Pierce College Dental Hygiene Syllabus DHYG by zhangyun


									                                                                      DHYG 103-Galagan     1

                Pierce College Dental Hygiene Syllabus
                        Campuses - Lakewood, WA and Port Angeles, WA

Quarter             Fall, 2010, First-year Dental Hygiene Students
Course Title        DHYG 103, Preventive Dentistry I
Credits             2; 1.5 Lecture and .5 Lab
Pre-requisite       Enrollment in the Dental Hygiene Program
Course              This course is intended to introduce the beginning dental hygiene student to the
Description         basic principals of dental deposits, dental diseases and their prevention. The
                    student will be introduced to the relationship between oral disease processes and
                    basic oral health preventive measures. This course will explain the basics of
                    patient oral self-care and preventive oral health concepts.
Room Location       Cascade, Room 125; Room 127 for labs
Day(s) and          Fridays 8:00 to 10:30 am
Instructor(s)    Lead- Mary Galagan, RDH, BS, MHA
                 Lab assistant: Monica L. Hospenthal, RDH, BSDH, M.Ed.
Office Hrs, Room Monday; 12:00 – 1:00 p.m., Tuesday; 12:00 – 2:00 p.m., Wednesday; 10:00 a.m.
                 – 2:00 p.m., Friday; 7:00 – 8:00 a.m. & 10:30 a.m. – 12:30 p.m.
                 Cascade Bldg, Room 122
Contact Info.    Email: meadmc@comcast.net
                 Phone: 253-964-6351
Required Books   Primary Preventive Dentistry, Norman Harris, Franklin Garcia-
                 Godoy, (7th edition, 2008)
________________ ________________________________________________________
Course Topics    Designated hours per topic
                 1.5 hours: Scientific Literature, Writing Abstracts
                 1.5 hours: Introduction to Preventive Dentistry
                 1.5 hours: Plaque Biofilm and Calculus
                 1.5 hours: Dental Stains and Discolorations
                 1.5 hours: Oral Auxillary Aids
                 1.5 hours: Dentifrices and Antimicrobial Mouthrinses
                 1.5 hours: Dental Caries Process
                 .5 hour: Oral Health Assessment Lab
                 .5 hour: Plaque Map Lab
                 .5 Lab: Stain Identication Lab
                 .5 Lab: Oral Irrigation Lab
                 .5 Lab: Dental Caries Activity Testing
Course Outcomes 1. Define, spell, and utilize all preventive terminology presented in this course.
                 (A, C, F)
                 2. Explain the relationship between the application of current preventive
                 dentistry concepts and practices, early detection of, and immediate treatment of
                 dental plaque diseases. (A ,C, F)
                 3. Describe the relationship of dental plaque to the dental caries process. (B, E, F,
                 G, J)
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                 4. Describe dental caries pathogenesis, list the contributing factors, and discuss
                 their significance. (A, B, E)
                 5. Describe the three caries classifications and the seven key risk indicators for
                 dental caries and discuss their interrelationship. (A, B, E)
                 6. Describe the etiology, development, and relevance of dental deposits and
                 stains. (A, C, F, G)
                 7. Explain and discuss the rationale for oral physiotherapy aids and demonstrate
                 proper application and usage. (C, E, F, G, I, J, K, L, M, N)
                 8. State the purposes, indications, and contraindications for all categories of oral
                 physiotherapy aids. (A, C, F, G, I, J, K, L, M)
                 9. Describe the components of critical writing skills and develop two abstracts
                 from dental or dental hygiene journals and present them in a professional written
                 format. (B, D, J, M)
                 10. Develop, present, and provide a group written report on an oral physiotherapy
                 aids project. (B, C, D, E, K, L, M, N, Q)
                 11. Demonstrate clinical proficiency while using disclosing solution in the
                 identification of dental plaque. (B, G, I, J, K, M, N)
                 12. Demonstrate clinical proficiency utilizing caries activity testing in the
                 determination of caries risk assessment. (B, G, I, J, K, M, N)
                 13. Demonstrate clinical proficiency in the application of appropriate techniques
                 for physiotherapy aids, dentifrice, mouth rinses, and oral irrigators. (B, G, I, J, K,
                 M, N)
________________ _____________________________________________________
Instructional    Specific:
Objectives       1. Topic: Scientific Literature, Writing Abstracts
                       Lecture/ Class Discussion/ Team Assignments /1.5 hours

