Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
.5 hour lecture, 10 hours clinic.2.5 Units

Total Quarter Learning Hours: 126 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 Lecture Hours: .5 Lab Hours: 10 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: AS Degree
 GE Status: Non-GE

Articulation Office Information -
 Transferability: CSUValidation: 12/14/10; 6/4/12

1. Description -
Continuation of dental hygiene clinical practice. Assessing, planning, implementing, and evaluating dental hygiene care on patients in a clinical setting. Development of progress in clinical performance with each successive academic period. Intended for students in the dental hygiene program.
Prerequisite: D H 61B.
Co-requisite: None
Advisory: None

2. Course Objectives -
The student will be able to:
Dental Hygiene Process of Care
  1. demonstrate all clinical skills and techniques previously experienced and learned in dental hygiene courses.
  2. assess, plan, implement and evaluate dental hygiene care on patients in a clinical setting.
  3. interpret information gathered from the patient assessment data and formulate a comprehensive dental hygiene care treatment plan for each patient.
  4. analyze data and situations and independently make treatment 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 in need of pain control procedures, administer such procedures, and identify and manage any complications which may occur.
  7. 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.
  8. deliver appropriate post operative instructions to each patient taking into considerations: length of appointment, health status of the patient, periodontal status of the patient and the treatment performed.
  9. identify emergency situations which may occur in the dental setting, obtain assistance, administer or assist in the administration of first aid according to clinic protocol.
  10. identify time management strategies and complete all clinical procedures within the time guidelines established for current quarter.
  11. recognize patients in need of referral to a dental hygienist, dentist, dental specialist, and/or physician and/or other health care professional and follow through with such a referral.
  12. 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.
  13. select a patient suitable for a test case experience and perform the procedure in a clinical setting according to clinic protocol.
  14. select patients suitable for periodontal probing evaluations and perform the procedure according to the protocol.
  15. provide comprehensive dental hygiene care to a minimum of 4 clinic patients.
  16. perform tasks as assigned in clinical rotations according to clinic protocol
  17. demonstrate correct technique for sharpening universal curets, graceys, and sickle scalers.
  18. maintain sharp and properly contoured curets and sickle scalers.
  19. complete a patient competency project on a pediatric or adolescent patient.
Health Education Strategies
  1. 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.
  2. 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.
  3. apply educational strategies to guide others in learning specific manual skills.
  4. identify and apply communication, teaching and learning techniques appropriate throughout the lifespan.
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. provide referral to various dental and medical service providers.
  3. maintain a high degree of professional ethics and conduct in interactions with patients, faculty, and fellow classmates.
  4. maintain the patient's right to privacy during all phases of the dental hygiene process.
  5. identify the allowable duties and levels of supervision under the California Dental Practice Act for the dental hygienist.

Foothill College Dental Hygiene Program Competencies
Our graduates will be competent:
  1. In the assessing the oral health needs of diverse populations in order to plan, implement & evaluate dental hygiene care for persons of all ages/stages of life.
  2. In health education strategies for the prevention of disease & the promotion of health for individual clients and the community.
  3. In infection & hazard control procedures to prevent the transmission of infectious diseases.
  4. In the ethical & legal principles underlying the practice of dental hygiene.
3. Special Facilities and/or Equipment -
Multi-media classroom, dental hygiene clinic. Personal protection barriers, instrument kit, expendable supplies kit.

