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These dates are critical for this course. Additional critical dates for this course can be found by clicking the appropriate term links in the online calendar (http://www.fscj.edu/mydegree/academics/calendar/) at the Florida State College at Jacksonville Website.
NORTH CAMPUS
A0316
12:00 PM - 1:00 PM
Monday
05/06/2015 -
07/26/2015
If you have not done so already, obtain your textbook and related course materials. Visit your nearest campus bookstore or order online via the student portal, Connections, or the Follett Online Bookstore.
Be sure to order using your course and instructor’s name and the six-digit course reference number.
Please note that some courses, particularly math and science, may require a text plus additional software or a publisher Web access code. If purchasing a used text, be sure to check on and obtain all required materials.
Clinical Practice of the Dental Hygienist, Wilkins, Lippincott, Williams & Wilkins, Philadelphia, 11 th
Edition.
Student Workbook for Clinical Practice of the Dental Hygienist, Wilkins, Esther M & Wyche,
Charlotte, Lippincott, Williams & Wilkins, Philadelphia 11 th Edition.
Local Anesthesia for the Dental Hygienist, Logothetis, D., Elsevier, 1 st Edition
Reliable and consistent computer and Internet access is encouraged to successfully participate in and complete online courses. Ensure that your computer meets the minimum system requirements noted below and on the Florida State College at Jacksonville Distance Learning/Online Courses site. Please use the following checklist to determine your computer readiness.
You should own or have access to:

An email account

Computer with high speed access to the Internet

Access to College computers when needed

Virus-checking software

Word-processing software
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
Software and plug-Ins that may include (choose the titles for the free downloads) o Adobe Acrobat Reader (http://get.adobe.com/reader/) o Flash Player (http://get.adobe.com/flashplayer/completion/activex/?a=true) o Java (http://www.java.com/en/download/manual.jsp) o QuickTime (http://www.apple.com/quicktime/download/index.html) o RealPlayer (http://www.real.com/realplayer) o Shockwave Player (http://get.adobe.com/shockwave/) o Windows Media Player (http://windows.microsoft.com/en-US/windows/downloads/windowsmedia-player)
It is a good idea to check your computer at the beginning of each course and a couple of times throughout the term to ensure you have all the necessary software and plug-ins to use the Blackboard online system and course features. After logging in to Blackboard, choose the Browser Checker link.
Review the results and choose the links to the recommended software.
Please note that you will need to turn off your pop-up blocker to use all features of this online course.
Florida State College at Jacksonville recognizes the importance of assisting and encouraging all students to reach their full potential. In accordance with the Americans with Disabilities Act (ADA), the Americans with Disabilities Act as amended in 2008, and Section 504 of the Rehabilitation Act of 1973, the College ensures that its admission requirements are uniformly applied, and that its services, activities, facilities and academic programs are accessible to and usable by all qualified students. The Office of Services for
Students with Disabilities (OSSD) implements and coordinates reasonable accommodations and disability-related services to promote full participation of individuals with disabilities in all aspects of life.
The Rehabilitation Act defines a disability as an individual who has a physical, mental, or learning disability, which substantially limits one or more major life activity (i.e., seeing, hearing, speaking, walking, sitting, standing, breathing, reading, writing, or performing mathematical calculations, and caring for oneself); or who has a record of such impairment; or who is regarded as having such impairment. Both the impairment and the limitation of a major life activity must be established to be eligible under the ADA.
Please click here for more information.
Ultrasonics
Upon successful completion of this section the dental hygiene student will be able to:
1. Apply the appropriate instrument for periodontal debridement for various patients as
described in case studies. 3.2, 6.2
2. Describe the theory behind ultrasonics and it’s effectiveness in periodontal debridement.
2.2, 3.1, 3.2
2. Describe the process of pathogenesis and would healing in relationship to the need for
periodontal debridement when using ultrasonic scalers. 2.2, 3.1, 3.2
3. Discuss the selection of the appropriate tips for the debridement process, based on patient
need and access. 3.1, 3.2, 6.2, 7.1
Periodontal Charting
Upon successful completion of this section the dental hygiene student will be able to:
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1.
Describe and demonstrate the correct technique for use of the periodontal probe for measuring pocket depth and loss of attachment in all areas of the mouth. 2.2,3.2,6.1
2.
Describe and demonstrate the correct technique for use of the Nabors probe for measuring furcation involvement on all molars. 2.2, 3.2, 6.1
3.
Define and compare the following terms related to the periodontal exam: probed pocket depth furcation involvement probed attachment level frenum attachments attachment loss bleeding points tooth mobility gingival recession mucogingival involvement, 2.2, 3.2
4. Accurately and legibly record the symbols for the clinical findings of a periodontally involved patient on the FSCJ periodontal chart form. 2.2, 6.1
Nutritional Counseling
Upon successful completion of this section the dental hygiene student will be able to:
1. Describe how the health belief model relates to the nutritional counseling patient. 2.2, 3.2
2. Interview an adult patient and record the food intake (24-hour food diary) on a typical first visit of a nutritional counseling session. 2.2, 3.2
3. Describe the cooperation required of the patient and the patients’ role in the three-day food diary record. 2.2, 3.2
4. Calculate sweet intake (foods containing sugar) that is recorded by the patient on a hypothetical three-day diary and explain its significance. 2.2, 3.2, 4.1, 6.1
5. Given a hypothetical food diary, calculate the dietary inadequacies and discuss recommendations for diet modifications that would improve food intake for the dental patient. 2.2, 3.2, 4.1
Pain Control
Upon successful completion of the this section the dental hygiene student will be able to:
1.
Identify the origin of a patient’s anxiety through questioning during the initial interview. 2,2, 3.2, 6.1
2.
Compare psychological and behavorial strategies for managing dental anxiety. 2.2, 3.1, 3.2
3.
Discuss the clinical procedures for nitrous oxide-adminisitration. 2.2, 3.1, 3.2
4.
Formulate a personalized treatment plan for a fearful patient, using anxiety-reducing techniques.
2.2, 3.1
5.
Describe non-pharmacological strategies to promote patient relaxation. 2.2
Desensitization
Upon successful completion of this section the dental hygiene student will be able to:
1.
Discuss the role of plaque in the prognosis of dentinal sensitivity treatment. 3.1, 3.2
2.
Describe desensitizing agents and products available for home care use. 2.2, 3.1, 3.2
3.
Describe a procedure for the treatment of sensitivity based on a patient’s needs. 2.2, 3.2, 6.2, 7.1
Pulp Vitality Testing
Upon successful completion of this section the dental hygiene student will be able to:
1. Recognize clinical observations that would indicate a loss of vitality in the tooth. 2.2
2. Recognize radiographic evidence of a non vital tooth. 2.2, 7.1
3. Describe the response to pulp testing. 2.2
4. Describe the various pulp tests used to determine pulp vitality. 2.2
Local Anesthesia:
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Upon successful completion of this section the dental hygiene student will be able to:
1. Determine the relative risk presented by a patient prior to administering local anesthesia by
interpretation of the medical history. 2.2
2. Differentiate between relative and absolute contraindications. 2.2
3. Discuss the role emotional status, blood pressure, and pulse have on selection/utilization of
local anesthetics. 2.2
4. Evaluate blood pressure as it relates to administering local anesthesia.
5. Describe and assemble all equipment necessary to deliver local anesthetics before dental
hygiene procedures.
6. Select an anesthetic and review the literature for the following: Allergic reactions,
preservatives and reactions, duration of anesthesia, and dosages available. 3.1, 3.2
7. Integrate an understanding of head and neck anatomy into the technique of local anesthesia
administration for clinical dental hygiene dental practice. 2.2
8. Describe the steps to providing a successful injection and the importance of each. 2.2
9. Identify the correct tissue penetrated by the local anesthetic for the Mental Block,
Supraperiostial, PSA, IA and Buccal Block injections
o PowerPoint presentations o Lecture Podcasts o Reading assignments o Case studies o Group activities
Date Topics(s) and Reading
5/11/15
5/18/15
Introduction
Review of Course
Syllabus and Schedule
Periodontal Charting &
Competency Review
Periodontal in class group activity
Assignments and
Activities
Syllabus
Nield-Gehrig
Module 18
Wilkins Chapter 15 pg. 231-234
Due Dates
Assignment #1
due 6/1/15
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5/25/15
6/1/15
6/8/15
6/15/15
6/22/15
6/29/15
7/6/15
7/13/15
TBA
Nutritional
Counseling/Competency
Review
Ultrasonic Case Studies
In Class Activity
Due 6/15/15
HOLIDAY
Wilkins Chapter 34
Wilkins Chapter 39 pg.
621-630
Nield-Gehrig Modules
25&26
Conscious Sedation-
Nitrous Oxide
GUEST SPEAKER
Desensitization
GUEST SPEAKER
MIDTERM
Wilkins Ch. 267-270
Pulp Vitality Testing
Handout on Blackboard
Review Psychosomatic
Pain Control Information from Clinic I
Wilkins Ch. 43
Local Anesthetics:

