DENT-1300: PREVENTIVE ORAL HEALTH SERVICES I

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1 DENT-1300: Preventive Oral Health Services I 1 DENT-1300: PREVENTIVE ORAL HEALTH SERVICES I Cuyahoga Community College Viewing:DENT-1300 : Preventive Oral Health Services I Board of Trustees: Academic Term: Subject Code DENT - Dental Hygiene Course Number: 1300 Title: Preventive Oral Health Services I Catalog Description: Introduction to dental hygiene practice including professionalism, infection control, medical history, vital signs, oral inspection, preventive oral health, oral accretions, technique for oral prophylaxis and medical emergencies. Credit Hour(s): 4 Lecture Hour(s): 2 Lab Hour(s): 6 Other Hour(s): 0 Requisites Prerequisite and Corequisite Departmental approval: admission to program. 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. Eastern (216) Voice

2 2 DENT-1300: Preventive Oral Health Services I 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 Identify proper clinical protocol for basic life support and medical emergencies including various states of consciousness, respiratory difficulties, drug-related problems, and cardiovascular and endocrine disorders by written test. 1. Assess methods to prevent medical emergencies in the dental hygiene clinical setting. 2. Appraise the need for and provide basic life support on a potential patient.

3 DENT-1300: Preventive Oral Health Services I 3 Demonstrate the preparation, application, and precautions for various types of topical fluoride to competency. 1. Evaluate the need and appropriate type of fluoride for a patient. 2. Apply the fluoride using the precautions for fluoride safety. Synthesize disease transmission ans aseptic technique by carrying out effective infection control procedures. 1. Identify standard precautions for patients and procedures. 2. Differentiate the transmission, infectious process and clinical management of tuberculosis, hepatitis, herpes and human immunodeficiency virus (HIV). 3. Recognize immunizations necessary for the dental hygienist in clinical practice. 4. Demonstrate the antiseptic hand wash, correct personal protective equipment, and aseptic procedures in the clinical setting. 5. Perform appropriate instrument management and sterilization. Identify the Classification of Occlusion including malpositions of specific teeth for adult and pedodontic patients. 1. Utilize the correct terminology with faculty, peers and dentists when discussing the occlusion of a student partner or patient. 2. Identify Angle's Classification of Occlusion including the corresponding facial profile for cases depicted on slides, pictures, on student partners and clinic patients. 3. Identify all possible malpositions of teeth on slides, pictures, student partners and clinic patients. 4. Identify problems related to occlusion including attrition, cracks/fractures and parafunctional habits. Differentiate between an abnormal and a normal soft tissue landmark in the oral cavity. 1. Utilize correct terminology when discussing the landmarks of the oral cavity including those landmarks found in the following areas: lips/labial mucosa, buccal mucosa, vestibule, hard and soft palate, pharynx, fauces, palatine arches, tongue, floor of mouth and alveolar ridge. 2. Accurately identify on a slide, picture, student partner or patient the normal anatomical landmarks of the oral cavity. Specify the principles of professionalism and ethics in relation to dental hygiene practice. 1. Verbalize an understanding of the principles of the social sciences, professionalism and individual responsibility as they relate to the practice of dental hygiene. 2. Discuss the ethical factors influencing the practice of dental hygiene. Take medical/dental health histories and vital signs on student partner. 1. Determine the pulse rate, respiration rate and blood pressure on a student partner, record and evaluate the vital signs. 2. Describe conditions and procedures disclosed in a medical history that require antibiotic premedication, as well as the appropriate standard regimen. 3. Analyze information obtained from histories regarding choices for dental hygeine treatment and American Society of Anesthesiologists (ASA) determination. Perform and record an intra and extraoral examination on student partner.

