ALAMANCE COMMUNITY COLLEGECLASSROOM-BASED COURSE SYLLABUS

Course Title Preclinical Procedures

Course DEN 101 BB Sec. Lec. Lab Cr.Number No. 01H Hrs. Online Hrs. 4 Hrs. 4

Term Fall Yr. 2014 Days Tuesday

Times4:30-8:30pm

Instructors Donna Pruitt and Kristi Hussey

Office Office Monday 3:00-4:00Tuesday 3:00-4:00Wednesday 10:00-12:00pmFriday 9:00am- 10:00am

Location Room 311 Hours

E-mail donna.pruitt@alamancecc.eduKristi.hussey@alamancecc.edu

Phone (336) 506-4403

A L A M A N C E C O M M U N I T Y C O L L E G E

Carrington-Scott Campus1247 Jimmie Kerr Road

PO Box 8000Graham, NC 27523-8000

Burlington CampusI-85/I-40 Exit 145

Burlington, NC 27215

Faculty Preparing Outline ____Donna Pruitt___________________

ENDORSEMENTS OF DEPARTMENT HEAD AND ASSOCIATE DEAN

Department Head:__Janelle Christopher___________________________

Associate Dean: ____David Frazee____________________________

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COURSE DESCRIPTIONThis course provides instruction in procedures for the clinical dental assistant as specified by the North Carolina Dental Practice Act. Emphasis is placed on orientation to: the profession, infection control techniques, instruments, related expanded functions, and diagnostic, operative, and specialty procedures. Upon completion, students should be able to demonstrate proficiency in clinical dental assisting procedures.

PREREQUISITE/COREQUISITE COURSES / SKILLS

Corequisites: DEN 100, DEN 102, DEN 111

MAJOR COURSE GOALS AND MAJOR ASSIGNMENTS

Upon completion of this course, the student will be able to:

1. Describe dental health team members with regard to educational requirements, dental organizations, and professional roles in the dental office.

2. Discuss, identify, operate, and maintain dental treatment room equipment.

3. State and apply the principles of four-handed dentistry.

4. Explain and apply the principle of dental patient assessment and management.

5. Describe and demonstrate the principles of instrument transfer.

6. Describe and implement infection control techniques.

7. Recall and demonstrate the techniques and procedures necessary to maintain a clean, dry working field.

8. Describe and demonstrate skills in assisting with the armamentarium, materials and procedures associated with operative dentistry and dental specialties.

9. Describe the rationale for treatment planning.

10. Accurately record conditions found in the oral cavity using symbols.

REQUIRED COURSE MATERIALS

Textbook: Modern Dental Assisting. Bird/Robinson, 2009. 11th Ed.

Required Software: None

Other Required Equipment or Supplies

Kilgore Dentoform

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UniformsLab coatBlack shoesSafety glassesGlovesMask

GRADING POLICIES

Grading Scale

This course will use the following scale:

A = 93 – 100 B = 85 – 92 C = 77 – 84 D = 69 – 76 F = Below 69

Areas of Evaluation

LECTURE EVALUATION (70%)

Any test missed due to unexcused absence will not be made up. If you are absent on the day of a test, you will receive a “0” for the test grade. Exams, test, and quizzes will be constructed from objectives, lecture, and reading materials. Test dates are listed on the schedule. Exams, test and quizzes will be given during the first hour of class.Students must achieve a minimum final grade of 77% in the lecture evaluation portion of the course. Grades will be computed as follows: NO MAKE UP TEST WILL BE GIVEN. If you are absent on the day of the test, you will receive a “0” for the test grade.

Homework 20%

Test 60%

Final Comprehensive Exam 20%

LAB EVALUATION (30%)

Identifying and attaching handpieces and rotary instruments 10%

Positioning patient, operator, assistant, monitoring vital signstreatment room cleaning and disinfection 10%

The anesthetic syringe assembly/disassemblyplacement of topical anesthetic syringe transfer, and instrument transfer 20%

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Oral Evacuation 30%

Application of dental dam 10%

Tofflemire matrix and cavity bases application 10%

Mixing and loading amalgam 10%

Final Restorative Procedure 30%

Instrument Processing and Sterilization 10%

Suture removal 10%

Gingival retraction cord 10%

Cement removal 10%

Lab Policies

Students that are absent at time of laboratory demonstration must attend the opposite lab section time to view demonstration if applicable. Students are not allowed to switch lab time and day due to absents, only view demonstration. It will be the responsibility of the student to perform lab proficiency during open lab time which is announced and scheduled per instructors.

