|1. Description - |
|An introduction to clinical dental hygiene practice. An emphasis on assessing, planning, and implementing comprehensive dental hygiene care on patients in a clinical setting. Students apply knowledge, critical thinking, and basic clinical skills acquired in previous completed dental hygiene courses. Students will also learn about dental hygiene care for diverse patient populations and management of patients with special needs. Enrollment limited to students enrolled in the dental hygiene program.|
|Prerequisites: Completion of D H 61A and 52B with grade of "C" or higher; possession of a current CPR certificate.|
|2. Course Objectives - |
|The student will be able to: |
Dental Hygiene Process of Care
- demonstrate all clinical skills and techniques previously learned in dental hygiene courses.
- assess, plan, implement and evaluate dental hygiene care on patients in a clinical setting.
- interpret information gathered from the patient assessment data and formulate a comprehensive dental hygiene care treatment plan for each patient.
- analyze assessment data and independently make treatment planning decisions prior to consultation with faculty.
- 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.
- 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.
- 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.
- 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.
- utilize time management strategies and complete all clinical procedures within the time guidelines established for current quarter.
- 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.
- 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.
- present a report on dental hygiene management of a medically complex patient.
- perform assigned tasks during a clinic rotations according to clinic policies and procedures.
- provide comprehensive dental hygiene care to a minimum of 3 clinic patients.
- demonstrate correct technique for sharpening universal curets, graceys, and sickle scalers.
- maintain sharp and properly contoured curets and sickle scalers.
- complete a patient competency project on a pediatric or adolescent patient.
Health Education Strategies
- deliver individualized oral hygiene instruction to each 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.
- apply educational strategies to guide others in learning specific manual skills.
- identify and apply communication, teaching and learning techniques appropriate throughout the lifespan.
Infection & Hazard Control Procedures
- 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
- accurately record data in a patient's chart according to clinic protocol.
- maintain a high degree of professional ethics and conduct in interactions with patients, faculty, and fellow classmates.
- maintain the patient's right to privacy during all phases of the dental hygiene process.
- provide referral to various dental and medical service providers.
- identify the allowable duties and level of supervision under the California Dental Practice Act for the dental hygienist.
Foothill College Dental Hygiene Program Competencies
Our graduates will be competent:
- in assessing the oral health needs of diverse populations and providing comprehensive dental hygiene care for persons of all ages/stages of life.
- in health education strategies for the prevention of disease & the promotion of health for individual clients and the community.
- in infection & hazard control procedures to prevent the transmission of infectious diseases.
- in the ethical & legal principles underlying the practice of dental hygiene.
|3. Special Facilities and/or Equipment - |
|Multi-media classroom. Dental hygiene clinic, dental radiology lab, sterilization equipment. |
|4. Course Content (Body of knowledge) - |
|This course will be organized into two major components of varying length and structure: |
- Component I: Clinic ‚Äì Provision of Dental Hygiene Care
- Medical/Dental History, Personal/Social History
- Extra/Intraoral Examination
- Gingival Evaluation
- Periodontal Evaluation
- Oral Hygiene Evaluation
- Examination of the teeth
- Calculus Classification
- Clinical procedures for avoiding cross contamination.
- Instrumentation technique for scaling and root planing.
- Clinical procedures for coronal polishing.
- Clinical procedures for application of topical fluoride.
- Clinical procedures for application of pit and fissure sealants.
- Procedure for cleaning and polishing of dental prostheses.
- Procedures for documentation of dental hygiene care.
- Procedure for referral to health professionals for follow up care.
- Procedures for minimizing and managing emergencies.
- Component II: Didactic -Patients with Special Needs & Medically Complex Patients
- The identification and care of patients with special needs including:HIV/Aids patients, patients with physical disabilities, patients with sensory disabilities, developmentally disabled patients, the geriatric patient, the pedodontic patient, the pregnant patient and medically complex patients.
- Psychological, social, and emotional factors of patients with special needs.
- Communicating with special needs patients.
- Oral hygiene instruction for patients with special needs.
- Developing a dental hygiene care plan for patients with special needs.
Students are required to prepare for clinical labs before the session begins and after it ends by review patient charts, scheduling patient appointments, meeting with the clinic coordinator and set up/break down of the dental unit and sterilization of dental instruments. In addition hours are spent doing dental field experience observations, attendance at professional dental hygiene meetings & community service.
|5. Repeatability - Moved to header area.|
|6. Methods of Evaluation - |
- Written examinations: students must achieve a grade of 75% or better on all written examinations.
- Written assignments: students must achieve a grade of 75% or better on all written assignments.
- Class participation: using the lecture/assignment schedule as a guide, students must prepare for all classes as demonstrated by having all necessary supplies and equipment in lecture, laboratory and clinic as well as by participating in class discussions. Students will be evaluated on attendance and punctuality.
- Clinical proficiency, criteria:
- As recorded on the evaluation, the student will demonstrate the ability to perform dental hygiene procedures to a level of 75%.
- As recorded on the evaluation, the student will be able to demonstrate the ability to correctly use the periodontal probe to a level of 75%.
- As recorded on the evaluation the student will demonstrate the ability to sharpen dental hygiene instruments to a level of 75%.
- The student will demonstrate professionalism in dress, speech and behavior.
|7. Representative Text(s) - |
|Darby, M. & Walsh, M., Dental Hygiene Theory & Practice, current edition (3rd), W.B. Saunders Co. 2010. |
Pickett, F., Dental Drug Reference, 2nd. edition, Philadelphia, PA, Lippincott, Williams & Wilkins, 2009.
Nield-Gehrig, J. Willman,D., Fundaments of Periodontics for the Dental Hygienist, 6th edition, Lippincott, Williams & Wilkins, 2007
Spragge, P. Dental Hygiene 61B Course Syllabus , Los Altos Hills CA., 2010.
Spragge, P. Dental Hygiene Clinic Manual, Los Altos Hills CA, 2010.
|8. Disciplines - |
|Dental Hygiene |
|9. Method of Instruction - |
|Lecture, Field work, Oral presentations, Laboratory, Community service, clinic. |
|10. Lab Content - |
|Dental hygiene clinical practice. Assessing, dental hygiene diagnosis, planning, implementing, and evaluating dental hygiene care on patients in a clinical setting. |
|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 - |
- Reading Assignments: Weekly reading assignments from text and outside sources ranging from 30 to 100 pages per week.
- Lecture: Weekly lecture covering subject matter from text assignment with extended topic information. Class discussion is encouraged.
- Clinical practice and demonstrations: Weekly clinical practice in the dental hygiene clinic performed on assigned patients with instructor supervision.
- Research report on an assignment topic relating to medically complex patients and dental hygiene care.
- Patient competency project: written report on a patient experience with full clinical documentation and research.
|13. Need/Justification - |
|This course is a required core course for the AS degree in Dental Hygeine. |