Dental Assisting Program

EXPANDED DUTY DENTAL ASSISTING PROGRAM

INSTRUCTIONAL PACKAGE

DAT 123 ORAL MEDICINE/ORAL BIOLOGY LECTURE

SPRING SEMESTER 2016 INSTRUCTIONAL PACKAGE

PART I: COURSE INFORMATION

Effective Term: Spring Semester, 2016 Course Prefix: DAT 123 Course Title: Oral Medicine/Oral Biology Contact Hours: 3/week Credit Hours: 3-0-3 Course Times: Mon 9:05 am – 10:20 am Lecture Wed 9:05 am – 10:20 am Lecture Classroom: Bldg 1000, Room 1286 Lecture

RATIONALE FOR THE COURSE: DAT 123 Oral Medicine/Oral Biology introduces the Expanded Duty Dental Assisting student to the realm of chairside assisting in dentistry and functions the dental assistant performs in the profession of dentistry as it pertains to the their role in assisting the dentist with recognition of oral pathology, recognition and assisting with medical and medical emergencies as well as the dental assistant’s role in providing the patient with counseling on medications as they are prescribed by the dentist. It builds upon the knowledge and skills taught in the fall semester courses DAT 118 Dental Morphology, DAT 127 Dental Radiography, and DAT 154 Clinical Procedures I.

CATALOG DESCRIPTION: This course presents a basic study of oral pathology, pharmacology, nutrition, and common emergencies as related to the role of the Dental Assistant.

COURSE DESCRIPTION:

This course provides for proficiency of dental assisting in the clinical setting with emphasis on Pharmacology, Oral Pathology, Medical and Dental Emergencies. It teaches the student to identify normal and abnormal oral tissues, theory behind prescribing medications in dentistry and the role of the dental assistant during common dental and medical emergencies.

PRE-REQUISITES: Admission to Expanded Duty Dental Assisting program 3-3-2 DAT 123 Dental Materials 2-0-2 DAT 128 Dental Morphology 3-3-4 DAT 127 Dental Radiology 2-6-4 DAT 154 Clinical Procedures I 3-0-3 CPT 121 Introduction to Computers

CO-REQUISITES: 1-0-1 DAT 115 Ethics and Professionalism 2-0-2 DAT 121 Dental Health Education 1-3-2 DAT 122 Dental Office Management

DAT 123 Oral Medicine/Oral Biology 2016 Page 2 3-0-3 DAT 174 Dental Office Rotations 1-6-3 DAT 183 Specialty Functions 3-0-3 ENG 155 Communications I REQUIRED TEXT: 1. Dental Assisting A Comprehensive Approach, Current Edition; Phinney & Halstead; Delmar 2. Dofka; Dental Terminology; Current Edition 3. HGTC Expanded Duty Dental Assisting Program Procedures Manual, Current Edition

Please visit the Bookstore online site for most current textbook information. Use the direct link below to find textbooks. http://hortec.bncollege.com/webapp/wcs/stores/servlet/TBWizardView? catalogId=10001&langId=-1&storeId=51560.

Enter the semester, course prefix, number and section and it will take you to the correct textbook.

TECHNICAL REQUIREMENTS:  Access to Desire2Learn (D2L), HGTC’s student portal for course materials WaveNet and D2L email access

CELL PHONE ETIQUETTE: As a matter of courtesy to other students and your professor, please turn off cell phones and other communication/entertainment devices before class begins. If you are monitoring for an emergency, please notify your professor prior to class and switch cell phone ringers to vibrate. Please refer to the Expanded Duty Dental Assisting Program Manual for further information regarding Student Responsibilities and Cell Phone/Classroom Conversations/Social Media Policies.