                    a. Define the term “Scientific Literature” and explain why Dental Hygienists need
                    to understand the term in regards to critical analysis of dental journals.
                    b. List and explain the 6 components to look for in analyzing a scientific journal
                    c. Define the terms “Null Hypothesis” and “Research Hypothesis.”
                    d. List and explain the five types of research design studies.
                    e. Describe the importance of statistical analysis in research studies.
                    f. Explain the difference between rejection and verification of the null hypothesis.
                    g. List the five criteria in selecting a research article.
                    h. Explain the components that should be included in an abstract summary.

                    2. Topic: Introduction to Preventive Dentistry
                       Primary Preventive Dentistry, chapter 1
                       Lecture/ Class Discussion/1.5 hours

                    a. Define the following key terms and give an example of each:
                            a.     Health
                            b.     Primary prevention
                            c.     Secondary prevention
                            d.     Tertiary prevention
                    b. Name four categories used to aid in classification of dental disease, planning
                       oral health prevention programs, and treatment programs.
                                                     DHYG 103-Galagan    3
c. Name five general approaches to prevention of dental caries or periodontal
d. Cite two early actions that are essential to arrest the progression of disease
once primary preventive measures have failed.
e. Briefly explain why effective plaque control programs can prevent periodontal
disease, while at the same time not be effective in preventing 50% of the carious
f. Briefly explain the relationship between the application of current preventive
dentistry concepts and practices, early detection of and immediate treatment of
plaque diseases. State the effect of this interrelationship on the annual extraction
3. Topic: Plaque Biofilm and Calculus
   Primary Preventive Dentistry, chapter 2
   Lecture/ Class Discussion/1.5 hours

a. Explain the term “Dental Plaque Biofilm.”
b. Explain the term “glycoproteins” and describe the relationship to the acquired
c. Explain the basis for the specificity of glycoprotein adherence to
d. Differentiate between the surface pellicle and the subsurface pellicle.
e. Describe the mechanism for bacterial adherence to hydroxyapatite.
f. Name the key primary and secondary bacterial colonizers of the dental plaque.
g. Differentiate between the characteristics of the primary and secondary
sequential bacterial colonizers.
h. Explain the process of calculus formation.
i. Explain how calculus attaches to the teeth and its usual location.
j. Explain the methods that have been attempted to inhibit calculus formation.

4. Topic: Dental Stains and Discolorations
Tooth Discoloration and Staining: A Review of the Literature, A. Watts and M.
Addy , British Dental Journal, 2001
 Lecture/ Class Discussion/1.5 hours

a. Define the following terms in relationship to stain classification:
       1.      extrinsic                  3.      intrinsic
       2.      exogenous                  4.      endogenous

b. List four sources that may provide information for a differential diagnosis in
stain recognition and identification.
c. Define the term exogenous extrinsic stain and describe the appearance,
distribution, occurrence and etiology for the following stains:
1.     Yellow stain                4.     Green stain
2.     Black line stain            5.     Tobacco stain
3.     Other brown stains          6.     Orange and red stains
d. Define the term exogenous intrinsic stain and describe the appearance,
distribution, occurrence and etiology for the following stains:
1.      Metallic stains
                                                  DHYG 103-Galagan      4
2.     Restorative materials stain
3.     Stains caused from drugs
e. Define the term endogenous intrinsic stain and describe the appearance,
distribution, occurrence and etiology for the following stains:
1.     Pulpless tooth
2.     Tetracycline
3.     Imperfect tooth development
4.     Enamel hypoplasia

