DEA 102 Principles of Clinical Practice

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COURSE SYLLABUS

1.	TITLE OF COURSE:	PRINCIPLES OF CLINICAL PRACTICE
	PREFIX/NUMBER:	DEA 102	CREDIT HOURS:	3
2.	PREREQUISITE:

3.	RESOURCES NEEDED:
	TEXT:		Torres & Erhlich Modern Dental Assisting, Bird and Robinson, Saunders and Company, 9^th Edition, 2008. Torres & Erhlich Modern Dental Assisting Workbook, 9^th Edition, 2008.
	SUPPLIES:
4.	COURSE DESCRIPTION:		Includes techniques used in four handed dentistry, instrument identification, and armamentarium for tray set-ups. Covers sterilization and aseptic procedures.
5.	COURSE GOAL:
	To teach the standard operating procedures for four and six handed dentistry, this allows a dental team to function in a seated position with maximum efficiency and minimum strain. To develop skills of chairside assisting in instrument transfer and oral evacuation. To develop skills in the placement, inversion and removal of a rubber dam. To demonstrate knowledge of dental instruments, chairside equipment their use and care, and to maintain the dental instruments, rotary instruments and handpieces according to proper infection control procedures. This course carries three credits for a total of 60 contact hours. Transferability of credit depends upon the institution to which the student plans to transfer.
6.	COURSE OBJECTIVES:
	At the completion of this unit the student should be able to:
	A.	Describe important facts of specific design of the Dental Treatment Room.
	B.	Describe and demonstrate Ergonomics in the dental treatment room.
	C.	Describe and demonstrate care of the dental treatment room equipment.
	D.	Identify and demonstrate dental delivery systems.
	E.	Describe and demonstrate maintaining a clear operating field.
	F.	Demonstrate proper seating of the dental patient in supine and subsupine positions.
	G.	Identify and demonstrate proper seating positions of the dental assistant and operator at chairside.
	H.	Describe and identify “team dentistry”, including the clock concept of operating zones.
	I.	Identify the special needs of certain patients.
	J.	Demonstrate basic principles of instrument transfer.
	K.	Describe and identify the tray and tub system.
	L.	Identify and describe the basic classification, parts and functions of the dental instruments included in this course.
	M.	Describe and demonstrate the basic instrument set up used for all dental procedures, (Amalgam, composite, and surgical).
	N.	Identify the types and uses of dental handpieces.
	O.	Demonstrate maintenance of handpieces to include cleaning, sterilizing, and lubrication according to manufacturer’s instructions.
	P.	Identify the categories, shapes, parts and functions of dental rotary instruments
	Q.	Identify the types and functions of abrasives
	R.	Discuss new technology in dental instrumentation.
	S.	Describe and demonstrate moisture control techniques, including cotton roll isolation, dry angles and oral evacuation systems.
	T.	Demonstrate retraction of cheeks, tongue and lips.
	U.	Discuss and identify the indications for use of the dental dam.
	V.	Demonstrate and identify dental dam equipment.
	W.	Demonstrate placement, inversion and removal of the rubber dam on a manikin or approved patient using all personal protective barriers.
	X.	Demonstrate the exchange of instruments and materials at chairside using four-handed dentistry concepts.

7.	EVALUATION PROCEDURES:
	30%			The students’ grade will be based on the scores received on unit tests, pop tests and quizzes.
	20% 30%			Will be based on the score received by the student on assignments and worksheets. Will be based on the scores received by the student on skills performed based on the rating scale value of the Proficiency Task sheets.
	20%			Attendance Policy for Pueblo Community College. See pages 5 & 6 criteria on additional Dental Assisting Program attendance, tardies, and excused and unexcused absences and tardies.
	At the completion of the course the student should be able to do all the basic dental assistant functions required for successful completion of the program. These competencies will be evidenced by the student scoring a 75% or better on unit exams, graded activities and task (skills) in each unit.
	Raw Score Range						Grading Scale Letter Grade	Grade Point Earned (Credit Only)
			100		to	93	A		4
			92		to	85	B		3
			84		to	77	C		2
			76		to	69	D		1
			68		to	0	F		0
	Special Remarks:
	A.	Pueblo Community College Dental Assisting Program will adhere to the Academic Dishonesty Policy, which is stated in your DA Student Handbook, for any and all acts of cheating, fabrication, facilitating academic dishonesty and plagiarism.