CLASSROOM DECORUM: Students are expected to abide by certain guidelines within the classroom. Out of respect for classmates and professors, it is requested that students  Take ownership and responsibility for one’s learning.  Understand that all course material cannot be covered during lecture/laboratory time.  Show respect for others.  Engage in classroom activities.  Exhibit respect for college property.  Show respect for authority.  Realize and understand the College’s Student Code of Conduct  Understand and follow the Class Decorum/Social Media Policy

Please refer to Program Manual for further explanation of Student Responsibilities and the Class Decorum Policy.

PART II: STUDENT LEARNING OUTCOMES

COURSE CONTENT:

DAT 123 Oral Medicine/Oral Biology 2016 Page 3 This course provides for proficiency of dental assisting in the clinical setting with emphasis on the following: 1. Pharmacology 2. Oral Pathology 3. Medical and Dental Emergencies

COURSE OUTCOMES: Dental assistants must appreciate their role as a health care provider in a dental office. This role requires the Expanded Duty Dental Assisting student be proficient in the background knowledge to perform clinical dental assisting duties and supportive treatments as it pertains the care of patients during medical and dental emergencies as well explaining the instructions and reasons for the medications prescribed by the dentist. The Expanded Duty Dental Assisting student will also be able to identify normal soft and hard tissue of the oral cavity and to alert the dentist should the patient present with possible abnormal tissues. Therefore, upon completion of the following sections of DAT 123, the Expanded Duty Dental Assisting student will be competent to perform the following:

Upon completion of the first section (Pharmacology) of DAT 123, the student will be able to 1. Discuss the following pharmacological agents and their actions upon the pathological causes. a. Analgesics b. Antibiotics c. Antihistamines d. Anesthetics e. Controlled substances 2. Explain the components of a medication prescription. 3. Transcribe a medical prescription as directed by a supervising dentist.

Upon completion of the second section (Oral Pathology) of DAT 123, the student will be able to 1. Discuss the changes that affect the normal oral anatomy as it pertains to the following a. Inflammation and oral lesions b. Biological agents c. Physical agents d. Chemical agents e. Developmental disturbances f. Oral lesion related to AIDS, HIV and other viruses 2. Discuss the role of the dental assistant in assisting patients who may have various medical and dental emergencies in the dental office. 3. Perform various roles in assisting the dentist during various dental or medical emergencies or patients who may have various medical and dental emergencies in the dental office.

TEACHING METHODS: Lectures/Seminar, students project presentations, case study discussions, reading assignments, visual aids, slide projections

GENERAL EDUCATION OUTCOMES: This course fulfills the following General Education Outcomes through the use of unit exams classroom assignments and essay questions. Upon completion of this course, students will be able to:

DAT 123 Oral Medicine/Oral Biology 2016 Page 4  Communicate effectively  Possess problem solving skills/think critically  Display ethical and professional behavior in a multicultural environment  Demonstrate effective information literacy PART III: GRADING AND ASSESSMENT

EVALUATION OF REQUIRED COURSE MEASURES/ARTIFACTS:

Course Requirements: 1. Successful completion of tests and examinations with a 77% grade or better. 2. A passing grade in the lecture (didactic) portion of the course is 77%.

STUDENTS WHO DO NOT MEET THE MINIMUM STANDARDS FOR THE COURSE WILL NOT BE ALLOWED TO PROGRESS IN THE EXPANDED DUTY DENTAL ASSISTING PROGRAM.

Evaluation:

Lecture Written tests* 80% of lecture grade must complete with Final Examination 20% of lecture grade grade of 77% or higher

*Written tests are weighted equally

Grading Scale:

A = 100-93 B = 92-85 C = 84-77 D = 76-69 F = 68 and below

GRADING SYSTEM: The final grade for this course is based upon the student’s performance in the lecture portion of the course.

 A passing grade in the lecture (didactic) portion of the course is 77%.

 If you are unsuccessful in the course and would like to continue your Expanded Duty Dental Assisting education, you may reapply for readmission to the program for the following fall semester.

 It is strongly advised that returning students repeat courses previously taken for the sake of review, updating in current information, and assurance for quality infection control techniques and patient care.

