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Module - Chairside Dental Assisting with Labs Faculty Teaching Guide for Chairside Dental Assisting with Labs Module - Embryology and Morphology 1 Faculty Teaching Guide for Chairside Dental Assisting with Labs Faculty Teaching Guide for Chairside Dental Assisting with Labs Module: Embryology and Morphology Module Overview The formation of dental materials and their eruption into the oral cavity are studied in this module as well as the relationship of each tooth to all others. The specific design and function of each individual tooth will also be discussed. The Big Picture Faculty Teaching Guide for Chairside Dental Assisting with Labs Module: Embryology and Morphology Section 1: Embryology and Histology Section 2: Tooth Morphology Part A: Oral Embryology Part A: Maxillary and Mandibular Arches Part B: Histology Part B: Anatomical Tooth Structure Resources This module utilizes the following learner resources: Textbooks: Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead. Delmar Learning, 2004. ISBN 1-4018-3480-9. Safety Standards and Infection Control for Dental Assistants, by Ellen Dietz, Delmar Learning, 2002. ISBN 07668-2659-7. Workbook: Workbook to Accompany Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead, prepared by Karen L. Waide, Delmar Learning, 2004. ISBN 1-4018-3483-3. 2 Module - Chairside Dental Assisting with Labs Instructor’s Manual: Instructor’s Manual to Accompany Delmar’s Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead. Delmar Learning, 2004. ISBN 1-4018-3482-5. Delmar’s Dental Assisting Video Series: Delmar Learning. ISBN 0-7668-1031-3 Faculty CD-ROM: The faculty CD-ROM includes this Faculty Guide and the Power Point Presentation for Chairside Dental Assisting with Labs. Additional Resources Electronic Classroom Manager to Accompany Delamr’s Dental Assisting, A Comprehensive Approach, 2nd edition, by Donna J. Phinney and Judy Halstead. Delmar Learning, 2004. ISBN: 1-4018-3484-1. Section 1: Embryology and Histology Section Overview Embryology is the study of embryos and their development, and histology is the study of microscopic anatomy. Together these topics compare the ideal dentition to deformities that may bring patients to the dental office. Outline of Section Part A: Oral Embryology Part B: Histology Learning Objectives and Competencies These learning activities directly address the Learning Objectives and Competencies as stated. Knowledge 1. Define the Key Terms. Teaching Tips Comprehension 2. Identify the three prenatal phases of pregnancy. 3. Describe the life cycle of a tooth and the stages of development. 4. State the substances making up enamel, dentin, cementum, and pulp. 5. List the structures of the gingiva. 6. Explain the location and function of the four primary tooth structures. Pay close attention to learners who are struggling. Retention of learners in your class is important. You have the opportunity to encourage them, assist them with study skills development, and keep them in school. Learning Activities These learning activities directly address the Learning Objectives and Competencies as stated. [Insert Homework Assignment icon] Key Term Glossary (Part A, All Objectives) 3 Faculty Teaching Guide for Chairside Dental Assisting with Labs [Insert In-Class Activity icon] Cleft Palate Research and Report (Part A, Objectives 2-3) [Insert Homework Assignment icon] Textbook Assignment (Part A, All Objectives) [Insert In-Class Activity icon] Dental Histology Project (Part B, Objectives 4-6) [Insert Homework Assignment icon] End of Chapter Activities (Part B, All Objectives) [Insert Homework Assignment icon] Workbook Assignment (Part B, All Objectives) Part A: Oral Embryology Overview The growth and development of a person begins with fertilization, when cells begin rapidly multiplying and specializing into their various body parts. An embryo goes through many developmental stages, where minor defficiencies can create negative consequences for which patients may seek dental treatment. This part examines each stage of embryonic growth as they relate to the teeth and oral cavity. Initial Questions and Activities Teaching Tip Encourage learners to effectively use their textbooks and workbooks. They should highlight, underline, write in the margins, provide additional labels on diagrams, and write down questions, etc. Instructors can make recommendations about study strategies that apply to different activities. 