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Disability Services facilitates access to all programs and services according to the ADA, Americans with Disabilities Act and Section 504 of the Rehabilitation Act, as well as other federal and state laws.
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As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc
The Tutoring for Success policy applies to any student whose grade or performance in the course falls below a departmentally determined minimum threshold. In either of those cases, the instructor will direct the student to the appropriate tutoring service, which may be faculty-led, discipline-specific, and/or general. Under this policy, the instructor will follow specific departmental guidelines governing the use, duration, and grade component of the tutoring need.
Students who do not attend class on or prior to the census date will be administratively dropped. Effective Fall, 2016
Students who wish to withdraw from a course must complete all steps indicated on the Academic Withdrawal Request form by the course withdrawal deadline.
NOTE: Students who are attending Texas institutions of higher education, for the first time fall 2007 and later, may not withdraw from more than six courses during their academic career. This withdrawal limitation does not include dual credit or developmental classes (Senate Bill 1231 Rule 4.10.) For more information on Drop and Withdrawal Policies, please visit the Registrar's Office Web site.
The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students. If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .
DHYG-2231-001 Dental Hygiene Care II
Prerequisite: DHYG 2201
A continuation of Dental Hygiene Care I. Dental hygiene care for the medically or dentally compromised patient including advanced instrumentation techniques.
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:
Melodie Graves
Justice Involved Advocate
Student Service Center 117
mgraves24@actx.edu
806-371-5995
Make appointment at https://melodiegraves.youcanbook.me
You can also contact 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, 4 lab)
On Campus Course
Students are required to have the most current edition of textbooks.
1. Dental Hygiene Applications to Clinical Practice and Student Workbook, Rachel Henry, Maria Perno Goldie, 1st edition, F.A. Davis Company, 2016.
2. Dental Management of the Medically Compromised Patient, James W. Little, Craig S. Miller, and Nelson L. Rhodus, 9th edition, Elsevier.
2. Newman and Carranza's Clinical Periodontology for the Dental Hygienist, by Michael G. Newman, Lory Laughter, Gwendolyn Essex and Sathessh Elangovan, Elsevier, 1st edition, 2021.
Teaching Methods
The instructor will teach the course collaboratively to integrate different learning styles. We will work in groups with partners, often with the traditional lecture format. Adaptive quizzing will be utilized in this course, and materials are posted on Blackboard to support classroom and laboratory activities. Examples include but are not limited to PowerPoints, Videos, Practice Questions, Additional Assigned Notes, Case Studies, Homework Assignments, Discussion Boards, and Additional Assigned Readings.
Technical Skills and Requirements
Students will need access to a laptop, computer, or tablet for quizzes, tests, and assignments.
Students are required to have regular, reliable access to a stable internet connection.
Students need to be proficient in sending and receiving emails with attachments, uploading documents, and participating in discussion boards.
Computers can break, servers can crash, and electric power can go out. It is your responsibility to identify solutions for unexpected catastrophes by thinking ahead about solutions to potential problems. Possible solutions for each of the above scenarios include using a friend or relative's computer and accessing a computer in one of the computer labs on campus. Students will be responsible for bringing their tablets or laptops to every class session. Please have the battery charged up and ready to go. Students will need to ensure that the Respondus Lockdown Browser has been installed on the computer.
Utilize CTL resources for technical help. CTL Student Help Center: (806) 371-5992 or ctlstudenthelp@actx.edu
Communication
The best way to contact me is through your student email in Blackboard. I will check my emails Monday-Friday first thing in the morning and throughout the day as time allows. I will respond to your email within 24 hours. I will answer emails sent over the weekend the following Monday morning. Please remember the use of netiquette when corresponding to faculty, staff, and peers.
Other Supplies
1. Library Card for AC and/or city library
2. Computer and Internet Access, Printer, Print Cartridges. Students may be required to print some materials.
3. Index Cards, Paper, Pens, Markers
4. Additional Materials as Needed
Course Meeting Day and Time
Thursday 1:00 pm - 3:00 pm
End-of-Course Outcomes
At the end of the course, the student will formulate a dental hygiene care plan for the medically and/or dentally compromised patient and describe advanced instrumentation techniques.
