Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
D A 51AINTRODUCTION TO CHAIRSIDE DENTAL ASSISTINGSummer 2013
4 hours lecture, 11 hours laboratory, 4 hours clinic.8 Units

Total Quarter Learning Hours: 228 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 
 Lecture Hours: 4 Lab Hours: 15 Lecture/Lab:
 Note: If Lab hours are specified, see item 10. Lab Content below.

Repeatability -
Statement: Not Repeatable.

Status -
 Course Status: ActiveGrading: Letter Grade Only
 Degree Status: ApplicableCredit Status: Credit
 Degree or Certificate Requirement: Certificate of Achievement,   AS Degree
 GE Status: Non-GE

Articulation Office Information -
 Transferability: CSUValidation: 4/26/10; 11/6/11

1. Description -
Introduction to chairside assisting; use and care of dental equipment, patient management, instrument identification; overview of common dental procedures such as composite, amalgam, partials, dentures, root canals, crown and bridge appointments; manipulation of dental materials commonly prepared or used by the dental assistant including temporary dressings, impression materials, cement bases and liners, topical agents, composites, resins and amalgams. Intended for students in the dental assisting program.
Prerequisite: Admission to the Dental Assisting Program.
Co-requisite: None
Advisory: None

2. Course Objectives -
The student will be able to:
  1. Dental Assisting Theory and Practice Competency
    1. identify all parts and functions of a standard dental treatment room.
    2. identify potential complications, including allergies, medications, acute or chronic conditions, and behavioral complications from medical and dental histories
    3. accurately take and record an adult patient's vital signs without assistance.
    4. obtain additional pertinent information about a patient's medical history through an oral interview.
    5. recognize the need for a medical consult and/or prophylactic antibiotic premedication prior to dental treatment.
    6. describe the correct dosage and medication for antibiotic prophylactic premedication.
    7. describe and chart G.V. Black's classification for cavities and restorations.
    8. identify, chart and describe common dental restorations which are placed in the oral cavity.
    9. describe and chart common periodontal assessments which are performed by the dental hygienist or dentist.
    10. demonstrate proper positioning of the patient, the operator, and the assistant.
    11. identify from a departmental collection, dental instruments, and specifying uses for each, describe the physical principle involved in the function of the various types of instruments, and indicate the working surface of each type.
    12. describe common dental procedures and prepare a complete tray set-up from departmental instrument and supply inventories for:
      1. restorative procedures
      2. endodontic procedures
      3. dental prophylaxis
    13. describe the treatment sequence for prosthodontic appointment
    14. transfer instruments to an operator using a variety of tray set-ups and procedural situations.
    15. Apply and remove a rubber dam, in any specified region.
    16. perform high volume evacuation on a manikin and patient-partner to effectively remove oral fluids during dental procedures.
    17. describe the use of topical agents and identify the common areas where topical ointment/gel Is applied for block injections.
    18. list the common local anesthetic nerve block injections and describe the oral tissues which are anesthetized by the specific injection.
    19. list the common dental cements and restorative materials and describe their uses, limitations and manipulation.
    20. prepare and mix without assistance at a satisfactory level any of the commonly used dental cements or materials, as allowed and specified by legally defined duties. These procedures include but are not restricted to:
      1. temporary dressings
      2. cement bases and liners
      3. restorative materials for insertion
    21. select and collect the materials and armamentarium and prepare and/or mix without assistance, final impression materials so that a satisfactory impression could be obtained.
    22. select and collect the materials and armamentarium and prepare, mix and pour a dental cast with no large irregularities or faults using at least one of the following materials:
      1. dental plaster
      2. dental stone
    23. prepare on an adult patient without assistance acceptable alginate impressions and bite registration of the upper and lower arches including all teeth, retromolar and vestibular areas.
    24. on prepared teeth on a dental mannikin, select a matrix band of appropriate size, type, and configuration.
    25. place the matrix band on the tooth and place necessary wedges to assure confinement of the filling material and adaptation to marginal areas.
    26. observe and/or assist at chairside in a general practice dental office
  2. Infection Control and Hazardous Waste Management Competency
    1. perform or describe the proper flushing of dental unit water lines.
    2. perform set-up and breakdown of the dental unit using recommended infection control standards.
    3. wear appropriate personal protective equipment when performing dental assisting duties.
    4. perform or describe how to avoid cross contamination when performing dental assisting duties.
    5. observe, assist, and demonstrate competency in instrument processing and sterilization procedures including biological monitoring,
    6. dispose sharps and hazardous waste into the appropriate sharps container
  3. Ethical and Legal Principles Competency
    1. prepare and/or evaluate complete and accurate patient procedure records.
    2. demonstrate professional behavior and appearance in clinical and laboratory situations.
    3. demonstrate teamwork with assigned student-partner in classroom, laboratory and clinical situations.
Foothill College Dental Assisting Program Competencies
  1. Dental Assisting Theory & Practice: dental assisting students must be competent in applying the theory and practice of dental assisting for persons of all ages and abilities.
  2. Infection Control and Hazardous Waste Management: dental assistants must possess the knowledge and abilities to prevent the transmission of infectious diseases.
  3. Ethical and Legal Principles: dental assisting students must be competent in understanding ethical/legal principles as applied to the dental office.
3. Special Facilities and/or Equipment -
  1. Personal protective equipment and appropriate uniform.
  2. Dental operatory demonstration and practice units, laboratory facilities with individual student work areas with air and suction available at each station.
  3. Dental instrumentation comparable to that present in private dental offices.
  4. Clinical supplies to support demonstration and student practice activities.

