12/21/2024 8:53:01 AM	DH 73 Course Outline as of Spring 2004	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  DH 73	Title:  CLINICAL D.HYGIENE 1
Full Title:  Clinical Dental Hygiene 1
Last Reviewed:9/29/2003

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	4.00	Lecture Scheduled	2.00		17.5 max.	Lecture Scheduled	35.00
Minimum	4.00	Lab Scheduled	6.00		17.5 min.	Lab Scheduled	105.00
		Contact DHR	0			Contact DHR	0
		Contact Total	8.00			Contact Total	140.00
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  70.00

Total Student Learning Hours: 210.00

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:

Application of the dental hygiene process of care guided by the human needs conceptual model to promote oral health and wellness. The course includes laboratory and clinical experiences in client assessments, problem identification (dental hygiene diagnosis), dental hygiene care planning, case presentation and implementation of dental hygiene care (preventive and therapeutic procedures, oral health education). Evaluation of dental hygiene care/oral health goals attainment is also emphasized as an essential component of the dental hygiene process.

Prerequisites/Corequisites:
Course Completion of DH 70 and Course Completion of DH 71A ( or DH 71) and Course Completion or Current Enrollment in DH 72

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description:

Application of the dental hygiene process of care guided by the human needs conceptual model to promote oral health and wellness. The course includes laboratory and clinical experiences in client assessments, problem identification (dental hygiene diagnosis), dental hygiene care planning, case presentation and implementation of dental hygiene care (preventive and therapeutic procedures, oral health education). Evaluation of dental hygiene care/oral health goals attainment is also emphasized as an essential component of the dental hygiene process.

(Grade Only)
Prerequisites:Course Completion of DH 70 and Course Completion of DH 71A ( or DH 71) and Course Completion or Current Enrollment in DH 72
Recommended:
Limits on Enrollment:
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:		Effective:		Inactive:
Area:
CSU GE:	Transfer Area			Effective:	Inactive:
IGETC:	Transfer Area			Effective:	Inactive:
CSU Transfer:	Transferable	Effective:	Spring 2000	Inactive:	Spring 2008
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Certificate Applicable Course

COURSE CONTENT

Outcomes and Objectives:
At the conclusion of this course, the student should be able to:

Upon completion of this course, student's will be able to:

1. Exhibit professionalism through conduct, attitude (respect, concern,

cooperation, collaboration), and adherence, to protocols, promptness,

clinic and class preparation and personal appearance.

2. Describe the differences between the occupational and professional

conceptual models of dental hygiene.

3. Identify the human needs related to dental hygiene care.

4. Discuss the benefits of using the dental hygiene process as the core

of professional practice.

5. Discuss concepts of health and wellness.

6. Relate the significance of communication to the profession of dental

hygiene.

7. Utilize infection control protocols for prevention of disease

transmission through demonstration of proper pre and post appointment

operatory preparation procedures, instrument recirculation methods and

aseptic technique.

8. Apply the principles of instrument sharpening for proper sharpening

of curets (Gracey and Universal curets) and sickle scalers.

9. Collect and record data (subjective and objective) from client

interview and case history and describe rationale for obtaining

information under the components: chief complaint, history of

complaint, dental history, personal/social history.

10. Obtain complete health history, collect data systematically, record

accurately, communicate findings and update continuously using methods

consistent with medico legal standards.

11. Describe and demonstrate the correct technique for taking vital

signs (pulse, respiration, blood pressure, and temperature), analyze data,

note deviations, limitations and collaborate with other professionals as

required.

12. Identify potential medical emergencies which may occur in the

dental hygiene environment, procedures for preventing such emergencies;

and if an emergency should occur, methods for proper management of these

health-threatening complications.

13. Describe the Basic Life Support steps (one/two person(s) and the

rationale for each  component of the Basic Life Support procedure.

14. Locate anatomic landmarks and describe the normal and atypical

ranges of clinical appearances for extra and intraoral hard and soft

tissues and structures; recognize, refer and follow-up on specific lesions

significant to the general and oral health of the client.

15. Demonstrate periodontal and dentition assessment of the client's

periodontium and dentition in order to develop a plan for the

prevention and control of oral diseases.

16. Analyze all the data gathered during the assessment phase of the

dental hygiene process to identify the client's oral health needs

(human needs related to dental hygiene care)in order to plan treatment

with the goals of delivering comprehensive dental hygiene care.

17. Demonstrate individualized preventive oral hygiene care instruction

designed to motivate the client toward routine and effective home care

skills and habit cessation essential for the prevention and control of

oral diseases.

18. Apply principles of instrumentation for the proper use of the

explorers, mouth mirrors, periodontal probe, universal curets, Gracey

(area-specific) curets, sickle scalers and polishing instruments.

19. Perform coronal polishing technique with appropriate material

selection and precautions for polishing natural tooth surfaces,

restorations and dental appliance.

20. Demonstrate technique, procedures and state rationale and precautions

for professional application of topical fluoride.

21. Perform procedures associated with evaluation of outcome following

implementation of dental hygiene care.

22. Analyze evaluation outcome and offer recommendations to client

regarding preventive and therapeutic measures as well as professional

dental hygiene care interval.

23. Collaborate with other dental/health care professionals as

indicated throughout the dental hygiene process in order to meet

the needs of the client for comprehensive oral health care.

