|1. Description - |
|Continuation of clinical dental hygiene practice providing comprehensive dental hygiene care in a clinic setting on patients. Intended for students in the Dental Hygiene Program.|
|Prerequisite: D H 62A.|
|2. Course Objectives - |
|The student will be able to: |
Dental Hygiene Process of Care
Health Education Strategies
- demonstrate all clinical skills and techniques previously experienced and 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 data and situations and independently make treatment 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 in need of pain control procedures, administer such procedures, and identify and manage any complications which may occur.
- identify patients for whom adjunctive dental hygiene procedures are indicated such as: ultrasonic scaling, dentinal hypersensitivity treatments, pit and fissure sealants, soft tissue curettage, and topical fluoride treatments, and perform each procedure to an acceptable standard of care.
- 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.
- 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 to a dental hygienist, dentist, dental specialist, and/or physician and/or other health care professional and follow through with such a referral.
- select a patient suitable for a test case experience and perform the procedure in a clinical setting according to clinic protocol.
- select a patient suitable for a mock board and perform the procedure according to the protocol outlined by the California State Board examination and as adapted according to clinic protocol.
- perform tasks during a clinical rotation according to policy and protocol.
- provide comprehensive dental hygiene care to a minimum of 14 clinic patients.
- demonstrate correct technique for sharpening universal curets, graceys, and sickle scalers.
- maintain sharp and properly contoured curets and sickle scalers.
Infection & Hazard Control Procedures
- 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.
- 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.
- apply educational strategies to guide others in learning specific manual skills.
- identify and apply communication, teaching and learning techniques appropriate throughout the lifespan.
Ethical & Legal Principles
- perform the duties of a sterilizer assistant according to clinic protocol.
- maintain appropriate infection and hazard control protocol during clinic procedures.
- utilize appropriate infection control procedures for the dental setting including: prevention of cross contamination, disinfection of the operatory, and sterilization of instruments.
Foothill College Dental Hygiene Program Competencies
- accurately record data in a patient's chart according to clinic protocol.
- maintain accurate and detailed dental records.
- 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 and when document findings in the patient's chart.
- document and maintain patient information and patient records.
- document and maintain periodontal maintenance therapy and dental hygiene recall records.
- value the need for consistently performing all phases of the dental hygiene process to acceptable standards of care.
- provide referral to various dental and medical service providers.
- exhibit sensitivity to individuals' emotions, needs, rights, and comforts with emphasis on the influence of cultural, psychosocial and other factors.
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. 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: |
- Component I: Clinical Procedures for Patient Assessment (Lab)
- Apply theoretical information and Clinical Skills from previous courses.
- Assess patient for dental hygiene care.
- Personal/Social History, Medical History, Dental History
- Extra/Intraoral Examination
- Gingival Evaluation
- Periodontal Evaluation
- Oral Hygiene Evaluation
- Examination of the Teeth
- Calculus Classification
- Occlusal Classification
- Radiographic determination
- Component II: Developing a Dental Hygiene Care Plan (Lab)
- Clinic protocol for formulating a dental hygiene care plan
- Clinic protocol for presenting dental hygiene care plan to instructor
- Component III: Clinical Procedures for Implementing Dental Hygiene Care (Lec, Lab)
- Clinical procedures for avoiding cross contamination
- Communication skills for delivering oral hygiene instruction
- Dental charting procedures
- Recognition of dental materials
- Recognition of normal/abnormal oral conditions
- Dietary Analysis and Consultation
- Instrumentation skills for scaling and root planing
- Perform Local Anesthesia
- anterior palatine
- posterior superior alveolar
- middle superior alveolar
- inferior alveolar/lingual blocks
- long buccal
- Ultrasonic instrumentation
- Patient Selection
- Therapeutic Procedure
- Application of topical fluoride
- Application of pit and fissure sealants
- Cleaning dental prostheses
- Selective polishing Procedures
- Test Case
- Calculus Class 4 patient selection criteria
- Dental hygiene assessment and procedure
- Mock Board
- Calculus Class 4 patient selection criteria
- Dental hygiene assessment and procedure
- Component IV: Practice Management Procedures (Lec, Lab)
- Communication rapport with patients
- Patient screening rotation
- Procedures for patient screening
- Patient assessments
- Calculus classification
- Patient assignment procedures to clinical student
- Radiology rotation
- Procedures for radiology rotation
- Protocol for radiographic patient exposure
- Process instruments through sterilization area
- Sterilization techniques
- Infection control protocol in sterilization area
- Manage steam autoclaves
- Manage dry heat ovens
- Maintain equipment
- Maintain quality control records
- Spore testing procedures
- Patient care documentation procedures
- Patient referral procedures
- Medical referrals
- Dental referrals
- Recall/recare procedures
|5. Repeatability - Moved to header area.|
|6. Methods of Evaluation - |
- Examinations-students must achieve a grade of 75% or better on all examinations.
- complete a test case on a patient with calculus class 4.
- complete a mock board examination on a patient with calculus class
- Clinic Proficiencies-studetns must achieve an acceptable grade on all clinical proficiencies.
- complete three periodontal probing evaluations with 80%.
- complete an instruments sharpening proficiency with 92%.
- complete an oral hygiene instruction proficiency on a patient competency with 75%.
- complete approximately 1/3 of the local anesthesia competency evaluations with a passing score leading to independence on administering anesthesia.
- Clinic Requirements
- complete dental hygiene care on a minimum of 14 patients with a grade of 75%.
- complete a patient competency project on a geriatric medically complex patient with a grade of 75%.
- complete the portfolio project with a grade of 75%.
- successfully complete approximately 1/3 of the 20-25 yearly patient requirements in calculus class 1, 2, 3.
- successfully complete approximately 1/3 of the 11 yearly minimum patient requirements of calculus class 4, 5, or 6.
- successfully complete a minimum of 12 local anesthesia injections.
|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 edition. Philadelphia, PA: 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. Philadelphia, PA: Elsevier, 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 - |
- Dental hygiene clinical practice. Assessing, planning, implementing and evaluating dental hygiene care on patients in a clinical setting.
- 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 inspect all clinic dental chairs and equipment, assistant with lab of introductory dental hygiene course, peer tutoring, student chapter professional association meeting, individual student/teacher conference required at end of each quarter, individual student/teacher conference for dental patient chart audits to review and maintain integrity of patient records, off campus clinical rotations, community service participation.
|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 - |
- Read handouts and relevant reading materials.
- Research relevant patient competency areas and complete patient competency assignment on pedodontic or adolescent patient
- 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 Hygeine. |