Syllabus – Dental Assisting

The Dental Assisting program is designed by practicing dentists and experienced dental assistants in the setting of a functioning dental practice. The program’s objective is to expose students to a wide range of techniques, materials and dental knowledge, but most importantly, to focus on the skills dentists see as “core essentials” for employability as a dental assistant in the offices of dental specialists including Endodontists, Periodontists, Prosthodontists, Pediatric Dentists and Oral Surgeons.

The Dental Assisting program is a 10-week program, including 21 online lecture clock hours, 64 laboratory clock hours, 5 clock hours of CPR certification, plus 40 clock hours of externship with a local practicing dentist.

Course Descriptions

DA 101        

COURSE TITLE: Basic Chairside Assisting & Infection Control

PREREQUISITE:        None

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE:         Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        11 hours (3 online lecture + 8 lab)

COURSE OVERVIEW

DA 101 Online

Module 1

This study unit introduces students to dentistry, dental assisting, and being a part of the dental team. Members of the dental team and their duties are covered. The different types of dental offices and their separate areas are described. The professional qualifications and responsibilities of a dental assistant are addressed, along with a look at how licensure is managed. This unit presents some dental assistant basics. First, it explains the importance of knowing the laws and rules of dentistry and how they affect dental practice. Students also learn about how to become a true dental professional by understanding what it means to act in an ethical manner. The Health Insurance Portability and Accountability Act (HIPAA) is presented from a healthcare professional’s viewpoint, and the practical application of this law. Students learn how to greet and seat the patient, and the different oral evacuation systems and tools in the operatory for moisture control.

Module 2

Students are introduced to dental terminology and anatomy. This unit presents information about the oral cavity, parts of the teeth, and the types of teeth and a brief introduction to the way teeth are numbered and classified. This study unit also introduces students to the most current concepts and procedures for infection control and sterilization including how to properly prepare the dental treatment room and all dental armamentarium (tools, instruments, equipment, etc.) used for patient treatment as well as the most current guidelines regarding infection control and sterilization procedures. Students learn about infection control procedures, personal attire, protective barriers, sterilization and disinfection procedures, and why they are so important in the dental office. Students study the microorganisms that cause AIDS, hepatitis B, and herpes and how they are transmitted. This unit covers oral pathology, including temporomandibular joint problems, oral cancer, and the formation of dental caries.

Module 5

This study unit introduces students to the different instruments and pieces of equipment, handpieces, and accessories typically found in a dental operatory (treatment room). The specialties of endodontics and oral and maxillofacial surgery will be covered including specialty descriptions, explanations for the different procedures and the types of instruments used. Students learn about the various artificial appliances that can be used when needed. The endodontics section of this study unit describes various endodontic conditions, diagnostic methods, instrumentation, and procedures (including root canal therapy).

DA 101 Hands-On Lab

Explanation of homework assignments in the textbook, and demo of the simulation software and other videos. Office tour and orientation/operation of all equipment. View patient education videos to get “up to speed” as to the scope of modern dental treatments available. Students are oriented to the school and receive our video platform on-boarding. General Introduction to terminology and equipment, including vocabulary and definitions, Equipment set up and list, maintenance and safety review.

Review divisions of specialties in dentistry; Review professionalism, dress and personal appearance; HIPPA regulations as related to patient confidentiality. Discussions covering the non-technical sides of Dental Assisting, including professionalism, the dental team, law, and ethics.

Students are taught how to don the various Personal Protective Equipment (PPE) required in the dental clinic. And how to wash hands properly, learn how to use the ultrasonic properly, and learn how to use the autoclave properly; Disinfection control and procedures and placing barriers in the treatment room, plaster room, sterilizer room, and in the dental office. Covers mechanisms of disinfection, sterilization, OSHA, MSDS sheets. The goals of infection control are discussed together with Occupational Safety and Health Administration (OSHA) requirements and standards.

Students will Demonstrate office opening and closing procedures, taking patient medical histories, vital signs, set-up and teardown of treatment rooms, equipment, and instruments etc. Operation and positioning options of various dental chairs. lights, handpiece set-up and handpiece bur-changing, three-way syringes, etc.

Four handed dentistry, including but not limited to operatory set up, instrument transfer, isolation techniques (how to use cotton rolls, dry angles, and rubber dams), Suctioning (use of high-volume suctions and low - volume suction including how to keep the patient comfortable during a dental procedure, how to hold the high-volume suction so that it efficiently removes liquid and saliva without suctioning the patients cheeks, tongue or other oral structures). Basic procedure tray set ups are also demonstrated by the student.