Instructor Objectives for the Course
Chapter objectives will coordinate with the materials presented in lectures, handouts, reading assignments, and exams. The student will know that these objectives have been completed if they earn 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:
Chapter 44, 22, 23, 24, 25: Hematological Considerations
After reading the chapters, the student should be able to:
1. Identify medical conditions associated with increased bleeding.
2. Define types of bleeding disorders.
3. Determine whether treatment modifications are necessary for conditions with increased bleeding.
4. Identify medications that affect clotting.
5. Describe the management of a hematological emergency in dental hygiene services.
6. Differentiate between red blood cell disorders, white blood cell disorders, congenital bleeding, and hypercoagulable disorders.
Chapter 45 and 26: Cancer and Oral Care of Patients with Cancer
After reading the chapters, the student should be able to:
1. Define the terms cancer and staging, and explain how cancer is staged.
2. Discuss the incidence, risk factors, therapies, and potential oral complications related to treatment for all cancers.
3. Discuss the incidence, risk factors, therapies, and oral complications unique to head and neck cancers.
4. Identify behavioral interventions recommended for reducing the incidence of oral cancer.
5. Identify the common signs and symptoms of oral cancer.
6. Discuss dental hygiene care plan treatment alterations or precautions to be taken with patients with cancer.
Chapter 47 and Chapter 17: Men's and Women's Health Issues
After reading the chapters, the student should be able to:
1. Define the terms sex and gender, and explain how they are different.
2. Discuss dental hygiene care plan treatment alterations or precautions to be taken during pregnancy.
3. Discuss the incidence, risk factors, therapies, and oral complications unique to bisphosphonate-related osteonecrosis of the jaw and osteoradionecrosis.
4. Discuss dental hygiene care plan treatment alterations or precautions to be taken with patients with prostate cancer.
5. Identify the common signs and symptoms of domestic abuse.
Chapter 48: The Elderly
After reading this chapter, the student should be able to:
1. Identify the demographic changes over the past century in American society and discuss how these changes impact the current and future oral health-care needs of an aging society.
2. Explain the difference between chronological age and functional age.
3. Discuss pathophysiological changes associated with age and age-related conditions and systemic diseases common to the elderly.
4. Differentiate between normal aging and pathophysiological oral conditions of the elderly.
5. Discuss the importance of assessing the elderly dental patient for treatment planning, patient management, dental hygiene care, and maintenance of oral health.
6. Discuss educational and preventive oral health considerations for the elderly patient.
Chapter 49: Physical Impairment
After reading this chapter, the student should be able to:
1. Identify barriers for people with physical impairments.
2. Describe the causes and age of onset of common physical impairments.
3. List various physical conditions of people with physical impairments.
4. Describe the clinical considerations for treatment for people with physical impairments.
5. Describe treatment modalities and adaptations for people with physical impairments.
6. Describe modifications that the dental hygienist may make when providing care to people with physical impairments.
7. Describe the conditions, causes, and incidence of various impairments.
8. Describe a two-person wheelchair transfer.
Chapter 31 and Chapter 28 - Dental Fear and Anxiety Management
After reading the chapters, the student should be able to:
1. Distinguish between dental fear, anxiety, and phobia.
2. Identify the causes of dental anxiety and fear, and discuss their effects on patients and the dental team.
3. Explain the stress response.
4. Assess a patient's degree of fear or anxiety, and plan and implement cognitive and behavioral strategies to reduce dental anxiety and discomfort.
5. Apply behavioral strategies to manage anxious children.
6. Differentiate between different eating disorders.
7. Recognize oral manifestations of eating disorders.
Chapter 32: Nitrous Oxide/Oxygen Sedation
After reading this chapter, the student should be able to:
1. Explain the advantages and disadvantages of using nitrous oxide/oxygen sedation as compared with other methods.
2. Discuss indications and contraindications of the use of nitrous oxide/oxygen sedation.
3. Identify the physical, chemical, and pharmacokinetic properties of nitrous oxide and oxygen.
4. Discuss the principles of respiration physiology, individual biovariability, and drug titration.
5. Recognize the armamentarium used to administer nitrous oxide/oxygen sedation.
6. State the importance of informed consent and preoperative patient assessment.
7. Describe the appropriate administration technique for nitrous oxide/oxygen sedation.
8. Identify the signs and symptoms of appropriate sedation.
9. Describe the procedure for recovery assessment, documentation, and patient dismissal.
10. Explain the importance of minimizing nitrous oxide exposure to the operator and office personnel.
11. Describe current recommendations for prudent, ethical, and legal nitrous oxide/oxygen sedation for pain and anxiety management.
Chapter 12: Chronic Kidney Disease and Dialysis.
