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Effective: Summer 2011

Grade Type: Letter Grade, the student may select Pass/No Pass
Not Repeatable.
FHGE: Non-GE Transferable: CSU
1.5 hours lecture, 2 hours laboratory. (42 hours total per quarter)

Student Learning Outcomes -
  • The student will be able to identify and describe the use for dental instruments utilized in a orthodontic specialty practice on a final instrument examination given at the end of the quarter.
  • The student will be able to identify common orthodontic fixed and removable appliances
Description -
Periodontal and oral surgery procedures, equipment, and instruments. Registered Dental Assistant orthodontic function. Fabrication of bleaching splints. Intended for students in the Dental Assisting Program; enrollment is limited to students accepted in the program.

Course Objectives -
The student will be able to:
Dental Assisting Theory & Practice Competency
  1. state periodontal conditions that are treated in a periodontic specialty office.
  2. identify instruments and equipment utilized for periodontal procedures or surgeries.
  3. describe the role of the dental assistant and procedures performed in a periodontal specialty office.
  4. mix, place, remove and give post-surgical instructions for periodontal dressing.
  5. state oral conditions that are treated in oral surgery specialty office.
  6. identify instruments and equipment utilized for oral surgery procedures or surgeries.
  7. describe the role of the dental assistant and procedures performed in a oral surgery specialty office
  8. explain suture removal process to patient and remove non-absorbable sutures.
  9. place sedation monitoring sensors and identify normal versus abnormal readings.
  10. describe the principles of tooth movement.
  11. identify from images, study models or drawings types of malocclusion.
  12. cite the assessment procedures in preparation for the orthodontic consultation.
  13. measure and present intraoral measurements on a study model.
  14. identify equipment, materials and instruments utilized in an orthodontic practice.
  15. place on and remove orthodontic separators.
  16. size orthodontic bands for cementation.
  17. remove, position, cut, replace and tie in an arch wire on a cemented orthodontic appliance.
  18. evaluate the extent of excess cement after band cementation from coronal surfaces of teeth and remove excess cement from the coronal surfaces utilizing appropriate hand instruments.
  19. select appropriate instruments to check for loose bands.
  20. identify fixed or removable orthodontic appliances and their uses.
  21. describe the nature and sequence of orthodontic appointment.
  22. state orthodontic patient instructions including oral hygiene instructions.
  23. fabricate a custom bleaching splint according to established performance criteria.
  24. Describe and capture extraoral and intraoral photographs with a digital camera for case documentation.
Infection Control and Hazardous Waste Management
  1. decide which PPE, decontamination, disinfection and sterilization techniques are appropriate for the prevention of disease transmission in the periodontic, oral surgery and orthodontic office environment.
  2. describe the infection control procedures that should be performed for intra/extraoral patient photographs and bleaching splint procedures.
  3. perform appropriate hazardous waste and sharps management for oral surgery, periodontal surgery or orthodontic procedures.
  4. describe how to avoid cross contamination when performing dental assisting duties
Ethical and Legal Principles
  1. state the legal duties of a RDA and DA for periodontic, oral surgery, orthodontic, sealant, and bleaching splint fabrication.
  2. prepare and/or evaluate complete and accurate patient procedure records.
  3. demonstrate professional behavior and appearance in clinical and laboratory situations.
  4. demonstrate teamwork with assigned student-partner in classroom, laboratory and clinical situations.
Special Facilities and/or Equipment -
  1. Dental operatory demonstration and practice units, laboratory facilities with individual student work areas.
  2. Laboratory and clinical supplies to support demonstration and student practices activities.

