Chabot College Fall 2001 Replaced Fall 2006 Course Outline for Dental Hygiene 80B ADVANCED CLINICAL TOPICS Catalog Description: 80B - Advanced Clinical Topics 1 unit Development of skills and knowledge in dental hygiene therapy and disease control with emphasis on comprehensive patient care. Prerequisite: Dental Hygiene 80A (completed with a grade of C or higher). Corequisite: Dental Hygiene 81B, 82B and 83. 1 hour. Prerequisite Skills: Before entering the course the student should be able to: 1. describe and recognize characteristics of the child dental patient; 2. list objectives and define techniques for applying of pit and fissure sealants for dental caries control; 3. list rationale and techniques for a variety of topical fluoride applications for a variety of patients; 4. describe rationale and techniques for utilizing power scaling; 5. identify and describe the role of the hygienist in preventive dental caries control; 6. describe the rationale for treatment planning and the role of the hygienist in advanced periodontal therapy; 7. identify and describe alternative techniques for sharpening and maintaining well contoured Gracey instruments. Corequisite Skills: Upon completion of the course the student should be able to: 1. scale and root plane teeth using a systematic order, appropriate type, sharp and correctly contoured instrument within minimum time and trauma; 2. polish teeth, restorations and fixed appliances using appropriate abrasives and polishing agents; 3. recognize clinically and discuss the value of preventive periodontal therapy and the role of the hygienist in this activity; 4. demonstrate consistency in performing soft tissue curettage on selected clinic patients using appropriate local anesthetic agents; 5. expose, process, mount, and interpret diagnostically acceptable radiographic surveys on clinic patients; 6. adapt and perform dental hygiene procedures for a variety of patients with special needs; 7. use the intra-oral camera; 8. maintain accurate, complete dental records; 9. perform margination and polishing restorations on a variety of clinical patients; 10. demonstrate clinical competency in infection control techniques/prevention of disease transmission; 11. apply ethical reasoning to dental hygiene practice; 12. serve all clients in the community without discrimination; 13. provide humane and compassionate care to all patients/clients; 14. demonstrate honesty in relationships with patients/clients, colleagues, and other professionals; 15. ensure the privacy of the patient/client during treatment and confidentiality of patient/client records; 16. adhere to state and federal laws governing the practice of dentistry and dental hygiene; 17. obtain, review, and update vital signs, medical history, family history, social history, and dental history while recognizing cultural differences in populations; 18. manage the patient/client chart as a legal document and maintain its accuracy; 19. determine medical conditions that require special precaution or consideration prior to and/or during dental hygiene treatment; 20. identify the patient/client at risk for a medical emergency and manage the patient/client care to prevent an emergency; 21. perform a comprehensive examination using clinical, radiographic periodontal and dental charting, as well as other data collection procedures to assess the patient's/client's needs; Chabot College Course Outline for Dental Hygiene 80B, Page 2 Fall 2001 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. determine priorities and establish oral health goals with the patient/client and/or guardian as an active participant; establish a planned sequence of educational and clinical services based on the dental hygiene diagnosis which includes etiology, prognosis, and treatment alternatives; obtain the patient's/client's informed consent based on a thorough case presentation; make appropriate referrals to other health care professionals; use accepted infection control procedures; provide an environment conducive to health by applying basic and advanced principles of dental hygiene instrumentation without causing trauma to hard or soft tissue; control pain and anxiety during treatment through the use of accepted clinical and behavioral management strategies; select and administer the appropriate antimicrobial or antibiotic agent with pre- and post-treatment instructions; provide adjunct dental hygiene services that can be legally performed in the State of California; evaluate the effectiveness of planned clinical and education services and modify as necessary; determine the appropriate maintenance schedule; provide subsequent treatment or referrals based on evaluation of findings; apply advanced ethical reasoning to dental hygiene practice; demonstrate the methods to maintain professional accountability in the clinical setting; identify common ethical dilemmas in dental hygiene practice; identify ethical and legal duties that an oral health care provider has to a client; identify the oral health needs of the individual and develop appropriate and individualized self-care regimens with respect to the goals, values, beliefs, and preferences of the patient/client; determine priorities and establish oral health goals with the patient/client and/or guardian as an active participant; establish a planned sequence of educational and clinical services based on the dental hygiene diagnosis, which includes etiology, prognosis, and treatment alternatives; evaluate the effectiveness of planned clinical and educational services in the clinical setting; determine the appropriate maintenance schedule for the clinical client; develop and maintain a health maintenance program for the clinical client; explain what OSHA is and its role in dentistry; describe the pathogen standard and who is covered by the standard; describe the exposure control plan; list exposure control precautions; describe an exposure incident; describe the protocol for an exposure incident and follow-up; describe the criteria necessary in selection of a client for the California State Board clinical examination; describe causes and types of physically limited conditions; describe causes and types of hearing impaired conditions; describe causes and types of visually impaired conditions; describe causes and types of mentally impaired conditions; describe and recognize characteristics of the geriatric patient; describe and recognize characteristics of the gerodontic patient; define dental care needs and treatments for patients with the above special needs. Expected Outcomes for Students: Upon completion of the course, the student should be able to: 1. perform nutritional counseling for prevention of dental disease utilizing dietary analysis; 2. describe and utilize the team approach to preventive dentistry; 3. describe techniques of tooth desensitization; 4. describe the procedures for margination and polishing amalgam restoration, listing indications and precautions; Chabot College Course Outline for Dental Hygiene 80B, Page 3 Fall 2001 5. 6. 7. 8. 9. 10. 11. describe the types of chemotherapeutic agents used in dentistry, techniques and limitations of their uses; define self-evaluation for student ergonomics and prevention of occupational risks; describe systems of dental hygiene recall; describe procedures, benefits and limitations of the Air-Jet and Cavi-Med in the clinical situation; describe the contributing factors in disease development; describe comprehensive dental hygiene therapy planning and treatment; describe the techniques for the care and maintenance of dental implants. Course Content: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Nutritional counseling for caries control The team approach to preventive dentistry Tooth desensitization Margination and polishing amalgam restorations Contributing factors in disease development Use of chemotherapeutic agents Comprehensive dental hygiene therapy Ergonomics and occupational risks Systems of Dental Hygiene recall Use of the Air-Jet Polisher Use of the Cavi-Med Safety in the workplace Care and maintenance of dental implants. Methods of Presentation: 1. 2. 3. 4. 5. 6. 7. Lecture Demonstration Discussion Guest lecturer Case studies Audiovisual aids Role playing Assignments and Methods of Evaluating Student Progress: 1. Typical Assignments a. Written nutritional analysis report 2. Methods of Evaluating Student Progress a. Written midterm examination b. Written final examination c. Quizzes Textbook(s)(Typical): None Special Student Materials: None tms, Disk 20, A:\DH Outlines 2000\DH 80B Revised; 12-1-00