Contemporary Dental Hygiene Care I Syllabus for 2011-2012
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Course

DHYG-2201-001 Contemporary Dental Hygiene Care I

Prerequisites

Course Description

Dental hygiene care for the medically or dentally compromised patient including supplemental instrumentation techniques.

Student Resources Student Resources Website

Department Expectations

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Hours

(2 sem hrs; 2 lec, 1 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

 Required Course Textbooks

1.  Dental Management of the Medically Compromised Patient, Donald Fallace, James Little, Craig Miller, and Nelson Rhodus, 8th edition, Mosby.

2.  Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation, Jill S. Nield-Gehrig, 6th edition, Lippincott, Williams, and Wilkins.

3.Clinical Practice of the Dental Hygienist, Esther Wilkins, 9^th edition, Lippincott, Williams, and Wilkins. 

 

 

 

 

Supplies

Course Supply List

 

1.  Library Card for AC and/or city library

2.  Computer and Internet Access, printer, print cartridges

3.  Index cards, scantrons, paper, pens, mark

Student Performance

Course Description

Dental hygiene care for the medically or dentally compromised patient including supplemental insrumentation techniques.

 End-of-Course Outcomes

Assess various patient needs; formulate a  dental hygiene care plan for the medically and /or dentally compromised patient; and describe supplemental instrumentation techniques.

Instructor Objectives for the Course

Chapter objectives will coordinate with the materials presented in lecture, handouts, reading assignments, and exams.  The student will know that these objectives have been successfully completed if he or she earns a final course grade of "C" or higher as evaluated by the instructor.

The standard for the objectives may be one or any combination of the following:

a.  As given in lecture

b.  As demonstrated, discussed in the clinic/lab experience

c.  As given in handouts

d.  As stated in course texts

 