Grades earned in courses impact academic progression and financial aid status. Before withdrawing from a course, be sure to talk with your instructor and financial aid counselor about the implications of that course of action. D’s, F’s W’s, WF’s and I’s also negatively impact academic progression and financial aid status.

DAT 123 Oral Medicine/Oral Biology 2016 Page 5 The ADD/DROP period is the first 5 days of the semester for full term classes. ADD/DROP periods are shorter for accelerated format courses. Please refer to the academic calendar for deadlines for add/drop (http://www.hgtc.edu/academics/academiccalendars.html). You must attend at least one meeting of all your classes during that period. If you do not, you will be dropped from the course(s) and your Financial Aid will be reduced accordingly.

PART IV: ATTENDANCE

Attendance: Horry Georgetown Technical College maintains a general attendance policy requiring students to be present for a minimum of eighty percent (80%) of his or her classes in order to be eligible to receive credit for any course. However, due to the varied nature of courses taught at the college, a more rigid attendance policy may be required by individual instructors/departments. At a minimum, a student may be withdrawn from a course(s) after he or she has been absent in excess of ten percent (10%) of the total contact hours for a course.

The Dental Sciences Department adheres to the more rigid 10% attendance policy for all courses along with the following additional attendance policies:

 ATTENDANCE IS MANDATORY. Attendance will be taken at the beginning of each class.  In the event of a serious illness that exceeds the 10% policy (for DAT 123 lecture, it will be a total of 4.5 hours), a credible excuse must be presented that states the reason for the absence and the length of time the student must be away from class. There are no excused or unexcused absences. Any time out is an absence, no matter the excuse.  For each absence, the student MUST contact the course instructor prior to the scheduled class time. Personal appointments MUST be scheduled outside of class time.  Once the 4.5 hours of absence is recorded, an “Excessive Absence From” will be sent to the student, and he/she will be withdrawn from the class and the curriculum.  For any absence, the student is responsible for the material covered in class.

Tardy Policy:  Tardiness will be tracked. Once the minutes/hours of tardiness equals one lecture/laboratory session an absence will be recorded.

Make-up Test Policy:  Students are expected to be present for all tests. Make-up exams will be provided only in those exceptional cases where the student is able to provide clear and convincing evidence of a severe illness or emergency.

 The burden of proof rests with the student requesting the make-up exam. If the student has an exceptional circumstance and is going to miss an exam, the student must contact the course instructor before the class meets. The final decision on whether or not to allow a make-up exam is at the professor’s discretion.

 Should the student be given the opportunity to take a make-up exam, IT MUST BE THE DAY THAT THE STUDENT RETURNS TO SCHOOL. If the student wishes to take their written test at the testing center, an appointment must be made with the testing center. Appointments MUST be made 24 hours in advance. The testing center will not accept same day appointments. It is the student’s responsibility to make the appointment and inform the instructor of the

DAT 123 Oral Medicine/Oral Biology 2016 Page 6 appointment time. This means the student must contact the Testing Center the day before returning to school to take the test within the required time frame as previously stated.

 Missed points on all make-up exams will be deducted from 92% instead of 100%; therefore, the highest possible grade on a make-up exam will be 92%.

PART V: STUDENT RESOURCES

In order to keep the student on track and assist with maintenance of the required grade point average and course academic requirements for the Dental Sciences Department, the faculty will be tracking assignments and test grades. If any assignments/grades fall below a 77 (“C”), the student will be referred to the course instructor or the SSTC (Student Success and Tutoring Center) for guidance and assistance.

