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Course : Clinical Practice IV

Course Number
Section Number
Spring 2022
Centennial Hall, 103 & Gaines Dental Hygiene Clinic
Days & Times
Final Exam Day/Time


Given the integration of didactic and clinical experiences, the prerequisite courses, Clinical Practice I (DNHY 3114), Clinical Practice II (DNHY 3005), and Clinical Practice III (DNHY 4018) upon completion of this course the student should be able to:

1.   Utilize information obtained from the Med History in providing comprehensive patient care; determining need for special precautions, modifications and/or contradictions for treatment; manage emergency situations, and make appropriate referrals to other health care providers.

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

3.   Assess and document patient vital signs, counsel patients on any irregularities, and make appropriate commendations or referrals.

4.   Perform an extraoral inspection and accurately document the findings with appropriate detail.

5.   Thoroughly examine all oral tissues for signs of pathological changes, correctly document findings, and make appropriate recommendations and/or referrals.

6.   Perform a periodontal assessment & accurately document findings including: AAP Classification, pocket depths, loss of attachment, mobility, furcation involvement, and bleeding sites within a reasonable time frame.

7.   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

8.   Determine need for radiographic evaluation of specific areas and/or entire dentitions and make appropriate recommendations for such surveys based on patient assessment/need.

9.   Position and expose intraoral x-ray films; process, mount, label, and critique radiographic surveys according to radiological standards.


10. Analyze data collected to assess patient's needs, abilities, resources and attitudes as a basis for developing and prioritizing the Dental Hygiene Care Plan.

11. Revise treatment plans in accordance with the progress of clinical treatment.

12. Obtain the patient’s informed consent based on effective case presentations of dental hygiene care plans.

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

14. Utilize effective infection control techniques in accordance with the M.S.U. Dental Hygiene Program's Standard Protocol; identifying any breach of protocol and remedying accordingly.

15. Apply principles of instrumentation and knowledge of tooth morphology in selecting hand and/or powered instruments to remove deposits, root plane, and reduce/ eliminate amalgam overhangs, in a timely manner.

16. Maintain tissue integrity while performing all intraoral instrumentation.

17. Select appropriate candidates for air powdered polishing and demonstrate adequate patient preparation as well as proper set-up, utilization, and break-down of air powered polishing unit.

18. Control pain and anxiety during treatment through the use of accepted clinical and behavioral management techniques which are within the scope of dental hygiene practice in Texas.

19. Demonstrate adequate patient preparation, as well as proper set-up, utilization, and break-down of various powered scalers.

20. Select and administer topical fluoride treatments, based on the needs of the individual patient; with appropriate patient preparation and education.  

21. Accurately complete all patient records and charting forms with appropriate detail and in a timely manner.

22. Demonstrate correct techniques in administering CPR Basic Life Support, as may be necessary.    

23. Select appropriate candidates for pit and fissure sealant placement and demonstrate proper un-assisted application of sealants on clinical patients; with adequate patient education and preparation.

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

25. Correctly and efficiently perform all clinic receptionist duties in a professional manner, with a positive attitude.      

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

27. Schedule patient appointments (procedures and time frame) in a manner that is both time efficient and meets the needs of the patient.

28. Demonstrate proper equipment maintenance in the lab, clinical, radiology and sterilization areas.

29. Select applicable candidates for placement of chemotherapeutic agents and demonstrate placement with appropriate patient education to clinical competency.

30. Electronically document patient assessment findings utilizing Dentrix computer software.

31. Demonstrate an appreciation for patient confidentiality and patient rights according to HIPAA  guidelines.

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



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 Patient 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 3 and 4.


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


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 4. 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.

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.

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

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.

All instructors in the Department have voicemail in their offices and MSUTexas e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and 2) earned 60 hours. Students may meet this requirement in one of three ways: by passing the Writing Proficiency Exam, passing two Writing Intensive Courses (only one can be in the core), or passing English 2113. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at