4. Course Content (Body of knowledge) -
  1. Dental Assisting Theory and Practice Competency
    1. Identify all parts and functions of a standard dental treatment room. (Lec, L-L and Lab)
      1. Dental equipment and maintenance (Lec, L-L and Lab)
      2. Operation and identification of equipment (Lec, L-L and Lab)
    2. Infection control procedures (Lec, L-L and Lab)
      1. Medical history review (Lec, L-L and Lab)
        1. Medical history (Lec))
        2. Social/personal history (Lec)
        3. Dental history (Lec)
    3. Vital signs (Lec, L-L and Lab)
      1. Types of vital signs (Lec)
      2. Armamentarium (Lec, L-L and Lab)
      3. Temperature (Lec, L-L and Lab)
        1. Types of thermometers (Lec)
        2. Procedure (Lec, L-L and Lab)
      4. Pulse (Lec, L-L and Lab)
        1. Procedure (Lec, L-L and Lab)
      5. Respiration (Lec, L-L and Lab)
        1. Procedure(Lec, L-L and Lab)
      6. Blood pressure(Lec, L-L and Lab)
        1. Procedure (Lec, L-L and Lab)
    4. Dialogue interview (Lec, L-L and Lab)
      1. Screening for undiagnosed conditions (Lec)
      2. Supplemental questions (Lec)
    5. Medical consultation (Lec)
      1. Conditions warranting medical consult (Lec)
        1. Medical conditions (Lec)
        2. Abnormal vital signs (Lec)
    6. Antibiotic premedication (Lec)
      1. Total joint replacement and bacterial endocarditis (Lec)
        1. Medication (Lec)
        2. Dosage (Lec)
        3. Timing (Lec)
    7. Cavity classification (Lec)
      1. Types (Lec)
      2. Line angles and point angles (Lec)
    8. Dental charting (Lec)
      1. Dental restorations (Lec)
      2. Charting (Lec)
    9. Periodontal charting (Lec)
      1. Periodontal conditions (Lec)
      2. Charting (Lec)
    10. Patient, operator, and assistant positioning (L-L and Lab)
      1. Ergonomics (Lec, L-L and Lab)
      2. Right and left handed operators (L-L and Lab)
      3. Transfer zone (L-L and Lab)
    11. Dental instruments (L-L and Lab)
      1. Types (Lec)
      2. Function (Lec)
    12. Tray set-up (L-L and Lab)
      1. Restorative (L-L and Lab)
        1. Armamentarium (L-L and Lab)
        2. Disposable products (L-L and Lab)
        3. Equipment (L-L and Lab)
      2. Endodontics (Lec)
        1. Armamentarium (Lec)
        2. Disposable products (Lec)
        3. eEquipment (Lec)
      3. Dental prophylaxis (Lec)
        1. Armamentarium (Lec)
        2. Disposable products (Lec)
        3. Equipment (Lec)
    13. Prosthodontic procedures (Lec)
      1. Removable prosthodontics (Lec)
      2. Fixed prosthodontics (Lec)
    14. 4-handed procedures/Instrument transfer (L-L and Lab)
      1. Exam/emergency (Lec)
      2. Prophylaxis (Lec)
      3. Amalgam (Lec)
    15. Rubber dam (L-L and Lab)
      1. Armamentarium (L-L and Lab)
      2. Types (L-L and Lab)
      3. Procedure (L-L and Lab)
    16. High volume evacuation (L-L and Lab)
      1. Types (L-L and Lab)
      2. Procedure (L-L and Lab)
    17. Topical anesthetic (L-L and Lab)
      1. Types (L-L and Lab)
      2. Indications (L-L and Lab)
      3. Contraindications (L-L and Lab)
      4. Procedures (L-L and Lab)
    18. Local anesthetic (Lec. and L-L)
      1. Trigeminal nerve (Lec)
        1. Maxillary and mandibular divisions (Lec)
      2. Nerve blocks (Lec)
      3. Infiltration (Lec)
      4. Injection sites (Lec)
    19. Dental cements and restorative materials (L-L and Lab)
      1. Liners (L-L and Lab)
        1. Calcium hydroxide(L-L and Lab)
