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Effective: Summer 2015
D H 75ACLINICAL DENTAL HYGIENE THEORY I2 Unit(s)

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
1 hour lecture, 3 hours laboratory. (48 hours total per quarter)

Student Learning Outcomes -
  • The student will compare and contrast "After Five" Gracey curets and standard Gracey curets.
  • The student will demonstrate the proper technique for utilizing "After Five" Gracey curets for periodontal debridement in root concavities.
Description -
Discussion and demonstration of supplemental dental hygiene functions: digital intraoral photography, dental hygiene instrumentation, ultrasonic and microultrasonic scaling techniques. Supportive course to reinforce and amplify the knowledge and skills needed to perform dental hygiene procedures in the clinical setting for D H 62B. Intended for students in the dental hygiene program.

Course Objectives -
The student will be able to:
Dental Hygiene Process of Care
  1. Integrate the technique of digital intraoral imaging into dental hygiene practice.
  2. Assess patient oral conditions and determine appropriate instruments for effective advanced dental hygiene instrumentation.
  3. Utilize appropriate advanced ultrasonic techniques for dental hygiene treatment based on individualized patient needs.
  4. Evaluate patient periodontal status and administer locally delivered antimicrobials when appropriate.
  5. Analyze gingival health and integrate soft tissue currettage into dental hygiene treatment as needed.

Health Education Strategies
  1. Discuss procedures and post-operative instructions with patients.

Infection & Hazard Control Procedures
  1. Adhere to standard infection and hazard control protocols during all procedures.

Ethical & Legal Principles
  1. Apply the principles of law and ethics to the practice of dental hygiene.

Foothill College Dental Hygiene Program Competencies
Our graduates will be competent:
  1. in assessing the oral health needs of diverse populations and providing comprehensive 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) -
  1. Integrate the technique of digital intraoral imaging into dental hygiene practice. (Lec, Lab)
    1. Armamentarium
      1. digital camera
      2. intraoral camera
      3. computer and printer
      4. mouth retractors, mirrors, contrastors
    2. Digital Intraoral Imaging Technique
      1. use of cameras
      2. views of teeth and structures
    3. Rationale for taking intraoral photographs
  2. Assess patient oral conditions and determine appropriate dental hygiene instruments for specific advanced instrumentation techniques. (Lec, Lab)
    1. Instruments
      1. type of instruments
      2. design and functions
      3. advantages and disadvantages
      4. rationale for use
      5. techniques
    2. Advanced dental hygiene techniques
      1. basic dental root morphology
      2. types of instrumentation techniques
      3. rationale for use
    3. Soft Tissue Trauma
      1. types
      2. causes
      3. techniques to prevent trauma
  3. Utilize appropriate advanced ultrasonic techniques for dental hygiene treatment based on patient needs. (Lec, Lab)
    1. Types of ultrasonic inserts
    2. Indications and contraindications for use
    3. Advanced ultrasonic techniques and procedures for variations in root anatomy
      1. furcations
      2. root concavities
      3. dental implants
  4. Analyze gingival health and integrate soft tissue curettage into dental hygiene treatment when indicated.
    1. Rationale for use
    2. Indications and contraindications
    3. Armamentarium
      1. sharp universal curet
      2. cotton tip
      3. gauze
    4. Technique
    5. Post-operative healing process
  5. Evaluate patients' periodontal status and administer locally delivered antimicrobials when appropriate. (Lec/Lab)
    1. Types of antimicrobials
    2. Rationale for use
    3. Indications and contraindications
    4. Armamentarium
      1. pre-loaded capsule of antibiotic
      2. syringe
    5. Technique for placement
    6. Post-operative healing process
Health Education Strategies
  1. Discuss procedures and post-operative instructions with patients. (Lec)
    1. Locally delivered antimicrobials
    2. Soft tissue curettage

Infection & Hazard Control Procedures
  1. Adhere to standard infection and hazard control protocols during all procedures. (Lec/Lab)
    1. Follow program guidelines for infection control when handling instruments and setting up units.
    2. Prevention of cross-contamination

Ethical & Legal Principles
  1. Apply the principles of law and ethics to the practice of dental hygiene. (Lec/Lab)
    1. Legal duties and supervision levels of California dental hygienists.
      1. locally delivered antimicrobials
      2. soft tissue curettage
    2. Accurate patient records
    3. Patient's right to privacy
    4. Professional interactions with faculty and peers
    5. Cultural competency
Methods of Evaluation -
  1. Examinations:
    1. Complete written examinations on subject areas to a level of 75%
    2. Complete final written examination to a level of 75%
  2. Clinical Proficiencies:
    1. As recorded on a process evaluation, complete clinical proficiencies on ultrasonic instrumentation to a level of 75%
    2. As recorded on a process evaluation, complete instrumentation proficiencies on advanced dental hygiene instruments to a level of 75%
  3. Project Requirements:
    1. As recorded on a digital photography evaluation, complete a digital series to a level of 75% and include a self-evaluation
  4. Class Participation:
    1. Students must prepare for all classes as demonstrated by having all necessary supplies and equipment in lecture and lab and by participating in class discussions
Representative Text(s) -
Nield-Gehrig, J., Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation, seventh edition, Lippincott, Williams & Wilkins, Philadelphia, PA.: 2007. ISBN 978-1-60913-331-3
Nield-Gehrig, J. & Willmann, D., Foundations of Periodontics for the Dental Hygienist, third edition, Lippincott, Williams & Wilkins, Philadelphia, PA. 2007. ISBN 978-1-60547-573-8
Darby, M. & Walsh, M., Dental Hygiene Theory & Practice, fourth edition, Elsevier, St. Louis, MO. 2010. ISBN 1-4160-6258-0
Chan, P. Clinical Dental Hygiene Theory Manual I, 2015.

Disciplines -
Dental Technology
 
Method of Instruction -
Lecture, Laboratory.
 
Lab Content -
Practice techniques for clinical procedures: dental hygiene instruments, ultrasonic instrumentation, digital intraoral photography, placement of antimicrobials and soft tissue curettage.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Read 20 page chapter on advanced instruments in textbook.
  2. Practice advanced clinical techniques on typodont including the use of the ultrasonic in furcation areas.
  3. Complete intraoral photographic assignment including a self-evaluation of photographs using the grading rubric.