ALAMANCE COMMUNITY COLLEGE CLASSROOM-BASED COURSE SYLLABUS Course Title Dental Radiography Course Number DEN 112 AB Term Instructor Fall Sec. No. Yr. 2013 41/42W Days Lec. Hrs. Lab Hrs. 2 Mondays Tuesdays& Fridays Times Office E-mail Cr. Hrs. 3 Sect. 01/02 Tues. 8:0010:00am Section 01 Tues. 10:10am1:10pm Section 02 Mon.10:10am1:10pm Section 03 Fri. 10:101:10p, Donna Pruitt (Lecture) Jessica Dehart, Kristi Hussey and Marsha Moser (Lab) Office Location 3 310A Hours Donna.pruitt@alamancecc.edu Phone Monday and Friday 9-10am Tuesdays 4:30-5:30 Wednesdays 10:00-12:00p (336) 506-4403 ALAM ANCE COMMUNITY COLLEGE Graham Campus 1247 Jimmie Kerr Road PO Box 8000 Graham, NC 27523-8000 Burlington Campus I-85/I-40 Exit 145 Burlington, NC 27215 Faculty Preparing Outline ________Donna Pruitt________________ ___ ENDORSEMENTS OF DEPARTMENT HEAD AND ASSOCIATE DEAN Department Head:_____________Janelle Christopher______________ Associate Dean: ________________Kelly Tate____________________________ COURSE DESCRIPTION This course provides a comprehensive view of the principles and procedures of radiology as they apply to dentistry. Topics include techniques in exposing, processing, and evaluating radiographs, as well as radiation safety, quality assurance, and legal issues. Upon completion, students should be able to demonstrate proficiency in the production of diagnostically acceptable radiographs using appropriate safety precautions. PREREQUISITE/COREQUISITE COURSES / SKILLS Prequisites: Enrollment in the Dental Assisting Program Corequisites: DEN 100 or DEN 110 AND DEN 111 MAJOR COURSE GOALS AND MAJOR ASSIGNMENTS Upon completion of this course, the student will be able to: LECTURE: 1. Describe the biological effect of radiation and safety standards which provide the maximum protection for patient and operator. 2. Discuss the basic principles and characteristics of radiation. 3. Identify and describe the component parts of the dental x-ray machine and the production of xrays. LABORATORY: 1. Expose, process, mount, evaluate, interpret, file and store diagnostically acceptable intraoral and extraoral radiographic surveys. 2. Display appropriate infection control and safety precautions when working in the radiology laboratory. 3. Maintain the radiographic facility, including darkroom and clinical areas and all components of each. REQUIRED COURSE MATERIALS Textbook Dental Radiography Principles and Techniques, 4rd Edition Iannucci and Howerton, Elsevier Saunders, 2012 Modern Dental Assisting, 10th Edition Bird and Robinson, Elsevier Saunders, 2012 Required Software None Other Required Equipment or Supplies Phosphorus Plate Receptors Audiovisuals: Dental Radiology Series, Multi-Media Exposure/Processing Errors, ACC Exposure/Processing Errors, Eastman Kodak Radiographic Landmarks/Anatomy, ACC Videos Introduction to Basic Concepts in Dental Radiography, ADAA Radiographic Techniques and Safety Series, (4 tapes) MEDCOM, Inc. COURSE REQUIREMENTS: In order to successfully complete this course each student must pass both the didactic and laboratory portions of Dental Radiography. Written Evaluations will compromise 70% of the course grade. Scheduled test and exam will be weighted as follows: Minimum Passing Grade Quizzes Test 1 Test 2 Final Exam 77% 90% 77% Weight Quizzes -20% Test - 50% Final - 30% Students who fail to achieve the minimum passing grade on the test will be required to take a make-up test (maximum of two attempts). If a grade higher than the minimum passing score is obtained on a make-up test, the minimum passing score will be recorded. Failure to meet minimum score on the test will result in failure of the course therefore, dismissal from the program. Laboratory Evaluations will compromise 30% of the course grade. Using the concept of "mastery learning" each student must complete the following full mouth surveys on manikins at the stated proficiency levels of 85% with no more than 3 FMS periapical retakes and 2 Bitewing retakes : 2 w/ Sensor Adult DXTTR’s (including bitewings) 1 w/ PPR Adult DXTTR’s (including bitewings) 85% proficiency 85% proficiency In addition to completing two DXTTR’s, students must also demonstrate competence in the following: Mounting, 2 Full Mouth Surveys at 100% proficiency 1 Patient survey at 85% proficiency (maximum of three retakes on a 18 film FMS) Manikin surveys are weighted as follows: Adult DXTTR’s 50% Patient survey 50% Subsequent to meeting manikin requirements, each student will be required (prior to graduation) to expose, process, mount and critique three full mouth surveys on patients using the paralleling technique. Again, a minimum proficiency level of 85% will be required with no more than three retakes. In addition, written "pop" quizzes will be given periodically