12/26/2024 8:49:28 AM	DH 71B Course Outline as of Fall 2008	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. Clinical experiences in patient assessments, dental hygiene diagnosis, care planning, case presentation and implementation of dental hygiene care, and the introduction to the application of techniques with Gracey curets (novice level) and coronal polish.  

Prerequisites/Corequisites:
Course completion of DH 71A (formerly DH 71). Concurrent enrollment in DH 75 and 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 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 71A (formerly DH 71). Concurrent enrollment in DH 75 and 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

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

Upon completion of the course, the student will 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. Differentiate between the abrasive agents, examining the degree of

hardness and the intended surface for which they are to be used and how

the shape and size of the abrasive material affects the tooth structure

being polished.

4. Compare and contrast polishing versus selective polish and discuss the

implications of each.

5. Describe the design features and blade characteristic that distinguish

area-specific from universal curettes and the advantages and limitations

of these design characteristics.

6. Differentiate between scaling, root planning and periodontal

debribement and what determines the end point of each.

7. Identify the components of evidence-based decision making and the

correlation with patient centered care.

8. List and describe the American Academy of Periodontology categories of

periodontal disease, gingivitis and health.

9. Describe oral characteristics associated with periodontal health,

gingivitis and periodontitis and the etiologic and risk factors associated

with each disease.

10. In each of the assessment documents determine periodontal risk factors

and correlate these factors to the patient's periodontal diagnosis and

plan for treatment.

11. Discuss the factors influencing the dental hygiene periodontal

diagnosis and its relationship to the treatment plan and outcome

assessment.

12. Define and calculate, in case studies, clinical attachment loss

and width of attached gingiva and their relationship to periodontitis.

13. Define the phases of dental treatment included in the comprehensive

treatment plan including the considerations for sequencing dental hygiene

treatment with periodontal diseases.

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

15. Define and list the elements of nonsurgical periodontal therapy

16. Describe a typical plan for nonsurgical periodontal therapy for a

patient with plaque-induced gingivitis, early and moderate periodontitis.

Clinical Objectives

1. Demonstrate the armamentarium needed for polishing and the mechanisms

for attachment and different types of polishing cups.

2. Perform coronal polishing technique with appropriate material selection

and precautions for polishing natural tooth surfaces, restorations.

3. Demonstrate technique, procedures and state rationale and precautions

for professional application of topical fluoride.

4. Demonstrate the correct principles of insertion, adaptation,

angulation, and lateral pressure with each of the area-specific curettes.

5. Utilizing the assessment documents, determine the dental hygiene

periodontal diagnosis and appropriate treatment plan for each patient.

6. 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.

7. 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.

8. Perform nonsurgical periodontal therapy for a patient with

plaque-induced gingivitis and early periodontitis.

9.      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.

10.     Continue to refine the principles of instrument sharpening for

proper sharpening of universal curets and scalers and apply the principles

of sharpening to Gracey curets.

11.     Analyze evaluation outcome and offer recommendations to patients

regarding preventive and therapeutic measures as well as professional

dental hygiene care interval.

12.     Demonstrate professionalism through personal appearance, attitude,

and conduct appropriate for the learning environment, as well as for

rendering patient care.  

Topics and Scope

Topics and Scope

I.      Theory

A.      Coronal Polish

       1.      Stains, intrinsic and extrinsic

       2.      Selective polish

       3.      Abrasives

B.      Area-specific curettes

       1.      design considerations

       2.      advantages and limitations

       3.      scaling, root planning and periodontal debribement

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.      Clinical scenarios

       1.      clinical attachment loss

       2.      width of attached gingiva

       3.      relationship to periodontitis

G.      Phases of dental treatment

       1.      treatment plan

       2.      sequencing dental hygiene treatment

H.      Informed consent

       1.      definition

       2.      relationship to patient care

I.      Elements of nonsurgical periodontal therapy

       1.      definition

       2.      list

J.      Plan for therapy

       1.      plaque-induced gingivitis

       2.      early and moderate periodontitis

II.     Clinical

A.      Coronal Polish

       1.      Technique/equipment

       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.      plaque-induced gingivitis

               b.      early periodontitis

       2.      principles of instrumentation

               a.      mouth mirrors, periodontal probe, explores,

                       universal and area-specific curettes

               b.      detection and removal of supragingival and

                       subgingival

                       calculus, stains and plaque

       3.      apply principles of instrument sharpening

H.      Evaluation outcome

       1.      analysis

       2.      recommendations

       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:

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

       Weekly written homework (4-6 pages per week): Students must write

       about their clinical experiences each session. Students assess the

       factors they believe contributed to the success of the session or

       prevented them from meeting their goals. They will indicate how

       the experience will help them in future clinical sessions.

       Laboratory/Clinical skill demonstrations - competencies

               1. Coronal Polish proficiency

               2. Fluoride Delivery proficiency

               3. Gracey Curette proficiency

               4. Gracey Sharpening proficiency

               5. Medical Emergency proficiency

               6. Comprehensive Clinical Performance proficiency

       Provision of Dental Hygiene Patient Care Services

      (3-6 patient requirements)  

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 assignments
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 40 - 50%
6 clinical skill demos, 3-6 patient care services
Exams: All forms of formal testing, other than skill performance exams.		Exams 40 - 50%
Multiple choice, True/false, Matching items, Completion, Quizzes (10-12), midterm, final examination
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

REQUIRED TEXTBOOKS:

Clinical Practice of the Dental Hygienist: Wilkins, Esther M.,

Lippincott Williams & Wilkins, 9th Ed., 2005.

Dental Hygiene Theory and Practice, Darby and Walsh,

Elsevier Saunders, 2nd Ed. 2003

Fundamentals of Periodontal Instrumentation Nield-Gehrig,

Lippincott Williams & Wilkins, 6th Ed., 2007.

Dental Drug Consult, Mosby, 2007

SUPPLEMENTAL TEXTS:

Taber's Cyclopedia Medical Dictionary,

Davis, 18th Ed., 2006.

Instructor-prepared materials  

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