Chabot College
Fall 2001
Course Outline for Dental Hygiene 80A
PATIENT MANAGEMENT
Catalog Description:
80A - Patient Management
1 unit
Dental Hygiene therapy with emphasis on the child patient and periodontal patients, education in prevention
and control of dental disease, and case documentation. Prerequisite: Dental Hygiene 71B. Corequisite:
Dental Hygiene 56A and Dental Hygiene 81A. 1 hour.
Prerequisite Skills:
Before entering the course the student should be able to:
1.
utilize infection control protocols for prevention of disease transmission through demonstration of
proper sterilization and disinfection methods, barrier techniques and maintenance of asepsis;
2.
collect and record data from the patient interview including medical history, case history, chief
complaint and history of chief complaint on all clinical patients;
3.
utilize the medical history and patient interview to collect and document information pertinent to the
patient's medical and dental status on all clinical patients;
4.
obtain a complete medical history and explain the rationale and implications for each portion of the
history form;
5.
describe and demonstrate the correct technique for taking vital signs (pulse, respiration,
temperature, and blood pressure) on all clinical patients;
6.
demonstrate assessment skills designed to identify dental needs in order to plan treatment with the
goal of delivering comprehensive dental hygiene care on all clinical patients;
7.
demonstrate techniques and proper procedure for performing a thorough periodontal assessment
and examination of the teeth on all clinical patients;
8.
apply principles of instrumentation for the proper use of the explorers, mouth mirror, periodontal
probe, scaling/root planing instruments and polishing instruments on all clinical patients;
9.
perform proper polishing technique with appropriate material selection and precautions for polishing
natural and restored tooth surfaces and dental appliances;
10.
demonstrate technique, procedures and precautions for applying topical fluoride;
11.
apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;
12.
demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;
13.
record complete dental restorative charting on a student partner and on all clinical patients;
14.
list and discuss post-operative procedures and instructions for the patient;
15.
identify and describe the relationship between universal curet scaler and root morphology in
advanced instrumentation;
16.
list objectives of Gracey curettes in advanced instrumentation;
17.
identify and describe the relationship between the Gracey curet and root morphology in advanced
instrumentation;
18.
describe procedures for preventing and reporting occupational risks.
Corequisite Skills
Upon completion of the course the student should be able to:
1.
recognize signs and symptoms of emergencies involving the child, adolescent, geriatric, and special
needs patient and follow the procedures for the dental hygiene clinic;
2.
scale and root plane teeth using a systematic order, appropriate type, sharp, and correctly-contoured
instruments with minimum time and trauma;
3.
demonstrate the use of ultrasonic scaling instruments for removal of gross deposits on selected
patients;
Chabot College
Course Outline for Dental Hygiene 80A, Page 2
Fall 2001
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apply postoperative procedures and instructions for the patient;
select and apply a variety of topical fluoride agents using a variety of methods;
select and apply appropriate desensitizing agents on selected patients;
select and apply appropriate agents for pit and fissure sealants on selected patients;
expose, process, mount and interpret diagnostically acceptable radiographic surveys on clinic
patients;
recognize clinically and discuss the value of preventive dental caries control and the role of the
hygienist in this activity;
demonstrate clinical competency in infection control techniques/prevention of disease transmissions;
apply ethical reasoning to dental hygiene practice;
serve all clients in the community without discrimination;
provide humane and compassionate care to all patients/clients;
demonstrate honesty in relationships with patients/clients, colleagues, and other professionals;
ensure the privacy of the patient/client during treatment and confidentiality of patient/client records;
adhere to state and federal laws governing the practice of dentistry and dental hygiene;
obtain, review, and update vital signs, medical history, family history, social history, and dental
history while recognizing cultural differences in populations;
manage the patient/client chart as a legal document and maintain its accuracy;
determine medical conditions that require special precaution or consideration prior to and/or during
dental hygiene treatment;
identify the patient/client at risk for a medical emergency and manage the patient/client care to
prevent an emergency;
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;
determine priorities and establishe oral health goals with the patient/client and/or guardian as an
active participant;
establishe a planned sequence of educational and clinical services based on the dental hygiene
diagnosis, including 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;
uses 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;
define the major oral health problems and the extent to which they affect the population;
list preventive measures that can be used in the community to reduce or control the major oral
health problems;
identify the public agencies at the federal, state, and local levels who distribute funds for dental care,
and the categories of recipients;
select a target group and assess by means of surveys, questionnaires, interviews and other means,
the dental health needs of a target group; i.e. the oral health status, knowledge and attitudes
towards dental health, and dental treatment needs;
prepare a report, and program plan which:
a.
describes the target group, including results and interpretation of survey needs assessment;
b.
lists behavioral objectives to improve oral health;
c.
outlines a program plan to attain the behavioral objectives;
d.
lists resources including:
Chabot College
Course Outline for Dental Hygiene 80A, Page 3
Fall 2001
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financial;
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instructional;
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dental manpower;
identify socio-economic, cultural, and political factors influencing the teaching of oral health;
evaluate appropriateness and the usefulness of resource materials for Community Dental Health.
Expected Outcomes for Students:
Upon completion of the course, the student should be able to:
1.
describe and recognize characteristics of the child dental patient, the adolescent patient, the geriatric
patient and patients with contagious diseases;
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.
Course Content:
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The child dental patient, the adolescent patient, the geriatric patient and patients with contagious
diseases
Pit and fissure sealants
Topical fluorides
Power scaling
Post-operative procedures
Treatment planning with advanced periodontally-involved clients
Advanced instrument adaptation as related to tooth morphology
Gracey and universal curettes in advanced instrumentation
Alternate method of instrument sharpening
Treatment planning/case documentation
Preventive periodontal therapy
Intraoral/extraoral photography
Methods of Presentation:
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Lecture
Demonstration
Audiovisual aids
Discussion
Guest speakers
Case studies
Assignments and Methods of Evaluating Student Progress:
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Typical Assignments
a.
Case documentation: periodontally involved patient
Methods of Evaluating Student Progress
a.
Quizzes
b.
Written midterm and final exam
Chabot College
Course Outline for Dental Hygiene 80A, Page 4
Fall 2001
Textbook(s)(Typical):
Clinical Practice of the Dental Hygienist, Esther Wilkins, Lippincott,1999
Comprehensive Review of Dental Hygiene, Darby, C.V. Mosby, 1998
Dental Hygiene Theory & Practice, Darby & Walsh, Harcourt & Brace Company, 1994
Special Student Materials:
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Masks
Gloves
Eyewear
Protective clothing
Instruments
Revised: 12-1-00