1.   Discuss cardiovascular disease risk factors.
2.   Identify the general signs and symptoms of cardiovascular disease, specifically those of rheumatic heart disease, bacterial endocarditis, valvular heart defects, cardiac arrhythmia, hypertension, coronary heart disease, congestive heart failure, and congenital heart disease.
3.   Describe the care of clients with cardiovascular disease, specifically rheumatic heart disease, valvular heart defects, hypertension, coronary heart disease, and congestive heart failure.
4.   Discuss the oral complications associated with cardiovascular disease.
5.   Determine a dental hygiene diagnosis related to the individual with cardiovascular disease.
6.   Develop a dental hygiene care plan for clients with cardiovascular disease.
7.   Determine the need for emergency medical care in a client with cardiovascular disease.
8.   Select alternative dental hygiene care procedures for the individual with cardiovascular disease.
9. Discuss cerebrovascular accident to include thrombosis, intracerebral embolism, ischemia, cerebral hemorrhage, predisposing factors, occurrence, signs and symptoms, medical treatment, and dental hygiene care.
10.   Discuss fetal development to include the first trimester, second and third trimesters, and factors that can harm the fetus.
11.   Discuss oral findings during pregnancy to include gingivitis, gingival enlargement, and enamel erosion.
12.   Identify aspects of patient care to include assessment, radiography, periodontal treatment, and overall treatment considerations for the pregnant patient.
13.   Discuss dental hygiene care to include appointment planning and clinical care for the pregnant patient.
14.   Identify aspects of patient instruction for the pregnant patient to include bacterial plaque control, prevention of periodontal disease, smoking cessation, diet, and dental caries control.
15. Discuss fetal alcohol syndrome and alcohol use during pregnancy.
16. Discuss infant and toddler oral health to include prenatal anticipatory guidance, birth through 6 months, first dental visit/dental hygiene visit, daily bacterial plaque removal, dietary habits and feeding, and maintenance.
17.   Discuss the following terms:  pyogenic granuloma and teratogenic agent.
18.   Discuss drugs contraindicated during pregnancy and breast-feeding.
19.   Discuss appointment adaptations for the pregnant patient.
20.   Discuss baby bottle tooth decay.
21.   Categorize the classifications of clefts.
22.   Discuss the etiology of clefts to include embryology and risk factors.
23.   Discuss oral characteristics related to clefts to include tooth development, malocclusion, open palate, muscle coordination, periodontal tissues, and dental caries.
24.   Discuss the general characteristics of a patient who presents with a cleft to include other congenital anomalies, facial deformity, infections, airway breathing, speech and hearing loss.
25.   Discuss personal factors in a patient who has a cleft to include self-consciousness, and feelings of inferiority.
26.   Discuss the treatment of clefts to include cleft lip, cleft palate, prosthodontics, orthodontics, speech therapy, and restorative dentistry (pediatric dentist or general dental practitioner).
27.   Discuss dental hygiene care for the patient with a cleft to include parental counseling:  anticipatory guidance, objectives for treatment planning, appointment considerations, dental hygiene interventions, patient instruction, and dental hygiene care related to oral surgery.
28.   Discuss the following terms:  autograft, bifid uvula, cleft lip, cleft palate, obturator and velum palatinum.
29.   Describe the difference between type I insulin-dependent diabetes mellitus (IDDM) and type II non-insulin dependent diabetes mellitus (NIDDM).
30.   Outline the symptoms of diabetes.
31.   Describe the chronic complications of diabetes mellitus.
32.   Outline the medications prescribed for the individual with diabetes.
33.   Recognize and describe a diabetic emergency and be able to to take appropriate action for the management of a diabetic emergency.
34.   Compare and contrast  the diabetic condition through control or lack of control in regard to oral infections.
35.   Develop a client-centered dental hygiene care plan for the individual with diabetes.
36.   Recognize the following oral complications of diabetes mellitus:  salivary and oral changes; periodontal changes; opportunistic infections
37. Apply the dental hygiene process of care to the individual with diabetes.
38. Apply the principles of oral health instruction to the individual experiencing the psychological aspects of the diabetic condition.
39. Recognize or suspect the diabetic conditions when oral tissues fail to respond to traditional treatment.
40. Understand the benefits of early dental intervention for the management of the infant and toddler patient.
41. Understand the treatment goals of early intervention for the infant and toddler patient.
42. Understand behavioral modification techniques to gain patient cooperation.
43. Understand positioning techniques for examination of the infant and toddler.
44. Detail scripts for introducing the toddler patient to the dental environment.
45. Understand protocols for the infant and toddler patient.
46. Understand marketing strategies for the infant and toddler patient.
47. Be familiar with ESRD and the diseases which can cause ESRD.
48. Be familiar with the signs and symptoms of patients who are experiencing renal failure.
49. Discuss the medical considerations for patients who are receiving either peritoneal dialysis or hemodialysis.
50. Understand the term renal osteodystrophy.
51. Be familiar with the dental management of the patient with end-stage renal disease.
52. Identify three women's health concerns observed worldwide.
53. Discuss prevalence, risk factors, common treatment and prevention strategies and oral connections for each disease.
54. Outline home care strategies to help patients with these diseases improve oral hygiene.
55. Identify common risk factors linked to systemic diseases and oral complications from medication use.
56. Outline essential steps for the dental professional to use in adequately delivering comprehensive care.
57. Examine specific treatment protocols and product recommendations based on medical and/or dental assessments.
58. Describe the principles of instrumentation of the Gracey curettes.
59. Give the location where each Gracey instrument is used.
60. Select the appropriate instrument-manual or powered-for periodontal debridement.
61. Select the appropriate tips for the debridement process, based on patient need and access.
62. Determine the need for further therapeutic intervention at the 4 to 6 week evaluation.
63. Outline the following gastrointestinal diseases including etiology, medical and dental management and clinical presentation:  peptic ulcer disease; ulcerative colitis; Crohn's disease; and pseudomembranous colitis.
64. Understand the indications and contraindications of taking methotrexate.
65. Differentiate between C difficile and H. Pylori.
66. Differentiate between the following:  Median rhomboid glossitis, perimylolysis; and pyostomatitis vegetans.
67. Outline the antisecretory drugs.
68. Outline the following diseases including etiology, medical and dental management and clinical presentation:  chronic obstructive pulmonary disease, chronic bronchitis, emphysema and asthma
69. Differentiate between chronic bronchitis and emphysema.
70. Discuss the link between gastroesophageal acid reflux and asthma.
71. Be familiar with the drugs used in the outpatient management of COPD and asthma.
72. Complete a research paper, power point and  oral presentation as outlined in the syllabus.

