Chabot College Fall 2006 Replaced Fall 2011 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. [Typical contact hours: lecture 17.5, clinical 157.5] 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. 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 Outlines for Dental Hygiene 71B, Page 2 Fall 2006 Expected Outcomes for Students - continued: 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 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; record complete dental restorative charting on a student partner and on all clinical patients; recognize the categories of tooth discolorations and stains; identify the indications and contraindications for selective polishing; perform selective polishing technique with appropriate material selection and precautions for polishing natural and restored tooth surfaces and dental appliances; provide an appropriate rationale for the application of topical fluorides; 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 proper care and treatment of an oral prosthesis; explain and describe the rationale, techniques, and armamentarium involved with scaling and root planing in the treatment of periodontal disease; 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 professional mechanical oral hygiene practices; demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient; identify and describe the relationship between universal curette scaler and root morphology in advanced instrumentation; list objectives of Gracey curettes in advanced instrumentation; identify and describe the relationship between the Gracey curette and root morphology in advanced instrumentation; explain how the evaluation of dental hygiene care is accomplished and why it is an essential component of the dental hygiene process; identify the resources available for patients interested in tobacco cessation, provide necessary materials to aid patient. Course Content: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Sickle scalers Restorative charting Dental stains Cosmetic and therapeutic polishing Fluoride therapy Nonsurgical periodontal therapy Gracey explorer Instrument sharpening Care of oral prosthesis Case evaluation Halitosis/Xerostomia Treatment planning Tobacco Cessation Chabot College Course Outlines for Dental Hygiene 71B, Page 3 Fall 2006 Course Content (continued): 14. 15. 16. 17. 18. Evaluation of scaling and root planing a. Recall and maintenance b. Personal plaque control Charting a. Periodontal b. Restorative Clinical support instruction Medical/dental referral Chemotherapeutics in periodontal maintenance Methods of Presentation: 1. 2. 3. 4. Lecture Discussion Demonstration and return demonstration Audiovisual Aids Assignments and Methods of Evaluating Student Progress: 1. Typical Assignments a. Develop and present a case study evaluation on a selected patient b. Evaluate and provide comprehensive preventive dental hygiene services 2. Methods of Evaluating Student Progress a. Chapter outline worksheets b. Quizzes c. Midterm clinical/didactic exams d. Clinical competency exams e. Final Exam Textbook(s)(Typical): Medical Emergencies in the Dental Office, Malamed, C.V. Mosby, 2003 or most current edition Mosby’s Dental Hygiene Concepts, Cases, and Competencies, Daniel and Harfst, Mosby, 2002 or most recent edition Periodontal Instrumentation, Pattison & Pattison, Appleton & Lange, 1992 or most recent edition Special Student Materials: 1. 2. Protective clothing, eyewear, masks, gloves Instrument kits jg/tsp, G:\Course Outlines\2005-2006\DH 71B Revised: 4/15/05