24. Utilize the Santa Rosa Junior College Handbook of protocols,

procedures and policies for the Dental Programs Clinic and Department

operations to ensure the highest quality of client care and to enhance

the educational process.

Topics and Scope

A. Conceptual Framework for Dental Hygiene

   1. Evolving profession of dental hygiene

   2. Dental Hygiene human needs conceptual model

      a. Safety

      b. Freedom from pain/stress

      c. Wholesome body image

      d. Skin and mucous membrane integrity of head and neck

      e. Nutrition

      f. Biologically sound dentition

      g. Conceptualization and problem solving

      h. Appreciation and respect

      i. Self-determination and responsibility

      j. Territoriality

      k. Value System

   3. Dental hygiene process of care

      a. Assessment

      b. Dental hygiene diagnosis

      c. Planning

      d. Implementation

      e. Evaluation

   4. Health and Wellness

   5. Behavioral science foundations for the dental hygiene process

B.  Dental Hygiene care instrumentation technique development and

   rationale for use:

   1. Gracey curets

   2. Sickle scaler

   3. Review of instrumentation with: probe, explorers, and universal

      curets

   4. Coronal polishing (Slow speed handpiece, right angle

      attachment with rubber cup and brush)

   5. Calculus and stain removal from removable dental appliances

C.  Introduction to Instrument Sharpening

   1. Rationale

   2. Sharpening stones

   3. Technique

   4. Testing for Sharpness

D.  Clinical application of oral health education (DH 72)

   1. Develop plan based on the dental hygiene  diagnosis

   2. Consider client's motivational needs, physical limitations,

      lifestyle and culture

   3. Integrate oral health education into overall care plan.

   4. Engage client as partner

   5.  Demonstrate ability to instruct client on tooth brushing and

       interproximal plaque self-care techniques.

E.  Professional topical fluoride application

   1. Professionally applied agents

   2. Steps and rationale (Acidulated phosphate fluoride gels and foams)

   3. Indications and contraindications

F.  Vital sign Assessment

   1. Pulse

   2. Respiration

   3. Temperature

   4. Blood Pressure

   5. Protocol for ranges not within normal limits

G.  Medical Emergency procedures

   1. Santa Rosa Junior College emergency protocol

   2. Emergency drugs and devices

   3. Airway patient maneuver

   4. Emesis/foreign body maneuver

   5. Broken instrument tip

   6. Syncope

   7. Hyperventilation

   8. Angina pectoris

   9. Cardiac arrest

  10. Mycardial infarction

  11. Respiratory arrest

  12. Asthma

  13. Diabetes: Insulin shock/diabetic coma

  14. Epilepsy

  15. Cerebrovascular accident (stroke)

  16. Anaphylactic shock

H.  Santa Rosa Junior College Dental Hygiene Clinic policies and

   procedures related to client and assigned rotations.

   1. Client assignments; and professional responsibilities

   2. Telephone communication and appointment planning

   3. Client Bill of Rights and informed consent

   4. Fee determination and collection procedures

   5. Radiographic request for duplicates or prescription

   6. Dental hygiene care collaboration and referral

   7. Client assignment: alternating recall maintenance,

      discontinuance, and transfer

   8. Protocol for progress notes

   9. Documentation of student accomplishments

  10. Formative and summative evaluation of dental hygiene care

      provided for clients

  11. Clinic assistant rotation

  12. Desk assistant rotation

  13. Oral examination rotation

Assignments:

1. Write Human Need Theory & Dental Hygiene paper based on case studies

  (min. 5 pgs.)

2. Create a chairside visual aid as the Plaque Control Device Technique

  project

3. Completion of DH client care requirements in a clinical setting (min.

  of 3 light case types)

4. Completion of Gracey curet proficiency competency

5. Using role play, complete 2 medical emergency proficiencies

6. Quizzes and exams

7. Readings from several textbooks for an average of 40 pgs/week

Methods of Evaluation/Basis of Grade.

Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.		Writing 0 - 0%
None
This is a degree applicable course but assessment tools based on writing are not included because problem solving assessments and skill demonstrations are more appropriate for this course.
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 10 - 50%
Homework problems, Demonstration of basic clinical skills
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 25 - 65%
Class performances, Performance exams, 10 basic instrument competencies, select case type
Exams: All forms of formal testing, other than skill performance exams.		Exams 10 - 50%
True/false, Matching items, Completion, Fill in
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 15 - 55%
Professionalism: Criteria used to evaluate on file.

Representative Textbooks and Materials:

CLINICAL PRACTICE OF THE DENTAL HYGIENIST: Wilkins, Esther M., Lippincott

Williams & Wilkins, 8th Ed., 1999

DENTAL HYGIENE THEORY AND PRACTICE: Darby and Walsh, Elsevier Saunders,

2nd Ed., 2003

FUNDAMENTALS OF PERIODONTAL INSTRUMENTATION: Nield-Gehrig, Lippincott

Williams & Wilkins, 4th Ed., 2000

Supplementary Texts

TABER'S CYCLOPEDIA MEDICAL DICTIONARY: 18th Ed., Davis, 1997

MEDICAL EMERGENCIES IN THE DENTAL OFFICE: 5th Ed., St Louis, C.V. Mosby,

2000

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