Chabot College Fall 2001
Replaced Fall 2006
Course Outline for Dental Hygiene 81A
CLINICAL PRACTICE I
Catalog Description:
81A - Clinical Practice I 4 units
Continuation of clinical experience in performing dental hygiene therapy with emphasis on the young child and periodontal patient; patient education in prevention and control of dental disease and emergency procedures. Prerequisite: Dental Hygiene 69B and Dental Hygiene 71B (both completed with a grade of C or higher). Corequisite: Dental Hygiene 56A, 57, 80A and 83. 12 hours clinical.
Prerequisite Skills:
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Before entering the course the student should be able to:
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utilize infection control protocols for prevention of disease transmission through demonstration of proper sterilization and disinfection methods, barrier techniques and maintenance of asepsis; collect and record data from the patient interview including medical history, case history, chief complaint and history of chief complaint on all clinical patients;
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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; obtain a complete medical history and explain the rationale and implications for each portion of the history form;
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describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature, and blood pressure) on all clinical patients; 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; 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;
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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. 18.
Corequisite Skills:
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Upon completion of the course the student should be able to:
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describe and recognize characteristics of the child, adolescent, geriatric and special needs patient; list objectives and define techniques for applying of pit and fissure sealants for dental caries control;
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8. list rationale and techniques for a variety of topical fluoride applications for a variety of patients; describe rationale and techniques for utilizing power scaling; identify and describe the role of the hygienist in preventive dental caries control; describe the rationale for treatment planning and the role of the hygienist in advanced periodontal therapy; identify and describe alternative techniques for sharpening and maintaining well contoured Gracey instruments; define the major oral health problems and the extent to which they affect the population;

Chabot College
Course Outline for Dental Hygiene 81A, Page 2
Fall 2001
9. list preventive measures that can be used in the community to reduce or control the major oral
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12. 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;
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40. c. d. outlines a program plan to attain the behavioral objectives; lists resources including:
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2) financial; instructional;
3) dental manpower;
13. identify socio-economic, cultural, and political factors influencing the teaching of oral health;
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evaluate appropriateness and the usefulness of resource materials for Community Dental Health; assess a patient's medical and dental history and devise a sequential treatment plan so the patient is treated completely and efficiently;
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assess patient's medical history to determine their suitability to receive local anesthesia and determine what precautions if any should be taken prior to administering local anesthetic; discuss methods of anxiety control and articulate methods of introduction of local anesthetic and nitrous oxide/oxygen analgesia; identify the advantages and disadvantages of administering local anesthesia and nitrous oxide/oxygen analgesia in the practice of dental hygiene; identify the indications and contraindications to administering local anesthesia and nitrous oxide/oxygen analgesia; identify the complications which may result from the administration of anesthetic agents and the proper management or emergency procedures to use in response to these complications; calculate the maximum safe dosage of local anesthetic for any given patient; identify the armamentarium required for administration of local anesthetic; identify which nerve, teeth, and soft tissue structures are anesthetized for each of the intraoral injections; successfully administer local anesthesia following procedural guidelines; identify the advantages and disadvantages of using nitrous oxide/oxygen analgesia in the practice of dental hygiene; describe the signs and symptoms of nitrous oxide/oxygen analgesia;
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identify the components, safety features and recommended maintenance of the nitrous oxide/oxygen analgesia; describe and demonstrate the procedures for administering nitrous oxide/oxygen analgesia; successfully administer nitrous oxide/oxygen following procedural guidelines; identify the goals and rationale for soft tissue curettage procedures; assess a patient's medical history to determine their suitability to have soft tissue curettage procedures and determine what precautions if any should be taken prior to performing soft tissue curettage; identify the armamentarium required for soft tissue curettage procedures; describe the stages of the healing process and explain any possible interferences; document dental hygiene expanded functions according to course guidelines; identify safety measures to prevent occupational exposure during the administration of nitrous oxide/oxygen analgesia and local anesthesia; describe causes and types of physically limited conditions; describe causes and types of hearing impaired conditions; describe causes and types of visually impaired conditions; describe causes and types of mentally impaired conditions; describe and recognize characteristics of the geriatric patient;

Chabot College
Course Outline for Dental Hygiene 81A, Page 3
Fall 2001
41. describe and recognize characteristics of the gerodontic patient;
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42. define dental care needs and treatments for patients with the above special needs.
Expected Outcomes for Students:
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
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needs patient and follow the procedures for the dental hygiene clinic; scale and root plane teeth using a systematic order, appropriate type, sharp, and correctly-contoured instruments with minimum time and trauma; demonstrate the use of power scaling instruments on selected patients;
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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;
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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 establish oral health goals with the patient/client and/or guardian as an active participant; establish a planned sequence of educational and clinical services based on the dental hygiene 23.
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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; use 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 29.
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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.
Course Content:
1. The child dental patient, geriatric patient, adolescent patient and patients with special needs

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Chabot College
Course Outline for Dental Hygiene 81A, Page 4
Fall 2001
2. Pediatric emergencies
Pit and fissure sealants
Topical fluorides
Scaling and root planing
The power scaling dental unit
Post-operative procedures
Desensitizing agents
Dental radiography
Treatment planning
Prevention of disease transmissions
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Methods of Presentation:
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Clinical practice in the dental hygiene clinic
Directed conferences
Demonstration
Seminars
Discussions
Case presentations
Assignments and Methods of Evaluating Student Progress:
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Typical Assignments a.
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Evaluation of case presentations
Provision of client-based preventive dental hygiene services
Provision of dental-related support services during clinical sessions
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
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from meeting their goals. They will indicate how this experience will help them in future clinical sessions
Methods of Evaluating Student Progress
Midterm clinical examination
Daily clinical evaluation
Radiographic evaluations
Competency based tests
Completion of minimum requirements
Textbook(s)(Typical):
Darby and Walsh, W.B. Sanders, 1995
Malamed, C.V. Mosby, 1997
Nield-Gehrig, Williams and Wilkins, 1999
Wilkins, Lea and Febiger, 1999
Perry and Beemsterboer, W.B. Saunders Co., 1990
Gage and Pickett, C.V. Mosby, 1994
Special Student Materials:
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Masks
Gloves
Eyewear
Protective clothing
Instruments
Revised 12-1-00