DEH 121 DENTAL ANATOMY
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1 DEH 121 DENTAL ANATOMY PRESENTED AND APPROVED: JANUARY 10, 2013 EFFECTIVE: SPRING
2 Prefix & Number DEH 121 Course Title: Dental Anatomy Purpose of this submission: New Change/Updated Retire If this is a change, what is being changed? Update Prefix Course Description (Check all that apply) Title Course Number Format Change Credits Prerequisite Competencies Textbook Does this course require additional fees? No Yes If so, please explain. Is there a similar course in the course bank? No Yes (Please identify) DEH 121 Articulation: Is this course or an equivalent offered at other two and four-year universities in Arizona? No Yes (Identify the college, subject, prefix, number and title: Is this course identified as a Writing Across the Curriculum course? No Yes Course Assessments Description of Possible Course Assessments (Essays, multiple choice, etc.) Exams standardized for this course? Midterm Final Other (Please specify): Where can faculty members locate or access the required standardized exams for this course? Quizzes: short answer, multiple choice Exams: multiple choice, fill-in, matching, short answer, case studies, portfolios, dental drawings, wax carvings, literature critiques, presentation documents and research report Are exams required by the department? No Yes If Yes, please specify: Student Outcomes: Identify the general education goals for student learning that is a component of this course. Check all that apply: 1. Communicate effectively. a. Read and comprehend at a college level. b. Write effectively in a college setting. 2. Demonstrate effective quantitative reasoning and problem solving skills. Method of Assessment Students must be able to effectively read their text and other literature and communicate with classmates, instructors and patients based on knowledge gained. Students are required to prepare a literature critique and a research paper for their portfolio project. APA formatting and appropriate scientific writing style is assessed based on common programmatic rubrics. Students are required to prepare a literature critique and research paper, using quantitative data presented to effectively interpret results and apply to the practice of dental hygiene. 3. Demonstrate effective qualitative reasoning skills. Students are required to evaluate the logic, reasoning and relevance of their research in
3 4. Apply effective methods of inquiry. a. Generate research paper by gathering information from varied sources, analyzing data and organizing information into a coherent structure. b. Employ the scientific method. 5. Demonstrate sensitivity to diversity a. Experience the creative products of humanity. b. Describe alternate historical, cultural, global perspectives. their research papers, literature critiques and to apply what they have learned to the clinical environment. Students are required to prepare a research paper using APA formatting and appropriate scientific writing style; assessment is based on common programmatic rubrics. Students demonstrate their creativity in their interactions with a diverse peer and patient population. Historical, cultural and global perspectives play a vital role in patient assessments and care planning. Evidence of these experiences and perspectives is demonstrated in quizzes, tests, literature critiques and research papers. Office of Instruction Use only: CIP Code: ONET Code: Minimum Qualifications:
4 COURSE INFORMATION Initiator: Kathleen R. Baleno Date of proposal to Curriculum Committee: 01/10/13 Effective Semester/Year Fall 2013 Spring Summer Prefix & Number: DEH 121 Full Title: (100 character limit) Dental Anatomy Short Title: (30 character limit) Dental Anatomy Catalog Course Description: Introduction to principles of dental anatomy, oral embryology, and histology, functional characteristics of human deciduous, mixed, and permanent dentitions; and related oral structure. Accomplished by participation in classroom activities, and laboratory assignments. SUN Course Number: Credit Hours: 3 Lecture Hours: 2 Lab Hours: 2 Prerequisite(s) Admission to Dental Hygiene Program Co-requisite(s) DEH 121L Intended Course Goals By the end of the semester, students will be able to: Identify normal oral landmarks and utilize such knowledge in making clinical oral examinations. C.1, C.2, C.3, C.4, C.7, C.8, C.9, HP.3, HP.4, HP.5, HP.6, PC.1,PC.2, PC.3, PC Identify tooth form of both deciduous and permanent dentition including crown and root surfaces and their landmarks. 3. Compare and contrast the morphology and importance of the deciduous and permanent dentitions. 4. Compare and contrast form and function of teeth in relationship to the important physiologic factors of alignment, contact, and occlusion. 5. Recognize the histological variations of the tissues of human dentition. 6. Apply knowledge of dental terminology to and demonstrate an accurate understanding of tooth morphology by means of wax fabrication and scale drawings of the human primary and permanent dentitions. 7. Utilize knowledge of fetal development in discussing patient education pertinent to a woman in the first, second and third trimesters of pregnancy. C.1, C.2, C.3, C.4, C.7, C.8, C.9, HP.3, HP.4, HP.5, HP.6, PC.1,PC.2, PC.3, PC.4
