SRJC Course Outlines

12/2/2023 4:47:33 PMDH 78 Course Outline as of Summer 2004

Changed Course

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 Scheduled2.257 max.Lecture Scheduled15.75
Minimum1.00Lab Scheduled3.336 min.Lab Scheduled23.31
 Contact DHR0 Contact DHR0
 Contact Total5.58 Contact Total39.06
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  31.50Total Student Learning Hours: 70.56 

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

Catalog Description:
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A lecture and lab course designed to develop dental hygiene skills in techniques of pain control by the administration of local anesthetics. Student will become proficient in the delivery of local anesthesia and nitrous oxide.

Course Completion of DH 75

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
A course covering the techniques of pain control by the administration of local anesthetics.  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 75
Limits on Enrollment:
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP


Associate Degree:Effective:Inactive:
CSU GE:Transfer Area Effective:Inactive:
IGETC:Transfer Area Effective:Inactive:
CSU Transfer:TransferableEffective:Summer 2000Inactive:
UC Transfer:Effective:Inactive:

Certificate/Major Applicable: Major Applicable Course


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 (with a
minimum of 90% accuracy):
1. Assess the medical history of the patient to determine the correct LA
(local anesthesia) agent, and if contraindicated, be able to recommend the
appropriate modification.
2. Recognize and assist in the management of any systemic complications
that may result from the administration of LA.
3. Adhere to infection control protocols for prevention of disease
transmission through demonstration of proper pre and post appointment
operatory preparation procedures, instrument re-circulation methods and
aseptic techniques.
4. Successfully assemble, disassemble and maintain the LA armamentarium.
5. Demonstrate safe practice with the LA armamentarium.
6. Demonstrate ability to recognize and select the proper needle size and
7. Describe the anesthetic agents and vasoconstrictors uses in dentistry,
and discuss the rational for choosing certain agents.
8. Describe the topical anesthetic agents used in dentistry, and discuss
rational for choosing certain agents.
9. Calculate the maximum safe dosage of local anesthetic and
vasoconstrictor to be used.
10. Identify all anatomical landmarks on both a patient and
skull of the following injections: supraperiostial/local infiltration,
papillary infiltration, anterior superior alveolar nerve block, middle
superior alveolar nerve block, posterior superior alveolar nerve block,
infraorbital nerve block, greater palatine nerve block, nasopalatine nerve
block, inferior alveolar nerve block, lingual nerve block, long buccal
nerve block, mental nerve block, incisive nerve block.
11. Identify the nerve, teeth and soft tissue structures that are
anesthetized with all injections.
12. Successfully administer LA to a student partner and clinical patient,
always practicing a safe technique.
13. Identify the local complications that could result from the
administration of LA, and how to properly manage these complications.
14. Discuss the contraindications and indications for using nitrous
oxide/oxy, analgesia.
15. Discuss advantages, disadvantages, and complications associated with
16. Review patient's medical history to decide their suitability to
receive nitrous oxide oxygen analgesia.
17. Recognize and describe the sign and symptoms of nitrous oxide
18. Recognize the complications that can manifest with undesirable levels
of nitrous oxide and how to manage the complications.
19. List the safety feature associated with the nitrous oxide/oxygen
20. Successfully calculate the percentages of nitrous oxide and oxygen
from the tidal volume.
21. Successfully administer nitrous oxide/oxygen analgesia to a student
partner and clinical patient using titration to properly achieve a safe
level of sedation.
22. Monitor a patient during the administration of nitrous oxide/oxygen
analgesia and following sedation properly oxygenate for the recommended
23. Successfully maintains honesty in actions and relationships involving
colleagues and members of the faculty, staff, fellow students, and
24. Demonstrates concern, respect and cooperation towards classmates,
patients, and staff.
25. Complies with stated safety regulations and dress code.
26. Maintains responsibility for assigned clinical duties.

Topics and Scope
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Designated hours are for both lecture and lab.
I.    Continuing Clinical Procedures
     a. Medical Histories
     b. Emergency preparedness
     c. Infection control
     d. Patient assessments
II.   Armamentarium
     a. Cartridge
     b. Needle
     c. Preparation of Armamentarium
     d. Break-down and disposal of Armamentarium
III.  Anesthesia
     a. Pharmacology
     b. As an independent agent
     c. As a pre-injection agent
     d. Technique
     e. Calculate maximum safe dose
IV.   Anatomic Review of Oro-facial Structures
     a. Maxillary arch
     b. Mandibular arch
     c. Nerves affected
V.    Local Anesthetic Administration Techniquest of Manibular and
     maxillary Injections.
VI.   Complications and Their Management
VII.  Emergency Management/CPR Review
VIII. Nitrous Oxide Conscious Sedation
     a. Chemistry
     b. Physiology
     c. Pharmacology
     d. Indications/contraindications
     e. Advantages/disadvantages
     f. Equipment
     g. Scavenger systems
     h. Hazards to personnel
     i. Tidal volume
     j. Technique for administration
     k. Determining levels
     l. Oxygenation at end of procedure
     m. Complications and their management

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1.  Lecture
   a. Participation in class discussion
   b. 4-6 quizzes
   c. 2 exams
2. Lab
   a. Practice administration of LA on student partner
   b. Practice assembly and disassembly of syringe
   c. Practice assembly and disassembly of nitrous oxide equipment
   d. Administer 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%
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 - 35%
Lab reports, Quizzes, Exams, Skills
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
10 - 60%
Class performances, Field work, Performance exams
Exams: All forms of formal testing, other than skill performance exams.Exams
5 - 40%
Multiple choice, True/false, Matching items, Completion
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
5 - 25%
Professionalism is broken down into two criteria: Communication and Team Interaction.

Representative Textbooks and Materials:
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Darby, M. and Walsh, MM. (2003). Dental Hygiene Theory and Practice (2nd
ed). WB Saunders: Philadelphia.
Wynn R. L et al. (2002) Drug Information Handbook for Dentistry, 2003-2003
(9th ed).

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