Chabot College
Fall 2003
Replaced Fall 2006
Course Outline for Dental Hygiene 71B
CLINICAL DENTAL HYGIENE
Catalog Description:
71B - Clinical Dental Hygiene
4 units
Continuation of laboratory and clinical experiences in patient assessment with emphasis on dental hygiene
care planning, goal setting and implementation of instrumentation techniques for providing preventionoriented dental care and non-surgical periodontal therapy. Emphasis on post-treatment evaluation.
Introduction to the technical skills and procedures used in the clinical practice of dental hygiene.
Prerequisites: Dental Hygiene 71A (completed with a grade of C or higher). Corequisite: Dental Hygiene 69B
and 75. 1 hour lecture, 9 hours clinical.
Prerequisite Skills:
Before entering the course the student should be able to:
1.
describe and demonstrate methods of sterilization and disinfection for dental instruments, supplies,
equipment and demonstrate maintenance of asepsis for dental hygiene therapy;
2.
demonstrate appropriate body mechanics and correct positioning options for the patient and operator
during instrumentation;
3.
collect and record data from the patient interview: medical/dental history and synopsis;
4.
utilizing the medical history and patient interview, collect and document information pertinent to the
patient's medical and dental status;
5.
describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature
and blood pressure);
6.
demonstrate and identify the uses for assessment instruments, including the periodontal probe,
explorer, and mouth mirror;
7.
identify normal intraoral and extraoral structures and note any deviations in the treatment record;
8.
demonstrate techniques and proper procedure for performing a thorough periodontal assessment;
9.
describe the uses and limitations of the universal curettes and sickle scalers in scaling and root
planing;
10.
record and describe the appearance of the periodontium;
11.
complete dental hygiene documentation following patient treatment according to clinical guidelines;
12.
demonstrate use of the dental hygiene universal periodontal probe, explorers, curettes and sickle
scalers on a typodont and a student partner;
13.
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.
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;
Chabot College
Course Outline for Dental Hygiene 71B, page 2
Fall 2003
Corequisite Skills – contined:
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
list the three categories of professional mechanical oral hygiene practices as:
a.
oral prophylaxis;
b.
non-surgical periodontal therapy;
c.
periodontal recall maintenance;
list the associated objectives of the three categories of mechanical oral hygiene practices;
explain and describe the techniques, materials and precautions involved in polishing natural and
restored tooth surfaces, and dental appliances;
explain and describe the mechanics, techniques, materials and precautions involved in the
application of topical fluorides;
explain how evaluation of dental hygiene care is accomplished and why it is an essential component
of the dental hygiene process;
describe the concepts involved in sharpening dental instruments;
describe medical/dental complications that may influence or occur during treatment and list
preventive measures;
communicate effectively with the patient in order to obtain a thorough current medical history;
evaluate the patient's physical health and recognize potential risks, take the necessary precautions,
and evaluate the need for follow-up;
recognize medications noting possible side effects and complications;
recognize and articulate medical-legal considerations for evaluating patients'
medical histories;
develop emergency protocols utilizing a team approach;
locate emergency kit(s), oxygen, and adjunct medical emergency equipment;
utilize medical emergency equipment within the scope of practice;
follow the stress reduction protocol for both the normal, healthy, anxious patient and the medical risk
patient;
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.
Expected Outcomes for Students:
Upon completion of 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;
Chabot College
Course Outline for Dental Hygiene 71B, page 3
Fall 2003
Expected Outcomes for Students - continued:
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
demonstrate techniques and proper procedure for performing a thorough periodontal assessment
and examination of the teeth on all clinical patients;
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;
perform proper polishing technique with appropriate material selection and precautions for polishing
natural and restored tooth surfaces and dental appliances;
demonstrate technique, procedures and precautions for applying topical fluoride;
apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;
demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;
record complete dental restorative charting on a student partner and on all clinical patients;
list and discuss post-operative procedures and instructions for the patient;
identify and describe the relationship between universal curet scaler and root morphology in
advanced instrumentation;
list objectives of Gracey curettes in advanced instrumentation;
identify and describe the relationship between the Gracey curet and root morphology in advanced
instrumentation;
describe procedures for preventing and reporting occupational risks.
Course Content:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Gracey curets
Gracey explorer
Case evaluation
Treatment planning
Scaling and root planing
Instrument sharpening
Polishing the dentition
Radiographic technique and interpretation
Medical emergencies
Evaluation of scaling and root planing
a.
Recall and maintenance
personal placque control
Charting
a.
Periodontal
b.
Restorative
Caries process
Clinical support instruction
Chairside radiographic, sterilization assisting, front desk reception
Topical fluoride application
Dental Hygiene documentation
Case presentation
Methods of Presentation:
1.
2.
3.
4.
Lecture
Discussion
Demonstration and return demonstration
Audiovisual Aids
Chabot College
Course Outline for Dental Hygiene 71B, page 4
Fall 2003
Assignments and Methods of Evaluating Student Progress:
1.
2.
Typical Assignments
a.
Case study evaluations
b.
Test cases
c.
Case documentation
d.
Provision of preventive dental hygiene services
e.
Provision of dental-related support services during clinical sessions
f.
Journal writing: students write about their clinical experience each session. Students assess
the factors that they believe contributed to the success of the session or prevented them
from meeting their goals. They will indicate how this experience will help them in future
clinical sessions.
Methods of Evaluating Student Progress
a.
Chapter outline worksheets
b.
Quizzes
c.
Midterm clinical/didactic exams
d.
Clinical proficiency exams
Textbook(s)(Typical):
Mosby’s Dental Hygiene Concepts, Cases, and Competencies, Daniel and Harfst, Mosby, 2002
Periodontal Instrumentation, Pattison & Pattison, Appleton & Lange, 1992
Medical Emergencies in the Dental Office, Malamed, C.V. Mosby, most current edition
Special Student Materials:
1.
2.
Protective clothing, eyewear, masks, gloves
Instrument kits
Revised: 11/7/02