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Effective: Summer 2015

Prerequisites: Prerequisites: D H 52A and 54.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
3 hours lecture, 12 hours laboratory. (180 hours total per quarter)

Student Learning Outcomes -
  • The student will demonstrate proper use of the universal curet, gracey curets, and sickle scalers including: proper grasp, angulation, and adaptation to the tooth and/or root surface.
  • The student will explain the rationale for selecting and implementing dental hygiene procedures using evidence based research for the following: application of fluorides, coronal polishing of teeth, instrumentation techniques and sharpening techniques.
Description -
Continuation of dental hygiene clinical practice and instrumentation techniques including: periodontal examination, scaling and root planing, sharpening. Adjunctive dental hygiene procedures taught include: fluorides, selective coronal polishing. Clinical activities utilize typodonts and student partners. The course requires evaluation of clinical performance through demonstration. Supportive labs and observation to reinforce and amplify the knowledge and skills needed to perform dental hygiene procedures in the clinical setting for D H 61A. Intended for students in the dental hygiene program.

Course Objectives -
Upon satisfactory completion of DH 61A the student will be able to:
  1. demonstrate all clinical skills and techniques previously learned in dental hygiene courses.
  2. discuss the ADPIE dental hygiene model: assess, dental hygiene diagnosis, planning, implementation & evaluation.
  3. interpret information gathered from the patient assessment data and formulate a comprehensive dental hygiene care treatment plan for each patient.
  4. analyze assessment data and independently make treatment planning decisions prior to consultation with faculty.
  5. perform preventive and therapeutic dental hygiene procedures including complete removal of calculus, soft deposits, plaque, stains, and the smoothing of unattached surfaces in order to create an environment in which hard and soft tissues can be maintained in good health by the patient.
  6. identify patients for whom adjunctive dental hygiene procedures are indicated such as: dentinal hypersensitivity treatments, pit and fissure sealants and topical fluoride treatments, and perform each procedure to an acceptable standard of care.
  7. deliver appropriate post treatment instructions to each patient taking into considerations: length of appointment, health status of the patient, periodontal status of the patient and the treatment performed.
  8. manage emergency situations which may occur in the dental setting, obtain assistance, administer or assist in the administration of first aid according to clinic protocol.
  9. utilize time management strategies and complete all clinical procedures within the time guidelines established for current quarter.
  10. refer patients as needed for additional care to a dental hygienist, dentist, dental specialist, and/or physician and/or other health care professional and follow through with such a referral.
  11. identify and counsel patients with the aid of a diet analysis and plaque index for nutritional and plaque control needs for maintenance of dental hygiene and general health.
  12. perform a patient assessment project on a student partner.
  13. perform assigned tasks during a clinic rotations according to clinic policies and procedures.
  14. demonstrate correct technique for sharpening universal curets, graceys, and sickle scalers.
  15. demonstrate correct technique for sharpening and properly contouring curets and sickle scalers.
Health Education Strategies
  1. demonstrate delivery individualized oral hygiene instruction to a patient taking into consideration the dental health knowledge of the patient, the motivational level, manual dexterity, gingival condition and/or periodontal status of the patient.
  2. apply educational strategies to guide others in learning specific manual skills.
  3. identify and apply communication, teaching and learning techniques appropriate throughout the lifespan.
  4. Attend professional dental hygiene meeting & discuss the implications from the dental hygiene student perspective.
Infection & Hazard Control Procedures
  1. utilize appropriate infection and hazard control procedures for the dental setting including: prevention of cross contamination, disinfection of the operatory, and sterilization of instruments.
Ethical & Legal Principles
  1. accurately record data in a patient's chart according to clinic protocol.
  2. maintain a high degree of professional ethics and conduct in interactions with patients, faculty, and fellow classmates.
  3. maintain the patient's right to privacy during all phases of the dental hygiene process.
  4. discuss procedure for providing referral to various dental and medical service providers.
  5. identify the allowable duties and level of supervision under the California Dental Practice Act for the dental hygienist.
  6. Participate in community service activities & discuss the value of community involvement by the dental hygienist.
Foothill College Dental Hygiene Program Competencies
Our graduates will be competent:
  1. Dental Hygiene Process of Care: the dental hygiene process of care including assessing the oral health needs of diverse populations and providing comprehensive dental hygiene care for persons of all ages/stages of life.
  2. Health Education: strategies for the prevention of disease & the promotion of health for individual clients and the community.
  3. Infection & hazard control: procedures to prevent the transmission of infectious diseases.
  4. Ethical & legal principles: underlying the practice of dental hygiene.
Special Facilities and/or Equipment -
Multimedia classroom, dental hygiene clinic.

