Texas A&M University College of Dentistry

Texas A&M University College of Dentistry Caruth School of Dental Hygiene Course Number and Name: DDHS 3020 Theory of Dental Hygiene Practice I Course Type: Lecture Laboratory Clinical Seminar Selective Academic Year/Semester Offered: 2017-2018 Fall _X_ Spring Summer Session Course Director: Jane, RDH, MS, CTTS Other Participating Faculty: Lisa Harper-Mallonee, BSDH, MPH, RD, LD Cheri Kading, BSDH, MS Kathy Muzzin, RDH, MS Leigh Ann Wyatt, BSDH, MA, MS Course Description: Emphasis on advanced dental hygiene skills and services; provision of services to medically compromised patients. Course Objectives: Upon completion of this course, the student will be able to: 1. Employ the principles and techniques of periodontal debridement when indicated in patient treatment. 2. Employ alternative fulcrums and vary instrument adaptation as needed for efficient effective deposit removal. 3. Select the appropriate instruments for the removal of heavy deposits. 4. Determine the current periodontal status of patients and appropriate non-surgical periodontal interventions, re-care interval, and care of implants. 5. Demonstrate proper instrument maintenance technique and identification of worn/damaged instruments. 6. Develop an understanding for the use of topical anesthetics in hygiene care. 7. Select and apply the appropriate therapy for control of dentin hypersensitivity. 8. Identify the appropriate clinical management protocol for patients with cardiovascular disease, diabetes, seizure disorders, pulmonary disorders, blood dyscrasias, eating disorders, pregnancy, patients with bloodborne pathogens and dental implants. 9. Identify alterations of case management in treating medically compromised patients. *Specific learning objectives will be provided in the Course Manual for each topic. Learning Outcomes/ Related Competencies: The following list of beginning competencies identifies the knowledge, skills and attitudes the dental hygiene student must acquire by graduation in order to become a competent, curious and 1

caring practitioner of dental hygiene. This course will begin to address these specific competencies that will be needed to treat patients in a professional and competent manner. Refer to Competencies for the Dental Hygienist, Caruth School of Dental Hygiene, revised 5/2013. Ethics 1.1 Apply ethical reasoning to dental hygiene and practice with professional integrity. 1.2 Comply with state and federal laws governing the practice of dentistry and dental hygiene Information Management and Critical Thinking 2.1 Apply critical thinking skills and evidence based decision making to the practice of dental hygiene. 2.2 Commit to self-assessment and lifelong learning in order to provide contemporary clinical care. 2.3 Communicate effectively with diverse populations without discrimination. Professional Identity 3.1 Prepare for career opportunities within health care, industry, education, research, and other roles as they evolve for the dental hygienist. Self-Care Instruction 4.2 Identify the health needs of individuals and assist them in the development of appropriate and individualized self-care regimens. 4.3 Encourage patients to assume responsibility for their health while respecting their goals, values, beliefs and preferences. Community Involvement 5.1 Identify services and agencies that promote oral health and prevent oral disease and related conditions. Assessment 6.1 Determine medical conditions that require special precautions or consideration prior to or during dental hygiene treatment. 6.2 Perform an extra oral and intraoral examination of the patient including assessment of vital signs and radiographic examination, and distinguish normal from abnormal findings. 6.3 Manage the patient at risk for a medical emergency, and be prepared to handle the emergency should it occur during an appointment. 6.4 Recognize predisposing, etiologic risk factors, and life style choices that may require intervention to prevent disease. 6.5 Analyze and interpret the assessment data to formulate a dental hygiene diagnosis related to and congruent with the diagnosis of the dentist and other health professionals. 6.6 Determine the need for referral to the appropriate health professional. Planning 7.1 Determine priorities and establish oral health goals with the patient/family and/or guardian as an active participant. 7.2 Acknowledge cultural differences in populations when planning treatment. 7.3 Establish a planned sequence of educational and clinical services based on the dental hygiene diagnosis using the problem-based approach. 7.4 Communicate the plan for dental hygiene services to the dentist or other interdisciplinary health team members to determine its congruence with the overall plan for oral health care. Implementation 8.2 Control pain and anxiety during treatment through the use of accepted clinical techniques 2