5. Topic: Oral Auxillary Aids
   Primary Preventive Dentistry, chapters 5 & 7
   Lecture/ Class Discussion/1.5 hours

a. Describe the parts of a toothbrush in detail and explain why there is no “ideal”
brush for all situations.
b. Compare natural and nylon bristles for their uniformity of length, diameter and
c. Compare various toothbrush products for profile, diameter, shape, and
firmness of bristles.
d. Compare the manual with the electric toothbrush in effectiveness and motions
when used during brushing.
e. Name, explain in detail, demonstrate and evaluate the various methods that
have been recommended for toothbrushing.
f. Discuss how the effectiveness and safety of toothbrushing can be evaluated.
g. State the reasons interdental care is needed to compliment toothbrushing.
h. List the five objectives that interdental care should accomplish.
i. State the purposes, indications and contraindications for the following
interdental cleansing aids:

1. dental floss            7. rubber tip stimulator
2. dental floss holder     8. wedge stimulator
3. knitting yarn           9. toothpick
4. pipe cleaner            10. toothpick holder
5. gauze strip             11. tongue cleaner
6. interdental brush

6. Topic: Dentifrices and Antimicrobial Mouthrinses
   Primary Preventive Dentistry, chapter 6
   Lecture/ Class Discussion/1.5 hours

a. Name the nine general components of a dentifrice and give the usual
percentage of each.
b. Describe the functions of humectants, forming agents, binding agents,
flavoring agents, sweetening agents and coloring agents.
c. Identify agents in dentifrices that are being used or researched for caries,
calculus, periodontal disease, whitening and dentin hypersensitivity.
d. Explain how the Food and Drug Administration and the ADA can protect the
consumer for misleading advertising for over-the-counter sales of dentifrices
                                                                         DHYG 103-Galagan       5
                  e. Identify and discuss the therapeutic effectiveness of antimicrobial agents that
                  are being used or researched for caries, calculus, periodontal disease and dentin
                  f. Explain how the Food and Drug Administration and the ADA can protect the
                  consumer from misleading advertising of over-the-counter sales of antimicrobial
                  g. Name the general components of an antimicrobial rinse and explain the
                  purpose of each type of agent.
                  h. Explain why alcohol content in an antimicrobial rinse can be hazardous.
                  i. Discuss the advantages and disadvantages of dental irrigators and demonstrate
                  the use of manual irrigation.

                  7. Topic: Dental Caries Process
                     Primary Preventive Dentistry, chapter 3
                     Lecture/ Class Discussion/1.5 hours

                  a. Define the term "Dental Caries."
                  b. Describe caries pathogenesis.
                  c. Discuss the relationship of dietary habits to the development of dental caries.
                  d. List the contributing factors to dental decay and discuss their significance.
                  e. Identify the organisms mainly identified with pit and fissure caries, smooth
                  surface caries and root surfaces caries, respectively.
                  f. Define the terms: "Primary Caries," "Secondary Caries," and "Recurrent
                  g. List preventive measures that are effective against dental caries.
                  h. State the purpose of caries activity tests and list the two bacteria most often
                  used in such testing.
                  i. Indicate why caries activity tests cannot be used to predict more than a
                  probability for dental caries.
                  j. List three major benefits that would be derived from the use of an effective
                  caries activity test.
Materials of      1.       Instructor lectures
Instruction       2.       Selected handouts and Angel online class site
                  3.       Audio-visual materials to include selected slides
                  4.       Assigned readings from dental journals
                  5.       Clinical application of preventive concepts

Method of         Lecture, collaborative learning, written examinations and assignment course
Instruction       work, preparation for class and class participation/verbal dialogue.
                  Core abilities include: Critical thinking, effective communication, information
                  competency, multiculturalism, and responsibility.
Student Conduct   Please refer directly to the Pierce College Student Code of Conduct and the
Policy            Pierce College Dental Hygiene Program Student Handbook for the
                  general guidelines of conduct within and related to this class. Please remember
                  that you signed and agreed to all of the rules, policies, criteria, etc. set forth in the
                  Dental Hygiene Student Handbook. Professional behavior is expected. In
                  addition, the instructor enforces the following:
                                                                     DHYG 103-Galagan     6
                 Attendance is mandatory. Any absence (or disruptive/excessive
                 tardy(ies)) will result in a lowering of the final course grade by 0.1 GPA. It is
                 the student’s responsibility to contact the instructor in the event of an
                 absence or tardy prior to the scheduled class. Further, the student must
                 initiate obtaining any missed information presented during the class(es)
                 missed. The instructor will not accept this responsibility.

