Alamance Community College

ALAMANCE COMMUNITY COLLEGE CLASSROOM-BASED COURSE SYLLABUS

Course Title Dental Sciences

Course Sec. Lec. Lab Cr. Number DEN 103 No. 01N Hrs. 2 Hrs. 0 Hrs. 2

Term Spring Yr. 2017 Days Mondays Times 4:00-6:00pm

Instructor Donna M. Pruitt and Janelle Christopher

Mondays 3:00pm-4:00pm Office Office Tues & Thursdays 1:40-2:40 (1st 8wks) 2:40-3:40 (2nd 8wks) Fridays: 9:00- 11:00am Location 311 Hours

E-mail [email protected] Phone (336) 506-4403 [email protected] (336) 506-4162

A L A M A N C E C O M M U N I T Y C O L L E G E

Carrington-Scott Campus 1247 Jimmie Kerr Road PO Box 8000 Graham, NC 27523-8000

Burlington Campus I-85/I-40 Exit 145 Burlington, NC 27215

Faculty Preparing Outline: _____Donna Pruitt______

ENDORSEMENTS OF DEPARMENT HEAD AND ASSOCIATE DEAN

Department Head: _____Janelle Christopher

Associate Dean: Dave Frazee

1 COURSE DESCRIPTION

This course is a study of oral pathology, pharmacology, and dental office emergencies. Topics include oral pathological conditions, dental therapeutics, and management of emergency situations. Upon completion, students should be able to recognize abnormal oral conditions, identify classifications, actions and effects of commonly prescribed drugs, and respond to medical emergencies.

PREREQUISITES: Den 100 COREQUISTIES: None

MAJOR COURSE GOALS AND MAJOR ASSIGNMENTS

Upon completion of this course, the student will be able to:

1. Identify predisposing factors, preventive measures, and clinical manifestations for common medical emergencies in the dental office.

2. Assist in administering immediate and appropriate emergency care.

3. Monitor and maintain the emergency drug kit and other emergency equipment.

4. Discuss the basic terminology related to pharmacology.

5. Identify common drug sources and current drug publications.

6. Describe the properties, dosage, therapeutic effects, and methods of administrations, indications and contraindications of commonly used drugs.

7. Describe the processes of drug absorption, distribution, metabolism, and elimination.

8. Describe state and federal drug legislation and demonstrate accurate prescription preparation.

9. Recognize and use common descriptive terminology to facilitate the study of oral pathology.

10. Describe the process of inflammation and repair.

11. Describe the developmental abnormalities common to the oral structures.

12. Describe diseases of the oral tissues which will include viral, bacterial, fungal, and benign and malignant neoplasms.

COMMON EMERGENCIES

13. Explain the role of the patient’s history, emergency kit and routine practice in preparing for common dental office emergencies.

2 14. Discuss the importance of taking and recording vital signs in the dental office.

15. Describe the etiology, symptoms and preferred treatment for each of the following emergencies:

syncope insulin shock injection into blood vessel diabetic coma orthostatic hypotension grand mal seizure hypertension angina pectoris airway obstruction myocardial infarction hyperventilation cardiac arrest allergic reaction congestive heart failure asthma hemorrhage

ORAL PATHOLOGY

16. Discuss the inflammatory and repair process and their relationship to tissue change.

17. Describe the systemic effects of inflammation and infection.

18. Discuss the classification, etiology, detection, and biopsy procedures for neoplasms.

19. Differentiate between the general characteristics of benign and malignant tumors.

20. Discuss the etiology, characteristics, and treatment for common developmental anomalies of the oral cavity.

21. Discuss the oral manifestations of selected systemic diseases and miscellaneous disorders.

PHARMACOLOGY

22. Differentiate between generic and brand names for drugs commonly used in dental therapeutics.

23. Discuss the major drug laws and regulations used to control the manufacturing, prescribing and selling of drugs in the United States.

24. List the four sources of drugs and give at least one example of each.

25. List six routes of administering drugs.

26. Define the following terms as they relate to pharmacology:

3 Tolerance synergism Toxicity summation Allergy placebo Idiosyncrasy antagonism

27. Utilize a Physicians Desk Reference (P.D.R.) to prepare a drug description including the following information on at least one drug:

Generic name Brand name Name of the manufacturer Principle action or use Dosage

28. Identify the following parts of a prescription and describe the information contained in each:

Heading subscription Superscription transcription Inscription refill information

29. Distinguish between a well-written, complete prescription and a poorly written prescription.

30. Discuss the major responsibilities of the dental assistant in terms of drug ethics in the dental office.

31. Differentiate between mild, moderate, and strong analgesics used in dentistry, including typed of drugs, uses, and precautions for each classification.

