Chabot College

Course Outline for Dental Hygiene 69B, Page 1

Fall 2001

Chabot CollegeFall 2001

Course Outline for Dental Hygiene 69B

TREATMENT AND EVALUATION IN DENTAL HYGIENE

Catalog Description:

69B - Treatment and Evaluation in Dental Hygiene1 unit

Continued development of the principles of assessment in dental hygiene care. Prevention, non-surgical periodontal therapy and maintenance through application of the Dental Hygiene process, including assessment, planning, goal setting, implementing and evaluation used in providing dental hygiene care. Emphasis on evaluation of dental hygiene care as an essential component of the dental hygiene process. Prerequisite: Dental Hygiene 69A and 71A (both completed with a grade of C or higher). Corequisite: Dental Hygiene 75. 1 hour.

Prerequisite Skills:

Before entering the course the student should be able to:

  1. list the seven roles of the dental hygienist and give an example or function of the dental hygienist in each role;
  2. define Dental Hygiene according to Darby and Walsh;
  3. list the four main processes dental hygienists utilize;
  4. identify three models in dental hygiene care;
  5. differentiate the terms client and patient;
  6. differentiate between the occupational dental hygienist and the professional dental hygienist;
  7. describe ways in which a client's beliefs, attitudes and values can affect his or her oral health behavior;
  8. describe the development of dental plaque and its relation to dental diseases;
  9. describe the development of a carious lesion;
  10. describe the role of dental plaque in the etiology and pathogenesis of the inflammatory periodontal diseases and dental caries;
  11. describe the role of fluoride in the prevention of dental caries by listing the principal methods of receiving fluoride protection and the advantages and disadvantages of each method relative to other available methods;
  12. demonstrate how the dental hygiene care provider can assist clients with disease prevention and oral health promotion at various life span stages;
  13. describe the design characteristics of contemporary manual toothbrush models on the market and discuss the basic necessary characteristics of a good manual toothbrush;
  14. differentiate between the different manual tooth brushing techniques such as the Bass, Stillman's and Charters' technique. Explain the advantages and disadvantages of each method;
  15. identify the advantages and disadvantages of various power toothbrushes and indications for their use;
  16. list the various interdental plaque control devices available for client use. Identify the appropriate use, the indications and contraindications for these devices;
  17. identify methods for evaluating client oral hygiene practices;
  18. develop and implement an oral health education program on a classmate. Demonstrate techniques for planning, implementing and evaluating your client's oral health education program. This includes:
  1. assessment of client's oral health needs;
  2. setting of appropriate goals and objectives;
  3. selection of appropriate preventive measures;
  4. identification of criteria for the selection of appropriate client educational materials, methods and communication techniques;
  5. implementation of the oral health care program;
  6. documentation of assessments including evaluation of client's performance;
  7. evaluation of client's response to program;
  8. identification of future goals and directions to improve or maintain level of client oral hygiene practices;
  1. describe and demonstrate methods of sterilization and disinfection for dental

instruments, supplies, equipment and demonstrate maintenance of asepsis for dental hygiene therapy;

  1. demonstrate appropriate body mechanics and correct positioning options for the patient and operator during instrumentation;
  2. collect and record data from the patient interview: medical/dental history and synopsis;
  3. utilize the medical history and patient interview, collect and document information pertinent to the patient's medical and dental status;
  4. describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature and blood pressure);
  5. demonstrate and identify the uses for assessment instruments, including the periodontal probe, explorer, and mouth mirror;
  6. identify normal intraoral and extraoral structures and note any deviations in the treatment record;
  7. demonstrate techniques and proper procedure for performing a thorough periodontal assessment;
  8. describe the uses and limitations of the universal curettes and sickle scalers in scaling and root planing;
  9. record and describe the appearance of the periodontium;
  10. complete dental hygiene documentation following patient treatment according to clinical guidelines;
  11. demonstrate use of the dental hygiene universal periodontal probe, explorers, curettes and sickle scalers on a typodont and a student partner;
  12. prepare and record medical and dental histories on all student partners who are seen as patients.