during lab sessions. These quiz grades will be averaged in with the lecture quizzes. Minimum passing average for the laboratory portion of this course is 85%. Students will continue toward developing clinical competency by meeting additional radiology requirements in the DEN 112BB, DEN 106, and 107. GRADING POLICIES Grading Scale This course will use the following scale: A = 100 - 93 B = 92 - 85 C = 84 - 77 D = 76 - 69 F = Below 69 Areas of Evaluation Class participation is expected as well as all required reading. Take home quizzes, take home worksheets, and examinations will be constructed from objectives, lecture, and reading materials. Take home worksheets will be turned in at the beginning of the assigned class period. No LATE take home worksheets will be accepted! All take home worksheets will be averaged to equal 1 quiz grade. The lowest quiz grade will be dropped. IF ANY STUDENT IS ABSENT ON THE DAY OF A TEST THEY HAVE THE OPPRUTUNITY TO TAKE A MAKE-UP TEST (NOT THE ORGINIAL) IF THEY CONTACTED THE INSTRUCTOR IN ADVANCE OF THE ORGINIAL TEST DAY AND SEE THE INSTRUCTOR IMMEDIATELY UPON RETURN TO CAMPUS . Course Format DEN 112 Dental Radiology lecture will be taught in a seated classroom and lab will be conducted in clinical treatment rooms and lab areas. Instructions for access to the Moodle, ACCess email and Web Advisor: http://moodle.alamance.edu FIRST NAME…………………………..Joseph MIDDLE NAME………………………...Thomas LAST NAME……………………………Smith ID…………………………………………0073891 Joseph’s user name would be: jtsmith891 The password is your student ID number. You may locate your ID number on your registration receipt or on your financial aid statement. If you are unable to locate your identification number, please contact Student Development at 506-4270. Note: You will not be able to access your online course information until the first day of class. Academic Integrity Students enrolled at Alamance Community College are expected at all times to uphold standards of integrity. Students are expected to perform honestly and to work in every way possible to eliminate academic dishonesty. Academic dishonesty includes cheating and plagiarism. Plagiarism is stealing another person’s words or ideas and passing them off as your own. When you put your name on a paper in a course at ACC, you are claiming ownership of that paper. You are saying, "I wrote this paper and the words and ideas in it are my own, except where I have credited my source through proper MLA or APA documentation." Global Plagiarism Global plagiarism involves copying an entire paper from another source, perhaps by borrowing a paper someone else wrote or downloading one from an Internet site. This type of plagiarism is grossly unethical and inexcusable. If you are caught committing this type of plagiarism, even on a rough draft, you will receive a zero on that assignment. This typically results in an "F" in the course. Sometimes students commit this type of plagiarism because they have waited until the last minute to do an assignment and they panic. However, a student would be much better off dropping the course than earning an "F" because of plagiarism. Patchwork Plagiarism Cut and paste plagiarism, also called patchwork plagiarism, is no more ethical than global plagiarism. This type occurs when the writer cuts and pastes words, paragraphs, and even pages from different sources to create a whole paper which he or she then turns in as his or her own work. The student may have written an introduction, conclusion, or even a few transitions, but copied the rest of the paper word for word from different sources. Committing cut and paste plagiarism will also result in a zero on that assignment and can result in an "F" in the course. Incremental Plagiarism Incremental plagiarism sometimes happen through carelessness or by accident. It occurs when the writer composes most of the words, but does not properly cite or credit the sources or does not paraphrase or quote correctly. Simply rearranging the words in the passages is not enough. A paraphrase should truly be in the writer's own words. Students are responsible for understanding how to use MLA or APA Documentation, which is covered in course textbooks, handbooks, the laminated guide (included with the Hacker handbook), and online. Rough drafts with incremental plagiarism may be rewritten to eliminate the problem. Final drafts with incremental plagiarism will receive a grade penalty consistent with the amount and seriousness of the plagiarism. Final Thoughts on Plagiarism As a student, you are responsible for the integrity of your work. If you are not confident about your writing ability, your instructor and the tutors in the Academic Skills Lab are there to help you. We as a department are