12/3/2024 9:15:04 AM	DH 71B Course Outline as of Fall 2020	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  DH 71B	Title:  CLINICAL CARE / THEORY 2
Full Title:  Clinical Dental Hygiene Care and Theory 2
Last Reviewed:9/9/2024

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	5.00	Lecture Scheduled	2.00		17.5 max.	Lecture Scheduled	35.00
Minimum	5.00	Lab Scheduled	9.00		17.5 min.	Lab Scheduled	157.50
		Contact DHR	0			Contact DHR	0
		Contact Total	11.00			Contact Total	192.50
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  70.00

Total Student Learning Hours: 262.50

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 patient assessments, problem identification (dental hygiene diagnosis), dental hygiene care planning, case presentation and implementation of dental hygiene care at the beginner level (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 71A; AND Concurrent Enrollment in DH 72 and DH 75 and DH 74 and DH 76; AND Course Completion or Concurrent Enrollment in DE 55B

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 patient assessments, problem identification (dental hygiene diagnosis), dental hygiene care planning, case presentation and implementation of dental hygiene care at the beginner level (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 71A; AND Concurrent Enrollment in DH 72 and DH 75 and DH 74 and DH 76; AND Course Completion or Concurrent Enrollment in DE 55B
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 2008	Inactive:
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Major Applicable Course

COURSE CONTENT

Student Learning Outcomes:
At the conclusion of this course, the student should be able to:

1.  Provide treatment that includes preventive and therapeutic procedures to promote and

    maintain oral health and assist the patient in achieving oral health goals (novice level).

2.  Systematically collect, analyze, and accurately record baseline data on general, oral, and

    psycho-social health status using methods consistent with medico-legal principles (novice level).

Objectives:

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

Theory Objectives

1.  Describe the types of intrinsic and extrinsic dental stains and their associated causes.

2.  Differentiate between stains associated with coronal polish and the correlation between tooth

      formation and the staining process.

3.  Compare and contrast polishing versus selective polish and discuss the implications of each.

4.  Differentiate between scaling, root planning and periodontal debridement and what

      determines the end point of each.

5.  Identify the components of evidence-based decision making and the correlation with patient

      centered care.

6.  List and describe the American Academy of Periodontology categories of periodontal disease,

      gingivitis and health.

7.  Describe oral characteristics associated with periodontal health, gingivitis and periodontitis

      and the etiologic and risk factors associated with each disease.

8.  In each of the assessment documents determine periodontal risk factors and correlate these

      factors to the patient's periodontal diagnosis and plan for treatment.

9.  Discuss the factors influencing the dental hygiene periodontal diagnosis and its relationship to

      the treatment plan and outcome assessment.

10. Define the phases of dental treatment included in the comprehensive treatment plan

      including the considerations for sequencing dental hygiene treatment with periodontal

      diseases.

11. Define informed consent and its importance to patient care.

12. Define and list the elements of nonsurgical periodontal therapy

13. Describe a typical plan for nonsurgical periodontal therapy for a patient with plaque-induced

      gingivitis, early and moderate periodontitis.

Clinical Objectives

1.  Perform coronal polishing technique with appropriate material selection and precautions for

      polishing natural tooth surfaces, restorations.

2.  Demonstrate technique, procedures and state rationale and precautions for professional

      application of topical fluoride.

3.  Demonstrate the correct principles of insertion, adaptation, angulation, and lateral pressure

      with each of the area-specific curettes.

4.  Utilizing the assessment documents, determine the dental hygiene periodontal diagnosis and

      appropriate treatment plan for each patient.

5.  Demonstrate individualized preventive oral hygiene care instructions designed to motivate the

      patient toward routine and effective home care skills and habit cessation essential for the

      prevention and control of oral  diseases.

6.  Analyze all the data gathered during the assessment phase of the dental hygiene process to

      identify the patient's human needs related to dental hygiene care in order to plan treatment

      with the goal of delivering comprehensive dental hygiene care.

7.  Perform nonsurgical periodontal therapy for a patient with periodontal health, plaque-induced

      gingivitis and early periodontitis.

8.  Assess the oral conditions of hard and soft tissues, detect and remove supragingival and

      subgingival calculus, stain and plaque by applying principles of instrumentation for the

      proper use of mouth mirrors, periodontal probe, explorers, universal and area-specific

      curettes, sickle scalers and polishing instruments on dental hygiene  patients.

9.  Continue to refine the principles of instrument sharpening for proper sharpening of universal

      curettes and scalers and apply the principles of sharpening to Gracey curettes.

