DENT-1400: PREVENTIVE ORAL HEALTH SERVICES II

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1 DENT-1400: Preventive Oral Health Services II 1 DENT-1400: PREVENTIVE ORAL HEALTH SERVICES II Cuyahoga Community College Viewing:DENT-1400 : Preventive Oral Health Services II Board of Trustees: Academic Term: Subject Code DENT - Dental Hygiene Course Number: 1400 Title: Preventive Oral Health Services II Catalog Description: Implementation of preventative oral health. Students provide oral health treatments to clients in the dental hygiene clinic. Topics include the special needs of patients with oral rehabilitation, pain management, geriatric concerns, oral cancer, handicaps, mental disorders, cardiovascular disease and diabetes. Credit Hour(s): 5 Lecture Hour(s): 1 Lab Hour(s): 12 Other Hour(s): 0 Requisites Prerequisite and Corequisite DENT-1300 Preventive Oral Health Services I. I. ACADEMIC CREDIT Academic Credit According to the Ohio Department of Higher Education, one (1) semester hour of college credit will be awarded for each lecture hour. Students will be expected to work on out-of-class assignments on a regular basis which, over the length of the course, would normally average two hours of out-of-class study for each hour of formal class activity. For laboratory hours, one (1) credit shall be awarded for a minimum of three laboratory hours in a standard week for which little or no out-of-class study is required since three hours will be in the lab (i.e. Laboratory 03 hours). Whereas, one (1) credit shall be awarded for a minimum of two laboratory hours in a standard week, if supplemented by out-of-class assignments which would normally average one hour of out-of class study preparing for or following up the laboratory experience (i.e. Laboratory 02 hours). Credit is also awarded for other hours such as directed practice, practicum, cooperative work experience, and field experience. The number of hours required to receive credit is listed under Other Hours on the syllabus. The number of credit hours for lecture, lab and other hours are listed at the beginning of the syllabus. Make sure you can prioritize your time accordingly. Proper planning, prioritization and dedication will enhance your success in this course. The standard expectation for an online course is that you will spend 3 hours per week for each credit hour. II. ACCESSIBILITY STATEMENT If you need any special course adaptations or accommodations because of a documented disability, please notify your instructor within a reasonable length of time, preferably the first week of the term with formal notice of that need (i.e. an official letter from the Student Accessibility Services (SAS) office). Accommodations will not be made retroactively. For specific information pertaining to ADA accommodation, please contact your campus SAS office or visit online athttp:// Blackboard accessibility information is available athttp://access.blackboard.com.

