Dental Assisting Program: WCC-DA 101 Course Outline

Western Community College DENTAL ASSISTING PROGRAM TERM I CURRICULUM Foundation Knowledge WCC-DA 101 Clinical Practise I COURSE OUTLINE

COURSE OUTLINE CLINICAL PRACTISE I – WCC-DA 101 COURSE INFORMATION: COURSE NUMBER: WCC-DA 101 ACADEMIC YEAR: I TOTAL HOURS: 100 THEORY: 54 PRE CLINIC: 46 ACADEMIC UNIT RESPONSIBLE FOR COURSE: Pacific Health Institute INSTRUCTORS: INSTRUCTOR/ STUDENT RATIO: Lecture: 1:20 Pre Clinic: 1/10 PRIOR LEARNING & RECOGNITION (PLAR): Applicable: __________ Not Applicable: ________ ACADEMIC PREREQUISITES: LEARNING OPPORTUNITIES TEACHING/LEARNING STRATEGIES ACTIVITIES TO ENHANCE LEARNING Lectures – Question/Answer Sessions Class Discussions Group Assignments Individual Reading/Research Computer Investigation Classroom Exercises Instructor/Student Interaction Assignments Group Discussions Internet Research Self and Peer Evaluation Role Play One-on-One Feedback Critical Thinking Scenarios INSTRUCTOR INFORMATION: NAME: E-MAIL ADDRESS: OFFICE PHONE: OFFICE LOCATION: OFFICE HOURS:

COURSE DESCRIPTION: This course will provide the dental assisting student with the historical background and operating principles of the dental profession. Students will learn about professional organizations and the legislation and scope of practice for dental assistants in the province of British Columbia. Subject material will focus on theory, principles and practical application of restorative dentistry and will provide an introduction to chairside assisting and intra oral skills and the identification, function and maintenance of instruments and equipment found in dental offices. COURSE OUTCOMES: I. Students will be able to discuss the role of the dental assistant in the profession of dentistry. II. Students will be able to discuss legal and ethical dental practice and the implications of unprofessional and illegal behaviours. III. Students will be able to identify, operate and maintain basic dental office equipment and perform skills ergonomically. IV. Students will be able to prepare for dental procedures. V. Students will be able to provide moisture control for dental treatment procedures. VI. Students will be able to apply principles of pain control, place topical anaesthetic and assist with local anesthetic administration for a dental patient VII.Students will be able to apply and remove matrix systems for restorative procedures. VIII.Students will be able to describe and demonstrate the dental assistant’s role in restorative dentistry and the application of equipment and materials. IX.Students will be able to discuss the relationship of dental materials with clinical dental procedures. X.Students will be able to manipulate dental amalgam, composite and intermediate restorative materials.

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EVALUATION: DENTAL ASSISTING PROGRAM GRADING SYSTEM Students must achieve an average of 60% on quizzes, assignments and mid-term(s) in order to be eligible to write the final examination. Students must pass the final examination at 70% or higher. Students not achieving 70% on a final examination will be eligible for a re-write. No matter the score achieved on the re-write, 70% will appear on the transcript. Summative clinical assessments will not be considered a ‘pass’ if any 0 scores are recorded by the Instructor. Summative clinical assessments will only be repeated if the Program Director and Instructors believe the student has a chance of being successful on one further attempt. Tutorial time may be required prior to re-writing/re-evaluation. Students will not progress without achieving a satisfactory grade in the course performance evaluations. COURSE EVALUATION: Quizzes, Assignments & Journals 20 % Mid Term Examination 25 % Final Examination 35 % Clinical Assessments 20% REQUIRED TEXTS: Torres and Ehrlich, Modern Dental Assisting 12 th Edition , Doni L. Bird and Debbie S. Robinson, Saunders/Elsevier Science, St. Louis, Missouri 978-0-323-43030-2, 2018 Esther M. Wilkins, Clinical Practice of the Dental Hygienist 12th Edition , Lippincott, Williams & Wilkins, Baltimore, Maryland 2016