committed to the idea that writing is a process and that we all make mistakes and can learn from these mistakes. We allow submission of rough and final drafts to help you grow and learn as a writer. How can we help you if the words and ideas you turn in are not your own? Please do not put us in the position of having you fail one of our courses because of plagiarism. The experience will not be pleasant for any of us. How Do we Detect Plagiarism The Health and Public Services Division may use a plagiarism detection service called Turnitin.com to check papers for plagiarism. You will probably be asked to submit your papers to Turnitin.com online or to submit your papers in electronic format to be checked for plagiarism. Also the Google web site is used to verify authenticity of your papers. Either source will be used to document plagiarism, upon which appropriate sanctions will be utilized. Cheating Any such action observed by a faculty member will result in an automatic “F” on the test for those involved. Any student caught cheating will be dismissed at the discretion of the instructors. OTHER POLICIES Students must comply with the Uniform and Supply policies listed in the Dental Assisting Student Handbook during both laboratory and clinical settings. Attendance ACC recognizes that students are adults with many responsibilities. An occasional absence might be absolutely necessary. However, such absences in no way lessen the student’s responsibility for meeting the requirements of the class. Absences are counted from the first official meeting of the class regardless of when the student registers for, or enters, the class. Refer to the policy on page 86 of the student handbook. Individual departments/programs may set more restrictive attendance requirements with the approval of the associate dean. Students who exceed 3 lecture and 3 lab hours of absences in DEN 112 will be dropped from the roll. Absence due to prolonged illness must be confirmed by a doctor's statement. Any quiz or exam missed due to an unexcused absence will result in a grade of "0". In the case of an excused absence, the student must take the make-up test or exam immediately upon return to classes. Failure to follow this procedure for an excused absence will also result in a grade of "0" for that particular test or exam. Students are expected to attend each class session. When classes must be missed due to personal emergencies, sickness or death of an immediate family member, students may use up to the maximum number of absences listed on the official Attendance Policy Statement distributed during orientation. Three tardies are counted as one absence. Absence from class does not relieve the student from the responsibility of meeting all course requirements. Students exceeding the maximum number of allowed hours will be dropped from the course, at the instructor’s discretion. If the attendance policy is violated after the withdrawal date (WP), the student will receive an F in the course and will be dismissed from the program and will no longer able to attend class. Students who withdraw or are dismissed for academic reasons or for violation of college policies must reapply for readmission into the Dental Assisting Program. Re-entry will be reevaluated after a 1 semester wait from the initial drop date, and will be dependent upon available space and faculty review. Readmission will require that the student repeat the entire Dental Assisting Curriculum, regardless of prior enrollment progression. Refer to your Student Handbook for additional information on attendance policies. ACC’s Quality Enhancement Plan (QEP) As part of the reaffirmation process with the Southern Association of Colleges and Schools Commission on Colleges in 2013, ACC has developed a Quality Enhancement Plan (QEP) that identifies a specific area for improvement. Entitled “Write to Succeed,” ACC’s QEP focuses on improving student writing so that graduates are better prepared both for the workforce and for further education. As a result of “Write to Succeed,” ACC has opened a Writing Center (located in Main 354 in the same suite as the Academic Skills Lab). The Writing Center offers assistance with any writing task, as well as style guides and workshops, to help students be more successful in all of their classes. For more information, please visit the college’s website. Library – Learning Resource Center LRC As part of ACC’s commitment to institutional effectiveness and student success, it is critical for students to learn how to use the resources in the library. Many classes require research projects and papers that use those resources. Students need to know how to use the resources effectively. For information regarding help and use of the LRC call 