2 2 DENT-1400: Preventive Oral Health Services II Eastern (216) Voice Metropolitan (216) Voice Western (216) Voice Westshore (216) Voice Brunswick (216) Voice Off-Site (216) Voice III. ATTENDANCE TRACKING Regular class attendance is expected. Tri-C is required by law to verify the enrollment of students who participate in federal Title IV student aid programs and/or who receive educational benefits through other funding sources. Eligibility for federal student financial aid is, in part, based on your enrollment status. Students who do not attend classes for the entire term are required to withdraw from the course(s). Additionally, students who withdraw from a course or stop attending class without officially withdrawing may be required to return all or a portion of the financial aid based on the date of last attendance. Students who do not attend the full session are responsible for withdrawing from the course(s). Tri-C is responsible for identifying students who have not attended a course, before financial aid funds can be applied to students accounts. Therefore, attendance will be recorded in the following ways: For in-person courses, students are required to attend the course by the 15th day of the semester, or equivalent for terms shorter than 5-weeks, to be considered attending. Students who have not met all attendance requirements for an in-person course, as described herein, within the first two weeks of the semester, or equivalent, will be considered not attending and will be reported for non-attendance and dropped from the course. For blended-learning courses, students are required to attend the course by the 15th day of the semester, or equivalent for terms shorter than 5-weeks, or submit an assignment, to be considered attending. Students who have not met all attendance requirements for a blended-learning courses, as described herein, within the first two weeks of the semester, or equivalent, will be considered not attending and will be reported for non-attendance and dropped from the course. For online courses, students are required to login in at least two (2) times per week and submit one (1) assignment per week for the first two (2) weeks of the semester, or equivalent to the 15th day of the term. Students who have not met all attendance requirements for an online course, as described herein, within the first two weeks of the semester, or equivalent, will be considered not attending and will be reported for non-attendance and dropped from the course. At the conclusion of the first two weeks of a semester, or equivalent, instructors report any registered students who have Never Attended a course. Those students will be administratively withdrawn from that course. However, after the time period in the previous paragraphs, if a student stops attending a class, wants or needs to withdraw, for any reason, it is the student's responsibility to take action to withdraw from the course. Students must complete and submit the appropriate Tri-C form by the established withdrawal deadline. Tri-C is required to ensure that students receive financial aid only for courses that they attend and complete. Students reported for not attending at least one of their registered courses will have all financial aid funds held until confirmation of attendance in registered courses has been verified. Students who fail to complete at least one course may be required to repay all or a portion of their federal financial aid funds and may be ineligible to receive future federal financial aid awards. Students who withdraw from classes prior to completing more than 60 percent of their enrolled class time may be subject to the required federal refund policy. If illness or emergency should necessitate a brief absence from class, students should confer with instructors upon their return. Students having problems with class work because of a prolonged absence should confer with the instructor or a counselor. IV. CONCEALED CARRY STATEMENT College policy prohibits the possession of weapons on college property by students, faculty and staff, unless specifically approved in advance as a job-related requirement (i.e., Tri-C campus police officers) or, in accordance with Ohio law, secured in a parked vehicle in a designated parking area only by an individual in possession of a valid conceal carry permit. As a Tri-C student, your behavior on campus must comply with the student code of conduct which is available on page 29 within the Tri-C student handbook, available athttp:// must also comply with the College s Zero Tolerance for Violence on College Property available athttp:// documents/ zero-tolerance-for-violence-policy.pdf Outcomes Provide comprehensive dental hygiene treatment to all patients. 1. Complete the Assessment, Diagnosis, Planning, Implementation, Evaluation and Documentation (ADPIED) of client treatment. 2. Apply pit and fissure sealants to two teeth following successful completion of a diagnostic study model in DENT 1410: Current Concepts in Dental Materials, following the guidelines provided in the course. 3. Demonstrate proper instrumentation techniques by successfully passing Instrument Competencies on nine (9) different instruments at 83% competency level for each instrument.