and appropriate behavioral management strategies. 8.3 Select and administer the appropriate preventive and/or antimicrobial (chemotherapeutic agents and provide pre- and post-treatment instructions. 8.4 Apply basic and advanced principles of instrumentation. Evaluation 9.1 Determine the clinical outcomes of dental hygiene interventions using indices, instruments, examination techniques, and determine the appropriate maintenance schedule. 9.3 Compare actual outcomes to expected outcomes when expected outcomes are not achieved and modify therapy as necessary. Evaluation Criteria/Methods: Examinations: Five exams will be given throughout the semester. All exams will use Scantron sheets. Exam grades will not be curved or rounded. The use of cell phones or any other aids not approved by the instructor during exams are strictly prohibited. Students may review exams in the course director s office by appointment only. Any concerns regarding specific exam questions should be submitted to the course director by email immediately following the exam. The email must include the exam question/content, the rationale, and reference supporting the rationale (Power Point notes, assigned reading, formative, etc.). Student Research Day: This is an important event for all of the students at COD. The senior DH students have been working on their research project since their fall semester. By attending this event you are not only showing support for the senior class, but you will be seeing firsthand what you will be responsible for next spring. Those of you who attend will receive two (2) extra credit points which will be added to your lowest exam grade. You MUST sign in AND sign out (a sign-up sheet will be available) and stay for a minimum of 30 minutes. Extra points will not be given if you do not follow the above instructions. NO EXCEPTIONS! Grading: The final grade will be based on the following percentages: ASSIGNMENT / EXAMS PERCENTAGE OF FINAL GRADE Instrument Sharpening Worksheet 5% Exam #1 19% Exam #2 19% Exam #3 19% Exam #4 19% Exam #5 19% Grading Scale: A= 90-100 B= 80-89 C= 75-79 D= 70-74 F= <70 Learning Materials: Required Textbooks: Darby ML and Walsh MM. (4 rd Ed). (2015). Dental hygiene theory and practice. Saunders. It s about time to get on the cutting edge. Hu-Friedy. (distributed in class) 3

Wynn RL, Meiller TF, Crossley HL. (21/22 Ed). (2016). Drug Information Handbook for Dentistry. Lexi-Comp. Nield-Gehrig JS. (7 th Ed). (2012). Fundamentals of periodontal instrumentation. Lippincott Williams and Wilkins. Weinberg MA and Westphal C. (4 rd Ed). (2015). Comprehensive periodontics for the dental hygienist. Prentice Hall. Wilkins EM. (12 th Ed.) (2015). Clinical practice of the dental hygienist. Lippincott Williams and Wilkins. Required Electronic Resources: Blackboard Dental Hygiene Clinic Handbook Remediation Policy: Failure to obtain a grade of 70 or better in this course constitutes a failure. The student will be required to complete remediation during the summer following the completion of the course or repeat the course at the next regularly scheduled time. The extent of the deficiency will determine if remediation or repeat of the course is indicated. Blackboard: Grades and notices will be posted on Blackboard. It is the student s responsibility to periodically check Blackboard for course related materials and announcements. Questions regarding grades posted on Blackboard should be brought to the attention of the course director within 2 weeks after the grades are entered. Attendance and Make-up Policy: Attend all class sessions as required by Texas A&M University, Baylor College of Dentistry, Texas A&M Health Science Center. Absences must be reported to Pam Hines at 214-828-8340 and must be received prior to the beginning of class. If a student is absent from a class, it will be their responsibility to see the course director for information missed during his/her absence. Absences of three (3) or more days due to illness will require a doctor s note and must be given to Pam Hines on the first day the student returns to school. For any unexcused absences or late arrivals (over 5 minutes) one point will be deducted from your final course grade. Four unexcused absences will result in failure of the course. Students will not be allowed to enter the classroom once the quiz/exam has been started; so, consequently students who are late will miss the test and will receive a grade of zero. No make-up test will be given if absence is unexcused absence on Test days. For university excused absences, refer to Student Rule 7 for details (http://studentrules.tamu.edu/rule07). For an excused absence, a missed exam or assignment must be made up on the day following the excused absence if possible. If circumstances do not permit this, the missed exam or assignment must be made up within a week of the absence. 4

Classroom Policies and Procedures: Cell phones, pagers, ipods, smart watches and all other electronic devices must be turned off and placed out of reach during each class session. This course will have guest lecturers who are donating their time to speak in this class. If a student has a critical family matter that warrants the need for ready access to your phone this should be discussed with the course director prior to the start of class. Any student who demonstrates behavior that is disruptive during class (i.e. SLEEPING, TALKING, LAUGHING, TEXTING, RINGING CELL PHONES, or STUDYING MATERIAL FROM OTHER COURSES, ETC.), will be asked to leave room. Five points will be deducted from the final grade for every instance of disruptive behavior by the student. Students should come to class alert and should be attentive during all class sessions. The student is responsible for all information covered in each class session, the reading assignments, and the list of terminology associated with each lecture. Test questions will come from all of these areas. All reading assignments are listed in the Class Schedule found at the end of this syllabus. All reading is expected to be completed prior to the class session. This will best prepare the student for classroom discussion and activities in which each student is expected to participate. Director will generally answer student emails during regular business hours only: Monday through Friday from 8:30am to 5pm. Emails may not be answered at all if the question being asked can be answered by reading material already given you. Laboratory/Clinic Policies and Procedures: There are two labs included in this course. The first one is an ultrasonic instrumentation lab; the second is an advanced instrumentation and instrument-maintenance lab. Students are expected to come prepared and on time for each lab session. Instructions for each lab will be given in the lecture preceding lab. You must bring all assigned materials or supplies. For the ultrasonic instrumentation lab, you must be set-up by the scheduled time and proper clinic attire is required. Special Accommodation for Persons with Disabilities: The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact Dr. Paul Dechow, Associate Dean for Academic Affairs in charge of Disability Services, Room 514, or call 214 828 8208 for additional information. Academic Integrity Statement and Policy: An Aggie does not lie, cheat or steal, or tolerate those who do. Upon accepting admission to Texas A&M University, a student immediately assumes a commitment to uphold the honor Code, to accept responsibility, and to follow the philosophy and rules of the Honor System. Students will be required to state their commitment on examinations, 5

research papers, and other academic work. Ignorance of the rules does not exclude any member of the TAMU community from the requirements or the processes of the Honor System. http://aggiehonor.tamu.edu Date prepared 11/15/17 6

