Chabot College
Fall 2001
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.
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
Course Outline for Dental Hygiene 69B, Page 2
Fall 2001
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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.
Corequisite Skills
Upon completion of the course the student should be able to:
1.
communicate effectively with the patient in order to obtain a thorough current medical history;
2.
evaluate the patient's physical health and recognize potential risks, take the necessary precautions,
and evaluate the need for follow-up;
3.
recognize medications noting possible side effects and complications;
4.
recognize and articulate medical-legal considerations for evaluating patients' medical histories;
5.
develop emergency protocols utilizing a team approach;
6.
locate emergency kit(s), oxygen, and adjunct medical emergency equipment;
7.
utilize medical emergency equipment within the scope of practice;
8.
follow the stress reduction protocol for both the normal, healthy, anxious patient and the medical
risk patient;
9.
develop and utilize a Medical Emergencies Outline for the following conditions:
a.
unconsciousness, vasodepressor sycope, hyperventilation, and hypertension;
b.
airway obstruction, asthma and acute adrenal insufficiency;
c.
heart failure and acute pulmonary edema, chest pain and angina pectoris;
d.
cerebral vascular accidents and seizures;
e.
diabetes and thyroid gland dysfunction;
f.
drug overdose and allergic reactions;
10.
perform proper polishing technique with appropriate material selection and precautions for polishing
natural and restored tooth surfaces and dental appliances;
11.
demonstrate techniques, procedures and precautions for applying topical fluorid;
12.
apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;
13.
demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;
14.
record complete dental restorative charting on a student partner and on all clinical patients;
15.
list and discuss post-operative procedures and instructions for the patient;
16.
identify and describe the relationship between universal curet scaler and root morphology in
advanced instrumentation;
17.
list objectives of Gracey curettes in advanced instrumentation;
Chabot College
Course Outline for Dental Hygiene 69B, Page 3
Fall 2001
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19.
identify and describe the relationship between the Gracey curet and root morphology in advanced
instrumentation;
describe procedures for preventing and reporting occupational risks.
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.
describe the roles of bacterial plaque, other soft deposits, and calculus in relation to dental health
and disease;
3.
explain and describe the secondary test for chronic inflammatory periodontal disease;
4.
recognize the categories of tooth discolorations and stains;
5.
present a case presentation of existing periodontal conditions in the clinical setting;
6.
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;
7.
explain and describe the rationale, techniques, and armamentarium involved with scaling and root
planing in the treatment of periodontal disease;
8.
list the three categories of professional mechanical oral hygiene practices as:
a.
oral prophylaxis;
b.
non-surgical periodontal therapy;
c.
periodontal recall maintenance;
9.
list the associated objectives of the three categories of mechanical oral hygiene practices;
10.
explain and describe the techniques, materials and precautions involved in polishing natural and
restored tooth surfaces, and dental appliances;
11.
explain and describe the mechanics, techniques, materials and precautions involved in the
application of topical fluorides;
12.
explain how evaluation of dental hygiene care is accomplished and why it is an essential component
of the dental hygiene process;
13.
describe the concepts involved in sharpening dental instruments;
14.
describe medical/dental complications that may influence or occur during treatment and list
preventive measures.
Course Content:
1.
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Dental hygiene process
Periodontal disease process
Tooth discolorations/stains
Non-surgical periodontal therapy
Treatment planning and case classification
Evaluation of scaling and root planing
Polishing the dentition
Instrument sharpening
Recall and maintenance
Professionally-applied fluorides
Cleaning removable appliances
Medical-dental complications
Dental hygiene referral
Methods of Presentation:
1.
2.
3.
4.
Lecture
Discussion
Demonstration and return demonstration
Audiovisual aids
Chabot College
Course Outline for Dental Hygiene 69B, Page 4
Fall 2001
Assignments and Methods of Evaluating Student Progress:
1.
2.
Typical Assignments
a.
Case documentations
b.
Evaluation of selected case documenations for completeness and accuracy
c.
Chapter outline worksheets
Methods of Evaluating Student Progress
a.
Quizzes
b.
Midterm examination
c.
Final examination
Textbook(s)(Typical):
Medical Emergencies in the Dental Office, Malamed, C.V. Mosby, 1993
Clinical Practice of the Dental Hygienist, Wilkens, Esther M., Lea & Febiger, 1994, Optional
Special Student Materials:
None
tms, Disk 20, A:\DH Outlines 2000\DH 70B
Revised: 12-1-00