3 DENT-1400: Preventive Oral Health Services II 3 4. Demonstrate the proper technique in the application of both a Fluoride Tray and a Fluoride Varnish competency after performing an oral examination and risk assessments on two separate clients. 5. Complete two debridement requirements on two separate clients who meet the specific criteria outlined in the course syllabus. 6. Complete comprehensive dental hygiene treatment on seven clients. 7. Complete a pharmacology consultation with the supervising dentist on one client taking a minimum of three prescription medications. 8. Demonstrate successful completion of a polish observation competency on one client. 9. Expose the following radiographs on clients after a comprehensive examination and completion of risk assessments on clients in clinic: two bitewing series, two complete mouth series and one panoramic radiograph. 10. Complete a removable prosthesis/appliance competency during a clinic session demonstrating the care and cleaning of removable dental appliances, following the guidelines on the competency form and outlined in the Clinic Manual. 11. Complete the Management of Client Care category and Time Management category of the Daily Performance Evaluation at 75% or greater competency level. 12. Develop individualized oral self-care plans based on the clients' oral assessment. Each student must orally present two; one under direct faculty observation. 13. Complete the Professional Development and Environmental Management category of the Daily Performance Evaluation at 83% or greater competency level. 14. Perform commonly used indices to analyze client data during clinic sessions on clients. 15. Complete a client huddle sheet for each client to be treated including identification of medical concerns, medications and required treatment modifications Complete a topical anesthetic competency following the guidelines outlined in the clinic manual. 17. Complete an ultrasonic competency following the guidelines outlined in the clinic manual once the ultrasonic lecture and practical experience has been completed. 18. Identify appropriate oral physiotherapy aids based on individual oral health care needs of the client. 19. Document client treatment utilizing a Services, Assessment, Recommendations, and Plan (SARP) format. 20. Demonstrate ultrasonic instrumentation for appropriate clients after instruction on technique and uses. 21. Develop a Dental Hygiene Care Plan for each patient treated based on a client's individual needs. 22. Modify client treatment, as needed, during the evaluation phases of treatment and throughout subsequent appointments within the sequence of client treatment. 23. Complete a Calculus Detection and Removal Observation on four teeth under direct observation of faculty. 24. Identify the need for and fabricate one set of diagnostic study models for one client following successful completion of a diagnostic study model in DENT 1410: Current Concepts in Dental Materials. Initiate the emergency medical protocol for all possible emergency situations. 1. Explain the management of medical emergencies that may occur in a dental office. 2. Identify the location, in the Dental Hygiene Clinic, of the emergency medical equipment. 3. Demonstrate correct operation of the oxygen tank according to instructions in the Clinic Manual. Utilize proper infection control and hazard communication practices during all dental hygiene activities. 1. Complete the Professional Development and Environmental Management categories of the Daily Performance Evaluation at 83% or greater competency level. 2. Identify the location of the Safety Manual and be aware of the content found within. Identify specific implementation strategies when treating patients with a variety of preventive and restorative needs and specific appliances present in the oral cavity. 1. Describe the specific methods of instrumentation and maintenance when providing dental hygiene treatment to patients with dental implants. 2. Describe the specific methods of instrumentation and maintenance when providing dental hygiene treatment to patients with fixed and removable appliances and edentulous patient wearing removable appliances. 3. Describe the specific methods of instrumentation and maintenance when providing dental hygiene treatment to patients with orthodontic appliances. 4. Identify the actions and methods of desensitization of hypersensitive teeth. 5. Discuss the advantages, disadvantages, indications and contraindications of topical pain control. 6. Demonstrate proper use of various types of topical anesthesia according to competency guidelines.

4 4 DENT-1400: Preventive Oral Health Services II Describe the specific approach and necessary modifications to treatment when providing care to patients with special needs. Essential Learning Outcome Mapping: Cultural Sensitivity: Demonstrate sensitivity to the beliefs, views, values, and practices of cultures within and beyond the United States. 1. Identify appropriate treatment strategies to meet the needs of pregnant patients, infants and pediatric patients 2. Describe treatment considerations for older adult patients. 3. Explain appropriate treatment strategies to utilize when providing care to patients with physical, sensory and mental health disorders. 4. Describe specific aspects of client care and treatment strategies necessary to utilize when providing care to patients with substance-abuse related disorders, family abuse and neglect, behavioral disorders and tobacco use. 5. Implement tobacco cessation knowledge into client care. 6. Demonstrate an understanding of the diversity of populations and apply the concepts to client care. Explain treatment strategies and modifications to treatment necessary when treating patients that are medically compromised Describe a dental hygiene treatment plan for clients with cardiovascular disease Explain the effects of diabetes mellitus including classification of types, action of insulin, treatment and dental hygiene care Explain the effects of respiratory disease on dental hygiene treatment and the modifications required Explain the health history information, and specific modifications required when treating clients with various types of cancer. 5. Explain the health history information, and specific modifications required when treating clients with cardiovascular disease and blood disorders. Develop a Table Clinic topic and topical outline with a group of classmates. 1. Research dental and medical topics relevant to the provision of dental hygiene services. 2. Develop a topical outline based upon research findings. Methods of Evaluation: 1. Exams 2. Written Assignments 3. Table clinic topic and outline 4. Special Needs assignment 5. Clinical evaluation Course Content Outline: 1. Comprehensive, preventive oral health care a. Clinical requirements i. Oral self-care ii. Calculus detection and removal iii. Diagnostic study models iv. Pit and fissure sealants v. Radiographs 1. Exposure of bitewing, complete mouth series (CMX), panoramic 2. Consult 3. Interpretation vi. Pharmacology Consult vii. Fluoride Tray Competency viii. Fluoride Varnish Competency ix. Polish Observation Competency x. Instrument Competencies

