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Metropolitan Community College COURSE OUTLINE FORM (Page 1 of 6) COURSE TITLE: Dental Pharmacology COURSE PREFIX AND NO. DENT 1160 LEC 2.0 LAB 0 CREDIT HOURS 2.0 COURSE DESCRIPTION: This course is a study of various drugs used in dentistry, preparation of prescriptions for doctor signature, drug effects on patients, and principles of pain control including types of anesthetic agents. COURSE PREREQUISITE (S): RATIONALE: This course will enhance and up-date the material to assure that the dental assisting students will continue to receive a quality education and future employment as a dental assistant. This will also meet the requirements and guidelines of the College and for accreditation with the American Dental Association. REQUIRED TEXTBOOK (S) and/or MATERIALS: Title: Delmar’s Dental Assisting – A Comprehensive Approach Edition: Current Edition Author: Phinney/Halstead Publisher: Delmar Materials: Supplemental materials handed out in class. Attached course outline written by: Joan Trimpey Date: Dec., 2008 Reviewed/Revised by: Reviewed by Cindy Cronick Date: Effective quarter of course outline: Spring ‘08 Date: Associate Dean Date: Jan. 28, 2013 Course Objectives, Topical Unit Outlines, and Unit Objectives must be attached to this form. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 2 of 6) TITLE: Dental Pharmacology PREFIX/NO: DENT 1160 COURSE OBJECTIVES: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Match/define terms associated with applied drugs. Match drugs used in dentistry to the correct classifications. Identify the major drugs covered by Controlled Substance Act. Identify the major routes of drug administration. Distinguish between characteristics of brand name and generic name drugs. Match/define terms associated with drugs and their effects to the correct descriptions. Discuss the contents of pharmaceutical publications used in a dental office. Identify various drugs by using the Physician’s Desk Reference. Identify Latin abbreviations, components of, and write prescriptions for use by a dentist. Identify the armamentarium and describe the administration of local/general anesthetics. Describe the use of nitrous oxide-oxygen relative analgesia in dentistry. Identify the planes of analgesia. TOPICAL UNIT OUTLINE/UNIT OBJECTIVES: UNIT 1 INTRODUCTION Upon completion of this unit, the student will be able to: 1. 2. 3. 4. 5. Define pharmacology and related terms. List the five (5) sources of drugs. Describe the two broad classes of drug names, giving advantages and/or disadvantages. Differentiate between prescription items and over-the-counter items. Describe the contents of the publications used in dental offices, such as a. USP c. ADT b. NF d. PDR 6. Describe the manufacturer’s patent rights to a drug. UNIT II CONTROLLED SUBSTANCES Upon completion of this unit, the student will be able to: 1. Describe the control of medicaments as regulated by the Comprehensive Drug Abuse Prevision and Control. 2. Discuss the five schedules of controlled substances, including restrictions and major drugs covered for each. 3. Describe the major classifications of drugs, and list several drugs in each category. 4. Discuss a PDR is used in a dental office. 5. Identify various drugs using the PDR by completing the exercise sheets. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 3 of 6) UNIT III DRUGS USED IN DENTISTRY Upon completion of this unit, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Define antibiotic List the four (4) major considerations for therapeutic use of antibiotics. Explain what is meant by the term resistant microorganisms. Describe a superinfection. Discuss the risk of antibiotic combinations. Describe the uses of penicillin. Describe the uses and hazards of tetracycline. Describe the uses of the following antibiotics; erythromycin, cephalosporins, bacitracin and bacitracin zinc. Describe the uses of nystatin. Define vasoconstrictors. Discuss the uses of vasoconstrictors (epinephrine) in dentistry. Describe the uses and side effects of antihistamines. Describe the uses of corticosteroids. Describe the use of atropine sulfate. Describe the use of oxygen. Define hemostatics. Describe the uses of hemostatics. Define analgesics Differentiate between mild analgesics and strong analgesics. Define narcotic analgesic. List the beneficial uses of aspirin. List the dangers and disadvantages of aspirin. Define premedication Describe the use of antianxiety agents and list examples. Define hypnotic Define sedative Describe the uses of sedatives and hypnotics in dentistry. List the benefits of sedation. List the common barbiturate sedatives and nonbarbiturate sedatives List the methods of administering sedatives. UNIT IV PRESCRIPTION WRITING Upon completion of this unit, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. List and describe methods of administering drugs. Discuss the basic requirements in writing prescriptions. List and describe the essential components of prescriptions. Identify frequently used Latin abbreviations used in prescription writing. List the errors which can cause a prescription to be invalid. Name the items of information that should be placed in the patient’s record when drugs are prescribed for, or administered to, a patient. Discuss the guidelines regarding telephone procedures related to drugs. Write sample prescriptions for signature by a dentist. Name symbols and prefixes used in the metric system. Describe the Clark’s Rule and the Young’s Rule for calculating doses for children. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 4 of 6) UNIT V DRUG EFFECTS Upon completion of this unit, the student will be able to: 1. Discuss the factors present in a dental office that can lead to deterioration of medicaments. 2. Define the following items associated with drug effects. a. Acquired drug tolerance b. b. Anaphylaxis c. Antagonism d. Chemical Dependence (CD) e. Drug f. Drug abuser g. Drug addiction h. Drug habituation i. Drug interaction j. Drug tolerance k. Drug user l. Hypersensitivity m. Idiosyncrasy n. Intolerance o. Overdose p. Physical dependence q. Psychological dependence r. Secondary effect s. Side effect t. Synergism u. Therapeutic v. Withdrawal illness 3. Explain a malpractice suit with regards to drugs. 4. Describe the care which must be taken to prevent the dental office from becoming a victim of drug abuse. 5. Discuss what procedures to follow if a patient’s behavior is suspicious. 6. Review of chart of drugs and their effects when abused. UNIT VI LOCAL ANESTHESIA Upon completion of this unit, the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Name two types of topical anesthetic and give the use of each. Discuss the procedure for application of topical anesthetic. List and describe the criteria for an ideal local anesthetic. Name two (2) and classifications of local anesthetic solutions and name three (3) examples of each. Define the following terms pertaining to local anesthesia: Diffusion, Induction Time, Duration Discuss the purpose of a vasoconstrictor in a local anesthetic. Describe the cautions for use of an anesthetic solution. Discuss toxic reactions of local anesthetics. Describe the causes of parasthesia. List the precautions to follow to minimize unfavorable reaction to local anesthetic solution. Describe the following injections: a. Block anesthesia b. Infiltration anesthesia c. Periodontal ligament injection d. Intraosseous anesthesia ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 5 of 6) UNIT VII ANALGESIA AND GENERAL ANESTHESIA Upon completion of this unit, the student will be able to: 1. Discuss relative analgesia with nitrous oxide and oxygen. 2. List the primary purpose of using nitrous oxide and oxygen. 3. List nine (9) indications for use of relative analgesia. 4. List seven (7) contraindications for use of relative analgesia. 5. Describe the planes of analgesia. 6. Explain the dental assistant’s role in the induction and recovery of a patient under nitrous oxide. 7. Define general anesthesia. 8. List the guidelines for the safe administration of general anesthesia. 9. Describe the stages of general anesthesia. 10. Discuss the preoperative instructions given to a patient having general anesthesia. 11. Describe the administration and recovery from general anesthesia. 12. Discuss the complications that can occur when general anesthesia is administered. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 6 of 6) COURSE REQUIREMENTS/EVALUATION: COURSE OBJECTIVES/ASSESSMENT MEASURES COURSE OBJECTIVES 1. Match/define terms associated with applied drugs. 2. Match drugs used in dentistry to the correct classifications. 3. Identify the major drugs covered by Controlled Substance Act. 4. Identify the major routes of drug administration. 5. Distinguish between characteristics of brand name and generic name drugs. 6. Match/define terms associated with drugs and their effects to the correct descriptions. 7. Discuss the contents of pharmaceutical publications used in a dental office. 8. Identify various drugs by using the Physician’s Desk Reference. 9. Identify Latin abbreviations, components of, and write prescriptions for use by a dentist. 10. Identify the armamentarium and describe the administration of local/general anesthetics. 11. Describe the use of nitrous oxide-oxygen relative analgesia in dentistry. 12. Identify the planes of analgesia. ASSESSMENT MEASURES 1. Portion of written unit quiz Portion of written final exam 2. Portion of written unit quiz Portion of written final exam 3. Portion of written unit quiz Portion of written final exam 4. Portion of written unit quiz Portion of written final exam 5. Portion of written unit quiz Portion of written final exam 6. Portion of written unit quiz Portion of written final exam 7. Portion of written unit quiz Portion of written final exam 8. Portion of written unit quiz Portion of written final exam 9. Portion of written unit quiz Portion of written final exam 10.Portion of written unit quiz Portion of written final exam 11.Portion of written unit quiz Portion of written final exam 12.Portion of written unit quiz Portion of written final exam ESO Revised 3-13-01