4 4 DENT-1300: Preventive Oral Health Services I 1. Perform the four inspection methods as part of the intra and extraoral examination. 2. Follow the routine of a thorough exam as both the text and American Cancer Association specify. 3. Distinguish and document normal and abnormal findings. 4. Demonstrate use of the mouth mirror, probe and explorer as part of the examination procedure. Demonstrate accurate techniques of instrumentation for the mirror, explorers, periodontal probe, curets, and scalers on a student partner. 1. Differentiate between curets and scalers. 2. Demonstrate correct technique for the mirror, explorer, periodontal probe, curets and scalers using the proper grasp, fulcrum, adaptation, angulation, lateral pressure and activation. Present an oral self-care presentation to a patient including biofilm formation, caries process, periodontal disease, tooth brushing, interdental care, dentifrice selection, and chemotherapeutics. Essential Learning Outcome Mapping: Oral Communication: Demonstrate effective verbal and nonverbal communication for an intended audience that is clear, organized, and delivered effectively following the standard conventions of that language. 1. Relate the formation, characteristics, and types of hard and soft accretions (bacterial biofilm and dental calculus) found in the oral cavity. 2. Communicate the progression of periodontal disease and its disease factors in an individualized oral self-care presentation. 3. Choose the correct toothbrush, method to minimize trauma and care for a patient. 4. Select the appropriate interdental cleaning device, dentifrice and chemotherapeutic agent for a patient. Perform selective polishing by following the rationale of when and where to polish as well as the appropriate use of motor-driven equipment as specified in polishing competency checklist. 1. Critique the contraindications for motor driven polishing on all teeth. 2. Differentiate between removable and nonremovable stains on teeth. 3. Remove stains and biofilm using a toothbrush and/or motor-driven equipment. 4. Perform the proper care and cleaning of equipment used in the clinic for polishing. Document medication data, services, assessment, recommendations and planning of client treatment, utilizing criteria specified in the clinic chart. 1. Examine the issues of patient privacy and the legalities in relation to the dental hygiene clinical setting. 2. Transcribe medication brand and generic names, pharmacological category, use, adverse effects and dose for at least 10 medications. 3. Record vital signs correctly on a student partner's chart. 4. Collect data on a student partner utilizing appropriate terminology regarding intra and extraoral exam, gingival description, periodontal probing depths and hard tissue charting. 5. Provide accurate recordings of services, assessment, recommendations, and planning for a student partner. 6. Recognize the thorough documentation of medical emergencies. Methods of Evaluation: 1. Quizzes 2. Exams 3. Written assignments 4. Laboratory exercises

5 DENT-1300: Preventive Oral Health Services I 5 5. Instrument competencies 6. Student partner evaluation 7. Observations 8. Oral self-care video Course Content Outline: 1. Professionalism and ethics a. Everyday ethics b. Dress code 2. Disease transmission a. Standard precautions b. Infectious process c. Tuberculosis d. Hepatitis e. Herpes f. HIV 3. Clinical infection control a. Immunizations b. Antiseptic handwash c. Personal protective equipment d. Aseptic technique i. Client preparation ii. Needle recapping iii. Biohazard containers iv. Exposure incidents e. Instrument management i. Precleaning ii. Ultrasonic processing iii. Packaging f. Sterilization methods i. Steam autoclave ii. Dry heat iii. Chemical vapor iv. Chemical disinfection/sterilization 4. Histories a. Sequence b. Types c. Medical consult d. Premedication conditions e. Antibiotic regimen f. ASA determination 5. Documentation a. Legality b. Privacy c. Medication data d. Hard tissue charting 6. Vital signs a. Temperature b. Pulse c. Respiration d. Blood pressure e. Progress notes i. Services ii. Assessment iii. Recommendations iv. Plan 7. Extraoral and intraoral examination a. Mouth mirror b. Probe

