PIMA COMMUNITY COLLEGE

DHE 190 CLINIC I

Instructor: Emily Andujo RDH MS

 COURSE SYLLABUS – Spring Semester 2004

 INSTRUCTOR                      OFFICE NUMBER/VOICE MAIL            OFFICE

 

Emily Andujo, RDH, MS            206-3096                 HRP Building- Room 220

E-Mail Address: emilia.andujo@pima.edu                                                                                                       

  "Every expert was once a  beginner".

 

You are the key to your success!!

OFFICE HOURS

The instructor has 5 hours per week of posted office hours as follows:

MONDAY         1:00-2:30 P.M.     Office-Room 220 HRP Building

WEDNESDAY   4:30 – 5:30 P.M.    SCI-211 or Office-Room 220 HRP Building

FRIDAY           9:30-12:00 noon   Office-Room 220 HRP Building

 

If a student is not capable or the instructor is not available during the posted office hours, appointments can be arranged by consulting with the instructor.

 

AMERICAN DISABILITIES ACT STATEMENT

 

Pima Community College strives to comply with the provisions of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act. Students with disabilities who require special accommodations must notify the instructor of this need or directly contact the Disabled Student Resources Office on your campus at the beginning of the semester.

COURSE DESCRIPTION

DHE 190 Clinical Dental Hygiene I/4 cr. hrs/8 periods (2 lec., 6 lab)

Prerequisite:            DHE 101, 104, 107, 121

Application of dental hygiene skills with a variety of clinical patients utilizing simple dental hygiene care plans. Includes an introduction to alternative instrumentation procedures, head and neck examination, oral and dental charting, scaling and polishing teeth, application of fluorides and individualized patient dental health care procedures.

All second semester DHE courses must be completed successfully with a grade of "C" or better in order to meet the entrance requirements for the following DHE semester course work.

COREQUISITE

Concurrent enrollment in DHE 116, DHE 119, and DHE 120

LEARNING ACTIVITIES

Lectures will be enhanced by utilization of various visual aids including; power point presentations, slides, video tapes, models, handouts, transparencies and computer CD-Rom case studies. Subject material will be reinforced in related laboratory/clinical exercises and patient experiences.

Laboratory/Clinical component of course will provide students with a variety of learning activities.  Clinical rotations will consist of a minimum of eight (8) hours a week for a total of (16) weeks. Student partners will also be utilized in a clinical setting to integrate lab work with clinical applications. Students will be assigned to labs as scheduled through-out the semester.  Labs will meet on Tuesday and Wednesday mornings.

 

METHODS OF INSTRUCTION

 

            A. Lecture/Discussion/Power point presentations/Case Studies/Web Enhanced

            B. Video Tapes/Slides/Transparencies/Handouts/Instruments/CD-Rom

            C. Reading Assignments in Textbooks

            D. Active Participation/Clinical Patients

            E. Laboratory Performance/Application of tasks using manikins typodonts/Role Play     

TEXTS AND OTHER INSTRUCTIONAL MATERIALS

  A.   

Required: Daniel, S.J. & Harfst, S.A., Dental Hygiene Concepts, Cases and Competencies, 1st Edition, 2002. Mosby.  
Nield-Gehrig, J. and G. Houseman., Fundamentals of Periodontal Instrumentation, 4th Edition, Williams and Wilkins,2000.  
Wilkins, E., Clinical Practice of the Dental Hygienist, 8th Edition, Lea & Febiger, 1999  
Pima Community College Dental Hygiene Clinic Handbook-2002  
B.  References:      Tabers, Cyclopedia Medical Dictionary, most current edition, F.A. Davis Company, Philadelphia  
HuFriedy, Smarten Up - Sharpen Up
Klaus, H., and Rateitschak, Edith, Periodontology - Color Atlas of DentalMedicine I, 2nd ed., Thieme Medical |Publishers, Inc., New York, 1989.

GRADING POLICY FOR DHE 190

Coursework must be completed with a "C" grade or better in order to meet DHE departmental course requirements.

Standards of performance include a minimum score of 75% of all points possible for a grade of “C” on all theory and laboratory coursework.

Course final grade will be derived from clinical, laboratory and didactic course work.

