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Effective: Summer 2015
D H 62CCLINICAL DENTAL HYGIENE III8.5 Unit(s)

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
1 hour lecture, 23 hours clinic. (288 hours total per quarter)

Student Learning Outcomes -
  • The student will choose an appropriate patient for a mock board clinical examination and provide appropriate dental hygiene care with a grade of 75% or higher.
  • The student will select appropriate quadrants and complete periodontal probing evaluations with a grade of 85% or higher.
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.

Course Objectives -
The student will be able to:
Dental Hygiene Process of Care
  1. Collect dental hygiene assessment data on patients in the clinical setting.
  2. Analyze assessment data and develop appropriate treatment plans for patients in the clinical setting.
  3. Implement dental hygiene care for patients in the clinical setting.
  4. Evaluate results of dental hygiene care on patient in the clinical setting.

Health Education Strategies
  1. Develop oral health education strategies and plans for patients in the clinic setting.

Infection and Hazard Control Procedures
  1. Maintain standard infection and hazard control protocols during clinic procedures.

Ethical and Legal Principles
  1. Understand and apply the principles of law and ethics to the practice of dental hygiene.

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.
Special Facilities and/or Equipment -
Multi-media classroom, dental hygiene clinic. Personal protection barriers, instrument kit, expendable supplies kit.

Course Content (Body of knowledge) -
Dental Hygiene Process of Care
  1. Collect dental hygiene assessment data on patients in the clinical setting. (Lec/Lab)
    1. Assessment data
      1. medical and dental information
      2. extraoral and intraoral examination findings
      3. periodontal status
      4. caries examination
      5. risk assessments
      6. dietary information
      7. current oral hygiene habits
    2. Consultation with medical/dental professionals
    3. Periodontal risk using evidence-based internet programs, radiographs, periodontal examination, bacterial testing and patient interview
    4. Caries risk using evidence-based internet programs, radiographs, caries examination findings, saliva testing and patient interview
  2. Analyze assessment data and develop appropriate treatment plans for patients in the clinical setting. (Lec/Lab)
    1. Treatment recommendations based on the patient's individual needs
    2. Comprehensive treatment plans
      1. individualized goals and treatment outcomes
      2. oral hygiene instructions
      3. dental hygiene care by appointment
      4. necessary referrals.
    3. Faculty consultation.
  3. Implement dental hygiene care for patients in the clinical setting. (Lec/Lab)
    1. Preventive and therapeutic dental hygiene procedures
      1. complete removal of calculus, soft deposits, plaque biofilm, stains and the smoothing of unattached surfaces
      2. pain control procedures
    2. Adjunctive dental hygiene procedures
      1. ultrasonic scaling
      2. dentinal desensitization treatments
      3. pit and fissure sealants
      4. soft tissue curettage
      5. topical fluoride treatments
      6. placement of locally delivered antimicrobials
    3. Post-operative instructions
    4. Sharpening techniques
    5. Emergency management
    6. Rotation duties
      1. screener
      2. screener assistant
      3. rover
    7. Time management strategies
  4. Evaluate results of dental hygiene care on patients in the clinical setting.
    1. Recall intervals for patients
    2. Evaluation of healing following treatment
    3. Re-evaluation appointments
    4. Dental referrals

Health Education Strategies
  1. Develop oral health education strategies and plans for patients in the clinic setting. (Lec/Lab)
    1. Oral hygiene instructions including:
      1. patient's dental health knowledge
      2. patient motivation
      3. manual dexterity
      4. gingival condition/periodontal status.
    2. Nutritional counseling including dietary analysis
    3. Educational strategies to guide patients in learning specific manual skills.
    4. Educational techniques /methodologies, and learning styles/preferences appropriate throughout the lifespan.

Infection and Hazard Control Procedures
  1. Maintain standard infection and hazard control protocols during clinic procedures. (Lec/Lab)
    1. Infection control procedure for disinfection of the dental operatory and sterilization of instruments.
    2. Prevention of cross contamination
    3. Duties of a sterilizer and sterilizer assistant
    4. Equipment maintenance, perform spore testing and quality control records.

Ethical and Legal Principles
  1. Understand and apply the principles of law and ethics to the practice of dental hygiene. (Lec/Lab)
    1. Accurate and detailed patient records
    2. Patient confidentiality
    3. Referrals to various dental and medical service providers.
    4. Professional ethics and conduct when interacting with patients, faculty, and fellow classmates.
    5. Acceptable standards of care.
    6. Cultural competency
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 5
    2. complete a mock board examination on a patient with calculus class 5
  2. Clinic Proficiencies-students must achieve an acceptable grade on all clinical proficiencies
    1. complete two periodontal probing evaluations with 84%
    2. complete an instrument sharpening proficiency with 90%
    3. complete an oral hygiene instruction proficiency on a patient competency with 75%
    4. complete local anesthesia competency evaluations with a passing score leading to independence on administering anesthesia.
  3. Clinic Requirements
    1. complete dental hygiene care on a minimum of 14 patients with a grade of 75%
    2. complete the portfolio project with a grade of 75%
    3. successfully complete approximately 1/3 of the 8-12 yearly patient requirements in calculus class 1, 2, 3
    4. successfully complete approximately 1/3 of the 11 yearly minimum patient requirements of calculus class 4, 5, or 6
    5. successfully complete a minimum of 12 local anesthesia injections
Representative Text(s) -
Darby, M L., Walsh, M W. Dental Hygiene Theory and Practice . fourth edition. Philadelphia, PA: W.B. Saunders, 2010. ISBN 978-1-45574-548-7.
Nield-Gehrig, Fundamentals of Periodontal Instrumentation , 7th edition. Philadelphia, PA: Lippincott Williams & Wilkins, 2012. ISBN 978-1-60913-331-3.
Nield-Gehrig, J. & Willmann, D. Foundations of Periodontics for the Dental Hygienist. 3rd edition. Philadelphia, PA: Lippincott, Williams & Wilkins. 2012. ISBN 978-1-60547-573-8.
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 editon. 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.

Disciplines -
Dental Technology
 
Method of Instruction -
Lecture, Laboratory, Clinical Instruction.
 
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 inspect all clinic dental chairs and equipment, 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.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Read 25 page section in clinic manual and be prepared to provide dental hygiene care to patients in clinic.
  2. Write dental hygiene treatment entries in the patient electronic charts for patients seen in the clinic each week.