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DENTAL HYGIENE PROGRAM
COURSE SYLLABUS
DHG 165
CLINICAL DENTAL HYGIENE I
COURSE INSTRUCTORS:
LECTURE:
Ms. Jamie A. Sawyer, CDA, RDH, M.Ed.
[email protected]
839 – 1064
LAB:
Ms. Jamie A. Sawyer, CDA, RDH, M.Ed.
[email protected]
839 – 1064
Ms. Dawnne Donovan, CDA, RDH
[email protected]
Ms. Ann Stalvey, CDA, RDH, BS
[email protected]
Office Hours:
Ms. Jamie A. Sawyer, CDA, RDH, M.Ed.
Monday 2:00 – 5:00 pm
Tuesday 8:30 – 9:00 am; 5:30 – 6:30 pm
Wednesday 3:00 – 4:00 pm
Friday: 9:00 am – 12:00 noon
Or By Appointment
Ms. Dawnne Donovan, CDA, RDH; Ms. Ann Stalvey, CDA, RDH, BS
By appointment
DHG 165 SYLLABUS 2014
HORRY-GEORGETOWN TECHNICAL COLLEGE
DENTAL HYGIENE PROGRAM
COURSE PREFIX:
COURSE TITLE:
CONTACT/CREDIT HOURS:
SEQUENCE:
LENGTH:
LECTURE/LAB TIMES:
CLASSROOM:
DHG 165
Clinical Dental Hygiene I
2-9-5
Spring Semester
15 Weeks
Lecture: Tues./Thurs. 3:30-4:25pm
Lab: Mon & Wed 8:00am-12:30pm
Lecture: Bldg 1000, Room 1281
Lab/Clinic: Bldg 1000, Sim Lab/Clinic
RATIONALE FOR THE COURSE: This course is a study of the basic principles of
infection control and hazardous waste communication; instrumentation, instrument
design; operator and patient positioning; operation of basic dental equipment: patient
evaluation and medical history review.
COURSE (CATALOG)DESCRIPTION: This is an introductory course to the clinical setting
for application of dental hygiene skills for patient care.
PRE-REQUISITES:
1-0-1
1-3-2
3-6-5
3-3-4
AHS 113
DHG 125
DHG 151
BIO 211
CO-REQUISITES:
2-3-3
DHG 121
2-0-2
DHG 141
2-0-2
DHG 243
Head & Neck Anatomy
Tooth Morphology
Dental Hygiene Principles
Anatomy and Physiology II
Dental Radiology
Periodontology
Nutrition
REQUIRED TEXTS:
http://hortec.bncollege.com/webapp/wcs/stores/servlet/TBWizardView?catalogId=10001&langI
d=-1&storeId=51560 (Enter the semester, course prefix, number and section and it will take you
to the correct textbook)
Miller, Infection Control and Management of Hazardous Materials for the
Dental Team, Elsevier, Fifth Edition.
Wilkins, Clinical Practice of the Dental Hygienist, Lippincott, Williams &
Wilkins, Eleventh Edition.
Wilkins, Clinical Practice of the Dental Hygienist Workbook, Lippincott,
Williams & Wilkins, Eleventh Edition.
Nield-Gehrig & Houseman, Fundamentals of Periodontal Instrumentation,
Lippincott, Williams & Wilkins, Seventh Edition.
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DHG 165 SYLLABUS 2014
Nield-Gehrig & Houseman, Patient Assessment Tutorials: A Step-by-Step
Guide for the Dental Hygienist, Lippincott, Williams & Wilkins, Third
Edition.
Nield-Gehrig, Foundations of Periodontics for the Dental Hygienist,
Lippincott, Williams & Wilkins, Third Edition.
Grimes, Ellen B, Medical Emergencies: Essentials for the Dental
Professional, Pearson/Prentice Hall, Second Edition
HGTC Clinical Manual for Dental Hygiene (2013- 2014)
REFERENCE TEXTS:
All textbooks are available in the Library
Darby, Michelle. Dental Hygiene: Theory & Practice. Evolve/Elsevier, Third
Edition
M.D. Cooper; L. Weichmann Essentials of Dental Hygiene: PreClinical
Skills, Pearson/Prentice Hall, Current Edition
M.D. Cooper; L. Weichmann Essentials of Dental Hygiene: Essentials of
Dental Hygiene: Clinical Skills, Pearson/Prentice Hall, Current Edition
Thomson, Evelyn M. Case Studies in Dental Hygiene, Pearson, Third Edition
COURSE TOPICS:
Lecture:
1. Continued discussion of Communication Skills.
2. Examination Procedures: The Probe, the use of the probe in clinically assessing the
periodontium, and complete a Periodontal Chart (sulcular/pocket depths, level and health of
gingival margin including the interdental papillae, clinical attachment level/loss, and the
mobility status of the periodontium)
3. Continued instrumentation (curets), introduce Sickles/Jacquettes, and periodontal debridement
procedures
4. Dental Emergencies and their prevention
5. Oral Infection Control: Review of Toothbrushing Methods; Power Toothbrushes
6. Continuation of the DHG Process of Care with Oral Risk Assessment*
7. Medical/Dental/ Personal Histories *
8. Vital Signs
9. Extra- and Intraoral Examination
10. Planning for Dental Hygiene Care *
11. The Dental Hygiene Treatment Plan & Maintenance *
12. The Teeth: Caries Risk Assessment, Formation, and Prevention
13. Dental Charting
14. Chemotherapeutics & Dentifrices *
15. Health Promotion and Disease Prevention *
16. Plaque Indices (PCR, PFS, PI)
17. Dental Stains and Discolorations
18. Extrinsic Stain Removal
19. Fluoride (application and purpose only; subject is introduced and completed in DHG 175)
20. Patients with Orthodontic Appliances
21. Care of the Dental Prosthesis
22. Oral Rehabilitation & Introduction to Dental Implants *
*also discussed in DHG 141: Periodontology
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DHG 165 SYLLABUS 2014
Lab/Clinic:
1. Clinical Procedures & Classification of Patients *
2. Emergency Management (safety & management to be included)
3. Procurement of Medical/Dental/Personal Histories, Medications, and Vital Signs
4. Extra- & Intraoral Examination
5. The Probe, Periodontal Assessment, and perform a complete Periodontal Charting (sulcular
pocket depths, level and health of the gingival margin including the interdental papillae,
clinical attachment level/loss, and the mobility status of the periodontium)*
6. The Dental Inspection & Dental Charting
7. Continuation of calculus detection and classification of patients in accordance with hard
deposits
8. Treatment Planning and Maintenance *
9. All instruments: Curets; Sickles/Jacquettes; Files; Chisels; Hoes
10. Instruments for use with the dental implant patient *
11. Oral irrigation & Delivery Systems*
12. Introduction to indices: PCR, PFS, PI
13. Communication and Patient Education continued *
14. Extrinsic Stain Removal
15. Fluoride Application
16. Care of Orthodontic, Dental Prosthesis, and Implant Patients according to the type of implant
and /or prosthesis when assessing, diagnosing, planning, and implementing dental care in a
patient case
17. Clinical and Radiographic experience (Radiographic Experience based on patient
need/assessment & competence of student in DHG 121)
*also discussed in DHG 141: Periodontology
COURSE OUTCOMES:
Upon completion of the lecture portion of this course, the student will be able to:
1. Continue to discuss in writing, the dental hygiene process of care concerning assessment,
diagnosis, planning, implementation, and evaluation.
2. Define in writing how normal gingival and related structures appear vs. abnormal appearance of
the gingival and related structures.
