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3. effects of tobacco products
C. Treatment Modalities
1. surgery
2. radiation
3. chemotherapy
D. Effects on oral cavity
E. Five (5) A’s of Tobacco Intervention
F. Dental Hygiene Care
1. plaque control
2. nutrition and diet
3. fluoride
4. recare/recall
5. patient education
16. Medical Emergencies
A. Office emergencies: seizure, nitrous oxide, obstructed airway, asthma, syncope,
hyperventilation, anxiety attack, heart attack, pregnancy, diabetic emergencies
B. Clinical signs and sequence of action
17. Medically Compromised Patient/Client
A. Purpose
B. Dental management of patient/client
C. Indications/contraindications for dental/dental hygiene care
18. Air Polishing (subgingival biofilm management and supragingival extrinsic stain removal)
A. Technique
B. Indications/contraindications
C. Effects of air polishing
D. Maintenance and sterilization procedures
E. Incorporation of air polishing into individualized patient care
19. Oral Piercing
A. History of Piercing
B. Types
C. Clinical Strategies for Detecting Intraoral Damage from Improper Piercings
D. Dental Considerations/Complications, Aftercare Procedures
Course Learning Outcomes:
Learning Outcomes – Upon successful completion of this course, students will:
1. Assess various patient needs.
2. Formulate a dental hygiene care plan for the medically and/or dentally compromised patient
3. Describe advanced instrumentation techniques.
Methods of Assessment:
Written examinations, case studies, clinical application, oral presentations, group discussion (team learning)
Required text(s), optional text(s) and/or materials to be supplied by the student:
• Wilkins, Esther M., Clinical Practice of the Dental HygienistCurrent Edition, Lippincott Williams & Wilkins,
• Thomson, Evelyn, Case Studies in Dental Hygiene, Current Edition, Pearson.
• Nield-Gehrig, Jill S., Fundamentals of Periodontal Instrumentation & Advanced Root Instrumentation, Current
Edition, Lippincott Williams & Wilkins.
• Derkowski, C., Mayfield, S., Hahn, D., Bode, B., Novosad, G., Bay, F., Wharton County Junior College Dental
Hygiene Clinic Manual, Current edition