6 6 DENT-1300: Preventive Oral Health Services I c. Explorer d. Mobility e. Fremitus f. Inspection methods i. Digital palpation ii. Bidigital palpation iii. Bimanual palpation iv. Bilateral palpation g. Extraoral exam h. Intraoral exam i. Descriptive terms 8. The teeth and occlusion a. G. V. Black''s classification of caries b. Developmental changes c. Acquired changes in tooth structure d. Angles classification of occlusion 9. Principles of instrumentation a. Parts b. Categories i. Curets ii. Scalers c. Use i. Grasp ii. Fulcrum iii. Adaptation iv. Angulation v. Lateral pressure vi. Activation d. Debridement e. Scope of nonsurgical periodontal therapy f. Ultrasonic debridement 10. Bacterial biofilm and soft deposits a. Acquired pellicle b. Biofilm formation c. Composition d. Distribution e. Detection f. Effects 11. Dental calculus and stains a. Significance b. Formation c. Composition d. Prevention e. Classifications f. Removal 12. Gingiva a. Treatment area i. Clinical crown ii. Clinical root iii. Anatomical crown iv. Anatomical root b. Types of oral mucosa c. Periodontal ligament d. Parts of the gingiva e. Descriptive terminology f. Healthy gingiva g. Gingival disease 13. Periodontal Disease

7 a. Progression of disease b. Periodontal case types c. Classification of furcations d. Disease factors i. Etiological ii. Predisposing iii. Contributing iv. Risk v. Local vi. Systemic 14. Health Promotion a. Principles of learning b. Disclosants c. Xerostomia d. Halitosis e. Caries protocols i. Risk factors for caries ii. Diagnosis and detection iii. Caries risk assessments iv. Protocol for remineralization 15. Toothbrushing a. Type of brush b. Methods c. Toothbrush trauma d. Care 16. Interdental Care a. Types of embrasures b. Flossing procedure c. Supplemental aids 17. Dentifrice & chemotherapeutics a. Ingredients b. Benefits c. American Dental Association (ADA) seal 18. Selective polishing a. Effects b. Contraindications c. Commercial preparations d. Technique e. Air-powder polishing f. Cleaning removable dentures 19. Fluorides a. Metabolism of fluoride b. Tooth development c. Remineralization d. Effects and benefits e. Sources of fluoride i. Water fluoridation ii. Foods iii. Dietary supplements iv. Professional applications v. Self-applied f. Safety 20. Emergency Care a. Prevention b. Basic life support c. Common medical emergencies d. Documentation 21. Oral Cavity and Pharynx Landmarks DENT-1300: Preventive Oral Health Services I 7

8 8 DENT-1300: Preventive Oral Health Services I a. Boundaries i. Oral Vestibule ii. Oral Cavity Proper b. Lips/Labial Mucosa and Surrounding Area i. Vermilion Zone ii. Vermilion Border iii. Wet Line iv. Commissure v. Caliculus Angularis vi. Tubercle vii. Nasiolabial Groove/Sulcus viii. Labiomental Groove ix. Philtrum c. Vestibule and Buccal Mucosa i. Buccal Vestibule ii. Labial Vestibule iii. Vestibular Fornix iv. Labial Frenum v. Diastema vi. Buccal Frenum vii. Linea Alba viii. Parotid Papilla ix. Fordyce Granules d. Hard Palate i. Incisive Papilla ii. Median Palatal Raphe iii. Rugae iv. Torus Palatinus e. Soft Palate and Pharynx i. Vibrating Line ii. Fovea Palatinae iii. Uvula f. Fauces and Palatine Arches i. Fauces ii. Tonsilar Pillars/Arches iii. Palatine Tonsils iv. Retromolar Pad v. Maxillary Tuberosity g. Tongue i. Body ii. Base iii. Median Sulcus iv. Papillae v. Foramen Cecum vi. Lingual Tonsils vii. Lingual Frenum viii. Plica Fimbriata ix. Lingual Varicosities h. Floor of the Mouth and Mandibular Alveolar Ridge i. Mandibular Tori ii. Sublingual Caruncles iii. Plica Sublingualis/Sublingual Folds iv. Retrocuspid Papilla 22. Occlusion a. Terminology b. Curve of Spee and Wilson c. Angles Classificaiton of Occlusion d. Facial Profiles