3. Describe the various components of a periodontal assessment.
 Clinical evaluation of the periodontal status
 Clinical evaluation of the periodontal disease activity
4. Discuss in writing the value of the periodontal probe and the information to be gained
concerning the patient’s periodontal health and describe how the clinician would:
 Numerically assess the apical extent of the junctional epithelium in relation to the level
of the gingival margin and the cementoenamel junction.
 Systemically measure sulcus or pocket depths of all teeth
 Numerically assess the degree of gingival recession
 Determine the attachment level/loss of the junctional epithelium
 Calculate the attachment level/loss of all teeth
 Determine furcation involvement of applicable posterior teeth and classify the furcation
involvement using the Glickman Index and the Tarnow and Fletcher Index.
 Distinguish between physiological mobility and pathologic mobility
 Document the classification of mobility
 For the screening process, the student will demonstrate the PSR and Periowise probes
and utilize the criteria for each method of screening for documentation purposes
5. Discuss how the components of communication would enable the clinician to:
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DHG 165 SYLLABUS 2014

Demonstrate proper communication skills in regard to Ethics and application in
dentistry, Core Values, Personal Values, Evidence-Based Dental Hygiene Practice,
Cultural Diversity and Linguistically appropriate language for individual patient/client
care
 Recognize verbal and nonverbal effects of communication in addition to use of media
when conveying information to patients/clients; faculty members; and fellow students
 Educate the patient and encourage compliance to home care instructions
 Support treatment planning decisions based on the dental hygiene diagnosis/dentist’s
diagnosis and referral
 Design individualized preventions plans bases on the dental hygiene diagnosis and/ or
the Dentist’s diagnosis
 Evaluate the success of treatment
6. Review, discuss, and demonstrate the use of all instruments utilized in DHG 151.
7. Complete the identification, technique, and use of all instruments, including the role of sickle
scalers, hoes, traditional files and include diamond files, and chisels in periodontal debridement
of manikin and later the clinical patient.
8. Describe and differentiate between scaling and root planning.
9. Discuss the importance of the confidentiality of the medical history, the patient’s rights, and
informed consent.
10. Identify specific items to record in a patient history, and discuss the influence of the item on the
patient.
11. Discuss the various medical /dental emergency situations that may occur and develop a medical
emergencies reference guide.
12. Discuss the importance of the following vital signs: blood pressure, pulse, temperature,
respiration, (smoking, to be covered in DHG 175), and how each relate to the health of the
patient.
13. Describe the procedure for measuring and recording each of the vital signs mentioned above.
14. Describe the orthodontic patient in regard to dental hygiene care.
15. Discuss the importance of treatment planning and demonstrate a properly planned treatment
plan for :
 Various types of patients as learned to date
 The orthodontic patient
 The patient with a dental prosthesis
16. Discuss the importance of maintenance and follow-up on each patient.
17. Identify characteristics to observe in assessing a patient’s general appearance.
18. State the purposes and advantages of performing a complete general and oral examination on a
patient.
19. Discuss caries risk assessment, caries formation and prevention.
20. Describe risk assessment of dental disease and educate the patient regarding their individual
needs for education toward better dental health.
21. State the procedure for dental charting each patient in accordance with existing restoration,
potential caries, rotations, open contacts, missing teeth, drifting, etc.
22. Discuss the various dentifrice and mouthwashes, stating the components and purpose of each.
23. Discuss health promotion and disease prevention when preparing individualized home care
instructions and how it may be related to a particular age group and/or health factor.
24. Discuss the advantages of adding power toothbrushes to the patient regime in reducing dental
disease.
25. Describe the methodology for implementing patient education.
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DHG 165 SYLLABUS 2014
26. Discuss the importance of patient education (as introduced in DHG 151) incorporating the
information learned to date, and the home care items that may be used by the patient to obtain
and maintain oral health.
27. Describe the various stains that occur within the dentition and the proper methods of removal.
28. Discuss the theories, purposes, indications, and contraindications for traditional polishing of the
teeth.
29. Discuss the proper technique and procedures of traditional polishing with a slow speed
handpiece, prophy angle with cup and brush.
30. Discuss the role of fluoride in the decay prevention process and demonstrate the application of
fluoride utilizing the tray method. (Fluoride is introduced in DHG 165 and completed in DHG
175)
31. Describe the role of the dental hygienist in the care of the orthodontic patient, the patient with
the dental prosthesis, and the patient with dental implants (DHG 141).
Laboratory/Clinical:
1. Review and demonstrate the use of all instruments utilized in DHG 151 and begin obtaining
experience with the sickle instrument.
2. Complete the discussion and demonstration of all instruments utilized in the periodontal
debridement process.
3. Successfully complete all instrumentation competencies with a 78% or higher.
4. Review and discuss Dental Hygiene Regulations and Guidelines for academic and clinical
performance.
5. Review the HGTC and dental program protocols for emergency procedures, infection control
and sharps stick protocols.
6. Demonstrate professionalism in working with peers, faculty, and patients.
7. Discuss and demonstrate proper clinical procedures for clinician and patient.
8. Discuss and practice team-building skills in the delivery of patient care.
9. Demonstrate how the clinician would clinically evaluate the periodontal status and the disease
activity when making a periodontal assessment of a patient on a student partner.
10. Demonstrate and document on a periodontal chart using the William’s periodontal probe to:
 Numerically assess the apical extent of the junctional epithelium in relation to the level
of the gingival margin and the cementoenamel junction
 Systemically measure sulcus or pocket depths of all teeth
 Numerically assess the degree of gingival recession
 Determine the attachment level/loss of the junctional epithelium
 Calculate the attachment level/loss of all teeth
 Determine furcation involvement of applicable posterior teeth and classify the furcation
involvement using the Glickman Index and the Tarnow and Fletcher Index
 Distinguish between physiological mobility and pathologic mobility
 Document the grade of mobility
 For the screening process, the student will demonstrate the PSR and Periowise probes
and utilize the criteria for each method of screening for documentation purposes
11. Discuss with the student partner, how the components of the objective listed above would
enable the clinician to:
 Educate the patient and encourage compliance to home care instructions
 Support treatment planning decisions based on the dental hygiene diagnosis/dentist’s
diagnosis and referral.
 Design individualized prevention plans based on the dental hygiene diagnosis/dentist’s
diagnosis
 Evaluate the success of treatment
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Rev by JAS 01/14
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DHG 165 SYLLABUS 2014
 Evaluate any radiographs if approved by clinical instructor (to be addressed later in
Syllabus)
12. Continue to demonstrate the technique and become competent with all periodontal debridement
instruments in the student kit; also demonstrate knowledge and use of other instruments
available to the Dental Hygienist in clinical practice.
13. Become knowledgeable of the different types of implants, the dental hygiene care, and
instruments available for use with the dental implant patient.
14. Establish rapport with the clinical patient.
15. Demonstrate the proper procedure for taking a dental, medical, and personal history.
16. Obtain a new or updated medical, dental, and personal history on each patient seen in the dental
hygiene clinic.
17. Demonstrate knowledge in the use of various drug references when documenting patient
medications and be able to discuss with faculty member, the indications, contra-indications/side
effects, and dental ramifications of each medication listed on the patient’s medical/dental
histories.
18. Demonstrate in the clinic on a student partner, the procedure for measuring and recording
temperature, pulse, respiration, and blood pressure.
19. Describe and use extra-oral and intra-oral examination procedures including visual inspection,
palpation methods, and detection of common abnormalities.
20. Demonstrate in the clinic the objective, correct order and procedure of an oral inspection,
utilizing any additional terminology relating to the description of patient evaluation.
21. Consult with the supervising dentist or patient’s physician should the need arise.
22. Make a thorough inspection of the head, neck and oral cavity and record all deviations from
normal.
