Course Outline for Dental Hygiene 81A, Page 3

Chabot College

Fall 2007

Chabot College Fall 2007

Course Outline for Dental Hygiene 81A

CLINICAL PRACTICE I

Catalog Description:

81A – Clinical Practice I 4 units

Continuation of clinical experience in performing dental hygiene therapy with emphasis on the young child and periodontal patient; patient education in prevention and control of dental disease and emergency procedures. Prerequisite: Dental Hygiene 69B and Dental Hygiene 71B (both completed with a grade of C or higher). Corequisite: Dental Hygiene 56A, 57, 80A and 83. 12 hours clinical.
[Typical contact hours: 210]

Prerequisite Skills:

Before entering the course the student should be able to:

1. utilize infection control protocols for prevention of disease transmission through demonstration of proper sterilization and disinfection methods, barrier techniques and maintenance of asepsis;

2. collect and record data from the patient interview including medical history, case history, chief complaint and history of chief complaint on all clinical patients;

3. utilize the medical history and patient interview to collect and document information pertinent to the patient's medical and dental status on all clinical patients;

4. obtain a complete medical history and explain the rationale and implications for each portion of the history form;

5. describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature, and blood pressure) on all clinical patients;

6. demonstrate assessment skills designed to identify dental needs in order to plan treatment with the goal of delivering comprehensive dental hygiene care on all clinical patients;

7. demonstrate techniques and proper procedure for performing a thorough periodontal assessment and examination of the teeth on all clinical patients;

8. apply principles of instrumentation for the proper use of the explorers, mouth mirror, periodontal probe, scaling/root planing instruments and polishing instruments on all clinical patients;

9. perform proper polishing technique with appropriate material selection and precautions for polishing natural and restored tooth surfaces and dental appliances;

10. demonstrate technique, procedures and precautions for applying topical fluoride;

11. apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;

12. demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;

13. record complete dental restorative charting on a student partner and on all clinical patients;

14. list and discuss post-operative procedures and instructions for the patient;

15. identify and describe the relationship between universal curet scaler and root morphology in advanced instrumentation;

16. list objectives of Gracey curettes in advanced instrumentation;

17. identify and describe the relationship between the Gracey curet and root morphology in advanced instrumentation;

18. describe procedures for preventing and reporting occupational risks.

19. list the components of each phase of the dental hygiene process, including assessment, planning, implementation, evaluation and referral;

20. utlize the human needs theory to determine unmet human needs that can be met through dental hygiene therapy

21. define dental hygiene diagnosis: write a definitive dental hygiene diagnosis for an unmet human need

22. differentiate a dental hygiene diagnosis from a dental diagnosis

23. analyze data collected during the assessment phase of the dental hygiene process, formulate an appropriate dental hygiene care plan, and set goals for the patient's health process;

24. write examples of client centered goals and interventions

25. attributes to effective communication

26. practice techniques of active listening

27. develop working definitions for health and health promotion

28. differentiate between an oral prophylaxis, nonsurgical periodontal therapy, and supportive periodontal therapy

29. define dentinal hypersensitivity, its prevalence, etiology, and treatments

30. list the risk factors that contribute to dentinal hypersensitivity and the factors that reduce dentinal hypersensitivity

31. explain the etiology, oral signs and symptoms, and treatment for acute gingival and periodontal conditions, lesions of endodontic origin and avulsed teeth

32. list the components of a case documentation and develop a case documentation for a clinical patient

33. analyze the role of tobacco and chemical dependencies in the development of periodontal disease

34. list the resources available to dental hygienists for patients with tobacco and/or chemical dependencies

35. explain the indications for chemotherapeutic interventions as an adjunct to plaque control, nonsurgical periodontal therapy, the treatment of gingivitis and Periodontitis, and maintenance of periodontal health

Expected Outcomes for Students:

Upon completion of the course, the student should be able to:

1. recognize signs and symptoms of emergencies involving the child, adolescent, geriatric, and special needs patient and follow the procedures for the dental hygiene clinic;

2. scale and root plane teeth using a systematic order, appropriate type, sharp, and correctly-contoured instruments with minimum time and trauma;

3. demonstrate the use of power scaling instruments on selected patients;

4. apply postoperative procedures and instructions for the patient;

5. select and apply a variety of topical fluoride agents using a variety of methods;

6. select and apply appropriate desensitizing agents on selected patients;