Course Content (Body of knowledge) -
This course will be organized into nine modular components of varying length and structure:
  1. Component I: Non-Surgical Periodontal Therapy (lec)
    1. Rationale for performing scaling and root planing.(lec)
    2. Rationale for performing supportive periodontal therapy.(lec)
    3. Rationale for the dental prophylaxis.(lec)
    4. Procedures involved during scaling and root planing, maintenance, and prophylaxis appointments.(lec)
  2. Component II: Instrumentation & Clinical Skills (lec and lab)
    1. The design and use of gracey curets.(lec and lab)
    2. The design and use of the sickle scaler.(lec and lab)
    3. Scaling techniques and use of fulcrums.
    4. Adaptation of Gracey curets, universal curets, and sickle scalers.(lec and lab)
    5. Indications for use of the scaling instruments.(lec and lab)
  3. Component III: Sharpening(lec and lab)
    1. Rationale for sharpening curets and scalers.(lec)
    2. Procedure for sharpening universal and gracey curets, and sickle scalers.(lec and lab)
    3. Evaluation of sharpening procedure.(lec and lab)
  4. Component IV: Coronal Polishing(lec and lab)
    1. Dental stains and discolorations(lec)
    2. Indications for coronal polishing(lec)
    3. Contraindications for coronal polishing(lec)
    4. Clinical application of selective polishing(lec and lab)
  5. Component V: Fluorides(lec and lab)
    1. Physiology and metabolism of fluorides(lec)
    2. Indications for application of topical and systemic fluorides(lec)
    3. Contraindication for application of topical and systemic fluorides(lec)
    4. Procedure for applying topical fluoride(lec and lab)
    5. Prescription and over the counter fluoride products(lec)
  6. Component VI: The Dental Hygiene Treatment Plan(lec and lab)
    1. Components of the dental hygiene treatment plan(lec)
    2. Rationale for development of a dental hygiene treatment plan(lec)
    3. Procedure for developing a dental hygiene treatment plan(lec and lab)
  7. Component VII: Evaluation of Dental Hygiene Care(lec and lab)
    1. Rationale for evaluation of dental hygiene care(lec)
    2. Interpretation of results(lec and lab)
    3. Systemic and intraoral conditions which warrant referral to dental and/or medical specialists(lec and lab)
  8. Component VIII: Clinic Observation(lec and lab)
    1. Protocol for charting a comprehensive periodontal examination(lec and lab)
    2. Protocol for delivering a case presentation(lec and lab)
    3. Protocol for documenting treatment performed(lec and lab)
    4. Infection control procedure for using the instrument cassette and ultrasonic cleaner(lec and lab)
    5. Protocol for running a biological spore test(lec and lab)
  9. Component IX: Professional Dental Hygiene Organizations(lec)
    1. Resources of professional dental hygiene organizations(lec)
    2. Mentorship programs available to dental hygiene students(lec)
    3. Current issues in the dental hygiene field(lec)

Unloaded hours are spent doing field experience observations, attendance at professional dental hygiene meetings & community service.
Methods of Evaluation -
  1. Clinical process evaluations
  2. Clinical final
  3. Written final exam
  4. Quizzes
  5. e-portfolio: Log & reflection paper on field experiences, community service and meeting attendance.
Representative Text(s) -
  1. Spragge, Dental Hygiene 61A Course Syllabus, 2011.
  2. Darby & Walsh, Dental Hygiene Theory & Practice, 3rd. edition 2010, Saunders., ISBN: 978-1-4160-5357-6
  3. Nield-Gehrig, Jill, Fundamentals of Periodontal Instrumentation, Lippincott, Williams & Wilkins, 2008, 6th edition., ISBN-13: 978-0-7817-6992-1
  4. Wynn, Meiler, Crossley, Drug Information Handbook for Dentistry, 16th edition, Lexi-comp, ISBN: 978-1-59195-282-4
  5. Spanish Terminology for the Dental Team, Mosby, 2nd edition, 2010, ISBN: 978-0-323-06991-5

Disciplines -
Dental Hygiene
Method of Instruction -
Lecture, Discussion, Cooperative learning exercises, Field work, Oral presentations, Laboratory, Demonstration, Community service.
Lab Content -
Clinical dental hygiene labs.
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Weekly reading assignments.
  2. Patient assessment project.