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21st Century Instructional Guide for Career Technical Education Supervised Dental Assistant Experience Health Science Education Cluster Title: Supervised Dental Assistant Experience (WVEIS 0749) HSE.S.SDE.1 Practice Management Students will understand and apply procedures of the dental office receptionist. How does the performance of the dental office receptionist reflect the performance of the dentist? Essential Questions: Objectives: HSE.O.SDE.1.1 Students will differentiate between verbal and non-verbal language using role play. HSE.O.SDE.1.2 evaluate importance of the first impression a patient should receive when entering a dental office. HSE.O.SDE.1.3 demonstrate proper protocol for answering an incoming call. HSE.O.SDE.1.4 critique proper protocol for handling a difficult patient via telephone and /or in person. Learning Plan & Notes to Instructor: verbal spoken words used as a form of expression non-verbal body language used as a form of expression first impression speaks negatively or positively to patients ensures patients feel welcome reflects a warm, hospitable atmosphere protocol answered promptly greet patient pleasantly identify the practice and yourself ask how you may help See Procedure evaluation sheet 61-1, page 1008 Modern Dental Assisting, 8th edition “Answering the Phone”. protocol for handling a difficult patient phone o listen silently o do not interrupt o let the patient finish 1 o repeat what you think you heard o if the patient insists on speaking to the Doctor, tell them you will have the Doctor to contact them by a specific time in person o listen silently o use good eye contact and occasionally nod head o do not interrupt o let the patient finish o repeat what you think you heard o if the patient insists on speaking to the Doctor, ask the Doctor if he can speak to the patient now or if he can call the patient later in the day Information contained in all messages date caller name phone number message time name of person who took the call effective ways of scheduling patients computerized o autoscheduler o patient record o daily appointment screen manual o with or without printed dates o number of columns based on needs o units of time HSE.O.SDE.1.5 examine the information all messages should contain. HSE.O.SDE.1.6 compare effective ways of scheduling patients. HSE.S.SDE.2 Administrative Office Dental Assistant Students will demonstrate knowledge and skills of procedures of the administrative office manager. How important is the role of the administrative office manager with respect to the care of the dental Essential 2 Questions: Objectives: HSE.O.SDE.2.1 patient? Students will differentiate dental office staff and their areas of responsibility. HSE.O.SDE.2.2 examine marketing ideas for the dental office. HSE.O.SDE.2.3 differentiate between accounts payable and accounts receivable. establish uses of telephone and business office technology. HSE.O.SDE.2.4 HSE.O.SDE.2.5 recognize the need to be fluent with Learning Plan & Notes to Instructor: office manager oversees marketing and overall organization performance of administrative office duties large practice o receptionist o bookkeeper o appointment clerk o file clerk o insurance clerk/secretary small practice o one individual/business assistant marketing ideas for the dental office external/outside of the office – directed at people who are not patients internal – activities and promotions targeted to current patients accounts payable – money owed by practice accounts receivable – money owed to practice telephone communicate tool marketing phone equipment o headset o pager o fax phone message system o answering service o answering machine o voice mail business office technology computer copier responsibility of the office manager to be fluent in all 3 HSE.O.SDE.2.6 computerized and manual systems for patient management. Illustrate filing procedures. patient management systems filing procedures alphabetic color-coding numeric chronologic electronic examine correspondence within office and to other professionals o spelling o accuracy o consistency insurance companies o patient identification o case information o x-rays (if required) HSE.O.SDE.2.7 examine correspondence within the dental office, with other dental professionals, and with insurance companies. HSE.S.SDE.3 Dental Specialties Students will demonstrate knowledge and skills of the procedures and processes within each of the specialties. How does the knowledge and skills within general dentistry and dental specialties overlap? Essential Questions: Objectives: HSE.O.SDE.3.1 Students will Endodontics examine endodontics and endodontist. HSE.O.SDE.3.2 establish the definition of pulpal disease. Learning Plan & Notes to Instructor: endodonitcs specialty manages prevention, diagnosis, and treatment of dental pulp endodontist dentist specialist in the prevention, diagnosis, and treatment of dental pulp pulpal disease inflammation dental pulp 4 HSE.O.SDE.3.3 select instruments and materials used in endodontics, examining the function of each. HSE.O.SDE.3.4 examine endodontic surgical procedure. HSE.O.SDE.3.5 Oral and Maxillofacial Surgery select instruments used in surgery and interpret their use. instruments used in endodontics explorer – locate canal opening endodontic spoon excavator – remove coronal pulp tissue, decay, and temporary cements spreader and pluggers – obturation of canal glick number 1 – placement of temporary restorations and removal of excess guttapercha broaches – removal of vital, inflamed hemorrhagic pulp tissue K-type file – initial debridement Hedstrom file – final enlargement of the canal rubber stops – prevention of perforations of the apex paper points – drying of the canals See Procedure evaluation sheet 54-2, pages 882884 Modern Dental Assisting, 8th edition “Assisting in Root Canal Therapy”. instruments used in surgery elevators – reflect and retract the periosteum from the surface of the bone forceps – remove teeth from the alveolus surgical curette – scrape the interior of the socket to remove diseased tissue or abscesses rongeur – trim alveolar bone bone file – smooth the surface of the bone scalpel – used to make a precise incision into soft tissue hemostat – used to grasp and hold needle holder – used to grasp a suture needle mouth props – allows patients to rest and relax the jaw muscles chisel and mallet – remove and reshape bone 5 surgical burs – remove bone HSE.O.SDE.3.6 HSE.O.SDE.3.7 HSE.O.SDE.3.8 HSE.O.SDE.3.9 HSE.O.SDE.3.10 recognize the importance of aseptic procedures prior to and following surgery in the dental office. determine the written and oral postoperative instructions to be given to patients. differentiate between surgical procedures performed in the dental office and the hospital. Orthodontics characterize the orthodontic setting. outline the critical roles and duties of a dental assistant in the orthodontic office. written and oral postoperative instructions 2 X 2 gauze folded and placed over socket for 30 minutes o continued bleeding call office do not rinse vigorously restrict activities for the day o after extensive surgery ibuprofen to prevent and control swelling and relieve pain swelling controlled with cold packs –1st 24hours – 20 minutes on and 20 minutes off after 24hours apply heat to area gentle rinsing with warm saline solution every 2 hours ( 1tsp. salt to 8 oz warm water) orthodontic setting designed to accommodate many patients at a time open bay ? only two items characterize the setting? critical roles and duties of a dental assistant in the orthodontic office increased lab work (i.e. models, appliances) diagnostic records 6 HSE.O.SDE.3.11 examine the causes of malocclusion. HSE.O.SDE.3.12 differentiate between preventive, interceptive, and corrective orthodontics HSE.O.SDE.3.13 distinguish between fixed and removable appliances. HSE.O.SDE.3.14 assess the stages of orthodontic treatment. HSE.O.SDE.3.15 evaluate how teeth are retained in position after orthodontic treatment is complete. HSE.O.SDE.3.16 HSE.O.SDE.3.17 Pediatrics characterize the importance of team work in the pediatric office. determine common behavior of children throughout the stages of growth and development. preliminary appointments adjustment visits malocclusion developmental genetic environmental habits orthodontics preventative – preformed to keep problem form happening interceptive – preformed when the problem is first recognized corrective – preformed to move the teeth to correct the malocclusion appliances fixed – bonded in place, cannot be removed removable – patient can remove stages of orthodontic treatment diagnostic treatment retention position retained after treatment orthodontic positioner Hawley retainer Lingual retainer importance of team work in the pediatric office portrays compassion and patience teamwork ensure a setting that children and adolescents enjoy common behavior of children birth – 2 years o too young to cooperate in dental treatment o parent should be with the child during initial exam 7 HSE.O.SDE.3.18 establish the role of the parent/guardian/family members in the treatment of a child. HSE.O.SDE.3.19 relate the unique