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Effective: Summer 2015
D H 75BCLINICAL DENTAL HYGIENE THEORY II2 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 select appropriate advanced instruments for periodontal debridement when given patient assessment information.
  • The student will be able to assess anatomical features of dental anatomy and apply advanced techniques for effective root surface debridement.
Description -
Discussion and demonstration of supplemental dental hygiene functions, advanced instrumentation techniques, advanced local anesthesia techniques, dentinal desensitization, air polishing, implants in dentistry, orthodontic therapy and new technologies in dental hygiene. Supportive course to reinforce and amplify the knowledge and skills needed to perform dental hygiene procedures in the clinical setting for D H 62C. Intended for students in the dental hygiene program.

Course Objectives -
The student will be able to:
Dental Hygiene Process of Care
  1. Assess patient oral conditions and determine appropriate advanced dental hygiene instruments for specific advanced techniques.
  2. Discuss new technologies and techniques in local anesthesia administration.
  3. Describe dentinal hypersensitivity and demonstrate a working knowledge of dentinal desensitization products.
  4. Discuss criteria for selecting patients for air polishing.
  5. Assess the patient with dental implants and provide appropriate dental hygiene care.
  6. Modify dental hygiene treatment procedures for the patient with orthodontic appliances.

Health Education Strategies
  1. Recommend appropriate oral self-care aids and self-oral health care procedures.

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 -
Classroom with multi-media equipment and tables for lab work, dental hygiene clinic. Personal protection barriers, instrument kit, expendable supplies kit.

Course Content (Body of knowledge) -
Dental Hygiene Process of Care
  1. Assess patient oral conditions and determine appropriate advanced dental hygiene instruments for specific advanced techniques.(Lec/Lab)
    1. Advanced instruments
      1. rationale for use
      2. design and function
      3. advantages and disadvantages
    2. Advanced instrumentation techniques
      1. dental root morphology
      2. rationale for use
      3. root debridement techniques
      4. alternative fulcrums
      5. alternative patient/operator positioning
      6. ergonomics
  2. Discuss new technologies and techniques in local anesthesia administration. (Lec/Lab)
    1. Non-injectable local anesthesia
      1. rationale for use
      2. types of non-injectable anesthetics
      3. indications and contraindications
      4. technique
    2. Papillary injections
      1. rationale for use
      2. indications for use
      3. technique
  3. Describe dentinal hypersensitivity and demonstrate a working knowledge of dentinal desensitization products.Lec/Lab)
    1. Process of dentinal hypersensitization
    2. Indications and contraindications
    3. Dentinal desensitization products:
      1. types
      2. modes of action
      3. technique
  4. Discuss criteria for selecting patients for air polishing. (Lec)
    1. Indications and contraindications
    2. Armamentarium/equipment
    3. Technique
  5. Assess the patient with dental implants and provide appropriate dental hygiene care. (Lec/Lab)
    1. Types of dental implants
      1. parts of an implant
    2. Osseointegration
    3. Indications and contraindications
    4. Assessment of implant health
    5. Peri-implantitis
    6. Armamentarium used during dental hygiene treatment
      1. types of instruments
  6. Modify dental hygiene treatment procedures for the patient with orthodontic appliances. (Lec/Lab)
    1. Rationale for orthodontic treatment
    2. Typical orthodontic treatment
    3. Standard orthodontic appliances

Health Education Strategies
  1. Recommend appropriate oral self-care aids and self-oral health care procedures. (Lec)
    1. Oral health instructions for the patient with:
      1. dentinal hypersensitivity
      2. dental implants
      3. orthodontic appliances
    2. Oral health aids
      1. types
      2. modifications

Infection & Hazard Control Procedures
  1. Adhere to standard infection and hazard control protocols during all procedures. (Lab)
    1. Maintenance and sterilization of dental hygiene instruments
    2. Disposal of local anesthetics

Ethical & Legal Principles
  1. Apply the principles of law and ethics to the practice of dental hygiene. (Lec/Lab)
    1. Legal duties for the California dental hygienist:
      1. local anesthetics
      2. orthodontics
    2. Patient documentation
      1. accurate electronic charting and patient records
      2. patient confidentiality
      3. acceptable standards of dental hygiene care
      4. professional ethics and interpersonal interactions
      5. cultural competency
Methods of Evaluation -
  1. Examinations:
    1. Complete written examinations on subject areas to a level of 75%
  2. Clinical Proficiencies:
    1. As recorded on a process evaluation, complete clinical proficiencies on instruments to a level of 75%
      1. Advanced instruments
      2. Advanced techniques
      3. Local anesthesia
  3. Project Requirements:
    1. Complete lab assignments on local anesthesia, orthodontics, root morphology and new technologies to a level of 75%
  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 978-1-45574-548-7
Logothetis, D.,Local Anesthesia for the Dental Hygienist, twelfth edition, Elsevier, St. Louis, MO. 2011. ISBN 978-0323073714
Chan, P. Clinical Dental Hygiene Theory Manual II, 2016.

Disciplines -
Dental Technology
 
Method of Instruction -
Lecture, Laboratory.
 
Lab Content -
Practice advanced techniques for clinical procedures for patient care: dental hygiene instruments, root morphology review, and advanced fulcrums and patient/operator positioning, adjunct procedures and advanced anesthetic techniques.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Read 20 pages on dental root anatomy in textbook.
  2. Practice advanced clinical techniques on typodont including debridement techniques in root concavities and furcation areas.
  3. Peer evaluation of advanced dental hygiene techniques using grading rubric.