Big Sandy Community and Technical College

Course Syllabus

PS Number: 88708 Semester: Spring Year: 2016

Faculty Name: Pamela Ray, RDH,BS Eric Dixon, DMD (lab) Carmen Fields, RDH (lab)

Title: Associate Professor

Course Prefix and Number: DHG 230 Course Credit Hours: 3

Course Prerequisites: Minimum grade of C in DHG 220 and DHG 226

Course Title: Clinical Dental Hygiene III

Catalog Course Description: Focuses on mastery of dental hygiene clinical skills for patient care and preparation for written and clinical board examinations.

Instructor Contact Information:

Campus Location: BSCTC Prestonsburg Building & Room: J148

Office Hours: As posted by appointment

Office Phone Number: 606-889-4816 Alternate Number: 606-886-3863 ext. 64816

Best Times to Call: During office hours (Monday)

KCTCS Email: pray0017@kctcs.edu

Special Instructions: Division Assistant / Linda Daniel

606-886-7352

ldaniel0010@kctcs.edu

Supervisor Contact Information:

Name: Eric Dixon, DMD, Dental Hygiene Coordinator

Campus Location: BSCTC Prestonsburg Building & Room: Johnson – J113

Office Phone Number: 606-886-3863 ext. 64726

KCTCS Email: edixon0001@kctcs.edu

Text and Supplies:

2015-16 Dental Hygiene Clinic Manual

Wilkins, E. M., (2013). Clinical Practice of the dental hygienist (11th ed.). Philadelphia, PA: Lippincott

Williams & Wilkins

Suggested Learning Resources:

Darby, M. & Walsh, M. (2015). Dental hygiene theory and practice (4rd ed.). Philadelphia, PA: Saunders.

Nield-Gehrig, J.S. (2013). Fundamentals of periodontal Instrumentation and advanced root in

Instrumentation (7th Ed.) Philadelphia, PA: Lippincott Williams & Wilkins KCTCS General Education Competencies

Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences and

mathematics, social sciences, humanities, histories, languages, and the arts. Method to Achieve Competency:

B. Intellectual and practical skills, including

inquiry and analysis

critical and creative thinking

written and oral communication

quantitative literacy

information literacy

teamwork and problem solving Method to Achieve Competency:

C. Personal and social responsibility, including

civic knowledge and engagement (local and global)

intercultural knowledge and competence

ethical reasoning and action

foundations and skills for lifelong learning Method to Achieve Competency:

D. Integrative and applied learning, including synthesis and advanced accomplishment across general and specialized skills.

Method to Achieve Competency:

Course Specific Competencies (Student Outcomes):

1. Systematically integrate and analyze data to proficiently assess, plan, implement and evaluate dental

hygiene patient care.

2. Demonstrate professional behavior in the practice of dental hygiene.

Lab Competencies (Student Outcomes): (Enter N/A if this does not apply.)

1. Complete appropriate radiographic examination

2.Provide individualized patient education

3.Provide nutritional counseling

4.Utilize ultrasonic, sonic and piezoelectric scaling

5.Complete scaling, root planing and periodontal debridement

6.Provide non-surgical periodontal therapy

7.Apply desensitization agents

8.Selectively polish teeth

9.Apply therapeutic agents

10.Apply tooth whitening and bleaching agents

11.Apply sealants

12.Utilize air polishing techniques

13.Utilize oral irrigation (in office and home care) systems

14.Utilize intraoral media

15.Apply pain control (nitrous oxide)

Course Outline:

Course contains 16 hours per week of patient contact.

Week / Date Activities / Assignments

1. Aseptic protocol

A. Aseptic technique

B. Disinfection and sterilization

2. Assessment of patients (including special needs patients)

A. Medical history, dental history and assessment techniques

B. Identification of high medical risk patients

C. Soft tissue exam D. 1. Intraoral

2. Extraoral

E. Periodontal exam

1. Probing

2. Bleeding points

3. Mobility

4. Furcation involvement

F. Hard tissue exam

1. Caries

2. Restorations

3. Occlusion classification

G. Oral hygiene classification

H. Plaque protocol

I. Radiographic exam

J. Indications for sealants

3. Planning for patient treatment (including special needs patients)

A. Appropriate radiographic examination when indicated

B. Individualized patient education

1. Plaque recording

2. Dental hygiene plaque control aids

C. Nutritional counseling

D. Ultrasonic scaling

E. Scaling and root planing

F. Appropriate desensitization agents when indicated

G. Selective polishing of the teeth including restorations

H. Appropriate fluoride treatment

4. Implementation of patient treatment plan

A. Utilization of proper instrumentation technique

B. Utilization of proper sequence C. Utilization of correct clinic procedures

1. Aseptic technique

2. Comportment

D. Utilization of proper communication skills

E. Special treatment regimes

5. Clinical skills

A. Complete appropriate radiographic examination

B. Provide individualized patient education

C. Provide nutritional counseling

D. Utilize ultrasonic, sonic and piezoelectric scaling

E. Complete scaling, root planing and periodontal debridement

F. Provide non-surgical periodontal therapy

G. Apply desensitization agents

H. Selectively polish teeth

I. Apply therapeutic agents

J. Construct study models

K. Apply tooth whitening and bleaching agents

L. Apply sealants

M. Remove overhangs and polish restorations

N. Utilize air polishing techniques

O. Utilize oral irrigation (in office and home care) systems

P. Utilize intraoral media

Q. Complete case presentation

R. Apply pain control (nitrous oxide)

6. Board Review

7. Board Review

8. Board Review

9. Board Review

10. Board Review

11. Board Review

12. Board Review

13. Board Review

14. Board Review

15. Board Review

16. Board Review

Course Structure:

16 hours per week of clinic

Technology/Media Component:

Clinic facility at each site

Service-Learning:

Course Requirements and Evaluation: Course/Clinical

Requirements and

Evaluation

How will the final grade be determined? Include points or percentages of categories that will determine the final grade. Course Requirements:

This course consists of clinical. Students must complete 13 Class I patients

(maximum 1 edentulous and 2 pedo), 10 Class II patients, and 3 Class III/IV

patients by the end of the semester with a score of 78% or better. By

Wednesday, April 20, 2016 all evaluations must be complete (no exceptions).

If any evaluations that are incomplete by this date you will drop a letter

grade. All patient requirements must be complete by the last scheduled day of

clinic unless there is a make-up clinic scheduled due to inclement weather during

the semester. A student who does not complete all patient requirements by

the end of the semester or who withdraws from the course will be dropped

from the program. No grade of "I" will be given if a student fails to meet all

requirements by semester's end. She/he will receive a grade of "E" and will

be administratively removed from the program and will not be allowed to

graduate or to take the National or CRDTS examinations.

It is of utmost importance that you are on the lookout for a potential board

patient from the beginning of the semester. If you have someone in mind,

have them complete the necessary paperwork for the clinic and ask an instructor

to take a look before you do any scaling! Board patients may be scheduled to

come in between April 12-April 26 for you to prepare for the CRDTS examination.

Clinical Requirements:

You must arrive in the clinic by 7:30 a.m. You must be ready to seat your patient

by 8:00 a.m. for the morning clinic and 1:00 p.m. for the afternoon clinic. Points

will be deducted in the clinical deportment section of the Clinical Evaluation Form

for tardiness and failure to seat your patient on time (a 2 point deduction for every

10 min. tardy). In the afternoon patients must be completed and out of the

clinic by 3:30. The anesthesia lab will run from 4:00 – 5:00.

Each student must demonstrate clinical competency in providing dental hygiene

care including assessment, planning, implementation, and evaluation. The

minimum number of completed patients required for each classification is as

follows:

Patient Classification Number of Completed Patients

Case Type I and/or Pediatric 13 (a higher Case Type can fulfill this requirement)

(2 of these may be pedo and 1 edentulous)

Case Type II 10 (a higher Case Type can fulfill this requirement)

Case Type III/IV 3

Total 26 (minimum)

All grades will be included in the tabulation of the final clinical score.

In order to successfully complete this course, you are required to receive a

passing average of at least 78% (horizontally) in all areas of clinical

competency. This includes Medical/Dental History, Intra/Extra Oral Exam,

Periodontal Evaluation, Hard Tissue Charting, Treatment and Preventive

Care Plan, Patient Education, Instrumentation, Polishing Evaluation, Caries

Prevention, Clinical Deportment, and Aseptic Technique /Equipment

Maintenance.

Clinical competency must also be demonstrated in the following areas: sealant

application, bleaching case, ultrasonic instrumentation, subgingival irrigation, root

desensitization, patient education, and completion of radiographs.

The following clinical procedures are required and the specific numbers of

patients that must be evaluated are listed below. A minimum of 78% must be

earned for each procedure. All scores will be counted in calculating the final

grade.

Sealant Application Evaluation 4 teeth (may be on same pt.)

Bleaching 2 arches (can be mouth guard)

Subgingival Irrigation Evaluation 2 quadrants (pre-authorize)

(but you want to do it on all pts. who need it)

Root Desensitization 2 teeth

(again on all pts. that need it)

Radiographs

BW adult 4 patients

FMS adult 2 patients

BW pediatric/mixed dentition 2 patients

**Patient Education Evaluation 2 patients

**Instrumentation Evaluation 4 patients (class II or greater)

Calculus Charting Evaluation 4 patients (class II or greater)

** To be determined by clinical instructor

Radiographic pathology evaluations and radiographic technique evaluations are

required for all radiographs and must be completed within one week of the date

taken or the student may not receive credit for the radiographs. It is the student's

responsibility to present x-rays to the DMD for evaluation to meet this

requirement. After radiographs are taken, the DMD will look to see if there are re-

takes necessary and whether a film is diagnostic or not. This will be noted on your

evaluation sheet and will be signed by the DMD; you will then need to have it

graded. If the evaluation is not signed by DMD, or filled out properly you will NOT

receive a grade or credit for radiographs.

Case Type I

Case Type II

Final Grade Calculation:

Clinical Evaluations 100%

Case Type I/Pediatric 15%

Case Type II 30%

Case Type III/IV 25%

Radiographs 5%

FMS (.50 of the 5%)

BWS (.50 of the 5%)

Evaluations 5%

Clinic Manager/Inventory/

Inactive 20%

Patient Classification

Patients are classified according to the periodontal condition and the amount of

calculus deposits and stain in the mouth.