Local Anesthetic
Complications

Legal
Considerations

Anesthetic
Agents
Pain Control:
Local Anesthesia

Anatomic
Considersations
PSA

Anatomic
Considerations
IA and Buccal
Block
FINAL EXAM
Logothetis: Chapter 5,
14 & 15
Logothetis: Chapter 12 pgs. 230-237 and pgs.
245-249
Comprehensive
Assignment #2
due 6/15/15
Assignment #3
due 6/19/15
Nitrous Oxide and
Oxygen Sedation www.dentalcare.com
Assignment # 4
36088
Due 6/29/15
Assignment #5
Blackboard
Discussion Initial Post
Due: 7/1/15
Responses Due:
7/3/15
Blackboard
Assignment #6
Due 7/13/15
In class exercise
Assignment #7
Everyday Ethics
Pg. 576 Wilkins Text
Due 7/17/15
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Course
Grade Points
A
B
C
D
F
93 – 100%
85 – 92.5%
77 – 84.5%
70 – 76.5%
< 69.5%
A minimum grade of “C” (77%) or better must be earned in each dental hygiene course for progression and completion of program.
The final course grade will be calculated from the following values:
Final Grade
Computation
Due Date
Assignment #1(in class activity)
Assignment #2 (in class activity)
6/1/15
6/15/14
Assignment #3
(in class activity)
Assignment #4 www.dentalcare.com
6/19/15
6/29/15
Assignment #5
Blackboard Discussion
Initial Post
Due 7/1/15
Responses
Due 7/3/15
Assignment #6
Blackboard
Assignment #7
Blackboard
Midterm Examination
Comprehensive
Case Development
(Patient Profile)
Final exam
7/13/15
7/17/15
6/16/14
7/28/14
TBA
Value
2%
2%
5%
2%
5%
2%
2%
30%
15%
35%
A Failure for Non-Attendance (FN) grade indicates that a student has failed a course due to nonattendance. It is calculated as an “F” in the student’s grade point average. For students receiving financial aid, failure for non-attendance may require the student to refund to the College all or part of
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his or her aid. The FN grade will be assigned by the faculty member at any time following the final withdrawal date for the course. See the College’s page on Grading policies ( http://fscj.edu/grading ) for more information.
An Incomplete “I” grade is given very rarely in this course and only for documented, excused absences that result in the student being unable to complete the course on time. The decision to grant an “I” grade is solely up to Professor Wampler and is reserved for emergency situations (prolonged illness requiring hospitalization would be an example). A contract will be prepared by Professor Wampler that details the student’s responsibilities to successfully resolve the “I” grade. An “I” grade may impact the student’s ability to qualify for financial aid and may result in the student being required to pay back previous student loans.
Academic dishonesty, in any form, has severe consequences. Click here to view FSCJ’s academic dishonesty definitions and procedures.
Make-up lab sessions for excused absences must be completed as soon as possible upon returning to school. The student is to confer with Professor Wampler immediately upon returning to school, present documentation for the excused absence, and make arrangements for the make-up exam. Failure to do this may result in forfeiting the right to making up the lab session.
Due to the unique responsibilities associated with becoming a competent health professional, the progressive nature of the curriculum and its importance to the provision of quality oral health services, attendance and class participation is required at all scheduled clinics, laboratories, seminars, case presentations, scheduled classes and individual faculty appointments. Should an absence be necessary, the student must contact the course instructor prior to the start of class.
Failure to communicate in the above manner will result in the absence being considered unexcused. Only an excused absence (student illness with physician documentation, accident, death in the immediate family, jury duty or any deemed excusable by the course instructor) may be made up. A note from a physician or other appropriate individual must be submitted to constitute an excused absence. Each unexcused absence will result in a grade penalty of a 2-point reduction from the final grade for the first two absences. Further unexcused absences will result in a 5-point reduction from the final grade for each incident. Make-up clinical sessions, quizzes, exams for unexcused absences will not be provided. In this case, a grade of zero will be given for the assignment. Late arrivals to class are considered unexcused absences (after the first ten minutes of class).
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Refer to the Electronic Device Policy section of the Student Handbook. Unapproved devices should not be used during class time. Approved devices should be used only for permitted purposes. If seen by instructor, one warning will be given during the term for any infraction and after that points will be deducted from your grade.