5 xi. Removable Prosthesis Competency xii. Diagnostic Study Model xiii. Scale Competency xiv. Debridement Requirements xv. Analysis Cluster xvi. Topical Anesthetic Competency xvii. Ultrasonic Competency b. Assessment, diagnosis, planning, implementation, evaluation, documentation (ADPIED) c. Ultrasonic instrumentation d. Daily Performance Evaluation e. Dental Hygiene Care Plan 2. Time Managment a. Give Kids a Smile Experience b. Time management evaluation 3. Emergency medicine a. Medical emergency quiz b. Emergency medicine in the dental office DVD c. Huddle expectations 4. Infection Control and Hazard Communication a. Occupational Safety & Health Administration (OSHA) Interpretation Session b. Center for Disease Control (CDC) Interpretation Session c. Hazardous Chemicals DVD 5. Dental Conditions and Applications for Clinical Treatment a. Fixed appliances i. Orthodontic 1. Bands 2. Brackets 3. Care and maintenance 4. Retainers 5. Instrumentation principles ii. Fixed bridge 1. Pontic 2. Abutment 3. Care and maintenance 4. Instrumentation principles iii. Removable appliances 1. Partial dentures 2. Complete dentures 3. Overdentures 4. Care and maintenance iv. Tooth hypersensitivity 1. Pain stimuli 2. Characteristics 3. Etiology 4. Contributing factors 5. Methods of desensitization a. Fluoride b. Metallic salts c. Sodium calcium phosphosilicate 6. Pain Control a. Pain sources i. Tooth 1. Dentin 2. Dental caries 3. Tooth fractures ii. Temporomandibular joint iii. Muscles iv. Gingival tissues 7. Methods to control pain DENT-1400: Preventive Oral Health Services II 5

6 6 DENT-1400: Preventive Oral Health Services II a. Topical anesthetics i. Benzocaine ii. Tetracaine hydrochloride iii. Prilocaine, lidocaine b. Local anesthetics 6. Care of Special Needs Patients a. Pregnancy i. Factors that can harm fetus ii. Oral findings iii. Modifications to treatment iv. Emergency situations v. Diet b. Infants and Pediatric Patients i. First dental visit ii. Anticipatory guidance iii. Oral health considerations iv. Tooth eruption schedule v. Non-nutritive sucking vi. Diet and feeding patterns vii. Early childhood caries viii. Toothpaste recommendations ix. Fluoride use c. Older Adult Patients i. Systemic Changes 1. Cardiovascular 2. Musculoskeletal 3. Endocrine 4. Immune 5. Gastrointestinal ii. Diseases and conditions 1. Osteoporosis 2. Alzheimer''s disease 3. Effect of medications 4. Oral findings d. Disabilities i. Oral manifestations ii. Dental care and dental hygiene care iii. Appointment scheduling iv. Barrier-free environment v. Wheelchair transfer vi. Additional assists vii. Client positioning and stabilization viii. Specialized physiotherapy aids e. Sensory Disabilities i. Visual impairment ii. Hearing impairment f. Physical Disabilities i. Spinal cord dysfunction and injuries ii. Cerebrovascular accident iii. Muscular dystrophies iv. Myasthenia Gravis v. Multiple Sclerosis vi. Cerebral Palsy vii. Bell''s Palsy viii. Parkinson''s disease ix. Arthritis 1. Osteoarthritis 2. Juvenile