Objectives taken from www.dentalcare.com assignments:

1. Define Evidence-Based Medicine/Practice.
2. Define Evidence-Based decision making and its purpose.
3. Explain why evidence-based practice is not just a new term for an old concept.
4. Identify two principles of EBDM.
5. Identify the levels of evidence and premise upon which they are based.
6. Describe the 5 steps and skills necessary for EBDM.
7. Formulate a good question using the PICO process.
8. Discuss the benefits of EBDM.
9. Discuss how the components of a PICO question (Patient/Population Problem, Intervention, Comparison and Outcome) are used to identify key search terms.
10. Navigate Pub Meds home page.
11. Explain how Pub Med key features are used in conducting an efficient search.
12. Use the Pub Med MeSH Database to find indexing terms to use when searching.
13. Describe how to use Boolean Operators (AND, OR and NOT) to combine search terms.
14. Explain how to combine previous search queries using the History feature.
15. Discuss how using the PubMed "Limits" feature assist in finding the highest levels of evidence.
16. Effectively use PubMed to find evidence to answer a question using the key features of PubMed including MeSH, Boolean Operators, Search History, and Limits.
17. Conduct a PubMed search using the Clinical Queries feature.
18. Compare the traditional comprehensive PubMed search with using the PubMed Clinical Queries feature.
19. State the sources that should be used to access the dental literature, including MEDLINE, electronic databases, and dental libraries.
20. Identify the sections of the research report that most scientifice journals use.
21. Describe the characteristics of an abstract in a well-written research article.
22. Define the main components of the Introduction section of a research report.
23. List the items commonly described in the Method and Materials section in research reports.
24. Explain how the researcher should present the interpretation of the results in the Discussion section.
25. Explain how the Summary and Conclusions section should relate to the hypothesis/research question and findings of the study.
26. Explain why the oral health practitioner needs to know how to judge the quality of a research report.
27. State why the oral health practitioner should know when the research report was published.
28. Explain why the oral health practitioner should know where the research report was published.
29. State why the oral health practitioner should review the qualifications of the authors.
30. Explain why it is important to evaluate whether the experimental design is clearly described and appropriate.
31. Explain why the oral health practitioner should evaluate whether all possible influences on the findings were identified and controls instituted.
32. Explain why the oral health practitioner should determine if the sample has been appropriately selected.
33. Discuss why the oral health practitioner should determine if the reliability of the scoring has been assessed.
34. Describe some of the considerations in deciding whether the investigation is of sufficient duration.
35. Explain why it is important to know if the statistical analysis is appropriate to answer the research questions or hypothesis.
36. Describe how the oral health practitioner would determine if the research questions or hypotheses was answered.
37. Explain the importance of evaluating whether the interpretations and conclusions logically follow the experimental findings.
38. Determine the basis for adopting new therapy or products in clinical practice.
39. Recognize:  cysts, viral, ulcerative, fungal and bacterial lesions.
40. Recognize enamel stains and defects.
41. Recognize geminated, fused and supernumerary teeth.
42. Recognize teething problems.
43. Recognize the etiology and treatment of early childhood caries.
44. Understand the consequences and elimination of oral habits.
45. Recognize neonatal, over-retained teeth, ectopic eruption and missing teeth.
46. Recognize the consequences of early tooth loss and space maintenance.
47. Understand the characteristics, warning and precautions and proper dosages for adult and pediatric patients.
48. Understand the different disease process that can affect infants.
49. Educate the mother on perinatal oral care.
50. Know how to perform an initial oral exam.
51. Perform a caries risk assessment and teach preventive services to the mother or caregiver.
52. Understand the high risk dietary practices.
53. Identify predisposing factors for traumatic dento-facial injuries.
54. Conduct a comprehensive historical review, clinical and radiographic examination of traumatic injuries.
55. Effectively treat traumatic injuries to primary and permanent teeth.
56. Counsel patients and parents on prevention of traumatic injuries.
57. Name and understand the types of disorders that categorize a patient as a special needs patient.
58. Know the distribution of the special needs population.
59. Know the dental considerations that are required for each disorder discussed.
60. Discuss the current oral health care system for special needs patients.
61. Better understand appropriate evaluation, treatment and preventive measures that should be instituted during infancy and continued on a regular basis to maintain optimum health.
62. Discuss common oral conditions (common acquired conditions, developmental conditions, and congenital conditions of the pediatric patient.
63. Discuss the caries process which includes etiology and transmission, patterns of decay, caries risk assessment, and anticipatory guidance.
64. Describe what to do for orofacial trauma in the pediatric patient.
65. Define metabolic abnormalities related to diabetes.
66. Differentiate between the pathophysiology of type 1 and type 2 diabetes.
67. Distinguish between DKA and HHS.
68. Determine the appropriate protocol to prevent a medical emergency during dental treatment for a patient with type 1 and type 2 diabetes.
69. Analyze the dental management suggestions related to patients with uncontrolled diabetes.
70. List five questions that might be appropriate to help determine a patient's glycemic control or disease management.
71. Explain why blood glucose levels should be less than 200 mbdl before invasive dental treatment.
72. Describe several strategies for stabilizing blood glucose levels for dental patients.
73. Define normoglycemia in a way that a patient will understand.
74. State the three psychological factors that have been identified with successful patient education outcomes.
75. Name the two most important risk factors that are associated with increased susceptibility to periodontal disease.
76. Discuss the significance of a bidirectional relationship between diabetes and periodontal disease.
77. Identify the various environmental factors that impact periodontal disease associated with diabetes.
78. Examine the prevalence of systemic and periodontal disease(s) in the Pima Indian population group based on longitudinal study data.
79. Contrast the inevitability of risk factors for periodontal disease in Type 2 diabetes with strategies to prevent periodontal disease.
80. Describe two common oral health complications of diabetes besides periodontal disease.
81. Debate the presence of oral candidiasis with different levels of glycemic control.
82. Provide recommendations to a patient with diabetes following a dental procedure that may impact their ability to eat.
83. Examine the role of parotid glands in diabetes associated xerostomia. 
84. Describe specific guidelines that dental professionals can recommend to patients following dental procedures that affect blood glucose control and/or eating ability.