Student must achieve a minimum final average of 85% proficiency on the above evaluations. If the minimum grade of 85% is not achieved on the first attempt, the student must schedule remediation with the open lab instructor within one week. The student must complete the final attempt by the next scheduled lab session and meet the minimum grade requirement of 85% proficiency. Failure to meet any of the above requirements will result in failure of the course.

Students must complete all proceeding lab proficiencies prior to scheduled Final Restorative Procedure. Any incomplete proficiency will result in a grade of “0” and can not be made-up.

At the end of the semester workbook chapters listed on your schedule should be completed and turned in. This will account for 20% of your final grade. These should be completed as the material is covered in class. Questions on each test will be taken from the objectives, key terms, exercises, and activities.

Course Format

This course will be a hybrid course. In addition to information given during class there will be required information online for this course. The Moodle site will provide you with important course information, schedules, quiz, test and homework assignments.

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Homework assignments will vary but can include discussion board participation. Discussion participation requires that you participate fully and meaningfully in the weekly online forums. Below are the grading guidelines for online discussions:

  Outstanding (10pts) Acceptable (9-6pts) Needs Work (5-0pts)

Deadlines

Postings and replies were in place in plenty of time to encourage interaction.

Deadlines were carefully observed and met. Late postings made it

difficult for others to interact with you.

Content

Classmates had confidence in your information. All key aspects were addressed without becoming too wordy.

You addressed the topic/question with accurate and useful information.

Mistakes and omissions detracted from your postings.

Style

You guided classmates smoothly from point to point while remaining focused on the overall purpose of the posting.

Your postings were clear, concise, and well-organized.

Classmates had to slow down and work in order to follow your ideas.

Spelling and Grammar

You took extra time to check your work before submitting it for discussion.

A few minor errors could be fixed with more careful proofreading.

Lack of proofreading detracted from the quality of the postings.

Originality

You trusted your own voice when summarizing and analyzing. Your details and examples were insightful and engaging.

Sources of information were solid, but you could rely more on your own voice and examples.

Postings did not contribute new ideas or fresh examples to further the discussions. Sources not cited.

Overall

Your classmates benefited because you shared your ideas and insights. We learned more due to your efforts.

You met all requirements for participation and interaction. Good work.

More time and attention were needed to bring your contributions up to the level expected for an academic discussion.

Instructions for access to ,Moodle, ACCess email and Web Advisor:

http://moodle.alamancecc.edu

FIRST NAME…………………………..JosephMIDDLE NAME………………………...ThomasLAST NAME……………………………SmithID…………………………………………0073891

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Joseph’s user name would be: jtsmith891The password is your student ID number. You may locate your ID number on your registration receipt or on your financial aid statement. If you are unable to locate your identification number, please contact Student Development at 506-4270.Note: You will not be able to access your online course information until the first day of class.

Academic Integrity

Students enrolled at Alamance Community College are expected at all times to uphold standards of integrity. Students are expected to perform honestly and to work in every way possible to eliminate academic dishonesty. Academic dishonesty includes cheating and plagiarism.

Cheating

Any such action observed by a faculty member will result in an automatic “F” on the test for those involved. Any student caught cheating will be dismissed at the discretion of the instructors.

Plagiarism is stealing another person’s words or ideas and passing them off as your own. When you put your name on a paper in a course at ACC, you are claiming ownership of that paper. You are saying, "I wrote this paper and the words and ideas in it are my own, except where I have credited my source through proper MLA or APA documentation."

Global plagiarism involves copying an entire paper from another source, perhaps by borrowing a paper someone else wrote or downloading one from an Internet site. This type of plagiarism is grossly unethical and inexcusable. If you are caught committing this type of plagiarism, even on a rough draft, you will receive a zero on that assignment. This typically results in an "F" in the course. Sometimes students commit this type of plagiarism because they have waited until the last minute to do an assignment and they panic. However, a student would be much better off dropping the course than earning an "F" because of plagiarism.

