Chabot College
Fall 2006
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.
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;
17.
identify the armamentarium required for soft tissue curettage procedures;
18.
describe the stages of the healing process and explain any possible interferences;
19.
document dental hygiene expanded functions according to course guidelines;
20.
identify safety measures to prevent occupational exposure during the administration of nitrous
oxide/oxygen analgesia and local anesthesia.
Course Content:
1.
2.
3.
Review of head and neck anatomy, trigeminal nerve and its branches
Local anesthetic agents: topical and local
Patient assessment and anesthetic agents selection
Chabot College
Course Outline for Dental Hygiene 57, Page 2
Fall 2006
Course Content (continued):
4.
5.
6.
7.
8.
9.
10.
11.
12.
Dental emergencies
Nitrous oxide/oxygen analgesia
Indications and contraindications 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
Periodontal dressings
Suturing
Methods of Presentation:
1.
2.
3.
4.
Lecture
Discussion
Demonstration and return demonstration
Audiovisual aids
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 vasoconstrictors for each of the following patients
2.
Methods of Evaluating Student Progress
a.
Pre-practical Quizzes
b.
Case Based Midterm Examination
c.
Case Based Final Examination
d.
Proficiency Examinations
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
jg/tsp, G:\Course Outlines\2005-2006\DH 57
Revised: 11/2/05