Pedo: Age 12 and younger, primary or mixed dentition.

Adolescent: Age 13-17

Geriatric: Age 65 and older

Permanent or mixed dentition that requires a simple prophylaxis with few

deposits or stains. This classification may include one or any

combination of the following:

1. Minimal stain

2. Minimal calculus (supra or sub-gingival)

3. No bone loss (1-3mm pocket depth)

Permanent dentition that requires a prophylaxis involving moderate

deposits or stain. This classification may include one or any combination

with #4.

1. Moderate to heavy amounts of stain.

2. Light to moderate amounts of supragingival calculus located on

approximately one-half (1/2) of the dentition.

Case Type III

Case Type IV

3. Subgingival calculus located on less than one-half (1/2) of the

dentition.

4. Early bone loss (4-5 mm pocket depth).

Permanent dentition that requires a prophylaxis involving moderate

periodontitis. This classification may include one or any combination with

#3.

1. Moderate amounts of supragingival calculus located on more than one-

half (1/2) of the dentition.

2. Generalized subgingival calculus involving at least one-half (1/2) of the

dentition.

3. Moderate to severe bone loss (5-7 mm pocket depth).

Permanent dentition that requires a prophylaxis involving advanced

periodontitis. The classification involves:

1. Heavy amounts of supragingival and subgingival calculus involving more

than three-fourths (3/4) of the dentition.

1. Severe bone loss (7mm or greater pocket depth).

Grading Policy: The scale below shows the relationship between your semester percent average and the letter grade you will receive. Slight

deviations from this scale are possible if they seem advisable.

A= 94 – 100

B= 86 – 93

C= 78 – 85

D= 70 – 77

E= Less than 70

Class Participation Points

One hundred points evenly distributed per class meeting period, awarded at the discretion of the instructor.

Mid-Term Student Conference

Mid-term conferences will be held with each student who is not in good standing the week prior to fall or spring break.

Attendance Policy: Attendance is imperative to succeed in the program and will be documented for each lecture and lab. If you are tardy for a lecture or lab, you must gain instructor approval to enter. If you need to leave early, you must notify the course instructor. Any disruption of class by a student regardless of the form of disruption and at the discretion of the instructor may result in dismissal from class and loss of participation points for the day. It is the responsibility of the student to contact both the class instructor and the site proctor by email if you are going to be late or unable to attend class for any reason. It is the student’s responsibility to contact the instructor or site proctor for any missed assignments and to check out the tape of any missed lectures. If you are absent on the day of an exam, a grade of “0” will result for that exam unless prior arrangements have been made with the instructor. A valid excuse is one that is written, dated, and signed by a doctor, lawyer, etc. on office letterhead. Work or regularly scheduled appointments are not deemed acceptable excuses. Children are not permitted in lectures or labs. If your child is a patient in the clinic he/she may not be left unattended while you are in clinic, lecture, or lab. Cell phones must be turned off while you are in clinic, lecture, and lab. Any abuse of policy may result in a zero.

Missed Exam Policy: Attendance is imperative to succeed in the program and will be documented for each lecture and lab. If you are tardy for a lecture or lab, you must gain instructor approval to enter. If you need to leave early, you must notify the course instructor. Any disruption of class by a student regardless of the form of disruption and at the discretion of the instructor may result in dismissal from class and loss of participation points for the day. It is the responsibility of the student to contact both the class instructor and the site proctor by email if you are unable to attend class for any reason. It is the student’s responsibility to contact the instructor or site proctor for any missed assignments and to check out the tape of any missed lectures. If you are absent on the day of an exam, a grade of “0” will result for that exam unless prior arrangements have been made with the instructor. A valid excuse is one that is written, dated, and signed by a doctor, lawyer, etc. on office letterhead. Work or regularly scheduled appointments are not deemed acceptable excuses. Children are not permitted in lectures or labs. If your child is a patient in the clinic he/she may not be left unattended while you are in clinic, lecture, or lab. Cell phones and pagers must be turned off while you are in clinic, lecture, and lab. Any abuse of policy may result in a zero.

Late Assignment Policy: Assignments: All assignments must be turned in on the date and time that they are due. All late assignments are subject to reduction in points earned.

Withdrawal Policy: A student may withdraw from the class and receive a “W” grade at any time specified by the printed college guideline. From the last day to drop a course without a grade through mid-term, students, at their discretion, may officially withdraw from a class and receive a grade of “W”. After the mid-term date through the end of class work (see Academic Calendar), this instructor will allow a student to withdraw only under extenuating circumstances, such as illness, accident, etc. The student must see the instructor.

Additional information can be found at the following site: http://www.bigsandy.kctcs.edu/en/Academics/Office_Hours_Schedules_and_Syllabi.aspx

DHG 230 Dental Hygiene I have read and understand and accept the terms of this syllabus. _________________________________ ____________________ Students Signature Date _________________________________ ____________________ Pamela Ray, RDH Date