Cut and paste plagiarism, also called patchwork plagiarism, is no more ethical than global plagiarism. This type occurs when the writer cuts and pastes words, paragraphs, and even pages from different sources to create a whole paper which he or she then turns in as his or her own work. The student may have written an introduction, conclusion, or even a few transitions, but copied the rest of the paper word for word from different sources. Committing cut and paste plagiarism will also result in a zero on that assignment and can result in an "F" in the course.

Incremental plagiarisms sometimes happen through carelessness or by accident. It occurs when the writer composes most of the words, but does not properly cite or credit the sources or does not paraphrase or quote correctly. Simply rearranging the words in the passages is not enough. A paraphrase should truly be in the writer's own words. Students are responsible for understanding how to use MLA or APA Documentation, which is covered in course textbooks, handbooks, the laminated guide (included with the

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Hacker handbook), and online. Rough drafts with incremental plagiarism may be rewritten to eliminate the problem. Final drafts with incremental plagiarism will receive a grade penalty consistent with the amount and seriousness of the plagiarism.

Final Thoughts on PlagiarismAs a student, you are responsible for the integrity of your work. If you are not confident about your writing ability, your instructor and the tutors in the Academic Skills Lab are there to help you. We as a department are committed to the idea that writing is a process and that we all make mistakes and can learn from these mistakes. We allow submission of rough and final drafts to help you grow and learn as a writer. How can we help you if the words and ideas you turn in are not your own? Please do not put us in the position of having you fail one of our courses because of plagiarism. The experience will not be pleasant for any of us.

How Do we Detect PlagiarismThe Health and Public Services Division may use a plagiarism detection service called Turnitin.com to check papers for plagiarism. You will probably be asked to submit your papers to Turnitin.com online or to submit your papers in electronic format to be checked for plagiarism. Also the Google web site is used to verify authenticity of your papers. Either source will be used to document plagiarism, upon which appropriate sanctions will be utilized.

OTHER POLICIES

Attendance

ACC recognizes that students are adults with many responsibilities. An occasional absence might be absolutely necessary. However, such absences in no way lessen the student’s responsibility for meeting the requirements of the class.

Absences are counted from the first official meeting of the class regardless of when the student registers for, or enters, the class. Refer to the policy on page 86 of the student handbook. Individual departments/programs may set more restrictive attendance requirements with the approval of the associate dean.

Students are expected to attend each class session. When classes must be missed due to personal emergencies, sickness or death of an immediate family member, students may use up to the maximum number of absences . Three tardies are counted as one absence. Absence from class does not relieve the student from the responsibility of meeting all course requirements. Students exceeding the maximum number of allowed hours will be dropped from the course, at the instructor’s discretion.

Attendance Policy – Maximum hours allowed: 6 hours lecture/6 hours Lab

There will be no excused absences on the day of a test. Any test not taken will result in a grade of “0”. The final exam must be taken by all students. Absence from class does not relieve the student from the responsibility of meeting all course requirements.

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Three tardies are counted as one absence. The first ten minutes of a class constitutes a tardy; time thereafter is considered an absence.

If the attendance policy is violated after the withdrawal date (WP), the student will receive an F in the course and will be dismissed from the program and will no longer be able to attend class.

Students who withdraw or are dismissed for academic reasons or for violation of college policies must reapply for readmission into the Dental Assisting Program. Re-entry will be re-evaluated after a 1 semester wait from the initial drop date, and will be dependent upon available space and faculty review. Readmission will require that the student repeat the entire Dental Assisting Curriculum, regardless of prior enrollment progression.

Refer to your Student Handbook for additional information on attendance policies.

Course Withdrawal

Withdrawal date and receive a WP is ___ ____November 18_____

Alamance Community College recognizes that from time to time, it may be necessary for a student to withdraw from a course. Students may withdraw with a “WP” grade through the 80 percent point of the semester. If a student withdraws during the last 20 percent of the semester, the earned grade in the class will be recorded on the student’s transcript. Students who formally withdraw many NOT continue attending that class.

If the attendance policy is violated after the withdrawal date (WP), the student will receive an F in the course and will be dismissed from the program and will no longer able to attend class.