DENTAL ASSISTING PROGRAM POLICY STATEMENTS ACADEMIC RESPONSIBILITY – STUDENTS 1. Each student must know the due dates for assignments, tests and examinations. 2. Each student must maintain their own academic record of work covered each day/term. 3. Each student must maintain paper and electronic copies of assignments for the academic year. 4. Each student must arrange academic discussion time with a faculty member to discuss progress. 5. Each student must perform self-evaluation on progress in the course. PERSONAL CONDUCT – STUDENTS 1. Students must arrive on time for class and be prepared to work when the Instructor begins. 2. Students must be courteous to faculty and classmates. 3. Eating in classrooms and clinic is not allowed. 4. Cell phones, Text messengers, IPOD’s and other electronic devices must be turned off during class time unless part of the learning activity. ATTENDANCE: Attendance is mandatory – The Program Director reserves the right to determine whether absences are excused or unexcused (may affect student funding) and to request any medical evidence that may be required. Student tardiness is unacceptable and students are expected to demonstrate professional behaviour at all times, in class or on a practicum. Students are entirely responsible for catching up on their own or for missed material and demonstrations. A doctor’s note may be requested for each absence.

Western Community College DENTAL ASSISTING PROGRAM TERM I CURRICULUM Foundation Knowledge WCC-DA 101 Clinical Practise I OUTCOMES AND OBJECTIVES

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LEARNING OUTCOME I: Students will be able to discuss the role of the dental assistant in the profession of dentistry. (Chapters 1, 2, 3 – MDA) LEARNING OBJECTIVES I: 1. Define key terminology specific to the dental health team 2. Discuss the evolution of dental procedures and techniques through history to modern times 3. Explain the educational and licensing requirements for dental assistants in British Columbia 4. Discuss the terms “entry-level competence” and “scope of practice” in relation to the role of the dental assistant 5. List the intra-oral skills that are practiced by formally trained and certified dental assistants in BC 6. Identify the members of the dental health team and the role they play in a successful dental practice 7. Describe the qualities that make the dental an asset to the team 8. Identify factors that affect team dynamics and cohesiveness 9. Describe the dental specialties that are recognized in Canada today 10. Explain the various services and individuals that support a dental practice 11. List professional organizations for dental assistants in Canada including NDAEB, CDSBC and CDAC LEARNING OUTCOME II: Students will be able to discuss legal and ethical dental practice and the implications of unprofessional and illegal behaviours. (Chapters 4 and 5 – MDA) LEARNING OBJECTIVES II: 1. Define key terminology specific to ethics and the law 2. Differentiate between the terms ethics and jurisprudence and explain their sources and principles 3. State the purpose of a code of ethics for the profession of dentistry 4. Discuss the principles of the CDAA and CDSBC Code of Ethics

LEARNING OBJECTIVES II: (cont.) 5. List steps for solving ethical dilemmas 6. Explain the difference between criminal law, civil law, contract law and tort law 7. State the employment regulations for dental assistants in BC 8. Identify the dentist’s responsibility in providing care for patients 9. Discuss the assignment of treatment in a dental office and the requirement of direct or indirect supervision of the dental assistant 10. Describe the areas of risk management that are a concern to dental care 11. Discuss the legalities of clinical records in a dental office 12. Discuss the dental assistant’s professional responsibility in reporting child abuse and neglect 13. Outline techniques for effective communication to reduce misunderstandings LEARNING OUTCOME III: Students will be able to identify, operate and maintain basic dental office equipment and perform skills ergonomically. (Chapters 25, 32, 33 and 35 – MDA) (Chapter 7 – CPDH) LEARNING OBJECTIVES III: 1. Define key terminology specific to the dental office and chairside fundamentals 2. Describe the rooms in a dental office and the specific considerations that are critical to each 3. Identify the parts and function of a patient treatment chair 4. Discuss the correct positioning of the patient in the treatment chair 5. Explain key words that relate to ergonomic dental practice 6. List risk factors that relate to musculoskeletal disorders 7. Identify the dentist and dental assistant stool and the adjustments parts for each