 

Students Rights and Responsibilities

Student Rights and Responsibilities

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If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

 Student Conduct and Responsibilities

A high standard of conduct is expected of all Amarillo College students.  The Student Code of Conduct is defined in the Amarillo College Student Rights and Responsibilities publication.  The document may be located at www.actx.edu under the student tab.

"Amarillo College expects a high standard of conduct from its students.  Students are expected to comply with the law, respect proper constitutional authority, and obey College policies, rules and regulations.  Unacceptable conduct is defined as an action or behavior that is contrary to the best interest of a fellow student or students, the faculty or staff, the College, or the teaching/learning process.  Students failing to perform according to established standards may be subject to disciplinary action.  Policies, standards, rules and regulations apply to students attending College activities whether the activity takes place on or off campus.  Each student shall be responsible for becoming knowledgeable of the contents and provisions of College policies, rules, and regulations concerning student conduct.  In some cases, individual programs may have approved policies for student conduct which also apply to student conduct in those programs.  Integrity and common sense will guide the actions of each member of the college community both in and out of the classroom.  Any student who fails to perform according to expected standards may be disciplined."

The Amarillo College Dental Hygiene Program has specific policies which apply to student conduct within the program.  These policies may be implied or written.   The course syllabus and the Program Manual are sources for specific student conduct policies for dental hygiene students at Amarillo College.

Professional Standards

1.  Student is prompt for class.

2.  Student is prepared for class sessions.

3.  Student assumes responsibility for his/her own learning.

4.  Student is concerned with excellence in learning rather than just meeting minimal criteria.

5.  Student applies lecture material in the clinic setting.

6.  Student will seek faculty assistance if needed, and will monitor his/her own progress in meeting course requirements.

7.  Student maintains his/her composure, dealing with conflict in a constructive way.

8.  Student exhibits an attitude of respect for classmates, faculty and staff.

9.  In order for maximum learning to occur, students should not be disruptive during class.  Should this occur, the student will be asked to leave immediately and will receive an absence for the day.  Disciplinary action may also be taken. 

Electronic and Recording Devices

In order to maximize learning, all electronic recording devices and cell phones are prohibited in this course.  It a student is caught with a cell phone in hand or in a uniform pocket, or actively texting, talking or surfing the internet during class, the student will immediately be dismissed and will receive a grade of "0". 

Mailboxes

Each student is assigned a mailbox located inside the student dressing room.  Students are required to check his/her mailbox daily for various communication from faculty.

Bulletin Board

First and second year dental hygiene students have designated areas in a common bulletin board in the student dressing room where various announcements may be posted.

Emergency Contacts:

Phone numbers that family members may use to reach a student in case of an emergency are as follows:

Dental Hygiene Office Supervisor:  354-6050

Amarillo College Police:  371-5163

Academic Grievance Procedure

A student who has a grievance concerning an academic course in which he/she is enrolled is directed to appeal in the following order to the:  (1) Instructor (2) Department Chair/Program Director (3) Dean of Health Sciences (4) Vice President of Academic Affairs (5) College President

 

 

Grading Criteria

Required Examinations and Projects

The course will consist of examinations, outside assignments utilizing the www.dentalcare.com resource center, a research paper, a  power point presentation over the research paper,  and a comprehensive final examination.

1. Weekly  Examinations - Each will be valued at 100 points.  A mid-term exam will also be given. 

2.  Literature Review, Research Paper and Power Point Presentation

A research paper and oral report based upon a review of the current literature on a topic of your choice that is related to the "special needs" patient and dental hygiene care is required for this course.  The research paper requires a minimum of six scholarly journal references and must have a minimum of six typed pages utilizing the current APA format.  The six page minimum does not include the cover page or the reference page.  Students will be required to turn in the copies of the research articles along with the research paper. 