Students who withdraw or are dismissed for academic reasons or for violation of college policies must reapply for readmission into the Dental Assisting Program. Re-entry will be re-evaluated after a 1 semester wait from the initial drop date, and will be dependent upon available space and faculty review. Readmission will require that the student repeat the entire Dental Assisting Curriculum, regardless of prior enrollment progression.

When a student misses 20 % or more of the total contact hours for this course, the student will be withdrawn by the instructor from the course.

If a student does not properly withdraw or the faculty fails to withdraw a student an F will be assigned as a grade for the class.

Students who never attend or withdraw prior to the 10% point and are receiving federal financial aid are required to repay the full amount charged for tuition, books and fees. Students who withdraw through the 60% point of the term and who are receiving federal financial aid (Title IV programs) are required to repay a portion of the awarded funds for which they are not eligible due to withdrawal.

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Library – Learning Resource Center LRC

As part of ACC’s commitment to institutional effectiveness and student success, it is critical for students to learn how to use the resources in the library. Many classes require research projects and papers that use those resources. Students need to know how to use the resources effectively. For information regarding help and use of the LRC call 336-506-4208.

ACC’s Quality Enhancement Plan (QEP)

As part of the reaffirmation process with the Southern Association of Colleges and Schools Commission on Colleges in 2013, ACC has developed a Quality Enhancement Plan (QEP) that identifies a specific area for improvement. Entitled “Write to Succeed,” ACC’s QEP focuses on improving student writing so that graduates are better prepared both for the workforce and for further education. As a result of “Write to Succeed,” ACC has opened a Writing Center (located in Main 354 in the same suite as the Academic Skills Lab). The Writing Center offers assistance with any writing task, as well as style guides and workshops, to help students be more successful in all of their classes. For more information, please visit the college’s website.

ADA Policy

Disability Services

Alamance Community College is committed to providing equal educational opportunities for students with documented disabilities. Students who require disability services or reasonable accommodations must identify themselves as having a disability and provide current diagnostic documentation to the Disability Services Office located in the Gee Building, Room 128. All information is confidential. Please contact Monica Isbell, Coordinator of Special Needs & Counseling Services for more information at 336-506-4130 or email at isbellm@alamancecc.edu.

Children on Campus

Alamance Community College does not allow children of students, faculty or staff to enter classrooms, labs or shops while instruction is being delivered. Similarly, children of students, faculty or staff are not to be left unattended in any college facility at any time.

Electronic Communication Devices Policy

Alamance Community College is committed to fostering a learning friendly environment. Electronic communication devices can be detrimental to the learning environment. Therefore, the use of cell phones and beepers in the classroom must be turned off or put on silent/vibrate mode.

Student Code of Conduct

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Students at ACC are expected to conduct themselves as adults in accordance with generally accepted standards of behavior and decency at all times. Student rights, responsibilities, and procedures are outlined in the current ACC Student Handbook (Student Rights/Responsibilities). Each department/program may choose to have a specific departmental handbook with specific requirements for clinicals, co-ops or other pertinent information.

If a student's behavior is interfering with classroom procedure, he/she will be asked to leave the class and will be counted absent for that session; the student will then be referred to the Associate Dean of Public Services. If the disruptive behavior continues, the student will be dropped from the class. Disruptive behavior may include, but is not limited to: cell phone talking and text messaging, sleeping in class, threatening the instructor or other students, fighting, using profanity, talking with or otherwise disturbing students, talking so loudly as to interfere with the instructor and/or the class, etc.

Students appearing to be under the influence of drugs/alcohol while on the school premises will be asked to leave class. If the student refuses to leave the instructor will need to contact the Associate Dean at which time sanctions will be leaved for such behavior (Student Handbook Page 94, Sanctions).

Social Media Policy

Please see Dental Assisting Student handbook

Safety – Emergency Evacuation

An emergency evacuation route is posted in the classroom. Please review the posted route for the closest emergency exit. Assume that when the building alarm is sounded, an emergency exists. Walk quickly to the nearest marked EXIT to evacuate the building.Campus emergency phone number is 2286.