23. Perform a periodontal assessment on each patient using the periodontal probe, chart all
findings, and determine the Periodontal Classification of the clinical patient.
24. Observe and successfully chart the dentition of all clinical patients.
25. Determine the classification of the patient with regard to deposits and stains.
26. Disclose the plaque in the oral cavity and administer individualized home care instructions.
27. Compose a dental hygiene care plan for each patient based upon information gathered during
the Assessment Phase of the appointment and patient interviewing.
28. Expose, develop, and analyze radiographs.
29. Demonstrate the proper set-up, usage, and role of oral irrigation in the dental hygiene
appointment.
30. Discuss the chemotherapeutic agents that are available for use with the oral irrigation system.
31. Demonstrate the proper technique for extrinsic stain removal utilizing the traditional, powerdriven handpiece and prophy angle.
32. Apply a desensitizing agent or fluoride when indicated (per clinical instructor assistance since
the topic of Dentinal Hypersensitivity does not occur until Summer Semester in DHG 175).
33. Demonstrate the care of the dental prosthesis; clean a removable prosthesis or an orthodontic
appliance in the clinical setting.
34. Self-evaluate the thoroughness of all procedures performed.
35. Re-evaluate the effectiveness of the dental hygiene procedures on follow-up visits.
36. Maintain and properly operate the autoclave flowing protocol from DHG 151.
37. Maintain proper infection control standards throughout the entire dental appointment.
38. Demonstrate professional standards at all times.
39. Complete all course requirements, competencies, and patient experiences as stated for DHG
165.
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DHG 165 SYLLABUS 2014
TEACHING METHODS:
Lectures, document projections, videos, CD/PowerPoint presentations (may include audio), reading
assignments, demonstration, visual aids, observation, and lab and clinical experiences, case study
reviews, and website research.
LINKED CORE ABILITIES:
1. Reading-textbook assignments, handouts, research
2. Technology-Internet research, computer utilization
3. Communication skills-effectively communicates with peers, instructors, patients, etc.
4. Motor skills-Instrument recycling and manipulation,
5. Writing-answering essay questions for homework and test questions, record treatment
6. Problem solving/Critical thinking-case studies for homework, class participation and test
questions, medical history evaluation
INSTRUCTOR COMMUNICATION:
Students are to check Wavenet daily for messages via their e-mail accounts or other message
boards that are available. Rather than the instructor making individual phone calls, students
will be informed of necessary information via the Internet and their Wavenet accounts. (D2L
Course Website)
STUDENT RESPONSIBILITIES:
Take ownership and responsibility for one’s learning
 Students must have the understanding that all course material
cannot be covered during lecture/laboratory time
 Show respect for others
 Engage in classroom activities
 Exhibit respect for college property
 Show respect for authority

Realize and understand the College’s Student Code of Conduct
Please refer to Program Manual for further explanation of Student Responsibilities.
ATTENDANCE:
ATTENDANCE IS MANDATORY. Attendance will be taken at the beginning of each class. If a
student is not present when attendance is taken, they will be counted absent even if they show up late.
A student will be withdrawn from the class if absences exceed 10% (over 16.5 total hours) of the total
contact hours (165) The hours include lecture (2 hours) and lab (9 hours) per week, totaling 165 hours
for the semester. In the event of a serious illness that exceeds the 10% allowable absences, a physician’s
excuse must be presented which states the diagnosis and the length of time the student must be away
from the class. There are no excused and unexcused absences. Any time out is an absence no matter the
excuse. It is the student’s responsibility to keep up with the number of any hours she/he has missed.
The student MUST call Mrs. Sawyer at 839 – 1064 to report an absence. Dental, doctor and other
personal appointments MUST be scheduled outside class hours.
For any absences or tardiness, the student is responsible for the material covered and submitting any
homework or other material that was done prior to their arrival. It is the student’s responsibility to
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DHG 165 SYLLABUS 2014
obtain the handouts (if applicable) that were distributed during the class time that was missed. The
instructor will have them available during office hours.
Homework will be due at the beginning of the class for which it is due. It is the student’s
responsibility to pass the homework to the front of the class for the instructor to collect
or place it in the instructor’s file box. Homework will be considered late if turned in after
it has been collected by the instructor and will have grading deducted from 92%. For Case
Study and Critical Thinking questions, answers must be in the student’s own word.
Copying answers from the textbook or a classmate’s homework is plagiarism and may
result in being dismissed from the program. If the student is absent the day the homework was
due, it will only be accepted the next class meeting after the day the homework was due.
MAKE-UP TEST POLICY:
Make-up tests will be given at the discretion of the instructor and only if absent on the day of the test. A
doctor’s excuse or mechanic’s bill will need to be presented for verification. The grading will begin at
the 92% grade and wrong answers will be deducted from that point. The student is to take the test the
first day they return to school and is to be prepared to take the test that day. NO EXCUSES unless
discussed with the instructor prior to their return and there are extenuating circumstances such a
prolonged illness or catastrophic circumstance. If the student fails to take the test then, another time
will not be available and a zero will be given for the grade on that test. It is the student’s responsibility
to approach the instructor to take any missed tests
THERE WILL BE NO MAKE-UPS FOR MISSED QUIZZES!
If the student wishes to take their written test at the testing center, an appointment must be made with
the testing center. Appointments MUST be made 24 hours in advance. The testing center will not
accept same day appointments. It is the student’s responsibility to make the appointment and inform
the instructor of the appointment time. However, the test must still be taken on the first day the
student returns to school. NO EXCUSES. This means the student must contact the Testing Center the
day before they return to school so they can take the test within the required time frame as previously
stated.
ASSESSMENT MEASURES*:
*Students must be successful in both the lecture and lab/clinic components
independently before the two components can be averaged together for a final grade.
This process aids in insuring successful completion of written and clinical boards,
demonstrating student dedication to the curriculum, as well as having a “well-rounded”
student who is able to function in all aspects of the profession. Students who do not meet
the minimum standards of the course will not be allowed to progress in the Dental
Hygiene Program.
Lecture (Didactic) Requirements: (60% of Grade)
1. Successful completion of the tests and final examination in the lecture portion of the course with
an average of 77% or higher. (Clinic: 78% or higher)
2. Successful completion of the research assignments. (7 Articles, 12 Courses, and 3
Additional Assignments)
3. For the research assignments to count toward the final grade, the student must
have a test average of 77% or higher.
4. Successful completion of the Emergency Reference Guide.
5. Successful completion of daily/periodic quiz grades.
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DHG 165 SYLLABUS 2014
6. The exams and the final exam of the lecture portion of the course will be added to the lab
grade in order to compute a final course grade.
Criteria
Percentage
Exams 1-4 (Exam 1 = 10%; Exam 248%
3 = 12%; Exam 4 = 14%)
Quizzes
5%
Emergency Guide
12%
Topic Presentation
10%
Research Projects* (all weighted
10%
equally at .4% each)
Final Exam
15%
Total
100
*Research Projects: P& G [12]; Articles [7]; Others [3]; Grimes [7] = 20%
7. Remember, Lecture grades account for 60% of the course grade and the lecture average
must be at least a 77% before the lecture grade can be averaged with the clinic
grade.
Clinical Requirements: (40% of Grade)
Successful completion of the clinical portion of this course with a 78% or higher. (Lecture: 77%
or higher)
Laboratory:
1.
