10-508-106Dental Hygiene Process 2
Course Information
Description
This clinical course builds on and expands the technical/clinical skills student dental hygienists began developing in Dental Hygiene Process 1. Under the direct supervision of an instructor, students apply patient care assessment, planning, implementation, and evaluation skills to provide comprehensive care for calculus case type 1 and 2 patients and perio case patients. Dental Hygiene Process 2 introduces the application of fluoride and desensitizing agents, whole mouth assessments, comprehensive periodontal examinations, application of sealants, and patient classification. Students also begin performing removal of supragingival stain, dental plaque, calcified accretions, and deposits. In addition, they gain further experience in exposing radiographs on patients. The course also reinforces the application of Dental Health Safety skills.
Total Credits
4
Course Competencies
  1. Apply fluoride agents
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental hygiene care plan
    follow safety and infection control protocol
    recommend appropriate fluoride product based on patient need
    explain the procedure to patient
    select correct armamentarium
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    prepare teeth prior to application
    monitor patient during procedure
    check for tissue reaction and patient well-being
    provide post operative directions to patient
    document procedure on patient record

  2. Employ psychological pain control strategies
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    recognize symptoms of an anxious/fearful patient
    demonstrate pain control strategies
    use verbal and non-verbal techniques to reassure patient
    confirm results of pain control with patient

  3. Apply desensitizing agents
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental care plan
    follow safety and infection control protocol
    determine the level of sensitivity the patient is experiencing
    select correct desensitizing agent
    select correct armamentarium
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    prepare teeth prior to application
    perform the correct steps in the correct order
    evaluate patient's response to desensitizing agent
    provide post operative instructions to patient
    evaluate patient's dietary habits and oral home care
    recommend changes or adaptation in dietary habits and oral home to reduce sensitivity
    document procedure in the patient record

  4. Develop a dental hygiene care plan
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    dental hygiene care plan is based on assessment data from intra/extra oral exam and periodontal exam
    dental hygiene care plan describes patient risk factors and special needs
    dental hygiene care plan is based on patient's periodontal case type classification
    dental hygiene care plan is based on patient's calculus classification
    dental hygiene care plan spells out dental health goals
    dental hygiene care plan describes comprehensive services needed to meet dental health goals
    dental hygiene care plan lays out a sequence of appointments required to provide dental services
    dental hygiene care plan correlates findings of assessment data with the dental hygiene care plan
    dental hygiene care plan exhibits correct grammar, punctuation, use of medical/dental terminology, and spelling
    explain the dental hygiene care plan to patient and instructor
    document the development of the individualized dental hygiene care plan
    obtain informed consent for dental hygiene care plan
    evaluate the effectiveness of the dental hygiene care plan and modify as needed
    use dental terminology the patient can understand

  5. Perform whole mouth assessment on a patient
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    follow safety and infection control protocol
    select the correct armamentarium
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    perform intraoral examination
    perform extraoral examination
    document assessment data of intra/extraoral examination
    documentation charts conditions of the dentition
    documentation identifies patient's periodontal classification
    documentation identifies patient's calculus classification

  6. Differentiate dental accretions according to extent and location
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    follow safety and infection control protocol
    select the correct armamentarium
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    manipulate explorer for detection
    air dry teeth
    perform all critical steps in the correct order
    classify accretion as supragingival or subgingival
    classify accretion according to tooth surface detected on
    document extent and location of accretion

  7. Perform comprehensive periodontal examinations
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    follow safety and infection control protocol
    select the correct armamentarium
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    record the assessments of the following periodontal structures: mucogingival junction, gingival recession, clinical attachment level, periodontal pocket depths, furcation involvement, tooth mobility, bleeding, suppuration, and gingival inflammation
    discuss the findings of the comprehensive periodontal examination with the patient and instructor

  8. Determine appropriate patient classifications
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    interpret assessment data of comprehensive periodontal examination
    interpret percentage of bone loss from patient radiographs
    determine calculus classification
    document patient classifications on patient treatment record
    verify accuracy of classifications with your instructor

  9. Counsel patients to reduce health risks
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental care plan
    analyze assessment data to identify patient's health risks
    explain health risks to the patient , showing how assessment findings support your analysis
    actively involve patient in setting goals to reduce health risks as part of the dental hygiene care plan
    advise patient on personal behaviors that can reduce health risks
    provide preventive education and/or treatment to address the health risks
    explain why following the plan is in the patient's best interest and is likely to decrease health risks
    acknowledge patient concerns
    use language that is appropriate to the patient's level of understanding and define medical/dental terminology for the patient when needed
    document results of counseling session

