Module: Advanced Chairside Assisting
Faculty Teaching Guide for Expanded Functions
Module - Advanced Chairside Assisting
Faculty Teaching Guide for Expanded Functions
Module: Advanced Chairside Assisting
Module Overview
A simple definition of an expanded function dental assistant is an individual who is permitted by the state in which he/she resides to perform specific tasks independently but under the direct supervision of a dentist. The advantage of having a dental assistant with expanded functions is that the dentist is then freed up to do other duties. This module discusses a variety of expanded chairside functions that includes dental dam, matrix and wedge, and coronal polish.
The Big Picture
Resources
This module utilizes the following learner resources:
Textbook: Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead. Delmar Learning, 2004. ISBN 1-4018-3480-9.
Workbook: Workbook to Accompany Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead, prepared by Karen L. Waide, Delmar Learning, 2004. ISBN 1-4018-3483-3.
Instructor’s Manual: Instructor’s Manual to Accompany Delmar’s Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead. Delmar Learning, 2004. ISBN 1-4018-3482-5.
Electronic CD-ROM: Delmar’s Dental Assisting Interactive Skills and Procedures CD-ROM, ISBN 1-4018-3485-X.
Faculty CD-ROM: The faculty CD-ROM includes this Faculty Guide and the PowerPoint Presentation for Expanded Functions.
Additional Resources
Materials and Procedures for Today’s Dental Assistant, by Ellen Dietz, Delmar Learning, 2004. ISBN 0-7668-2659-7.
Electronic Classroom Manager to Accompany Delamr’s Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead. Delmar Learning, 2004. ISBN: 1-4018-3484-1.
Section 1: Advanced Chairside Assisting
Section Overview
Advanced chairside procedures include techniques that are specific advanced tasks that require skill and responsibility. Throughout this section the learners will be concentrating on each part of expanded functions which includes dental dam, matrix and wedge, placing cavity liners, cement bases, gingival retraction, coronal polish, enamel sealants, suture removal, and bleaching techniques.
Outline of Section
Part A: Restorative Techniques
Part B: Gingival Retraction
Part C: Preventive Procedures
Part D: Expanded Functions
Learning Objectives and Competencies
These learning activities directly address the Learning Objectives and Competencies as stated.
Knowledge
1. List the different types of gingival retraction.
2. Name the types of sealant materials.
3. State the benefits of bleaching.
4. List the different material types that can be used for liners, bases, and cavity varnishes.
Comprehension
5. Describe the purpose of a dental dam.
6. Explain the function of the matrix and wedge.
7. Discuss the objective for using liners, bases, and cavity varnishes.
8. Summarize the use of the retraction cord.
9. Describe coronal polish.
10. Explain the equipment and materials used for coronal polish.
11. Discuss the purpose of an enamel sealant.
12. Summarize the purpose of sutures.
13. Describe bleaching techniques.
Application
14. Demonstrate an understanding of the supplies used for suture removal.
15. Describe and demonstrate how to prepare the dental dam material.
16. Demonstrate the assembly of a tofflemire and matrix.
Learning Activities
These learning activities directly address the Learning Objectives and Competencies as stated.
[Insert In-Class Activity icon] Placing and Removing the Dental Dam (Part A, Objectives 5 and15)
[Insert In-Class Activity icon] Assembly, Placement, and Removal of the Tofflemire Matrix (Part A, Objectives 6 and 16)
[Insert In-Class Activity icon] Placement and Removal of the Strip Matrix (Part A, Objectives 6 and 16)
[Insert In-Class Activity icon] Removal of the Strip Matrix (Part A, Objectives 6 and 16)
[Insert In-Class Activity icon] Placing Cavity Liners (Part A, Objectives 4 and 7)
[Insert In-Class Activity icon] Placement of Cement Bases (Part A, Objectives 4 and 7)
[Insert Homework Assignment icon] Textbook Assignment (Part A, All Objectives)
[Insert Homework Assignment icon] Interactive Skills and Procedures CD-ROM (Part A, Objectives 5 and 15)
[Insert In-Class Activity icon] Placing and Removing Retraction Cord (Part B, Objectives 1 and 8)
[Insert In-Class Activity icon] Polishing with Rubber Cup (Part C, Objectives 9-10)
[Insert In-Class Activity icon] Using the Prophy Brush (Part C, Objective 9-10)
[Insert In-Class Activity icon] Polishing with Dental Tape and Dental Floss (Part C, Objective 9-10)
[Insert In-Class Activity icon] Coronal Polish (Part C, Objective 9-10)
[Insert In-Class Activity icon] Placing Enamel Sealants (Part C, Objectives 2-11)
[Insert In-Class Activity icon] Vital Teeth Bleaching (Part D, Objective 3 and 13)
[Insert In-Class Activity icon] Removal of Sutures (Part D, Objective 12 and 14)
[Insert Homework Assignment icon] Workbook Assignment (Part D, All Objectives)
[Insert Homework Assignment icon] End of Chapter Activities (Part D, All Objectives)
Part A: Restorative Techniques
Overview
The technique in which teeth are restored is a complex and precise procedure. To restore a tooth means to replace missing or carious enamel with some type of filling material. The dental assistant’s purpose in this procedure would be focusing on patient education and maintaining correct isolation and visibility for the dentist. This Part points out the importance and use of rubber dam, matrix and wedges, and bases and liners.