7. select and apply appropriate agents for pit and fissure sealants on selected patients;

8. expose, process, mount and interpret diagnostically acceptable radiographic surveys on clinic patients;

9. recognize clinically and discuss the value of preventive dental caries control and the role of the hygienist in this activity;

10. demonstrate clinical competency in infection control techniques/prevention of disease transmissions;

11. apply ethical reasoning to dental hygiene practice;

12. serve all clients in the community without discrimination;

13. provide humane and compassionate care to all patients/clients;

14. demonstrate honesty in relationships with patients/clients, colleagues, and other professionals;

15. ensure the privacy of the patient/client during treatment and confidentiality of patient/client records;

16. adhere to state and federal laws governing the practice of dentistry and dental hygiene;

17. obtain, review, and update vital signs, medical history, family history, social history, and dental history while recognizing cultural differences in populations;

18. manage the patient/client chart as a legal document and maintain its accuracy;

19. determine medical conditions that require special precaution or consideration prior to and/or during dental hygiene treatment;

20. identify the patient/client at risk for a medical emergency and manage the patient/client care to prevent an emergency;

21. perform a comprehensive examination using clinical, radiographic periodontal and dental charting, as well as other data collection procedures to assess the patient's/client's needs;

22. determine priorities and establish oral health goals with the patient/client and/or guardian as an active participant;

23. establish a planned sequence of educational and clinical services based on the dental hygiene diagnosis, including etiology, prognosis, and treatment alternatives;

24. obtain the patient's/client's informed consent based on a thorough case presentation;

25. make appropriate referrals to other health care professionals;

26. use accepted infection control procedures;

27. provide an environment conducive to health by applying basic and advanced principles of dental hygiene instrumentation without causing trauma to hard or soft tissue;

28. control pain and anxiety during treatment through the use of accepted clinical and behavioral management strategies;

29. select and administer the appropriate antimicrobial or antibiotic agent with pre- and post-treatment instructions;

30. provide adjunct dental hygiene services that can be legally performed in the State of California;

31. evaluate the effectiveness of planned clinical and education services and modify as necessary;

32. determine the appropriate maintenance schedule;

33. provide subsequent treatment or referrals based on evaluation of findings;

34. evaluate clients’ needs for comprehensive dental hygiene therapy.

Course Content:

1. The child dental patient, adult patient, geriatric patient, adolescent patient and patients with special needs

2. Pit and fissure sealants

3. Topical fluorides

4. Scaling and root planing

5. The power scaling dental unit

6. Post-operative procedures

7. Desensitizing agents

8. Dental radiography

9. Treatment planning

10. Prevention of disease transmissions

Methods of Presentation:

1. Clinical practice in the dental hygiene clinic

2. Directed conferences

3. Demonstration

4. Seminars

5. Discussions

6. Case presentations

Assignments and Methods of Evaluating Student Progress:

1. Typical Assignments

a. Complete a dental hygiene care plan for a pediatric, geriatric and an adolescent patient. Include at least two measurable goals on each care plan.

b. Complete a Daily Goals Sheet for each clinic session. Include what your goals for the session will be and your evaluation of whether you were able to meet those goals.

c. Complete a chart audit form for each of your patient completions. Include all necessary forms with all the required signatures.

2. Methods of Evaluating Student Progress

a. Midterm clinical conference

b. Daily clinical evaluation

c. Radiographic evaluations

d. Competency based tests, including a final examination

e. Completion of minimum requirements

f. Attendance

Textbook(s)(Typical):

Comprehensive Review of Dental Hygiene, Darby, C.V. Mosby, 2005 or most recent edition

Dental Hygiene Theory and Practice, Darby and Walsh, Saunders, 2005 or most recent edition

Concepts, Cases, and Competencies, Daniel & Harfst, C.V. Mosby, 2005 or most recent edition

Periodontal Instrumentation, Pattison & Pattison, C.V. Mosby, 2005 or most recent edition

Davis’ Guide for Nursing, Deglin & Vallerand, FA Davis Corp, 2005 or most recent edition

Mosby’s Dental Drug Guide Reference, Gage & Pickett, C.V. Mosby, 2005 or most recent edition

Special Student Materials:

1. Masks

2. Gloves

3. Eyewear

4. Protective clothing

5. Instrument kits

6. Power scaling unit

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Revised: 10/16/06