Successful completion of the following competency exams:
 Sterilization Procedures:
 Meile Operation
 SciCan Handpiece Cleaner & Lubricator
 Autoclave
 Instrument Processing Procedure
 Infection Control Procedures
 Medical/Dental History
 Vital Signs: Blood pressure, pulse, respiration (on student partner and patient)
 Probing
 Sickles
 Curets
 Extraoral and intraoral exam (Head & Neck Exam)
 Periodontal Evaluation & Charting
 Dental Evaluation & Charting
 Deposit Assessment & Classification
 Patient Assessment & Treatment Planning
 OHI (Oral Hygiene Instruction/Patient Education)
 Oral Irrigation
 Polishing
 Fluoride application
 Professionalism
 Completion of patients (as listed below): Experiences Only
Clinical: (A student MUST have a patient in the chair 85% of the clinic time.)
1. Successful completion of 3 patients. (Experiences Only)
2. Successful completion of 3 bitewing radiograph surveys.
3. Successful completion of clinical assignments: CA, OA.
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DHG 165 SYLLABUS 2014
4. Successful completion/demonstration of professional development criteria.
THE MINIMAL CLINICAL REQUIREMENTS FOR DHG 165 WILL BE THE COMPLETION OF THE
FOLLOWING (TIME PERMITTING):
o
o
Pedo Patient
(2) Healthy Adult Recare Patients
Deposit Classifications: (Degree of Difficulty)
 Class I
1 patient
 Class I+
1 patient
 Class II
1 patient
 Class III
NA
 Class IV
NA
Each clinical requirement will count as a patient experience until the following semester in
which patient requirements will then be graded. It is felt that close supervision of clinical
faculty with instructor feedback will enhance student learning and confidence as students
begin to see patients. Therefore, a positive environment is created as students develop and
become competent in their clinical skills.
To successfully complete the requirements during DHG 165, it is recommended that
each student keep in mind the following time limits for each classification of patient.
This is only a guideline to follow. It is understood that some patients will take less
time and others will take more. However, it will be the students’ ultimate
responsibility to keep track of the time spent on each patient to enable completion of
the required pedo and adult patients. See hourly calculations below:
a. Class I
4 hours
b. Class I+
8 hours
c. Class II
12 hours
d. Class III
20 hours (discouraged, if possible)
e. Class IV
24+ hours (discouraged, if possible)



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If the student believes their patient to be a Class III or IV, please let the
instructor know since the degree of difficulty may be beyond the skill level for
DHG 165. The instructor will evaluate the patient and determine if the patient
will need to be re-scheduled for later in DHG 175.
Student goals this semester should be to:
o Complete as many Class I, I+, and/or II patients, time permitting, as
possible. This may be different for each student based on patient
difficulty and assigned clinical duties.
o Have a patient in the chair 100% of the time that you are provided a
dental operatory (see Chair Utilization Policy following this
section)
Each clinical requirement will count as a patient experience until the
following semester in which patient requirements will then be graded. It is
felt that close supervision of clinical faculty with instructor feedback will
enhance student learning and confidence as students begin to see patients.
Therefore, a positive environment is created as students develop and become
competent in their clinical skills.
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DHG 165 SYLLABUS 2014
X-ray Requirements:
The following is the radiology requirement for this semester. X-rays will comprise 14% of the final
clinical grade. To receive credit for x-rays, a grade of 85% or higher must be achieved. However, all
grades count and the Radiographic Interpretation (RI) will be completed on any periapical(s),
bitewing(s), full-mouth series, and/or panoramic films taken on a patient.
STUDENTS WILL NOT BE ALLOWED TO TAKE RADIOGRAPHS ON EACH OTHER TO
MEET THE STATED REQUIREMENTS UNLESS PRIOR APPROVAL FROM A CLINICAL
FACULTY MEMBER IS OBTAINED. This approval is solely based on patient need for
radiographic exposure.
Students will not be allowed to secure radiographs on their clinical patients if the
Radiology Competency (DHG 121) has not been completed successful per the DHG 121
instructor.
FMX ------BWX 3 @ 85%
PAN ------X-ray Retake Policy:
There will be a retake policy on all radiographs taken on patients. A retake means that the film is totally
unacceptable and cannot be used for diagnostic purposes.
# of Retakes allowed for each type of film:
 BWX
1
 FMX
3
NOTE:
RETAKE X-RAYS MUST BE COMPLETED UNDER THE GUIDANCE OF A
CLINICAL INSTRUCTOR TO CORRECT THE PROBLEM AND ALLEVIATE
FURTHER RETAKES.
Grading of Radiographs:
 The student is allowed 3 retakes per FMX and 1 retake per BWX. When grading the retakes, the
instructor will automatically deduct 1 point for the film being a retake. The retake will then be
graded accordingly following the point system on the grade sheet. Retakes above the allowed
number will carry an additional 5 point reduction for EACH film. These films will only be
retaken for patient benefit to assure the series is diagnosable should it be sent to a local dentist.
ALL RETAKE POINTS WILL BE DEDUCTED FROM THE GRADE FOR THAT SET
OF RADIOGRAPHS, RESULTING IN A LOWER FINAL GRADE.
 Each student must have a clinical hygiene faculty member sign the grade sheet for retake
evaluation. If there is a dentist signature in that space, 10 points will be taken off the final X-Ray
grade for that series.
 X-Rays must be evaluated by the student within one week and then turned in for a grade.
Faculty will be responsible to have all x-rays graded for the scheduled weekly “Enrichment
Session”, at which time the films will be reviewed with the student.
 Following the review with the faculty member, the student will then record a brief
“Radiographic Interpretation” on the Record of Treatment section of the patient chart.
o Example: 9 – 7 – 09 RI: Generalized horizontal bone loss, extensive calculus,
decay
noted on #12, 22, and 31.
 If requirements are not met, the following will apply:
Dev by AD 05/98
Rev by JAS 01/14
12
DHG 165 SYLLABUS 2014
o
o
2 points will be deducted from the x-ray average for each requirement not completed
90% of the x-ray grades need to be an 85 or higher. If this is not met, 1 point will be
deducted for each of the series not meeting the competency level.
REMINDER:
X-RAYS WILL BE TAKEN DURING CLINICAL APPOINTMENTS.
ENOUGH TIME HAS BEEN ALLOCATED FOR THESE PROCEDURES
WHEN SEEING PATIENTS IN THE CLINIC.
CHAIRSIDE UTILIZATION POLICY:
Students are required to have a patient in the chair at all times. It is understood that students will have
cancellations and this factor is worked into the patient requirement calculation. However, excessive
open appointments keep the student from meeting the required number of clinical experience hours
achieved as set by the program’s accrediting agency. REMEMBER: THE STUDENT MUST HAVE
A PATIENT IN THE CHAIR 85% OF THE CLINIC TIME (The goal in actuality is 100% of
the time to give the student the experiences desired in Spring Semester). One point will
be deducted from the final grade average for each clinical session that a patient is not
present in the dental chair.
Patient procurement is a large responsibility that the student assumes upon entering the program.
Emphasis should be placed on the procurement of difficult cases to develop technical skills of the
student. It is recommended that each student maintain a back-up list of patients that could be called on
short notice if the cancellation occurs. As always, the faculty will do their part in making contacts in the
community for students to call for appointments. However, IT IS THE STUDENT’S ULTIMATE
RESPONSIBILITY TO MAKE SURE THAT EACH APPOINTMENT IS FILLED.
PATIENT COMMUNICATION
Students will be responsible for calling their patients to review the medical history AT LEAST 3 – 4
DAYS prior to the appointment. For the first visit, the student MUST ask the patient for the following
information:
 Medications being taken should be confirmed before the appointment. Once confirmed, have
the medications referenced from the Computer Drug Program prior to the patient’s
appointment with the Medication ID Form completed in a printed, legible manner. During the
appointment the student will go over the medications, purposes, and contraindications/side
effects with the patient before the student completes the Medical Clearance with the
instructor. Instructors will review the Medical History, the risks noted, the medications taken by
the patient and give the student Medical Clearance to proceed in the appointment. This
procedure will save the student valuable chair time and enhance the appointment process.
