DEA 615 - Clinical Dental Assisting

1. Identify dental specialty areas
   1. Identify special needs patients and how dentistry meets these needs
   2. Identify and describe the specialty area of removable prosthodontics
   3. Identify and describe the specialty area of fixed prosthodontics
   4. Identify and describe the specialty of Orthodontics
   5. Identify and describe the specialty of Periodontics
   6. Identify and describe the specialty area of Oral Surgery
   7. Identify and describe the specialty of Endodontics
   8. Identify and describe the area of general dentistry
   9. Identify instrument and their uses within each specialty area
   10. Identify tray set ups for specific procedures within each specialty area
   11. Demonstrate try set ups for amalgam and composite procedures
   12. Describe patient care involved within each specialty area
2. Perform dental assisting duties in general/specialty practices that are permitted by the Iowa Dental Practice Act
   1. Identify the Iowa State Practice Act
   2. Outline the duties that can be legally delegated to auxiliaries
   3. Identify duties exclusive to the dentist
   4. State and demonstrate your responsibility in patient protection
3. Identify the Dental Assistants Role in Pain and Anxiety Control in Dentistry
   1. Define dental anxiety, fear, stress and identify the causes
   2. List the clinical signs of anxiety
   3. Describe the categories of anxious patients
   4. Outline non-pharmacological approaches to reducing dental anxiety
   5. Identify 5 forms of anesthesia used in dentistry and describe when each would be used
   6. Recognize and describe the specific agents used in inhalation, intravenous, and combined anesthetic techniques
   7. Identify the consequences of failing to seek dental care due to anxiety
   8. Implement and or assist with appropriate procedures for the management of dental emergencies
4. Identify properties, side effects, indications and contraindications of anesthetics
   1. Identify criteria for local anesthetics
   2. Identify the anatomy/physiology of sensory nerves and nerve fibers and the effects of local anesthesia
   3. List the stimuli that will initiate nerve impulses
   4. Identify the capabilities of topical and local anesthetics
   5. Outline the effects of local anesthetia on the pain threshold of a patient
   6. Explain the chemical composition of local anesthesia and the effect of each on the human body
   7. Identify the different types of topical and local anesthetics and their appropriate applications
   8. Demonstrate proper tray set up for delivery of topical and local anesthetic
   9. Identify anatomical sites and demonstrate proper topical anesthetic application
   10. Identify four types of local injections
   11. Identify parts of the a local anesthetic carpule/cartridge, needle and syringe
   12. Demonstrate the procedure for assembly and disassembly of the anesthetic syringe
   13. Demonstrate the technique for syringe transfer
   14. Explain/demonstrate the accepted safety guidelines regarding the use of sharps
   15. Describe the procedures for monitoring the patient during anesthetic injections
5. Identify properties, side effects, indications and contraindications of nitrous oxide
   1. Outline the history of analgesias (nitrous oxide).
   2. List characteristics of analgesics
   3. Define the difference between analgesia and general anesthesia
   4. Identify the percentage of oxygen used with analgesia
   5. Identify the dos and don’ts of an analgesia
   6. Identify the various levels of analgesia
   7. List the symptoms of improper proportions
   8. List several procedures when an analgesia can be used
   9. State the recovery time necessary
   10. Outline the dentist/auxiliary’s responsibility concerning patient safety
6. Identify the properties of tooth preparation to receive a restoration
   1. List the objectives in regard to restoring teeth
   2. State the importance of early caries detection
   3. Define “extension for prevention”
   4. List reasons for regaining proper contact areas
   5. List factors that influence cavity design
   6. Describe the appearance of a cavity prep
   7. List the differences in cavity preps for amalgams and inlays
   8. List principles of all proximal cavity preps
   9. Outline steps in cavity preparation
   10. Identify what dictates cavity preparation
   11. Define retention form and convenience form
   12. Demonstrate the assistant’s role in a cavity preparation procedure
7. Identify the assistant’s role in restorative procedures
   1. Identify the importance of replacing missing teeth
   2. List the areas usually susceptible to caries
   3. Define cavity classifications
   4. Identify areas of smooth surface caries
   5. Outline reasons for facial cavity preps
   6. State the purpose of cleaning the cavity prep and how accomplished
   7. List items necessary to an accurate diagnosis and treatment plan
   8. List the required armamentarium for each general dentistry restoration procedure
   9. Outline and demonstrate the care/preparation for use of all restorative equipment
   10. Demonstrate proper application of matrix bands
   11. Demonstrate proper application of rubber dam and identify its uses
   12. Demonstrate proper instrument transfer technique and identify zones and variables in transfers
   13. Demonstrate proper evacuation technique and variables in use
   14. Demonstrate proper lighting technique
   15. Demonstrate proper mixing technique of materials used in different restorative procedures
