DES 1010 Head and Neck Anatomy

DES 1010 Head and Neck Anatomy (5627) PROFESSOR INFORMATION Jeffrey R. Smith, DMD Dr.Jeff.Smith@fscj.edu (904) 766-6655 Office Hours and Location Days Monday Tuesday Wednesday Thursday Friday Hours Other times by appointment Office Location: North Campus, A314F Course Description This course is a study of the skeletal, muscular, circulatory, lymphatic and nervous systems of the head and neck. Emphasis is placed on the relevance to dental hygiene practice. Prerequisites: Corequisites: Degrees Offered: Admission into the Dental Hygiene Program None A.S. Course Information Course Number / Title: Reference Number: Number of Credit Hours: Term / Year / Session / Length: DES 1010 Head and Neck Anatomy 5627 1.00 Fall/2017/A/15 Class Begins 08/28/2017 100% Refund Deadline 09/05/2017 7:00 PM (ET) Withdraw with "W" Deadline 11/02/2017 7:00 PM (ET) Class Ends 12/14/2017 College Holiday(s) 09/04/2017, 11/10/2017, 11/23/17-11/26/17 Technical Maintenance September 16-17, October 14-15, November 10-12

These dates are critical for this course. Additional critical dates for this course can be found by clicking the appropriate term links in the online calendar (http://bit.ly/2uug5xu) at the Florida State College at Jacksonville Website. COURSE LOCATION Location NORTH CAMPUS Room A0316 Times 08:00 AM - 09:00 AM Days Tuesday Session Dates 08/28/2017-12/14/2017 INSTRUCTIONAL MATERIALS AND EQUIPMENT If you have not done so already, obtain your textbook and related course materials. Visit your nearest campus bookstore or order online via the student portal, Connections, or the Follett Online Bookstore. Be sure to order using your course and instructor s name and the six-digit course reference number. Please note that some courses, particularly math and science, may require a text plus additional software or a publisher Web access code. If purchasing a used text, be sure to check on and obtain all required materials. Students must have an Apple ipad (2 nd generation or newer) or ipad mini to access course materials. REQUIRED TEXT/MATERIALS Illustrated Anatomy of the Head & Neck, Fehrenbach & Herring, 4 th edition, Saunders/Elsevier w/ online access Head and Neck Anatomy Lab Manual ibook no charge; will be distributed via Dropbox link ACCESSIBILITY Florida State College at Jacksonville recognizes the importance of assisting and encouraging all students to reach their full potential. In accordance with the Americans with Disabilities Act (ADA), the Americans with Disabilities Act as amended in 2008, and Section 504 of the Rehabilitation Act of 1973, the College ensures that its admission requirements are uniformly applied, and that its services, activities, facilities and academic programs are accessible to and usable by all qualified students. The Office of Services for Students with Disabilities (OSSD) implements and coordinates reasonable accommodations and disability-related services to promote full participation of individuals with disabilities in all aspects of life. The Rehabilitation Act defines a disability as an individual who has a physical, mental, or learning disability, which substantially limits one or more major life activity (i.e., seeing, hearing, speaking, walking, sitting, standing, breathing, reading, writing, or performing mathematical calculations, and caring for oneself); or who has a record of such impairment; or who is regarded as having such impairment. Both the impairment and the limitation of a major life activity must be established to be eligible under the ADA. Please click here for more information. COURSE-SPECIFIC LEARNING OUTCOMES Instructional Objectives:

I. Describe and identify the various landmarks of the skeletal structure which are related to the functions of the teeth. A. Locate and label the 22 bones of the skull as seen from five different views of the skull. 2.2 B. Locate and label the 5 parts of the maxillae and identify landmarks and foramina on the maxillae. 2.2 C. Locate and label the 3 parts of the mandible and identify landmarks and foramina. 2.2 D. Locate and label the three foramina in the palate. 2.2 E. Name and locate and compare size of the four paranasal sinuses. 2.2 F. Discuss the function of the paranasal sinuses and explain their relationship to dentistry. 2.2 G. Describe where growth takes place in the maxilla and mandible to allow for the teeth. 2.2, 3.1 II. Identify the various muscular structures of the head and neck and understand the relationship of these muscles to the functions of the teeth. A. Identify the location of the muscles of facial expression and their action. 2.2 B. Identify the origin, insertion, and action of the muscles of mastication, and state their role in movements of the mandible. 2.2 C. Identify and locate the hyoid muscles and the sternocleidomastoid muscle and state their role in chewing and swallowing. 2.2 D. Identify the landmarks of the TMJ, and describe their functions in movements of the mandible. 2.2 E. Define the common TMJ problems and discuss probable causes of TMJ pain. 2.2, 3.1 F. Describe the relationship of the muscles of the soft palate and pharynx in chewing and swallowing. 2.2 III. Locate the pathways of innervation and circulation to various areas of the head and neck and to the oral cavity, including the teeth. A. Name the twelve (12) cranial nerves and identify the general function of those supplying the head and neck. 2.2 B. Name the specific branches of the trigeminal nerve and trace its supply to the teeth and oral cavity. 2.2 C. Trace the blood supply from the common carotid to the teeth and oral cavity. 2.2 D. Trace the blood drainage from the oral cavity back to the heart. 2.2 E. Discuss the role of lymphatic vessels in dental infections and identify the locations of the major groups of lymph nodes draining the head and neck. 2.2 IV. Name the major and minor salivary glands and explain their function in relationship with the oral cavity. A. Name each of the major salivary glands and describe the location of the minor salivary glands. 2.2 B. Classify the type of secretions of each of the major glands. 2.2 C. Identify the components of saliva and briefly discuss its role in caries and calculus formation. 2.2, 4.1 D. Discuss the effects of reduced salivary flow on the oral mucosa, and identify the nerve supply to the salivary glands. 2.2, 4.1 V. Understand the anatomical considerations for local anesthesia