9 DENT-1300: Preventive Oral Health Services I 9 e. Pedodontic Occlusion f. Leeway Space g. Freeway Space h. Primate Spaces i. Overbite j. Overjet k. Malpositions of Teeth l. Vertical Position of Teeth m. Centric Oclusion and Relation n. Lateral and Protrusive Movements o. Midline Deviation 23. Clinical Considerations Related to Occlusion a. Preventive Clinical Considerations b. Attrition c. Cracks/Fractures d. Parafunctional Habits e. Tooth Migration. Resources Wynn, Meiller, Crossley.Drug Information Handbook for Dentistry.23rd ed. Hudson:Lexi-Comp, Nield-Gehrig, Jill.Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation.8th ed. Philadelphia: Lippincott, Williams Wilkins, Wilkins, Ester M.Clinical Practice of the Dental Hygienist.12th ed. Philadelphia: Lippincott, Williams Wilkins, Langlais, Robert.Color Atlas of Common Oral Diseases.5th ed. Philadelphia: Lippincott, Williams Wilkins, Darby, M.Mosby's Comprehensive Review of Dental Hygiene.8th ed. Philadelphia: Elsevier, Prajer, Renee.Dental Hygiene Notes: Dental Hygienist's Chairside Pocket Guide.2nd ed. F.A. Davis Co, Tri-C Dental Hygiene.Clinic Manual.{ts ' :00:00'}. Resources Other 1. Dental Hygiene Handbook,Cuyahoga Community College. 2. Dental Hygiene Series(DVD) 3. Typodonts. Daniel, S., Harfst, S., Wilder, R., Francis, B. & Mitchell, S. (2007).Mosby s Dental Hygiene Concepts, Cases, and Competencies (2 nd ed.). Philadelphia: Elsevier. Darby, M. & Walsh, M. (2010).Dental Hygiene Theory and Practice(2010, 3 rd Edition) St. Louis: Saunders. Fehrenbach, M. & Weiner, J. (2009).Saunder s Review of Dental Hygiene (2 nd ed.). Philadelphia: Elsevier. Harris, N., Garcia-Godoy, F. & Nathe, C. (2009). Primary Preventive Dentistry(7th ed.). Upper Saddle River,NJ: Prentice Hall. Langlais, R., Miller, C. & Neild-Gehrig, J. (2009). Color Atlas of Common Oral Diseases(4th ed.).philadelphia: Lippincott, Williams & Wilkins. Little, J., Falace, D., Miller, C., & Rhodus, N. (2012). Dental Management of the Medically Compromised Patient(8 th ed.)st. Louis: Mosby. Nield-Gehrig, J. (2007). Patient assessment tutorials: A step-by-step guide for the dental hygienist. Baltimore: LWW. Pickett, F. & Gurenlian, J. (2009). Preventing Medical Emergencies: Use of the medical history. Philadelphia: Lippincott Williams & Wilkins. Stedman s Medical Dictionary for Dental Professionals(2011). Baltimore: LWW. (online subscription available), Thomson, E. (2009).Case Studies in Dental Hygiene (2 nd ed.). Upper Saddle River,NJ: Prentice Hall. Wolf, H. & Hassell, T. (2006). Color Atlas of Dental Hygiene Periodontology. New York: Thieme

10 10 DENT-1300: Preventive Oral Health Services I Web References ( Dental Association: Seal ( American Dental Hygienists Association ( Comprehensive drug database ( Good site for commonly asked questions about medications ( Organization for Safety and Asepsis Procedures ( Infectious disease information (free registration) ( Occupational Safety and Health Administration CCC Library Hand Hygiene ( Advisory Committee on Immunization Practices (ACIP) Top of page Key: 1314