Mount Wachusett Community College Department of Dental Hygiene DHY205: PAIN CONTROL Summer/Fall credits. Lecture and Lab: Mon./Tues./Thurs.

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1 Mount Wachusett Community College Department of Dental Hygiene DHY205: PAIN CONTROL Summer/Fall credits Instructor: Jane Doe mwcc.mass.edu Phone#: (978) or (978) Lecture and Lab: Mon./Tues./Thurs. Pre-requisites: DHY 105, DHY 106, DHY 107, DHY 108 COURSE DESCRIPTION This course provides the student with the fundamentals of pain management used in dentistry. A variety of topical and local anesthetic delivery devices will be discussed and utilized. Neuroanatomy, neurophysiology and pharmacology of local anesthetics, vasoconstrictors and topical anesthetics will be covered. A thorough patient assessment including stress reduction protocol is utilized. Techniques of local anesthesia administration including infiltration, field and nerve blocks will be demonstrated and return demonstrations will be performed until competency is achieved. This includes injections for maxillary, mandibular, palatal and supplemental pain control. The expanded role of the dental hygienist is to include administration of oral anesthetics for pain control necessitates a thorough exposure to the theory and practice of administration within the scope of dental hygiene education. This course will prepare the student to take the Permit L which licenses the student to administer local anesthesia in Massachusetts. Critical thinking skills, whole body patient management, local and systemic complications including emergency response to patient medical emergencies will be an integral part of the course. This course will introduce the student to utilizing pain management options in dentistry and provide basic techniques in choosing and administering anesthetic agents for pain control. COURSE TEXT Malamed, S. (2004). Handbook of Local Anesthesia. 5 th Edition. St. Louis, MO. Mosby Publishing Co. Reference Texts Basset, Kathy B., DiMarco, Arthur C., & Naughton, Doreen, K. (2010). Local Anesthesia for Dental Professionals. Upper Saddle River, NJ Pearson Education, Inc. Darby, M. and Walsh, M. (2010). Dental Hygiene Theory and Practice. (3 rd ed.) St. Louis, MO: Saunders Elsevier. Fehrenback, M. (2007) Illustrated Anatomy of the Head & Neck. 3 rd edition. St. Louis, MO: Saunders Elsevier. MWCC General Education Competencies addressed in this course: 1. Competence in written and oral communication in English. 2. Competence in quantitative reasoning and scientific modes of inquiry. 3. Competence in critical thinking. 4. Competence in information literacy. 5. Competence in understanding self and community.

2 Leveled Program Competencies for Semester III: (*indicates those competencies addressed in this course) The student will: 1. *Communicate effectively and accurately through oral, written and electronic means with guidance in the car of individuals. 2. *Demonstrate the application of theory to practice for complex patients with guidance. 3. *Develop complete plans of care with guidance, which demonstrate understanding of scientific principles, for complex patients. 4. *Implement a comprehensive education plan that promotes health and identifies risk behaviors of individuals and groups in the clinic setting with assistance. 5. *Demonstrate the role of the dental professional within the legal and ethical realm of practice in caring for patients with complex needs. 6. *Pursue opportunities to enhance one s own learning and demonstrate this in the effective care of patients. COURSE OBJECTIVES 1. Discuss the clinical actions of topical and local anesthetics and vasoconstrictors in the body. 2. Review head and neck anatomy for landmarks in local anesthesia administration. 3. Identify the oral landmarks used for local anesthetic administration. 4. Understand the neurophysiology and pharmacology of local anesthetics and vasoconstrictors utilized in pain management. 5. Describe the mode of action for each anesthetic agent and the importance in choice of options. 6. Demonstrate safe handling in the preparation, assembly and disassembly of armamentarium for topical and local anesthetic use. 7. Evaluate patient s medical history for contraindication and patient drug selection for anesthetic agent application. 8. Prevent, recognize and manage local and systemic complications of local anesthesia administration. 9. Use proper infection control and needle stick prevention techniques. 10. Discuss record keeping and legal issues involved with the administration of local anesthesia. 11. Apply knowledge gained in pain control to the clinical care of patients. 12. Safely administer topical and local anesthesia pain control to clinical patients. Teaching Methods: Lecture: Power point, DVD s, CD s, mock Permit L test, anesthetic and epinephrine calculation problems, discussion, question and answer forum. Lab: Demonstrations by faculty and return demonstrations by hygienists in anesthetic techniques in the MWCC dental hygiene clinic. Participants will be patients for each other. Course Requirements: Grades on all weekly tests, examinations, and clinical exams must average a C+ (77) or above. All clinical requirements and expectations must be completed as set forth in portfolio. The students must pass both lecture and lab to pass the course. Student is responsible to make up all missed work and assignments. Attendance Policy: Attendance is expected at all lectures and labs. Absence may adversely affect the class and clinical participation component of the final grade. Individual conversations are very distracting and disrespectful to the instructor and classmates. Please be respectful of this or students talking among themselves will be asked to leave the classroom. Students should notify the secretary prior to class if they are unable to attend. Tardiness of greater than 10 minutes on quiz and exam days will prevent the student from taking the exam or quiz that day.