ATTENDANCE: The attendance policy of the Dental Assistant Program will be the same as Pueblo Community College's (20% drop) with the following additions according to the Dental Assisting Program’s Attendance Table:

A. Ten percent (10%) absence (excused or unexcused) in lecture or lab classes will result in the student receiving an attendance-warning letter from the instructor. Any additional absences beyond the 10% will result in the lowering of that grade one complete letter grade for the class.

B. Twenty percent (20%) absence (excused or unexcused) in lecture and/or lab classes may result in the student being dropped from the class. If a student is dropped from a class for excessive absenteeism, continuation within the DEA Program will be decided by the Program Director/Department Chair.

C. It is the students responsibility to complete and sign the attendance or tardy sheet upon entering the class (before or at the end of the class, please do not interrupt the instructor during class to complete this task). Written excuses will be accepted at this time. If the instructor has started the class the tardy sheet is put out and you are considered tardy if you are not in your seat, even if you are in the facility area. (Ex., Still at your locker, socializing in hallway or smoking area.)

**How to evaluate your attendance grade: Take the total clock hours of your course multiply by .20. If you miss more than those hours you may be dropped from the DEA program. Half that many hours will be 10% which will result in the lowering of that grade one complete letter grade from that class.

Excused Absence: If a student knows that he/she will be absent from a scheduled class, prior notification must be given to the instructor before the class begins. Instructors maybe reached by phone, emailed or through the Division Administrative Assistant.

A. All assignments and exams will be allowed to be made up however, 10% will be deducted from each quiz, assignment, exam, pop-tests etc. If a student is absent the day of a group presentation the student will receive a 50% deduction and only receive credit evaluation for work done on the project. It is the student’s responsibility to arrange for the make-up and to schedule time with the instructor. Assignments must be turned in before the beginning of the next class, (it is recommended assignments be turned in the next day of attendance, please inform the instructor what assignment and course it is for and the instructor it should be given to). Exams must be made up before the beginning of the next class. It is the student’s responsibility to obtain all class materials that were presented while absent.

Unexcused Absence: Failure to notify the instructor that the student will be absent before the beginning of class will result in an unexcused absence. No assignments, quizzes or exams will be allowed to be made up for any unexcused absence.

TARDY It is considered unprofessional behavior for students to arrive late and/or leave early from lecture, lab, or internships. Students are to be ready to begin all educational opportunities at the scheduled start of the lecture, lab, or internship. Failure to do so will result in the student being tardy.

Students are to be ready in appropriate lab attire for the lab classes 5 minutes after the scheduled start of the lab. Failure to do so will result in the student being tardy.

A. Excessive tardiness or leaving early (2 or more) will result in the student being placed on probation. Two (2) additional tardies or leaving early after probation may result in the student’s grade being dropped 1 letter grade. Continuation within the program, if a student is dropped for excessive tardiness, will be at the discretion of the Program Director.

B. Tardy Excused: If a student knows he/she will be tardy, the student must notify the instructor prior to the beginning of the lecture, lab or internship to be tardy excused. Exams will be allowed to be made up. Assignments are to be turned in as the student enters the room or as required for that class. It is the student's responsibility to obtain all class materials that were presented while absent or making up any exams, etc. Quizzes are usually not allowed to be made-up and the decision to do so is at the discretion of your instructor.

C. Tardy Unexcused: If a student does not notify the instructor prior to the beginning of the class that he/she will be tardy, the student will be tardy unexcused. If the student is allowed to take a quiz, they will receive only 50% of the total earned points for that quiz or allowed to sit for only the remaining minutes of the quiz. A timed quiz is usually verbal and the instructor will not go back to repeat previous questions. If an exam is occurring and the student arrives tardy unexcused, the student will be allowed to take the exam but WILL NOT be allowed any additional time to complete the exam beyond the scheduled completion time. Assignments will be dealt with as late assignments and the student will receive credit as stated in the syllabus (10% deduction). It is the student’s responsibility to obtain all class materials that were presented while absent or schedule a time to make-up any exam within the time frame allotted.

Students are expected to discuss their reason for being late and not notifying the instructor resulting in an unexcused tardy by the end of the class without interrupting the class. This professional courtesy will also be extended by all instructors to students if the occasion occurs. Phone messages left for the student are EXPECTED to be returned to the instructor.