In this course, as in all courses in FSCJ’s Dental Hygiene program, each student is expected to present themselves professionally in their actions, attitudes, dress, and written/verbal communication. All written assignments will be evaluated for professional language, grammar and spelling. No hand written assignments will be accepted in this course.
Students should check their FSCJ e-mail daily as faculty post course related information via this link.
Failure to do so may result in missing key information. Having not read faculty messages is not an acceptable excuse for failure to respond appropriately. Students may elect to configure a link between their FSCJ and personal e-mail addresses to receive messages.
It is expected that each of you use appropriate, professional language and respect when addressing classmates, as well as your instructor, in any part of the online classroom. That same level of professional conduct should extend to all assignments submitted. It is expected that you will not make insulting or inflammatory statements to other members of the class. Read the comments of other classmates thoroughly before entering your remarks and responses. Be positive, thoughtful, and constructive in your comments and responses.
Introduction- 30 minutes o Review of course requirements and syllabus
Patient Education- 60 - 90 minutes o Individualized dental health education- 20 - 30 min.
 Patient risk for dental disease o Evaluating the patient’s oral hygiene- 20 - 30 min.
 Individualized oral hygiene education plan o Chairside education- 20 - 30 min.
 Motivation and learning
Chart Documentation- 60 -90 minutes o Treatment Documentation in FSCJ clinic- 30 - 45 min. o Legal issues and chart documentation- 30 - 45 min. o HIPAA 10 – 15 min.
Antibiotic Premedication Review- (Articles and Online Discussion) o American Heart Association Guidelines o American Academy of Orthopaedic Surgeons Guidelines o Medication regimes
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Dental Hygiene Treatment Plan- 115-120 minutes o Assessment findings- 30 - 40 min. o Risk Factors/Risk assessment o Documentation of findings o Chief complaint- 5 - 10 min. o The periodontal diagnosis- 10 - 15 min. o The dental hygiene diagnosis - 10 - 15 min. o The dental hygiene prognosis- 10 - 15 min. o Considerations for providing care- 10 - 15 min. o Preparation of a dental hygiene care plan- 10 - 15 min. o Components of a written care plan- 10 - 15 min. o Sequencing and prioritizing patient care- 10 - 15 min. o Presenting the dental hygiene care plan- 10 -15 min. o Informed consent- 5 - 10 min.
Topical Fluorides- 50 - 60 minutes o Nature of Fluoride - 10 -12 min. o Topical versus systemic uptake- 10 - 12 min. o Professional application of fluoride- 10 -12 min. o Fluoride toxicity - 15 min. o Caries management by risk assessment- 10 -15 min.
The Edentulous Patient - 50 -70 min. o The edentulous mouth- 10 - 15 min.. o The patient with new dentures- 10 -15 min. o Denture related oral changes- 15 - 20 min.
 Denture induced oral lesions
 Prevention o Maintenance of oral tissues and appliances- 15 - 20 min.
 Home care to teach the patient
Care of the fixed & the Removable dental appliance - 60 - 90 minutes o Description and characteristics of fixed partial dentures 10 -15 min. o Description, types, characteristics of removable partial denture- 10 - 15 min. o Components of a complete denture- 20 - 30 min.
 The underlying mucosa
 The purposes, criteria and preparation of teeth for complete overdentures o Dental hygiene care and instruction for self care for the dental prosthesis- 20 - 30 min.
Implant Patient - 30 - 45 minutes o Definition of osteointegration- 5 - 10 min. o Types of implants- 10 - 20 min. o The role of the dental hygienist in implant maintenance- 10 - 15 min.
Patient with Orthodontic Appliances - 60 minutes- Guest Speaker o Cemented bands and bonded brackets o Clinical procedures for bonding o Dental hygiene care
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o Completion of therapy o Clinical procedures for debanding/debonding o Retention o Post-debonding preventive care
Treating the Pregnant Patient- 60 - 75 min. o Factors that can harm the fetus - 10 -12 min. o Oral findings during pregnancy- 10 - 13 min. o Aspects of patient care- 15- 20 min. o Dental hygiene care for the pregnant patient- 25 -30 min.
 Aspects of patient care
 Patient instructions for the pregnant patient concerning optimum oral health
Treating the Pediatric Patient- 60 - 75 minutes o First contact with parent and child-10 -15 min. o Risk factors for caries and gingivitis in this population- 20 - 30 min. o Oral health considerations for infants and toddlers- 20 - 30 min.
 Factors to teach patients and their care providers
Treatment of the Preadolescent to Postmenopausal Patient- 60 - 75 min. o Impact of care through the stages of life -20 - 30 min. o Oral findings during preadolescence to postmenopausal stages- 40 - 45 min.
 Aspects of care for this population