3 Students are responsible for all class materials and activities regardless of absence. All work and oral presentations are due on date assigned and any missed exam or quiz must be made up prior to the next class meeting. It is the responsibility of the student to make up all missed clinical sessions before the end of the semester. Grading: Tests/Quizzes (approximately 9): 50% Midterm: 25% Final: 25% Clinical Final: Pass/Fail, Re-do fail until student reaches competency Statement on Disabilities: If you have a disability, a medical or emotional issue that might impact on your class performance, please consult with me in the privacy of my office so that the college may provide the required and appropriate accommodations for you. It is most beneficial if the disclosure is made early in the semester. This could include learning disabilities, brain injury, and hearing impairments, etc., just to name a few. Students with documented disabilities who believe that they may need accommodations in this class are encouraged to contact the Counselor for Students with Disabilities, in Room 135, (978) , as soon as possible to ensure that such accommodations are implemented in a timely fashion. In addition to the instructor, the college employs other staff to which you may go to for support. They are: Nancy Kennedy, Director of Counseling, Room 141B Diane King, College Nurse/Health Educator, the Health and Wellness Office, Room 133 Plagiarism: Plagiarism on any assignment will result in a grade of 0. If plagiarism is identified, a conference will be scheduled with the student and the instructor. The student may have one chance to re-write the assignment, based on the discretion of the instructor. Faculty will review written assignments for plagiarism on Blackboard through Safe-Assign. Students may seek help in the writing labs at the Gardner Campus, if needed, with written assignments. Policies and Procedures: This course follows all policies and procedures listed in the MWCC Dental Hygiene Student Handbook

4 DHY 205: PAIN CONTROL SYLLABUS Summer/Fall credits LECTURE/LAB *Syllabus subject to change DATE TOPIC ASSIGNMENT 8/9 Course Introduction & Portfolio Ch. 1, 5, 6, 7, 8, 9 Local Anesthesia in Dentistry Fundamentals of Pain Management Neuroanatomy/Neurophysiology of Pain Control LAB Armamentarium Preparation (inject hot dogs) Syringe, Needle, Cartridge Assembly/Disassembly Anesthetic Calcualtions Sharps Containers and Disposal (watch Malamed DVD) 8/10 Neurophysiology of Pain Control Ch. 1-3, 12 Pharmacology of Local Anesthetics Pharmacology of Vasoconstrictors Anatomic Considerations LAB Review Skull Anatomy Trigeminal Nerve 8/12 Quiz Armamentarium and Skull Anatomy Ch. 5-9, 12 Clinical Action of Specific Agents Ch. 4 Documentation of Anesthetic Basic Injection Technique Ch. 11 LAB Basic Injection Techniques (inject chicken) Positive/Negative Aspiration Documentation of Anesthetic 8/16 TEST Ch. 1-4 Physical & Psychological Evaluation Ch. 10 Topical/Oraqix (DVD) 8/17 Supraperiosteal and ASA Quiz Ch. 13, p Local Complications LAB Supraperiosteal Infiltration Ch. 13 ASA Nerve Block Maxillary CD 8/19 Test 10-12, Quiz IO Local Complications Ch. 17 IO Nerve Block Ch. 13 LAB ASA/IO Nerve Blocks Maxillary CD 8/23 Midterm Examination Ch. 1-13, & 17 Quiz MSA/PSA Nerve Blocks Ch. 13

5 DHY 205: PAIN CONTROL SYLLABUS Summer/Fall credits LECTURE/LAB *Syllabus subject to change DATE TOPIC ASSIGNMENT LAB MSA/PSA Nerve Blocks Maxillary CD 8/24 Quiz la/l, Buccal Ch. 14 Gow-Gates Nerve Block Vazirani-Akinosi Anerve Block Systemic Complications Ch. 18 LAB Inferior Alveolar Nerve Block Lingual Nerve Block Long Buccal Nerve Block 8/26 Systemic Complications Ch. 18 Future Trends in Pain Control Ch. 20 Legal Considerations Ch. 19 Oraverse LAB la/l, B (opposite side) Both Mand CD s 8/30 Test Systemic Complications Ch. 18 Mental/Incisive Nerve Blocks Ch. 14 Emergency Medical Responses Med. Emerg. CD LAB Mental/Incisive Nerve Mand CD 8/31 Quiz Nasopalatine/Greater Palatine Ch. 13 Dentipatch Supplemental Injection Techniques Ch. 15 Dental Specialties Considerations Ch. 16 Massachusetts Permit L LAB Nasopalatine Nerve Block Max CD Greater Palatine Nerve Block Dentipatch 9/2 Open Lab, Dentrix Entries 10:00 12:00 9/13 Final Examination 1:00 3:00pm Clinical Attire for all LABS Consists of Scrubs, Lab Coat, Closed toe white shoes (no sandals permitted for needle safety). Hair up and off shoulders, Safety glasses (loupes are not necessary). No jewelry of any kind can be worn! Please remove all earrings, rings, necklaces, bracelets, piercings, etc. before labs. No nail polish or acrylic nails are allowed. Nails must be trimmed according to Dental Hygiene handbook guidelines