Mon. 1:00 - 3:00 PM
Tues. 8:00 - 12:00 NOON OR 1:00 - 5:00 PM
Thurs. 8:00 - 12:00 NOON
(All Tues. / Thurs. clinical sessions require arrival 30 minutes prior to start of the clinic)
The purpose of this course is to further the student's clinical experience in the practical application of oral prophylaxis techniques. Emphasis will be placed on further development/refinement of skills acquired in Clinical Practice I, patient assessment and documentation, and sequencing of treatment according to patient needs and time factors.
Clinical Practice II consists of ten actual clock hours per week; students receive five credit hours
for successful completion of the course.
Given the integration of didactic and clinical experiences, the prerequisite course Clinical Practice I
(DNHY 3114), and consistent student-instructor collaboration, upon completion of this course the
student should be able to:
1. Position the dental chair, clinician=s stool, and dental light to insure patient/clinician comfort,
communication and effective delivery of dental hygiene services.
2. Organize dental hygiene instruments and supplies in a manner that enhances clinician efficiency
and insures effective delivery of services.
3. Apply accepted standards of infection control at all times in the clinical setting.
4. Maintain a patient care delivery area that is organized, safe and follows proper infection
5. Sharpen and maintain instruments to insure effective instrumentation and preservation of
6. Utilize information obtained from the health history to determine possible modifications and/or
contraindications to treatment.
7. Accurately assess and document patients= vital signs, making referrals to other health care
providers as appropriate.
8. Perform an extra-oral and intraoral inspection and accurately record significant findings.
9. Examine all oral tissues for signs of health or pathological changes and record the findings.
10. Perform and accurately document a periodontal evaluation for Class 2/2+/3 level patients: including
recession, pocket depths, loss of attachment, mobility, furcation involvement and bleeding sites.
11. Graphically represent a patient's teeth with regard to caries, missing teeth or tooth structure, types
and locations of restorations, fixed and removable appliances and developmental anomalies.
12. Apply principles of instrumentation and knowledge of tooth morphology in selecting appropriate
instruments to detect and remove deposits.
13. Develop treatment plan and present to Class 2/2+/3 level patients.
14. Present appropriate oral health prevention programs based on patients individual needs.
15. Select and administer appropriate topical fluoride treatment including varnish, tray, rinse & brush-on.
16. Complete all clinic paperwork legibly and in a timely manner with appropriate detail in document-
tation, as is required for this level of clinical practice.
17. Demonstrate proper equipment maintenance.
19. Provide CPR Basic Life support as may be necessary in clinic.
20. Perform all Clinic Assistant duties utilizing correct techniques and infection control protocol.
21. Correctly and efficiently perform all Clinic Receptionist duties.
22. Properly take alginate impressions; pour and trim acceptable diagnostic casts.
23. Determine need for radiographs based on evaluation of specific areas and/or entire dentition
and make appropriate recommendations for such surveys based on patient history and
A = 92 - 100
B = 83 - 91
C = 75 - 82 Minimum grade of 75 required to advance into Clinical Practice 3
The grade for this course is based on QUALITY (instrumentation quality, assessment / documentation quality, patient management, professionalism, and clinic assistant/ receptionist rotations) and QUANTITY (patient experiences) requirements. Quality and quantity both play a significant role in the development of student competencies in patient care. Competency evaluations ensure that students can perform procedures at the level of expertise determined necessary for this point in time in their education. Upon successful completion of the competency evaluations students can then work on improving their abilities, with considerable instructor assistance, on patients in the Gaines Dental Hygiene Clinic (Quality grades). Due to the instructor assistance provided for each student based on his/her needs with each patient QUALITY grades alone are not indicative of student competency.
Competency and QUALITY evaluations ensure that students can perform procedures at the determined level of competence. Quantity requirements are set to ensure that each student has appropriate experiences to develop entry level competencies in patient care. Student abilities in management of patient care are ultimately reflected by the number of patients in each classification level for which the student completes treatment. Therefore, the number and type of patients treated have a bearing on the student=s final course grade for Clinical Practice 2, 3 and 4.