4. Course Content (Body of knowledge) -
This course is organized into four modular components of varying length and structure:
  1. Component I: Clinical Procedures for Patient Assessment (Lab)
    1. Apply theoretical information and Clinical Skills from previous courses.
    2. Assess patient for dental hygiene care.
      1. Personal/Social History, Medical History, Dental History
      2. Extra/Intraoral Examination
      3. Gingival Evaluation
      4. Periodontal Evaluation
      5. Oral Hygiene Evaluation
      6. Examination of the Teeth
      7. Calculus Classification
      8. Occlusal Classification
      9. Radiographic determination
  2. Component II: Developing a Dental Hygiene Care Plan (Lab)
    1. Clinic protocol for formulating a dental hygiene care plan
    2. Clinic protocol for presenting dental hygiene care plan to instructor
  3. Component III: Clinical Procedures for Implementing Dental Hygiene Care (Lec, Lab)
    1. Clinical procedures for avoiding cross contamination
    2. Communication skills for delivering oral hygiene instruction
    3. Dental charting procedures
      1. Recognition of dental materials
      2. Recognition of normal/abnormal oral conditions
    4. Dietary Analysis and Consultation
    5. Instrumentation skills for scaling and root planing
    6. Application of topical fluoride
    7. Application of pit and fissure sealants
    8. Cleaning and polishing dental prostheses
    9. Selective Polishing Procedures
    10. Test Case
      1. Calculus Class 4 patient selection criteria
      2. Dental hygiene assessment and procedure
  4. Component IV: Practice Management Procedures (Lec, Lab)
    1. Communication rapport with patients
    2. Patient screening rotation
      1. Procedures for patient screening
      2. Patient assessments
      3. Calculus classification
      4. Patient assignment procedures to clinical student
    3. Radiology rotation
      1. Procedures for radiology rotation
      2. Protocol for radiographic patient exposure
    4. Process instruments through sterilization area
      1. Sterilization techniques
      2. Infection control protocol in sterilization area
      3. Manage steam autoclaves
      4. Manage dry heat ovens
      5. Maintain Equipment
      6. Maintain quality control records
      7. Spore testing procedures
    5. Patient care documentation procedures
5. Repeatability - Moved to header area.
6. Methods of Evaluation -
  1. Examinations-students must achieve a grade of 75% or better on all examinations.
    1. complete a test case on a patient with calculus class 4.
  2. Clinic Proficiencies-students must achieve a grade of 75% or better on all clinical proficiencies.
    1. complete two periodontal probing evaluations.
    2. complete an instrument sharpening proficiency.
    3. complete an oral hygiene instruction proficiency on the patient competency.
  3. Clinic Requirements
    1. complete dental hygiene care on a minimum of four patients with a grade of 75%.
    2. complete a patient competency project on a pediatric or adolescent patient with a grade of 75%.
    3. successfully apply pit and fissure sealants on two teeth.
    4. successfully complete two coronal polishing procedures.
    5. successfully complete two topical fluoride applications.
7. Representative Text(s) -
Darby, M L., Walsh, M W., Dental Hygiene Theory and Practice. 3rd edition. Philadelphia, PA: W.B. Saunders, 2010. ISBN 1-4160-6258-0.
Nield-Gehrig, Fundamentals of Periodontal Instrumentation. 7th editon. Lippincott Williams & Wilkins, 2012. ISBN 978-1-6091-3331-3.
Nield-Gehrig, J. & Willmann, D. Foundations of Periodontics for the Dental Hygienist. 3rd edition. Philadelphia, PA: Lippincott, Williams & Wilkins. 2012. ISBN 978-1-6054-7573-8.
Wynn, Meiler, Crossley. Drug Information Handbook for Dentistry, 18th edition. Hudson, OH: Lexicomp, 2012-2013. ISBN 978-1-5919-312-8.
Mosby. Spanish Terminology for the Dental Team, 2nd ed. Elsevier, Philadelphia, PA.: 2011. ISBN 978-0-323-06991-5.
Spragge, P. Foothill College Dental Hygiene Student Policy Manual, 2012-2013.
Spragge, P. Foothill College Dental Hygiene Clinic Manual, Los Altos Hills CA: 2012-2013.
Spragge, P. Introduction to Clinic Syllabus, Spring 2013.
Kornegay, C. Clinic Manual II, Senior Clinic. 2012-2013.

8. Disciplines -
Dental Technology
9. Method of Instruction -
Lecture, Laboratory, Clinical Instruction.
10. Lab Content -
  1. Dental hygiene clinical practice. Assessing, planning, implementing and evaluating dental hygiene care on patients in a clinical setting.
  2. Additional required clinical lab hours: Students participate in the following activities and field experiences as part of their Clinical Dental Hygiene Course work: set up time and patient chart review before clinic sessions begin and clean up time and instructor review of dental hygiene care after patients are dismissed, weekly clinic maintenance sessions to clean and inspection of all clinic dental chairs and equipment, assistant with senior graduate students for dental hygiene licensure, individual student/teacher conference at end of each quarter.
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. Read handouts and relevant reading materials.
  2. Research relevant patient competency areas and complete patient competency assignment on pedodontic or adolescent patient
  3. Review clinic manuals and be prepared to deliver dental hygiene care to patients in clinic.
13. Need/Justification -
This course is a required core course for the AS degree in Dental Hygiene.

Course status: Active
Last updated: 2014-03-12 09:26:42

Foothill CollegeApproved Course Outlines