Dental Hygiene Program




DHG 265



Ms. Jamie Sawyer, CDA, RDH, MEd; Lead Course Instructor

Ms. Dawnne R. Donovan, CDA, RDH, AS

Ms. Ann Stalvey, CDA, RDH, BS

Ms. Denise Thompkins, RDH, BS


Thomas Kelly, DDS

Vance Shields, DDS

Daniel Miller III, DMD



COURSE TITLE: Clinical Dental Hygiene IV


SEQUENCE: Spring Semester, Second Year

LENGTH: 14 Weeks

CLINIC TIMES: Tuesday & Thursday: 8:30-12, 1:30-5:30

CLASSROOM: Speir Dental Complex, Dental Hygiene Clinic


2-0-2 DHG 140 General & Oral Pathology

2-3-3 DHG 230 Public Health Dentistry

2-0-2 DHG 243 Dental Pharmacology

0-3-1 DHG 241 Integrated Dental Hygiene I

0-15-5 DHG 255 Clinical Dental Hygiene III


0-3-1 DHG 242 Integrated Dental Hygiene IV

3-0-3 SOC 101 Introduction to Sociology

3-0-3 Humanities


Horry-Georgetown Technical College Clinic Manual, Current Edition


This course provides for the development of proficiency in the clinical dental hygiene setting with emphasis on the implementation of treatment plans to meet the individual patient’s oral health needs.


1.  Assessment Procedures

·  Medical History Evaluation

·  Vital Signs

·  Intraoral and Extraoral Examination

·  Dental and Periodontal Charting

·  Deposit Evaulation

·  Risk Factor Assessment: Caries, Oral Cancer, Tobacco Utilization, etc.

2.  Dental Hygiene Diagnosis

·  Formulation of a patient diagnosis utilizing findings from the assessment

3.  Planning

·  Establish an evidenced-based sequence of care based on the dental hygiene diagnosis; identified oral conditions and potential risk factors.

·  Obtain medical consultation when appropriate.

·  Make referrals to other health care professionals as needed.

·  Obtain the patient’s informed consent based on a thorough case presentation.

4.  Implementation

·  Provide a high standard of care to all patients in a humane, empathetic and caring manner.

·  Perform dental hygiene treatment to eliminate and/or control local etiologic factors to prevent and control caries, periodontal disease and other oral conditions

·  Control pain and anxiety during treatment through the use of accepted clinical and behavior techniques

·  Provide life support measures to manage medical emergencies should the need arise

5.  Evaluation

·  Assess the outcomes of dental hygiene treatment utilizing various indices, instruments, etc.

·  Evaluate the patient’s satisfaction with the care that has been received and the health status that has been achieved.

·  Establish appropriate treatment or referrals based on evaluation data

·  Develop and maintain an appropriate maintenance program for the patient.


Upon completion of DHG 265, the student will be able to:

1.  Adhere to the American Dental Hygienists’ Professional Code of Ethics.

2.  Adhere to all state and federal rules and regulations governing the practice of dental hygiene.

3.  Utilize critical analysis and problem solving skills in the provision of dental hygiene care.

4.  Respect the goals, values, beliefs, and preferences of the patient throughout treatment.

5.  Utilize infection control protocols for prevention of disease transmission through demonstration of proper sterilization and disinfection methods, barrier techniques and maintenance of asepsis.

6.  Perform to clinical competency the following assessment procedures:

·  Vital signs (taking, recording, and evaluating)

·  Thorough medical and dental history evaluation to determine if dental treatment is indicated

·  Extraoral and intraoral examinations

·  Dental and periodontal evaluations and chartings

·  Risk factor assessment

·  Gingival and plaque indices

·  Occlusal evaluations

·  Treatment plans for comprehensive dental hygiene care

7.  Perform to clinical competency thorough scaling, root planing, and polishing procedures on indicated patients.

8.  Perform appropriate and thorough patient education for each patient.

9.  Perform appropriate fluoride procedures for indicated patients.

10.  Complete and execute a comprehensive treatment plan for a periodontally involved patient.

11.  Perform a nutritional case study for a periodontal patient.

12.  Utilize proper dental hygiene care in providing total oral health care for the patient with special needs.

13.  Prescribe the appropriate post-operative procedures and instructions for the patient.

14.  Adequately document all treatment in the patient’s chart.

15.  Utilize the ultrasonic scaler and the air polisher to clinical competency with reference to:

·  Indications

·  Set-up

·  Patient preparation

·  Technique

16.  Perform to clinical competency the following expanded functions:

·  Infiltration anesthesia

·  Polishing amalgams

·  Sealants

·  Impressions

·  Study models

·  Whitening trays

17. Demonstrate professionalism in working with peers, faculty, and patients.


1.  Listening skills – following directions regarding patient care

2.  Writing skills – proper completion of patient records

3.  Problem solving/critical analysis skills – integration of knowledge to adequately assess, diagnose, plan, implement, and evaluate patient treatment


