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Effective: Summer 2015

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
1 hour lecture, 1 hour laboratory. (24 hours total per quarter)

Student Learning Outcomes -
  • Describe the various techniques to acheive sedation in dental hygiene
  • Describe the parts of a fail-safe nitrous oxide/oxygen machine
Description -
The study of nitrous oxide/oxygen analgesia used in the dental practice. Emphasis will be placed on understanding the mechanism of sedation, risks and benefits associated with nitrous oxide sedation, how to administer and properly document the use of nitrous oxide. Intended for students in the dental hygiene program.

Course Objectives -
The student will be able to:
  1. Understand the history of nitrous oxide sedation.
  2. Explain the physiology of pain perception and the factors which modify this perception.
  3. Describe the physiological reactions of the body to anxiety.
  4. Understand the pharmacology and physiology of nitrous oxide sedation.
  5. Discuss the benefits and risks associated with nitrous sedation.
  6. Identify the risks associated with nitrous oxide abuse.
  7. Describe the armamentarium of nitrous oxide machines, including the function of each part.
  8. Explain how to administer nitrous oxide sedation, including pre and post operative instructions for the patient.
  9. Discuss the indications and contraindications of nitrous oxide sedation.
  10. Demonstrate proper documentation for a sedation case.
  11. Demonstrate the protocol for disinfection of sedation apparatus between patients.
  12. Safely administer nitrous oxide/oxygen analgesia on two patients
  13. Assist in the administration of nitrous oxide/oxygen analgesia on two patients.
  14. Explain the legal responsibilities of the dental hygiene regarding the administration of nitrous oxide/oxygen analgesia.

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 -
Multi-media classroom and Dental Hygiene Clinic with fail-safe nitrous oxide/oxygen machines and scavenging masks.

Course Content (Body of knowledge) -
This course will be organized into four modular components of varying length and structure:
  1. Component I:
    1. Pharmacology and Physiology of Analgesic Drugs
    2. Emergencies and Complications to nitrous oxide/oxygen analgesia
    3. History of Nitrous Oxide sedation
    4. Physiology of pain perception
    5. Physiologic reactions of the body to anxiety
    6. Risks and benefits of nitrous oxide sedation
  2. Component II:
    1. Technique of administration of nitrous oxide/oxygen analgesia
      1. induction
      2. maintenance
      3. monitoring
      4. recovery
    2. Demonstration of nitrous oxide/oxygen analgesia.
  3. Component III:
    1. Equipment and materials for administration of nitrous oxide/oxygen analgesia
    2. Preparation of the patient for administration of nitrous oxide/oxygen analgesia
  4. Component IV:
    1. Clinical training in nitrous oxide/oxygen analgesia
    2. Protocol for disinfection of sedation equipment
    3. Documentation of informed consent and the procedure
    4. Safe administration on two patients
Methods of Evaluation -
Quizzes, final examination and laboratory evaluations on the safe administration of nitrous oxide/oxygen analgesia.
Representative Text(s) -
Clark, Morris S., Brunick Ann L., Handbook of Nitrous Oxide and Oxygen Sedation, 4th ed., St. Louis: Mosby/Elsevier, 2015.

Disciplines -
Dental Technologies
Method of Instruction -
Presentation using videos, lecture, skill demonstrations, clinical skills practice.
Lab Content -
Instruction & clinical practice on the administration of nitrous oxide/oxygen analgesia.
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Weekly reading assignments in textbook, 1 to 3 chapters per week (50-100 pages).