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DHYG-1227-001 Preventive Dental Hygiene Care
The role of the dental hygienist as a therapeutic oral health care provider with emphasis on concepts of disease management, health promotion, communication and behavior modification.
Student ResourcesStudent Resources Website
Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:
Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact your advisor, the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.
(2 sem hrs; 1 lec, 3 lab)
On Campus Course
Required Course Textbooks
1. Primary Preventive Dentistry , Norman O. Harris, Franklin Garcia-Godoy, and Christine Nielsen Nathe, 8th edition. Pearson, 2014.
Teaching Methods
A variety of teaching methods will be used to facilitate the goals and objectives of this course. We will be utilizing blackboard “Content” for our lecture/lab sessions. This will allow for collaborative learning. Collaborative learning is based on four principles where the learner or student is the primary focus of instruction, interaction and “doing” are of primary importance, working in groups as an important mode of learning, and a structured approach to developing solutions to real-world problems are incorporated. The lecture component of this course will be taught in a collaborative way to incorporate different learning styles. We will work in groups and with partners often with some traditional lecture format. Material will be posted in Blackboard and adaptive quizzing may be implemented to support classroom and laboratory activities. Power point, videos, readings, case studies and practice questions may all be utilized. Research shows that educational experiences that are active, social, contextual, engaging, and student-owned lead to a deeper learning. The benefits of collaborative learning include:
Course Supply List
1. Library Card for AC and/or city library
2. Computer and Internet Access, printer, print cartridges
3. Index cards, paper, pens, markers
4. Additional materials may be needed
Course Description
The role of the dental hygienist as a therapeutic oral health care provider with emphasis on concepts of disease management, health promotion, communication, and behavior modification.
End-of-Course Outcomes
Describe the role of the dental hygienist as a therapeutic oral health care provider; develop and implement a patient education plan for periodontal disease; and explain the concepts of disease management.
Instructor Objectives for the Course
Objectives will coordinate with the materials presented in lecture, handouts, reading assignments and exams.
Chapter 1 Objectives
1. Define and apply the following key terms: primary, secondary, and tertiary prevention.
2. Describe the historical aspect of preventive dental care.
3. Describe the state of dental health in the United States.
4. Describe categories that aid in classifying diseases.
5. Describe risk assessment in dental care delivery.
Chapter 2 Objectives
1. Define culture and explain its relevance to the contemporary healthcare professions.
2. Describe influences of culture on aspects of U.S. society that impact preventive healthcare to underserved populations.
3. Identify health beliefs among different cultural groups.
4. Describe how cultural beliefs influence preventive dental care.
5. Explain the relationship between cultural competence and health outcomes.
Chapter 3 Objectives
1. Describe the dental hygiene process of care.
2. Describe the integration of the dental hygiene process of care into the dental hygiene appointment.
3. Compare and contrast dental hygiene therapy for patients with and without attachment loss.
4. Describe the elements of the dental hygiene appointment.
5. Describe the use of the CDT in creating a dental hygiene care plan.
6. Define dental public health.
7. Describe community programs aimed at preventing diseases.
Chapter 4 Objectives
1. Differentiate between organic coatings of endogenous and exogenous (acquired) origin.
2. Explain why dental plaque is not unique among naturally occurring microbial layers.
3. Describe the mechanisms proposed to explain bacterial adhesion to the acquired pellicle.
4. Distinguish between primary and secondary bacterial colonizers in dental plaque, and cite examples of each.
5. Identify the primary sites of calculus formation, explain how calculus forms, and detail the differences between supragingival and subgingival calculus.
6. Describe the basis for the involvement of the acquired pellicle, bacterial dental plaque, and dental calculus in caries and the inflammatory periodontal diseases.
Chapter 5 Objectives
1. Describe the four types of carious lesions that are found on the different surfaces of the teeth.
2. Describe the histologic characteristics of enamel and dentin that facilitate fluid flow throughout a tooth.
3. Describe the four zones of an incipient caries lesion.
4. Describe the conduits (pores) that directly conduct acid from the bacterial plaque to the body of the lesion.
5. List the bacteria most often implicated in the caries process, and indicate when each is present in the highest number during the caries process.
6. Describe the series of events in a cariogenic plaque and subsurface lesion from the time of bacterial exposure to sugar until the pH returns to a resting state.
7. Describe the characteristics of root caries, and explain the differences and similarities to coronal caries.
8. Describe why the profession takes so much time in treating secondary caries.
9. Describe the relationship between pH and the saturation of calcium and phosphorus ions in caries development.
10. Describe the protective relationship of calcium fluoride to hydroxyapatite and fluorhydroxyapatite during an acidogenic attack.