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OPERATORY EQUIPMENT, DISINFECTION OF EQUIPMENT AND HANDPIECES

Unit Objectives

Upon completion of this unit, the student should be able to:

1. Discuss, identify, operate and/or maintain the following essential dental operatory equipment.

A. Mobile or fixed cabinetry B. Dental unit

C. Dental chairD. Operating toolsE. Operating lightF. X-ray unit

2. Demonstrate the basic positioning of a patient, in the chair, for a routine dental procedure:

3. Demonstrate the positioning of the operating light with a patient in the chair, for routine dental procedure.

4. Identify the slow speed handpiece and its attachment.

5. Place attachments on the slow speed handpiece.

6. Place various burs in the slow speed handpiece with and without attachments.

7. Identify the high speed handpiece.

8. Place and remove burs from the high speed handpiece.

9. Discuss the function, care and maintenance of the air compressor.

10. Discuss the function, care and maintenance of the central vacuum system.

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INTRODUCTION TO INSTRUMENTATION:

Unit Objectives

Upon completion of this unit, the student should be able to:

1. Identify the parts of hand instruments (cutting/non-cutting).2. Explain the GV black instrument nomenclature.

3. Identify and explain the function of all non-cutting hand instruments.

4. Identify and explain the function of the hand cutting instrument discussed in class.

5. Identify and explain the function of Endo instruments.

6. Identify and explain the function of rubber dam instruments.

7. Identify and explain the function of miscellaneous instruments discussed in class.

8. Describe the function of rotary devices used in dentistry today.

9. Identify the various shapes, sizes, types, and functions of common rotary devices.

10. Name of instruments that are used in basic oral surgery procedures.

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CHARTING AND TREATMENT PLANNING

Unit Objectives:

Upon completion of this unit the student should be able to:

1. Identify common abbreviations and symbols used in charting a dental examination/and or recording service completed on the patient chart.

2. Explain the development of a treatment plan.

3. Describe the process of case presentation.

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STERILIZATION AND DISINFECTION

Unit Objectives

Upon completion of this unit, the student should be able to:

1. Define the key terms

2. Explain infection control

3. Explain cross-contamination

4. Explain the techniques employed to eliminate transmission of infectious diseases

5. Explain common disinfection and sterilization procedures

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ORIENTATION TO DENTAL PROFESSIONUnit Objectives: Upon completion of this unit the student should be able to:1. Explain the purpose of the dental profession.

2. List and explain the current dental needs mentioned in class.3. List and explain the four reasons for the increased demand for dental care that were mentioned in class.

4. Explain the ways that the dental profession is meeting the dental needs of the public.

5. Explain the type and amount of education necessary for a person to become a dentist.

6. Explain the types of degrees that a dentist may receive.

7. List the definition for each specialty mentioned in class and educational requirement.

8. Explain the different types of education that a dental assistant can receive.

9. Explain the duties of the dental assistant that were covered in class.10. Define DA I and DA II as it relates to the dental laws of North Carolina.

11. List the legal functions of the Dental Assistant II in North Carolina.12. Explain the job opportunities that are available for the dental assistant.13. Explain why it is important for the dental assistant to be concerned with her personal appearance.

14. Explain why an assistant should be certified.

15. Explain the current requirements for receiving and maintaining certification.

16. Explain the education necessary for a dental hygienist.

17. List the duties required of a dental hygienist.18. Explain the education necessary for a dental lab technician.19. List the duties required of a dental lab technician.20. Explain the responsibilities of the other members of the dental team that were mentioned in class. 21. List the professional organizations for each dental team member.

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ETHICS AND JURISPRUDENCE

Unit Objectives:

Upon completion of this unit, the student should be able to:

1. Define the key terms

2. Explain the importance of ethics and law as it relates to dentistry.3. Differentiate between the various types of law that affect the practice of

dentistry.

4. Explain informed and implied consent.5. Describe the Principles of Ethics of the ADAA and the ADA6. Explain the effect of the good Samaritan law on the health care profession.7. Explain the importance of the State Dental Practice Act.8. Explain the purpose of the State Board of Dental Examiners 9. Develop a personal philosophy with regards to dental ethics and jurisprudence.

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INTRODUCTION TO CHAIRSIDE ASSISTINGFOUR HANDED DENTISTRY: CONCEPTS, PROCEDURES AND POSITIONING

Unit Objectives

1. Define the term “four handed dentistry” and explain how this philosophy has influenced the way dental care is delivered in a modern dental practice.