Students are to check Wavenet at least weekly for messages via their e-mail accounts or other message boards that are available. Rather than the instructor making individual phone calls, students will be informed of necessary information via the Internet and their Wavenet accounts.


·  Take ownership and responsibility for one’s learning.

v  Be prepared to participate in learning

v  Put forth effort to learn

v  Ask questions

v  Take responsibility for one’s actions

v  Maintain scholastic honesty

·  Students must have the understanding that all course material cannot be covered during lecture/laboratory time.

v  Students MUST be willing to review materials learned in lecture to apply techniques correctly during patient treatment.

·  Show respect for others.

v  Give complete attention and listen while others are talking

v  Avoid arguing with instructor and classmates

v  Avoid confrontations with clinical instructors in front of patients

v  Respect the opinions of others

v  Keep conversations and questions focused on relevant clinical issues

v  Avoid threatening behavior toward students, professors, and patients

v  Use appropriate language

·  Engage in clinical activities.

v  Arrive early to prepare for patients

v  Actively participate in patient treatment

v  Exhibit positive attitude and interest in the direct care of patients

v  Act as an advocate for the patient’s dental needs.

v  Adhere to the ADHA Code of Ethics

v  Demonstrate accountability for one’s own professional behavior and clinical performance.

v  Respect the privacy of the patient at all times.

·  Exhibit respect for college property.

v  Use equipment with care

v  Follow all guidelines for equipment use and maintenance; however, ask for guidance if you are unsure

v  Keep your assigned clinical area neat and clean

·  Show respect for authority.

v  Exhibit cooperation with the professor

v  Avoid comments that show disrespect for the professor and their knowledge

v  Select appropriate times to inquire about academic performance which may be outside the clinical facility

v  Address professors as “Professor”, Mr., Mrs., Ms., or Dr. and not by their first or last name

v  All dentists should be addressed as Dr.


1.  ATTENDANCE IS MANDATORY since the student has a responsibility to the patient. Students will be required to sign-in upon arrival for each clinical session. For each 5-minute period that a student is late, one-half point will be deducted off the FINAL clinic grade.

2.  Students MUST call Mrs. Derouen at 839-1060 to report an absence prior to the start of the clinic session. If there is no message, the student will receive 5 points off the FINAL clinic grade for each appointment session missed. Courtesy calls to Ms. Noelle are strongly encouraged so the patient schedule can be adjusted accordingly. Patients that are in the middle of treatment MUST be cancelled by the student. All other patients will be re-scheduled by Noelle, the office manager.

3. Students should not plan vacations during the semester as the missed days will be considered unexcused and 5 points off the FINAL clinic grade for EACH appointment session will also apply.

4. Clinical sessions are mandatory unless there is a justifiable reason for the absence (personal illness, illness of a child, death in the immediate family, etc.). If the student misses more than 4 clinical sessions, the student will receive an Excessive Absence Form and will be dropped from the dental hygiene curriculum.

5. Personal, medical, and dental appointments, except emergencies, must not be made during scheduled clinical sessions.


1.  Professionalism MUST be maintained at all times. Personal conversations when patients are present in the clinic WILL NOT BE TOLERATED. Serious or repeated exhibitions of unprofessional behavior will result in the lowering of the clinic grade or failure of DHG 265.

2.  The front reception office is OFF LIMITS to all students with the exception of the student rotating through the front office. Patient charts can be obtained from the folder with your name located outside the office door. There is a telephone located in the x-ray viewing room to confirm patient appointments. There is no voice-mail attached to this phone; therefore, all messages for students must go through Noelle’s office.

3.  All students should have their units set up and ready to seat patients 15 minutes prior to appointment times. At this time, clinical instructors will take attendance and review patient charts to discuss treatment. NO PATIENTS ARE TO BE SEATED UNTIL THERE IS AN INSTRUCTOR ON THE CLINIC FLOOR.