A. Define and compare infiltration and block anesthesia. 2.2 B. Identify the anatomical intraoral landmark associated with six maxillary block injections and four mandibular block injections. PSA, MSA, ASA, Greater Palatine, Infraorbital, Nasopalatine, Inferior alveolar, Long Buccal, Mental/Incisive, & Gow Gates. 2.2 C. Identify and locate the anatomical intraoral landmarks for infiltration anesthesia and name the teeth and gingiva that can be anesthetized with infiltration. 2.2, 3.1 D. List the teeth and gingiva that are anesthetized with each injection site. 2.2 E. Recognize the education and licensure requirements for the dental hygienist to administer local anesthesia in at least one state in the US that allows this function by law. 2.2 F. Compare other states rules with the dental practice rules in Florida related to the dental hygienist and anesthesia for pain control. 2.2, 3.1 Course Participation METHODS OF INSTRUCTION Online lecture with handouts Hands-on interactive exercises ibook Lab Manual Reading assignments **Calendar of Activities Date Session Topic 8/29/17 1 Course Introduction Introduction Nomenclature 9/5/17 2 Surface Anatomy of the Head and Neck Anatomy by region Skeletal System Skull & landmarks Sinuses Maxillae & Mandible 9/12/17 3 Skeletal System (continued) Maxillae & Mandible 9/19/17 4 Skeletal System (continued) Muscular System & the TMJ Muscles of Mastication Structure of TMJ Problems of TMJ 9/26/17 5 Test #1 covers: Chapters 1-3 10/3/17 6 Muscular System Muscles of facial expression Buccinator muscle Muscles for swallowing Reading Assignment Syllabus Chapters 1 Chapter 2, 3 Chapter 4, 5 Chapter 4

Date Session Topic 10/10/17 7 Blood Supply to the Head and Neck Blood flow to head and neck Blood flow to teeth Hematoma & cavernous sinus 10/17/17 8 Blood Supply to the Head and Neck (cont d) Nerve supply to the Head and Neck Cranial nerves to oral cavity Branches of trigeminal Nerve supply to all teeth 10/24/17 9 Test #2 covers: Chapters 4-6 Reading Assignment Chapter 6 Chapter 8 *10/31/17 10 Nerve supply to the Head and Neck (cont d) Chapter 8 11/7/17 11 Nerve supply to the Head and Neck (cont d) Chapter 7 Anatomy of Local Anesthesia Injection Sites Teeth and gingiva anesthetized 11/14/17 12 Salivary Glands Chapter 9 11/21/17 13 Test #3 covers: Chapters 7-9 11/28/17 14 Lymph System Chapter 10 Major lymph nodes of head and neck Role of lymph vessels in dental infection Primary lymph drainage Catch-up session Th 12/7/17 15 Jeopardy Review 10 AM - 12PM 12/12/17 16 Cumulative Final Examination *Class will meet briefly to take Quiz #7. Dr. Smith will be out of town. **Schedule subject to change Grade Scale Course Grade Points A 93 100% B 85 92.5% C 77 84.5% D 70 76.5% F < 69.5% A minimum grade of C (77%) or better must be earned in each dental hygiene course for progression and completion of program. Course Grade Breakdown Final Grade Value Date Computation Test #1 9/26/17 20% Test #2 10/24/17 20% Test #3 11/21/17 20% Final exam 12/12/17 40%