Chapter 7 Objectives
1. Describe the epidemiology of oral cancer.
2. Identify risk factors that contribute to oral cancer.
3. Identify signs and symptoms of oral cancer.
4. Identify factors to prevent oral cancer.
5. Describe the common locations for oropharyngeal cancers.
6. Describe the various screening and diagnostic tools used to detect oral cancer.
7. Describe the steps in a complete oral cancer examination.
8. Identify the staging system used for oral cancer.
9. Describe treatment options.
10. Identify practical considerations for health care providers.
Chapter 8 Objectives
1. Define dental trauma.
2. Describe the etiology of dental trauma.
3. Describe the assessment of trauma.
4. List and describe the categories of dental trauma.
Chapter 9 Objectives
1. List the four host defense mechanisms operational in the oral cavity.
2. Describe how the epithelium functions as a microbial barrier in the mouth.
3. Describe how an ideal dentition functions as a defense mechanism.
4. Describe the cycle of enamel demineralization and remineralization and assess its presence in patients.
5. Evaluate caries treatment plans to include a medical model of disease prevention and non-surgical treatment.
6. Identify early and late colonizers in bacterial plaque, and discuss their roles in the disease process.
7. Incorporate systemic assessments of host defense mechanisms into periodontal therapy.
8. Explain the significance of plaque pH.
9. Differentiate between cellular and humoral immunity.
10. Describe the role of granulocytes in host defense.
11. List the major salivary glands and functions of saliva.
12. Prescribe appropriate therapies for a patient with compromised salivary function.
13. Discuss the functions of the immunoglobulins.
14. Explain concepts of host defense mechanisms into patient treatment plans.
Chapter 11 Objectives
1. Differentiate between a cosmetic and a therapeutic dentifrice, mouth rinse, and chewing gum.
2. Explain the three phases of reseach necessary when applying to investigate a new drug.
3. Discuss how approval or nonapproval of a new product by the Food and Drug Administration (FDA) differs from acceptance or rejection by the American Dental Association (ADA).
4. List and define the purpose of each dentifrice ingredient including percentage quantities.
5. Explain the various reasons that the same abrasive material in toothpaste can cause different levels of abrasion on tooth structure.
6. Define the three types and amounts of fluoride compounds commonly used in dentifrices.
7. Identify the agents used in dentifrices to produce anticaries, anticalculus, whitening, and anti hypersensitivity effects.
8. Explain the active ingredients in antiplaque and antigingivitis mouthrinses sold over the counter and as a prescription item.
9. Describe the advantages and disadvantages of mouthrinses containing alcohol.
10. Describe the benefits of chewing gum and the ingredients used to help reduce oral disease.
Chapter 12 Objectives
1. Describe the reasons that adjuncts to toothbrushing are needed to supplement oral health self-care.
2. Identify factors in addition to oral conditions that influence selection of self-care adjunctive devices and techniques.
3. Identify the process of developing an oral health self-care plan.
4. State the purposes, indications, contraindications, techniques, advantages, and limitations of various adjunctive oral hygiene devices and procedures.
Chapter 13 Objectives
1. Describe the proper oral self-care for removable partial dentures, full dentures, and overdentures.
2. Describe the risk of Candida infections for denture wearers.
3. Explain the various procedures and cleansers used to prevent and control oral Candida infections.
Chapter 14 Objectives
1. Define community water fluoridation.
2. Describe the four historical periods in the evolution and development of community water fluoridation.
3. Explain the role of community water fluoridation and the impact of multiple sources of fluoride on the decline of dental caries.
4. Describe the effect of the discontinuation of water fluoridation in a community on caries prevalence.
5. Describe fluorosis classifications and characteristics by severity and the need to monitor exposure to fluoride.
6. Describe the economic aspects of water fluoridation.
7. State the optimal fluoride concentration for drinking water in the United States, in parts per million (ppm F), for maximum caries protection with minimal risk of fluorosis.
8. List the additives used for water fluoridation and briefly describe the technical aspects of fluoridation, including monitoring and surveillance of water fluoridation in the United States.
9. Describe the regulatory standards and policies for naturally occurring fluoride in drinking water.
10. State the daily Adequate Intake and Tolerable Upper Limit of fluoride for different age groups.
11. Summarize the current status of fluoridation in other countries and describe alternatives to water fluoridation.
Chapter 15 Objectives
1. List the fluoride compounds used to control caries and indicate their relative effectiveness.
2. Describe how topical fluorides work to prevent caries.
3. Identify what percentage of sodium fluoride, acidulated phosphate fluoride and stannous fluoride are available for office and home use.