The Student Success and Tutoring Center (SSTC) The SSTC offers to all students the following free resources: 1. Academic coaches for most subject areas, Writing Center Support, and college success skills

2. On-line student success and academic support resources.

Visit the SSTC website: www.hgtc.edu/sstc and visit the student services tab in your WaveNet account to schedule appointments using TutorTrac. For more information, call: SSTC Conway, 349-7872; SSTC Grand Strand, 477-2113; and SSTC eGorgetown, 520-1455. Room locations and Live Chat is available on the SSTC website. Student Information Center: WaveNet Central (WNC) WNC offers to all students the following free resources: 1. Getting around HGTC: General information and guidance for enrollment! 2. Use the Online Resource Center (ORC) for COMPASS support, technology education, and online tools 3. Drop-in technology support or scheduled training in the Center or in class 4. In-person workshops and online tutorials are available.

Visit the WNC website: www.hgtc.edu/wavenetcentral. Live Chat and Center locations are posted on the website. Or please call one of the following locations: WNC Conway, 349-5182; WNC Grand Strand, 477- 2076; and WNC Georgetown, 520-1473.

Disability Services:

HGTC is committed to providing an accessible environment for students with disabilities. Inquiries may be directed to Jocelyn Williams, Director of Student Development on the Conway Campus Jaime Davis,

DAT 123 Oral Medicine/Oral Biology 2016 Page 7 Counselor/Advisor on the Georgetown Campus or Jim Ratliff, Counselor on the Grand Strand Campus. These individuals will review documentation of the student’s disability and, in a confidential setting with the student, develop an educational accommodation plan.

Note: It is the student’s responsibility to self-identify as needing accommodations and to provide acceptable documentation. After a student has self-identified and submitted documentation of a disability, accommodations may be determined, accepted, and provided. Title IX Requirements

The South Carolina Technical College System does not discriminate on the basis of race, color, gender, national or ethnic origin, age, religion, disability, marital status, veteran status, sexual orientation, gender identity, or pregnancy in educational programs and activities as required by Title IX. As outlined in the Violence Against Women Act, Horry Georgetown Technical College prohibits the offenses of domestic violence, dating violence, sexual assault, and stalking. Students who believe he or she has experienced or witnessed discrimination including sexual harassment, domestic violence, dating violence, sexual assault or stalking are encouraged to report such incidents to the Title IX Coordinators:

Dr. Melissa Batten, AVP of Student Affairs Jacquelyne Barrett, AVP of Human Resources Building 1100, Room 107A, Conway Campus Building 200, Room 212A, Conway Campus 843-349-5228 843-349-5212 [email protected] [email protected]

*Faculty and Staff are required to report incidents to the Title IX Coordinators when involving students. The only HGTC employees exempt from mandatory reporting are licensed mental health professionals (only as part of their job description such as counseling services).

PART VI: INSTRUCTOR INFORMATION

Instructor Name: Thomas Kelly, DDS Campus Phone Number: 843-839-1062 College Email Address: [email protected] Office Location: Grand Strand Campus Speir Allied Health Building, Bldg. 1000 Dental Annex Rm. 1282A Office Hours: By Appointment

LECTURE & LAB SCHEDULE Order and sequence subject to change based on competency level Homework is DUE on the date line on which it is written DATE TOPIC READING

DAT 123 Oral Medicine/Oral Biology 2016 Page 8 (Subject to change) ASSIGNMENT 1/11 LECTURE: Chapter 15 1/13 Introduction to Course General Principles of Pharmacology and Drug Action

1/18 LECTURE: School Closed-No Classes

1/20 LECTURE: Chapter 15 1/25 Antimicrobial Medications and Handout Case Study Discussion 1/27 LECTURE: Chapter 20 2/1 Local and General Anesthesia and Handout Case Study Discussion 2/3 LECTURE: Chapter 15 2/8 Non-narcotic and Narcotic Analgesics and Handout Case Study Discussion 2/10 LECTURE: Review for Test 1: Pharmacology 2/15 LECTURE: TEST 1 Pharmacology 1. General Principles of Pharmacology and Drug Action 2. Antimicrobial Medications 3. Local and General Anesthesia 4. Non-narcotic and Narcotic Analgesics 2/17 LECTURE: Chapter 26 2/22 Neoplastic Diseases 2/24 2/29 LECTURE: Chapter 26 3/2 Infectious Diseases and Handout 3/7 LECTURE: Pages 98-100 3/9 Endocrine Disorders and Treatment and Handout 3/11 - If time permits, review for Test 2 Oral Pathology 3/14 TEST 2 1. Oral Pathology a. Neoplastic Diseases b. Infectious Diseases 2. Endocrine Disorders and Treatment If time permits, begin Cardiovascular Disease and Treatment 3/16 LECTURE: Pages 100 – 3/21 Cardiovascular Disease and Treatment 102 and Handout 3/23 LECTURE: Substance Abuse and Treatment 3/28 LECTURE: 3/30 Spring Break-No Classes