50% of the grade will be clinic requirements and 50% of the grade will be lecture.  All course work must be completed before a passing grade will be given.

Laboratory:

Laboratory Requirements/Activities include performance evaluations graded on a satisfactory/unsatisfactory basis. If the student receives an unsatisfactory evaluation the student must be reevaluated. The student will be allowed one week to complete a reevaluation. It is suggested that the student make an appointment with the instructor for additional assistance.

Lecture:

This course consists of two written examinations consisting of 50 multiple choice, true-false, fill-in, matching, and short essay type of questions. The student must demonstrate his/her knowledge with a minimum score of 75% accuracy for a passing grade of "C". Maximum score of 100% accuracy is equivalent to an "A". One Case Presentation will be required valued at 10%, Exams 40%.

Clinic:

90% of clinic course work must be completed before a passing grade will be given. A passing grade is a "C" or better. 10% of Grade is Lab/Process Evals. and 40% of grade is derived from patient requirements.

Students who have not met requirements will have -5 deducted from the total Clinic grade for each incomplete requirement.

A grade of Incomplete will not be given if the student fails to meet any clinic requirements for the current semester except for extenuating personal circumstances. A grade of Incomplete will be given only if 90% of the requirements are complete and only by permission of the faculty. A grade of "F" will be given if less than 90% of the requirements are completed.

A clinic prophy grade below 75% will not count toward requirements.

GRADING SCALE

94% - 100% = A

84% -  93% = B

75% -  83% = C

70% -  74% = D

BELOW  70% = F  

 

PIMA COMMUNITY COLLEGE

DENTAL HYGIENE EDUCATION - DHE 190 CLINICAL DENTAL HYGIENE I

 

MINIMUM  CLINICAL REQUIREMENTS

 

You are responsible for providing your own patients to meet the following requirements:

 

COMPLETE PROPHYLAXIS

TOTAL NUMBER

Class O or Class I (include one child-age 12 or under)

8

Class II (point range classification category 8)

2

                                                                                       COMPLETE PATIENTS

10

 

 

PROCESS EVALUATIONS

TOTAL NUMBER

Medical History/Vitals

1

Extra/Intra Oral Exam

1

Dental Charting Caries

1

Dental Charting Perio

1

Coronal Polish/Fluoride Treatment

1

Instrumentation

1

                                                                                                                      TOTAL

6

 

All students are encouraged to exceed minimum patient requirements.  Plus points may be awarded towards course final grade, for community service and outside approved professional dental hygiene activities.

RADIOLOGY REQUIREMENTS

X-Ray Type                Full Mouth Series (Adult)                 Number Required (1) One

X-Ray Type                Bitewing Series (Adult or Pedo)      Number Required (1)  One

Criteria for Meeting Radiology Requirements

All radiology evaluations must be evaluated at seventy five percent (75%) or better competency.

Any evaluations below 75% will not count toward meeting x-ray requirements.

All x-rays must be processed and evaluated and turned in within one week from the initial date of taking the x-rays.  For each set of x-rays not turned in within the week’s time, (5) points will be deducted from the final evaluation grade.

X-rays must be processed and evaluated before Reappoint Week in order to receive credit toward requirements.  If the above requirements are not met by Reappoint Week the student will be Incomplete in clinic and course requirements.

Retakes are to be taken at the appointment in which the x-rays were begun. Refer to clinic manual guidelines regarding policy on retakes.  All x-rays must have an inclusive “Rationale” statement documented on the Radiology Form.  Appropriate faculty signatures and dates are required.

PROCESS EVALUATIONS

Each student will be evaluated on the following:

COMPETENCY

PROCESS

NUMBER

SCHEDULE

90%

Medical History/Vitals

1

Complete Week 2 - 4

90%

Extra/Intra Oral Exam

1

Complete Week 3 -4

90%

Dental Charting Caries

1

Complete Week 4-5

90%

Dental Charting Perio

1

Complete Week 6

90%

Coronal Polish/Fl Tx

1

Complete Week 2-7

80%

Instrumentation & Calculus Charting

1

Must be a Class II Patient

If student fails to meet competency on a process, they will be referred to the clinical instructor for extra help.  It is the student’s responsibility to obtain this clinical instruction and continue to be processed until competency is met to fulfill course requirements.

