Dental Science I

EXAM INFORMATION DESCRIPTION

Exam Number The first assessment in a series, Dental Science I prepared 720 students to assist a dentist or dental hygienist performing the Items functions of a dental practice. Topics include: chairside assisting, patient preparation, front office functions, selected 52 dental office laboratory procedures, and introduction to Points radiology. 66 EXAM BLUEPRINT Prerequisites

NONE STANDARD PERCENTAGE OF EXAM

Recommended Course 1. Field of 8% Length 2. Basic Dental Equipment 12% 3. Ethical & Legal Behavior 5% ONE SEMESTER 4. Personal Safety 9% National Career Cluster 5. Infection Control 15% 6. Oral Anatomy 27% HEALTH SCIENCE 7. Identify the Infectious Process 6% NCHSE HEALTH SCIENCE 8. Preventive Dentistry Program 6% BUNDLE 9. Skills and Responsibilities 9% Performance Standards 10. Perform Basic Life Support Skills 3%

INCLUDED (OPTIONAL)

Certificate Available

YES

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STANDARD 1

Students will examine the field of dentistry

Objective 1 Describe the following dental health team members (including educational requirements, professional organizations, responsibilities, and licensure): 1. Dentist 2. Dental Hygienist 3. Dental Assistant 4. Administrative Assistant 5. Dental Laboratory Technician Objective 2 Describe the following areas of specialization in dentistry: 1. Dental Public Health 2. Endodontics 3. Oral & Maxillofacial Radiology 4. Oral & Maxillofacial Surgery 5. Oral Pathology 6. 7. Pediatric Dentistry 8. Periodontics 9. Prosthodontics

Standard 1 Performance Evaluation included below (Optional)

STANDARD 2

Students will identify areas of the dental office and basic dental equipment

Objective 1 Identify and describe the following areas of the dental office: 1. Dental Operatory (treatment area) 2. Reception area 3. Administration/Business area 4. Sterilization area 5. Dental laboratory 6. Dentist’s private office 7. Consultation room www.precisionexams.com Dental Science I 720.2021

8. Dental staff lounge Objective 2 Identify and describe proper use and maintenance of the following equipment: 1. Operator stool 2. Assistant stool 3. Dental chair 4. Operating light 5. Air water syringe 6. Oral evacuation system 7. Curing light 8. Tritruator 9. Amalgamator 10. Rheostat (foot control) 11. X-ray systems 12. Autoclave 13. Ultrasonic cleaner Objective 3 Outline basic morning and evening routines

Standard 2 Performance Evaluation included below (Optional)

STANDARD 3

Students will demonstrate an understanding of appropriate ethical and legal behavior in a dental setting

Objective 1 Define the difference between ethics and laws including importance of professional and personal ethics in the workplace. Objective 2 Discuss ethical and legal responsibilities for the dental healthcare worker Objective 3 Identify standards of the Health Insurance Portability and Accountability Act/HIPAA and discuss the need to protect the patient’s privacy. Objective 4 Explain the purpose of the State Dental Practice Act and how it applies to the role of the dental assistant. List and understand the levels of supervision. 1. Direct Supervision 2. Indirect Supervision 3. General Supervision

Standard 3 Performance Evaluation included below (Optional)

STANDARD 4 www.precisionexams.com Dental Science I 720.2021

Students will demonstrate personal safety procedures based on OSHA and CDC guidelines

Objective 1 Explain the OSHA Bloodborne Pathogen Standard including: 1. Training requirements 2. Employee medical records 3. Exposure protocol Objective 2 Outline the OSHA Hazard Communication Standard including: 1. Training program 2. Chemical inventory 3. Locate OSHA posters and SDS sheets on site Objective 3 Compare and contrast the roles of government agencies 1. OSHA 2. CDC 3. NIOSH 4. EPA 5. FDA

Standard 4 Performance Evaluation included below (Optional)