Initial Questions and Activities
1. How many of you have ever had a rubber dam placed? With the first placement did the dental team explain what it may feel like?
There will be a variety of responses to this question depending on learner’s previous experience. Encourage learners to share their experiences with the class. Discuss the importance of informing the patient before a procedure.
Key Concepts / References and Activities / Slides /Introduction to Module / Slides 1-2
Introduction to Section / Slides 3-5
Key Terms / Chapter ____, pgs. ____ / Slides 6-7
Restorative Techniques / Chapter ____, pgs. ____
[Insert Group Activity icon] Placing and Removing the Dental Dam
[Insert Group Activity icon] Assembly, Placement, and Removal of the Tofflemire Matrix
[Insert Group Activity icon] Placement and Removal of the Strip Matrix
[Insert Group Activity icon] Placing Cavity Liners
[Insert Group Activity icon] Placement of Cement Bases
[Insert Home Ass icon] Textbook Assignment
[Insert Home Ass icon] Interactive Skills and Procedures CD-ROM / Slides 8-17
[ ] Group Activities [ ] Homework [ ] Individual Activity [ ] Internet Activity [ ] In-Class Discussion [ ] In-Class Act [ ] Evaluation
[Insert In-Class Act icon] In-Class Activities
q Placing and Removing the Dental Dam (Part A, Objectives 5 and 15). Goal: To have learners set up and prepare for practicing the technique and placement of the dental dam. Instructor should ensure enough materials and supplies are available for learners. Learners should be placed into teams for the procedure.
Learners should be graded on the procedure steps as outlined on pg. ____, Chapter ____. Learner workbooks contain check off sheets that can be utilized.
q Assembly, Placement, and Removal of the Tofflemire Matrix (Part A, Objectives 6 and 16). Goal: To have learners prepare supplies needed for practicing the technique of tofflemire assembly, to have learners practice positioning the tofflemire matrix on the tooth, and to have learners practice removing the tofflemire matrix and wedge after the restoration is filled. Instructor should ensure enough materials and supplies are available for learners. Learners should be placed into teams for the procedure. Learners should be graded on the procedure steps as outlined on pgs. ____, Chapter ____. Learner workbooks contain check off sheets that can be utilized.
q Placement and Removal of the Strip Matrix (Part A, Objectives 6 and 16) Goal: To have learners practice placing and removing a strip matrix. Instructor should ensure enough materials and supplies are available for learners. Learners should be placed into teams for the procedure. Learners should be graded on the procedure steps as outlined on pgs. ____, Chapter ____. Learner workbooks contain check off sheets that can be utilized.
q Placing Cavity Liners (Part A, Objectives 4 and 7) Goal: To have learners prepare and utilize cavity liners. Instructor should ensure enough materials and supplies are available for learners. Learners should be placed into teams for the procedure. Learners should be graded on the procedure steps as outlined on pgs. ____, Chapter ____. Learner workbooks contain check off sheets that can be utilized.
q Placement of Cement Bases (Part A, Objective 4 and 7) Goal: To have learners prepare and manipulate cement bases. Instructor ensure enough materials and supplies are available for learners. Learners should be placed into teams for the procedure. Learners should be graded on the procedure steps as outlined on pgs. ____, Chapter ____. Learner workbooks contain check off sheets that can be utilized.
[Insert In-Class Dis Ques icon] In-Class Discussion
1. If you are preparing a dental dam for tooth # 3 to be restored and tooth #2 was missing which tooth would be the anchor tooth? Why?
The anchor tooth would be tooth # 1 No hole would be punched for tooth #2 to prevent saliva leakage.
2. Explain how a patient could communicate with the dental team while the dental dam is in place?
With a hand, or arm, or finger motion. Possibly even with the eyes. There could be several answers to this question. Instructor is to use their judgment and discuss with class.
[Insert Home Ass icon] Homework Assignments
Textbook Assignment. Learners are to read Chapter ____ .
Interactive Skills and Procedures CD-ROM. Using the CD-ROM, have learners practice the three rubber dam case studies until proficient.
Presentation Tools
Note: If you change Objectives or Assignments, don’t forget to change the slides accordingly.
Slide 1 / [Insert EF 1-1]EF – Stands for Expanded Functions. The 1st “1” indicates the Module titled Advanced Chairside Assisting. The 2nd number indicates the slide number. / Power Point Presentation for Expanded Functions
Module: Advanced Chairside Assisting
Introduce the module
Slide 2 / [Insert EF 1-2] / Module: Advanced Chairside Assisting
Introduce the section and each part.