4/4 LECTURE: Handout Substance Abuse and Treatment continued

DAT 123 Oral Medicine/Oral Biology 2016 Page 9 4/6 LECTURE: Chapter 16 (to 4/11 Medical Emergencies in the Dental Office page 334) and Handout 4/13 LECTURE: TEST 3 1. Cardiovascular Disease and Treatment 2. Substance Abuse and Treatment 3. Medical Emergencies in the Dental Office 4/18 LECTURE: Pages 334 – 4/20 Oral Conditions and Treatments 338 and Handout 4/25 LECTURE: Comprehensive review 4/27 LECTURE: TBA TBA Comprehensive Written Final Examination

LECTURE OBJECTIVES

At the completion of the lecture and assigned readings, the student will be able to:

LECTURE 1/ 11 /16 and 1/13/16 Introduction to course General Principles of Pharmacology and Drug Reaction Chapter 15 and Handout 1. Define pharmacology 2. List and describe the related disciplines associated with pharmacology 3. Describe the role of the dental assistant in pharmacology 4. List where detailed and updated information on medications can be found 5. Describe the different names used to identify medications 6. Define generic equivalence and how it is related to drug substitutions 7. List the different parts of the prescription 8. Define the role of the dental assistant in the prescription writing process 9. List the federal regulatory agencies involved in the regulation of medications 10. Discuss the Controlled Substance Act of 1970 11. Briefly describe a dose-response curve 12. Briefly describe the following terms a. Potency b. Therapeutic index c. Idiosyncrasy d. Allergy e. Tolerance f. Therapeutic effect g. Side effect h. Toxic effect i. Adverse reaction

DAT 123 Oral Medicine/Oral Biology 2016 Page 10 13. Discuss drug metabolism and how it can affect drug dosing 14. Discuss the different routes of drug administration, including time of onset and use 15. Discuss the different routes of drug excretion and what factors can influence them 16. Discuss the different factors that can alter drug effects

LECTURE DATE: 1/18/16 No Classes LECTURE DATE: 1/20/16 and 1/25/16 Antimicrobial Medications and Case Study Discussion: Kathleen Fitzpatrick Chapter 15 and Handout 1. Define antiinfective, antifungal, antiviral, antibiotic, bactericidal ,bacteriostatic, infection, resistance, and spectrum 2. Discuss the general mechanism of action of antibiotics and the factors that influence antibiotic effectiveness 3. Describe the role of antiinfective drugs in dentistry 4. List and describe the different topical antibiotics and their role in dentistry 5. List and describe the reasons for prophylaxing a patient prior to a dental procedure, including antibiotics used and their doses. 6. List and describe the antiviral drug used in dentistry, including mechanism of action, spectrum, adverse reactions, clinical use and dental concerns