2. List at least four benefits associated with using a four handed delivery technique.

3. Explain the role of each of the following concepts as they relate to four handed Dentistry:

Equipment (chairs, stools, sinks, etc...)Operating zonesPatient positioningDelegationStandardization of proceduresAdvanced intraoral functionsScheduling

4. List the four rules of “work simplification” and give an example of each as it relates to the practice of four handed dentistry.

5. List and define the various classifications of motions as they relate to the practice of four handed dentistry.

6. Explain the concept of “work zones” or activity zones for the operator and assistant.

7. Describe and demonstrate the correct position for the operator, patient and assistant for treatment in the maxillary arch.

8. Describe and demonstrate the correct position for the operator, patient and assistant for treatment in the mandibular arch.

9. Explain the consequences of utilizing poor operator and assistant positioning when treating patients throughout the day.

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INSTRUMENT TRANSFER: CONCEPTS & TECHNIQUES

1. Explain the importance of efficient, correct instrument transfer in the delivery of quality dental care for the patient.

2. Compare and contrast the role of the chairside assistant and operator in execution of efficient and correct instrument transfer.

3. Explain how using pre-pared trays aids in efficient instrument transfer.

4. List and demonstrate the steps in instrument transfer.

5. Describe the following instrument grasps and demonstrate their use in transferring selected instruments.

6. Differentiate between correct and incorrect exchange zones.

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MAINTAINING THE OPERATING FIELD

1. Describe the role of each of the following adjuncts in maintaining the operating field:

Cotton rollsHigh velocity evacuationAir/water syringeSaliva ejectorOperating lightRubber dam

2. Describe and demonstrate the correct technique for placing cotton rolls in both the maxillary and mandibular arches. List the four rules, or general guidelines, for correct placement of the HVE tip.

3. Describe and demonstrate the correct technique for positioning the HVE tip in all four quadrants, for any given tooth therein.

4. Demonstrate the correct technique for “sweeping” the posterior part of the patient’s mouth with the HVE tip.

5. Describe and demonstrate the correct technique for the air/water syringe to rinse an individual tooth and/or the entire oral cavity.

6. Demonstrate the correct technique for drying an individual tooth or cavity preparation with the air syringe.

7. Describe and demonstrate the correct placement of the operating light for any given tooth or area of the oral cavity which needs illumination.

8. Explain the uses and limitations of using the saliva ejector for oral evacuation.

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INTRODUCTION TO OPERATIVE DENTISTRY

1. Define the scope of procedures in the realm of operative dentistry.

2. Discuss the trend in operative dentistry as it relates to demographics, current dental health status in the U.S., and projected future patient needs.

3. Explain the importance of the dental assistant’s role in delivering operative dental care.

4. Define the following terms:Line anglePoint angleCavosurface angleAxial wallPulpal floorEnamel wallDentin wallGingival floorMarginDentinoenamel junction (DEJ)

5. Define and identify six classifications of cavities.

6. Explain the procedure and instrumentation for establishing each of the following steps in cavity preparation:

Outline formResistance formRetention formConvenience formRemoval of carious dentinFinishing enamel walls

7. Explain the role or primary responsibilities of the chairside assistant in cavity preparation.

8. Explain the role of the chairside assistant in each of the following steps:

Initial examinationAdministration of local anestheticMoisture controlCavity preparationCavity restoration

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CAVITY BASES, LINERS AND VARNISH

1. Explain the rationale for using a protective base prior to insertion of amalgam or composite.

2. Differentiate between the characteristics and uses of calcium hydroxide and zinc oxide eugenol as bases.

3. Identify the correct armanentarium used in placing bases.

4. Correctly place the appropriate base in the cavity preparations provided (Class I, Class II).

5. Recognize and correct individual errors in the placement of base material into a cavity preparation.

6. Explain the rationale for using cavity varnish prior to the insertion of amalgam.

7. Discuss the use of dentin bonding materials as an alternative to traditional base and cavity varnish application.

8. Explain the role of the chairside assistant in the following steps in dentin bonding:

Conditioning the toothApplication of the primerApplication of the adhesive

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APPLICATION OF MATRICES

1. Describe the purpose of and indications for using matrices in cavity restoration.

2. Identify the matrix armamentarium for the Tofflemire matrix.

3. Correctly assemble and apply the Tofflemire matrix for any given tooth.

4. Explain the use and purpose of a wedge.

5. Demonstrate the correct procedure for burnishing a matrix band and contouring a round wedge.

6. Differentiate between an anatomical wedge and a round (or toothpick) wedge.

7. Recognize and correct individual errors in matrix band and wedge placement.

8. Discuss the implications related to incorrect burnishing and wedging.

9. Discuss the indications and related considerations for selecting an appropriate matrix for interior and posterior composite restorations.