   16. Identify auxiliaries role in patient management
   17. Define high-speed rotary hand pieces and all attachments and burs
   18. Identify the different types of rotary instruments and their application
   19. Identify what governs the functions of rotary instruments
   20. Identify the different types/shapes of burs
   21. Recall the numbering system associates with burs
   22. Identify types and uses of all abrasives
   23. Identify the dental assistants role in operative dental procedures
   24. Demonstrate patient pre and post operative treatment instructions for the restorative procedures as prescribed by a dentist, and differentiate and vary instructions based on the restorative procedure
   25. Demonstrate the dental assistant’s role in amalgam and composite operative procedures
8. Identify the assistant’s role in pedodontic procedures and patient management
   1. List the objectives of Pedodontics
   2. State factors that influence child behavior
   3. List factors that help establish respect and cooperation
   4. Describe management techniques for special patients
   5. Describe management techniques for each child age group
   6. Describe the operative techniques for the child patient that differ from those of the adult patient
   7. Differentiate between the endodontic techniques for the child patient verses the adult patient
   8. Describe the preventive techniques for the child patient that differs from the adult
   9. State the factors of concern of the child oral surgery patient from the adult patient
   10. Describe the difference in radiographic technique of the child patient verses the adult
   11. Identify pedodontic appliances used and their purpose
   12. Outline technique of bite guard fabrication
   13. Identify and state the use of all equipment/instruments/accessories and their     maintenance
   14. Demonstrate patient pre and post operative treatment instructions for the     pedodontic patient as prescribed by a dentist, and differentiate and vary instructions based on the pedodontic procedure
9. Identify objectives, procedures, indications, contraindications and the assistants’ role in removable prosthodontics
   1. Define all terminology used in the specialty of removable prosthodontics
   2. Identify the divisions of prosthodontics
   3. List essentials for a complete diagnosis
   4. List the types of oral mucosa
   5. Outline degenerative changes that occur from improper replacements
   6. List the visual findings that are important in denture/partial denture construction
   7. Identify the purpose of study models
   8. List factors that are important for tooth selection
   9. Describe border molding
   10. Identify materials and their uses
   11. Outline the use of base plates/wax rims
   12. List the important landmarks used in transferring information to the articulator
   13. Identify the face bow
   14. Define the try-in appointment
   15. List problems the denture/partial denture patient may have after delivery
   16. Define advantages/disadvantages of immediate dentures
   17. List the information to be discussed with the patient concerning the appliance
   18. Identify all other equipment/instruments/accessories used and their maintenance
   19. Identify the techniques for denture/partial denture repair
   20. Instruct the patient how to care for removable prosthetic appliances as prescribed by a dentist
10. Identify objectives, procedures, indications, contraindications and the assistants’ role in fixed prosthodontics
    1. Define all terminology used in this specialty
    2. List the indications/contraindications for a fixed prosthesis
    3. Identify the components of the diagnosis and the case presentation
    4. Identify the requirements/purpose of a fixed bridge
    5. List the different types of finishing lines used on a crown prep
    6. Identify the types of materials used and their application
    7. State the rationale for decay/old restoration removal
    8. Identify approaches to gain retention
    9. Define occlusal registration
    10. Identify and explain a hygienic pontic
    11. Identify and explain a cosmetic pontic
    12. List types of temporary coverage and identify their application
    13. Identify the procedure for temporary construction and cementation
    14. Identify the procedures for constructing a custom tray and its purpose
    15. Identify all equipment/materials/accessories used during procedures and their     maintenance
    16. Demonstrate patient pre and post operative treatment instructions for the     prosthodontic patient and differentiate and vary instructions based on the type of     prosthodontic procedure
    17. Instruct the patient how to care for fixed prosthetic appliances as prescribed by a dentist
11. Identify considerations, objectives, procedures, indications, contraindications and the assistants’ role in orthodontics
    1. Define all terminology used in orthodontics
    2. Identify all instruments/equipment/accessories used in orthodontic procedures chairside/laboratory and their maintenance
    3. List variables to be considered prior to ortho treatment
    4. Identify categories of orthodontic treatment
    5. Identify special oral hygiene needs of the ortho patient as well as the education needed for appliances
    6. List categories of orthodontic appliances and their proper application
    7. Describe the principal of tooth movement and anchorage
    8. Define cephalometry and its purpose