Techniques on patient management and communication, from entering the office to finishing with appropriate transfer to the front desk personnel. How to greet patients in the reception area and escort patients to operatory and place bib. Patient positioning in the dental chair for different anatomical locations in the oral cavity, (including patient position for: maxillary tooth or teeth in the right and left quadrants, mandibular tooth or teeth in the right and left quadrants) and the proper positioning of dentist and dental assisting in each for mentioned quadrant. Practice using the TRANSFER ZONE exclusively. Practice in the use of cotton rolls to isolate various areas, if Dental Dam is not being used, dental hand pieces, bur types explained and demonstrated, including how to use the Assistina, chuck evaluation and how to sterilize handpieces for safety and cleanliness.

Dental Dam application and uses, suctioning and retraction techniques, instrument transfer and demonstration, techniques to ensure visibility for the Doctor (patient positioning, mirror cleaning techniques, and maintaining lighting), tub and tray setups for various procedures, hand piece sterilization and maintenance. Appropriate protective attire for both dental professionals and patients.

Local Anesthesia – the anatomical locations for each injection type (including mandibular blocks, infiltration, long buccal, gow gates, palatal), different anesthetics used and percentage of epinephrine and why each may be selected for a particular procedure; How to place anesthetic carpule into syringe and place needle onto syringe. Anesthetic syringes and local anesthesia; transfer to the Doctor, needle-stick prevention, and proper Sharps disposal.

Tooth identification by name, number and letter; Review Oral Anatomy, including structures and tooth surfaces. Introduction to tooth nomenclature. Intro to dental anatomy, and “landmark teeth.”

LAB COURSE OBJECTIVES

1. Point out Parts and operating the Dental chair

2. Point out parts of radiology equipment

3. Point out parts of hand and rotary instruments

4. Demonstrate set-up and teardown of treatment rooms, equipment, and instruments

5. Preliminary intro to 4-handed dentistry theory and practice

6. Operation and positioning options of various dental chairs.

7. lights, handpiece set-up and handpiece bur-changing, three-way syringes

8. Steps in the chain of infection and the points at which the chain of infection can be broken

9. Various infection control techniques used in a dental office

10. Steps involved in proper handwashing

11. Types of personal protective equipment commonly used in a dental office and when they should be used

12. Disinfectants commonly used in a dental office

13. Purpose and use of the ultrasonic cleaner

14. explain the various dental instruments and point out the ones that require sterilization

15. Handwashing Before Gloving

16. Applying Alcohol-Based Hand Sanitizer

17. Putting on Personal Protective Equipment

18. Removing Personal Protective Equipment

19. Creating an Appropriate Label for a Secondary Container

20. Surface Disinfection and Treatment Room Preparation

21. Placing and Removing Surface Barriers

22. Performing Treatment Room Cleaning and Disinfection

23. Disinfecting an Alginate Impression

24. Instrument Processing

25. Operating the Ultrasonic Cleaner

26. Autoclaving Instruments

27. Sterilizing Instruments with Chemical Vapor

28. Sterilizing Instruments with Dry Heat

29. Sterilizing Instruments with Chemical Liquid

30. Performing Biologic Monitoring

31. Procedures involved in maintaining the dental waterline

32. Seay and greet the patient

33. Transfer instruments

34. Identify hand instruments and burs

35. Check waterlines

36. Moisture control technique practice

37. Syringe practice

38. Assembling basic trays

39. Practice patient positioning

40. Demonstrate the procedure for a soft tissue examination.

41. Record dental treatment and demonstrate the procedure to record the completed dental treatment.

42. Practice initial paper dental charting

DA 102        

COURSE TITLE:        Alginate Impressions & Model Pouring/Trimming

PREREQUISITE:        DA 101

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE: Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        11 hours (3 online lecture + 8 lab)

COURSE OVERVIEW:

DA 102 Online:

Module 6

This unit introduces students to the three types of impressions taken in a dental office, the types of impression trays and their characteristics of use, and discusses hydrocolloid impression materials and their uses, mixing techniques, and application. Students learn about elastomeric Impression Materials and Occlusal Registration, elastomeric impression materials and their uses, mixing techniques, and application. They will be able to explain the importance of occlusal registration and describe its use in a procedure. Students will have the opportunity to identify the critical aspects of patient clinical records and explore information collection in dental practice and to outline the manual and computerized procedures of clinical records risk management. Students will have the opportunity to learn about the legal implications of creating and maintaining clinical records and technology’s role in the dental office. This unit will discuss the safety precautions that should be taken in the dental laboratory as well as the types of equipment found in a dental laboratory and describe their uses. It covers dental models, including the role of dental models, gypsum products and their role in the making of dental models, and the three methods of pouring dental models. Students learn the three types of custom impression trays and describe their use and will be able to identify the types of dental waxes and describe their use. Students learn the four vital signs routinely taken in the dental office and what to do in case of a medical emergency. Finally, the unit covers the composition and application of topical anesthetics, the composition and application of local anesthetic agents, injection techniques used for local anesthesia administration, the setup for local anesthesia and sedation, and general anesthesia. Explained is the importance of documenting anesthesia and pain control.

Module 9

This unit introduces students to restorative and esthetic dentistry, along with the dental assistant’s role in providing this type of care in general dentistry Students learn about cavity preparation, permanent restorations, complex restorations, veneers, and tooth-whitening. Students are introduced to topics related to restorative and esthetic dental materials, and learn the properties of dental materials, including mechanical properties, thermal change, electrical properties, corrosive properties, solubility, and application properties. This study unit covers direct restorations using amalgam and indirect restorations using gold-noble metal alloys and ceramic castings. Students learn how and why cavity liners are used in restoring tooth structure, how and why cavity sealers are used including varnish, how and why desensitizers are used in restoring tooth structure, and how and why dental bases are used in the restoration of tooth structure. Discussed is the etching process of a tooth and its importance in the bonding of tooth and material, bonding systems and how they provide better adherence of dental materials to the tooth structure. Dental cements are also discussed.

DA 102 Hands-On Lab:

This study unit will describe impression materials, including what they are, how they’re used, and the techniques for using them. Students become familiar with these materials and their uses and refamiliarize with dental materials and techniques.

Theory, chemistry, selection, and techniques of the preparation, placement, and finishing of these restorations will be discussed, along with proper mixing, isolation, bonding, curing, and adjustments needed after placement. Curing light types, curing light safety, hygiene, and proper cooling of the target area.

Students learn about fillings- different types of fillings including amalgam, composite, and glass ionomer filling materials; how to assist the dentist during a filling; Preparation with the different types of equipment (including high speed handpiece, slow speed handpiece, air abrasion, and water laser; Review of instruments used in filling preparation and filling restoration, how to mix glass ionomer or liner, how to triturate glass ionomer or amalgam, how to load and unload composite gun, how to use curing light, and how to assist while dentist adjusts patient bite; The dental assistant will then learn how to dismiss patient properly, including offering mouth rinse, post-operative instructions and hand off to front administrator. The dental assistant will learn what needs to be included in tub or tray for dental fillings, what each item is used for and why it is needed.

The student will learn about the many types of cements, including permanent cement (e.g. Zinc phosphate cement, Rely X, Duralon, Variolink) as temporary cements (e.g. Tempbond with eugenol and temp bond without eugenol); How to mix IRM, how to mix glass ionomer cements, how to mix resin cements; How to mix cements with proper ratios of component parts, how long to mix each type of cement, what consistency each should have when ready to use and when cured; How to mix or hand the dentist liners such as - using dycal, copalite and vitrebond liner.

Model pouring and trimming – review how to mix yellow stone, review what ratio of stone to water, review how to measure each, review how to mix, review how to use vibrator, review how to get proper pour with minimum bubbles, review how long for stone to set, review how to remove set up stone from alginate, review how to turn on trimmer, review how to use running water while trimming stone, review how to trim stone properly and to what shape (orthodontic geometric, or model trim for doctors use).

Students will have the opportunity to be introduced to topics related to preliminary and final impression materials and laboratory procedures. They will learn about the classification of impressions, impression trays, hydrocolloid materials, elastomeric materials, and occlusal registration, the importance of mixing impression materials, taking impressions, as well as learn about the materials and skills needed to pour preliminary impressions, and pour, trim, and finish diagnostic models. They will lean about different types of alginates, how to flavor, colorized version, ratio of powder to water, how to mix, how to load tray, how to place tray in patients’ mouth, how long to wait for alginate to set up, how to remove set up alginate from patients’ mouth. They will produce alginate impressions of upper and lower arch.

LAB COURSE OBJECTIVES* See Note in Weekly Schedule Box

1. Demonstrate the proper procedures regarding identifying and attaching the dental handpiece, and practice the technique
2. Identify and assemble Restorative Instruments
3. Attach Burs for Rotary Cutting Instruments
4. Assemble restorative trays
5. Identify and Attaching the Dental Handpiece
6. Complete the following related to impressions and impression trays:

• Demo the three types of impressions obtained.