32. Differentiate between tranquilizers, barbiturates, and non-barbiturate sedatives, including drug names, uses and precautions.

33. Discuss how antibiotics are selected and used in pre-medication and treatment.

34. Classify drugs commonly used in dental therapeutics according to the action of each.

The major assignments in this course will include:

REQUIRED COURSE MATERIALS

Textbook

Modern Dental Assisting,11 th Edition Elsevier & Saunders Modern Dental Assisting , 11 th Edition Workbook

Required Software None

4 Other Required Equipment or Supplies None

Videos

Medical Emergencies in the Dental Office, Malamed

GRADING POLICIES

Grading Scale

This course will use the following scale:

A = 93 – 100 B = 85 – 92 C = 77 – 84 D = 69 – 76 F = Below 69

The final grade for DEN 103 Dental Sciences will be determined by combining the final averages from the three content areas as follows:

PART I PART II PART III Pharmacology Dental Office Emergencies Oral Pathology

Homework 10% Homework 10% Homework 10% Quizzes 40% Quizzes 40% Quizzes 40% FINAL 50% FINAL 50% FINAL 50%

1/3 of Final Grade 1/3 of Final Grade 1/3 of Final Grade

Course Format This course will be a webenhanced course. In addition to information given during class there will be required information online for this course. The Moodle site will provide you with important course information, schedules, quizzes and homework assignments.

Instructions for access to ,Moodle, ACCess email and Web Advisor: http://moodle.alamancecc.edu

5 FIRST NAME…………………………..Joseph MIDDLE NAME………………………...Thomas LAST NAME……………………………Smith ID…………………………………………0073891

Joseph’s user name would be: jtsmith891 The password is your student ID number. You may locate your ID number on your registration receipt or on your financial aid statement. If you are unable to locate your identification number, please contact Student Development at 506-4270. Note: You will not be able to access your online course information until the first day of class.

Academic Integrity

Students enrolled at Alamance Community College are expected at all times to uphold standards of integrity. Students are expected to perform honestly and to work in every way possible to eliminate academic dishonesty. Academic dishonesty includes cheating and plagiarism.

Cheating

Any such action observed by a faculty member will result in an automatic “F” on the test f or those involved. Any student caught cheating will be dismissed at the discretion of the instructors.

Plagiarism is stealing another person’s words or ideas and passing them off as your own. When you put your name on a paper in a course at ACC, you are claiming ownership of that paper. You are saying, "I wrote this paper and the words and ideas in it are my own, except where I have credited my source through proper MLA or APA documentation."

Global plagiarism involves copying an entire paper from another source, perhaps by borrowing a paper someone else wrote or downloading one from an Internet site. This type of plagiarism is grossly unethical and inexcusable. If you are caught committing this type of plagiarism, even on a rough draft, you will receive a zero on that assignment. This typically results in an "F" in the course. Sometimes students commit this type of plagiarism because they have waited until the last minute to do an assignment and they panic. However, a student would be much better off dropping the course than earning an "F" because of plagiarism.

Cut and paste plagiarism, also called patchwork plagiarism, is no more ethical than global plagiarism. This type occurs when the writer cuts and pastes words, paragraphs, and even pages from different sources to create a whole paper which he or she then turns in as his or her own work. The student may have written an introduction, conclusion, or even a few transitions, but copied the rest of the paper word for word from different sources. Committing cut and paste plagiarism will also result in a zero on that assignment and can result in an "F" in the course.

6 Incremental plagiarisms sometimes happen through carelessness or by accident. It occurs when the writer composes most of the words, but does not properly cite or credit the sources or does not paraphrase or quote correctly. Simply rearranging the words in the passages is not enough. A paraphrase should truly be in the writer's own words. Students are responsible for understanding how to use MLA or APA Documentation, which is covered in course textbooks, handbooks, the laminated guide (included with the Hacker handbook), and online. Rough drafts with incremental plagiarism may be rewritten to eliminate the problem. Final drafts with incremental plagiarism will receive a grade penalty consistent with the amount and seriousness of the plagiarism.

Final Thoughts on Plagiarism As a student, you are responsible for the integrity of your work. If you are not confident about your writing ability, your instructor and the tutors in the Academic Skills Lab are there to help you. We as a department are committed to the idea that writing is a process and that we all make mistakes and can learn from these mistakes. We allow submission of rough and final drafts to help you grow and learn as a writer. How can we help you if the words and ideas you turn in are not your own? Please do not put us in the position of having you fail one of our courses because of plagiarism. The experience will not be pleasant for any of us.