5 Program Competencies and Objectives By the end of the semester, students will be able to: Program Competencies Forward This document describes the abilities expected of a dental hygienist entering the profession. The competency statements were originally drafted by The American Association of Dental Schools (now named ADEA), Section of Dental Hygiene Education Competency Development Committee, and presented in MCC has adapted the updated competencies approved in 2010 and implemented in 2011 to encompass the competencies we feel our graduates should possess. As an integral member of the healthcare team, a major role of the hygienist is to assist patients to achieve and maintain optimal oral health. We feel the competencies listed below describe the desired combination of knowledge, psychomotor skills, communication skills, and attitudes, as well as the standards used to measure the hygienist s independent performance. Competency 1 Core Competencies(C) The dental hygienist must possess the ethics, values, skills, and knowledge integral to all aspects of the profession. These competencies are foundational to all of the roles of the dental hygienist. OBJECTIVES: C.1 Apply a professional code of ethics in all endeavors. C.2 Adhere to state and federal laws, recommendations, and regulations in the provision of oral health care. C.3 Use critical thinking skills and comprehensive problem-solving to identify oral health care strategies that promote patient health and wellness. C.4 Use evidence-based decision making to evaluate emerging technology and treatment modalities to integrate into patient dental hygiene care plans to achieve high-quality, cost-effective care. C.5 Assume responsibility for professional actions and care based on accepted scientific theories, research, and the accepted standard of care. C.6 Continuously perform self-assessment for lifelong learning and professional growth. C.7 Integrate accepted scientific theories and research into educational, preventive, and therapeutic oral health services. C.8 Promote the values of the dental hygiene profession through service-based activities, positive community affiliations, and active involvement in local organizations. C.9 Apply quality assurance mechanisms to ensure continuous commitment to accepted standards of care. C.10 Communicate effectively with diverse individuals and groups, serving all persons without discrimination by acknowledging and appreciating diversity. C.11 Record accurate, consistent, and complete documentation of oral health services provided. C.12 Initiate a collaborative approach with all patients when develop individualized care plans that are specialized, comprehensive, culturally sensitive, and acceptable to all parties involved in care planning. C.13 Initiate consultations and collaborations with all relevant health care providers to facilitate optimal treatments. C. 14 Manage medical emergencies by using professional judgment, providing life support, and utilizing
6 required CPR and any specialized training or knowledge. Competency 2 Health Promotion and Disease Prevention (HP) Since Health Promotion and Disease Prevention is a key component of health care, changes within the healthcare environment require the dental hygienist to have a general knowledge of wellness, health determinants, and characteristics of various patient communities. The hygienist needs to emphasize both prevention of disease as well as effective health care delivery. OBJECTIVES: HP.1 HP.2 HP.3 HP.4 HP.5 HP.6 Promote the values of overall health and wellness to the public and organizations within and outside the profession. Respect the goals, values, beliefs, and preferences of all patients Refer patients who may have physiological, psychological, or social problems for comprehensive patient evaluation. Identify individual and population risk factors and develop strategies that promote health-related quality of life. Evaluate factors that can be used to promote patient adherence to disease prevention or health maintenance strategies. Utilize methods to ensure the health and safety of the patient and the oral health professional in the delivery of care. Competency 3 Community Involvement (CM) The dental hygienist must appreciate his/her role as a health professional at the local, state, and national levels. This role requires the graduate dental hygienist to assess, plan, and implement programs and activities to benefit the general population. In this complex role, the dental hygienist must be prepared to influence others to facilitate access to care and services. OBJECTIVES: CM.1 Assess