1. Why is it important for women to have proper nutrition during pregancy? Without proper nutrition the forming infant will not have what it needs to grow into a healthy child. What the mother eats, medications she takes, smoking, everything the mother takes into her body will affect the child that is to be born. Key Concepts References and Activities Slides Introduction to the Module Slides 1-2 Introduction to Section 1 Slides 3-4 Key Terms [Insert Home Ass icon] Key Term Glossary Slides 5-6 Oral Embryology Chapter ____, pp. ____ (Phinney & Halstead) Slides 7-16 [Insert In-Class Activity icon] Cleft Palate Research and Report [Insert Home Ass icon] Textbook Assignment [ ] Group Activities [ ] Homework [ ] Individual Activity [ ] Internet Activity [ ] In-Class Discussion [ ] In-Class Act [ ] Evaluation 4 Module - Chairside Dental Assisting with Labs [Insert In-Class Act icon] In-Class Activities Cleft Palate Research and Report (Part A, Objectives 2-3). Goal: To have learners use the Internet to research and develop information on cleft palate and cleft lip. Have the learners go to the computer lab to research information on cleft lip and cleft palate. They should discover information such as patient education, support groups, links to detailed medical research, reasons for the irregularities, and treatments available. Learners should be told to work on their own while in the lab. After a set amount of time, have learners return to class and present their findings to the class. Discuss as a group the differences and similarities to the information that was discovered. [Insert In-Class Dis Ques icon] In-Class Discussion 1. What are the proper terms for the upper jaw and the lower jaw? Why is it important for dental assistants to know the proper terms? The upper jaw is called the maxilla or maxillary arch, and the lower jaw is the mandible or mandibular arch. Make sure learners understand the importance of knowing the Teaching Tip proper terms. [Insert Home Ass icon] Homework Assignments Key Term Glossary. Learners will define key terms listed in the PowerPoint presentation. They are to enter this glossary on disk, in a dedicated notebook or in a designated part of a notebook. They are expected to augment information from text or lecture with other resources including any available in the school or public libraries or on the Internet and will be graded at the end of the module on Encourage learners to form study groups. Suggest that they meet at a regular time and place to review class materials and homework assignments. For those who participate, ask them to share the positive aspects of this with the class. By acknowledging positive behaviors, you may encourage others to follow suit. completeness and presentation. Textbook Assignment. Learners are to read Chapter ____ (Phinney & Halstead). Have learners complete the workbook Chapter ____ questions. Learners should be prepared to review these in class. Presentation Tools Note: If you change Objectives or Assignments, don’t forget to change the slides accordingly. Slide 1 [Insert CDA 1-1] PowerPoint Presentation for Chairside Dental CDA – Stands for Chairside Assisting with Labs Module: Embryology and Morphology 5 Faculty Teaching Guide for Chairside Dental Assisting with Labs Dental Assisting with Labs. Prior to introducing this module. Ask learners if any The 1st number “1” indicates questions remain from their previous studies. If questions remain review the material as needed. the Module called Embryology Introduce the module. and Morphology. The 2nd number indicates the slide number. Slide 2 [Insert CDA 1-2] Module: Embryology and Morphology Introduce the sections and each part. Slide 3 [Insert CDA 1-3] Section 1: Embryology and Histology Discuss each objective in detail. Learners need to know what they will be learning and why. Try to relate it back to their careers as dental assistants. Slide 4 [Insert CDA 1-4] Section 1: Embryology and Histology (cont.) Continue to discuss each objective in detail. Slide 5 [Insert CDA 1-5] Key Terms Review each key term and discuss. Homework Assignment: Remind learners about the Key Term Glossary homework assignment. Slide 6 [Insert CDA 1-6] Key Terms (cont.) Continue to review each key term and discuss. Slide 7 [Insert CDA 1-7] Part A: Oral Embryology Inform learners that the definition of Embryology is the study of the development