Clinical Practice 2

Course Details

Course Number: 3005  Spring 2011

Location: Bridwell Hall

Classroom Number: 107 A & B Gaines Dental Hygiene Clinic

Days & Times:

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)

Course Attachments


MSU Faculty Member
Martha Crump   
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Course Objectives

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
control protocols.

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


Grading Standards

 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

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
result in: 
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)

 Competency Evaluations
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


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. 

Submission Format PolicyNote: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

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,



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.

Other Policies

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.

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.