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APPLICATION OF THE RUBBER DAM

1. State four reasons why the rubber dam is the best available method for isolating the operating field.

2. Discuss the role of the chairside assistant in the application and removal of the rubber dam.

3. Discuss the important considerations in preparing the patient for the application of the rubber dam.

4. For any given tooth, determine the ideal operating field, including proper hole positions and sizes.

5. Differentiate between and select the following rubber dam clamps.

MaxillaryMandibularMolar

PremolarAnteriorCervical

6. Explain and demonstrate each step in the application and removal of the rubber dam.

7. Identify safety precautions that must be taken during the application and removal of the rubber dam.

8. Recognize and correct individual errors in the application of the rubber dam.

8. Identify the criteria for a properly applied rubber dam.

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LOCAL ANESTHETIC PROCEDURE

1. Discuss the use and importance of local anesthetic in modern dentistry.

2. Describe the chemical composition of at least three commonly used local anesthetic drugs, including the generic name of each.

3. Explain the purpose for using the vasoconstrictor contained in an anesthetic solution.

4. List and/or recognize three common vasoconstricting drugs contained in Anesthetic solutions.

5. Discuss one major contraindication for using a solution containing epinephrine.

6. Describe at least four categories of post-injection complications relating to the use of local anesthetic.

7. Explain the role of the chairside assistant in the administration of local anesthetic.

8. Differentiate between “block” and “infiltration” injections.

9. Demonstrate the correct technique for assembling, transferring and disassembling the anesthetic syringe.

10. Explain the role of the dental assistant in preventing post-operative, self- inflicted trauma in patients.

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PATIENT MANAGEMENT AND ASSESSMENT1. Explain the relationship between thorough data collection and accurate oral diagnosis of patient conditions.

2. Describe the importance of collecting and documenting accurate clinical patient data as it relates to legal and ethical practice.

3. Explain the role of each of the following types of examinations in oral diagnosis and treatment planning.

Clinical examinationRadiological examinationPhotographic examination

4. Describe the role of the chairside assistant in the following aspects of routine data collection in a general or specialty practice.

Medical historyDental historyRadiographsVital signsPreliminary impressions/study modelsPhotographsChartingLab workTreatment planning

5. Demonstrate the correct interviewing procedures and techniques for obtaining and recording accurate medical and dental patient histories.

6. Explain several methods that can be used in the dental record keeping system to alert the dentist and other personnel of medical complications once they have been identified in a patient’s history.

7. Explain the importance of and rationale for updating the patient’s medical history on a regular basis.

8. Discuss the importance of taking and recording vital signs in the dental office.

9. Demonstrate the correct technique for obtaining and recording blood pressure, pulse, respiration and temperature.

10. State the normal ranges for blood pressure, pulse and respiration for adults.

11. State how a child’s vital signs might differ from the normal values for an average adult.

12. Differentiate between systolic and diastolic blood pressure.

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PAIN CONTROL IN MODERN DENTISTRY

1. Explain how the relief and prevention of pain is a prerequisite for the practice of successful dentistry.

2. Describe the duties of the chairside assistant in the use of the following agents in pain control:

Topical and local anestheticIntravenous sedationHypnosisGeneral anesthesia

3. Discuss the indications and contraindications for using IV sedation in the dental office.

4. Name the most common drugs used in combinations for IV sedation.

5. Differentiate between “analgesic” and “anesthetic”.

6. Describe the most common complications related to the administration of IV sedation in the dental office.

7. Explain, in detail, the information that should be included in pre and post-op patient instructions when IV sedation is or has been administered.

8. State the indications and contraindications for using nitrous oxide as a dental analgesic.

9. Describe the possible side effects while using nitrous oxide.

10. State at least three important safety precautions that should be followed when administering nitrous oxide.

11. Define the term “general anesthesia” and explain why it may be used in dental surgical procedures.

12. Describe the role of the chairside assistant in the administration of general anesthetic including pre-op instruction, recovery and post-op instructions.

