Chabot College
Fall 2006
Course Outline for Dental Hygiene 81B
CLINICAL PRACTICE II
Catalog Description:
81B – Clinical Practice II
5 units
Continuation of clinical experience with a variety of clinical cases of adults and children to include a broad
spectrum of clinical applications. Prerequisite: Dental Hygiene 81A (completed with a grade of C or higher).
Corequisites: Dental Hygiene 58, 80B, 82B, 83. 15 hours clinical.
Prerequisite Skills:
Before entering the course the student should be able to:
1.
recognize signs and symptoms of emergencies involving the child 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;
4.
apply postoperative procedures and instructions for the patient;
5.
select and apply a variety of topical fluoride agents using a variety of methods;
6.
select and apply appropriate desensitizing agents on selected patients;
7.
select and apply appropriate agents for pit and fissure sealants on selected patients;
8.
expose, process, mount and interpret diagnostically acceptable radiographic surveys on clinic
patients;
9.
recognize clinically and discuss the value of preventive dental caries control and the role of the
hygienist in this activity;
10.
demonstrate clinical competency in infection control techniques/prevention of disease transmissions;
11.
apply ethical reasoning to dental hygiene practice;
12.
serve all clients in the community without discrimination;
13.
provide humane and compassionate care to all patients/clients;
14.
demonstrate honesty in relationships with patients/clients, colleagues, and other professionals;
15.
ensure the privacy of the patient/client during treatment and confidentiality of patient/client records;
16.
adhere to state and federal laws governing the practice of dentistry and dental hygiene;
17.
obtain, review, and update vital signs, medical history, family history, social history, and dental history
while recognizing cultural differences in populations;
18.
manage the patient/client chart as a legal document and maintain its accuracy;
19.
determine medical conditions that require special precaution or consideration prior to and/or during
dental hygiene treatment;
20.
identify the patient/client at risk for a medical emergency and manage the patient/client care to
prevent an emergency;
21.
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;
22.
determine priorities and establish oral health goals with the patient/client and/or guardian as an active
participant;
23.
establish a planned sequence of educational and clinical services based on the dental hygiene
diagnosis, including etiology, prognosis, and treatment alternatives;
24.
obtain the patient's/client's informed consent based on a thorough case presentation;
25.
make appropriate referrals to other health care professionals;
26.
use accepted infection control procedures;
27.
provide an environment conducive to health by applying basic and advanced principles of dental
hygiene instrumentation without causing trauma to hard or soft tissue;
28.
control pain and anxiety during treatment through the use of accepted clinical and behavioral
management strategies;
29.
select and administer the appropriate antimicrobial or antibiotic agent with pre- and post-treatment
instructions;
30.
provide adjunct dental hygiene services that can be legally performed in the State of California;
31.
evaluate the effectiveness of planned clinical and education services and modify as necessary;
32.
determine the appropriate maintenance schedule;
Chabot College
Course Outline for Dental Hygiene 81B, Page 2
Fall 2006
Prerequisite Skills (continued):
33.
provide subsequent treatment or referrals based on evaluation of findings.
Expected Outcomes for Students:
Upon completion of the course, the student should be able to:
1.
scale and root plane teeth using a systematic order, appropriate type, sharp and correctly contoured
instrument within minimum time and trauma;
2.
polish teeth, restorations and fixed appliances using appropriate abrasives and polishing agents;
3.
recognize clinically and discuss the value of preventive periodontal therapy and the role of the
hygienist in this activity;
4.
demonstrate consistency in performing soft tissue curettage on selected clinic patients using
appropriate local anesthetic agents;
5.
expose, process, mount, and interpret diagnostically acceptable radiographic surveys on clinic
patients;
6.
adapt and perform dental hygiene procedures for a variety of patients with special needs;
7.
use the intra-oral camera;
8.
maintain accurate, complete dental records;
9.
perform margination and restoration polishing on a variety of clinical patients;
10.
demonstrate clinical competency in infection control techniques/prevention of disease transmission;
11.