LECTURE DATE: 1/27/16 and 2/1/16 Local and General Anesthesia and Case Study Discussion: Fannie Smith Chapter 20 and Handout 1. Describe the general characteristics of local anesthetics 2. List the classifications of local anesthetics 3. Describe the site, mechanism of action, and ionization factors of local anesthesia 4. Describe the pharmacology and pharmacokinetics of local anesthetics 5. Describe the adverse effects associated with local anesthetics 6. Discuss the rationale for adding a vasoconstrictor to a local anesthetic 7. Describe the relationship between vasoconstrictors and cardiovascular disease 8. Define anesthesia 9. Describe the mechanisms of action of general anesthesia 10. Describe the stages and planes of anesthesia 11. Discuss the adverse reactions associated with general anesthetics 12. Discuss the pharmacologic and pharmacokinetic actions of nitrous oxide, including time course of action, organ system effects, drug interactions, dental concerns and adverse reactions 13. Define the term “conscious sedation” and its relationship to anesthesia including drug pharmacology, pharmacokinetics, drug interactions, dental concerns and adverse reactions

LECTURE DATE: 2/3/16 and 2/8/16 Non-narcotic and Narcotic Analgesics and Case Study: James Smith Chapter 15 and Handout 1. Discuss the concept of pain and the different factors that can affect a patient’s response to painful stimuli 2. Describe the calculates of the prototype of nonopioid analgesics, including example, mechanisms of action, pharmacologic effects, pharmacokinetics, and therapeutic effects 3. Describe the different adverse reactions, drug reactions and contraindications of calculates 4. Describe the dental concerns associated with calculates 5. Define non-steroidal anti-inflammatory drugs including examples, mechanisms of action, pharmacologic effects and therapeutic effects

DAT 123 Oral Medicine/Oral Biology 2016 Page 11 6. Describe the different adverse reactions, drug interactions, and contraindications of non- steroidal anti-inflammatory drugs 7. Describe the dental concerns associated with non-steroidal anti-inflammatory drugs 8. Describe the classifications of narcotic analgesics 9. Describe the mechanisms of action of opioid analgesic 10. Describe the pharmacokinetics of opioid analgesics 11. Describe the pharmacologic effects, therapeutic effects, and dental uses of opioid analgesics 12. Describe the adverse reactions, drug interactions, contraindications, and dental concerns of opioid analgesics 13. List specific opioid analgesics including differentiating factors 14. Describe the abuse potential associated with opioid analgesics 15. Provide a general overview of the opioid addict

LECTURE DATE: 2/10/16 Review for Test 1 1. Pharmacology

LECTURE DATE: 2/15/16 Test 1 1. Pharmacology

LECTURE DATE: 2/17/16, 2/22/16 and 2/24/16 Neoplastic Diseases – Benign and malignant cancers of the mouth, premalignant lesions and treatment Chapter 26 1. Describe the reproductive cycle of the cell 2. Describe the general characteristics of cancer cells 3. Define the following terms a. Neoplasia b. Benign c. Malignant d. Metastasis 4. Discuss the rational for the use of chemotherapy and its effectiveness in treating cancer 5. List the different types of chemotherapeutic agents and describe their general mechanisms of actions and adverse reactions 6. List examples of the different classes of chemotherapeutic agents along with mechanisms of actions and clinical use 7. Discuss the dental concerns associated with chemotherapeutic agents and effectively counsel patients about them

LECTURE DATE: 2/29/16 and 3/2/16 Infectious Diseases – Emphasis on Caries, Periodontal Disease, HIV, TB, hepatitis, pulpal and periodontal infections and opportunistic infections Chapter 26 and handout 1. Discuss the difference between HIV and AIDS 2. Describe the antiretroviral drugs used in the treatment of HIV infection including mechanisms of actions, adverse reactions, and drug interactions 3. Discuss the dental concerns associated with HIV and AIDS 4. List the different opportunistic infections associated with HIV and AIDS and their treatments

DAT 123 Oral Medicine/Oral Biology 2016 Page 12 5. List the different drugs used to treat tuberculosis including mechanism of action and adverse reactions 6. Discuss the dental concerns associated with tuberculosis and its treatments 7. Discuss the differences between hepatitis A, hepatitis B, hepatitis delta, and non-A, non-B hepatitis 8. Describe the pre-exposure prophylaxis for hepatitis A and hepatitis B 9. Describe the post-exposure prophylaxis for hepatitis A and hepatitis B 10. Describe the dental concerns associated with hepatitis