8.	COURSE OUTLINE:
	UNIT I.	The Dental Treatment Room
		A.	Introduction
			1)	Dental Office Design
			2)	Design of Treatment Rooms
		B.	Ergonomics and the Importance of Proper Treatment Room Design
			1)	Reducing stress and strain
			2)	Reducing injury to the assistant and operator
		C.	Dental Treatment Room Equipment
			1)		Care of dental equipment
			2)		Dental Unit
			3)		Operator’s Stool
			4)		Assistant’s Stool
			5)		Small Equipment of the Treatment Room
			6)		Operating Lights
			7)		Oral Evacuation System
			8)		Traps
			9)		Dental Compressor
			10)		X-ray Units
			11)		Delivery Systems
		D.	Other Clinical Areas
			1)		Sterilization and Supply Center
			2)		Dental Laboratory
		E.	The Patient Visit
		F.	Evening and Morning Routines for Dental Assistants
	Unit II	Concepts of Dental Assisting
		A.	Clock Concepts of Dental Assisting / Activity Zones
		B.	Classification of Motion
	Unit III.	Treating the Dental Patient
		A.	Preparing the Treatment Room
		B.	Seating the Dental Patient
		C.	Seat and Prepare the Patient
		D.	Position of the Operator
		E.	Position of the Assistant
		F.	Dismissing the Patient
		G.	Patients with Special Needs
	Unit IV.	Instrument Transfer
		A.	Instrument Grasps
		B.	Instrument Transfer Methods
		C.	Instrument Transfer Modifications
	Unit V.	Maintaining the Operating Field
		A.	Lighting
		B.	The Evacuation System
		D.	Air and Water Syringe
		E.	Retraction of Tissues
		F.	Tip Placement of Evacuation
	Unit VI.	Dental Instruments and Accessories
		A.	Basic Structural Parts of Dental Hand Instruments
		B.	Basic Classification of Dental Instruments
		C.	Cutting and Non-Cutting Instruments
		D.	Basic Examination Instruments
		E.	Procedure Instruments
		F.	Dental Rotary Instruments
			1)		Shank Types
			2)		Shapes of Carbide Burs
			3)		Diamond Instruments
			4)		Other Rotary Instruments
			5)		Abrasives
		E.	New Technology in Dental Instrumentation
			1)		Laser Handpieces
			2)		Air Abrasion Technology
	Unit VII.	Moisture Control Techniques
		A.	Introduction
		B.	Cotton Roll Isolation
			1)		Placement
			2)		Dry Angles
		C.	Oral Evacuation Systems
			1)		Saliva Ejectors
			2)		High Volume Oral Evacuation
			3)		Oral Evacuation Caution
			4)		Holding the Oral Evacuator
			5)		Positioning the High Volume Evacuator
			6)		Rinsing the Oral Cavity
		D.	Dental Dam
			1)		Dental Dam Equipment
			2)		Dental Dam Material
			3)		Dental Dam Frames and Napkins
			4)		Lubricants
			5)		Dental Dam Punch
			6)		Dental Dam Punch
			7)		Dental Dam Stamp and Templates
			8)		Dental Dam Forceps
			9)		Dental Dam Clamps
			10)		Stabilizing the Dam Application
		E.	Dental Dam Application and Removal
			1)		Planning the Application
			2)		Placing and Removing the Dental Dam
		F.	Special Situation
			1)		Placing the Dental Dam on Anterior Teeth
			2)		Stabilizing the Cervical Clamp
			3)		Placing the Dental Dam Over a Fixed Bridge

9.	METHODS OF INSTRUCTION:
	To be successful in this course, students are expected to participate in discussions, readings, in-class writing, skill assessment, and instructor and peer review activities. The instructor may assign point values to such activities.
10.	ACADEMIC INTEGRITY:
	The very nature of higher education requires that students adhere to accepted standards of academic integrity. Therefore, Pueblo Community College has adopted a policy of academic conduct as described in the Student Handbook. Violation of academic integrity may be defined to include the following: cheating, plagiarism, falsification and fabrication, abuse of academic materials, complicity in academic dishonesty, and personal misrepresentation. It is the student’s responsibility to be aware of the behaviors that constitute academic dishonesty. Sanctions for violating the standards of academic integrity may include warning, probation, suspension, and/or failure of the course or assignment at the discretion of the instructor.
11.	ADA NOTICE:
	Students who have a documented disability may be eligible to receive accommodations for this class. Please contact the Disability Resources Center at 549-3446 for further information.