After reading this chapter, the student should be able to:
1. Define chronic kidney disease.
2. Understand the classification of stages of chronic kidney disease and associated comorbid conditions.
3. Outline clinical features of chronic renal failure.
4. Discuss laboratory values for the assessment of renal function and failure.
5. Outline renoprotective strategies for slowing the progression of chronic kidney disease.
6. Differentiate between peritoneal dialysis and hemodialysis.
7. Discuss dental management considerations in patients with end-stage renal disease.
8. Outline oral manifestations of chronic kidney failure.
Chapter 15: Adrenal Insufficiency
After reading this chapter, the student should be able to:
1. Differentiate between hyperadrenalism and adrenal insufficiency.
2. Outline drugs that interfere with glucocorticoid production.
3. Discuss adrenal crisis.
4. Recognize clinical signs and symptoms associated with Addison and Cushing's disease.
5. Differentiate between the terms primary adrenal insufficiency, secondary adrenal insufficiency, and tertiary adrenal insufficiency.
6. Discuss dental management considerations in patients with possible adrenal insufficiency.
Chapter 16: Thyroid Disease
After reading this chapter, the student should be able to:
1. Differentiate between hyperthyroidism, hypothyroidism, thyroiditis, and thyroid neoplasms and the clinical presentation of each of these disorders.
2. Discuss the functions of the thyroid gland.
3. Outline the clinical findings and treatment of thyroid disorders.
4. Differentiate between infiltrative dermopathy and thyroid acropachy.
5. Outline medical problems potentially encountered in or associated with dental treatment of undiagnosed or poorly controlled thyroid disease patients.
6. Discuss the dental management considerations in patients with thyroid disease.
Chapter 18: AIDS, HIV Infection, and Related Conditions
After reading this chapter, the student should be able to:
1. Discuss the definition of AIDS provided by the CDC.
2. Outline AIDS-Defining Conditions.
3. Discuss features of HIV infection and disease progression.
4. Outline the Centers for Disease Control and prevention Staging of HIV infection in adults and adolescents.
5. Discuss the antiretroviral drugs used to treat HIV infection.
6. Outline the head, neck, and oral lesions commonly associated with HIV infection and AIDS.
7. Discuss the dental management considerations in patients with HIV infection or AIDS.
Chapter 45: Scaling and Root Planing
After reading this chapter, the student should be able to:
1. Identify and classify periodontal instruments.
2. Discuss general principles of instrumentation.
3. Discuss principles of scaling and root planing.
4. Discuss methods of instrument sharpening.
Chapter 46: Sonic and Ultrasonic Instrumentation and Irrigation
After reading this chapter, the student should be able to:
1. Discuss power-driven instruments.
2. Outline mechanism of action of power scalers.
3. Understand the type and benefit of power instruments.
4. Discuss the clinical outcomes of power-driven instruments.
5. Understand principles of instrumentation.
Case Studies in Dental Hygiene
As a dental hygiene professional, you will be expected to:
1. Distinguish the signs and symptoms of the disease from conditions considered within normal limits.
2. Recognize risk factors and behaviors that exacerbate the disease.
3. Understand the disease process.
4. Apply appropriate modes of treatment management to assist the patient in arresting disease progression and achieving and maintaining optimal oral health.
5. Integrate core scientific concepts and apply the dental hygiene process of care relating to specific case studies.
6. Assess patient characteristics
7. Obtain and interpret radiographs
8. Plan and manage dental hygiene care
9. Perform periodontal procedures
10. Use preventive agents
11. Provide supportive treatment services
12. Demonstrate professional responsibility
Advanced Instrumentation Techniques
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".
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 syllabi and the program manual are sources for specific student conduct policies for dental hygiene students at Amarillo College.
Professional Standards
All dental hygiene students are expected to demonstrate professionalism in behavior, manner, and judgement while in the dental hygiene program. The area of professionalism includes appearance, asepsis, patient management, peer, faculty and staff interaction, and documentation. Guidelines for professionalism and professional appearance are discussed in the Amarillo College Dental Hygiene Program Manual. Professionalism will be evaluated on a continual basis throughout the program.
Students will exhibit professional maturity and an acceptable level of clinical judgement as determined by faculty. Unprofessional behavior may be defined as a continual pattern of misconduct and/or an egregious act that endangers the health of patients, students, faculty, and/or College. Documentation may include reporting via the Amarillo College Student Behavior Alert form with the college.
