Master Course Syllabus
for
DEN-131: DENTAL HYGIENE CLINIC I

Prerequisities: DEN 121.

Corequisites: DEN 130.

Course Description

This course continues skill development in providing an oral prophylaxis. Emphasis is placed on treatment of the recall patients with gingivitis or light deposits. Upon completion, students should be able to assess these patients’ needs and complete the necessary dental hygiene treatment.

Student Learning Outcomes

• Accurately chart common dental and periodontal conditions with the appropriate symbol according to the CVCC charting protocol.

• Accurately indicate other dental or periodontal conditions not addressed in the CVCC charting protocol in the progress notes of the patient record.

• Describe the rationale for, indications for, and contraindications for selective coronal polishing.

• Identify commonly used abrasive agents, noting their characteristics and specific uses.

• Select and apply polishing agents that will preserve the integrity of the enamel and soft tissues.

• Identify the instruments used for extrinsic stain removal.

• Describe how plaque and the polishing agent are removed from proximal tooth surfaces.

• Identify professional topical fluorides and modes of application.

• Prepare a fluoride therapy program for cries susceptible patients.

• Discuss the signs and symptoms of acute fluoride toxicity and the emergency treatment.

• Discuss the signs of chronic fluoride toxicity.

• Assemble, run, maintain, and sterilize the handpiece used for extrinsic stain/plaque removal.

• Demonstrate the use of a modified pen grasp, intraoral fulcrum, low rpm's, steady even pressure, and appropriate polishing agent on a manniken and then on patients.

• Floss to polish proximal tooth surfaces.

• Irrigate to completely remove remaining abrasive agent.

• State the rationale for and demonstrate the appropriate technique for fluoride gel and varnish applications.

• Provide the patient/parent with appropriate post-fluoride treatment instructions.

• Describe the rationale for and procedure for a plaque index to a patient.

• Demonstrate an accurate performance of both the O'Leary and PHP plaque indices on selected patients, and discuss the significance of the findings with the patients.

• Select the appropriate oral physiotherapy aids for plaque removal based on the patient's individual oral hygiene needs from the results of the plaque index and other findings.

• Select the appropriate toothbrushing technique based on the results of the plaque index, other intraoral findings, manual dexterity, and the individual's level of understanding.

• Discuss, demonstrate, and teach the patient the use of appropriate oral physiotherapy aids.

• Discuss, demonstrate, and teach the patient the use of appropriate toothbrushing techniques.

• Recommend mouthrinses and dentifrices based on the patient's individual oral health needs.

• Relate the recommendation of all chemotherapeutic agents, physiotherapy aids, and techniques to the oral diseases and /or conditions of the patient.

• Discuss the various steps in a preventive dental health program.

• Develop a preventive dental health program for both adult and pediatric patients. (including parent instruction)

• Discuss the preferred characteristics of teaching aids used in pataient education, and list the advantages and disadvantages of each.

• Create active participation on the part of the learner.

• Give immediate feedback to the learner so he/she can access his/her performance.

• Adjust the rate of the oral health instruction to the rate of the learner.

• Demonstrate sensitivity to the cultural, religious practices of the learner.

• Define and discuss the concepts of treatment plan, dental hygiene process of care, dental hygiene diagnosis, and dental hygiene prognosis.

• Indicate the appropriate sequence of care for the patient treatment.

• Formulate and record a treatment plan that identifies and addresses the needs and accomplishes the goals of the patient.

• Define informed consent and indicate the criteria needed to obtain it.

• Define informed refusal and indicate the criteria needed to obtain it.

• Explain why the treatment plan of a minor or mentally compromised patient is discussed with the parent or legal guardian.

• Demonstrate a clear understanding of patient requirements, the CVCC clinical evaluation system, and clinic reporting forms.

• Correctly complete the radiology chart process to include the evaluation sheet, submissions for grading, accurate charting and documentation of radolgraphic interpretation by the clinic dentist, and accurately preparing the referral and mailing envelopes.