        2. Glass ionomer (L-L and Lab)
      2. Temporary cements (L-L and Lab)
        1. Zinc oxide and eugenol (L-L and Lab)
        2. Temp-Bond (L-L and Lab)
      3. Permanent cements (L-L and Lab)
        1. Zinc phosphate (L-L and Lab)
        2. Glass ionomer (L-L and Lab)
        3. Resin cements (L-L and Lab)
      4. Crown and bridge impression materials (L-L and Lab)
        1. Polyether (L-L and Lab)
        2. Polysulfide (L-L and Lab)
        3. Vinylpolysiloxane (L-L and Lab)
        4. Bite registration material (L-L and Lab)
        5. Composite (L-L and Lab)
    20. Dental cements and material (L-L and Lab)
      1. Temporary dressings (L-L and Lab)
        1. Zinc oxide eugenol temporary restoration (L-L and Lab)
      2. Bases and Liners (L-L and Lab)
        1. Mixing procedure (L-L and Lab)
      3. Restorative materials (L-L and Lab)
        1. Mixing procedure (L-L and Lab)
    21. Final impression (L-L and Lab)
      1. Polyvinylsiloxane (L-L and Lab)
        1. Putty-wash technique (L-L and Lab)
        2. 2 gun technique (L-L and Lab)
      2. Pentamix (L-L and Lab)
        1. Armamentarium (L-L and Lab)
        2. Procedure (L-L and Lab)
    22. Mixing study model materials (L-L and Lab)
      1. Plaster (L-L and Lab)
        1. Water and powder ratio (L-L and Lab)
        2. Mixing (L-L and Lab)
      2. Stone (L-L and Lab)
        1. Water and powder ratio (L-L and Lab)
        2. Mixing (L-L and Lab)
    23. Alginate impressions (L-L and Lab)
      1. Types of impression trays(L-L and Lab)
      2. Armamentarium (L-L and Lab)
      3. Mixing process (L-L and Lab)
      4. Impression taking (L-L and Lab)
    24. Matrix band selection (L-L and Lab)
      1. Types (L-L and Lab)
    25. Matrix band placement (L-L and Lab)
      1. Placement (L-L and Lab)
      2. Wedges (L-L and Lab)
    26. Observe or assist at chairside (L-L and Lab)
      1. UCSF Dental School rotation (Lec)
  2. Infection Control and Hazardous Waste Management Competency
    1. Dental unit water lines (L-L and Lab)
      1. Plaque biofilms (L-L and Lab)
      2. Flushing waterlines (L-L and Lab)
    2. Perform set-up and breakdown of the dental unit
      1. Appropriate PPE (L-L and Lab)
      2. Barrier placement (L-L and Lab)
      3. Flushing waterlines and evacuation system (L-L and Lab)
    3. Personal protective equipment (L-L and Lab)
      1. Gloves (L-L and Lab)
        1. Types (L-L and Lab)
        2. Uses (L-L and Lab)
      2. Masks(L-L and Lab)
        1. Types (L-L and Lab)
        2. Uses (L-L and Lab)
      3. Protective attire (L-L and Lab)
        1. Types(L-L and Lab)
        2. Uses (L-L and Lab)
    4. Cross contamination (Lec)
      1. Types (Lec)
      2. Prevention (Lec)
    5. Instrument processing (Lec and Lab)
      1. Decontamination (Lec)
      2. Disinfection (Lec, L-L and Lab)
      3. Sterilization (Lec and Lab)
    6. Sharps and hazardous waste (Lec)
      1. sharps container (Lec)
        1. Uses (Lec)
      2. Hazardous waste (Lec)
        1. Regulated waste (Lec)
        2. Unregulated waste (Lec)
  3. Ethical and Legal Principles Competency
    1. Patient records (Lec)
      1. Documentation protocols (Lec)
      2. Medical/dental history (Lec)
      3. Treatment record (Lec)
      4. Confidentiality (Lec)
    2. Professional behavior and appearance (Lec)
      1. Policy and procedures (Lec)
      2. Ethical code of conduct (Lec
5. Repeatability - Moved to header area.
 