336-506-4208. ADA Policy Alamance Community College is committed to providing equal educational opportunities for students with documented disabilities. Students who require disability services or reasonable accommodations must identity themselves as having a disability and provide current diagnostic documentation to the Disability Services Office located in the Gee Building, Room 128. All information is confidential. Please contact Monica Isbell, Coordinator of Special Needs & Counseling Services for more information at 336-506-4130 or email at isbellm@alamancecc.edu Children on Campus Alamance Community College does not allow children of students, faculty or staff to enter classrooms, labs or shops while instruction is being delivered. Similarly, children of students, faculty or staff are not to be left unattended in any college facility at any time. Course Withdrawal Withdrawal date and receive a WP is ___November 20, 2013_____ Alamance Community College recognizes that from time to time, it may be necessary for a student to withdraw from a course. Students may withdraw with a “WP” grade through the 80 percent point of the semester. If a student withdraws during the last 20 percent of the semester, the earned grade in the class will be recorded on the student’s transcript. Students who formally withdraw many NOT continue attending that class. When a student misses 20 % or more of the total contact hours for this course, the student will be withdrawn by the instructor from the course. If a student does not properly withdraw or the faculty fails to withdraw a student an F will be assigned as a grade for the class. Students who never attend or withdraw prior to the 10% point and are receiving federal financial aid are required to repay the full amount charged for tuition, books and fees. Students who withdraw through the 60% point of the term and who are receiving federal financial aid (Title IV programs) are required to repay a portion of the awarded funds for which they are not eligible due to withdrawal. Electronic Communication Devices Policy Alamance Community College is committed to fostering a learning friendly environment. Electronic communication devices can be detrimental to the learning environment. Therefore, the use of cell phones and beepers in the classroom must be turned off or put on silent/vibrate mode. All devices must be placed in a bag out of sight and reach during testing. Student Code of Conduct Students at ACC are expected to conduct themselves as adults in accordance with generally accepted standards of behavior and decency at all times. Student rights, responsibilities, and procedures are outlined in the current ACC Student Handbook(Student Rights/Responsibilities). Each department/program may choose to have a specific departmental handbook with specific requirements for clinicals, co-ops or other pertinent information. If a student's behavior is interfering with classroom procedure, he/she will be asked to leave the class and will be counted absent for that session; the student will then be referred to the Associate Dean of Public Services. If the disruptive behavior continues, the student will be dropped from the class. Disruptive behavior may include, but is not limited to: cell phone talking and text messaging, sleeping in class, threatening the instructor or other students, fighting, using profanity, talking with or otherwise disturbing students, talking so loudly as to interfere with the instructor and/or the class, etc. Students appearing to be under the influence of drugs/alcohol while on the school premises will be asked to leave class. If the student refuses to leave the instructor will need to contact the Associate Dean at which time sanctions will be leaved for such behavior (Student Handbook Page 94, Sanctions). Safety – Emergency Evacuation An emergency evacuation route is posted in the classroom. Please review the posted route for the closest emergency exit. Assume that when the building alarm is sounded, an emergency exists. Walk quickly to the nearest marked EXIT to evacuate the building. Campus emergency phone number is 2286. DEN 112 Dental Radiology Course Objectives OBJECTIVES 1. Discuss the role of the dental assistant in routine dental radiographic examinations. 2. Explain the relationship between dental radiographs and accurate diagnosis and treatment planning. 3. Discuss the effects of "consumerism" on the taking of dental radiographs in initial exams and periodic check-ups. 4. Contrast short and long wavelengths in terms of frequency, energy and penetrating power. 5. Identify the location of x-rays in the electromagnetic spectrum. 6. Define ionizing radiation. 7. List 10 special characteristics of x-rays. 8. Explain the mechanism of ionization of body tissues. 