 Patient instruction for the preadolescent to postmenopausal patient
Treating the Geriatric Patient- 85 - 120 minutes o The biologic and chronologic age - 15 - 20 min. o Aging and disease - 20 - 30 min.
 Systemic changes and disorders
 Risk factors, causes, symptoms treatment for osteoporosis o Oral findings in aging- 20 - 30 min. o Dental hygiene care for the geriatric patient at the office - 30 - 40 min.
 Dental Biofilm control for the geriatric patient
 Diet and nutrition for the geriatric patient
Treating the Patient with Alzheimer’s disease- 60 - 90 min. o Disease characteristics - 20 - 30 min.
 Diagnosis o Pharmacologic therapy - 10 - 20 min. o Dental hygiene considerations - 30 - 40 min.
 Appointment scheduling
 Communication
Maintenance for Oral Health- 30 - 45 minutes o Maintenance appointment procedures - 10 - 15 min. o Recurrence of periodontal disease - 10 - 15 min. o Appointment administration methods- 10 - 15 min.
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Pain Control-
A. Psychosomatic o Dental Anxiety
-Anxiety related to dental hygiene care
- Assessment o Care planning o Psychological management
B. Topical Anesthetics- 60 - 70 minutes o Indications for use - 15 - 20 minutes o Action of a topical anesthetic 15 - 20 minutes o Agents used in surface anesthetic preparation o Application techniques 10 -15 minutes
C. Local Anesthetics - 120 - 150 minutes o Physiology of nerve conduction- 30 - 40 minutes o Mechanism of action - 30 - 35 minutes
-Systemic actions of local anesthetics o Clinical action of specific local anesthetic agents- 20 - 30 minutes
-Vasoconstrictors in anesthetic solutions o Local anesthesia techniques- 40 - 45 minutes
Clinical Dental Hygiene I Case Study Presentations-180 min. (about 10 -12 min. per student) o Patient needs summary o Patient care o Patient recare
*Time spent on each topic is an estimate.
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The following Florida State College at Jacksonville (FSCJ) Dental Hygiene competencies are addressed in
this course:
Major Competency #1: The new graduate of FSCJ’s Dental Hygiene program must be able to discern
and manage ethical issues of dental hygiene practice in a rapidly changing environment.
Supporting Competencies (Course Objectives):
Specifically, the new graduate must be able to:
1.1 demonstrate honesty and integrity in relationships with patients, colleagues and other
professionals.
1.3 recognize Patient document as legal document and maintain its accuracy and
confidentiality.
Major Competency #2: The new graduate of FSCJ’s Dental Hygiene program must be able to contribute to improving the knowledge, skills and values of the profession .
Supporting Competencies (Course Objectives):
Specifically, the new graduate must be able to:
2.2
assimilate, utilize, expand, and contribute to the dental hygiene knowledge base.
2.5 present themselves professionally in their action, attitudes, dress, written and verbal
communication.
Major Competency #3: The new graduate of the dental hygiene program at FSCJ will
be able to acquire and synthesize information in a
critical and scientific manner.
Supporting Competencies (Course Objectives):
Specifically, the new graduate will be able to:
3.1 access, analyze, and share scientific data using the Internet and computer technology.
3.2 use sound judgment in processing information, professional decision making and
application of new information to assure evidence-based patient care.
Major Competency #6: The new graduate of FSCJ’s Dental Hygiene program must be able to systematically collect, analyze and accurately record baseline data on the general, oral and
psychosocial health status of patients using methods consistent with medicolegal principles.
Supporting Competencies (Course Objectives):
Specifically, the new graduate must be able to:
6.1 obtain, review and update a comprehensive medical, dental, nutritional, health
behavior history including assessment of vital signs
6.2 recognize conditions that require special precautions prior to or during dental hygiene
treatment.
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Major Competency #7: The new graduate of FSCJ’s Dental Hygiene program must be able to use critical decision making skills to identify existing problems, potential problems, and etiologic factors, contributing factors, as well as establish realistic goals and treatment strategies to facilitate optimal oral health.
Supporting Competencies: (Course Objectives):
Specifically, the new graduate must be able to:
7.1 analyze patient data to identify significant findings impacting the delivery of dental
hygiene services.
7.7 identify patient at risk for medical emergency, take steps to prevent an
emergency and be prepared to manage an emergency should it occur during the
appointment
7.8 obtain informed consent from patient or guardian prior to implementing
services.
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