of the individual during the embryonic stage. Explain that the definition of prenatal 6 Module - Chairside Dental Assisting with Labs refers to before birth, natal refers to birth, and post-natal is following birth. Discuss with learners that the zygote begins with conception through the first two weeks, the embryo is the developing individual from two through eight weeks, and the fetus is the developing individual from nine weeks until the time of birth. Slide 8 [Insert CDA 1-8] Fertilization Inform learners that once fertilization takes place, cell division and specialization of the cells begin. Explain what proliferation is. Discuss the three stages of differentiation. Slide 9 [Insert CDA 1-9] Embryonic Stage Explain to the learners that the outer layer of the embryo, the ectoderm, will become the skin, brain and spinal cord, hair and nails, teeth enamel, and the lining of the oral cavity. Slide 10 [Insert CDA 1-10] Factors Influencing Prenatal Development Explain that what individuals inherit from their parents will determine future dentition; that if one parent has large teeth, and the other has a small jaw, the child may have problems with crowding, and if one parent has small teeth and a large jaw, the child may inherit the opposite spacing problems with the teeth. Explain that some people are missing teeth and some have extra teeth. Ensure learners understand that good maternal health and nutrition throughout the pregnancy is essential, 7 Faculty Teaching Guide for Chairside Dental Assisting with Labs because they affect the developing child. Explain that during pregnancy fever, disease, and medications may cause problems for the evolving embryo. An example would be the antibiotic tetracycline prescribed to pregnant women may result in intrinsic yellow-brown staining of the teeth. Slide 11 [Insert CDA 1-11] Palatal Development Discuss with learners how fusion of the palate occurs within the 4th through 8th weeks of intrauterine life and if not fused properly, may result in a combination of cleft palate or cleft lip, which also creates missing and/or malaligned teeth. Explain to learners that if the failure of fusion is on both sides of the midline, it is called bilateral, and if on one side only, called unilateral. Address how if failure of the palatal tissues to fuse occurs this creates an opening in the hard or soft palate. Treatment of this defect depends on the severity and is begun as soon as the infant weighs about 10 pounds. In-Class Activity: Stop here for the Cleft Palate Report activity. Slide 12 [Insert CDA 1-12] Lifecycle of a Tooth Explain how the formation of the tooth bud begins with changes in the dental lamina. Describe how multiplication of cells results in the cap stage and progresses into the bell stage as the cells 8 Module - Chairside Dental Assisting with Labs differentiate into various tissues, and then into a tooth shape. Refer learners to the figure in Chapter ____ pg. ____ (Phinney & Halstead) that shows the life cycle of a tooth. Slide 13 [Insert CDA 1-13] Developmental Problems Discuss each term associated with problems that can occur during the developmental stages of the tooth. Go through the definition of each term. Slide 14 [Insert CDA 1-14] Eruption Period Explain that eruption is the migration of the tooth into a functional position in the arch and the continued eruption throughout its lifetime. Discuss how prefunctional begins with the formation of the tooth and is complete when the tooth meets the occlusal plane. Explain that functional is how the tooth continues to move into proper relationship to the jaws and other teeth Discuss how problems occur during these processes, such as impacted or malpositioned teeth, or ankylosis, when teeth are fused to the bone, due to lack of a periodontal ligament. Slide 15 [Insert CDA 1-15] Factors Contributing to Tooth Eruption Discuss each of the conditions that contribute to teeth erupting into the oral cavity. Tell them that new bone is deposited by osteoblasts, and that osteoclasts resorb, or remove existing bone. 9 Faculty Teaching Guide for Chairside Dental Assisting with Labs Slide 16 [Insert CDA 1-16] Maturation Stage Explain that teeth continue to erupt throughout their lifetime, but are worn down as a normal process of age. Point out how abnormal attrition may be caused by improper occlusion or stress. Describe how bruxism can wear down teeth due to excessive gritting or