9. Identify the following equipment and armamentarium used in dental radiology: tube head cone control box KvP control exposure button safe-light mount MA control exposure time control stabe-holder lead apron dental film packet viewbox automatic processor 10. List the steps in proper patient and operator preparation for the following equipment: 11. Demonstrate proper infection control procedures for the following equipment: X-ray tube and tube arm Patient's chair X-ray tube control panel Exposed film Unexposed film Darkroom counter tops Intraoral positioning devices 12. Utilize recommended personal protection (gloves, masks, eyewear) while exposing radiographs on patients. 13. Use the criteria for a clinically acceptable full mouth survey to evaluate radiographs taken on Dexter. 14. State the characteristics of a "clinically" acceptable radiograph and/or full mouth survey. 15. List the five rules of projection geometry (shadow casting). 16. Discuss the principle of the paralleling technique as it relates to the rules of projection geometry. 17. List the advantages and disadvantages of the paralleling technique. 18. Discuss the principle techniques for digital imaging. 19. Identify the main structural components of an x-ray tube and discuss the function of each component. 20. List the three conditions necessary to produce x-rays in an x-ray tube. 21. List and discuss each step in the process of x-ray production. 22. List and describe three exposure variables and their effect on the emitted x-rays. 23. Define the following terms: radiopaque radiolucent secondary radiation leakage radiations primary beam 24. Define "differential absorption" and give an example of how dense tissues differ from less dense tissues in radiation absorption. 25. Explain the effects of "filtration" and "collimation" on the primary beam. 26. State the minimum federal regulations with regard to: a. b. c. total filtration diameter of the primary beam minimum target-film distance 27. Differentiate between primary and secondary radiation. 28. List the factors which affect tissue response to radiation. 29. Explain how genetic and somatic tissues react to overexposure from radiation. 30. List in order of sensitivity, body tissues which can be harmed by radiation. 31. Define the following terms: erythema cumulative effect latent period RAD REM R 32. Describe and apply specific patient and operator protection strategies. 33. List two contraindications for dental radiographs. 34. State the maximum permissible dosages for 1 week, 13 weeks and 1 year for occupationally exposed workers. 35. Calculate the lifetime maximum permissible dose of an occupationally exposed worker for any given age. DENTAL RADIOGRAPHY TOPIC OUTLINE I. Introduction to Course A. B. Course Syllabus Course requirements II. History of Dental Radiology IIII. Overview of radiological concepts A. B. C. D. IV. Theoretical aspects of intraoral radiography A. B. C. D. IV. Rationale Diagnosis and treatment planning Role of the Dental assistant Nature of x-radiation 1. Electromagnetic spectrum 2. Characteristics of x-rays 3. Ionization Rules of projection geometry Paralleling technique Bisecting the angle technique Digital Technique 1. Wired and wireless sensors 2. Phosphor plate sensor Production and absorption of radiation A. B. C. D. E. F. G. H. The x-ray tube Sequence of events in x-ray production Factors influencing x-ray production 1. MA 2. KVp 3. Exposure time Differential absorption 1. Radiopaque 2. Radiolucent Secondary radiation Leakage radiation Remnant radiation Primary beam 1. Filtration 2. Collimation 3. Target-film distance 4. Inverse square law VI. Radiation biology A. B. C. D. VII. Influencing factors Tissue sensitivity 1. Genetic 2. Somatic Radiation protection guidelines 1. Area monitoring 2. Patient protection 3. Operator protection Radiation Measurements 1. Definitions 2. Maximum dose requirements Current Issues in Infection Control A. B. C. D. E. Radiography operatory Equipment Film Darkroom Mounted films/chart ACCOUNTABILITY STATEMENT FOR DEN 112 AB , SECTION 01, DENTAL RADIOLOGY I HAVE READ AND UNDERSTAND THAT I AM ACCOUNTABLE FOR ALL OF THE INFORMATION CONTAINED IN THIS SYLLABUS. I HAVE BEEN GIVEN AN OPPORTUNITY TO CLARIFY ANY QUESTIONS THAT I HAVE. Student’s Signature Date _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ ACCOUNTABILITY STATEMENT FOR DEN 112 AB, SECTION 02, DENTAL RADIOLOGY I HAVE READ AND UNDERSTAND THAT I AM ACCOUNTABLE FOR ALL OF THE INFORMATION CONTAINED IN THIS SYLLABUS. I HAVE BEEN GIVEN AN OPPORTUNITY TO CLARIFY ANY QUESTIONS THAT I HAVE. Student’s Signature Date _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________ _____________________________________________ _____________________