4. Describe how topical fluoride is applied to the teeth.
5. Describe safety considerations with topical fluoride.
6. State the expected decrease in caries formation following use of dentifrices and mouthrinses containing fluoride.
7. Describe fluoridated varnishes and fluoride-releasing dental restorative materials and the potential of these materials to inhibit demineralization and enhance remineralization.
8. Describe safety considerations with topical fluoride.
Chapter 19 Objectives
1. Define patient autonomy.
2. Explain the elements of the major health education theories.
3. Identify principles of adult learning.
4. Identify motivational interviewing techniques to devise a patient education strategy.
Chapter 20 Objectives
1. Describe population characteristics of tobacco users in the United States and the resultant morbidity and mortality.
2. Describe the oral diseases and lesions related to the use of tobacco, both smoked and smokeless.
3. Describe the different types of tobacco and their uses, emphasizing the harmful toxins, carcinogens, and nicotine levels in both smoked and smokeless tobacco.
4. Describe the process of nicotine addiction as a chemical dependence as well as the behavioral and social aspects of the addiction process.
5. Identify the specific FDA-approved pharmacotherapies available for tobacco cessation, including nicotine-replacement therapy and oral medication as well as emphasizing the appropriate assessment of the dependence level to nicotine and the most beneficial use of available medications.
6. Identify the various components of an effective tobacco-dependence intervention using the Public Health Service Guideline, stages of change model, and motivation for behavior change.
7. Describe the specific components of a tobacco-dependence intervention in the dental office setting, emphasizing the specific roles of the dental team for a comprehensive program.
8. Identify the elements of successful tobacco-prevention strategies in the office and community settings.
Chapter 21 Objectives
1. Describe the preventive aspects of athletic mouthguards.
2. Describe the historical aspects of athletic mouthguards.
3. Describe the prevalence of sports-related orofacial and head trauma.
4. List the promotional activities advocating the use of mouthguards.
5. List the sports and activities that should involve the use of athletic mouthguards.
6. Describe the types of athletic mouthguards.
7. Describe the fabrication of custom-made vacuum-formed mouthguards.
8. Describe the dental provider’s role in the use of athletic mouthguards.
The student will know that these objectives have been successfully completed if he or she earns a final grade of "C" or higher as evaluated by the course instructor.
The standards for the objectives may be one or any combination of the following:
In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .
If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".
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. This document may be located online 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 student conduct policies for Dental Hygiene students at Amarillo College. In order for maximum learning to occur, the following professional standards must be adhered to:
Professional Standards
1. Student is prompt to 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 clinical setting.
6. Student will seek faculty assistance if needed, and will monitor their 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. Student will exhibit professionalism in the classroom. Please refer to the Amarillo College Student Rights and Responsibilities bulletin.
10. Student will abide by the cell phone usage policy. Please, no exceptions.
Electronic and Recording Devices
In order to maximize learning, personal use of cell phones is prohibited in this course. Students may check cell phones at designated breaks given by the instructor. Those students who have children or who anticipate an emergency situation should give baby sitters and family members the Office Supervisor’s phone number (806-354-6050) and have calls directed to her first. She will then act accordingly to inform the student.
Academic Grievances
A student, who has a grievance concerning a course in which he or she is enrolled or a grade, should make an 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
The final course grade will be computed as follows:
I. Weekly Quizzes count for 25% of your total grade
II. Major Examinations count for 25% of your total grade
III.Lab Projects and Assignments count for 25% of your total grade.
IV. Comprehensive Final counts for 25% of your total grade.
A = 93-100%
B = 83-92%
C = 75-82%
F = Below 75%
Note: A grade of "D" is not possible in this course.
Mandatory Skills Building/Tutoring
In an effort to increase student success in DHYG courses, and to assist students having difficulty understanding complex subject areas, any student who scores below a 75% on any exam (excluding the Final Exam) must complete a mandatory skills building/tutoring assignment before taking the next exam. Before receiving a skills building/tutoring assignment, students must first schedule a time with the instructor. The assignment will be given at that time.
The course will consist of weekly quizzes, reading assignments and case studies, major examinations, lab projects of which many will be completed outside of the classroom in the forum of service learning and a comprehensive final. Refer to the course calendar for the schedule of materials to be covered in each class and lab and the tentative examination dates. Also, please note the provisions of the Make-up Policy in this syllabus for missed examinations.
LAB:
Laboratory Projects are divided into several sections:
Section 1. A report on assigned articles detailing adjunct products utilized in dental hygiene.
Instructions:
Read the assigned articles. Type a 2-3 page report (double-spaced) summarizing the articles. Include a paragraph detailing what you learned from each article and how you will apply this information in the dental clinic. Place your summary report into a folder. You will need a cover page entitled 2017 PREVENTION PROJECTS. Include the following in your folder: a title page, index page and the assigned articles. This assignment is due November 10, 2017.
