SRJC Course Outlines

5/28/2024 3:13:31 AMDH 78 Course Outline as of Fall 2011

Changed Course
CATALOG INFORMATION

Discipline and Nbr:  DH 78Title:  LOCAL ANESTHESIA  
Full Title:  Local Anesthesia/Nitrous Oxide Conscious Sedation
Last Reviewed:2/7/2022

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum1.00Lecture Scheduled.7517.5 max.Lecture Scheduled13.13
Minimum1.00Lab Scheduled1.506 min.Lab Scheduled26.25
 Contact DHR0 Contact DHR0
 Contact Total2.25 Contact Total39.38
 
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  26.25Total Student Learning Hours: 65.63 

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:
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A course covering the techniques of pain control by the administration of local anesthetics and nitrous oxide/conscious sedation. The course will prepare the student for management of the more complex clinical client during advanced dental hygiene care procedures.

Prerequisites/Corequisites:
Course Completion of DH 74 and DH 75


Recommended Preparation:

Limits on Enrollment:
Acceptance into Allied Dental Program

Schedule of Classes Information
Description: Untitled document
A course covering the techniques of pain control by the administration of local anesthetics and nitrous oxide/conscious sedation. The course will prepare the student for management of the more complex clinical client during advanced dental hygiene care procedures.
(Grade Only)

Prerequisites:Course Completion of DH 74 and DH 75
Recommended:
Limits on Enrollment:Acceptance into Allied Dental Program
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:TransferableEffective:Summer 2000Inactive:
 
UC Transfer:Effective:Inactive:
 
C-ID:

Certificate/Major Applicable: Major Applicable Course



COURSE CONTENT

Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
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Upon completion of this course, the student will be able to
1. Explain various strategies for reducing apprehension and fear.
2. Assess the patient's need for pain control procedures according to protocol.
3. Assess the patient's vital signs.
4. Perform the proper chart documentation of pain control choices, including informed consent.
5. Describe the nerve conduction process.
6. Describe the anesthetic agents and vasoconstrictors used in dentistry, and discuss the rationale for choosing certain agents.
7. Assess the medical history of the patient to determine the correct local anesthetic (LA) agent; if contraindicated, be able to recommend an appropriate modification.
8. Successfully assemble the armamentarium associated with Oraqix anesthetic.
9. Demonstrate the use of Oraqix anesthetic on a typodont.
10. Identify all anatomical landmarks associated with LA injections.
11. Identify the nerve, teeth, and soft tissue structures that are anesthetized with all injections.
12. Successfully assemble, disassemble and maintain the Computer Controlled Anesthetic Delivery System (CCADS).
13. Using best practices deliver anesthesia utilizing LA and CCADS.
14. Identify the local complications that could result from the administration of LA and how to properly manage these complications.
15. Recognize and assist in the management of any systemic complications that may result from the administration of LA.
16. Discuss history of nitrous oxide use and its association with the dental profession.
17. Utilize best practices for the delivery of nitrous oxide administration.

Topics and Scope
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A.  Clinical procedures
      1. Medical histories
      2. Emergency management-Cardio Pulmonary Resuscitation (CPR) review
      3. Infection control
      4. Patient assessments
                        a. Rationale for specific agents
                        b. Modifications
      5. Patient management techniques
      6.  Documentation
      7. Best practices for LA, nitrous oxide sedation, CCADS
B.  Armamentarium
      1. Cartridge
      2. Needle
      3. Preparation of armamentarium
      4. Break-down and disposal of armamentarium
C.  Anesthesia
      1. Local anesthetics
            a. Pharmacology
            b. Independent agent
            c. Technique
            d. Calculate maximum safe dose
            e. Complications
            f. Rationale for use of specific agents
            g. Nerve conduction process
      2. CCADS
                        a. Armamentarium
                        b. Complications
      3. Topical anesthetics
                        a. Oraqix
                        b. Complications
      4. Administration of LA injections
            1. Supraperiostial/local infiltration
            2. Anterior middle superior alveolar nerve block
            3. Posterior superior alveolar nerve block
            4. Infraorbital nerve block
            5. Greater palatine nerve block
            6. Nasopalatine nerve block
            7. Inferior alveolar nerve block
            8. Lingual nerve block
            9. Long buccal nerve block
            10. Mental nerve block
            11. Incisive nerve block
D.  Anatomic review of oro-facial structures
E.  Identification of anatomical landmarks associated with LA injections:
            1. Supraperiostial/local infiltration
            2. Anterior middle superior alveolar nerve block
            3. Posterior superior alveolar nerve block
            4. Infraorbital nerve block
            5. Greater palatine nerve block
            6. Nasopalatine nerve block
            7. Inferior alveolar nerve block
            8. Lingual nerve block
            9. Long buccal nerve block
            10.Mental nerve block
            11.Incisive nerve block
            12.Teeth, soft tissues and nerves anesthetized in local anesthesia injections
                        a. Maxillary arch
                        b. Mandibular arch
F. Local anesthetic administration techniques of mandibular and maxillary injections
G. Nitrous oxide conscious sedation
            1. History
            2. Physiology
            3. Pharmacology
            4. Indications/contraindications
            5. Advantages/disadvantages
            6. Equipment
            7. Scavenger systems
            8. Hazards to personnel
            9. Tidal volume
            10.Technique for administration
            11. Determining and monitoring levels of gases
            12. Oxygenation at end of procedure
            13. Management of complications

Assignments:
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1.  Lecture
   a. participation in class discussion
   b. 4-6 quizzes
    c. 2 exams
2. Lab competencies check-off
   a. administration of local anesthesia (LA) on student partner
    b. assembly and disassembly of syringe
    c. assembly and disassembly of nitrous oxide equipment
    d. administration of nitrous oxide to a fellow classmate
    e. one exam

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 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
0 - 0%
None
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
45 - 60%
Lab competencies
Exams: All forms of formal testing, other than skill performance exams.Exams
25 - 40%
Lecture quizzes, exams; lab exam
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
10 - 15%
Participation in class discussion


Representative Textbooks and Materials:
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Local Anesthesia for Dental Professionals, Bassett K., 2010
Lexi-Comp's Drug Information Handbook for Dentistry, Wynn, R., 2010, 16th Ed.
Drug information handbook for Dentistry, Wynn R. L., 2010
(Recommended) Local Anesthesia Administration, DVD, Malamed, S., 2005 (Classic)

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