Students must be competent in the application of the principles of ethical reasoning, ethical decision-making, and professional responsibility as they pertain to patient care. Dental hygienists should understand and practice ethical behavior consistent with the professional code of ethics throughout the educational experiences. Below are representative examples of professional standards which are not inclusive:
1. Students are concerned with excellence in learning rather than just meeting minimal criteria.
2. Students maintain composure, dealing with conflict in a constructive way.
3. Students exhibit an attitude of respect for classmates, faculty, and staff.
4. If a student has a conflict with a grade given by the instructor, the student must follow the outlined grievance procedure.
5. Faculty will not change a grade given to a student by another faculty member.
Statement of Confidentiality
Confidentiality is the duty owed by dental hygiene professionals, including students enrolled in Dental Hygiene accredited programs, to protect the privacy of ALL patient information. Dental Hygiene professionals clearly have an obligation to keep MEDICAL and PERSONAL information about patients in the strictest confidence at all times. Unless disclosure is mandated by patient consent, statute, a duty to inform third parties, or special circumstances, dental hygiene professionals have a clear duty to maintain the confidentiality of ALL patient information.
Breach of duty to hold such information in the strictest confidence may cause liability for the individual student such as fines, imprisonment, and dismissal from the program. The American Dental Hygienists' Association has published the following statement which all dental hygiene professionals (including students) must always follow "Code of Ethics."
"We respect the confidentiality of client information and relationships as a demonstration of the value we place on individual autonomy. We acknowledge our obligation to justify any violation of confidence."
Mandatory Skills Building/Tutoring
To increase student success in the DHYG courses and assist student's with 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 assignment before taking the next exam.
Cell Phone and Electronic Device Policy
Cell phones and other electronic devices may detract from the learning environment. For this reason, they should be silenced and put away out of view before entering the classroom. The personal use of cell phones in the classroom is not permitted. Cell phones may be checked at designated break times. Students who choose to violate the cell phone policy in class will receive a 0 in the grade book for the day.
Mailboxes
Each student is assigned a mailbox located inside the student locker room. Students are required to check his/her mailbox daily for various communication from the faculty.
Bulletin Board
First and second year dental hygiene students have designated areas on a shared bulletin board inside the student locker 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 Clinic Office Supervisor: (806) 354-6050
Amarillo College Police: (806) 371-5163
Academic Grievance Procedure
A student who has a grievance concerning an academic course in which he or she is enrolled is directed to appeal in the following order to the: (1) Instructor (2) Department Chair/Program Director (3) Assistant Dean of Health Sciences (4) Dean of Health Sciences (5) Assistant Vice President of Academic Affairs (6) Vice President of Academic Affairs and (7) President in that order.
Required Course Assignments and Learning Activities
The course will consist of homework assignments, weekly chapter tests, major examinations, discussion board assignments, adaptive quizzing, and a comprehensive final exam.
Grading Criteria
The final course grade will be computed as follows:
I. Chapter tests count for 25% of your final grade.
II. Mid-Term exam count for 25% of your final grade.
III. Homework Assignment Grade counts for 10% of your total grade. Students must handwrite homework assignments and turn them in via a Blackboard assignment link. The instructor will grade homework assignments, and Homework assignment grades will be averaged for one final homework grade. The instructor will not accept late assignments, and the instructor will give a grade of 0 for the homework assignment.
IV. Case Studies will count as 15% of your final grade
V. Comprehensive Final will count as 25% of your final grade.
This course's lab component will consist of completing "virtual" case studies.
Case Studies
The instructor will assign virtual case studies to complete from the crest website at www.dentalcare.com.
Homework Assignments
Students will complete assigned homework assignments, including adaptive quiz assignments, assignments from workbooks, and instructor-created worksheets. The instructor will not accept late homework assignments, and the student will receive a grade of 0.
The instructor will compute the final course grade as follows:
A = 93-100
B = 83-92
C = 75-82
F = Below 75%
Note: A grade of “D” is not possible in this course.
Amarillo College Tutoring for Success Policy
The Tutoring for Success policy applies to any student whose grade or performance falls below a minimum of 75% on any assigned assessment. The student will be required to complete mandatory remediation assigned by the course instructor. A student will receive a remediation ticket with the instructor keeping the duplicate copy. In DHYG 2231, students will be required to complete a hand-written adaptive quiz assignment and turn it in the following week after being assigned. Remediation will not change the student’s grade. The initial grade will stand. The purpose of remediation is to strengthen knowledge of the content area the student failed.
