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Course : Dental Hygiene 2 Clinical Practice 2024

Course Number
Section Number
Spring 2024
Centennial Hall, 103
Debra Kelley
Days & Times
Final Exam Day/Time


Given the integration of didactic and clinical experience as applied on patients and peers, the prerequisite course Clinical Practice I (DNHY 3114), treatment and consistent student – instructor collaboration, upon completion of this course the student should be able to:



  1. Position the dental chair, clinicians stool, and dental light to insure patient/clinical comfort, communication and effective delivery of dental hygiene services.


  1. Organize dental hygiene instruments and supplies in a manner that enhances clinical efficiency and insures effective delivery of patient treatment and services.


  1. Apply accepted standards of infection control at all times in the clinical setting.


  1. Maintain a patient care delivery area that is organized, safe and follows proper infection control protocols.


  1. Sharpen and maintain instruments to insure effective instrumentation and preservation of instrument.


  1. Utilize information obtained from the health history to determine possible modifications and/or contraindications to treatment.


  1.  Accurately assess and document patient’s vital signs, making referrals to other health care

            Providers as appropriate.  


  1. Perform an extra-oral and intraoral inspection and accurately record significant findings.


  1. Examine all oral tissues for signs of health or pathological changes and record the findings.


  1. 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.


  1. 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.


  1. Apply principles of instrumentation and knowledge of tooth morphology in selecting appropriate

            instruments to detect and remove deposits.


  1. Develop treatment plan and present to Class 2/2+/3 level patients.


  1. Obtain the patient informed consent based on a thorough case presentation.


  1. Present appropriate oral health prevention programs based on patients individual needs


  1. Select and administer appropriate topical fluoride treatment including varnish, tray, rinse &



  1. Complete all clinic paperwork legibly and in a timely manner with appropriate detail in

            documentation, as is required for this level of clinical practice.


  1. Demonstrate proper equipment maintenance.


  1. Provide CPR Basic Life support as may be necessary in clinic.


  1. Perform all Clinic Assistant duties utilizing correct techniques and infection control protocol.


  1. Correctly and efficiently perform all Clinic Receptionist duties.


  1. Properly take alginate impressions; pour and trim acceptable diagnostic casts.


  1. 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 assessment.


  1. Electronically document two (2) patient assessment finding utilizing Ascend computer software.


Six competency evaluations will be given in Clinical Practice 2. These grades will figure into the overall Quality instrumentation component.


1.Topical Fluoride Application

  • Evaluation scheduled by instructor and conducted on fellow students

2.Coronal Polishing  

  • Evaluation scheduled by instructor and conducted on fellow students
  1. Instrumentation
  • Evaluation scheduled by instructor and conducted on fellow students

4.Medical History Review

  • Evaluation scheduled by instructor and conducted on fellow students

5.Cleaning of Dental Prostheses

  • Evaluation scheduled by instructor and conducted on fellow students

6.Management of Class 2, 2+ level patient treatment

  • Evaluation scheduled by instructor and conducted on clinic patients


Six competency evaluations will be given in Clinical Practice 2. These grades will figure into the overall Quality instrumentation component.


The grade for this course is based on QUALITY AND QUANTITY requirements. Both play a significant role in the development of student competencies in patient care.


The Quality Grade is comprised of:

  1. Competency evaluations (Process Evals) which ensure that students can perform procedures at the minimum 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 instructor assistance on patients in the Gaines Dental Hygiene Clinic. 
  2. Grades from the Clinic Grade Sheet which include:
  • Quadrant Instrumentation,
  • Data Collection and Treatment Management
  • Radiographs
  • Clinic Assistant and Receptionist


Due to the substantial instructor-student collaboration during patient treatment QUALITY grades alone (via Clinic Grade Sheets) are NOT true indicators of student competency.


The Quantity (patient experiences) requirements:

Are set to ensure that each student has appropriate experiences to develop entry level competencies in patient care. QUANTITY also reflects the student’s competency level as time management abilities are ultimately reflected in the number and type of patients upon which treatment is completed. Therefore, the number/type of patients treated and the number/type of procedures performed have a significant bearing on the student’s final course grade for Clinical Practice 2.




Final Course Grade will be computed by taking Quality Grade minus Quantity Point deductions.


Quality Course Grading Scale






Assistant and Receptionist Rotations





Example of Computation of Clinical Practice 2 Final Course Grade


Quality Course Grade equals


Minus Deductions for Quantity Requirement Shortages


Equals Final Clinical Practice 2 Course Grade of





Dental Hygiene Grading Scale



92 to 100



83 to 91



75 to 82



65 to 74


Failure to continue in the DH program



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 6.5).



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, more than two absences for any reason will result in a loss of 5 points from the final course grade for each absence over 2.


ANYONE MISSING MORE THAN (4) CLINICAL SESSIONS FOR ANY REASON WILL BE DROPPED FROM CLINICAL PRACTICE 2.  YOU CANNOT MATRICULATE INTO THE SECOND YEAR WITHOUT SUCCESSFULLY COMPLETING CLINICAL PRACTICE 2. 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.


When the student has an open appointment time due to a No-show, cancellation, or no scheduled patient the student will be expected to work on impression requirements, help the clinic assistant or receptionist as needed, or assigned a specific skill to practice.  YOU MUST REMAIN IN THE CLINIC AREA.  THE dressing/locker room is not considered a clinical area (See Professionalism Criteria - Student Handbook)

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