The QUALITY portion of the Clinical Practice 2 grade is broken down as follows:
40% Instrumentation (From Clinic Grade Sheets & Process Evaluations)
30% Assessment/Documentation (From Clinic Grade Sheets)
20% Patient Management (From Clinic Grade Sheets)
5% BW X-rays
5% Clinic Assistant/Receptionist
100% = QUALITY GRADE
Clinic Assistant/Receptionist Grade
Students will start with 100 points in this area. Infractions will result in deduction of points from the applicable “100”
starting points. Each infraction will incur a five (5) point deduction from the initial 100 points. (See Assistant/Receptionist
Forms, objectives & criteria – Student Handbook/Clinic Manual, Section 6.7).
Breach of Professionalism Protocol
During a clinical session a breach of the professionalism protocol not directly related to the treatment of a patient will
1st Infraction - Formal warning
2nd Infraction - 5 point deduction from the FINAL clinic QUALITY grade
(See Student Handbook/Clinic Manual, Sections 2.8 & 2.9)
There are six competency evaluations in Clinical Practice 2:
ƒ³ Topical Fluoride Application- On fellow students -To be scheduled by instructor
ƒ³ Coronal Polishing- On fellow students -To be scheduled by instructor
ƒ³ Instrumentation -On fellow students & / or typodont - To be scheduled by instructor
ƒ³ Medical History Review - On fellow students - To be scheduled by instructor
ƒ³ Cleaning of Dental Prostheses - To be scheduled by instructor
ƒ³ Management of Class 2-2+ Level Patient Treatment - Pt to be scheduled by the student: March 23, 2010
COMPETENCY EVALUATION PROTOCOL:
If student is unsuccessful in demonstrating the specified competency the following will apply:
1st Remediation Session: Remediate one-on-one with instructor outside of regular clinic session
(Instrumentation on typodont)
2nd Remediation Session: Remediate on the eval patient or equivalent classification patient during a regular clinic
session. No quantity points and/or grade are earned for treatment provided during this
1st Competency Re-eval:Re-eval on equivalent classification patient during a regular clinic session.
No quantity points and/or grade are earned for treatment provided during this session.
If student is unsuccessful on 1st Competency Re-eval he/she can repeat the series of steps listed above two (2) more times. If competency is not demonstrated at the 3rd Competency Re-eval student will be dropped from Clinical Practice 2 and not be permitted to advance into the next semester of the program. The remediation required by unsuccessful demonstrations of competency result in reduced patient experiences, which could in turn result in reductions to the final QUALITY grade. All competency eval & re-eval grades will be included in student=s average.
The dental hygiene department has the right to make arrangements on an individual basis for students failing to maintain a passing grade in any course. Whatever arrangements made will be based upon an examination of the individual student=s overall dental hygiene scholastic record. This will be decided by the Department Chair and at least two other dental hygiene faculty. Readmission is not automatic.
The Dental Hygiene Faculty feel very strongly that maximum participation in all clinical and laboratory exercises is critical to the development of clinical competencies. Therefore,
MORE THAN TWO ABSENCES FOR ANY REASON WILL RESULT IN A LOSS OF 5 POINTS FROM THE FINAL COURSE GRADE FOR EACH ABSENCE OVER 2.
ANYONE MISSING MORE THAN FOUR (4) CLINICAL SESSIONS FOR ANY REASON WILL BE DROPPED FROM CLINICAL PRACTICE 2. YOU CAN NOT MATRICULATE INTO THE SENIOR YEAR WITHOUT SUCCESSFULLY COMPLETING CLINICAL PRACTICE 2.
A student on Probationary Status will not be permitted absences for any reason until he/she is taken off of probationary status by the Dental Hygiene Admissions Committee.
The American With Disabilities Act:
Midwestern State University does not discriminate on the basis of an individual=s disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities. MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements. For assistance call (940) 397-4618 or (940) 397-4515.
It is the student's responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.