STANDARD 5

Students will demonstrate infection control protocol

Objective 1 Identify the components of the chain of infection 1. Virulence/infectious agent 2. Number of microorganisms 3. Susceptible host 4. Portal of entry Objective 2 Identify modes of infection transmission in the dental office. 1. Direct transmission 2. Indirect transmission 3. Airborne transmission 4. Parenteral transmission 5. Bloodborne transmission Objective 3 Outline standards for prevention of disease transmission 1. Prevent cross contamination 1. Patient to dental team 2. Dental team to patient 3. Patient to patient www.precisionexams.com Dental Science I 720.2021

4. Dental office to community 5. Community to dental office 2. Maintain aseptic conditions Objective 4 Compare the different types of dental waste and appropriate waste disposal. 1. General waste 2. Hazardous waste 3. Contaminated waste 4. Infectious waste 1. Blood/blood-soaked materials 2. Pathological waste 3. Sharps, needles, burs

Standard 5 Performance Evaluation included below (Optional)

STANDARD 6

Oral Anatomy. Students will identify intra-oral anatomy and surrounding structures

Objective 1 Identify teeth by name, location, and permanent, primary, or mixed dentition. Objective 2 Identify anatomical parts, tissues, and surfaces of a . Objective 3 Identify supporting structures. 1. Periodontal ligaments 2. Alveolar bones 3. Gingiva 4. Cementum Objective 4 Identify primary and permanent teeth using the Universal Tooth Numbering System. Objective 5 Identify major landmarks of the oral cavity and surrounding structures. 1. Maxillary sinus 2. Salivary glands and ducts 3. Maxilla 4. Mandible 5. TMJ 6. Incisive papilla 7. Rugae 8. Uvula 9. Frenulum 10. Soft palate 11. Hard palate www.precisionexams.com Dental Science I 720.2021

12. Tongue 13. Teeth 14. Oral muscosa 15. Temporal bone 16. Trigeminal nerve Objective 6 Describe genetic and developmental factors that can affect dental development. 1. Tori 2. Supernumerary 3. Enamel dysplasia 4. Cleft palate 5. Cleft lip 6. Tongue-tied 7. 8. 9. Macrodontia

Standard 6 Performance Evaluation included below (Optional)

STANDARD 7

Students will identify the infectious process of dental caries and other diseases of the oral cavity

Objective 1 Outline the dental caries process: 1. Acids in plaque and saliva attack the tooth 2. Calcium and phosphate are dissolved from the enamel (demineralization) 3. Fluoride, calcium, and phosphate are re-deposited into the tooth (remineralization) Objective 2 Describe the clinical characteristics of : 1. 1. Red Tissues 2. Swollen Tissues 3. Tissues Bleed Easily 2. Periodontitis 1. Inflammation of periodontium 2. Mobility 3. Pain 4. Pus Objective 3 Understand the diseases/conditions of the oral cavity and tongue including: 1. Oral cancer www.precisionexams.com Dental Science I 720.2021

2. Candidiasis (thrush) 3. Cellulitis 4. 5. 6. 7. Herpes 8. “” 9. Eating Disorders

Standard 7 Performance Evaluation included below (Optional)

STANDARD 8

Students will identify components of a comprehensive preventive dentistry program including patient education

Objective 1 Explain the parts of a preventive dentistry program and their effects on oral conditions. 1. Nutrition a. Dental decay is directly linked to the presence of dietary sugars (sucrose) in the diet. 2. Plaque control a. Disclosing b. Tooth brushing methods-Bass c. Flossing 3. Fluoride therapy 4. Dental check-ups Objective 2 Identify different products used for oral hygiene and their uses. 1. Toothbrushes 2. Dental floss/tape 3. Interdental aids 4. Toothpastes 5. Mouth rinses

Standard 8 Performance Evaluation included below (Optional)

STANDARD 9

Students will be able to perform the skills and responsibilities of a dental assistant in the front office www.precisionexams.com Dental Science I 720.2021