grinding, that erosion is the wearing away of tooth structure by chemical means, and abrasion is wearing away of tooth structure by mechanical means or friction. Examples of erosion are those people who suck on lemons or who are bulimic, and how common toothbrush abrasion is; when people don’t brush properly and wear down the gingival margin of the dentition. Homework Assignment: Stop here to assign and discuss the homework Part B: Histology Teaching Tip Overview Histology is the study of the microscopic composition and function of various tissues of the body. The specialized cells of the teeth and surrounding structures will be discussed in this part. It is important for dental providers to understand these different structures and the characteristics of how they work. Initial Questions and Activities Focus on learners who seem to have given up learning this difficult information. Look for the signs: daydreaming, talking with other learners, not turning in homework, not responding in class, and so forth. Ask these learners directly how they are doing and develop a plan to help them learn the material. 1. From your previous studies, what are the four main parts of a tooth? Learners should know this material. If any confusion exists make sure and clear up. The main parts of the tooth are the enamel, dentin, pulp, and cementum. 10 Module - Chairside Dental Assisting with Labs Key Concepts References and Activities Slides Histology Chapter ____, pp. ____ (Phinney & Halstead) Slides 17-24 [Insert In-Class Activity icon] Dental Histology Project [Insert Homework Ass icon] Assessment Questions Slide 25 [ ] Group Activities [ ] Homework [ ] Individual Activity [ ] Internet Activity [ ] In-Class Discussion [ ] In-Class Activity [ ] Evaluation [Insert In-Class Act icon] In-Class Activities Dental Histology Project (Part B, Objectives 4-6). Goal: For learners to develop an understanding of the differences in the various tissues of the tooth. Separate the class into 6 groups and assign each group one tooth tissue to study: enamel, dentin, cementum, pulp, the alveolar process, or gingiva. Each group should prepare a short presentation on the cellular structure of their tissue, as well as potential problems that can occur, and what treatments are available to remedy the situation. This exercise should be done at the beginning of Part B. As these areas are discussed have the group in charge of that topic present their information and discuss as needed. [Insert In-Class Dis Ques icon] In-Class Discussion 1. Why do you think the cuspids are more yellow in color than most of the other teeth? The cuspids are more yellow because they contain more dentin than other teeth and the dentin shows through the translucent enamel. [Insert Home Ass icon] Homework Assignments Workbook Assignment. Have learners complete the workbook Chapter ____ questions. Learners should be prepared to review these in class. End of Chapter Activities. Have learners complete the Case Study, Review Questions and Critical Thinking Questions in Chapter ____ (Phinney & Halstead). Ideas for learners struggling with this material … Tooth Poster. Have learners draw a tooth, with the six primary tissues labeled, on a large piece of paper or poster board. This type of activity may help secure their knowledge of the six primary tissues. Ideas for learners who are ahead and want to learn more… 11 Faculty Teaching Guide for Chairside Dental Assisting with Labs Web Research. Go on the Internet and find a recent article about new technology in dentistry. Write a brief report with the web site included. Present the information to the class. Presentation Tools Note: If you change Objectives or Assignments, don’t forget to change the slides accordingly. Slide 17 [Insert CDA 1-17] Part B: Histology of Enamel Review Part A. Review the homework from Part A and discuss material as needed. Introduce Part B. In-Class Activity: Stop here for the Dental Histology Project. Remind learners that enamel is formed by ameloblasts and its matrix, including the fact that it consists of enamel rods, or prisms. Describe the listed characteristics of enamel. Slide 18 [Insert CDA 1-18] Histology of Dentin Discuss the composition of dentin and that it makes up most of the tooth. Explain how the dentinal tubules travel through the dentin from the dentinoenamel junction and the dentinocementum junction to the pulp. Describe the listed characteristics of