Department: Health & Public Service
Discipline: Allied Health
Subject Code: DH
Course #: 170
Course Title: Techniques in Pain Control
HARRISBURG AREA COMMUNITY COLLEGE
FORM 335
Course Form 335 must be updated at least every five years per AP 765 to include, at
a minimum, the following elements. [§335.2]
1.
Digital Description:
Credit hours:
Lecture hours:
Lab hours:
2.0
1.0
3.0
BL: [ ]⅓ [X]½ [ ]⅔ [ ] Other (Indicate fraction or percent)
2.
3.
Catalog Description:
Covers the theory and clinical knowledge for safe and effective administration of
various anesthetic agents utilized in dentistry for pain control. Emphasis is on
injectable local anesthesia. A course fee is required.
Minimum Grade Required
Prerequisites: MATH 051
C
BIOL 245
C
DH 112, 113 and 130
C
Corequisites:
DH 114
Other:
4.
Learning Outcomes
[These outcomes are necessary to enable students to attain the essential
knowledge and skills embodied in the program’s educational objectives.]
Upon successful completion of the course the student will be able to:





Identify, locate and explain the significance of the nerves, muscles, ligaments,
blood vessels and bony landmarks associated with the administration of local
anesthesia
Demonstrate knowledge of pain physiology and neurophysiology related to
local anesthesia
Discuss indications and contraindications to local anesthesia
Describe the pharmacology of the major local anesthetic agents and
vasoconstrictors including how to calculate the maximum recommended doses
Demonstrate the proper technique for administering the following injections
safely and with minimal discomfort: anterior superior alveolar, middle
superior alveolar, posterior superior infiltratrtion, greater palatine, inferior
1
Department: Health & Public Service
Discipline: Allied Health
Subject Code: DH
Course #: 170
Course Title: Techniques in Pain Control

5.
alveolar, long buccal, intra-papillary, Akinosi, and supraperiosteal
(infiltration)
Evaluate the administration of the anesthesia for achievement of the desired
results and record a complete and accurate entry into the treatment record
including calculation of the amount of anesthetic and vasoconstrictor
Planned Sequence of Learning Activities
[These must be designed to help students achieve the learning outcomes.]
Didactic
I.
Introduction
Fundamentals of pain control
II.
Fundamentals of Administration
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
XIII.
Lab:
Safe Handling, Identification of
armamentaria, loading the syringe,
General Administrative Techniques.
Practice injection technique on
grapes and on manikins.
(3 hours)
Medical History Review
Topical anesthetics, anatomy review,
Local anesthetic complications
Practice on Manikins and plums
and management
(3 hours)
Anatomy of the maxillae
Dental local anesthetics
Techniques of Maxillary anesthesia Identification of Landmarks
Considerations for inadequate
Infiltration – Maxillary arch
anesthesia
dominant side (3 hours)
Neuroanatomy
Maxillary infiltration – nonNeurophysiology
dominant side
Palatal injection – non-dominant
side
Greater palatine (3 hours)
Pain physiology
Palatal injections – dominant side
Pharmacology Basics
AS and MS – dominant side ( 3
Vasoconstrictors
hours)
Practice on the manikins
Anatomy of the Mandible
Identifications of landmarks for
infiltrations on the mandibular arch
Techniques of Mandibular AnesIAN and GP
thesia
AS and MS – non-dominant side
Considerations for inadequate
Greater palatine
(3 hours)
Anesthesia
Competency – maxillary infiltration
MRD Calculations
IAN injection – non-dominant side
Lingual/ Long Buccal
XIV. Pediatric implications
Supplemental injections
Practice MRD Calculations with
scenarios
Competency – Greater palatine
(3 hours)
2
Department: Health & Public Service
Discipline: Allied Health
Subject Code: DH
Course #: 170
Course Title: Techniques in Pain Control
XV.
6.
Advances in Anesthetic
Techniques
Nitrous Oxide
AS, MS, and PS infiltrations non-dominant side (3 hours)
IA, Lingual and Long Buccal
Competency
Injections - Akinosi (3 hours)
Competency for Quadrant
Management
Intrapapillary
Infiltrations in the mandibular
anteriors
(3 hours)
Role Play Activities
Free Choice practice
Case Studies
Review
(3 hours)
Practical Exam
Mandibular block and maxillary field
block (3 hours)
Assessment of Student Learning
[Methods of assessment should be appropriate for Learning Outcomes listed
above.]
Assessment of student learning outcomes for the course, as required by AP 765, is
part of regular curriculum maintenance and/or improvement. The specific plan
has been determined by the pertinent faculty involved and is maintained in the
College’s assessment management system.
The student will achieve laboratory competency in this course in the
following areas: Supraperiosteal (infiltrations), IAN, Akinosi, and Greater
Palatine, intrapapillary
7.
List of Texts, References, Selected Library Resources or other Learning
Materials (code each item based on instructional use): C-Lecture/Laboratory,
A-Lecture, B-Laboratory, LC-Lecture/Clinical, CLN-Clinical, I-Online,
BL-Blended, D-Independent Study, P-Private Lessons, E-Internship,
F-Cooperative Work-Study, FE-Field Experience. [These resources must be easily
accessible to students.]
A, BL Bassett, Kathy B., DiMarco, Arthur, and Naughton, Doreen K. Local
Anesthesia for Dental Professionals. Pearson Health Science.
Most current edition.
A, BL Darby, M and Walsh, M. Dental Hygiene Theory and Practice.
Sauders. Most current edition.
References:
A, BL Evers, H. and Haegerstam, G. Introduction to Dental Local
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Department: Health & Public Service
Discipline: Allied Health
Subject Code: DH
Course #: 170
Course Title: Techniques in Pain Control
A, BL
A, BL
A, BL
A, BL
Anaesthesia. 2nd edition, Eng version., Mediglobe SA: Fribourg.1990
Jastek, J., Yagiela, J., Donaldson, D., Local Anesthesia of the Oral
Cavity. 1st edition. Saunders, 1995
Malamed, Stanley F. Handbook of Local Anesthesia with DVD pkg
Elsevier. Most current edition.
Paarmann, C. and Royer, R. Pain Control for Dental Practioners, an
interactive approach. Lippincott, Williams, and Wilkins. Most current
edition.
Wilkins, E. Clinical Practice of the Dental Hygienist.
Lippincott, Williams, and Wilkins. Most current edition.
8. Prepared by Faculty Member: Kathleen M. Schlotthauer
Date: 7/6/10
9. Approved by Department Chairperson:
Date: 9/13/10
10. Approved by Academic Division Dean: Brad Wolf
Date: 10/13/10
This course meets all reimbursement requirements of Chapter 335,
subchapters A / B.
This course was developed, approved, and offered in accordance with the
policies, standards, guidelines, and practices established by the College. It is
consistent with the college mission.
If the course described here is a transfer course, it is comparable to similar
courses generally accepted for transfer to accredited four-year colleges and
universities.
11.
Director, Curriculum Compliance: Catherine A. Lencioni
Date: 10/14/10
12.
Provost & VP, Academic Affairs: Cynthia A. Doherty
Date: 10/20/10
13.
Original Date of course approval by the college:
14.
Date(s) of subsequent reviews [Indicate change: Learning Outcomes; textbook(s)]:
12/1/04
Review and updated: 10/26/07; 1/11/08; 1/16/09; 7/14/09
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