the oral health needs of the community to determine action plans and availability of resources to meet the health care needs. CM.2 Provide screening, referral, and educational services that allow patients to access the resources of the health care system. CM.3 Provide community oral health services in a variety of settings. CM.4 Facilitate patient access to oral health services by influencing individuals or organizations for the provision of oral health care. CM.5 Evaluate reimbursement mechanisms and their impact on the patient s access to oral health care. CM.6 Evaluate the outcomes of community-based programs and plan for future activities. CM.7 Advocate for effective oral health care for underserved populations. Competency 4 Patient Care (PC) Because the dental hygienists role in patient care is ever changing, yet central to the maintenance of health, dental hygiene graduates must use their skills to assess, diagnose, plan, implement, and evaluate treatment OBJECTIVES:
7 Assessment PC.1 PC.2 PC.3 PC.4 Systematically collect, analyze, and record data on the general, oral, and psychosocial health status of a variety of patients using methods consistent with medicolegal principles. Recognize predisposing and etiologic risk factors that require intervention to prevent disease. Recognize the relationships among systemic disease, medications, and oral health that impact overall patient care and treatment outcomes. Identify patients at risk for a medical emergency, and manage the patient care in a manner that prevents an emergency. Dental Hygiene Diagnosis PC.5 Use patient assessment data, diagnostic technologies, and critical decision making skills to determine a dental hygiene diagnosis, a component of the dental diagnosis, to reach conclusions about the patient s dental hygiene care needs. Planning PC.6 PC.7 PC.8 PC.9 Utilize reflective judgment in developing a comprehensive patient dental hygiene care plan. Collaborate with the patient and other health professionals as indicated to formulate a comprehensive dental hygiene care plan that is patient-centered and based on the best scientific evidence and professional judgment. Make referrals to professional colleagues and other health care professionals as indicated in the patient care plan. Obtain the patient s informed consent based on a thorough case presentation. Implementation PC.10 Provide specialized treatment that includes educational, preventive and therapeutic services designed to achieve and maintain oral health. Partner with the patient in achieving oral health goals. Evaluation PC.11 Evaluate the effectiveness of the provided services, and modify care plans as needed. PC.12 Determine the outcomes of dental hygiene interventions using indices, instruments, examination techniques, and patient self-reports as specified in patient goals. PC.13 Compare actual outcomes to expected outcomes, reevaluating goals, diagnoses, and services when expected outcomes are not achieved. Competency 5 Professional Growth and Development (PGD) Dental hygienists must be aware of a variety of opportunities for professional growth and development. Some opportunities may increase patient access to dental hygiene; others may offer ways to influence the profession and the changing healthcare environment. A dental hygienist must possess transferable skills, e.g., in communication, problem-solving, and critical thinking, to take advantage of these opportunities. OBJECTIVES: PGD.1 Pursue career options within health care, industry, education, research, and other roles as they evolve for the dental hygienist. PGD.2 Develop practice management and marketing strategies to be used in the delivery of oral health care. PGD.3 Access professional and social networks to pursue professional goals.
8 Course Competencies and Objectives By the end of the semester, students will be able to: Competency 1: Regions of the Face, Neck, Oral Cavity and Pharynx C.1, C.2, C.3, C.4, C.7, C.8, C.9, HP.3, HP.4, HP.5, HP.6, PC.1, PC.2, PC.3, PC.4 Objective 1.1 Define and pronounce key terms. Objective 1.2. Locate and identify the regions and associated surface landmarks of the face, neck and oral cavity on a diagram and on a patient. Objective 1.3. Describe the divisions of the pharynx. Objective 1.4. Integrate the knowledge of surface anatomy of the face and neck, the oral cavity and the pharynx into the clinical practice of patient examination and the understanding of the developmental aspects of these regions. Activities/ Assignments: Chapters 1 and 2 of text; powerpoint; class discussion Laboratory Activities: lab intro.; carvings/drawings assignments; wkbk. pgs. 3-6 and Competency 2: Prenatal Development; Development of the Face and Neck C.1, C.2, C.3, C.4, C.7, C.8, C.9, HP.3, HP.4, HP.5, HP.6, PC.1, PC.2, PC.3, PC.4 Objective 2.1. Define and pronounce key terms. Objective 2.2. Discuss the periods of prenatal development and the events that occur during the developmentof