LEARNING OBJECTIVES II: (cont.) 8. Describe the features, operation and maintenance of a dental unit 9. Explain the dental team’s responsibility for care of the office compressor/evacuation system, laboratory and staff common areas 10. Outline the specific opening and closing protocols practiced in general dental offices LEARNING OUTCOME IV: Students will be able to prepare for dental procedures. (Chapters 25, 33, 34 and 35 – MDA) LEARNING OBJECTIVES IV 1. Define key terminology specific to delivery of dental care 2. Describe the protocol for selection of appropriate supplies, materials, instruments and equipment for a given procedure 3. Describe the procedure for seating and positioning the patient and the dental team for treatment procedures 4. Demonstrate the skill: Seating a Patient 5. Identify the operating zones for patient and dental team for both right and left-handed operators 6. State the principles of motion economy in clinical dentistry 7. Identify instrument grasps in relation to instrument transfer 8. Describe and demonstrate instrument positions and exchanges for operative procedures 9. Demonstrate the skills: Instrument Transfer and Specialized Transfers 10. Describe three parts of a dental instrument 11. List classifications of dental hand instruments and identify instruments in each by name and use 12. Explain the way in which dental handpieces are classified 13. Describe the function and care of the dental handpieces used at the Pacific Health Institute

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LEARNING OBJECTIVES IV: (cont.) 14. Explain the procedure for sterilization of handpieces in the Pacific Health Institute dental clinic 15. Demonstrate the skill: Care and Sterilization of Dental Handpieces 16. List the uses for rotary instruments 17. State three parts of a rotary instrument 22.Identify rotary instruments by name and use LEARNING OUTCOME V: Students will be able to provide moisture control for dental treatment procedures (Chapter 36 – MDA) LEARNING OBJECTIVES V: 1. Define key terminology specific to the application of moisture control 2. State the advantage of using an oral evacuation system and identify the most common types used 3. Describe and demonstrate the procedure for using a high volume suction and the air/water syringe 4. Explain the procedure for performing a limited and full-mouth cleansing for a dental patient 5. Demonstrate the skill: Oral Evacuation 6. Describe and the techniques for isolation using cotton rolls and dri-angles 7. Demonstrate the skill: Place and Remove Cotton Isolation 8. Explain the advantages of dental dam isolation 9. Identify the equipment and supplies required for the application and removal of dental dam 10. Describe the factors to be considered and the technique for punching holes in dental dam for all quadrants of the mouth 11. Explain what is meant by the key or anchor hole in the dental dam

LEARNING OBJECTIVES V:(cont.) 12. Explain the criteria for appropriate clamp selection 13. Describe and demonstrate the safe placement of a dental dam clamp 14. Explain the method by which the dental dam is secured at the last tooth to be exposed in the mouth 15. Describe and demonstrate the technique for inverting the dental dam prior to treatment 16. Explain alterations that may be required to isolate a mouth that has missing, malaligned teeth, a fixed bridge or for anterior restorations 17. Describe the sequential steps for preparation, placement and removal of dental dam 18. Demonstrate the skill: Application and Removal of Dental Dam LEARNING OUTCOME VI: Students will be able to apply principles of pain control, place topical anaesthetic and assist with local anesthetic administration for a dental patient (Chapter 37 – MDA) LEARNING OBJECTIVES VI: 1. Define key terminology specific to anesthesia and pain control 2. List the methods commonly used to achieve anesthesia in dentistry 3. Explain the chemical composition of a local anesthetic agent 4. State the purpose of a vasoconstrictor in local anesthetics and the contra- indications for use 5. List the objectives of local anesthesia and describe injection techniques 6. Explain the parts and function of:  Anesthetic Syringe  Anesthetic Cartridge  Disposable Needle 7. Describe complications that may result from injection of local anesthesia and the precautions that should be applied 8. Explain and demonstrate the steps in assembly of an anesthetic syringe 9. State the purpose of applying a topical anesthetic and potential adverse effects LEARNING OBJECTIVES VI: (cont.)

10. Describe and detect the locations in the oral cavity where placement of topical anesthetic would be required 11. Describe the application procedure for topical anesthetic 12. Demonstrate the skill: Application of Topical Anesthetic 13. Demonstrate the skill: Assist with Local Anesthetic Administration 14. Describe and demonstrate the appropriate disposable of anesthetic equipment following treatment 15. Apply and document needle stick injury protocols 16. Provide pre and post treatment instructions for the patient having topical and local anesthetic LEARNING OUTCOME VII: Students will be able to apply and remove dental matrix systems in restorative procedures. (Chapter 49 – MDA) LEARNING OBJECTIVES VII: 1. Define key terminology specific to matrix systems 2. State the function of a matrix in dental restorations 3. Describe the parts and function of a tofflemire retainer 4. Identify a universal, molar and pediatric tofflemire bands 5. Describe the placement of the band into the retainer for adaptation to the tooth and surface to be restored 6. Explain the purpose of placing a wedge against a matrix band 7. Demonstrate the skill: Application and Removal of Matrices and Wedges 8. State the matrix requirements for anterior restorations and for restorations requiring visible light cure 9. Explain and demonstrate assembly and application of a plastic or Mylar matrix band 10. Discuss the alternative matrix systems used on posterior teeth such as automatrix and sectional systems LEARNING OBJECTIVES VII: (cont.)