An oral presentation of the research paper  in the form of a Power Point presentation will be presented in class. Students are also required to prepare ten questions and answers to discuss with the class on his/her topic.   Each presentation should be approximately 15 minutes in length.  Please review the information given to you by the AC librarian before beginning your project.   Pay close attention on how to format a research paper in APA format and how to cite references in APA format.  Students may want to take advantage of the AC Writers' Corner at www.actx.edu/english. 

The Research Paper and PowerPoint presentation will be turned in for grading and then will be placed in the student's file.  If you would like, please keep a copy for your files. The oral presentation will be evaluated not only by faculty, but also your peers.  A copy of your questions and answers must also be handed out to each student on the day of your presentation. 

In summary, you will need to turn in the following: 

Purchase a folder with pockets.  Place your research paper, articles, questions with answers, and your flash drive that has you PowerPoint presentation on it. in the folder.    Make sure all items are clearly labeled with your name and date.  You will each be given an assigned due date the first week of class. 

3.  Assignments from www.dentalcare.com resource center:  Complete the Readings, Take the exam over each assignment, and turn in your CE certificates by April 15th, 2013. 

a.  Evidence-Based Decision Making:  Introduction and Formulating Good Clinical Questions

b.  Strategies for Searching the Literature Using Pub Med

c.  Using Research for Clinical Decision Making:  Elements of a Research Report (45)

d.  Using Research for Clinical Decision Making:  Elements of a Research Report (46)

e.  Basic Techniques for Management of the Infant and Toddler Patient

f.  Clinical Encounters in Pediatric Dentistry

g.  Commonly Prescribed Medications in Pediatric Dentistry

h.  Dental Care for Infants

i.  Special Needs Care in Dentistry for Children

j.   Management of Traumatic Injuries to Children's Teeth

k.  Special Needs Care in Dentistry for Children

l.  Diabetes:  A Mulitfactorial Syndrome .  Treatment Considerations in Dentistry

m.  Aging, Systemic Disease and Oral Health:  Implications for Women Worldwide- Part I and Part II

4. Comprehensive Final Examination

The final examination will be comprehensive in nature over all of the material covered during the semester.

 Grading Criteria

The final course grade will be computed as follows:

Exams                                                      35%

Assignments from www.dentalcare  15%

Research Paper                                    10%

Power Point Presentation                    10%

Comprehensive Final Exam                30%

The following course grade scale applies throughout this course:

A = 93-100

B = 83-92

C = 75-82

F = Below 75%

Note:  A grade of "D" is not possible in this course

 

 

Attendance

 Attendance Policy

"Regular attendance is necessary for satisfactory achievement.  Therefore, it is the responsibility of the student to attend class."  (Amarillo College Student's Rights and Responsibilities Publication)

Regular attendance is necessary for satisfactory acheivement.  Therefore it is the responsibility of the student to attend class.  Due to the tremendous amount of information contained in this course, the student who plans to succeed should also plan to attend all course sessions regularly and promptly.  Without question, the instructor expects students  to be present at each session.  Unfortunately, no one has ever developed a short cut which will replace hours of actual experience needed to master a new skill; therefore, you must be present to acquire the specific knowledge in this subject.

Absences will be monitored and evaluated to determine the student's final course grade. The student may have no more than 1 absence in this course without affecting the final grade.  Beginning with the 2nd absence, 2 points will be deducted from the final grade; on the 3rd absence, 3 points will be deducted; on the 4th absence, 4 points will be deducted.  On the occurrence of the 5th absence, the student will fail the course and be required to repeat the course.  Attendance will be taken at the beginning of each lecture and lab session.  Students who are not present when attendance is taken will be counted as absent.  The student is expected to be present in class at the time class/lab is scheduled to begin.  STUDENTS WHO ARE LATE TO CLASS OR LAB OR WHO LEAVE CLASS OR LAB EARLY WILL BE COUNTED AS ABSENT.  The student will receive 2 bonus points to the final grade of this course if the student has perfect attendance for the semester.

Make-up Policy

If a student is absent on the day when a major examination is given, the student may make-up the missed work as follows:

1.  It is the responsibility of the student to make arrangements with the instructor within 24 hours of returning from the absence to reschedule the examination.

2.  The missed work must be made up within TWO Amarillo College school days where the day ends at 4:00 p.m.

3.  The makeup work may earn a maximum of 80% of the original point value.

 

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