dentin. Slide 19 [Insert CDA 1-19] Histology of Dentin (Cont.) Explain to learners that there are three types of dentinal tissues. Address how primary dentin is formed prior to eruption of the tooth and forms the bulk of the tooth, that secondary 12 Module - Chairside Dental Assisting with Labs dentin continues to grow throughout the life of the tooth, and that tertiary dentin is formed as the tooth attempts to repair itself in response to trauma, such as dental decay or other irritations. Slide 20 [Insert CDA 1-20] Histology of the Pulp Ensure learners understand that the pulp is the vital, living part of the tooth, located inside of the dentin. Explain that the pulp cavity is made up of blood, nerve, and lymph vessels, and lined with odontoblasts. The tooth pulp provides moisture and nutrients to the tooth, reacts to external stimuli such as temperature, and attempts to wall off irritants via white blood cells. Describe to learners some of the problems that can happen to the pulp. Swelling can occur due to caries or other trauma, pulpitis is inflammation of the pulp, pulpstones are calcified areas of the pulp, and necrotic pulp is pulp that is either dead or dying. Slide 21 [Insert CDA 1-21] Histology of Cementum Explain how cementum is formed by cementoblasts and consists of primary and secondary cementum. Address the location of the primary cementum and how the secondary cementum is formed. Point out that the cementum anchors the tooth in the socket via periodontal ligaments, such as Sharpey’s fibers, and that problems can occur. Explain hypercementosis and cementoclasia. 13 Faculty Teaching Guide for Chairside Dental Assisting with Labs Slide 22 [Insert CDA 1-22] Histology of the Alveolar Process Explain the alveolar process. Describe how cancellous bone is spongy bone, cortical plate is the dense outer covering of bone, the socket is the alveolus in which the tooth root sits, the interdental septum is the bone separating one tooth socket from another, the interradicular septum is the bone separating roots of teeth, the lamina dura is thin compact bone lining the alveolar socket, and the alveolar crest is the highest point of the alveolar ridge. Explain to learners that the alveolar process is sensory via nerves passing through the bone, supportive to the teeth in the socket, nutritive via blood vessels, and formative via the osteoblasts. Describe periodontitis as inflammation around the tooth, caused by plaque and that it creates a loss of bone, and periodontosis as a loss of bone, usually caused by traumatic occlusion. Slide 23 [Insert CDA 1-23] Histology of the Periodontal Ligament Explain how the periodontal ligament is derived from the dental sack that covers the developing tooth. It is composed of bundles of white connective tissue extending from the cementum to the alveolar bone. Inform learners that the periodontal ligaments function as support for the tooth, as they suspend and cushion the tooth in the socket. The ligaments help form cementum via cementoblasts, form periodontal ligaments via fibroblasts, 14 Module - Chairside Dental Assisting with Labs and form bone by osteoblasts. Discuss how the nerves of the ligaments supply the tooth with a sense of touch, and provide nutrition through blood vessels in the ligaments. Explain that periodontal ligaments can resorb bone and cementum if necessary. Explain that problems with the periodontal ligament include fusion of the tooth to the bone, ankylosis, and loss of function when a tooth no longer has an antagonist, then the ligament narrows and the fibers lose their regular arrangement. Slide 24 [Insert CDA 1-24] Histology of Gingiva Explain gingiva and its appearance when healthy. Ensure learners understand that the gingiva functions to protect delicate tissue, aids in chewing, and protects against the invasion of bacteria. Discuss that gingivitis is inflammation of the gingival and that periodontitis and periodontosis are also diseases of the gingiva. Slide 25 [Insert CDA 1-25] Assessment Questions Short Activity: Stop here and have learners answer the questions on the slide. Review material as needed to enhance understanding. Homework Assignment: Stop here to assign and discuss the homework. 