Make-up Policy for Missed Work
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 student's make-up work may earn a maximum of 80% of the original point value.
4. Students may not make up missed homework assignments. The instructor will issue a grade of 0 for late or missed assignments.
Attendance Policy
"Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend class in accordance with the requirements of the course as established by the instructor." (Amarillo College Student's Rights and Responsibilities Publication). Absences will be monitored and evaluated to determine the student's final course grade. A student with less than 90% attendance in class or lab may fail the course. Student absenteeism jeopardizes the completion of the course. The instructor will take roll for each class and note absences for each student. Students who are not present for roll call are counted absent. Students must report any anticipated class/lab absence to the instructor. A student who leaves class or lab early is counted absent. A student will receive ONE bonus point to the final grade for perfect attendance with a prior passing minimum average of 75%.
Dental Hygiene Care II Calendar
Fall 2021
|
Month |
Day |
Chapters and Topics Covered |
Lab Assignment |
|
August |
26 |
Review Course Syllabus Dental Hygiene Applications to Clinical Practice Textbook Begin Chapter 44: Hematological Considerations |
Review Lab Assignments Case Studies |
|
September |
2 |
Complete Chapter 44 Dental Management of the Medically Compromised Patient Text: Chapters 22: Disorders of Red Blood Cells Chapter 23: Disorders of White Blood Cells |
Case Studies 2 and 51 |
|
September |
9 |
Chapter Test 44, 22, 23 DentalManagement of the Medically Compromised Patient Text: Chapter 24 and 25 |
Case Studies 3 and 4 |
|
September |
16 |
Test Chapter 24 and 25 Dental Hygiene Applications to Clinical Practice Textbook Chapter 45: Cancer Dental Management of the Medically Compromised Patient Text: Chapter 26: Cancer and Oral Care of Patients with Cancer |
Case Studies 5 and 6 |
|
September |
23 |
Test Chapter 45 and 26 Dental Hygiene Applications to Clinical Practice Textbook Chapter 47: Men's and Women's Health Dental Management of the Medically Compromised Patient Text: Chapter 17: Women's Health Issues |
Case Studies 7 and 8 |
|
September |
30 |
Test Chapter 47 and 17 Dental Hygiene Applications to Clinical Practice Textbook Chapter 48: The elderly Chapter 49: Physical Impairment |
Case Studies 9 and 10 |
|
October |
7 |
Test Chapter 48 and 49 Dental Hygiene Applications to Clinical Practice Textbook Chapter 31: Dental Fear and Anxiety Management Dental Management of the Medically Compromised Patient Text: Chapter 28: Anxiety and Eating Disorders |
Case Studies 11 and 12 |
|
October |
14 |
Mid-Term Exam Chapters: 44,22, 23, 24, 25, 26, 45, 47, 17, 48, 49, 31, 28. Case Studies 2-12, 51 |
Mid-Term Exam |
|
October
|
21 |
Fall Break |
Fall Break |
|
October |
28 |
Dental Hygiene Applications to Clinical Practice Textbook Chapter 32: Nitrous Oxide Sedation |
Case Studies 13 and 14 |
|
November |
4 |
Chapter Test 32 Dental Management of the Medically Compromised Patient Text: Chapter 12: Chronic Kidney Disease and Dialysis |
Case Studies 15 and 16 |
|
November |
11 |
Chapter Test 12 Dental Management of the Medically Compromised Patient Text: Chapter 15: Adrenal Insufficiency |
Case Studies 17 and 18
|
|
November |
18 |
Chapter Test 15 Dental Management of the Medically Compromised Patient Text: Chapter 16: Thyroid Disease |
Case Studies 19 and 20 |
|
November |
25 |
Thanksgiving Holiday |
Thanksgiving Holiday
|
|
December |
2 |
Chapter Test 16 Dental Management of the Medically Compromised Patient Text: Chapter 18: AIDS, HIV Infection, and Related Conditions
|
Case Studies 21 and 22 |
|
December |
9 |
Chapter Test 18 Clinical Periodontology for the Dental Hygienist Text Chapter 45: Scaling and Root Planing Chapter 46: Sonic and Ultrasonic Instrumentation and Irrigation |
Case Studies 23 and 24 |
|
December |
14 |
Final Exam 1:00-3:30 PM in Classroom 111 All material covered after the Midterm Exam and Case Studies 13-24
|
|
07/14/21 11:27 AM
05/09/22 1:12 PM