California Code of Regulations
Title 16 - Professional and Vocational Regulations
Division 10 - Dental Board of California
Chapter 2 - Dentists
Article 3 - Examinations
Section 1032.8 - Portfolio Examination: Periodontics
Universal Citation: 16 CA Code of Regs 1032.8
Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(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:
(i)
Removed calculus;
(ii) Removed
plaque; and
(iii) Removed
stains;
(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.
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.
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