DDHS 3020 Dental Hygiene Theory 1 Date Topic/ Assignment Faculty 1/9/18 Introducion Topical Anesthesia Oraqix and Cetacaine Demo Instrument Sharpening booklet will be handed out Wilkins: pp. 657-660 Read up to New Developments in Pain Control ü Injury Management ü Medical Consultation Guidelines ü Medical Clearance Procedure ü Drug, Vitamin, and Herb Drug Cards 1/16/18 Powered Instrumentation (BRING CAVITRON INSERTS TO CLASS) Logistics for Ultrasonic Lab Wyatt Friday 1/19/18 DH Clinic 9 am- 12pm 1pm-4pm Wilkins: Chapter 41 (Start with Ultrasonic Scaling and read up to Laser Therapy) Darby: Chapter 27 Nield: pp. 633-686 Ultrasonic LAB Please be prepared: Know your unit # and your partner Bring your handout Follow protocol for clinic attire, set-up/break-down, armamentarium for your Cavitron inserts Candle Exercise Tip orientation High speed suction Oraquix assembly and Marshmallow exercise Wyatt/Vu Clinic faculty 7

1/23/18 Diabetes Wyatt Wilkins: Chapter 69 Darby: Chapter 44 ü Medical Consult Guidelines ü Management of Diabetes ü AHA Prevention of Bacterial Endocarditis 1/30/18 Exam One HIV/AIDS Darby: Chapter 46 ü Medical Consultation Guidelines ü AHA Prevention of Bacterial Endocarditis ü Major Medical Care for all Situations 2/6/18 Clinical Examination Gingival, Periodontal, and Radiographic Assessment Implantology Weinberg: Chapters 15, 16, 17 Darby: pp.313-343 Nield-Gehrig: pp. 440-445; 452-455; 543 -- Calculus and Periodontal Classifications Wilkins: Chapter 33 Weinberg: Chapter 27 2/13/18 Care of the Periodontal Patient Arestin Demo 2 additional faculty? Weinberg: Chapters 21 & 22 ü Re-eval of Class III and IV Patients 8

2/20/18 Exam Two Neurologic Disorders (Seizures) Neurologic Disorders ü Wilkins: Chapter 61 ü Darby: Chapter 47, pp. 881-883 2/27/18 Cardiovascular Disease Wilkins: Chapter 67 Darby: Chapter 43 ü Blood pressure policy ü Medical Consult Guidelines ü AHA Guidelines for Endocarditis Prophylaxis ü Major Medical Care for all Situations 3/6/18 Dentinal Hypersensitivity Management Wilkins: Chapter 44 Nield: pp. 541-542 Muzzin 3/13/18 Exam Three 3/20/18 Spring Break 3/27/18 Blood disorders Respiratory Diseases Respiratory Diseases ü Wilkins: Chapter 66 Blood Disorders ü Wilkins: Chapter 67 ü Medical Consultation Guidelines 9

4/3/18 The Pregnant Patient Muzzin Wilkins: Chapter 49 Wednesday 4/4/18 Research Scholar s Day 2-- extra points added to lowest exam grade for those who attend! 4/10/18 Exam Four 4/17/18 Assignment: Instrument Sharpening and Maintenance Worksheet Due 4/24/17 Instrument Maintenance Instrument sharpening booklet It s About Time to Get on the Cutting Edge (Bring to class) Cavitron Tip Evaluation 4/24/18 Instrument Sharpening and Maintenance Worksheet Due Advanced Instrumentation Peizo Nield ü pp. 417-426 ü pp. 463-489 ü pp. 495-503 ü pp. 502-520 (right handers) ü pp. 524-533 (left handers) Darby ü pp. pp. 453-458 (stop at Sickle Scaler) ü pp. 462-464 (File Scalers and Furcation Instruments only) ü pp. 476-478 (Treatment Instrument Selection) Bring to Class: Perio Cassette Nield Text Typodont 10

4/27/18 Friday 9AM-12PM Sim Lab Instruction: Bring Typodonts, Perio Cassette and Safety Glasses Advanced Instrumentation Peizo Instrument Maintenance Clinic faculty 5/1/18 Eating Disorders Obesity and Counseling the Dental Patient Mallonee Kading Eating Disorders ü Darby: Chapter 53 Obesity ü Darby: pp. 622-23 ü Weinberg: p. 92 5/8/18 Exam Five *THE INSTRUCTOR RESERVES THE RIGHT TO CHANGE THE SCHEDULE IF NECESSARY 11