Other Grading Information FN GRADE - FAILURE FOR NON-ATTENDANCE A Failure for Non-Attendance (FN) grade indicates that a student has failed a course due to nonattendance. It is calculated as an F in the student s grade point average. For students receiving financial aid, failure for non-attendance may require the student to refund to the College all or part of his or her aid. The FN grade will be assigned by the faculty member at any time following the final withdrawal date for the course. See the College s page on Grading policies (http://fscj.edu/grading) for more information. I GRADE - INCOMPLETE An Incomplete I grade is given very rarely in this course and only for documented, excused absences that result in the student being unable to complete the course on time. The decision to grant an I grade is solely up to Dr. Smith and is reserved for emergency situations (prolonged illness requiring hospitalization would be an example). A contract will be prepared by Dr. Smith that details the student s responsibilities to successfully resolve the I grade. An I grade may impact the student s ability to qualify for financial aid and may result in the student being required to pay back previous student loans. Course Guidelines & Policies ACADEMIC DISHONESTY Academic dishonesty, in any form, has severe consequences. Click here to view FSCJ s academic dishonesty definitions and procedures. LATE MAKEUP WORK Make-up examinations for excused absences must be completed as soon as possible upon returning to school. The student is to confer with Dr. Smith immediately upon returning to school, present documentation for the excused absence, and make arrangements for the make-up exam. Failure to do this may result in forfeiting the right to take the make-up. ATTENDANCE POLICY Due to the unique responsibilities associated with becoming a competent health professional, the progressive nature of the curriculum and its importance to the provision of quality oral health services, attendance and class participation is required at all scheduled clinics, laboratories, seminars, case presentations, scheduled classes and individual faculty appointments. Should an absence be necessary, the student must contact the course instructor prior to the start of class. Failure to communicate in the above manner will result in the absence being considered unexcused. Only an excused absence (student illness with physician documentation, accident, death in the immediate family, jury duty or any deemed excusable by the course instructor) may be made up. A note from a physician or other appropriate individual must be submitted immediately upon returning to campus. Failure to do so will constitute an unexcused absence. An unexcused absence will result in a grade penalty of a 2-point reduction from the final grade for the first absence. Further unexcused absences will result in a 5-point reduction from the final grade for each incident. Make-up exams for unexcused absences will not be provided. In this case, a grade of zero will be given for the assignment. Late arrivals to class are considered unexcused absences.

POLICY ON ELECTRONIC DEVICES Refer to the Electronic Device Policy section of the Student Handbook. Unapproved devices should not be used during class time. Approved devices should be used only for permitted purposes. If seen by instructor, one warning will be given during the term for any infraction and after that points will be deducted from your grade. COMMUNICATION In this course, as in all courses in FSCJ s Dental Hygiene program, each student is expected to present themselves professionally in their actions, attitudes, dress, and written/verbal communication. All written assignments will be evaluated for professional language, grammar and spelling. No handwritten assignments will be accepted in this course. Students should check their FSCJ e-mail daily as faculty post course related information via this link. Failure to do so may result in missing key information. Having not read faculty messages is not an acceptable excuse for failure to respond appropriately. Students may elect to configure a link between their FSCJ and personal e-mail addresses to receive messages. Course Content Skeletal System o Major bones and landmarks of the skull as seen from various views of the skull (45-60 mins) o Foramen, canals, landmarks & parts of the maxillae, mandible and palate (30-45 mins) o Paranasal sinuses and anatomic relationship to teeth (15-20 mins) Facial Muscles o Muscles of facial expression (45-60 mins) o Role of the buccinator muscle (5-10 mins) o Muscles used in swallowing - soft palate and pharynx (5-10 mins) Muscles of Mastication & TMJ o Muscles of mastication and their origin, insertion and action (45-60 mins) o Movements of jaw (15-20 mins) o Role of sternocleidomastoid and trapezius muscles (5-10 mins) o Structure of temporomandibular joint (TMJ) (15-20 mins) o Problems associated with the TMJ (5-10 mins) Blood Supply o Blood flow to and from the head and neck (45-60 mins) o Blood flow to and from the teeth (15-20 mins) o Problems associated with dentistry, hematoma & cavernous sinus (5-10 mins) Nerve Supply o Cranial nerves to the oral cavity (45-60 mins) o Branches of the trigeminal nerve (45-60 mins) o Nerve supply to each tooth (15-20 mins) o Intraoral landmarks for local anesthesia injection in maxillae and mandible (15-20 mins) o Teeth and gingiva anesthetized by each injection (15-20 mins) o Dental practice rules related to the dental hygienist and pain control (5-10 mins) Salivary Glands

o o Difference between major and minor salivary glands (15-20 mins) Secretions of glands and classification of each (5-10 mins) Lymph and Infection o Major lymph nodes of head and neck (15-20 mins) o Role of lymph vessels in dental infection (15-20 mins) o Primary lymph drainage of all teeth (15-20 mins) o Fascial spaces and spread of infections (5-10 mins) *Time spent on each topic is an estimate.

The following Florida State College at Jacksonville (FSCJ) Dental Hygiene Program competencies are addressed in this course: Major Competency #2: The new graduate of FSCJ s Dental Hygiene program must be able to contribute to improving the knowledge, skills and values of the profession. Specifically, the new graduate must be able to: 2.2 assimilate, expand and contribute to the Dental Hygiene knowledge base. Major Competency #3: The new graduate of FSCJ s Dental Hygiene program must be able to acquire and synthesize information in a critical and scientific manner. Specifically, the new graduate must be able to: 3.1 access, analyze, and share scientific data using the internet and computer technology.