LECTURE DATE: 3/7/16 AND 3/9/16 Endocrine disorders and Their Treatment Pages 96 – 98 and Handout 1. Describe the relationship between the pituitary gland and hypothalamus in the regulatory mechanism of hormones of the body 2. Describe the negative feedback mechanism of the hypothalamus, pituitary gland, and adrenal cortex system 3. List the pharmacologic effects, clinical uses, adverse reactions, and dental concerns associated with glucocorticoids and mineralocorticoids 4. Describe the overall function of the thyroid gland 5. Compare and contrast hypothyroidism and hyperthyroidism 6. Describe the symptoms of hypothyroidism, including dental concerns and list the various drugs used to treat it 7. Describe the symptoms of hyperthyroidism, including dental concerns and list the various drugs used to treat it 8. Describe the overall function of the pancreas and describe the pathogenesis of diabetes 9. Discuss the dental concerns of diabetes 10. List drugs used to treat both type I and type I diabetes including general mechanisms of action and adverse reaction 11. Describe the overall function of estrogen and progesterone including clinical use, adverse reactions and dental concerns 12. Describe the overall function of male sex hormones including clinical use, adverse reactions, and dental concerns If time permits, review for Test 2 Oral Pathology 1. Neoplastic Diseases 2. Infectious Diseases 3. Endocrine Disorders and Treatment

LECTURE DATE: 3/14/16 Test 2 Oral Pathology 1. Neoplastic Diseases 2. Infectious Diseases 3. Endocrine Disorders and Treatment If time permits, begin Cardiovascular Disease and Treatment

LECTURE DATE: 3/16/16 and 3/21/16 Cardiovascular Disease and Treatments Pages 98 – 120 & 314 – 316 and handout 1. Discuss the dental concerns associated with cardiovascular disease 2. Describe congestive heart failure as one of the most common categories of cardiovascular disease 3. Describe the pharmacologic effects and adverse reactions of cardiac glycosides 4. List other drugs used to treat congestive heart failure 5. Define arrhythmia and list its causes

DAT 123 Oral Medicine/Oral Biology 2016 Page 13 6. Describe the four classifications of anti-arrhythmics 7. Define angina and list the classes of medications used to treat it 8. Describe hypertension and the stepped-care approach used in treating it 9. List the different classes of antihypertensive medications including pharmacologic effects and adverse reactions 10. Describe the factors that may place one at risk for hyper-lipidemic disorders 11. List the categories of drugs used to treat high cholesterol including pharmacologic effects and adverse reactions 12. Briefly discuss the coagulation process 13. Briefly list and discuss the drugs used to treat coagulopathies 14. Discuss the dental concerns associated with the drugs used to treat cardiovascular disorders

LECTURE DATE: AND 3/23/16 Substance Abuse and Treatments Handout 1. Define the following terms a. psychological dependence b. physical dependence c. Tolerance d. Addiction e. Drug Abuse 2. Describe the effects of CNS stimulant abuse 3. Discuss the pharmacological effects, adverse reactions, and toxicity associated with cocaine and amphetamines 4. Describe the abuse associated with caffeine and nicotine 5. Describe the effects of CNS depressant substance abuse 6. Discuss the patterns of abuse , management of overdose and withdrawal, and dental concerns associated with alcohol, opioid analgesics and sedative-hypnotics 7. Describe the abuse associated with the hallucinogens phencyclidine, marijuana, and lysergic acid diethylamide