  10. Implement adjunctive home care aids into the dental hygiene care plan
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental care plan
    identify patient needs for oral home care
    select adjunctive home care aid to meet the needs
    introduce patient to adjunctive home care aid, explaining why using it is in the patient's best interest
    demonstrate use of adjunctive home care aid, explaining how to use it
    coach the patient as she/he practices using the adjunctive home care aid
    answer patient questions about purpose and use of adjunctive home care aid
    check for patient understanding
    use language that is appropriate to the patient's level of understanding and define medical/dental terminology for the patient when needed
    document recommendations for adjunctive home care and patient's response

  11. Remove supragingival stain and dental biofilm
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental care plan
    follow safety and infection control protocol
    select the correct armamentarium
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    select the correct armamentarium
    perform all critical steps in the correct order
    demonstrate use of motor polishing, air powder polishing, or hand instrumentation
    verbalize an explanation of the process as you perform it
    explanation presents sound reasoning as you describe the decisions you make throughout the process
    examine dentition for completion of treatment
    leave soft tissue intact without trauma

  12. Remove calcified accretions
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental care plan
    follow safety and infection control protocol
    select the correct armamentarium
    explain procedures to patient
    position the patient and clinician correctly
    wear personal protective equipment
    prepare patient with protective equipment
    demonstrate correct instrumentation technique, supragingivally and/or subgingivally
    avoid soft tissue injury
    verify accretion removal with explorer

  13. Remove deposits with power scalers
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental care plan
    follow safety and infection control protocol
    explain the rationale for using power scalers to a patient
    select correct insert for deposit removal based on patient need
    set up a power scaler using proper settings
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    demonstrate proper technique of power instrumentation
    demonstrate effective fluid evacuation using power instrumentation
    evaluate effectiveness of power instrumentation with explorer
    document use of power scaler on patient treatment record
    perform maintenance procedures on power units

  14. Apply dental sealants
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental hygiene care plan
    follow safety and infection control protocol
    select the correct armamentarium
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    perform all critical steps in the correct order

  15. Expose dental images
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    follow safety and infection control protocol
    select the correct armamentarium
    check the prescription provided by a dentist
    explain procedures to patient
    wear personal protective equipment
    prepare patient with protective equipment
    position the patient and clinician correctly
    select appropriate radiographic series for patient
    use appropriate kilovoltage, milliamperage, and time
    demonstrate proper exposing technique: bisecting, paralleling, or panoramic
    perform all steps in correct order
    images are of diagnostic quality, exhibiting no critical errors in positioning, exposure, or processing
    images fulfill prescription
    images are arranged in appropriate format

  16. Provide comprehensive care for calculus case type 1 and 2
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement services, in consultation with your instructor,  as described in the care plans for a minimum number of patients
    implement treatment of dental hygiene services according to the dental hygiene care plan
    obtain informed consent
    perform primary assessment on the patient (medical/dental history, vital signs, extraoral and intraoral exams)
    chart restorations and existing conditions of the dentition
    independently prepare a care plan that meets the criteria on the care plan criteria checklist, seeking feedback from your instructor
    care plan shows evidence that you have weighed alternative solutions, choosing the most effective treatment
    care plan shows evidence that you have adapted treatments to meet the patient's unique needs
    communicate the plan of care to the patient
    manage pain
    employ universal standards throughout the procedure without prompting
    wear personal protective equipment and prepare patient with personal protective equipment
    apply medicaments/chemotherapeutics called for in the care plan
    document treatment, oral findings, procedures, and dental hygiene services that have been performed
    perform the critical steps in the correct order
    communicate professionally with the patients
    interact professionally with the instructor
    present a professional appearance in accordance with clinic criteria
    hard deposits are removed from the teeth
    soft deposits are removed from the teeth
    soft tissue is not injured
    evaluate the completeness and effectiveness of the care plan and the treatment

  17. Provide comprehensive care for patients with a variety of periodontal stages
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    implement treatment of dental hygiene services according to the dental hygiene care plan
    obtain informed consent
    perform primary assessment on the patient (medical/dental history, vital signs, extraoral and intraoral exams)
    chart restorations and existing conditions of the dentition
    independently prepare a care plan that meets the criteria on the care plan criteria checklist, seeking feedback from your instructor
    care plan shows evidence that you have weighed alternative solutions, choosing the most effective treatment
    care plan shows evidence that you have adapted treatments to meet the patient's unique needs
    communicate the plan of care to the patient
    manage pain

  18. Determine tobacco use risks
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    identify oral manifestations of tobacco use
    discuss with a patient their attitudes on tobacco cessation
    recognize common symptoms of nicotine dependency and withdrawal

  19. Acquire intraoral photographs
    Assessment Strategies
    Oral, Written and/or Skill Assessment
    Criteria
    follow safety and infection control protocol
    explain procedures to peer patient
    position the patient and clinician correctly
    select the correct armamentarium
    perform all critical steps in the correct order
    photographs are of diagnostic quality