Slide 3 / [Insert EF 1-3] / Section 1: Advanced Chairside Assisting
Discuss each objective in detail. Learners need to know what they will be learning and why. Try to relate it back to their careers as dental assistants.
Slide 4 / [Insert EF 1-4] / Section 1: Advanced Chairside Assisting (cont.)
Continue to discuss each objective in detail.
Slide 5 / [Insert EF 1-5] / Section 1: Advanced Chairside Assisting (cont.)
Continue to discuss each objective in detail.
Slide 6 / [Insert EF 1-6] / Key Terms
Define each key term. Explain that these key terms will be discussed in more depth throughout the module.
Slide 7 / [Insert EF 1-7] / Key Terms
Continue to discuss the key terms.
Slide 8 / [Insert EF 1-8] / Part A: Restorative Techniques
Introduce learners to the restorative techniques discussed in this section.
Explain the purpose of a dental dam and the advantages of using a dental dam.
Discuss reasons for why a dental dam may not be used on a patient.
Slide 9 / [Insert EF 1-9] / Dental Dam Instruments and Materials
Explain the various types of materials and equipment used for the dental dam procedure.
Note to the Instructor: In addition to the slide example, provide hand held visual aids when possible to increase learning opportunities. The textbook offers figures that also may be useful in providing visual examples. For further resources on this subject refer to Delmar’s Materials and Procedures for Today’s Dental Assistant, by Ellen Dietz, 2004. ISBN 1-4018-3733-6.
Address the usage of each material, the shelf life of these materials, and how each type should be stored.
Slide 10 / [Insert EF 1-10] / Preparation for Dental Dam Placement
Explain how a patient should be educated on the dental dam placement procedure.
Note to the Instructor: Call a learner up to the front of the class to be the patient. Demonstrate to the learners how a DA may talk to the patient about the procedure.
Discuss how the oral cavity needs to be examined for missing teeth, maligned teeth, and fixed prosthodontics prior to the placement of the dental dam.
Explain how to identify the tooth that needs to be restored.
Slide 11 / [Insert EF 1-11] / Punching the Dental Dam
Discuss how the dental dam is divided for maxillary or mandibular arch.
Define what punching the dental dam means.
Explain that the punch must follow the patients arch with 3 to 3.5 mm between each tooth.
Explain that the punched dam includes 1 to 2 teeth distal to the restored tooth.
Discuss the common errors that can occur when punching the dental dam.
Slide 12 / [Insert EF 1-12] / Dental Dam Placement
Review each procedure step for dam placement as outlined in Chapter ____.
Address patient education issues when working with pediatric patients preparing them for the dental dam procedure.
Question: What differences might there be in placing a dental dam on an adult vs. a child?
Discuss the alternatives available to full dental dam placement.
Explain what a Quickdam is and how the procedure is performed.
In-Class Activity: Stop here for the Placing and Removing the Dental Dam activity.
Slide 13 / [Insert EF 1-13] / Matrices and Wedges
Define the term matrix.
Explain the purpose of the matrix band and the retainer.
Discuss the parts of a tofflemire retainer.
Explain the purpose of a wedge and discuss the different types used.
Describe the assembly of the tofflemire and matrix.
Slide 14 / [Insert EF 1-14] / Types of Matrices
Explain the different uses of each type of matrix.
Discuss sectional matrix systems and their purpose.
Explain each step in the Tofflemire Matrix procedure as well as the Strip Matrix procedure outlined in the textbook. Ask for questions as each procedure is discussed to ensure learner understanding.
In-Class Activity: Stop here for the Assembly, Placement, and Removal of the Tofflemire Matrix and the Placement and Removal of the Strip Matrix.
Slide 15 / [Insert EF -15] / Preparation and Treatment of a Cavity
Explain what is involved in cavity preparation.
Compare and discuss the difference between each type of pulpal involvement.
Explain the different treatment options for each type.
Discuss the various types of treatment of the cavity preparation.
Address the difference between indirect and direct pulp capping.
Slide 16 / [Insert EF 1-16] / Placement of Cavity Liner
Point out where cavity liners are placed and why.
Discuss how liners are also low strength bases.
Explain the different materials that can be used as a cavity liner.
Review each step in the placing of a cavity liner as outlined in the textbook.
In-Class Activity: Stop here for the Placing Cavity Liners activity.
Slide 17 / [Insert EF 1-17] / Placement of Cavity Varnish and Cement Bases
Point out the purpose of a cavity varnish.
Discuss how cement bases are high strength bases.
Explain the use of a cement base.
List the materials that can be used for a cement base.
Review the steps involved in the placement of cement bases as outlined in the textbook.
In-Class Activity: Stop here for the Placement of Cement Bases activity.
Homework Assignment: Stop here to assign and discuss the homework.
Part B: Gingival Retraction