• Actively recruit patients to ensure a person to treat for each clinic session.

• Dress and act in a professional manner.

• Maintain superlative infection control procedures.

• Take thorough and comprehensive health histories, including appropriate vital signs.

• Complete extra/intraoral examinations including palpation techniques and visual inspections; record findings accurately.

• Accurately chart all dental and periodontal conditions, including full mouth probing according to clinic protocol.

• Meet individual patient needs and provide treatment based on these needs through comprehensive treatment plans.

• Remove soft and hard deposits from the dentition.

• Present personal oral hygiene measures applicable to each individual patient.

• Effective communicate with patients, faculty, staff, dentists, and physicians when needing or providing referral information.

• Make a dated entry in the progress notes of the pataient record delineating all findings, instructions, recommendations, treatment, and next clinic visit plan or recare.

• Sign all chart entries and obtain necessary faculty signatures.

Academic Grading Policy

A	Excellent	4	Grade Points	Numerical grade of 90 - 100
B	Above Average	3	Grade Points	Numerical grade of 80 - 89
C	Average	2	Grade Points	Numerical grade of 70 - 79
D	Below Average	1	Grade Point	Numerical grade of 60 - 69
F	Failed	0	Grade Point	Numerical below 60
WP	Withdraw Passing	0	Grade Point	Issued if the course is dropped after the census date and on or before the 60% point of the course unless the instructor issues a WF based on extenuating circumstances
WF	Withdraw Failing	0	Grade Point	Issued if the course is dropped after the 60% point of the course or the instructor chooses based on extenuating circumstances

Attendance Requirement for the School of Health and Public Services

Regular, prompt attendance is essential for academic success. Students should strive for perfect attendance. It is recognized, however, that students may be absent from class occasionally. Students should reference the instructor's syllabus to determine the attendance requirement for this course. The instructor is responsible for enforcing the attendance requirement. It is the student's responsibility to withdraw from the course. Students may complete the withdrawal process in the Advising Center. Students may receive a grade of WP if they withdraw from a course by the 60% point/date of the course. Any student withdrawals that occur after the 60% point will result in a grade of WF. Exceptions to the "WF" grade may exist if the student has a mitigating circumstance. Students are encouraged to discuss withdrawal options with the faculty member and complete the withdrawal process in the Advising Center.

Class Recordings

In some classes videoconferencing software will be used to record live class discussions. As a student in such classes, student participation in live class discussions will be recorded. These recordings will be made available only to students enrolled in the class, to assist those who cannot attend the live session or to serve as a resource for those who would like to review content that was presented. All recordings will become unavailable to students in the class when the class ends. Students who prefer to participate via audio only will be allowed to disable their video camera so only audio will be captured. Students should discuss this option with their instructors. The use of all video recordings will be in keeping with the Privacy Statement shown below.

Privacy Statement

Assuring privacy among faculty and students engaged in online and face-to-face instructional activities helps promote open and robust conversations and mitigates concerns that comments made within the context of the class will not be shared beyond the classroom. As such, recordings of instructional activities occurring in online or face-to-face classes may be used solely for internal class purposes by the faculty member and students registered for the course, and only during the period in which the course is offered. Instructors who wish to make subsequent use of recordings that include student activity may do so only with informed written consent of the students involved or if all student activity is removed from the recording. Recordings including student activity that have been initiated by the instructor may be retained by the instructor only for individual use.

Disability Statement

If you have a documented disability and wish to discuss academic accommodations, please contact the Counselor for Students with Disabilities and Special Programs located in room 429 of the Student Center. If you are a student with a mobility impairment and have a class in a multi-story building, please discuss evacuation plans with your instructor.

Religious Observance Statement

Students shall be permitted excused absences from all classes two days per academic year for religious observances required by their faith. The absences requested in accordance with this policy are "one of" and not "in addition to" any absences otherwise permitted by the faculty for a class. The excused absence request must be submitted by the second class meeting and a minimum of two (2) weeks in advance of the absence. Please contact your instructor for the required forms.

