Chabot College Fall 2006 Replaced Fall 2011 Course Outline for Dental Hygiene 69B TREATMENT AND EVALUATION IN DENTAL HYGIENE Catalog Description: 69B - Treatment and Evaluation in Dental Hygiene 1 unit Continued development of the principles of assessment in dental hygiene care. Prevention, non-surgical periodontal therapy and maintenance through application of the Dental Hygiene process, including assessment, planning, goal setting, implementing and evaluation used in providing dental hygiene care. Emphasis on evaluation of dental hygiene care as an essential component of the dental hygiene process. Prerequisite: Dental Hygiene 69A and 71A (both completed with a grade of C or higher). Corequisite: Dental Hygiene 75. 1 hour. [Typical contact hours: 17.5] Prerequisite Skills: Before entering the course the student should be able to: 1. list the seven roles of the dental hygienist and give an example or function of the dental hygienist in each role; 2. define Dental Hygiene according to Darby and Walsh; 3. list the four main processes dental hygienists utilize; 4. identify three models in dental hygiene care; 5. differentiate the terms client and patient; 6. differentiate between the occupational dental hygienist and the professional dental hygienist; 7. describe ways in which a client's beliefs, attitudes and values can affect his or her oral health behavior; 8. describe the development of dental plaque and its relation to dental diseases; 9. describe the development of a carious lesion; 10. describe the role of dental plaque in the etiology and pathogenesis of the inflammatory periodontal diseases and dental caries; 11. describe the role of fluoride in the prevention of dental caries by listing the principal methods of receiving fluoride protection and the advantages and disadvantages of each method relative to other available methods; 12. demonstrate how the dental hygiene care provider can assist clients with disease prevention and oral health promotion at various life span stages; 13. describe the design characteristics of contemporary manual toothbrush models on the market and discuss the basic necessary characteristics of a good manual toothbrush; 14. differentiate between the different manual tooth brushing techniques such as the Bass, Stillman's and Charters' technique. Explain the advantages and disadvantages of each method; 15. identify the advantages and disadvantages of various power toothbrushes and indications for their use; 16. list the various interdental plaque control devices available for client use. Identify the appropriate use, the indications and contraindications for these devices; 17. identify methods for evaluating client oral hygiene practices; 18. develop and implement an oral health education program on a classmate. Demonstrate techniques for planning, implementing and evaluating your client's oral health education program. This includes: a. assessment of client's oral health needs; b. setting of appropriate goals and objectives; c. selection of appropriate preventive measures; d. identification of criteria for the selection of appropriate client educational materials, methods and communication techniques; e. implementation of the oral health care program; f. documentation of assessments including evaluation of client's performance; g. evaluation of client's response to program; Chabot College DH 69B Page 2 Fall 2006 Prerequisite Skills (continued) h. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. identification of future goals and directions to improve or maintain level of client oral hygiene practices; describe and demonstrate methods of sterilization and disinfection for dental instruments, supplies, equipment and demonstrate maintenance of asepsis for dental hygiene therapy; demonstrate appropriate body mechanics and correct positioning options for the patient and operator during instrumentation; collect and record data from the patient interview: medical/dental history and synopsis; utilize the medical history and patient interview, collect and document information pertinent to the patient's medical and dental status; describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature and blood pressure); demonstrate and identify the uses for assessment instruments, including the periodontal probe, explorer, and mouth mirror; identify normal intraoral and extraoral structures and note any deviations in the treatment record; demonstrate techniques and proper procedure for performing a thorough periodontal assessment; describe the uses and limitations of the universal curettes and sickle scalers in scaling and root planing; record and describe the appearance of the periodontium; complete dental hygiene documentation following patient treatment according to clinical guidelines; demonstrate use of the dental hygiene universal periodontal probe, explorers, curettes and sickle scalers on a typodont and a student partner; prepare and record medical and dental histories on all student partners who are seen as patients. Expected Outcomes for Students: Upon completion of the course the student should be able to: 1. list the components of each phase of the dental hygiene process, including assessment, planning, implementation, evaluation and referral; 2. utlize the human needs theory to determine unmet human needs that can be met through dental hygiene therapy; 3. define dental hygiene diagnosis: write a definitive dental hygiene diagnosis for an unmet human need; 4. differentiate a dental hygiene diagnosis from a dental diagnosis; 5. analyze data collected during the assessment phase of the dental hygiene process, formulate an appropriate dental hygiene care plan, and set goals for the patient's health process; 6. write examples of client centered goals and interventions; 7. identify the attributes for effective communication; 8. practice techniques of active listening; 9. develop working definitions for health and health promotion; 10. differentiate between an oral prophylaxis, nonsurgical periodontal therapy, and supportive periodontal therapy; 11. define dentinal hypersensitivity, its prevalence, etiology, and treatments; 12. list the risk factors that contribute to dentinal hypersensitivity and the factors that reduce dentinal hypersensitivity; 13. apply the oral health risk assessment formula to patient care; 14. list the components of a case documentation and develop a case documentation for a clinical patient; Chabot College DH 69B, Page 3 Fall 2006 Expected Outcomes for Students continued: 15. explain the indications for chemotherapeutic interventions as an adjunct to plaque control, nonsurgical periodontal therapy, the treatment of gingivitis and periodontitis, and maintenance of periodontal health. Course Content: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Dental hygiene process Human Needs Theory Dental diagnosis Dental hygiene care plan Health promotion Non-surgical periodontal therapy Dentin Sensitivity Oral Health Risk Assessment Case development Periodontal chemotherapy 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. Write a dental hygiene care plan for a clinical patient b. Read each chapter and complete the chapter outline worksheets 2. Methods of Evaluating Student Progress a. Quizzes b. Midterm examination c. Final examination Textbook(s)(Typical): Dental Hygiene Theory and Practice, Saunders, 2002 or most recent edition Mosby’s Dental Hygiene Concepts, Cases and Competencies, Daniel and Harfst, Mosby Inc., 2002 or most recent edition Special Student Materials: None jg/tsp, G:\Course Outlines\2005-2006\DH 69B Revised: 3-15-05