Medical problems noted in the Medical History, the completed Vital Signs, and the
Medication ID Form may alter or postpone dental treatment.
 Patients with medical problems that would require pre-medication or a Physician’s Consult
Form would need to be rescheduled when the Physician Consult form has been signed and
returned by the physician PRIOR TO TREATMENT. The student should follow-up with the
Administrative Assistant/Clinical Manager regarding the return of the Medical Consult Form.
The Physician Consult Form must be signed by the patient prior to sending the form to the
physician. (Refer to Clinic Manual)
Dev by AD 05/98
Rev by JAS 01/14
13
DHG 165 SYLLABUS 2014
GENERAL RULES AND REGULATIONS FOR CLINICAL PROCEDURES
1. Professionalism must be maintained at all times. Personal conversations when patients are
present in the clinic WILL NOT BE TOLERATED. Serious or repeated exhibitions of
unprofessional behavior will result in the lowering of the clinic grade or failure of DHG 165.
2. The front reception office if OFF LIMITS to all students with the exception of the student
rotating through the front office (CA/OA). Patient charts can be obtained from the folder with
your name located outside the office door. Telephone calls can be made in the X-Ray Viewing
area, the Sim and/or Dental Materials Lab, provided no class is in session in those labs.
However, the student should inform the instructor in charge of the Pod as to where they may be
when making phone calls to patients.
3. All students should have their unit set up and ready to seat patients by 8:15 am each clinic day.
At this time, chart review will be held. NO PATIENTS ARE TO BE SEATED UNTIL
THERE IS AN INSTRUCTOR ON THE CLINIC FLOOR.
4. Unit clean-up is a part of a clinic session and will be included in the clinic grade. If a unit is not
clean and is noticed after the session is completed, the grade will be changed accordingly. The
student should always refer and sign the Operatory Notebook for completion of duties and
check for any notations from the Pod instructor.
5. The Clinic Assistant (CA)/Office Assistant (OA) must report 15 minutes prior to the
beginning of the clinic session. The CA/OA will make sure that the clinic and x-ray rooms are
prepared for patients. The CA/OA will greet patients, distribute medical histories to new
patients, and prepare patient charts for the student operators. 1% of the Final Clinic Grade will
be based upon the proper completion of the duties. PLEASE DO NOT WAIT TO BE TOLD
TO DO YOUR DUTIES.
6. Unless permission is given, no student will leave the clinic floor until everyone is
finished. Time must be budgeted wisely as requirements increase each semester. If finished
early, the student should help someone else demonstrating the team concept.
7. All requirements must be completed during the assigned clinic time. No outside clinic
appointments will be allowed.
8. Appointments times will begin by 8:30 am each clinic day. Patients scheduled for DHG 165
clinic sessions should be scheduled for the entire appointment time. Second appointments
should only be made only if the clinician knows in advance that the 8:30 am patient will need to
leave the clinic session early. In the event this occurs, the student should consider the following
groups as second patients for the clinical session: returns, maintenance, or children. Check out
times will begin at 11:50 a.m., ending at 12:10 p.m. for all clinic days. This will give the student
time to clean up, evaluate x-rays, write up treatment records, and/or be advised by clinical
faculty members. The clinic will close at 12:30pm.
9. All patient charts should be placed in the assigned instructors’ boxes by 12:30 p.m.
10. Strict adherence to Class/Lab/Clinic Decorum Policy. (See Separate Document/Signature
Required.)
Professional Demeanor is a very important component of all clinical courses and
students must be of the utmost character in ethical, academic and clinical conduct.
Points will be deducted when student’s behavior and/or conduct does not meet clinical
expectations according to the Professional Demeanor/Judgment (Professionalism)
Evaluation document.
Remediation/Enrichment Policy:
In order to keep the student on track for success in the course, the faculty will be tracking assignments
and test grades. If any assignments/grades fall below a 77 (“C”), the student will be referred to the
Dev by AD 05/98
Rev by JAS 01/14
14
DHG 165 SYLLABUS 2014
course instructor or the SSTC (Student Success and Technology Center) for guidance and assistance.
Faculty members are available for remediation throughout the semester. At times, the student will be
asked to spend additional hours outside of class time to work on clinical skills, course content
comprehension, etc. for improvement. It is recommended that the student seek help early in the
semester so there will be enough time to improve the grade.
Remediation or enrichment sessions are scheduled at the request of the faculty member and/or the
student when deemed necessary. These sessions should be initiated early and throughout the semester
when remediation is necessary. Procrastination by the student in the remediation of certain skills
could have a negative impact on the student’s success in the program.
STUDENTS WHO DO NOT MEET THE MINIMUM STANDARDS FOR THE COURSE WILL
NOT BE ALLOWED TO PROGRESS IN THE DENTAL HYGIENE PROGRAM.
GRADE DETERMINATION:
1. A minimum of 77% is required to pass the course. Although, the final average may be a letter
grade of “C”. THE STUDENT MUST ACHIEVE A 77% IN THE LECTURE PORTION OF
THE COURSE AND A 78% IN THE LABORATORY PORTION OF THE COURSE TO
PASS AND CONTINUE IN THE DENTAL HYGIENE CURRICULUM.
2. The lecture (60%) and laboratory (40%) are combined for computation providing
that each of these components for the course are deemed successful (Lecture:
77%/Lab 78%) to achieve the final grade.
Clinic Percentages (60%)
Lab Competencies
(*1 point deduction of the FINAL clinic
grade for each competency not meeting
the proficiency level listed above)
Patient Treatment:
Bitewings/X-rays:
o 2 points will be deducted from
the x-ray average for each
requirement not completed
o 90% of the x-ray grades need to
be an 85 or higher. If this is not
met, 1 point will be deducted for
each of the series not meeting
the competency level.
o Competency Level: 85%
80%
Experiences
Only
10%
All weighted
equally
All weighted
equally
Clinical Rotation/Professionalism:
10 %
100%
NOTE: Passing grades
Lecture: 77%
Clinic: 78%
Dev by AD 05/98
Rev by JAS 01/14
15
DHG 165 SYLLABUS 2014
PATIENT TREATMENT
Assessment; D.H. Diagnosis; Planning with Risk Assessment; Implementation
of Treatment; Evaluation; and Documentation in the
Clinical Setting
 Preparedness of Clinician for Patient Appointment
 Infection Control prior, during, and after appointment
 Makes earnest effort to establish & maintain rapport with patient
throughout the appointment(s)
 Medical History/Vital Signs/Pharmacologic History Taking &
Evaluation with Instructor
 Extraoral/Intraoral Examination
 Periodontal Assessment & Evaluation with Periodontal Charting
 Dental Inspection & Dental Charting/Occlusion & Profile
 Deposit Assessment
 Risk Assessment throughout components of DH Appointment
 Dental Hygiene Diagnosis, Oral Risk Assessment, & Treatment
Planning
 Radiographic Needs of Patient & Technique/Knowledge/Skill of
Clinician for Taking & Evaluation of Radiographs
 Patient Education
 Professionalism
 Accurate Record Keeping/Documentation
 Management Skills During & After Patient Appointment
 Instrumentation (Periodontal Debridement)
 Extrinsic Stain Removal
 Application & Technique of Appropriate Fluoride Regime
 Reappoints patient as need dictates: RT, RC
 Demonstrates Team Approach with patients, faculty, staff, and
fellow students
 Maximizes use of clinical time
Class & Competency
Level
For Patients
Required per
Semester
I
I+
II
III
IV
Subgingival
Deposits
Deductions*

Supragingival
Deposits
Deductions*
Plaque, Stain, & Debris
Deductions*
*No Point Deductions this semester; only Patient
Experiences under the tutelage and feedback of
clinical faculty members; however, TISSUE
LACERATION CONSTITUTES AUTOMATIC IN A
CLINICAL BOARD SITUATION.