• Demo the types of impression trays and their characteristics of use.

7. Demo and explain various impression materials and their properties, uses, mixing techniques, and applications, and perform the following associated procedures:

• Mix alginate impression material.

• Take a mandibular preliminary impression.

• Take a maxillary preliminary impression

• Mix a two-paste final impression material.

• Prepare an automix final impression material

8. Describe the importance of a bite registration and its uses in a procedure
9. Explain the uses of a diagnostic cast, and perform the following procedures:

• Mix dental plaster.

• Pour dental models using the inverted-pour method.

• Trim and finish dental models

10. Demonstrate placement and removal of a matrix band
11. Demonstrate how to apply an etchant material
12. Demonstrate how to apply a bonding system
13. demonstrate how to mix intermediate restorative material.
14. Plaster a full upper and lower model
15. Pour up bubble free models
16. Mix and transfer dental amalgam
17. Prepare composite resin materials for permanent cementation
18. Demonstrate proper application of calcium hydroxide (Expanded Function)
19. Demonstrate proper application of a dental varnish (Expanded Function)
20. Demonstrate proper application of a desensitizer (Expanded Function)
21. Demonstrate proper mixing of zinc phosphate
22. Practice mixing zinc oxide-eugenol for temporary cementation
23. Practice mixing zinc oxide-eugenol for Permanent cementation
24. Practice mixing polycarboxylate for permanent cementation
25. Practice mixing zinc phosphate for permanent Cementation
26. Practice removing cement from permanent or temporary cementation (Expanded Function)
27. Demonstrate proper placement and removal of a gingival retraction cord
28. Assist in the delivery and cementation of a cast restoration
29. Perform the following alginate associated procedures:

• Mix alginate impression material.

• Take a mandibular preliminary impression.

• Take a maxillary preliminary impression.

• Mix a two-paste final impression material.

• Prepare an automix final impression material.

30. Perform the following procedures:

• Mix dental plaster.

• Pour dental materials using the inverted-pour method.

• Trim and finish dental models.

31. Review of Shade Guides and how to use.

DA 103        

COURSE TITLE: Provisional Coverage, Charting & Eaglesoft

PREREQUISITE:        DA 102

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE:         Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        11 hours (3 online lecture + 8 lab)

COURSE OVERVIEW

DA 103 Online

Module 4

This study unit covers the examination and diagnostic techniques used for patient assessment including documentation, instrumentation, digital imaging, and digital photography. Students will also learn how to use the Eaglesoft Practice- Dental Software program including digital dental charting, scheduling appointments, entering procedures, treatment plans, and importing images.

Module 7

This study unit introduces students to topics related to provisional coverage, including indications for a crown or fixed-bridge preparation and types of provisional coverage. Students will have the opportunity to learn about custom provisional coverage, preformed polymer and polycarbonate crowns, and aluminum crowns, procedures for expanded functions, such as fabricating and cementing a custom acrylic provisional crown or bridge, fabricating and cementing a preformed provisional crown, and fitting and cementing a preformed polycarbonate crown.

Upon completion of this course the student will have additional knowledge and improved skills in-regards to the completion of all restorative procedures with a focus on Class II composites and quadrant completion. Removable Prosthodontics will be covered to enhance knowledge in the adjustment and delivery of prosthetics. Students will perform procedures within a time limit to stay on schedule and produce quality restorations. Team building skills through communication will be enhanced. Margin identification and retraction cord placement. Troubleshooting cementation of permanent restorations. Knowing the distinction on what heavy occlusion on a restoration is and where to make adjustments. The placement of the toffllemire matrix and matrix free systems along with correct wedge selection and placement. Students will have a better understanding of point angle and line angle.

DA 103 Hands-On Lab:

Office procedure includes telephone techniques, front office administration and how it applies to the dental assistant, including making appointments, billing, checking patients in and out. Practice proper phone answering techniques on each other, role-play making appointments, asking for money and making payment arrangements. Students will learn the importance of first impressions on a new patient, welcoming a new patient. Soft skills are taught to a high proficiency level. Review of Dental insurance terms. Insurance codes and filing dental insurance.

Eaglesoft- Patient Charting – Students will learn how to chart existing conditions, and treatment plans, using procedure buttons and codes. Additionally, they will gain knowledge in how to write up a clinical chart and progress notes and customize the patient chart.

