Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
1 hour lecture, 3 hours laboratory.1.5 Units

Total Quarter Learning Hours: 48 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 Lecture Hours: 1 Lab Hours: 3 Lecture/Lab:
 Note: If Lab hours are specified, see item 10. Lab Content below.

Repeatability -
Statement: Not Repeatable.

Status -
 Course Status: ActiveGrading: Letter Grade Only
 Degree Status: ApplicableCredit Status: Credit
 GE Status: Non-GE

Articulation Office Information -
 Transferability: CSUValidation: 12/14/10

1. Description -
Discussion and demonstration of supplemental dental hygiene functions, advanced instrumentation techniques, chemotherapeutics, advanced local anesthesia techniques, air polishing, implants in dentistry, orthodontic therapy and new technology 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.
Prerequisite: Admission to the Dental Hygiene Program.
Co-requisite: None
Advisory: None

2. Course Objectives -
Dental Hygiene Process of Care
  1. List the indications and contraindications for amalgam overhang removal.
  2. Outline the procedures involved in an amalgam overhang removal.
  3. Describe the principles of orthodontic tooth movement.
  4. List reasons a patient may need orthodontic treatment.
  5. Describe a usual course of orthodontic treatment.
  6. Identify standard orthodontic appliances.
  7. Alter dental hygiene treatment procedures for the orthodontic patient.
  8. State the design, function, advantages and disadvantages of advanced dental hygiene instruments.
  9. Assess patient oral conditions and determine appropriate instruments for effective dental hygiene instrumentation.
  10. Demonstrate the correct use of explorers, hoes and files and other new technology advanced instruments.
  11. Demonstrate advanced fulcrums and scaling and root planing techniques.
  12. Analyze root morphology of anterior teeth, premolars and molars and relate it to scaling and root planing techniques.
  13. Discuss new technologies and drugs in local anesthesia administration.
  14. Demonstrate advanced local anesthesia techniques.
  15. Discuss the use of the computer-controlled local anesthesia delivery system.
  16. List indications and contraindications for using the air polishing unit.
  17. Discuss criteria for selecting patients for air polishing techniques.
  18. Define basic components of a dental implant, types of implants, rationale for use, and materials for each.
  19. Discuss dental implant indications, contraindications, osseointegration, benefits and risks.
  20. Describe peri-implantitis and its management
  21. List the armamentarium used during professional dental hygiene care for patients with dental implants.
  22. Discuss indications for chemotherapeutic intervention as an adjunct to mechanical plaque biofilm control, nonsurgical periodontal therapy, the treatment of gingivitis and periodontitis, and maintenance of periodontal health.
  23. Discuss guidelines for acceptance of chemotherapeutic agents and/or devices for the control of plaque, gingivitis, and/or periodontitis.

Health Education Strategies
  1. Recommend oral self-care aids for dental implants.
  2. Detail appropriate homecare procedures for patients with dental implants.
  3. Detail appropriate homecare procedures for a patient with orthodontic bands and appliances.
  4. Detail appropriate post operative care instructions for patients who have received local anesthesia
  5. Discuss the benefits of removal of amalgam overhangs and detail procedures for appropriate home care.

Infection & Hazard Control Procedures
  1. Properly maintain and dispose of the computer controlled anesthetic delivery materials and local anesthesia materials according to infection control protocol.
  2. Properly maintain, disinfect and sterilize dental hygiene instruments.
  3. Describe techniques for infection and hazard control for dental lasers.

Ethical & Legal Principles
  1. List legal duties for California dental hygiensits for orthodontic responsibilities and new technologies.
  2. Accurately record and maintain data in a patient's chart and dental records according to clinic protocol.
  3. Maintain a high degree of professional ethics and conduct interactions with patients, faculty, and fellow classmates appropriately.
  4. Maintain a patient's right to privacy during all phases of the dental hygiene process and when documenting findings in the patient's chart.
  5. Perform all phases of the dental hygiene process to acceptable standards of care.
  6. Exhibit sensitivity to individuals' emotions, needs, rights and comforts with emphasis on the influence of cultural, psychosocial and other factors.
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.
3. 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.