Objective 1 Identify the differences between verbal and nonverbal communications. 1. Verbal-words spoken 1. Words 2. Listening skills 3. Voice inflection 2. Non-verbal-body language 1. Facial expressions 2. Appearance 3. Gestures 4. Mannerisms 5. Attitudes 6. Actions Objective 2 Describe good phone courtesy. 1. Smile 2. Don’t chew gum or eat 3. Speak directly into the receiver 4. Speak clearly and slowly 5. Answer promptly 6. Greet patient-identify yourself and the practice 7. Ask how you can help the caller Objective 3 Outline the process of scheduling appointments. 1. Guidelines for scheduling-units of time 2. Confirmation of appointments 3. Re-call Objective 4 Discuss the functions of computerized practice management systems. 1. Patient registration 2. Scheduling 3. Charting 4. Progress notes 5. Radiographs Objective 5 Identify the data gathering process and prepare a patient record. 1. Registration form 2. Medical-dental health history form 3. Clinical examination form 4. Progress note form 5. Treatment plan Objective 6 Define terminology related to insurance. 1. Assignment of benefits www.precisionexams.com Dental Science I 720.2021

2. Carrier 3. Co-insurance 4. Deductible 5. Dependent 6. Eligibility 7. Exclusions 8. Maximum 9. Provider Objective 7 Learn the common dental procedure codes 1. Diagnostic D0100-D0999 1. Clinical oral evaluations 1. D0120 Periodic oral evaluation-established patient 2. D0150 Comprehensive oral evaluation-new or established patient 2. Radiographs/diagnostic imaging (including interpretation) 1. D0220 Intraoral – periapical first film 2. D0272 Bitewings-two films 3. D0274 Bitewings-four films 4. D0330 Panoramic film 3. Tests and examinations 4. Oral Pathology laboratory 2. Preventive D1000-D1999 1. Dental prophylaxis 1. D1110 Prophylaxis-adult 2. D1120 Prophylaxis-child 2. Topical fluoride treatment (office procedure) 1. D1206 Topical fluoride varnish 3. Other preventive services 1. D1351 Sealant-per tooth 3. Restorative D2000-D2999 1. Resin-based composite restorations – direct 1. D2330 composite-one surface, anterior 2. D2331 composite-two surface, anterior 3. D2332 composite-three surface, anterior 4. D2335 composite-four or more surface, anterior 5. D2391 composite-one surface, posterior 6. D2392 composite-two surface, posterior 7. D2393 composite-three surface, posterior 8. D2394 composite-four or more surfaces, posterior www.precisionexams.com Dental Science I 720.2021

2. Gold foil restorations 3. Inlay/onlay restorations 4. Crowns – single restorations only 1. D2740 -porcelain/ceramic 2. D2751 crown-porcelain fused to metal 3. D2792 post and core in addition to crown 4. Endodontics D300-D3999 1. Pulp capping 1. D3120 pulp cap-indirect (dycal) 2. Pulpotomy 1. D3221 pulpal debridement 3. Endodontic therapy on primary teeth 4. Endodontic therapy (including treatment plan, clinical procedures, and follow-up care) 1. D3310 anterior 2. D3320 bicuspid 3. D3330 molar 5. Endodontic retreatment 6. Apexification/recalcification procedures 7. Apicoectomy/periradicular services 8. Other endodontic procedures 5. Periodontics D4000-D4999 1. Surgical services (including usual postoperative care) 2. Non-Surgical periodontal service 3. Other periodontal services 6. Removable Prosthodontics D500-D5899 1. Complete dentures 1. D5110 complete denture-maxillary 2. D5120 complete denture-mandibular 2. Partial dentures (including routine post-delivery care) 3. Adjustments to dentures 4. Repairs to complete dentures 5. Repairs to partial dentures 6. Denture rebase procedures 7. Denture reline procedures 8. Interim prosthesis 9. Other removable prosthetic services 7. Maxillofacial Prosthetics D5900-D5999 1. Prosthetic replacements www.precisionexams.com Dental Science I 720.2021