                 Student Policies and Procedures
                 Accountability and high ethical standards associated with all oral health care
                 professionals are mandatory. Unacceptable behaviors are cheating, plagiarism
                 (plagiarism or cheating could result in an automatic failing grade), gross
                 misconduct, or any unprofessional action as defined by Pierce College Fort
                 Steilacoom, the Department of Dental Hygiene’s Student Handbook and the
                 following rules as required by the instructor.
                        1. PLEASE BE ON TIME! It is very rude and disrespectful to saunter or
                           rush into the room after the scheduled start time. Final grades will
                           be reduced by 0.2 each time you are late for a class session!
                        2. No eating will be allowed within the classroom, but beverages can be
                           consumed if in a closed, non-spill container.
                        3. Cell phones and pagers must be on vibrate.
                        4. Any other rules that may be deemed necessary as discovered
                           throughout the quarter.
                        5. Any WiFi device must be silenced and turned off during class sessions.
Course           Assessment Tools
Requirements &   C. Class discussion
Evaluation       I. Instructor observations
                 J. Lab activity/project
                 M. Patient clinical practice
                 T. Written exam
                 Z. Clinical AIS Evaluation Criteria and/or Pierce
                    College Global Rubrics

                 Course Requirements and Evaluation
                 2. One Group Oral Physiotherapy Aids Project

                 2. Two Abstracts (both must be on the topic of
                     preventive oral health care)

                 3. Completion of lab requirements and Lab Notebook

                 4. Two written individual examinations; one Midterm Exam
                    and one Final Exam

                 Preparation and Participation:
                 1. Students are expected to read all course materials in advance of the
                    corresponding class. Further, the instructional methodology requires active
                    participation with application of the material using critical thinking and
                    synthesis. Therefore, preparation and participation is advised to gain mastery
                                                                                DHYG 103-Galagan       7
                          of the course content.
                       2. Always bring your power point notes to class. They will be reference during

                       Grading Percentages and Criteria
                       Lab requirements and Notebook, 5 points                                        5%
                       Group Physiotherapy Aids Project, 10 points                                   10%
                       Written Abstracts, 10 points each, total 20 points                            20%
                       Midterm examination, 30 points                                                 30%
                       Final examination, 35 points                                                  35%
                       100 Total Points                                                             100%

                       Percent Score                                Approximate Decimal Grade
                             100 – 97                                    4.0 – 3.8
                             96 – 94                                     3.7 – 3.5
                             94 – 90                                     3.4 – 3.2
                             89 – 85                                     3.1 – 2.8
                             84 – 80                                     2.7 – 2.4
                             79 – 75                                     2.3 – 2.0

                       Examinations; Students must achieve a minimal 75% cumulative score
                       on the midterm and final examinations to successfully pass the
                       course. Midterm and final examinations may not be retaken.

                       A final grade of 2.0 at 75% must also be achieved to pass this course.
                       Furthermore, if the instructor determines that the student is not achieving
                       minimum competency of the course objectives, additional course work may be
                       assigned. Additionally, ALL assignments must be submitted on time. If it is
                       submitted up to 24 hours after I inform you I do not have it, the grade will be
                       lowered by 2%; between 24 hours and 48 hours, the grade will be lowered by
                       10%; after 48 hours the assignment will be given a 0%. HOWEVER, the
                       assignment must still be submitted, otherwise the final course grade will be
                       “Incomplete” and/or the student could be subject to academic review. All
                       assignments must meet the minimum standards set by instructor. At instructor’s
                       discretion, course work below a 2.0 may need to be
                       retaken/resubmitted/supplemented and/or the student will be subject to
                       academic review.