6. Methods of Evaluation -
  1. Exams (4) - multiple choice, short answer, spelling, instrument identification
  2. Lab competencies
    1. Lab quizzes
    2. Lab skills check-off
  3. Assignments/Projects
    1. Study models
    2. Medical history assignment
    3. Workbook assignments
  4. End of quarter OSCE exam
7. Representative Text(s) -
Bird, DL, Robinson, DS. Modern Dental Assisting. 10th edition. St, Louis, MO: WB Saunders, 2012. ISBN: 978-1-4377-1729-7
Bird, DL, Robinson, DS. Student Workbook to Accompany Modern Dental Assisting. 10th edition. St, Louis, MO: WB Saunders, 2012. ISBN: 978-1-4377-2728-9
Miyasaki, Cara, DA 51A Lecture Manual, Los Altos Hills, CA: Foothill College, 2012.
Kirby, Colleen & Herold, Renee, DA 51A Lab Manual, Los Altos Hills, CA: Foothill College 2012.

8. Disciplines -
Dental Technology
 
9. Method of Instruction -
Lecture, Discussion, Cooperative learning exercises, Laboratory, Demonstration, Internship/preceptorship.
 
10. Lab Content -
  1. Lab orientation
  2. Sizing of alginate trays
  3. Instrument assignments
  4. Clinic equipment identification
  5. Handwashing and PPE
  6. Infection control video
  7. Infection control set-up in clinic
  8. Oral evacuation
  9. Patient/Operator positioning in clinic
  10. Basic tray-set up
  11. Local anesthesia syringe set-up
  12. Instrument transfer in clinic
  13. Rubber dam on typodont
  14. Rubber dam in clinic
  15. Intro. to amalgam procedure
  16. Mixing liners/lining cements, bases and amalgam
  17. Matrix band and wedge(s)
  18. Alginate impressions
  19. Wax bite registration
  20. Amalgam fill, carve and polishing
  21. Instrument transfer for an amalgam procedure in clinic
  22. Crown and bridge preparation and temporization
  23. Mixing temporary cements and final impression materials
  24. Instrument transfer for a crown and bridge prep appointment in clinic
  25. Crown and bridge cementation procedure
  26. Mixing permanent cements
  27. Instrument transfer for a crown and bridge cementation appointment in clinic
  28. Prep study models for trimming
  29. Composite procedure
  30. Instrument transfer for a composite procedure in clinic
  31. Lab Final Review
  32. Placing topical anesthetic
  33. Lab clean up
Unloaded hours are used by students to take the exams for the didactic portion of this course and meeting with the instructor in small groups to practice specific clinical procedures.
 
11. Honors Description - No longer used. Integrated into main description section.
 
12. Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Chapter readings on restorative, prophylaxis and endodontic procedures from textbook.
  2. Reading and reviewing course lecutre/lab manual
  3. Documentation of patient treatment in treatment record to include vital signs,local anesthesic administration, dental procedures, and patient responses.
  4. Log entries of clinic procedures in internship folder
13. Need/Justification -
This course is a required core course for the A.S. degree and the Certificate of Achievement in Dental Assisting.


Course status: Active
Last updated: 2014-03-19 20:52:42


Foothill CollegeApproved Course Outlines