Course Content (Body of knowledge) -
Dental Assisting Theory and Practice
  1. Periodontal conditions
    1. Periodontal diseases
      1. AAP type
    2. Periodontal abscess
    3. Pericornitis
    4. Acute necrotizing ulcerative gingivitis
    5. Hyperplasia
  2. Instruments and equipment
    1. Explorers
    2. Probe
    3. Scalers
      1. Sickle scalers
      2. Hoe scalers
      3. File scalers
    4. Curettes
      1. Universal curettes
      2. Gracey curettes
    5. Surgical knives
      1. Kirkland knives
      2. Orban knives
      3. Goldman-Fox knives
    6. Pocket marker
    7. Bone file
    8. Ultrasonic scaler
    9. Mouth props and tissue retractors
    10. Surgical suction
    11. Suture material, needle and scissors
    12. Hemostat and needle holder
    13. Scalpel and scalpel handle
  3. Assistant's role and periodontal procedures
    1. Dental Practice Act
      1. DA and RDA duties
    2. Non-surgical treatment
      1. Dental prophylaxis
      2. Scaling and root planning
      3. Gingival curettage
      4. Locally delivered antibiotics
    3. Surgical treatment
      1. Osteoplasty and ostectomy
      2. Gingivectomy and gingivoplasty
      3. Periodontal flap surgery
      4. Laser surgery
  4. Post-surgical patient instructions
    1. Control of bleeding
    2. Control of swelling
    3. Periodontal surgical dressing
      1. Armamentarium
      2. Mixing
      3. Placement
      4. Removal
      5. Patient instructions
  5. Oral surgery conditions
    1. Impacted teeth
    2. Oral cancer
    3. Teeth requiring extractions
    4. Avulsed teeth
  6. Instruments and equipment
    1. Elevators
      1. Straight elevators
      2. Root tip picks
    2. Forceps
      1. Universal
      2. Maxillary
      3. Mandibular
    3. Surgical curette
    4. Rongeur
    5. Bone file
    6. Chisels and malle
    7. Surgical burs
  7. Assistant's role and oral surgery procedures
    1. Excisional and incisional biopsy of impacted teeth
    2. Removal of impacted teeth
    3. Single removal or multiple removal of teeth
    4. Treatment of alveolitis (dry socket)
    5. Post-surgical patient instructions
      1. Control of bleeding
      2. Control of swelling
  8. Suture removal
    1. Types of sutures
      1. absorbable
      2. non-absorbable
    2. Armamentarium
    3. Placement and removal procedure
    4. Patient instructions
  9. Patient sedation
    1. Monitoring devices
      1. capnography
      2. pulse oximeter
      3. EKG
    2. Patient sensors
      1. Placement
    3. Readings
      1. Normal
      2. Abnormal
  10. Principles of tooth movement
    1. Periodontal ligament and tooth movement
    2. Passive and active movement with appliances
      1. Fixed appliances
      2. Coiled springs
      3. Elastics
  11. Malocclusion
    1. Classes of malocclusion
      1. Class I
      2. Class II
      3. Class III
    2. Crowding
    3. Overjet
    4. Overbite
    5. Open bite
    6. Cross bite
    7. End-to-end and edge-to-edge bite
  12. Assessment procedures
    1. Radiographs
    2. Study models
    3. Cephalometric radiographs
    4. Intraoral and extraoral photographs
  13. Intraoral measurements
    1. Armamentarium
    2. Tooth size discrepancy
    3. Arch width and circumference
    4. Overjet, overbite, crossbite, closed and open bite
  14. Orthodontic equipment, materials and instruments
    1. Orthodontic scaler
    2. Ligature director
    3. Band plugger
    4. Bite stick
    5. Bracket placement tweezers
    6. Boone and Boley gauge
    7. Pliers
      1. Bird-beak pliers
      2. Contouring pliers
      3. Weingart utility pliers
      4. Three-prong pliers
      5. Pin-and-ligature cutter
      6. Howe pliers
      7. Wire bending pliers
      8. Ligature-tying pliers
      9. Distal end cutters
      10. Elastic separating pliers
      11. Band removing pliers
    8. Appliances
      1. Fixed appliances
        1. Palatal expander
        2. Bands
          1. Buccal tube
          2. Headgear tube
          3. Hooks
          4. Buttons
        3. Brackets
        4. Arch wire
          1. Stainless steel
          2. Nickel titanium
          3. Beta titanium
          4. Optiflex
        5. Jasper jumper/Herbst appliance
        6. Space maintainer
  15. Place and remove of orthodontic separators
    1. Types
      1. Elastic
      2. Brass wire
      3. Spring
    2. Armamentarium
    3. Procedures
    4. Patient instructions
  16. Sizing orthodontic bands
    1. Types
    2. Armamentarium
    3. Procedure
  17. Placement and removal of orthodontic archwires
    1. Types
    2. Armamentarium
    3. Procedures
    4. Patient instructions
  18. Cementation and removal of orthodontic cement from bands