LECTURE DATE: 3/28/16 and 3/30/16 No Classes -Spring Break

LECTURE DATE: 4/4/16 Substance Abuse and Treatments Handout 8. Define the following terms a. psychological dependence b. physical dependence c. Tolerance d. Addiction e. Drug Abuse 9. Describe the effects of CNS stimulant abuse 10. Discuss the pharmacological effects, adverse reactions, and toxicity associated with cocaine and amphetamines 11. Describe the abuse associated with caffeine and nicotine 12. Describe the effects of CNS depressant substance abuse 13. Discuss the patterns of abuse , management of overdose and withdrawal, and dental concerns associated with alcohol, opioid analgesics and sedative-hypnotics 14. Describe the abuse associated with the hallucinogens phencyclidine, marijuana, and lysergic acid diethylamide

DAT 123 Oral Medicine/Oral Biology 2016 Page 14 LECTURE DATE: 4/6/16, and 4/11/16 Medical Emergencies in the Dental Office Chapter 16 to page 316 and handout 1. Describe the factors that can increase the incidence of medical emergencies 2. Discuss the different methods of preventing medical emergencies in a dental office 3. Describe the different ways dental personnel can prepare for medical emergencies 4. List and describe the medications and equipment necessary for an emergency medical kit 5. Describe the general treatment of all emergencies that can occur in the dental office 6. Describe the treatment of cardiovascular emergencies in the dental office 7. Describe the treatment of central nervous system emergencies in the dental office 8. Describe the treatment of respiratory emergencies in the dental office 9. Describe the treatment of endocrine emergencies in the dental office 10. Describe the treatment of drug-induced medical emergencies in the dental office Time permitting on 4/11/16 Review for Test 3

LECTURE DATE 4/13/16 Test 3 1. Cardiovascular Disease and Treatments 2. Substance Abuse and Treatments 3. Medical Emergencies

LECTURE DATE 4/18/16 and 4/20/16 Oral Conditions and Treatments Pages 316 – 317 and Handout 1. Describe actinic lip changes and angular cheilosis and their causes 2. Describe the following oral condition, their causes and treatment options a. Aphthous ulcers b. Herpes virus c. Candida albicans d. Dental decay e. Amalgam tattoo f. Geographic tongue g. Lesions above the surface of the oral mucosa h. Lesions below the surface of the oral mucosa i. Lesions even with the surface of the oral mucosa 3. Differentiate herpes virus I & herpes virus II 4. Define the following terms a. Thrush b. Leukoplakia c. Percussion d. Palpation e. Idiopathic f. Etiology g. Pulpitis h. Apical periodontitis i. Blister j. Bulla k. Hematoma l. Cyst

LECTURE DATE: 4/25/16 Review for Comprehensive Written Final Examination

DAT 123 Oral Medicine/Oral Biology 2016 Page 15 LECTURE DATE: 4/27/16 TBA

TBA Comprehensive Written final Examination

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DAT 123 Oral Medicine/Oral Biology 2016 Page 16 STUDENT SYLLABUS AGREEMENT

I, ______, have received the course syllabus for DAT 123 Oral Medicine/Oral Biology from Dr. Thomas Kelly. The syllabus has been explained to me, and I have had all of my questions answered by the instructor. I understand that it is my responsibility to keep the syllabus in my possession for future reference. I will take the initiative and maintain the necessary degree of persistence to obtain any future questions to be answered by the instructor.

I also understand that additional assistance may be obtained from the instructor during posted office hours or by scheduling a personal appointment; however, it is my responsibility to seek such assistance. I further understand that my instructor may recommend that I schedule an appointment with her or seek assistance from the SSTC (Student Success and Technology Center).

I fully understand the potential for both passing and failing this course, and that I must obtain a cumulative grade of at least a grade of “C” or higher. This means I must achieve a 77% or higher for the lecture portion of the course to obtain the grade of “C” to successfully complete the course.

I have been given ample time to review this information and are therefore signing my name that I fully agree to the guidelines specified in this syllabus.

STUDENT NAME PRINTED:______

STUDENT SIGNATURE:______

DATE:______

This document is to be signed and returned to the course instructor by the end of the first lecture period.

DAT 123 Oral Medicine/Oral Biology 2016 Page 17 DAT 123 Oral Medicine/Oral Biology 2016 Page 18