How Do we Detect Plagiarism The Health and Public Services Division may use a plagiarism detection service called Turnitin.com to check papers for plagiarism. You will probably be asked to submit your papers to Turnitin.com online or to submit your papers in electronic format to be checked for plagiarism. Also the Google web site is used to verify authenticity of your papers. Either source will be used to document plagiarism, upon which appropriate sanctions will be utilized.

OTHER POLICIES

Attendance

Students are expected to attend and participate in each class session. When classes must be missed due to personal emergencies, sickness or death of an immediate family member, students may use up to the maximum number of absences listed on the official Attendance Policy Statement distributed during orientation. Maximum absence hours allowed: 4 hours. Weekly quizzes will be given online. Any quiz missed or incomplete, will result in a grade of 0/Zero for that quiz.

There will be NO TEST MAKE-UPS. Any student absent on the day of the final test for a content area will receive a grade of 0/Zero. Absences exceeding those listed in the Attendance Policy will result in the student being dropped from the class roll. Three tardies are counted as one absence. Absence from class does not relieve the student from the responsibility of meeting all course requirements

There will be no excused absences on the day of a test. Any test not taken will result in a grade of “0”. The Final must be taken by all students. Absence from class does not relieve the student from the responsibility of meeting all course requirements.

7 Three tardies are counted as one absence. The first ten minutes of a class constitutes a tardy; time thereafter is considered an absence.

If the attendance policy is violated after the withdrawal date (WP), the student will receiv e an F in the course and will be dismissed from the program and will no longer be able to attend class.

Students who withdraw or are dismissed for academic reasons or for violation of college policies must reapply for readmission into the Dental Assisting Program. Re-entry will b e re-evaluated after a 1 semester wait from the initial drop date, and will be dependent u pon available space and faculty review. Readmission will require that the student repeat the entire Dental Assisting Curriculum, regardless of prior enrollment progression.

Refer to your Student Handbook for additional information on attendance policies.

Course Withdrawal

Withdrawal date and receive a WP is ___April 19, 2017______

Alamance Community College recognizes that from time to time, it may be necessary for a student to withdraw from a course. Students may withdraw with a “WP” grade through t he 80 percent point of the semester. If a student withdraws during the last 20 percent of the semester, the earned grade in the class will be recorded on the student’s transcript. Students who formally withdraw many NOT continue attending that class.

If the attendance policy is violated after the withdrawal date (WP), the student will receiv e an F in the course and will be dismissed from the program and will no longer able to att end class.

Students who withdraw or are dismissed for academic reasons or for violation of college policies must reapply for readmission into the Dental Assisting Program. Re-entry will b e re-evaluated after a 1 semester wait from the initial drop date, and will be dependent u pon available space and faculty review. Readmission will require that the student repeat the entire Dental Assisting Curriculum, regardless of prior enrollment progression.

When a student misses 20 % or more of the total contact hours for this course, the stude nt will be withdrawn by the instructor from the course.

If a student does not properly withdraw or the faculty fails to withdraw a student an F will be assigned as a grade for the class.

Students who never attend or withdraw prior to the 10% point and are receiving federal financial aid are required to repay the full amount charged for tuition, books and fees. Students who withdraw through the 60% point of the term and who are receiving federal financial aid (Title IV programs) are required to repay a portion of the awarded funds for which they are not eligible due to withdrawal.

8 Library – Learning Resource Center LRC

As part of ACC’s commitment to institutional effectiveness and student success, it is critical for students to learn how to use the resources in the library. Many classes require research projects and papers that use those resources. Students need to know how to use the resources effectively. For information regarding help and use of the LRC call 336-506-4208.

ACC’s Quality Enhancement Plan (QEP)

As part of the reaffirmation process with the Southern Association of Colleges and Schools Commission on Colleges in 2013, ACC has developed a Quality Enhancement Plan (QEP) that identifies a specific area for improvement. Entitled “Write to Succeed,” ACC’s QEP focuses on improving student writing so that graduates are better prepared both for the workforce and for further education. As a result of “Write to Succeed,” ACC has opened a Writing Center (located in Main 354 in the same suite as the Academic Skills Lab). The Writing Center offers assistance with any writing task, as well as style guides and workshops, to help students be more successful in all of their classes. For more information, please visit the college’s website.

ADA Policy

Disability Services

Alamance Community College is committed to providing equal educational opportunities for students with documented disabilities. Students who require disability services or reasonable accommodations must identify themselves as having a disability and provide current diagnostic documentation to the Disability Services Office located in the Gee Building, Room 128. All information is confidential. Please contact Monica Isbell, Coordinator of Special Needs & Counseling Services for more information at 336-506- 4130 or email at [email protected]

Children on Campus

Alamance Community College does not allow children of students, faculty or staff to enter classrooms, labs or shops while instruction is being delivered. Similarly, children of students, faculty or staff are not to be left unattended in any college facility at any time.

