Course Outline for Dental Hygiene 81B
Clinical Practice II
Effective: Fall 2024
SLO Rev:
SLO Rev:
Catalog Description:
DHYG 81B - Clinical Practice II
5.00 Units
Continuation of clinical experience with a variety of clinical cases of adults and children to include a broad spectrum of clinical applications.
Corequisite: DHYG 58 and DHYG 80B and DHYG 82B and DHYG 83.
CB03: TOP Code 1240.20 - Dental Hygienist*
CIP Code 51.0602 - Dental Hygiene/Hygienist.
Course Grading: Letter Grade Only
| Type | Units | Inside of Class Hours | Outside of Class Hours | Total Student Learning Hours |
|---|---|---|---|---|
| Clinical | 5.00 | 270.00 | 0.00 | 270.00 |
| Total | 5.00 | 270.00 | 0.00 | 270.00 |
Measurable Objectives:
Upon completion of this course, the student should be able to:
- scale and root plane teeth using a systematic order, appropriate type, sharp and correctly contoured instrument within minimum time and trauma;
- polish teeth, restorations and fixed appliances using appropriate abrasives and polishing agents;
- recognize clinically and discuss the value of preventive periodontal therapy and the role of the hygienist in this activity;
- demonstrate consistency in performing soft tissue curettage on selected clinic patients using appropriate local anesthetic agents;
- expose, process, mount, and interpret diagnostically acceptable radiographic surveys on clinic patients;
- adapt and perform dental hygiene procedures for a variety of patients with special needs;
- use the intra-oral camera;
- maintain accurate, complete dental records;
- perform margination and restoration polishing on a variety of clinical patients;
- demonstrate clinical competency in infection control techniques/prevention of disease transmission;
- apply ethical reasoning to dental hygiene practice;
- serve all clients in the community without discrimination;
- provide humane and compassionate care to all patients/clients;
- demonstrate honesty in relationships with patients/clients, colleagues, and other professionals;
- ensure the privacy of the patient/client during treatment and confidentiality of patient/client records;
- adhere to state and federal laws governing the practice of dentistry and dental hygiene;
- obtain, review, and update vital signs, medical history, family history, social history, and dental history while recognizing cultural differences in populations;
- manage the patient/client chart as a legal document and maintain its accuracy;
- determine medical conditions that require special precaution or consideration prior to and/or during dental hygiene treatment;
- identify the patient/client at risk for a medical emergency and manage the patient/client care to prevent an emergency;
- perform a comprehensive examination using clinical, radiographic, periodontal and dental charting, as well as other data collection procedures to assess the patient's/client's needs;
- determine priorities and establish oral health goals with the patient/client and/or guardian as an active participant;
- establish a planned sequence of educational and clinical services based on the dental hygiene diagnosis which includes etiology, prognosis, and treatment alternatives;
- obtain the patient's/client's informed consent based on a thorough case presentation;
- make appropriate referrals to other health care professionals;
- use accepted infection control procedures;
- provide an environment conducive to health by applying basic and advanced principles of dental hygiene instrumentation without causing trauma to hard or soft tissue;
- control pain and anxiety during treatment through the use of accepted clinical and behavioral management strategies;
- select and administer the appropriate antimicrobial or antibiotic agent with pre- and post-treatment instructions;
- provide adjunct dental hygiene services that can be legally performed in the State of California;
- evaluate the effectiveness of planned clinical and education services and modify as necessary;
- determine the appropriate maintenance schedule;
- provide subsequent treatment or referrals based on evaluation of findings;
- administer pain control therapies during treatment;
- perform soft tissue curettage;
- utilize power scaling;
- evaluate and identify teeth which meet the placement criteria for an Interim Therapeutic Restoration (ITR) including: patient factors, tooth factors, acceptability of lesion for treatment, and risks and benefits of ITR placement;
- determine and implement proper follow-up protocols after ITR placement, including identification of potential adverse outcomes.
Course Content:
- Scaling and root planing
- Instrument sharpening
- Periodontal assessments and restorative charting
- CaMBRA assessment
- Treatment planning
- Role of the dental hygienist in preventive periodontics
- Soft tissue curettage and local anesthesia
- Radiographic technique and interpretation
- Nitrous oxide sedation
- Pediatric, adolescent, geriatric, adult and special needs patients
- Placement of subgingival antibacterials and topical anesthetics
- Dental sealants
- Placement, evaluation and follow-up of Interim Therapeutic Restorations
Methods of Instruction:
- Case presentation
- Clinic
- Demonstration/Exercise
- Demonstration
- Online Assignments
- Practice/Demonstration
- Clinical practice in the dental hygiene clinic and extended facilities
- Directed conferences
- Seminars
Assignments and Methods of Evaluating Student Progress:
1. Typical Assignments
- Complete a chart audit form for each of your patient completions. Include all necessary forms with all the required signatures.
- Provide comprehensive dental hygiene services to clinical patients based on your assessments and as outlined on your treatment plan for each patient.
- Complete a dental hygiene care plan for a pediatric, adolescent, adult, geriatric and special needs patient, to include at least two measurable goals for each care plan.
- Place and evaluate up to a total of 10 Interim Therapeutic Restorations (continuation of DH81A); provide appropriate follow-up care.
- Enter all patients, scheduled treatment, and treatment completions in the Consutl Pro dental office management system.
- Coomplete and pass four identified Test Cases
- Administer local anesthesia and Nitrous Oxide sedation
2. Methods of Evaluating Student Progress
- Attendance
- Clinical competencies
- Completion of minimum requirements
- Radiographic evaluation
- Midterm clinical conference
- Daily clinical evaluation
- Assigned activities
- Clinical performance
- Final Performance Evaluation
3. Student Learning Outcomes
Upon the completion of this course, the student should be able to:
- Develop, present and implement a comprehensive, evidence based dental hygiene care plan
- Identify and implement appropriate pain control procedures
- Identify, place, evaluate and determine proper follow-up for an Interim Therapeutic Restoration (ITR)
- Plan and implement a dental hygiene care plan based on identified medical/health conditions of the patient
- Identify patient need and administer advanced periodontal care techniques including: soft tissue curettage, subgingival irrigation to a level of competency
Textbooks (Typical):
- Darby (2021). Comprehensive Review of Dental Hygiene (9th Edition). C.V. Mosby.
- Bowen, D. M. & Pieren, J. A. (2023). Dental Hygiene Theory and Practice, (5th). Elsevier.
- Daniel & Harfst (2007). Concepts, Cases, and Competencies (2nd). Mosby.
- Gehrig, J. S., Sroda, A. & Saccuzzo, D. (2020). Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation (8th). Walters Klluwer.
- Jeske, A. H. (2021). Mosby’s Dental Drug Guide Reference (13th). Elsevier.
Additional Materials:
- Instrument kits
- Protective clothing, eyewear, masks, gloves
- Power scaling unit
Abbreviated Class Schedule Description:
Continuation of clinical experience with a variety of clinical cases of adults and children to include a broad spectrum of clinical applications.
Corequisite: DHYG 58 and DHYG 80B and DHYG 82B and DHYG 83.
Discipline:
Dental Technology