Chabot College
Fall 2007
Course Outline for Dental Hygiene 57
EXPANDED FUNCTIONS FOR THE DENTAL HYGIENIST
Catalog Description:
57 – Expanded Functions for the Dental Hygienist
2 units
Dental hygiene advanced clinical functions including clinical practice in administration of local
anesthetics, topical anesthetic agents, nitrous oxide/oxygen analgesia and soft tissue curettage.
Corequisites: Dental Hygiene 54 and 81A. 1 hour lecture. 3 hours clinical.
[Typical contact hours: lecture 17.5, clinical 52.5]
Prerequisite Skills:
None
Expected Outcomes for Students:
Upon completion of the course the student should be able to:
1.
assess a patient's medical and dental history and devise a sequential treatment plan so the
patient is treated completely and efficiently;
2.
assess patients' medical history to determine their suitability to receive local anesthesia and
determine what precautions, if any, should be taken prior to administering local anesthetic;
3.
discuss methods of anxiety control and articulate methods of introduction of local anesthetic
and nitrous oxide/oxygen analgesia;
4.
identify the advantages and disadvantages of administering local anesthesia and nitrous
oxide/oxygen analgesia in the practice of dental hygiene;
5.
identify the indications and contraindications to administering local anesthesia and nitrous
oxide/oxygen analgesia;
6.
identify the complications which may result from the administration of anesthetic agents and
the proper management or emergency procedures to use in response to these complications;
7.
calculate the maximum safe dosage of local anesthetic for any given patient;
8.
identify the armamentarium required for administration of local anesthetic;
9.
identify which nerve, teeth, and soft tissue structures are anesthetized for each of the
intraoral injections;
10.
successfully administer local anesthesia following procedural guidelines;
11.
describe the signs and symptoms of nitrous oxide/oxygen analgesia;
12.
identify the components, safety features and recommended maintenance of the nitrous
oxide/oxygen analgesia equipment;
13.
describe and demonstrate the procedures for administering nitrous oxide/oxygen analgesia;
14.
successfully administer nitrous oxide/oxygen following procedural guidelines;
15.
identify the goals and rationale for soft tissue curettage procedures;
16.
assess patients' medical history to determine their suitability to have soft tissue curettage
procedures and determine what precautions if any should be taken prior to performing soft
tissue curettage;
Chabot College
Course Outline for Dental Hygiene 57, Page 2
Fall 2007
Expected Outcomes for Students (continued):
17.
18.
19.
20.
21.
22.
23.
24.
25.
identify the armamentarium required for soft tissue curettage procedures;
describe the stages of the healing process and explain any possible interferences;
document dental hygiene expanded functions according to course guidelines;
identify safety measures to prevent occupational exposure during the administration of
nitrous oxide/oxygen analgesia and local anesthesia;
identify and describe 4 different topical anesthetics;
discuss the role of neurophysiology in local anesthetic use;
describe the pharmacologic action of local anesthetics and vasoconstrictors;
identify and describe the function of alternative assisted delivery devices of local
anesthetics;
select the proper local anesthetic agent for use on a patient after assessing medical history
following proper treatment protocols.
Course Content:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Review of the Human Needs Theory as related to pain control procedures
Review of head and neck anatomy, trigeminal nerve and its branches
Local anesthetic agents: topical and injected
Patient assessment and anesthetic agents selection
Dental emergencies
Nitrous oxide/oxygen analgesia
Indications and contraindications for the use of expanded functions:
a.
Local anesthetic
b.
Nitrous oxide/oxygen analgesia
c.
Soft tissue curettage
Administration of nitrous oxide/oxygen analgesia
Administration of local anesthetics
Soft tissue curettage
Treatment planning of advanced functions
Methods of Presentation:
1.
2.
3.
4.
5.
Lecture
Discussion
Demonstration and return demonstration
Audiovisual aids
Case Studies
Chabot College
Course Outline for Dental Hygiene 57, Page 3
Fall 2007
Assignments and Methods of Evaluating Student Progress:
1.
Typical Assignments
a.
Complete the chapter outlines worksheet for each chapter
b.
Evaluate the use of different local anesthetics and vasoconstrictors for patients
c.
For a prescribed medication, determine the contraindications and dental
considerations for using local anesthetic for a patient taking this medication
2.
Methods of Evaluating Student Progress
a.
Pre-practical Quizzes
b.
Case Based Midterm Examination
c.
Case Based Final Examination
d.
Competency Examinations
e.
Quizzes
Textbook(s)(Typical):
Handbook of Local Anesthesia, Malamed, C.V. Mosby, 2004 or most recent edition
Special Student Materials:
1.
2.
3.
Protective clothing, eyewear, gloves, mask
Local anesthetic syringe
Instrument kit
G:\Course Outlines\2006-2007\DH 57
rev 10/16/06