Electronic Communication Devices Policy

Alamance Community College is committed to fostering a learning friendly environment. Electronic communication devices can be detrimental to the learning environment. Therefore, the use of cell phones and beepers in the classroom must be turned off or put on silent/vibrate mode.

Student Code of Conduct

Students at ACC are expected to conduct themselves as adults in accordance with generally accepted standards of behavior and decency at all times. Student rights,

9 responsibilities, and procedures are outlined in the current ACC Student Handbook (Student Rights/Responsibilities). Each department/program may choose to have a specific departmental handbook with specific requirements for clinicals, co-ops or other pertinent information.

If a student's behavior is interfering with classroom procedure, he/she will be asked to leave the class and will be counted absent for that session; the student will then be referred to the Associate Dean of Public Services. If the disruptive behavior continues, the student will be dropped from the class. Disruptive behavior may include, but is not limited to: cell phone talking and text messaging, sleeping in class, threatening the instructor or other students, fighting, using profanity, talking with or otherwise disturbing students, talking so loudly as to interfere with the instructor and/or the class, etc.

Students appearing to be under the influence of drugs/alcohol while on the school premises will be asked to leave class. If the student refuses to leave the instructor will need to contact the Associate Dean at which time sanctions will be leaved for such behavior (Student Handbook Page 94, Sanctions).

Social Media Policy

Please see Dental Assisting Student handbook

Safety – Emergency Evacuation

An emergency evacuation route is posted in the classroom. Please review the posted route for the closest emergency exit. Assume that when the building alarm is sounded, an emergency exists. Walk quickly to the nearest marked EXIT to evacuate the building. Campus emergency phone number is 2286.

TOPIC OUTLINE

UNIT I: DENTAL OFFICE EMERGENCIES

I. Introduction to dental office emergencies A. Predisposing factors B. Preparing for emergencies 1. Medical History 2. Emergency Kit 3. Routine practice 4. Overall checklist II. Vital Signs A. Blood Pressure 1. Influencing factors 2. Normal factors 3. Technique B. Pulse 1. Locations 2. Normal factors

10 3. Technique C. Respiration 1. Normal values 2. Technique D. Temperature 1. Dental significance 2. Normal values 3. Technique 4. Visual Inspection of the patient III. Circulatory emergencies A. Syncopy 1. Causes 2. Signs and symptoms 3. Treatment B. Injection into blood vessel 1. Signs and symptoms 2. Treatment 3. Prevention C. Hypertension 1. Importance of screening 2. Seriousness and scope of effect 3. Hypertension and dental treatment 4. Treatment D. Hemorrhage E. Orthostatic hypotension 1. Causes 2. Treatment IV. Respiratory emergencies A. Oxygen deprivation B. Mechanical abstructions 1. Common object 2. Signs and symptoms 3. Basic steps for restoration of ventilation C. Hyperventilation 1. Causes 2. Signs and symptoms 3. Treatments D. Asthma E. Allergic reactions 1. Physiological mechanism 2. Signs and symptoms a. Mild to moderate reactions b. Severe reactions 3. Treatment a. Mild to moderate reactions b. Severe reactions 4. Prevention F. Diabetic reactions 1. Physiological mechanism a. Energy metabolism b. Role of insulin in glucose absorption

11 2. Diabetic Coma a. Etiology b. Treatment 3. Insulin Shock a. Etiology b. Treatment 4. Significance in dental treatment G. Epileptic Convulsions 1. Etiology 2. Classifications a. Petit mal seizures b. Focal seizures c. Grand mal seizures 3. Grand Mal seizures in the dental operatory a. Causes b. Signs and symptoms c. Treatment 4. Managing treatment for epileptic patients H. Cardiac Emergencies 1. Congestive heart failure a. Etiology b. Signs and symptoms c. Treatment 2. Angina Pectoris a. Etiology b. Signs and symptoms c. Treatment 3. Myocardial Infarction a. Etiology b. Signs and symptoms c. Treatment

UNIT II: ORAL PATHOLOGY

I. Introduction to Oral Pathology 1. Definitions a. Importance of etiology-genetic, external 2. Review of normal tissue a. Lips b. Buccal mucosa, palate, floor of mouth c. Tongue d. Gingival, teeth e. Bone of jaw, surrounding teeth (radiographical) J. Diagnosis 1. Medical dental histories-written and oral 2. Examinations-extra and intraoral 3. Tests/procedures including: 4. Biopsies-including armamentarium a. Excisional b. Incisional K. Lesions