Assigned articles include the following:
a. Atridox: located at the following web address: www.accessdata.fda.gov/Atridox…/050751s015lb.
b. Perio Chip: located at the following web address: http://us.periochip.com/what -is-periochip
c. Arestin: located at the following web address: www.drugs.com/pro/asestin
d. Oraqix: located at the following web address: www.drugs.com/cdi/oraqix-periodontal-gel
e. Xylitol: www.authoritynutrition.com/xylitol-101/
Section 2. Service Learning Projects within the community including reports and reflection about these projects.
Instructions:
Who went? Where did you go? Why did you go? When did you go? What did you learn? I would also like some comments about how you liked the project(s) - self reflection. What was the highlight of this experience and why? How did this experience help you become a better clinician and why?
Section 3. Group Project on questions that patients may ask. A report, a chart on the products, and a class presentation will be required to complete this project.
Instructions:
Group Project #1 ( Ten Questions Patients Ask????) Students will be divided into assigned groups.
Group Project # 2
Section 4. Patient Education Plan for Periodontal Disease
Instructions:
Develop, implement, and present a patient education plan for a patient who has moderate to severe periodontal disease. Please include the following:
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 pm.
3. The make-up work may earn a maximum of 80% of the original point value.
4. Note: Weekly quizzes may not be made up and a grade of 0 will be entered into the grade book for a missed quiz. No exceptions please.
"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 achievement. 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 sesssions regularly and promptly. Without question, the instructor expects each student to be present at each session. Unfortunately, no one has ever developed a shorcut, 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 his/her final grade. Beginning with the 2nd absence, 2 points will be deducted from the final grade; after the 3rd absence, 3 additional points will be deducted; after the 4th absence, 4 additional points will be deducted. On the occurrence of the 5th absence, the student will be required to repeat the course. STUDENTS WHO ARE LATE TO CLASS OR LAB OR WHO LEAVE CLASS EARLY, WILL BE COUNTED AS ABSENT. The student will receive 2 bonus points to the final grade in this course if the student has perfect attendance for the semester.
Date |
Chapter (s) |
Topic |
August 22 |
Review Course Syllabus Chapter 1 Chapter 2 |
Introduction to Primary Preventive Dentistry Cultural Health Influences |
August 29 |
Quiz Chapter 3 Chapter 19 |
Dental Hygiene Science Health Education and Promotion Theories |
|
Darby Review - Chapter 15 Darby Review - Chapter 16
|
Dental Hygiene Process of Care Strategies for Oral Health Promotion and Disease Prevention and Control |
September 5 |
Quiz Chapter 4 |
Dental Plaque Biofilm |
|
Chapter 5 Henry and Goldie Text - Chapter 21 |
Carious Lesions Cariology and Caries
|
September 12 |
Exam |
Chapters 1-5 and additional assigned readings |
September 19 |
Chapter 7 Darby Review Chapter 18 |
Oral Cancer Management of Pain and Anxiety |
|
|
|
September 26 |
Quiz Chapter 8 Chapter 9 Henry and Goldie Text - Chapter 30 |
Dental Trauma Host Defense Mechanism in the Oral Cavity Esthetics |
October 3 |
Quiz Chapter 11 |
Dentifrices, Mouthrinses, & Chewing Gums |
October 10 |
Quiz Chapter 12 Henry and Goldie Text - Chapter 32 |
Self-Care Adjuncts Nitrous Oxide /Oxygen Sedation |
October 17 |
Fall Break |
Fall Break |
October 24 |
Exam |
Chapters 7, 8, 9 11, 12 and additional assigned readings |
October 31 |
Chapter 13 Henry and Goldie Text - Chapter 23 |
Implant and Denture Self Care Prosthesis and Appliances |
November 7 |
Quiz Chapter 14 |
Community Water Fluoridation |
November 14 |
Quiz Chapter 15 |
Topical Fluoride Therapy |
November 21 |
Exam |
Chapters 13, 14, 15 and additional assigned readings |
November 28 |
Henry and Goldie Text - Chapter 28 |
Management of Dentin Hypersensitivity |
December 5 |
Quiz Chapter 20 |
Tobacco Cessation |
|
Chapter 21 Henry and Goldie Text - Chapter 34 Chapter 35 |
Athletic Mouthguards
Evaluation Maintenance |
December 11 |
Comprehensive Final Examination |
Jones Hall Room 111 1:00 – 3:30 |
|
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06/16/17 3:36 PM
08/21/17 2:41 PM