15 Faculty Teaching Guide for Chairside Dental Assisting with Labs Section 2: Morphology Section Overview Morphology of the teeth describes how the cutting, tearing, and grinding of food can take place, using the specific function of each tooth and tooth components. This section illustrates the primary and permanent dentition as well as defining parts of each tooth. Learning Objectives and Competencies These learning activities directly address the Learning Objectives and Competencies as stated. Teaching Tip Knowledge 7. Define the Key Terms. Comprehension 8. List the name and location of the primary and permanent teeth. 9. List the anatomical structures of the teeth and their definitions. 10. Identify the surfaces of each tooth. Ask learners how they are doing with their homework assignments. Get feedback. Answer questions. Ask how they would change it and make accommodations if you can. Feedback from learners is often very insightful and incorporating this feedback can help you to create an even better learning environment. 11. Recognize the dental arches and quadrants. Learning Activities These learning activities directly address the Learning Objectives and Competencies as stated. [Insert Homework Assignment icon] Key Term Glossary (Part A, Objective 9) [Insert In-Class Activity icon] Eruption Schedule Labeling (Part A, Objective 8) [Insert Homework Assignment icon] Textbook Assignment (Part A, All Objectives) [Insert In-Class Activity icon] Tooth Soap Carving (Part B, Objectives 9-10) [Insert Homework Assignment icon] Textbook and Workbook Assignment (Part B, All Objectives) [Insert Homework Assignment icon] End of Chapter Activities (Part B, All Objectives) Part A: Maxillary and Mandibular Arches Overview Dental assistants should know the approximate times primary teeth are shed, and when permanent teeth erupt into the oral cavity. This part provides the eruption schedule for both the upper and lower jaw. 16 Module - Chairside Dental Assisting with Labs Initial Questions and Activities Teaching Tip 1. Why do you think that when a baby tooth is lost it doesn’t have any root structure? When the permanent tooth begins erupting into the mouth underneath the primary, or baby tooth, the process causes gradual destruction of the primary tooth root preparing for the process of shedding. Key Concepts Help learners learn effective study strategies. Consider allowing a few minutes each week in class to discuss effective and ineffective ways that students are studying for the course. Provide the opportunity for learners to share their study tips with each other References and Activities Slides Introduction to Section 2 Slide 26 Key Terms Chapter ____, p. ____, (Phinney & Halstead) Slides 27-28 Maxillary and Mandibular Arches Chapter ____, pp. ____, (Phinney & Halstead) Slides 29-32 [Insert In-Class Activity icon] Eruption Schedule Labeling [Insert Homeword Ass icon] Key Term Glossary [Insert Home Ass icon] Textbook Assignment [ ] Group Activities [ ] Homework [ ] Individual Activity [ ] Internet Activity [ ] In-Class Discussion [ ] In-Class Activity [ ] Evaluation [Insert In-Class Act icon] In-Class Activities Eruption Schedule Labeling (Part A, Objective 8). Goal: For learners to demonstrate an understanding regarding the times when both primary and permanent teeth should erupt into the oral cavity. Instructor should provide photocopied pictures of both the primary and permanent dentition for each learner. Learners should label the months or years of when teeth should erupt into the mouth. Labeled photocopies should be returned to the instructor for grading. [Insert In-Class Dis Ques icon] In-Class Discussion 1. What is the difference between a zygote, embryo, and fetus? 17 Teaching Tip Remind learners that one of their important responsibilities in their career will be patient education. They cannot do this unless they understand the material. Patient education is a skill that must be practiced. The more they practice, the more effective they will be. Try to provide opportunities for this practice in your class. Faculty Teaching Guide for Chairside Dental Assisting with Labs A zygote is the stage of pregnancy from conception to two weeks, the embryo from two to eight weeks, and the fetus from 9 weeks until birth. [Insert Home Ass icon] Homework Assignments Key Term Glossary. Learners will define key terms listed in the PowerPoint presentation. They are to enter this glossary on disk, in a dedicated notebook or in a designated part of a notebook. They are expected to augment information from text or lecture with other resources including any available in the school or public libraries