2. Radiation 3. Surgical splinting 8. Implant Services D600-D6199 1. Pre-surgical services 2. Surgical services 1. D6010 surgical placement of implant body: endosteal implant 3. Implant supported prosthetics supporting structures 4. Implant/abutment supported removable dentures 5. Implant/abutment supported fixed dentures (hybrid prosthesis) 6. Single crowns, abutment supported 1. D6060 abutment supported porcelain fused to base metal crown 7. Single crowns, implant supported 8. Fixed partial denture, abutment supported 9. Fixed partial denture, implant supported 10. Other implant services 9. Fixed Prosthodontics D6200-6999 1. Fixed partial denture pontics 1. D6241 pontic-porcelain fused to base metal 2. D6245 pontic-porcelain/ceramic 2. Fixed partial denture retainers – inlays/onlays 3. Fixed partial denture retainers – crowns 1. D6721 crown-resin with base metal 2. D6740 crown-porcelain/ceramic 4. Other fixed partial denture services 10. Oral Surgery D700-D7999 1. Extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) 1. D7140 extraction, erupted tooth or exposed root 2. Surgical extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) 1. D7220 removal of impacted tooth-soft tissue 2. D7230 removal of impacted tooth-partially bony 3. D7240 removal of impacted tooth-completely bony 4. D7241 removal of impacted tooth – completely bony, with unusual surgical complications 3. Other surgical procedures 1. Alveoloplasty – surgical preparation of ridge for dentures 2. Vestibuloplasty www.precisionexams.com Dental Science I 720.2021

3. Surgical excision of soft tissues lesions 4. Surgical excision of intraosseous lesions 5. Excision of bone tissue 6. Surgical incision 7. Treatment of fractures – simple 8. Treatment of fractures – compound 9. Reduction of dislocation and management of other temporomandibular joint dysfunctions 10. Repair of traumatic wounds 11. Complicated suturing (reconstruction requiring delicate handling of tissues and wide undermining for meticulous closure) 12. Other repair procedures 11. Orthodontics D8000-D8999 1. Limited orthodontic treatment 2. Interceptive orthodontic treatment 3. Comprehensive orthodontic 4. Minor treatment to control harmful habits 5. Other orthodontic services 12. Adjunctive General Services D9000-D9999 1. Unclassified treatment 2. Anesthesia 3. Professional consultation 4. Professional visits 5. Drugs 6. Miscellaneous services (bleaching, desensitizing, occlusal analysis)

Standard 9 Performance Evaluation included below (Optional)

STANDARD 10

Students will be able to perform basic life support skills

Objective 1 Describe the signs and symptoms of common medical emergencies and describe how to respond to them. 1. Symptom-what a patient tells you regarding how they feel 2. Sign-what you observe in a patient 3. Common emergencies include: 1. Airway obstruction/choking www.precisionexams.com Dental Science I 720.2021

2. Syncope/fainting 3. Postural hypotension 4. Angina/chest pain 5. Acute myocardial infarction/heart attack 6. Stroke/CVA 7. Hyperventilation 8. Asthma attack 9. Allergic reaction 10. Seizure 11. Diabetic shock 12. Hyperglycemia 13. Hypoglycemia

Objective 2 Understand how to take, record, and monitor vital signs using automated systems:

1. Blood pressure 2. Pulse

Standard 10 Performance Evaluation included below (Optional)

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Dental Science I

Performance assessments may be completed and evaluated at any time during the course. The following performance skills are to be used in connection with the associated standards and exam. To pass the performance standard the student must attain a performance standard average of 8 or higher on the rating scale. Students may be encouraged to repeat the objectives until they average 8 or higher.

Student’s Name: ______

Class: ______

PERFORMANCE STANDARDS RATING SCALE

STANDARD 4 – Personal Safety Score: Demonstrate proper use of PPE and correct handwashing technique. Obtain Hepatitis B vaccination or provide signed declination form. Demonstrate methods of sterilization and disinfection. STANDARD 9 – Skills & Responsibilities Score: Instruct a patient in oral hygiene. Prepare a patient record. Seating and dismissing patients. STANDARD 10 – Perform Basic Life Support Skills Score: Obtain current CPR certification. Workplace Skills Describe the characteristics of a professional dental assistant. o Professional appearance o Teamwork o Attitude o Dedication o Responsibility o Initiative o Legal requirements/confidentiality o Personal qualities o Courtesy and respect for patients and team members o Attendance of work hours www.precisionexams.com Dental Science I 720.2021

o Professional communication (grammar) o Problem solving o Critical thinking o Dependability o Accountability

PERFORMANCE STANDARD AVERAGE SCORE:

Evaluator Name: ______

Evaluator Title: ______

Evaluator Signature: ______

Date: ______

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