12 1. Definition 2. Types-including white, ulcerative, pigmented L. Inflammation 1. Definition of inflammation & 4 cardinal signs 2. Types of inflammation: acute, chronic, Localized, & systemic M. Developmental Conditions 1. Genetic, Idiopathic, congenital, innocuous 2. Jaw & Face a. Cleft lip & palate b. Tori 3. Tongue a. Foliate papillac b. Fissured tongue c. Geographic tongue 4. Teeth a. Supernumeary b. Enamel hypoplasia c. Enamel pearls d. Dilaceration e. Fusion & germination f. Dentinogenesis & amelogenesis imperfecta g. Partial anadontia -1 or more mission teeth

DISEASE OF ORAL SOFT AND HARD TISSUES WIL BE CATEGORIZED BY ETIOLOGY (know clinical appearance, etiology, and treatment of each entry).

N. Viral infections 1. Herpetic ulcers 2. Papilloma O. Disorders of the immune system 1. Recurrent Apthous Ulcers (RAU) “canker sores” 2. Lichen Planus-reticular and ulcerative P. Bacterial Infections 1. Gingivitis a. Acute Necrotizing Ulcerative Gingivitis (ANUG) b. Acute herpetic gingivostomattis-viral etiology but gingival inflammation c. Pericorontitis d. Drug or hormonal induced-compromises immune system- bacterial or viral infections. 2. Periodontitis a. Including acute perikodontal abscess 3. Caries 4. Pulpitis 5. Periapical abcess 6. Osteomyclitis 7. Syphillis Q. Fungal Infections-pathology related to candida albicans 1. Angular cheilosis 2. Thrush

13 3. Hairy Tongue R. Trauma/Irritation 1. Fibroma 2. Epulis Fissuratum 3. Papillary hyperplasia-also fungal etiology 4. Pyogenic Granuloma 5. Mucocele S. AIDS Related Lesion 1. Candidosis/candidiasis 2. Hairy Leukoplakia-Epstein Bara Virus 3. Kaposis Sarcoma 4. Gingival & Periodontal lesions T. Benign Neoplasms 1. Fibroma 2. Papilloma 3. Pleomorphic adenoma 4. Odontoma 5. Ameloblastoma 6. Periapical cemental dysplasia (cementoma) U. Maligant & premalignant lesions 1. Leukoplakia 2. Erythroplakia 3. Squamous cell carcinoma 4. Basal cell carcinoma

UNIT III: PHARMACOLOGY

V. Introduction to Pharmacology 1. Definition 2. Types of drugs 3. Drug sources 4. Drug Names W. Drug regulations and control a. Pure Food and Drug Act b. Harrison Narcotic Act c. Pure Food and Cosmetic Act d. Federal Trade Commission e. Drug Enforcement Agency f. DEA Drug Schedules g. ADA Council on Dental Therapeutics h. Drug Information Sources X. Routes of Administration 1. Enteral 2. Parenteral 3. Legal responsibilities Y. Drug actions and interactions 1. Definitions/terminology 2. Parts of a prescription 3. Common Abbreviations 4. Prescription writing/documentation 5. Legal & ethical considerations

14 Z. Analgesics 1. Definitions 2. Classification a. Mild b. Moderate c. Strong AA.CNS Depressants 1. Action/Use 2. Classifications 1. Tranquilizers 2. Barbiturates 3. Non-Barbiturates hypnotics BB. Antibiotics 1. Use and abuse 2. Mechanism of action 3. Routes of Administration 4. Antibiotics in Dentistry 1. Penicillin 2. Erythromycin 3. Tetracycline 4. Cephalosporin CC. Multiple drug resistant bacteria DD. Miscellaneous drugs 1. Steroids 2. Anticonvulsants 3. Anticoagulants 4. Antifungals 5. Antivirals 6. Antihistamines 7. Bronchodiators 8. Antianginals

15 ACCOUNTABILITY STATEMENT FOR DEN 103 SECTION 01H, DENTAL SCIENCES

I HAVE READ AND UNDERSTAND THAT I AM ACCOUNTABLE FOR ALL OF THE INFORMATION CONTAINED IN THIS SYLLABUS. I AM AWARE THAT THERE IS A HARD COPY OF THIS SYLLABUS LOCATED IN THE CLASSROOM, AS WELL AS AN ELCTRONIC COPY ON MOODLE. I HAVE BEEN GIVEN AN OPPORTUNITY TO CLARIFY ANY QUESTIONS THAT I HAVE.

Student’s Signature Date

______