the face and neck. Objective 2.3. Integrate a background on prenatal development into the development of the face, neck, and oral structures and developmental disturbances related to these structures. Activities/ Assignments: Chapters 3 and 4 of text; powerpoint, class discussion Laboratory Activities: Embryology timeline project; wkbk. pgs and Competency 3: Development of Orofacial Structures; Tooth Development and Eruption C.1, C.2, C.3, C.4, C.7, C.8, C.9, HP. 1, HP. 2, HP.3, HP.4, HP.5, HP.6, PC.1, PC.2, PC.3, PC.4, Objective 3.1. Define and pronounce key terms. Objective 3.2. Discuss the events that occur during the development of the orofacial structures, the teeth and associated structures during tooth eruption. Objective 3.3. Integrate the knowledge of the development of the orofacial structures and teeth into understanding the present structure of the tissues and any developmental disturbances involved in these structures. Activities/ Assignments: Chapters 5 and 6 of text; powerpoint, class discussion Laboratory Activities: structure ID exercises, wkbk. pgs and Competency 4: Overview of the Cell; Basic Tissues Objective 4.1. Define and pronounce key terms. Objective 4.2. Discuss the components of the cell, the cell membrane, cytoplasm, organelles, and inclusions. Objective 4.3. Describe cell division and the phases of mitosis that are involved. Objective 4.4. Describe the extracellular materials surrounding the cell and its intercellular junctions. Objective 4.5. Integrate the knowledge of a background of the cell into the histology of the orofacial tissues and the pathology that may occur within them. Objective 4.6. List and describe each of the basic histological types of tissues. Objective 4.7. Integrate the knowledge of the basic histology into the specific histology of the orofacial region and the related pathology that may occur. Activities/ Assignments: Chapters 7 and 8 of text; powerpoint; class discussion Laboratory Activities: wkbk. pgs and Competency 5: Oral Mucosa
9 Objective 5.1. Define and pronounce key terms. Objective 5.2. List and describe the types of oral mucosa. Objective 5.3. Characterize each of the different types of epithelium associated with each type of oral mucosa. Objective 5.4. Describe the lamina propria of the oral mucosa. Objective 5.5. List and describe the clinical correlations associated with the regional differences in the oral mucosa. Objective 5.6. Discuss the turnover times for different tissues in the oral cavity and their clinical correlations. Integrate the knowledge of the histology with the related pathology that may occur within oral mucosa. Activities/ Assignments: Chapter 9 of text; powerpoint; class discussion Laboratory Activities: carvings/drawings; wkbk. pgs and Competency 6: Gingival and Dentogingival Junctional Tissues Objective 6.1. Define and pronounce key terms. Objective 6.2. List and describe each of the types of gingival tissues. Objective 6.3. Describe the histological features of the different types of gingival tissues. Objective 6.4. Describe the composition and development of the dentogingival junctional tissues. Objective 6.5. Discuss turnover of the dentogingival junction tissues. Objective 6.6. Integrate the knowledge of the histology of the gingival and dentogingival junctional tissues withthe related pathology that may occur. Activities/ Assignments: Chapter 10 of text; powerpoint; class discussion Laboratory Activities: carvings/drawings; wkbk. pgs and Competency 7: Head and Neck Structures C.1, C.2, C.3, C.4, C.7, C.8, C.9, HP.3, HP.4, HP.5, HP.6, PC.1, PC.2, PC.3, PC.4, Objective 7.1. Define and pronounce key terms. Objective 7.2. Describe the location of each head and neck structure. Objective 7.3. Discuss the histological features and embryological development of each head and neck structure. Objective 7.4. Integrate the knowledge of the histology of head and neck structures with the related pathology that may occur. Activities/ Assignments: Chapter 11 of text; powerpoint; class discussion Laboratory Activities: carvings/drawings; wkbk. pgs Competency 8: Enamel, Dentin and Pulp Objective 8.1. Define and pronounce key terms. Objective 8.2. Describe the properties of enamel, dentin and pulp. Objective 8.3. Discuss the dentin-pulp complex. Objective 8.4. Discuss the apposition and maturation of enamel and dentin. Objective 8.5. Demonstrate and discuss the microscopic features of enamel. Objective 8.6. Outline the types of dentin. Objective 8.7. Integrate the knowledge of the histology with the clinical considerations involved with enamel. Objective 8.8. Label the anatomical components of pulp. Objective 8.9. Indicate and discuss the microscopic features of dentin and pulp. Objective Describe the age-related changes in pulp and dentin. Objective Integrate the knowledge of the histology with the clinical considerations involved in dentin and pulp. Activities/ Assignments: Chapters 12 and 13 of text; powerpoint; class discussion Laboratory Activities: carvings/drawings; wkbk. pgs and 78-81