**See “Proper Notification of Missed Clinical/Lab Time” on
following page
Dev by AD 05/98
Rev by JAS 01/14
16
DHG 165 SYLLABUS 2014
INCOMPLETE GRADE POLICY:
Incomplete Grades will be given for one semester only due to incomplete requirements.
DHG 165: SUMMARY OF CLINIC PATIENT REQUIREMENTS
REQUIREMENT
#
COMPETENCY
LEVEL
1 Pedo & 2 Adult Patients (Healthy, Recare)
Class I
1
*Experiences
patient
only
Class I+
1
patient
Class II
1
patient
Class III
NA, if
poss.
Class IV
POINTS OFF FINAL GRADE
FOR NOT MEETING # of Patients or 85%
Utilization of Chair Time
#
2
Comp.
0
2
0
2
0
0
0
0
0
FMX
NA
―
―
BWX
3
―
―
Periapicals
PAN
NA
-―
-―
Sealants
NA
NA
Impressions
NA
NA
Study Model
NA
NA
Nutritional
NA
NA
Counseling
NOTE: TO PASS THIS COURSE, THE FINAL CLINICAL AVERAGE MUST BE A 78% OR
HIGHER AND THE FINAL LECTURE AVERAGE MUST BE 77% OR HIGHER!
Failure of Proper Notification of Missed Clinical/Lab Time: If the student fails to notify
Clinical Instructor(s), Staff, and patient, a 5 point deduction** will be taken from the FINAL clinical
grade for each appointment session missed. Calls to the Administrative Assistant/Clinic Manager
(Staff listed above) are a must if the absence takes place when patients are scheduled for clinical
sessions. These calls enable the Administrative Assistant/Clinic Manager to make adjustments in the
schedule when possible. The student should always call the patient first before calling instructor and
staff member. Appointments such as personal, medical, and dental appointments, except emergencies,
MUST be scheduled outside of class and lab/clinic hours.
For any absences or tardiness to lecture and/or lab/clinic, the student will be responsible for the
material and/or the skill covered during the missed session. Also, if the student misses more than 3
Dev by AD 05/98
Rev by JAS 01/14
17
DHG 165 SYLLABUS 2014
clinical sessions, the student will receive an Excessive Absence Form and will be dropped from
the dental hygiene curriculum.
Clinical Grade Forms:
1. After recording of grades, grade sheets will be located in each of the instructor POD areas in the
locked file cabinet. Please ask the Clinical Instructor assigned to each POD to pull your file and
review the grade sheets. Students should review the Incomplete and Complete Grade Sheet Files
on a weekly basis. The student should bring any errors that may have been made or concerns to
the Instructor’s attention as soon as possible.
2. Students will meet with their Clinical Advisors every two weeks to go over all Clinical
Experiences/Completions/Needs and perform the proper documentation with the Clinical
Advisor.
3. All clinic requirements, including incomplete grades and records must be completed and turned
in by the last day of clinic, Monday, April 28, 2014. Any requirements completed after this time
WILL NOT BE ACCEPTED FOR CREDIT. REMEMBER, EVENTUALLY
GRADUATION WILL BE AFFECTED BY INCOMPLETE REQUIREMENTS!
Clinical Rotations:
Each student will rotate through the Clinical Assistant (CA)/Office Assistant (OA) positions
during the spring semester. The CA/OA will be responsible for all duties indicated on the CA/OA
grade sheets. The CA will also be responsible for making sure that the x-ray rooms are cleaned and
disinfected for each new patient. The OA will manage the front office with regard to patient
greeting, answering the telephone and appointing patients, receiving moneys for patient treatment,
preparing patient files, etc.
DHG 165 Reminders/Checklist:
Research Articles/Verification Sheets (VS): (Due on Day Scheduled for Lecture or
Lab)
1. _________Medical Emergencies (P & G: VS))
2. _________Stains (P & G: VS)
3. _________Demineralization/Remineralization (P & G: VS)
4. _________Root Morphology in Periodontal Therapy (P & G: VS)
5. _________Probing/Periodontal Examination/Periodontal Assessment
6. _________Chemotherapeutics/Oral Irrigation
7. _________Oral Risk Assessment (P & G: VS)
8. _________EO/IO
9. _________Vitals
10. _________Medical/Dental Histories
11. _________Extrinsic Stain Removal
12. _________Planning for DHG Care/The Dental Hygiene Care Plan
Worksheets/Handouts:
1. _________Biofilm (Ch. 19), the Teeth (Ch. 17), Caries (Chs. 17 & 26),
Calculus (Ch.20)
2. _________Patient Learning for Health Behavioral Change (Ch. 25)
3. _________Protocols for Prevention and Control of Dental Caries (Ch. 26)
4. _________Oral Infection Control: Toothbrushes & Toothbrushing (Chapter
27)
5. _________Interdental Care (Chapter 28)
6. Write-up due on Indices (Ch. 22): Monday, February 23
Dev by AD 05/98
Rev by JAS 01/14
18
DHG 165 SYLLABUS 2014
Emergency Guides:
1. Rough Draft: 3/3/14
2. Final Product: 4/21/14
For Chapter 17 The Teeth: the pages on Pulp Vitality & Testing in the only subject
area to delete from your studies of that chapter.
LECTURE & LAB SCHEDULE
Order and sequence subject to change based on competency level
**Research Article Topics
DATE
TOPIC/ACTIVITY
ASSIGNMENT/MISC.
2014
1/13 M
Lab: Introduction to DHG 165; Clinic Clean-up!
Effective Health Communication
-Wilkins: Ch. 3
-Nield: Patient Assessment Text
Modules 1, 2, 3 (Turn in Summary on
Thurs., 1/16)
Toothbrushing
and
Interdental
Care;
Instrumentation Review! Add the Power
Toothbrush.
Wilkins: Chapters 27, 28 (Interdental
Care only), and 38
Nield: Instrumentation, Module Review: 1 –
13, 15 & 16
Don’t forget Instrumentation Handouts from
DHG 151! Also, bring Hu-Friedy Catalog for
instrument discussion…
P&G Assignments (Due Dates: See course start and
end dates)
 P & G Course #89: Power Toothbrushes
 Review all assignments for DHG 151 in
Workbook!
1/14 T
Lecture: Periodontal Debridement
--Wilkins: Ch. 39 (pp. 608-621)
--Nield: Instrumentation Modules 13 & 21
1/15 W
Lab: Review Curets: Universals & Gracey
Curets; Begin Sickles!
*Nield: Modules 14, 15, 16, 17
(Review previous modules RE:
Instrumentation)
 Completion
of
Instruments:
Sickles,
Miniature Curets & Curvettes; Hoes,
Chisels, and Files
 Nield: Instrumentation, Modules 19 &
20
 Wilkins: Ch. 38
Lecture: Periodontal Debridement cont.