13. List and describe the common complications associated with the administration of general anesthetic.

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FIXED PROSTHODONTICS

1. Define the terminology related to fixed prosthodontics.

2. Discuss the indications and contraindications for fixed prosthodontics.

3. Discuss the role of the chairside assistant in the following fixed prosthodontic procedures:

shade selectiontooth preparationbite registrationgingival retractionpre and post op impressionsfabrication of an acrylic temporary crown or bridgefabrication of a temporary soft aluminum shell crowntemporary cementationfinal cementation

4. Explain, in sequence, the clinical and laboratory procedures for fabricating cast gold and PFM restoration.

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ENDODONTICS

1. Define the terminology related to endodontic therapy.

2. Discuss the indications and contraindications for endodontic therapy.

3. Discuss the role of the chairside assistant in the following endodontic procedures:

vitality testingcanal instrumentationclinical asepsiscanal irrigationcanal obturationsurgical procedures

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REMOVABLE PROSTHODONTICS

1. Define the terminology related to removable prosthodontics.

2. Discuss the indications and contraindications for removable prosthodontics.

3. Discuss the role of the chairside assistant in the following removable prosthodontic procedures:

mold and shade selectionpreliminary impressions and castsconstruction of base plate and biterimcentric occlusionlaboratory prescription writingdenture try-indenture deliverydenture adjustmentdenture cleaning and polishingdenture relinedenture repair

4. Differentiate between complete, partial, over and immediate dentures.

5. List and explain the sequence of laboratory steps in fabricating a complete denture and partial denture.

6. Explain the steps in denture reline procedure.

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ADVANCED FUNCTIONS

1. Explain the rationale and preferred techniques for performing the following intra and extraoral functions:

Dental damPlacing gingival retraction coredRemoving cementTofflemire matrix applicationTaking and recording patient vital signsSuture removal

2. Demonstrate the preferred technique for performing the following intra and extraoral functions:

Dental damPlacing gingival retraction coredRemoving cementTofflemire matrix applicationTaking and recording patient vital signsSuture removal

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TOPIC OUTLINE:

I. Orientation to the Dental ProfessionA. Dental team membersB. Professional organizationsC. Educational requirementsD. ProfessionalismE. Dental specialties

II. Introduction to Operatory EquipmentA. IdentificationB. Care and MaintenanceC. Operation

III. Four-handed Dentistry ConceptsA. Clock positionsB. Motion efficiencyC. Patient positioningD. Operating light positioning

IV. Patient Management/AssessmentA. Medical/dental historyB. Vital signsC. Communication skills

V. Instrument TransferA. Basic instrument designB. GraspsC. Techniques

VI. Maintaining the Operating FieldA. PurposeB. Methods

1. HVE2. Saliva ejector3. Absorbents4. Air/water syringe

C. Retraction1. HVE2. Mouth mirror3. Fingers4. Bite blocks

VII. Operative DentistryA. PurposeB. Cavity classificationC. Cavity preparation

1. Definitions2. Cavity design

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3. StepsD. Common operative procedures

1. Amalgam2. Composite3. Cosmetic (bonding, veneers)

E. Instruments1. Hand2. Rotary3. Tray set-ups

F. Rubber damG. Matrix

H. Base/liner placement

VIII. Charting

IX. Introduction to Dental SpecialtiesA. ADA recognizedB. Education requirements

X. ProsthodonticsA. Fixed

1. Terminology2. Procedures3. Armamentarium4. Retraction cord placement5. Cement removal

B. Removable1. Terminology2. Procedures3. Armamentarium

XI. EndodonticsA. TerminologyB. ProceduresC. Armamentarium

XII. OrthodonticsA. TerminologyB. ProceduresC. Armamentarium

XIII. Pediatric DentistryA. TerminologyB. ProceduresC. ArmamentariumD. Patient management

XIV. Oral SurgeryA. TerminologyB. ProceduresC. Armamentarium

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XV. PeriodonticsA. TerminologyB. ProceduresC. Armamentarium

XVI. AnesthesiaA. TerminologyB. Procedures

C. Armamentarium

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