All process evaluations must be completed before reappoint day.  All supplemental procedures must be completed before reappoint day.  Students are encouraged to maintain schedule for completing competency prior to mid-semester.  Students not meeting competency process evaluation requirements by due dates will be notified of unsatisfactory progress at mid-term.

Reappointment day will be available only to complete prophys which have been started.  No process evaluations or supplemental procedures will be allowed during reappointment day. New patient screenings are not to be done during reappoint week..  X-ray re-takes are not to be scheduled during reappoint week see Course Instructor for permission regarding special circumstances.

LABORATORY REQUIREMENTS

Each student will be evaluated on the following:

COMPETENCY

LAB SKILL

NUMBER

SCHEDULE

Satisfactory

Assembly Anesthetic Syringe

1

Complete by Mid-Term

Satisfactory

Biological Monitoring

1

Complete by Mid-Term

Satisfactory

Care Oral Appliance

1

Complete by Mid-Term

Satisfactory

Sonic/Ultrasonic

1

Complete by Mid-Term

Satisfactory

Instrument Sharpening

1

Complete by Mid-Term

Satisfactory

Air-Jet Polishing

1

Complete by Mid-Term

Satisfactory

Irrigation Techniques

1

Complete by Mid-Term

Satisfactory

Implant Instrumentation

1

Complete by Mid-Term

CLINICAL OBJECTIVES:

Upon completion of DHE 190, the student will be able to:

  1.   Provide dental hygiene services to beginning level clinical dental hygiene patients.  

  2. Chart and evaluate a medical/dental history on clinic patients.

  3. Take and record accurately vital signs on clinic patients.

  4. Confirm current physician and dentist, including telephone numbers and addresses.

  5. Explain to patient the value and use of a complete medical/dental history.

  6. Maintain confidentiality of patient records

  7. Inform patient of all procedures before treatment and as performed.

  8. Record all services provided in the patients record properly

  9. Demonstrate initial treatment planning for clinical patients.

  10. Treat patients, faculty, and staff with courtesy and respect.

  11. Record variations in the extra/intra oral anatomy of clinic patients.

  12. Practice body mechanic techniques which allow a range of motion with optimal operator comfort.

  13. Explain etiology and prognosis of dental disease so that the patient understands his role in homecare.

  14. Provide oral health instruction, nutritional and tobacco cessation  counseling based upon individual patients needs.

  15. Maintain an aseptic environment throughout the dental appointment to prevent transmission of bloodborne pathogens.  

  16. Demonstrate proper handwashing, gloving, and use of PPE for clinic.  

  17. Perform infection control procedures consistent with dental hygiene program, OSHA and CDC  guidelines.  

  18. Perform procedures for sterilization biological monitoring and record keeping.  

  19. Chart the dental condition for all teeth, recording missing, restored and diseased tissues with an explorer. 

  20. Explain record, and evaluate periodontal charting and periodontal disease.

  21. Complete a calculus detection examination using an explorer.

  22. Use radiographic surveys to detect abnormal tissues and detect  calculus.

  23. Use dental radiographs to explain dental disease to patients.

  24. Interpret data collected for the purpose of assessment and dental treatment.

  25. Polish coronal surfaces selectively after a scaling procedure as treatment planned.

  26. Remove plaque, calculus and stain from the assigned teeth with 75% per cent efficiency level.            

  27. Demonstrate the appropriate steps for a topical fluoride application.

  28. Provide patient with instructions for homecare related to post scaling services.

  29. Review with patient rationale for recalls at the end of treatment.

  30. Successfully complete process evaluations as determined by course requirements.

  31. Demonstrate communication skills, honesty and ethical behavior in a professional setting.

  32. Document weekly in a student journal goals and objectives reflecting ethical judgment/conduct in a clinical setting.

  33. Identify appropriate instruments for scaling in moderate pocket depths and furcations.

  34. Differentiate between posterior and anterior sickle scalers by form and function.  

  35. Apply the technique for using universal and sickle scalers on all areas of the mouth.

  36. Use a periodontal probe to take and record pocket depth with not more than 1 millimeter error.

  37. Describe the function of gracey curettes and rootplaning.

  38. Demonstrate technique for using area-specific curettes on all areas of the mouth.

  39. Determine if any contraindications or modifications are appropriate for dental treatment.

  40. Recognize and respond to a medical emergency following clinic protocols.

  41. Provide patient tobacco cessation counseling as indicated.

  42. Perform as outlined all duties required of the clinic assistant in sterilization, radiology and clinic.

  43. Expose, process and evaluate dental radiographs for clinic patients.

  44. Integrate clinic patient experiences with didactic and laboratory course work.

LECTURE/LABORATORY OBJECTIVES:

Upon completion of DHE 190, the student will be able to:

  1. Perform and demonstrate CPR techniques on a manikin simulator.  

  2. Demonstrate through role playing exercise medical emergency procedures.

  3. Describe the motions which are appropriate for scaling teeth applying principles of ergonomics.

  4. Explain and correctly use a fulcrum, finger rest, reinforced fulcrum and appropriate inst. grasp. 

  5. Define the terms long axis of the tooth, adaptation, vertical,  horizontal and oblique strokes.  

  6. Explain the cutting edge and its relationship to tooth surface in the scaling technique. 

  7. Recognize a "dull" versus "sharp" cutting edge on an instrument.  

  8. Evaluate instruments for sharpness and contour and recognize need to maintain them.  

  9. Given the choice of two sharpening methods, choose the appropriate method to sharpen the universal curette, gracey area specific curette, and sickle.  

  10. Demonstrate in a laboratory setting steps for cleaning a removable partial and denture.  

  11. Identify instruments and related armamentarium used for dental implant care in a laboratory setting.  

  12. Explain the rationale for  application of the air jet polisher.  

  13. Demonstrate use of air jet polisher on a dental typodont.  

  14. Demonstrate assembly and use of the ultrasonic scaler on a dental typodont.  

  15. Describe rationale for treatment planning the use of an ultrasonic scaler.  

  16. Identify contraindications for use of the ultrasonic scaler  

  17. Demonstrate assembly and application of the sonic scaler on a dental typodont.  

  18. Describe rationale for treatment planning the use of a sonic scaler.  

  19. Identify contraindications for use of the sonic scaler.  

  20. Describe the difference between sonics and ultrasonics.  

  21. Describe rationale for treatment planning tobacco cessation/counseling.  

  22. Identify oral conditions related to use of tobacco by-products.  

  23. Demonstrate in a laboratory setting assembly of an irrigating syringe for subgingival irrigation.  

  24. Recognize indications and contraindications for use of chemotherapeutics in subgingival irrigation.

  25. Recognize when to use topical anesthetic.  

  26. Demonstrate assembly of an anesthetic syringe in a laboratory setting.  

  27. Perform procedures for sterilization biological monitoring and recording in a laboratory setting.  

  28. Assemble porte polisher and perform procedure on a typodont for application of desensitizing agents.  

  29. List active ingredients in desensitizing agents.  

  30. Demonstrate the use of alternate fulcrums and advanced fulcrum techniques on a dental typodont.  

  31. Describe the procedures for use of the intra-oral camera.

  32. Identify related armamentarium for using the intra-oral camera.  

  33. Discuss use of computer assisted intra-oral camera devices.  

  34. Given a simulated patient case study integrate and apply ethical decision making skills.  

  35. Integrate didactic and laboratory course work with clinical experiences.  

NOTE:  The instructor reserves the right to make any modifications to the syllabus, calendar or requirements as is deemed necessary for the successful progression and completion of the students pursuit of this course.

I HAVE RECEIVED A COPY, AND HAVE READ, AND UNDERSTAND THE DHE-190 COURSE OBJECTIVES AND POLICIES.  THE COURSE INSTRUCTOR HAS EXPLAINED GRADING PROCEDURES AND COURSE EXPECTATIONS.  I HAVE READ THE DENTAL HYGIENE HANDBOOK AND WILL ABIDE BY ALL POLICIES.

I UNDERSTAND THAT IN DHE-190 THE SKILL EVALUATION FOR USE OF IMPLANT INSTRUMENTS IS LEARNED ONLY TO LAB COMPETENCY.

 

DATE:____________            

STUDENT SIGNATURE:_______________________________________

(Turn this page in to your Instructor)

 

HAVE A GREAT SEMESTER!!