1/16 R
Dev by AD 05/98
Rev by JAS 01/14
o DHG
Clinical
(Wednesday)
Manual
o Review Program Regulations
for Academic and Clinical
Success: Purchase 1 ½ White
Binder with front sleeve and
Package of page protectors if
you have not already for your
own “Clinical Notebook”.
o Clinical Procedures: CA/RAD
CA, OA, CA and Team
Concepts.
o Classification
Patients/Clinical
Requirements
o Review Sharp Stick Protocol
and
Emergency
Management in the dental
clinic setting.
o Reminder to sign up/create
student account: Proctor
and Gamble Website:
Student
Corner
http://www.dentalcare.com
o Grimes: Medical Emergency
Text, begin Part I
o Wilkins: Chapter 69 (See last
two lectures of semester)
o Criteria for Reference Guide
o P & G Course: #131: The
Management of Med.
Emergencies
Article Due**: TBG on
Root Morphology (due
Monday, 1/27)
19
DHG 165 SYLLABUS 2014
1/22 M
College Closed: MLK Day
Lab Assignments: Chapter 21: Stains; turn in
corresponding Workbook Chapter on Wednesday,
1/22/2014!
Dentifrices & Mouthrinses (Wilkins: Ch.29
Wilkins with Workbook Assignment due on Wed.,
1/22)
P & G Course # 94: Fluoride Dentifrices
1/21 T
Lecture:
 The Probe and Periodontal
Assessment: (Begin introduction…)
Sulcus Depth, Inflammation, Level of the Gingival
Margin, Clinical Attachment Level (CAL), Furcation &
Mobility (cont’d in DHG 141)
o Wilkins: Chapter 15 & 16; p. 107
o Review Wilkins: Chs. 14 & 19; Bring any
necessary handouts from DHG 151 to
class!
o Nield: Instrumentation Text: Modules 11 & 18
o Nield: Patient Assessment: Modules 13 & 14
o P& G Course # 53: Periodontal Screening
& Recording
Adriana: The Clinical Attachment Level,
Furcation Involvement, & Mobility
1/22 W
Lab: Workbook/”Copy of” for the above out of
class assignment: Stains (discuss clinical
application and significance of each stain)
 Jennifer: Summary & Significance of
Stains
 Periodontal Charting on Partners
1/23 R
Lecture: Probing cont.; Stains reviewed from
assignment
1/27 M
Lab:


COMPETENCY on Graceys, Universals,
& practice Sickles; Practice using all
universal instruments in posterior and
anterior areas.
Practice Sickles
1/28 T
Lecture: Completion of
Assessment**
Don’t forget P & G Assignments!
1/29 W
Lab:


1/30 R
the
Probe
&
Grimes: Part 1 (Chs. 1 – 4)
should be completed and
“Review Questions” turned in by
1/23.
o DHG Clinical Manual
(tentative)
o Turn in abstract on Root
Morph. at beginning of
clinic Monday, 1/27
o Grimes: begin Part II (Ch. 5 9)
Audio Review Sessions
on Emergencies will
begin this week on
D2L.
COMPETENCY on Graceys, Universals,
& practice Sickles; Practice using all
universal instruments in posterior and
anterior areas.
Practice Sickles
Lecture:
Dev by AD 05/98
Rev by JAS 01/14
20
DHG 165 SYLLABUS 2014
2/3 M
2/5 W
Lab A & B:
Wilkins: Chapter 8 (Introduction to Documentation)
-Periodontal Debridement on Partners
-Competency: Probe & Perio Charting
2/4 T
Lecture: Test I (Take Home, due Wed., 2/6 at
7:55 a.m.
Patient Learning for Health Behavior Change
(Wilkins: Ch. 25)
Amy: Disclosing Agents, Xerostomia, &
Halitosis
 P & G Course # 74: Effective Adult
Learning for Oral Health Education
2/6 R
2/10 M
2/12 W
Lecture:
Labs:
Group A (Monday) & B (Wednesday)
Partners:
Plaque
Free
Score,
Education, Debridement Activities
2/11 T
2/13 R
2/17 M
Patient
Lecture:
o Discuss Wilkins: Ch. 23, Planning for
Dental Hygiene Care (Workbook Due)
o Erica: The Dental Hygiene Process of Care,
Table IV-1, Table 23-2, Table 23-3,
Table 23-5, & Box 23-2
o Oral Irrigation & Set-Up
*Wilkins: Chapter 28
Lecture:
Lab: Oral Irrigation Set-Up: Partners;
2/18
T**
(3:305:00)
Lecture: Oral Cancer & EO/IO Importance
o Wilkins: Chapter 11
o Patient Assessment: Module 11 & 12
o Lindsey: Types of Examinations, Methods
for Examination, Signs & Symptoms,
Location & Extent of Lesions, Physical
Characteristics
of
Lesions,
Morphologic Categories of Lesions.
2/19 W
EO/IO with documentation on partners
2/20
R**
(3:304:00)
2/24 M
Lecture:
Lab:
Acquire Med./Dental Histories utilizing the
Interview Method to establish rapport with
student partner(s) & Discuss Importance of
Histories in treating patients
Dev by AD 05/98
Rev by JAS 01/14
o Clinic Procedures
Handout/Manual
P & G Course # 78 Maintaining
Proper Dental Records
o Written summary due on the
following three indices that
measure oral hygiene status:
 Plaque Index
 Plaque Control Record
 Plaque Free Score
o Grimes: Turn in Part II (2/13)
Grimes: Begin Part III (Chs. 10 -12)
P & G Course # 348: Oral Cancer
P & G Course: # 337: The
Intraoral and Extraoral Exam
****Items Needed for Lab:
BP Cuff & Stethoscope; Watch
with second hand due in clinic!
P & G Course #76 Designing A
21
DHG 165 SYLLABUS 2014
-Wilkins: Ch. 9
-Nield: Patient Assessment: Modules 4 – 6
Yolanda: Introduction of the Patient to the
Med/Den. Hs,, Limitations of the Hs., “The
Questionnaire” & Interview Process,
Advantages & Disadvantages of the
Interview, ASA Classification System.
2/25 T
2/26 W
Lecture: Extraoral and Intraoral Examination
cont.
 Hannah: Lymph Nodes of the Head &
Neck Regions & their Importance;
Lymph Flow.
 Ashley: Cranial Nerves & Importance
in Head & Neck Regions
 Discuss Case Study
Comprehensive Health History
P & G Course # 86: Blood
Pressure Guidelines
P
&
G
Course
#407:
Hypertension in Oral Health
Care Settings
o Grimes: Turn in Part III
2/27 (W)
Rough Draft for
Emergency Guide Due
Lab: Completion of Medical/Dental Histories;
PDR & Other Drug References
Vital Signs Discuss & Video Modules:
-Wilkins: Ch. 10
-Dru: Vital Signs
- Nield: Patient Assessment, Modules
-9
Practice Vitals: Pulse, Respiration, Temp.
7
2/27 R
Lecture:
3/3 M
Practice all Vital Signs & EO/IO Discussion
with Partners
3/4 T
Lecture: Test II
3/5 W
Lab:
--Vital Signs Practice as needed
--Review & Complete Wilkins Ch. 17
3/6 R
Lecture:
3/10 M
Lab Competency: Vital Signs; Head and Neck
Exam with documentation
Grimes: Begin Part IV (Chs. 13 –
15)
3/11 T
Caries Risk Assessment & Formation
--Wilkins: Ch. 17, 26, 35 (pp.517-524)
--CAMBRA
--Kelly: Caries Formation & Risk Assessment;
Classification of Caries; Prevention
--Review Wilkins: Ch. 19 (Biofilm); Bring
Biofilm Handouts to class from DHG 151!