equipment geared toward pediatric dentistry. HSE.O.SDE.3.20 recognize the signs of child abuse and the procedure for reporting suspected child abuse. HSE.O.SDE.3.21 Periodontics differentiate between the members of the periodontal team and their roles. o pre-medicate if needed for further exam 3 – 5 years o Learning to get along o Learning to accept the rules and regulation of society role of parent/guardian/family in treatment of a child begin bringing child at 2 years of age bring child for return visits every 2 months practice prevention provide consent for dental care unique equipment for pediatric dentistry papoose board ? only one? signs of child abuse injuries in various stages of healing repeated injuries chipped or injured teeth scars inside the lips or on the tongue tears of labial frena battering or other injuries around the head and neck facial bruising swelling of facial structures or blackened eye fractured nose bite marks reporting suspected child abuse periodontal team and their roles dental assistant – assisting with o periodontal charting o periodontal surgeries o homecare instruction dental hygienist - performing o periodontal probing 8 HSE.O.SDE.3.22 examine the diagnostic procedure from start to completion and follow-up for periodontic patients. HSE.O.SDE.3.23 differentiate between surgical and non-surgical treatment procedures. HSE.O.SDE.3.24 establish the role of the patient in maintaining the arrest of periodontal disease. HSE.O.SDE.3.25 Prosthodontics pour, trim, and articulate models. o dental prophylaxis o root planning and scaling o gingival curettage periodontist – performing o foot planning and curettage o periodontal surgeries periodontic patients diagnostic procedure o medical and dental history o radiographic evaluation o examination of teeth o examination of oral tissues and supporting structures o periodontal charting follow-up surgical excisional incisional osseous non-surgical prophylaxis scalingand root planning gingival curettage antimicrobial and antibiotic agents local delivered antibiotics role of the patient in maintaining the arrest of periodontal disease performance of more complex home care procedures must be more motivated ?should the role listed here be more specific in listing what the patient needs to do? Teach, demo, allow student practice, and proceed to final check off. 9 HSE.O.SDE.3.26 construct custom trays (i.e. night guard, bleaching tray, mouthpiece). HSE.O.SDE.3.27 differentiate between waxes and their use. HSE.O.SDE.3.28 outline the procedure fro preparing a fixed crown/bridge for patients. HSE.O.SDE.3.29 outline the procedure for preparing a removable appliance for patients. See procedure evaluation sheet 47-2, page 778-779, MDA 8th edition “Pouring Dental Models Using Inverted Pour Method” and procedure evaluation sheet 47-3 page 780-781 “Trimming and Finishing Dental Models”. Teach, demo, allow student practice, and proceed to final check off. See procedure evaluation sheet 47-46, pages 786787, MDA 8th edition, “Construction of a VacuumFormed Custom Tray”. waxes boxing utility sticky inlay casting casting baseplate bite registration preparing a fixed crown/bridge 1st appointment o shade selection o preparation o impressions o placement of provisional coverage nd 2 appointment o cementation o finishing preparing a removable appliance 1st appointment o preliminary impressions o custom trays nd 2 appointment o final impressions o bite registration o shade selection 10 o lab prescription appointment o try-in th 4 appointment o delivery of appliance th 5 appointment o post-delivery check importance of safety precautions during all lab procedures infection control procedures with appliances that have been in the mouth ?this does not relate the importance; shouldn’t there be more? 3rd HSE.O.SDE.3.30 HSE.O.SDE.3.31 relate the importance of following safety precautions during all lab procedures. Public Health assess the role of a dental health person. HSE.O.SDE.3.32 Oral and Maxillofacial Radiologist assess the role of the oral and maxillofacial radiologist. HSE.O.SDE.3.33 Oral Pathologist examine the career and duties of the oral pathologist. HSE.S.SDE.4 Essential Questions: HSE.O.SDE.4.1 role of dental health person promote oral health through organized community efforts ? more than one? role of the oral and maxillofacial radiologist diagnose disease through various forms of imaging, including radiographs ? more than one role? career and duties of the oral pathologist diagnose diseases of the oral structures treat diseases of the oral structures Technology Students will: understand the