or on the Internet and will be graded at the end of the module on completeness and presentation. Textbook Assignment. Have learners read Chapter ____ (Phinney & Halstead). Ideas for learners struggling with this material … Repetition: Practice saying dental terms as often as possible. Use the correct terminology when discussing anatomy and physiology rather than common terms. Get into the habit of using technical terms. Ideas for learners who are ahead and want to learn more … Vocabulary: Take action to increase your vocabulary. Write down new words you read or hear and then go to a dictionary and ensure that you understand the meaning and usage. Set a goal to learn a few new words each week and try to use them in conversation. Presentation Tools Note: If you change Objectives or Assignments, don’t forget to change the slides accordingly. Slide [Insert CDA 1-26] Section 2: Morphology 26 Inform learners that Morpholoy is the study of the shape and form of teeth. Discuss each objective in detail. Learners need to know what they will be learning and why. Relate it back to their careers as dental assistants. Slide Key Terms [Insert CDA 1-27] Review each key term and discuss the importance of 27 knowing the definition of each. Slide [Insert CDA 1 -28] Key Terms (cont.) 28 Continue to review each key term and discuss. 18 Module - Chairside Dental Assisting with Labs Short Activity: Stop here and review the Key Terms Glossary homework assignment. Make sure learners understand the importance of learning each term and acquiring new vocabulary. Slide [Insert CDA 1 -29] Part A: Maxillary and Mandibular Arches Refer learners to the maxillary and mandibular arch 29 shown in Figure found in Chapter _____ pg. ____ (Phinney & Halstead). Remind them that the upper jaw is the Maxilla and the lower jaw is the Mandible. Go through the name of each tooth in each quadrant of the permanent dentition. Explain that there are four quadrants, each containing the same teeth. Describe how the mandibular arch functions to bring the force of occlusion against the maxillary arch. Slide [Insert CDA 1-30] 30 Function of Each Arch Ensure learners understand that the form and shape of each tooth, as well as their proper position in the arch, influence the functioning of the jaws. Describe antagonists as the tooth in the opposite jaw and the tooth on either side of it, and how their proper alignment equalizes the force of occlusion, distributes chewing stresses more evenly, as well as supporting the tooth next to it. Slide 31 [Insert CDA 1-30] Tooth Eruption Refer learners to the Tables in Chapter ____ on pp.____ (Phinney & Halstead) that present the eruption and 19 Faculty Teaching Guide for Chairside Dental Assisting with Labs exfoliation dates. (These Tables can also be found at the end of this faculty guide). Describe how the permanent teeth erupt into the oral cavity and that those that replace primary teeth are called succedaneous. Ensure learners are aware that the primary dentition does not include bicuspids or third molars. Slide [Insert CDA 1-32] Tooth Eruption (cont.) 32 Describe to learners how anterior and posterior teeth develop. In-Class Activity: Stop here for the Eruption Schedule Labeling activity. Homework Assignment: Stop here to assign and discuss the homework. Part B: Anatomical Tooth Structures Overview Teaching Tip This part discusses the structures of both primary and permanent teeth. Basic anatomical landmarks must be familiar to the dental assistant. This knowledge is necessary in order to provide dental treatment on the correct location of the correct tooth. Use some questions that do not rely on a complete understanding of the concepts to encourage struggling learners to participate without fear. Initial Questions and Activities 1. From the more pointed shape of the anterior teeth, and the flatter, wider posterior teeth, what do you think the different functions are for each? The anterior teeth are sharp and designed to cut and tear food, while the posterior teeth will grind food during mastication. 