4.  For a medical history check in, students are requested to bring the ENTIRE patient chart and grade sheet for review by the clinical instructor or supervising dentist.

5.  Unit clean-up is part of a clinic session and will be included in the clinic grade. If a unit is not clean and is noticed after the session is completed, the grade will be changed accordingly.

6.  The Clinic/Office Assistant must report 15 minutes prior to the beginning of the clinic session. The CA will make sure that the clinic and x-ray rooms are prepared for patients. 1% of the Final clinic grade will be based upon the proper completion of the duties. PLEASE DO NOT WAIT TO BE TOLD TO DO YOUR DUTIES.

7.  Unless permission is given, no student will leave the clinic floor until everyone is finished. Time must be budgeted wisely as requirements increase each semester. If you finish early, help someone else.

8.  All requirements must be completed during the assigned clinic time. No outside clinic appointments will be allowed.

9.  Appointment times will be 8:30am and 1:30pm each day. Students will have the option to schedule more than one appointment each clinic session; however, second appointments should be scheduled for reappoints, maintenance or child patients. New patients should be given an entire first appointment to complete as much work as possible. Check out times will be 11:15pm and 4:45pm for all clinic days. This will give the student time to clean up, evaluate x-rays, and talk with clinical instructors. The clinic will close at 12:45PM and 5:45PM SHARP!!

10.  Students are requested to take the first 15 minutes (11:30-11:45 and 5:00-5:15) following check-out to complete their patient charts and turn them in for grading. ALL PATIENT CHARTS MUST BE TURNED IN DURING THIS 15-MINUTE TIME PERIOD. The following 15 minutes (11:45-12:00 and 5:15-5:30) are to be used for clinic clean-up. This will ensure that everyone will leave clinic on time. Only those students with instructor permission will be allowed to work past these designated times. This time will also be utilized for instructor/student interaction regarding patient treatment.

11.  At check out, each student is to have all instruments as well as a clean mirror and gauze square for the clinical instructor’s use. Please have bracket tray free of debris. Grade sheets should be available for the notation of missed deposits. IF THIS IS NOT FOLLOWED, THE INSTRUCTOR WILL LEAVE THE CLINIC CHAIR (WITHOUT SPEAKING) AND NOT RETURN UNTIL THE AREA IS CLEAN AND READY FOR CHECKOUT! Additional points will be deducted for this infraction.

The reason for this rule is to prepare the student for their clinical board exam where this is a critical component of the exam. Examiners must have clean areas to utilize when checking patients. If the student gets in the habit of having a clean working area now, this will not be a problem when taking the clinical exam.

12.  After recording of grades, grade sheets will be located in the front office with Noelle. Please ask her to pull your file and give it to you as students are not allowed to access their own files. STUDENTS MUST REVIEW, INITIAL AND DATE GRADE SHEETS AT A MINIMUM OF ONCE PER WEEK. (Please initial and date all instructor comments on the patient assessment as well as comments on the instrumentation grade sheet). If you feel there is an error, bring it to the clinical instructor’s attention as soon as possible.

13.  All clinic requirements, including incomplete grades and records must be completed and turned in by the last day of clinic, April 25, 2013. Any requirements completed after this time WILL NOT BE ACCEPTED FOR CREDIT. REMEMBER, GRADUATION IS NOW AFFECTED BY INCOMPLETE REQUIREMENTS!


There will be one clinical rotation during DHG 265 – Clinical/Office Assistant.

1.  The CA will be responsible for all duties indicated on their grade sheets. The CA will also be responsible for making sure that the x-rays rooms are cleaned and disinfected for each new patient.

2.  Upon arrival to the clinic, the CA will bring their CA Grade Sheet to a clinical instructor for a signature. The CA will keep their grade sheet during the clinical session to check off the duties that were performed. Once clinic is over, the CA will place the completed grade sheet in the instructor station near the adjunct clinic office.

3.  The OA will be responsible for all duties indicated on their grade sheet. The OA will manage the front office with regards to patient greeting, answering the telephone and appointing patients, receiving moneys for patient treatment, preparing patient files, etc.


Clinical Requirements:


·  3 Moderately involved periodontal patients (Class III)

·  1 severely involved periodontal patient (Class IV)

·  3 documented periodontal recare patients that the student has seen from previous semesters