use of computer technology within the dental health care system. demonstrate skills and knowledge of computer technology as appropriate to dental healthcare applications. How has the application of technology impacted healthcare in the dental profession? implement the use of dental software dental software programs 11 programs. HSE.O.SDE.4.2 HSE.O.SDE.4.3 HSE.S.SDE.5 Essential Questions: Objectives: HSE.O.SDE.5.1 HSE.O.SDE.5.2 HSE.O.SDE.5.3 utilize software, hardware and the Internet to practice and master standards. utilize the Internet as a resource/research tool. Dentrix Dental software system has related patient information for this course. Use software, hardware, and Internet throughout delivery of CSOs. Use Internet for resource/research for projects and assignments. Student Organizations Students will participate in the local chapter of the Career and Technical Student Organization (CTSO). How does participation in a Career and Technical Organization (CTSO) impact professional development and lifelong learning? Students will Learning Plan & Notes to Instructor: participate in the local chapter of the involvement in HOSA or SkillsUSA appropriate Career and Technical Student membership Organization (CTSO). committee involvement contests projects other educational activities See HOSA Handbook. use parliamentary procedure in organizational parliamentary procedure in organizational meetings meetings. main motion second debate vote point of information division adjourn See Robert’s Rules of Order and The Everything Roberts Rules Book by Barbara Campbell. characterize team membership skills, such as team membership skills cooperation and leadership. cooperation leadership through participation in o committees o contests 12 HSE.O.SDE.5.4 21st Century Skills participate in local, state and national dental health care and educational projects. Learning Skills & Technology Tools o projects See HOSA Handbook. local, state, and national dental health care and education projects National Dental Health Month Dental Assistant Recognition Week American Dental Assistants Association, etc. See HOSA Handbook. Teaching Strategies Evidence of Culminating Activity Success Information and Communication Skills: Thinking and Reasoning Skills: Personal, and Workplace, Skills: Learning Skills & Technology Tools Teaching Strategies Culminating Activity Evidence of Success Entrepreneurship Skills: 13 Culminating Assessment Culminating Assessment: Final Examination Industry Accreditation/ Certification Links and Other Resources Industry Accreditation/Certification Secondary programs: None available at the completion of this course. Postsecondary programs: must complete all courses within the Dental Concentration Commission on Dental Accreditation American Dental Association Dental Assisting National Board o Certified Dental Assistant CDA o Certified Office Assistant COA o Infection Control Exam ICE o Radiation Health and Safety RHS o General Chairside GC o Dental Laboratory Technician Links and Other Resources Related Websites: American Dental Assistants Association http://www.dental assistant.org American Dental Association www.ada.org American Dental Hygienists Association www.adha.org National Institute of Dental and Craniofacial Research www.nidcr.gov National Institute for Occupational Safety and Health www.cdc.gov/niosh U.S. Occupational Safety and Health Administration 14 www.osha.gov Pathways to Success http://careertech.k12.wv.us/pathwaystosuccess/ U.S. Department of Labor in the 21st Century http://www.dol.gov/ Advanced Distributed Learning www.adlnet.org America's Career InfoNet www.acinet.org America's Job Bank www.ajb.org America's Service Locator www.servicelocator.org CareerOneStop www.careeronestop.org Employment & Training Administration www.doleta.gov The Job Accommodation Network (JAN) http://www.jan.wvu.edu Monthly Labor Review Online: Labor Force Archives http://www.bls.gov/opub/mlr/indexL.htm#Labor force Occupational Information Network www.doleta.gov/programs/onet Office of Disability Employment Policy 15 www.dol.gov/odep Career Voyages http://www.careervoyages.gov/index.cfm Workforce West Virginia https://www.workforcewv.org/ West Virginia Earn A Degree Graduate Early (EDGE) http://www.wvtechprep.wvnet.edu/edge.htm West Virginia Career and Technical Education http://careertech.k12.wv.us/ Contacts: Contacts HSE Teachers: See HSE Directory HSE Coordinators: Rebecca Davis [email protected] Cynthia Sundstrom [email protected] OCTI Assistant Executive Director and EOCTST Coordinator: Donna Burge-Tetrick OCTI Executive Director: Gene Coulson 16