20 Module - Chairside Dental Assisting with Labs Key Concepts References and Activities Slides Anatomical Tooth Structures Chapter ____, p. ____ (Phinney & Halstead) Slides 33-35 Assessment Questions [Insert Group Activity icon] Tooth Soap Slide 36 Carving [Insert Home Ass icon] Textbook and Workbook Assignment [Insert Home Ass icon] End of Chapter Activities [ ] Group Activities [ ] Homework [ ] Individual Activity [ ] Internet Activity [ ] In-Class Discussion [ ] In-Class Activity [ ] Evaluation [Insert In-Class Act icon] In-Class Activities Tooth Soap Carving (Part B, Objectives 9-10). Goal: For learners to understand the design of specific teeth by bringing them into a three-dimensional form Learners should bring in 2-3 bars of white, creamy soap. Inform learners that inexpensive, dry soap will break. Instructor should provide lab knives and carving instruments such as tanner, hollenbach, and discoid-cleoid carvers. Learners will carve one posterior and one anterior tooth. Remind them that only one-third of the tooth is the crown and two-thirds is tooth root. They should use the textbook pictures to help provide the proper shapes. [Insert In-Class Dis Ques icon] In-Class Discussion 1. Which teeth are not included in the primary dentition that are part of the permanent dentition? Bicuspids and third molars are not part of the primary teeth. 2. Do the teeth always erupt into the mouth exactly as the eruption schedule states? Some people’s teeth will erupt early and others will erupt later than the stated months or years. [Insert Home Ass icon] Homework Assignments Textbook and Workbook Assignment. Learners are to read Chapter ____(Phinney & Halstead), and complete the workbook Chapter ____ questions. Learners should be prepared to review these in class. End of Chapter Activities. Have learners complete the Review Questions and Critical Thinking Questions in Chapter ____ (Phinney & Halstead). Ideas for learners struggling with this material … 21 Faculty Teaching Guide for Chairside Dental Assisting with Labs Become Organized: If learners are struggling due to not being organized. Have them work with advanced learners on methods that may help them become more organized. Ideas for learners who are ahead and want to learn more… Web Research: Have learners go to http://www.Dentistry2000.com and find listings for continuing education resources online. See if any articles relate to tooth morphology. Read the articles and report your findings to the class. Presentation Tools Note: If you change Objectives or Assignments, don’t forget to change the slides accordingly. Slide [Insert CDA 1-33] Part B: Anatomical Tooth Structures 33 Review Part A. Make sure that any remaining questions are answered. Review the homework from Part A. Introduce Part B. Review each tooth surface name and ask the class to give the definition of each one. This should be a review of materials previous learned. Describe how facial, labial, and buccal each have specific definitions, but that they are really the same surface. Explain that convex means curved or rounded inward, concave is curved or rounded outward, and contours are the curved surfaces of the teeth. Inform them the contact is where the tooth touches its neighbor on each side and also where it touches the tooth on the opposite arch. The contact point functions to keep food from being trapped between the teeth, helps stabilize the dental arches, and protects the interproximal gingival tissue from trauma during mastication. 22 Module - Chairside Dental Assisting with Labs Explain that the embrasure is the “V” shaped space between the proximal surfaces of two adjoining teeth in contact. Slide [Insert CDA 1-34] 34 Anatomical Tooth Structures (cont.) Refer learners to the textbook figures in Chapter ____, pp.___ (Phinney & Halstead) as you go through each tooth structure. Encourage learners involvement in the discussion by having them give the definitions. Slide [Insert CDA 1-35] 35 Anatomical Tooth Structures (cont.) Continue to go over each term and definition for tooth landmarks while referring to the textbook figures. Short Activity: Stop here and complete the Case Study at the end of the chapter. Slide [Insert CDA 1-36] 36 Assessment Questions Short Activity: Ask the group to answer these questions to assess their comprehension of the material. In-Class Activity: Stop here for the Tooth Soap Carving activity. Homework Assignment: Stop here to assign and discuss the homework. Slide 37 [Insert CDA 1-37] Summary of Module Remind learners that understanding how teeth are formed, and when they should erupt into the mouth will make them better dental healthcare providers, and knowing the names and surfaces of the teeth is mandatory for their careers. 23 Faculty Teaching Guide for Chairside Dental Assisting with Labs 24