(E) Baseline probing depth of at least five (5) mm on at least four (4) of the teeth, excluding third molars.(d) Competency Examination Scoring. The scoring system used for the periodontics competency examination is defined as follows: (1) A score of 0 is unacceptable; candidate exhibits a critical error(2) A score of 1 is unacceptable; major deviations that are correctable(3) A score of 2 is acceptable; minimum competence(4) A score of 3 is adequate; less than optimal(5) A score of 4 is optimal A score rating of "2" shall be deemed the minimum competence level performance.
Cal. Code Regs. Tit. 16, § 1032.8
1. New section filed 11-5-2014; operative 11-5-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45). Note: Authority cited: Section 1614, Business and Professions Code. Reference: Sections 1630, 1632 and 1632.1, Business and Professions Code.
1. New section filed 11-5-2014; operative 11/5/2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 45).