4. Course Content (Body of knowledge) -
  1. Advanced dental hygiene Instrumentation (Lec, Lab)
    1. Instrument design
      1. Design
      2. Function
      3. Advantages and disadvantages
      4. Areas of use
      5. Technique
      6. Sharpening
    2. Instruments
      1. Explorers
      2. Hoes and files
      3. Additional new instruments
  2. Advanced clinical dental hygiene techniques (Lec, Lab)
    1. Adaptations for patient and operator positioning
    2. Advanced protective scaling techniques
    3. Adaptation of explorers and instruments
    4. Assess dental anatomy
      1. Anteriors
      2. Premolars
      3. Molars
    5. Root planing
      1. Purpose
      2. Procedures
  3. Periodontal Chemotherapy (Lec, Lab)
    1. Product selection and evaluation
    2. Chemical plaque control
    3. Chemotherapeutic agents
      1. Chlorhexidine
      2. Antibiotics: Systemic, Topical
      3. Tetracycline fiber
      4. Chlorhexidine chip
      5. Doxycycline gel
      6. New technology agents
    4. Patient education
      1. Post operative instruction
      2. Oral hygiene instruction
  4. Amalgam Overhang Removal (Lec, Lab)
    1. Indications
    2. Contraindications
    3. Armamentarium
      1. Scalers
      2. Curets
      3. Ultrasonic scaler
    4. Overhang removal procedure
  5. Local anesthesia (Lec, Lab)
    1. New technology in local anesthesia
    2. Local anesthesia technique
  6. Air Polishing (Lec, Lab)
    1. Design
    2. Function
    3. Advantages and disadvantages
    4. Areas of use
      1. Anterior angulation
      2. Posterior angulation
    5. Technique
  7. Dental Implants (Lec, Lab)
    1. Terminology
      1. Endoseous implant
      2. Supraperiosteal implant
      3. Abutment
      4. Superstructure
      5. Peri-abutment tissue
      6. Osseointegration
      7. Biologic seal
    2. Patient selection
      1. Medical evaluation
      2. Dental evaluation
      3. Psychological evaluation
    3. Surgical techniques
    4. Dental implant prosthesis
      1. Dentist retrievable
      2. Patient retrievable
    5. Peri-implant environment vs. Periodontium
    6. Maintenance of dental implant
      1. Objectives of maintenance
      2. Clinical procedures for assessment of peri-implant environment
      3. Dental charting notations
      4. Instrumentation Considerations
      5. Recall interval
      6. Oral hygiene instructions
  8. Orthodontic Procedures (Lec, Lab)
    1. Priciples of orthodontics
      1. Orthodontic tooth movement
      2. Evaluation for orthodontic treatment
    2. Orthodontic appliances
      1. Bands
      2. Brackets
      3. Ligature ties - elastic, wires
      4. Arch wires
      5. Separators - elastic, brass, t-p springs
    3. California Dental Practice Act
      1. RDH duties for orthodontic functions
    4. Dental hygiene treatment procedures for orthodontic patients
      1. Scaling techniques
      2. Polishing techniques
      3. Patient plaque control techniques
5. Repeatability - Moved to header area.
6. 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%.
  3. Project Requirements:
    1. Complete lab assignments on local anesthesia, orthodontics, air polishing 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.
    2. Students will be evaluated on attendance and punctuality.
7. Representative Text(s) -
Nield-Gehrig, J., Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation, 6th edition, Lippincott, Williams & Wilkins, Philadelphia, PA, 2007. ISBN 0-7817-6992-2
Nield-Gehrig, J., Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation, 6th edition, Lippincott, Williams & Wilkins, Philadelphia, PA.: 2007. ISBN 0-7817-6992-2
Nield-Gehrig, J. & Willmann, D., Foundations of Periodontics for the Dental Hygienist, sixth edition, Lippincott, Williams & Wilkins, Philadelphia, PA. 2007. ISBN 0-7817-8487-5
Darby, M. & Walsh, M., Dental Hygiene Theory & Practice, third edition, Elsevier, St. Louis, MO. 2010. ISBN 1-4160-6258-0
Malamed, Stanley F. Handbook of Local Anesthesia, fifth edition, Elsevier, St. Louis, MO. 2004. ISBN 0-323-03353-9
Kornegay, C. Clinical Dental Hygiene Theory Manual II, 2011.

8. Disciplines -
Dental Hygiene.
9. Method of Instruction -
Lecture, Laboratory.
10. Lab Content -
Practice advanced techniques for clinical procedures for patient care: dental hygiene instruments, chemotherapeutics, and advanced technology procedures.
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 -
  1. Read handouts and relevant reading materials.
  2. Practice advanced clinical techniques on typodont.
13. Need/Justification -
This course is a required core course for the AS degree in Dental Hygeine.

Course status: Active
Last updated: 2014-03-19 21:02:46

Foothill CollegeApproved Course Outlines