    9. Outline the components of a records appointment
    10. Identify records management in orthodontics
    11. Identify and outline the procedure for fabrication of an orthodontic retainer
    12. Identify and state the purpose of a space maintainer
    13. Identify dental assistants role in orthodontic procedures in accordance with the Dental Practice Act
    14. Demonstrate patient pre and post operative treatment instructions for the orthodontic patient as prescribed by a dentist, and differentiate and vary instructions based on the phase of treatment
12. State considerations, objectives, procedures, indications, contraindications and the assistant’s role in periodontics
    1. Define all terminology used in periodontics
    2. Identify all instruments/equipment used, their care maintenance and their appropriate application
    3. Identify variables that must be considered before beginning periodontic therapy
    4. Identify the types of tissues of the periodontium
    5. Define the principal cause of periodontal disease
    6. List the characteristics of periodontosis and periodontitis
    7. Identify the tissue involving conditions and identify their treatment
    8. Identify malignant tumors of the gingiva
    9. Identify the zones of pocket involvement
    10. State the purpose of scaling, root planning and curettage
    11. Identify and state the proper application of periodontal materials
    12. Outline the procedure for periodontal dressing placement/removal
    13. Outline the necessary information included in post operative instructions
    14. Outline and identify the special oral hygiene needs of the periodontal patient
    15. State the importance of periodontal therapy and how it relates to other specialties
    16. Demonstrate patient pre and post operative treatment instructions for the periodontic patient as prescribed by a dentist, and differentiate and vary instructions based on the type of periodontic procedure
13. Describe considerations, objectives, procedures, indications, contraindications and the assistants’ role in oral surgery
    1. Define all terminology used in this specialty
    2. Identify all instruments/equipment/accessories used, their application and their care and maintenance
    3. Identify the variables/conditions that need to be considered before performing a surgical procedure
    4. Identify all surgical procedures and their intended outcomes
    5. Describe patient preparation prior to an oral surgery procedure
    6. State the purpose of sedation and its indication
    7. List methods of administering general anesthesia
    8. Identify the importance of patient monitoring and the techniques used
    9. List categories of pre-operative and post-operative medication
    10. List the requirements of the treatment area prior to admitting the oral surgery patient
    11. Describe the auxiliaries role in hospital dentistry
    12. Demonstrate the surgical scrub
    13. Demonstrate the procedure for gowning/gloving
    14. Define a sterile wrap and sterile technique and demonstrate
    15. State the purpose of exfoliative cytologic exam
    16. List the steps involved in a cytological smear
    17. List classifications of normal/abnormal tissues
    18. Identify methods of biopsy performance
    19. Identify post-surgical complications and their treatment
    20. Demonstrate suture removal techniques in laboratory situation
    21. Demonstrate patient pre and post operative treatment instructions for the oral surgey patient as prescribed by a dentist, and differentiate and vary instructions based on the type of surgical procedure and state their importance
14. Identify considerations, objectives, procedures, indications, contraindications and the assistants’ role in endodontics
    1. Define all terminology used in endodontics
    2. Identify all instruments/equipment/accessories used, their application and their maintenance
    3. Identify the variables/conditions that need to be considered before performing a surgical procedure
    4. Define objective and subjective symptoms
    5. List the classifications of pain
    6. Identify and discuss regional pain
    7. Identify clinical symptoms possible for endodontic involvement
    8. Identify normal pulp tissue and periodontium
    9. Describe the specialized diagnostic tests/procedures used in an endodontic evaluation
    10. List methods and medicaments used to disinfect the root canal
    11. State functions/types of irrigating solutions
    12. List the groups of intracanal dressings
    13. Identify the role of antibiotics
    14. Identify locations of entry
    15. Identify conditions that indicate root canal failure
    16. Identify and discuss radiographic technique for endodontic procedures
    17. Outline the procedure for pulp vitality testing
    18. Demonstrate patient pre and post operative treatment instructions for the endodontic patient as prescribed by a dentist, and differentiate and vary instructions based on procedure
15. Display proper amalgam polish technique
    1. Outline all armamentarian/equipment needed
    2. Define purpose/use/maintenance of all instruments/equipment/burs/stones and other accessories to amalgam polishing
    3. Outline/define the purpose of amalgam polishing
    4. Outline the advantages of amalgam polishing
    5. State the recommended time between placement and polish appointments
    6. Outline the steps of amalgam polishing
    7. List the dos/don’ts of amalgam polishing
    8. Outline the importance of occlusion