--Clinical Documentation
 P & G Course #73: An Update on
Demineralization/Remineralization ►
Article Due: TBG: The Oral Risk
Assessment
3/12 W
P & G Course # 371 Caries: The
Environment
Lab: Dental Charting Procedures & Protocol
--Dental Charting on Student Partners
Dev by AD 05/98
Rev by JAS 01/14
22
DHG 165 SYLLABUS 2014
3/13 R
Lecture:
3/17 M
Lab: Completion
Partners
3/18 T
Lecture: Extrinsic Stain Removal
--Wilkins: Chapter 44 (no Air Polishing)
--Nield: Modules 28
--Jessica: Ch. 44, pp. 689 – 694; Module 28 as
it applies
--Melissa: Ch. 44, pp. 694 – 698 (cover Porte
Polisher); Module 28 as it applies
of
Dental
Charting
on
3/19 W
Lab: Extrinsic Stain Removal on Manikin &
Discuss Fluoride Application on Partners for
the following lab exercise
--Handpieces
--Prophy Angles & Brushes
--Abrasive Agents
--Fluoride Agents, Trays, Varnish Application,
& Instructions
3/20 R
Lecture:
3/24 M
Lab: Dry Run with Partner (Group A)
3/25 T
Lecture: The Dental Hygiene Care Plan
--Wilkins: Ch. 24
Lab: Dry Run with Partner (Group B)
3/26 W
3/27 R
3/31-4/6
4/7 M
Lecture:
SPRING BREAK!

Lab: Complete Partner (Group A) (Group B)
4/8 T
Lecture: Test III
4/9 W
Clinic: Patients Begin!
4/10 R
Lecture: Ortho Patient (Wilkins Ch. 30)
--Acoma: The Orthodontic Patient
4/14 M
Clinic: Patients
4/15 T
Lecture:
--Care of Dental Prosthesis (Wilkins Ch. 31)
--Sarah: Care of Dental Prostheses
Dev by AD 05/98
Rev by JAS 01/14
Grimes: Turn in Part IV
Grimes: Begin Part V (Chs. 16 –
18)
Grimes: Turn in Part V; Begin
Part VI (Chs. 19 & 20)
Article Due**: Planning DHG
Care/The
Dental
Hygiene
Process of Care
Grimes: Turn in Part VI
***Emergency Guides are due
on Wed., April 10!
Grimes: Begin Part VII (Chs. 2124)
Course # 131: Management of
Medical Emergencies
23
DHG 165 SYLLABUS 2014
4/16 W
Clinic: Patients
4/17 R
Lecture:
Intro. To Implant Care (Wilkins Ch. 32)
4/21 M
4/22 T
Clinic: Patients
Lecture: Emergency Review
--Wilkins: Ch. 69
4/23 W
Clinic: Patients
4/24 R
Lecture: Grimes: Specified Topics
--Amber: Oxygen Administration; Seizures;
Epistaxis; Excessive Bleeding Following an
Extraction;Foreign Object in Eye; Avulsed
Teeth
4/28 M
Clinic: Patients (Last Day of Clinic)
Grimes: Turn in Part VII
4/23 T
4/24 W
4/29 M
Classroom: Test IV (online) (11:30-12:30)
Special Notes:
4/29: Exams begin
P & G Courses: (Graded) (Courses are not in the order of assignment date)
_____1. #94 Fluoride Dentifrices
_____2. #73 Update Dem./Rem.
_____3. #371 Caries—The Environment
_____4. #74 Effective Adult Learning
_____5. #89 Power Toothbrushes
_____6. # 53 Periodontal Screening & Recording
_____7. #407 Hypertension in Oral Health Care Settings
_____8. #337 The Intraoral and Extraoral Exam
_____9. #86 Blood Pressure Guidelines
_____10. #78 Maintaining Proper Dental Records
_____11. #76 Designing A Comprehensive Health History
_____12. #347 Promoting the Patient Oral Self-Assessment
_____13. #131 The Dental Staff’s Management of Medical Emergencies
_____14. #348 Oral Cancer
Dev by AD 05/98
Rev by JAS 01/14
24
DHG 165 SYLLABUS 2014
Articles:** (Graded)
_____1. Root Morphology
_____2. Oral Risk Assessment
_____3. Planning Dental Hygiene
Care/ The Dental Hygiene Process of
Care
Other Assignments: (Graded)
_____1. Summary of Communication Modules
_____2. Stains (Ch. 21 Workbook)
_____3. Planning for DH Care (Ch. 23 Workbook)
_____4. Dentifrices & Mouthrinses (Ch. 29
Workbook)
_____5. Written summary of Indices
Emergency Guide Due Dates:
 Rough Draft: February 27
 Final Copy: April 15
Grimes (Med. Emerg. Text) Due Dates
_____1. Part I (1/23)
_____2. Part II (2/13)
_____3. Part III (2/27)
_____4. Part IV (3/20)
_____5. Part V (4/1)
_____6. Part VI (4/3)
_____7. Part VII (4/22)
Presentations: Students will prepare a presentation for lecture/lab/clinical on a topic given
by the instructor.
Successful completion of the mini-research assignments
o
For certain lecture topics, an article** and/or assignment is required; the student must
turn in the assignment regarding that topic on time, in the correct format, and in accordance
with guidelines presented by professor as given below for research articles. (The Professor will
receive email confirmation once a student completes a P & G assignment, but student may want
to print out verification of completion of a course in the event that technology fails.)
o
After reading the research article, the student will BRIEFLY abstract the material with
the following information:
 Name; Course; Topic (Name: ______; DHG 165: Mouthrinses)
 Short description of what the article is about
 What you learned from the article
 How it affects you as a dental hygienist
o
This abstract must be typed and double-spaced with the course number (DHG 165),
the title of the article or subject (i.e. Root Morphology) for which the article was
completed, name and date turned in to Professor.
o
The research can be obtained from dental journals in the library, ones that have been
accessed from the Internet, or ones to which you have personal access. Articles from “News
Releases”, magazines such as Newsweek, Time, McCall, Ladies Home Journal,
Website items, etc. will not be accepted.
o
The material is due on the date that the lecture is to take place as noted in the schedule
unless revised by Professor.
Dev by AD 05/98
Rev by JAS 01/14
25
DHG 165 SYLLABUS 2014
STUDENT SYLLABUS AGREEMENT
I, _______________________________________________, have received the
course syllabus for DHG 165 Clinical Dental Hygiene I from Ms. Jamie Sawyer. The syllabus
has been explained to me, and I have had all of my questions answered by the instructor. I
understand that it is my responsibility to keep the syllabus in my possession for future
reference. I will take the initiative and maintain the necessary degree of persistence to obtain
any future questions to be answered by the instructor.
The standards and requirements set forth in this syllabus may be modified at any time by the
course instructor. Notice of such changes will be by announcement in class, or in writing,
email, or on the course website, D2L.
I also understand that additional assistance may be obtained from the instructor during posted
office hours or by scheduling a personal appointment; however, it is my responsibility to seek
such assistance. I further understand that my instructor may recommend that I schedule an
appointment with her or seek assistance from the SSTC (Student Success and Technology
Center).
I fully understand the potential for both passing and failing this course, and that I must obtain
a cumulative grade of at least a grade of “C” or higher. This means I must achieve a 77% or
higher for the lecture portion of the course and a 78% or higher for the clinical portion of the
course to obtain the grade of “C” to successfully complete the course.
I have been given ample time to review this information and are therefore signing my name
that I fully agree to the guidelines specified in this syllabus.
STUDENT
NAME
PRINTED:____________________________________________________
STUDENT
SIGNATURE:____________________________________________
DATE:_______________
Dev by AD 05/98
Rev by JAS 01/14
26
DHG 165 SYLLABUS 2014
This document is to be signed and returned to the course instructor by the end of
the first lecture period.
Dev by AD 05/98
Rev by JAS 01/14
27