10 Competency 9: Periodontium: Cementum, Alveolar Bone, Periodontal Ligament Objective 9.1. Define and pronounce key terms. Objective Discuss the periodontium, and describe the properties of each of its tissues. Objective Discuss the development of the periodontium. Objective Outline the types of cementum and alveolar bone. Objective Label the fiber groups of the periodontal ligament and discuss their functions. Objective Demonstrate and discuss the microscopic features of the periodontium. Objective Describe the age-related changes in the periodontium. Objective Integrate the knowledge of the histology with the clinical considerations involving the periodontium, especially those changes associated with periodontal pathology. Activities/ Assignments: Chapter 14 of text Laboratory Activities: carvings/drawings; wkbk. pgs and Competency 10: Overview of the Dentitions; Permanent Teeth Objective Define and pronounce key terms. Objective Describe the two dentitions of humans and their relationship to each other. Objective Define each dentition period and discuss the important clinical considerations for each. Objective Assign the correct universal designation for a tooth and the correct dentition period when examining a model or patient. Objective Integrate the knowledge of the dentitions into the dental treatment of patients. Objective Use the correct names and universal designation numbers of each permanent tooth when examining a diagram or patient. Objective Demonstrate the correct location of each permanent tooth on a diagram and a patient. Objective Describe the general and specific features of permanent teeth and each tooth type. Objective Discuss the important clinical considerations and developmental disturbances based on the anatomy of the permanent teeth. Objective Integrate the knowledge of dental anatomy of the permanent teeth into the dental treatment of patients. Activities/ Assignments: Chapters 15, 16 and 17 of text; powerpoint; class discussion; Project presentations Laboratory Activities: carvings/drawings; wkbk. pgs and Competency 11 Primary Teeth Objective Define and pronounce key terms when discussing the primary teeth. Objective Use the correct name and universal designation letter for each primary tooth when examining a diagram and a patient. Objective Demonstrate the correct location of each primary tooth on a diagram and a patient. Objective Describe the general features of primary teeth and of each primary tooth type. Objective Describe the specific features of each primary tooth. Objective Discuss the important clinical considerations and developmental disturbances based on the anatomy of the primary teeth. Objective Integrate the knowledge of dental anatomy of the primary teeth into the dental treatment of patients. Activities/ Assignments: Chapter 18 of text; powerpoint; class discussion; Project Presentations Laboratory Activities: carvings/drawings; wkbk. pgs Competency 12: Temporomandibular Joint; Occlusion Objective Define and pronounce key terms.
11 Objective Locate and identify the specific anatomical landmarks of the temporomandibular joint on a diagram, a skull and a patient. Objective Describe the histology of each component of the temporomandibular joint. Objective Describe the movements of the temporomandibular joint. Objective Discuss the disorders of the temporomandibular joint. Objective Integrate the knowledge of the anatomy and histology of the temporomandibular joint into the dental treatment of the patient. Objective Describe centric occlusion and its relationship to movement of the mandible. Objective Describe Angle s classification of malocclusion. Objective Discuss parafunctional habits, myofunctional and skeletal considerations, and occlusal trauma and their relationship to occlusion. Objective Integrate the knowledge of occlusion into the dental treatment of a patient. Activities/ Assignments: Chapters 19 and 20 of text; powerpoint; class discussion; Project Presentations Laboratory Activities: carvings/drawings; wkbk. pgs Current Course Textbook, Materials and Equipment Current Textbook(s) Current edition Title Illustrated Dental Embryology, Histology, and Anatomy, 3rd ed. Author(s) Bath-Balogh, Mary; Fehrenbach, Margaret J. Publisher Elsevier ISBN# Software/ Equipment Title Illustrated Dental Embryology, Histology, and Anatomy, 3rd ed., Student Workbook Author(s) Bath-Balogh, Mary; Fehrenbach, Margaret J. Publisher Elsevier ISBN# Microsoft Word and Powerpoint, Internet access, Angel access, Buffalo knife, carving instruments, carving wax, models, colored pencils, graph paper, ruler PROPOSED New Course Textbook, Materials and Equipment Effective Semester/Year Fall Spring Summer Textbook(s) Current edition Software/ Equipment Title Author(s) Publisher ISBN # Title Author(s) Publisher ISBN #
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