10. Analyze evaluation outcome and offer recommendations to patients regarding preventive and

      therapeutic measures as well as professional dental hygiene care interval.

11. Demonstrate professionalism through personal appearance, attitude, and conduct appropriate

      for the learning environment, as well as for rendering patient care.

Topics and Scope

I. Theory

    A. Coronal polish-review*

          1. stains, intrinsic and extrinsic

          2. practice selective polish

    B. Area-specific curettes-review*

          1. advantages and limitations

          2. scaling, root planning and periodontal debridement

    C. Evidence-based decision making*

          1. patient centered care

          2. dental hygiene care plan

    D. American Academy of Periodontology, periodontal disease

          1. categories of disease

          2. etiologic and risk factors

              a. periodontal health

               b. gingivitis

              c. periodontitis

    E. Dental hygiene diagnosis*

          1. relationship to treatment plan and outcome assessment

          2. relationship of risk factors to treatment plan

    F. Phases of dental treatment*

          1. treatment plan

          2. sequencing dental hygiene treatment

    G. Informed consent*

          1. definition

          2. relationship to patient care

    H. Elements of nonsurgical periodontal therapy

          1. definition

          2. list

     I. Plan for therapy*

         1. periodontal health

         2. gingivitis

         3. early and moderate periodontitis

*These items are introduced in lecture, and the related skill is performed in the lab

 

II. Clinical

    A. Coronal polish

          1. practice technique

          2. precautions

    B. Professional topical fluoride application

          1. procedure

          2. rationale

    C. Area-specific curettes

          1.  insertion technique

          2. adaptation technique

          3. angulation technique

          4. lateral pressure technique

    D. Dental hygiene periodontal diagnosis

          1. utilization of assessment documents

          2. treatment plan using assessment documents

    E. Preventive oral hygiene care instructions

          1. individualized

          2. motivate patient

          3. prevention and control of oral diseases

    F. Assessment phase of dental hygiene process

          1. data analysis

          2. identify patient's needs

          3. treatment plan

    G. Nonsurgical periodontal therapy

          1. techniques for patients with

              a. periodontal health

              b. gingivitis

              c. periodontitis

          2. Principles of instrumentation

               a. mouth mirrors, periodontal probe, explores, universal and area-specific curets

               b. detection and removal of supragingival and subgingival calculus, stains and plaque

          3. apply principles of instrument sharpening

    H. Evaluation outcome

          1. analysis

          2. accommodations

          3. care interval

     I. Professionalism

          1. honesty in actions and relationships

          2. attitude of concern, respect and cooperation

          3. time management

          4. safety regulations

          5. responsibility for assigned clinic duties

Assignments:

Lecture

1. Completion of reading assignments (15-30 pages per week)

2. Weekly written homework (10 - 15 assignments)

3. Case studies (1-3)

4. Quizzes (4-8); midterm, and final examination

 

Laboratory/Clinical

1. Student self-assessment of the clinical sessions; students must journal about their clinical

    experiences each session

2. Laboratory/Clinical skill demonstrations/competencies:

    a. Coronal Polish competency

    b. Fluoride Delivery competency

    c. Gracey Curette competency

    d. Gracey Sharpening competency

    e. Medical Emergency competency

    f. Comprehensive Clinical Performance competency

3. Provision of Dental Hygiene Patient Care Services (3-6 patient requirements)

4. Patient performance exam

5. Clinical Competency 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 5 - 10%
Written homework, Weekly written journal self-assessments
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 5 - 10%
Case studies
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 40 - 50%
Clinical skill competencies, patient care services, patient performance exam, clinical competency midterm and final exam
Exams: All forms of formal testing, other than skill performance exams.		Exams 40 - 50%
Quizzes, midterm, written final exam
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

Darby and Walsh Dental Hygiene Theory and Practice. 5th ed. Bowen, Denise and Pieren, Jennifer. Elsevier. 2020

 

Fundamentals of Periodontal Instrumentation. 8th ed. Gehrig, Jill and Sroda, Rebecca and Saccusso, Darlene. Lippincott Williams & Wilkins. 2018. video clips, online

 

Patient Assessment Tutorials. 4th ed. Gehrig, Jill. Lippincott Williams & Wilkins. 2017

 

Lexicomp (online for Dentistry). Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. 2019

 

Foundations of Periodontics for the Dental Hygienist. 5th ed. Gehrig, Jill and Shin, Daniel and Willmann, Donald. Lippincott Williams and Wilkins. 2018

 

Clinical Policy Manual- online

 

Instructor prepared materials

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