Academic Honesty Policy

Students at CVCC are expected to be honest in all academic pursuits, whether class, lab, shop, or clinical. Acts of academic dishonesty are considered unethical and subject to behavior sanctions. Examples of academic dishonesty include, but are not limited to the following:

1. Sharing information about the content of quizzes, exams, classroom/lab/shop/clinical assignments (scheduled or make-up) without approval of the instructor including but not limited to unauthorized copying, collaboration, or use of notes, books, or other materials when preparing for or completing examinations or other academic assignments (scheduled or make-up).

2. Buying, selling, or otherwise obtaining a copy of a quiz, exams, project, term paper, or like document, without approval of the instructor.

3. Plagiarism, which is defined as the intentional representation of another person's work, words, thoughts, or ideas (from any source) as one's own.

4. Failing to follow approved test taking procedures by performing such acts as:

   • Looking on another student's test
   • Use of unauthorized notes; written, electronic, or otherwise
   • Changing answers after exam is scored
   • Verbal, non-verbal, or electronic communication with another student during an exam

Instructors have the authority to impose either a warning, probation, or dismissal from the class for acts of academic dishonesty relative to classes under their supervision.

Students have an obligation to report any acts of academic dishonesty to the instructor or appropriate campus authority when reasonable grounds exist for such a report. Students also have a responsibility to cooperate in the investigation of any alleged acts of academic dishonesty. Failure to report acts of academic dishonesty could result in a behavior sanction as outlined in the Student Conduct Policy, Policy 3.18.

CVCC Emergency Procedures

To Report a Serious Emergency Dial 911 from any campus phone or 911 from mobile phones; then dial 711 (Campus Safety & Security) from a campus phone.

Safety & Security: S.E.L.F. Active Shooter Response Training Video

Lockdown

Quickly get all persons behind a locked door, close blinds, lock all windows/doors, and turn off lights. Sit against an interior wall away from windows and doors (hide). Keep cell phones ON in silent mode or vibrate. Do not leave the locked area until notified by a known CVCC administrator or by law enforcement that the emergency is over.

Seek Shelter (tornados, hurricanes, etc.)

Move to hallways and/or other inner rooms. Stay away from windows and doors. Sit on floor facing the inner wall and shield head with hands. Remain in shelter until notified by CVCC administration or by emergency personnel that the danger is over.

Building Evacuation

Leave the building immediately and proceed to a parking lot location at least 300 feet from the building. Do not delay to retrieve books or other personal items. Do not use elevators. Do not touch suspicious objects. Stay clear of the building once outside. Faculty should take class rosters if possible and account for all students at evacuation locations. Report any special assistance needed to CVCC faculty/staff or to emergency personnel. If you are aware or suspect someone is trapped in a threatened building, notify CVCC faculty/staff or emergency personnel. Remain at your building evacuation location until further instructions are provided by CVCC administration or by emergency personnel. In case of bomb threat, avoid using cell phones and wireless devices; this may detonate the bomb.

Smoke, Fire or Hazardous Materials

Activate the nearest fire alarm. Before attempting to fight a fire, notify someone nearby. Never attempt to fight a fire larger than wastebasket size. Close doors and windows to isolate the problem if the situation permits. If trapped in a building during a fire, use wet towels or cloths to protect you from flames and smoke. Stop/drop/roll if your clothes catch on fire. Do not open doors that feel hot. Always stay between the fire and an exit. Stay low to the floor as you try to exit.

Personal Emergencies

Unless you feel threatened, stay with the victim until emergency personnel arrive. Avoid contact with bodily fluids. Stay calm and try to minimize panic. If the person is conscious, ask if he/she is a High School student (if so, include this information in your 911 call).

Emergency Procedures Revised: August 15, 2019

Cell phone backup to 711 Campus Safety & Security can be reached at: 828-327-7000 ext. 0