Corequisite Skills

Upon completion of the course the student should be able to:

  1. communicate effectively with the patient in order to obtain a thorough current medical history;
  2. evaluate the patient's physical health and recognize potential risks, take the necessary precautions, and evaluate the need for follow-up;
  3. recognize medications noting possible side effects and complications;
  4. recognize and articulate medical-legal considerations for evaluating patients' medical histories;
  5. develop emergency protocols utilizing a team approach;
  6. locate emergency kit(s), oxygen, and adjunct medical emergency equipment;
  7. utilize medical emergency equipment within the scope of practice;
  8. follow the stress reduction protocol for both the normal, healthy, anxious patient and the medical risk patient;
  9. develop and utilize a Medical Emergencies Outline for the following conditions:
  1. unconsciousness, vasodepressor sycope, hyperventilation, and hypertension;
  2. airway obstruction, asthma and acute adrenal insufficiency;
  3. heart failure and acute pulmonary edema, chest pain and angina pectoris;
  4. cerebral vascular accidents and seizures;
  5. diabetes and thyroid gland dysfunction;
  6. drug overdose and allergic reactions;
  1. perform proper polishing technique with appropriate material selection and precautions for polishing natural and restored tooth surfaces and dental appliances;
  2. demonstrate techniques, procedures and precautions for applying topical fluorid;
  3. apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;
  4. demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;
  5. record complete dental restorative charting on a student partner and on all clinical patients;
  6. list and discuss post-operative procedures and instructions for the patient;
  7. identify and describe the relationship between universal curet scaler and root morphology in advanced instrumentation;
  8. list objectives of Gracey curettes in advanced instrumentation;
  9. identify and describe the relationship between the Gracey curet and root morphology in advanced instrumentation;
  10. describe procedures for preventing and reporting occupational risks.

Expected Outcomes for Students:

Upon completion of the course the student should be able to:

  1. list the components of each phase of the dental hygiene process, including assessment, planning, implementation, evaluation and referral;
  2. describe the roles of bacterial plaque, other soft deposits, and calculus in relation to dental health and disease;
  3. explain and describe the secondary test for chronic inflammatory periodontal disease;
  4. recognize the categories of tooth discolorations and stains;
  5. present a case presentation of existing periodontal conditions in the clinical setting;
  6. analyze data collected during the assessment phase of the dental hygiene process, formulate an appropriate dental hygiene care plan, and set goals for the patient's health process;
  7. explain and describe the rationale, techniques, and armamentarium involved with scaling and root planing in the treatment of periodontal disease;
  8. list the three categories of professional mechanical oral hygiene practices as:
  1. oral prophylaxis;
  2. non-surgical periodontal therapy;
  3. periodontal recall maintenance;
  1. list the associated objectives of the three categories of mechanical oral hygiene practices;
  2. explain and describe the techniques, materials and precautions involved in polishing natural and restored tooth surfaces, and dental appliances;
  3. explain and describe the mechanics, techniques, materials and precautions involved in the application of topical fluorides;
  4. explain how evaluation of dental hygiene care is accomplished and why it is an essential component of the dental hygiene process;
  5. describe the concepts involved in sharpening dental instruments;
  6. describe medical/dental complications that may influence or occur during treatment and list preventive measures.

Course Content:

  1. Dental hygiene process
  2. Periodontal disease process
  3. Tooth discolorations/stains
  4. Non-surgical periodontal therapy
  5. Treatment planning and case classification
  6. Evaluation of scaling and root planing
  7. Polishing the dentition
  8. Instrument sharpening
  9. Recall and maintenance
  10. Professionally-applied fluorides
  11. Cleaning removable appliances
  12. Medical-dental complications
  13. Dental hygiene referral

Methods of Presentation:

  1. Lecture
  2. Discussion
  3. Demonstration and return demonstration
  4. Audiovisual aids

Assignments and Methods of Evaluating Student Progress:

  1. Typical Assignments
  1. Case documentations
  2. Evaluation of selected case documenations for completeness and accuracy
  3. Chapter outline worksheets
  1. Methods of Evaluating Student Progress
  1. Quizzes
  2. Midterm examination

c.Final examination

Textbook(s)(Typical):

Medical Emergencies in the Dental Office, Malamed, C.V. Mosby, 1993

Clinical Practice of the Dental Hygienist, Wilkens, Esther M., Lea & Febiger, 1994, Optional

Special Student Materials:

None

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Revised: 12-1-00