Date/Day    Time         Topic                          Readings/Assignments                   Due 8:00 am Fri.
9/24, Fri   8:00 am      Course Overview                Read: Articles listed in Angle         In-Class Non-
            to           Review Syllabus, Oral          under “abstracts” (in lessons)         graded Abstract
            10:30 am     Physiotherapy Aids Project &   Assignment: Abstract Team              Assignment
                         Abstracts                      Assignment & Lab Partner
                                                        NO LAB SESSION
10/1, Fri   8:00 am      Intro to Preventive            Read: Power Point Presentation,        Non-graded
            to           Dentistry                      Harris, Chpt. 1, & articles on Angel   Abstract Team
            10:30 am                                    NO LAB SESSION                         Assignment &
                                                                                   DHYG 103-Galagan        8
                                                                                                  Partner Assessment
10/8, Fri    8:00 am    Dental Plaque Process             Read: Power Point Presentation,         1st Abstract
             to                                           Harris, Chpts. 2, 7 and articles on     OPAP Team #1
             10:30 am                                     Angel                                   Presentation
                                                          LAB: Plaque Map and Calculus
10/15, Fri   8:00 am    Dental Stains and                 Read: Power Point Presentation,         OPAP Team #2
             to         Discolorations                    Harris, Chpt. 2 and articles on         Presentation
             10:30 am                                     Angel
                                                          LAB: Stain Identification
10/22, Fri   8:00 am    Oral Hygiene Auxillary            Read: Power Point Presentation.         2nd Abstract
             to         Measures                          Harris, Chpts. 8 , 10 and articles      OPAP Team #3
             10:30 am                                     on Angel                                Presentation
                                                          NO LAB SESSION
10/29, Fri   8:00 am    NO CLASS/COLLEGE
             to         CLOSED
             10:30 am

11/5, Fri    8:00 am    MIDTERM EXAM                      Closed Book/notes, individual           OPAP Team #4
             to                                           exam                                    Presentation
             10:30 am
11/12, Fri   8:00 am    Dentfrices, Mouthrinses &         Read: Power Point Presentation,
             to         Oral Irrigators                   Harris, Chpt. 9 and articles on
             10:30 am                                     Angel
                                                          LAB: Oral Irrigation
11/19, Fri   8:00 am    Dental Caries Process             Read: Power Point Presentation,
             to                                           Harris, Chpts. 3, 14, 15 and articles
             10:30 am                                     on Angel
                                                          LAB: Caries Activity Testing
12/3, Fri    8:00 am    FINAL EXAM                        Comprehensive Exam                      Lab Notebook
             to                                           Closed Book/notes, individual
             9:30 am                                      exam

Disclaimer/             This syllabus may be altered, as deemed necessary by instructor, any time
Disclosure              during the course. Changes, requiring a time alteration, will be given with
                        sufficient notice for students to accommodate. Emergencies are the exception.
____________            ______________________________________________________
Security                Emergency Procedures for Classrooms
                        Call 911 and then Campus Safety in response to an imminent threat to persons or
                        property. In the event of an evacuation (intermittent horns and strobes), gather all
                        personal belongings and leave the building using the nearest available safe exit. Be
                        prepared to be outside for one hour and stay a minimum of 200 feet from any building
                        or structure. So long as it is safe to do so students are expected to stay on campus and
                        return to class after evacuations that last less than 15 minutes. Do not attempt to re-
                        enter the building until instructed by an Evacuation Director (identified by orange
                        vests) or by three horn blasts or bell rings. Please notify the nearest Campus Safety
                        Officer or Evacuation Director of any one left in the building or in need of assistance.

                        Fort Steilacoom Campus Safety (253) 964-6751   Puyallup Campus Safety (253) 840-8481

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