apply ethical reasoning to dental hygiene practice;
12.
serve all clients in the community without discrimination;
13.
provide humane and compassionate care to all patients/clients;
14.
demonstrate honesty in relationships with patients/clients, colleagues, and other professionals;
15.
ensure the privacy of the patient/client during treatment and confidentiality of patient/client records;
16.
adhere to state and federal laws governing the practice of dentistry and dental hygiene;
17.
obtain, review, and update vital signs, medical history, family history, social history, and dental history
while recognizing cultural differences in populations;
18.
manage the patient/client chart as a legal document and maintain its accuracy;
19.
determine medical conditions that require special precaution or consideration prior to and/or during
dental hygiene treatment;
20.
identify the patient/client at risk for a medical emergency and manage the patient/client care to
prevent an emergency;
21.
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;
22.
determine priorities and establish oral health goals with the patient/client and/or guardian as an
active participant;
23.
establish a planned sequence of educational and clinical services based on the dental hygiene
diagnosis which includes etiology, prognosis, and treatment alternatives;
24.
obtain the patient's/client's informed consent based on a thorough case presentation;
25.
make appropriate referrals to other health care professionals;
26.
use accepted infection control procedures;
27.
provide an environment conducive to health by applying basic and advanced principles of dental
hygiene instrumentation without causing trauma to hard or soft tissue;
28.
control pain and anxiety during treatment through the use of accepted clinical and behavioral
management strategies;
29.
select and administer the appropriate antimicrobial or antibiotic agent with pre- and post-treatment
instructions;
30.
provide adjunct dental hygiene services that can be legally performed in the State of California;
31.
evaluate the effectiveness of planned clinical and education services and modify as necessary;
32.
determine the appropriate maintenance schedule;
33.
provide subsequent treatment or referrals based on evaluation of findings.
34.
administer pain control therapies during treatment
35.
perform soft tissue curettage
36.
utilize power scaling
Chabot College
Course Outline for Dental Hygiene 81B, Page 3
Fall 2006
Course Content:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Scaling and root planing
Instrument sharpening
Treatment planning
Role of the dental hygienist in preventive periodontics
Soft tissue curettage and local anesthesia
Margination and restoration polishing
Radiographic technique and interpretation
Nitrous oxide sedation
Geriatric and special needs patients
Methods of Presentation:
1.
2.
3.
4.
5.
6.
Clinical practice in the dental hygiene clinic and extended facilities
Demonstration
Directed conferences
Seminars
Discussions
Case presentation
Assignments and Methods of Evaluating Student Progress:
1.
2.
Typical Assignments
a.
Complete a chart audit form for each of your patient completions. Include all necessary
forms with all the required signatures
b.
Provide comprehensive dental hygiene services to clinical patients based on your
assessments and as outlined on your treatment plan for each patient
Methods of Evaluating Student Progress
a.
Competency based tests
b.
Completion of minimum requirements
c.
Radiographic evaluation
d.
Attendance
e.
Midterm clinical examination
f.
Daily clinical evaluation
Textbook(s)(Typical):
Comprehensive Review of Dental Hygiene, Darby, C.V.Mosby, 2005 or most recent edition
Dental Hygiene Theory and Practice, Darby and Walsh, Saunders, 2005 or most recent edition
Concepts, Cases, and Competencies, Daniel & Harfst, Mosby, 2005 or most recent edition
Periodontal Instrumentation, Pattison & Pattison, Pierson, 2005 or most recent edition
Davis’ Guide for Nursing, Deglin & Vallerand, FA Davis Corp, 2005 or most recent edition
Mosby’s Dental Drug Guide Reference, Gage & Pickett, C.V. Mosby, 2005 or most recent edition
Special Student Materials:
1.
2.
3.
Instrument kits
Protective clothing, eyewear, masks, gloves
Power scaling unit
jg/tsp, G:\Course Outlines\2005-2006\DH 81B
Revised: 11/2/05