7 3. Degenerative 4. Rheumatoid x. Scleroderma xi. Kidney disease xii. Amyotrophic Lateral Sclerosis (ALS) g. Mental Health Issues i. Schizophrenia ii. Bipolar disease iii. Major depressive disorder iv. Post-partum mood disturbances v. Anxiety disorders 1. Panic disorder 2. Agoraphobia 3. Phobic disorder 4. Obsessive-compulsive disorder 5. Post-traumatic stress disorder 6. Generalized anxiety disorder vi. Eating disorders 1. Anorexia nervosa 2. Bulimia nervosa vii. Somatoform disorders h. Substance Abuse i. Alcoholism 1. Fetal alcohol syndrome ii. Prescription and street drugs 1. Central Nervous System Depressants 2. Stimulants 3. Barbiturates 4. Benzodiazepines 5. Cocaine 6. Amphetamines 7. Methamphetamines 8. Heroin 9. Tobacco iii. Family Abuse and Neglect 1. Physical violence 2. Emotional abuse 3. Sexual abuse 4. Financial exploitation 5. Signs of abuse 6. Elder maltreatment 7. Partner abuse 8. Child abuse 9. Oral manifestations iv. Diversity 1. Cultural 2. Cross-cultural 3. Race 4. Ethnicity 5. Communication 6. Physical Contact v. Developmental and Behavioral Disorders 1. Autism Spectrum Disorder 2. Down Syndrome 3. Intellectual disabilities 7. Care of Medically Compromised Patients DENT-1400: Preventive Oral Health Services II 7

8 8 DENT-1400: Preventive Oral Health Services II a. Diabetes i. Type I ii. Type II iii. Complications iv. Treatment v. Oral relationships vi. Oral manifestations vii. Dental hygiene care viii. Blood glucose testing ix. Glycosylated Hemoglobin Assay (HbA1C) x. Emergencies 1. Diabetic Coma 2. Insulin Shock b. Respiratory Disease i. Oral-systemic Link ii. Assessment iii. Conditions 1. Pneumonia 2. Tuberculosis 3. Asthma 4. Chronic Obstructive Pulmonary Disease a. Chronic Bronchitis b. Emphysema 5. Cystic Fibrosis 6. Emergencies a. Aspirated object b. Partially or completely obstructed airway c. Cancer i. Oral cancer 1. Risk Factors a. Chronic alcoholism b. Tobacco use c. Long term sun exposure d. Human papilloma virus (HPV) 2. Cancer of all body systems a. Treatment i. Surgery ii. Chemotherapy iii. Radiation therapy b. Oral and systemic effects of cancer treatment c. Dental hygiene treatment modifications d. Cardiovascular Disease i. Congenital heart diseases 1. Ventricular septal defect 2. Patent ductus arteriosus 3. Rheumatic heart disease 4. Rheumatic fever ii. Mitral valve prolapse iii. Infective endocarditis 1. Premedication guidelines 2. Hypertension 3. Ischemic heart disease 4. Angina 5. Congestive heart failure 6. Myocardial infarction 7. Cardiovascular surgical treatment a. Percutaneous transluminal coronary angioplasty b. Coronary stent

9 DENT-1400: Preventive Oral Health Services II 9 c. Coronary bypass d. Cardiac pacemakers 8. Medications 9. Oral-systemic link 8. Table Clinic Presentations a. Topic selection b. Research outline Resources Nield-Gehrig, Jill. (2017)Fundamentals of Periodontal Instrumentation,Baltimore: Lippincott, Williams and Wilkins. Wilkins, Esther. (2017)Clinical Practice of the Dental Hygienist,Baltimore: Lippincott, Williams and Wilkins. Little, James, Falace, Donald, Miller, Craig and Rhodus, Nelson. (2012)Dental Management of the Medically Compromised Patient,Mosby. Darby, M. and Walsh, M. (2015)Dental Hygiene Theory and Practice,St. Louis: Saunders Company. Langlais, R., Miller, C. Neild-Gehrig, J.Color Atlas of Common Oral Diseases.5th. Philadelphia, Lippincott, Williams Wilkins, Crossley, H. (2016)Drug Information Handbook for Dentistry,Hudson, Lexi-Comp. Darby, M. (2017)Mosby's Comprehensive Review of Dental Hygiene,Philadelphia, Elsevier. Pickett, F., Gurenlian, J. (2010)Medical Emergencies: Use of the medical history,philadelphia, Lippincott, Williams, Wilkins. Resources Other 1. Cuyahoga Community College Dental Hygiene Clinic Manual- Current version. Top of page Key: 1321