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Course : DNHY Clinical Practice 3

Course Number
Section Number
Fall 2022
Centennial Hall, 120
Kelly Holcomb
Days & Times
Final Exam Day/Time
Wednesday, November 30, 2022 8:00 am - 12:00 pm
Curriculum Vitae
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Given the integration of didactic and clinical experiences (lab and patient experiences) and the prerequisite courses (Clinical Practice I-DNHY 3114 and Clinical Practice II -DNHY 3005) upon completion of this course the student should be able to:


1.          Utilize information obtained from the health history in administering comprehensive patient care; determine the need for special precautions, modifications, and/or contraindications for treatment; manage emergency care, and make referrals to other health care providers, with limited instructor input.


2.          Conduct a respectful cultural assessment of patients recognizing various beliefs and family dynamics that might have an effect on the dental hygiene care plan and treatment.



3.          Observe and document patient vital signs, counsel patients on any irregularities, and make appropriate recommendations or referrals, with limited instructor input.


4.          Perform an extra-oral inspection and accurately document the findings with appropriate detail.



5.          Thoroughly examine all oral tissues for signs of pathologic changes, correctly document findings (using appropriate terminology) and make appropriate recommendations and/or referrals with instructor input.


6.          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 abnormalities within a reasonable time frame.



7.          Perform a periodontal evaluation and accurately document the findings; including recession, pocket depths, loss of attachment, mobility, furcation involvement, and bleeding sites within a reasonable time frame and with limited instructor input.


8.          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.



9.          Position and expose intraoral x-ray films; process, mount, label, and critique technique.


10.       Utilize available radiographs, assessment findings, etiologic factors, and clinical data in determining the dental hygiene diagnosis.



11.       Utilize available radiographs, assessment findings, etiologic factors, and clinical data to develop individualized and comprehensive dental hygiene treatment plans for each patient.


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


13.       Assess the outcomes of dental hygiene interventions using indices, instruments, examination techniques, and patient self-report.


14.       Position the dental chair, operator’s stool, and dental light to insure patient/ operator comfort, communication, and effective delivery of dental hygiene services.


15.        Utilize effective infection control techniques according to MSU Infection Control Protocol.


16.       Apply principles of instrumentation and knowledge of tooth morphology in selecting appropriate instruments to remove deposits, root plane, and reduce/ eliminate amalgam overhangs within a reasonable time frame.



17.       Control pain and anxiety during treatment through the use of accepted clinical and behavioral techniques.


18.       Select and administer the most appropriate topical fluoride treatment based on patient need; and with appropriate patient preparation/education.



19.       Select patients for which ultrasonic scaling is appropriate; demonstrate proper patient preparation/ education, equipment set-up, and utilization.


20.       Utilize assessment findings to determine the need for pit and fissure sealant placement; demonstrate proper application (with assistant) of chemical and light-cured sealants with appropriate patient preparation/education.



21.       Provide CPR Basic Life Support, as may be necessary for the clinic.


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



23.       Correctly and efficiently perform all clinical receptionist duties with a positive attitude and in a professional manner.


24.       Correctly and efficiently perform all clinic assistant duties with a positive attitude and in a professional manner, utilizing correct technique and infection control protocol.



25.       Demonstrate proper equipment maintenance and care.


26.       Complete all clinic paperwork legibly and in a timely manner with appropriate detail in documentation, as required for this level of clinical practice.



27.       Demonstrate professional conduct during all clinical sessions.


28.       Identify candidates who would benefit from the placement of localized chemotherapeutic agents and make appropriate referrals. Demonstrate placement on typodonts to lab competency.



29.       Electronically document patient assessment findings utilizing XLDent computer software.


30.       Value patient confidentiality and patient rights according to HIPAA guidelines.



31.       Follow all state and federal regulatory requirements when rendering patient care.

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


50% Instrumentation

       30% Data Collection/Treatment Management

       15% Radiographs

5%   Clinic Assistant/Receptionist



       A = 92 - 100

       B = 83 -  91

       C = 75 -  82 Must earn 75 or above to advance into Clinical Practice 4       D = 65 -  74  Failure in Dental Hygiene

Clinic Assistant/Receptionist Grade: Students will start with 100 points in this area. Infractions will result in the 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 7.5 and 7.6).

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.


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, enter digital charts, or be 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)

DO NOT SIT IN THE RECEPTION ROOM OR AT THE RECEPTION DESK unless you are the scheduled receptionist. If an instructor and/or the department secretary have to ask you to leave the reception desk FIVE (5) points for Breach of Professionalism WILL BE DEDUCTED FROM your FINAL clinic grade. You may study in your clinic unit with the clinic instructor's permission. ALL STUDENTS MUST CHECK WITH AN INSTRUCTOR BEFORE LEAVING THE CLINIC AREA. (See Professionalism Criteria - Student Handbook)

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

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The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

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