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Application_Pit_Fissure_Sealants

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									Application of Pit and Fissure Sealants
A Certification Course for Dental Assistants

Course Description

This two day course meets Texas State Board of Dental Examiners Rule 114.3 which states that a
dental assistant wishing to obtain certification must complete a minimum of 16 hours of clinical
and didactic education in pit and fissure sealants taken through a CODA accredited dental
hygiene program approved by the Board. Course of instruction includes:


      Microbiology and infection control
      Patient management and medical emergency considerations
      Dental anatomy, sealant products, techniques and placement and
      Ethics and jurisprudence related to pit and fissure sealants


The laboratory and clinical portions of the course will provide the participant with:


      Experience in securing a dry field
      Ergonomic considerations
      Placement of dental sealants with light and chemical cured products on extracted teeth
       in a laboratory setting
      Placement of at least (6) pit and fissure sealants and topical fluoride on a patient that has
       been prescreened for sealant placement


Please Note: PARTICIPANTS MUST PROVIDE THE PATIENT


Rule 114.3 also states that dental assistants must also: Have at least two years of
dental assisting experience, and show successful completion of current course in
basic life support (AHA, ARC).


Applicant must have proof of malpractice insurance (may be obtained through
Seabury & Smith (1-800-503- 9230) and current CPR certification.


Presenters provide a friendly and relaxing learning environment. Special attention is given to
the hands-on instruction.
Date: January 17-18, 2013
Location:             The University of Texas Health Science Center at San Antonio
Program Time:         8:00AM- 4:00PM
Tuition:              $495, includes lab, clinical, handouts and study materials
Credit:               16 hour certification course



You may print the follow registration form, complete and fax to 210-567-3830, or
send by mail with payment to:

                      UT Health Science Center at San Antonio
                      Department of Dental Hygiene
                      7703 Floyd Curl Dr, MSC 6244
                      San Antonio, TX 78229-3900

    January 17-18, 2013

Name ____________________________________________________________________


License # _________________________________________________________________



(c/o) Dr. __________________________________________________________________



Office Address _____________________________________________________________



Suite No. _________________________________________________________________



City, State, Zip _____________________________________________________________



Office Phone (   ) __________________________________________________________



Home Address _____________________________________________________________



City, State, Zip _____________________________________________________________



Home Phone (     ) __________________________________________________________



E-Mail Address: ____________________________________________________________
Enclosed
(payment to UT Health Science Center San Antonio):                Amount: $_________________

 VISA                            MasterCard                               Check

Card Number ______________________________________________________________

Exp. Date ________________________                3 digit CVV Code ______________

Card Holder Name _________________________________________________________



ALSO NOW AVAILABLE — IN-OFFICE TRAINING:


In-office training provides the lecture, laboratory and clinical sessions conducted in the convenience of
your dental office. Minimum 10 participants. For more information call Tina Stein at 210 567-3855 or
email stein@uthscsa.edu.

								
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