    1. Types of cements
      1. mixing cements
    2. Armamentarium
    3. Procedures
  19. Checking for loose bands
    1. Armamentarium
    2. Procedures
  20. Fixed and removable orthodontic appliances
    1. Retainers
      1. Hawley retainer
      2. Lingual retainer
      3. Spring retainer
    2. Removable appliances
      1. Headgear
      2. Orthodontic positioner
    3. Functional appliances/activator
      1. Bionator
      2. Frankel
      3. Palatal expanders
    4. Invisalign
  21. Nature and sequence of orthodontic appointments
    1. Phase 1
    2. Phase 2
    3. Phase 3
  22. Patient instructions for orthodontic appliances
    1. after separator placement
    2. after bracket/band and arch wire placement
    3. oral hygiene instructions with fixed and removable appliances
    4. care of removable appliances
    5. after removal of fixed appliances
  23. Bleaching splint
    1. Indications and contraindications for vital tooth bleaching
    2. Types of bleaching agents
      1. over-the-counter
      2. in-office
      3. dentist supervised out-of-office
    3. Fabrication of bleaching splints
    4. State Practice Act
    5. Patient instructions
    6. Documentation of bleaching procedure
  24. Extraoral and intraoral photography
    1. Extraoral photography
      1. Types
    2. Intraoral photography
      1. Types
    3. Armamentarium
Infection Control & Hazardous Waste Management
  1. Infection control for periodontic, oral surgery and orthodontic offices
    1. PPE
    2. Disinfection of equipment and environmental surfaces
    3. Instrument decontamination and sterilization
  2. Infection control for bleaching splint fabrication, intra/extraoral photography
    1. PPE
    2. Disinfection of equipment and environmental surfaces
    3. Instrument decontamination and sterilization
  3. Hazardous waste and sharps management
    1. Surgical sharps
    2. Orthodontic sharps
    3. Regulated and unregulated waste
  4. Avoiding cross contamination
    1. overgloves
    2. unit dose packaging
Ethical and Legal Principles
  1. RDA duties
    1. Dental Practice Act
    2. Level of supervision
  2. Documentation in the treatment record.
    1. Accurate documentation
    2. Risk management
    3. Informed consent
  3. Professionalism
    1. Appearance and demeanor
    2. Patient centered treatment
    3. Ethical obligations
  4. Teamwork
    1. Interaction with dentist and staff
    2. Accept socioeconomic, ethnic, and cultural diversity
Methods of Evaluation -
  1. Exams
  2. Lab assignments
  3. Clinical assignments
  4. Written assignments
In order to get credit for this class, the student must receive at least a 'C' final course grade. Any student receiving a 'D' or 'F' grade (both of which are considered failing grades in this program) will not pass the class and must repeat the class the when it is offered in the following Winter quarter. DO NOT ask for extra credit assignments in an attempt to raise a failing grade.
Attendance Policy
Attendance is considered an extremely important part of the Dental Assisting Program. The student is being prepared for employment as a Registered Dental Assistant in a dental office, clinic, or school. Attendance is a reflection of the student's responsibility as a professional both in school and in the work force. Students should understand that absences may jeopardize their grade or continuance in the course and/or program. If a student cannot attend a class for some medical or personal reason, you are required to inform the Dental Assisting Department at (650) 949-7351.
Representative Text(s) -
Bird, D.L., Robinson, D.S. Modern Dental Assisting, 9th edition, Philadelphia, PA: Elsevier Science, 2009.
Bird, D.L., Robinson, D.S. Workbook to Modern Dental Assisting, 9th edition, Philadelphia, PA: Elsevier Science, 2009.
Miyasaki-Ching, CM, DA 51B Syllabus, Los Altos Hills, CA: Foothill College Bookstore, 2009.

Disciplines -
Dental Assisting
Method of Instruction -
Lecture, Cooperative learning exercises, Oral presentations, Laboratory, Demonstration.
Lab Content -
  1. Instrument identification
  2. Equipment identification
  3. Remove sutures
  4. Place periodontal dressing
  5. Place bonded orthodontic brackets
  6. Size and cement orthodontic bands
  7. Place separators
  8. Ligate orthodontic arch wire
  9. Remove orthodontic arch wire and fixed appliances
  10. Remove excess orthodontic cement
  11. Checking for loose orthodontic bands
  12. Intraoral photography of the oral cavity
  13. Fabricate bleaching splints
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Assigned chapter readings from the textbook
Documentation in the treatment record