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11. Describe the placement of T-Band and spot-welded matrices for primary tooth restorations LEARNING OUTCOME VIII: Students will be able to describe and demonstrate the dental assistant’s role in restorative dentistry and the application of equipment and materials discussed in this course (Chapters 48 and 49 – MDA) LEARNING OBJECTIVES VIII: 1. Define key terminology specific to restorative dental procedures 2. Explain the role of the chairside assistant in restorative dentistry 3. List the principles of initial cavity preparation 4. Discuss the steps to prepare a tooth for a restoration 5. Explain the conditions associated with the need for liners and bases under restorations 6. Identify and manipulate appropriate restorative materials and bases 7. Maintain the operative field for access and visibility 8. Assist with application and removal of dental dam 9. Describe the carving and finishing of restorations 10. Explain the documentation required for completion of the patient record LEARNING OUTCOME IX: Students will be able to discuss the relationship of dental materials with clinical dental procedures (Chapter 43 – MDA) LEARNING OBJECTIVES IX: 1. Define key terminology specific to the study of restorative and esthetic dental materials 2. Describe the function of restorative and esthetic materials in patient treatment 3. State the advantages to the dental office in the dental assistant having fundamental knowledge of dental materials 4. List the factors or characteristics by which selection of an appropriate dental material is made by the dentist 5. Differentiate between the mechanical

properties of force, stress and strain in regard to average biting and chewing force 6. Explain the following properties of a material that may be a concern in selection for use:  Corrosion  Solubility  Flow  Adhesion  Viscosity  Retention  Galvanic action  Thermal conductivity  Expansion and contraction 10. Describe polymerization of dental materials 11. Differentiate between the various methods of material polymerization LEARNING OUTCOME X: Students will be able to manipulate dental amalgam, composite and intermediate restorative materials. (Chapters 34, 43, 44 and 48 – MDA) LEARNING OBJECTIVES X: 1. State the use of dental amalgam in restorative dentistry 2. List the indications and contra- indications for placement of amalgam restorations 3. Describe the components of amalgam alloy including mercury- alloy ratios 4. Discuss the concern regarding mercury toxicity and outline safety precautions when handling and placing amalgam 5. Explain the process of amalgamation 6. Identify the equipment and supplies required for an amalgam restorative procedure 7. Describe the instruments and techniques used to place, carve and finish an amalgam restoration 8. State the use of composite resin in restorative dentistry 9. List the indications and contra- indications for placement of composite restorations LEARNING OBJECTIVES X: (cont.)

10. Describe the components of composite resin restorative materials 11. Discuss the concerns regarding retention, leakage and post-operative sensitivity with composite restorations 12. Explain the process of polymerization 13. Identify the equipment and supplies required for a composite restorative procedure 14. Describe the instruments and techniques used to place, contour and finish a composite restoration DA 101 Session Plan Session Plan Activity LO 1 (Chapters 1,2 &3 – MDA) LO 2 (Chapters 4 & 5– MDA) CDSBC guideline for ethics LO 3 (Chapters 25, 32, 33 and 35 – MDA) LO 4 (Chapters 25, 33, 34 and 35 – MDA) Assignment 1 LO 5 (Chapter 36 – MDA) Ethics and legalities quiz LO 6 (Chapter 37 – MDA) Mid term

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LO 7 (Chapter 49 – MDA Assignment 2 LO 8 (Chapter 48 & 49 – MDA) Topical and local anesthetic quiz LO 9 (Chapters 43 MDA) LO 10 (Chapters 34,43,44 & 48 MDA) Review REVIEW AND EXAM Clinical Demonstration Clinical Review and Clinical Assessment Clinical assessment

PHI DA 101 Final Course Outline (updated )

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