Perio Charting - Proper recording of pocket depths, bleeding points, suppuration, mobility and furcation grades. Learn how to work with hygiene templates in the clinical notes and customize navigation systems.

Treatment Planning - Phasing treatments and preparing a professional looking written presentation for patients. Students will also learn how to pull in disclaimers to customize treatment plans along with track lab cases.

Scheduling - Basic front office functions that all assistants and hygienists need to know for following up on patients. This includes scheduling, treatment plan reports, recare reports, family file, and scanning documents.

Review of Charting and Treatment Planning. All OSHA regulations will be discussed as it pertains to the dental assistant.

Job interviewing Skills – discuss the importance of being on time, dressed professionally, and ready to perform. A mock interview will be held with each student to practice the interview process.

Review of Dental insurance terms. Insurance codes and filing dental insurance.

All OSHA regulations will be discussed as it pertains to the dental assistant.

The topics covered: why they are needed, the materials provisional crowns are made out of, how to set up operatory for a crown procedure, (instruments used and materials needed including impression materials, bite registration material, temporary restoration material), how to assist during the preparation of a crown, where to place suction, how to keep dentist's mirror clean, how to mix build-up material and learn what a buildup is, how to pack cord, how to mix impression material and place in tray for the doctor to take an impression and what impression material the doctor uses around the crown preparation, how to make temporary restoration using luxatemp and temp bond (cover other materials available for temporaries, e.g. Aluminum crown forms). Review of Shade Guides and how to use them.

The students will learn the different types of fixed prosthodontics restorations. Removable Prosthodontics (RPD) replaces missing teeth. The students will learn the component parts of both the partial and complete RPD’s and the various steps necessary to take during replacement appointment with patient.

Students will learn the procedure performed if the pulp of a primary or newly erupted permanent tooth has been exposed. Students are taught to setup trays for the pulpotomy and stainless crown placement procedure. A clinical video of crown preparation is shown during this session. 

LAB COURSE OBJECTIVES

1.  Schedule an appointment Eaglesoft 
2.    Chart on Eaglesoft
3.    Customize a patient chart on CareStack
4.    Write progress notes on CareStack
5.    Follow up on a scheduled appointment
6.    Perform minor office equipment maintenance and repair
7.    Process claims forms

1. 13.   Practice interpersonal skills to enhance working relationships

14.   Demonstrate an understanding of the core competencies for Interprofessional Collaborative Practice i.e.   values/ethics; roles/responsibilities; interprofessional communication; teamwork

15.   Prepare a Professional Résumé

16.   Mock interview skills

17.  Mock patient rapport building exercises

DA 104        

COURSE TITLE: Matrix Systems, Moisture Control & Instruments Review, CPR

PREREQUISITE:        DA 103

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE: Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        16 hours (3 online lecture + 8 lab + 5 CPR)

COURSE OVERVIEW

Module 3A

This study unit introduces students to the specialty of pediatric dentistry, explaining the different procedures and the dental instruments used. Students will learn about preventive dentistry and the role of good nutrition in maintaining dental health and about dental plaque and the associated bacteria that cause caries and periodontal disease. This study unit will also cover how to remove plaque and calculus from the teeth by using proper home-care techniques such as brushing, flossing, and the use of irrigation devices and fluoride. The basics of nutrition, learning about the roles of the key nutrients in the body will also be covered. Students learn about dental sealants. This unit presents the dental form for the treatment of patients. Covered are the standardized systems of charting dental conditions, tooth identification, and cavity classification as well as how to interpret the charting to the dentist with whom they work with or referrals to a dental practice. Introduction to coronal polishing and restorative dentistry is also covered.

Module 12

This study unit introduces the student to the fundamentals and dental photography equipment selection including the right camera gear and accessories for clinical photography in dental practice. The science behind the camera system, and the basics including handling of the camera, parameter adjustments, knowing its significance, framing, shooting, taking care of the equipment and how to take photographs in a clinical setting in QuickTime with optimized patient comfort are discussed. Students also learn post-processing with the help of software and preparing images for clinical presentations.

DA 104 Hands-On Lab:

Upon completion of this course, the student will have additional knowledge and improved skills in-regards to the completion of all restorative procedures with a focus on Class II composites and quadrant completion. Removable Prosthodontics are covered to enhance knowledge in the adjustment and delivery of prosthetics. Students perform procedures within a time limit to stay on schedule and produce quality restorations. Team building skills through communication is a focus. Margin identification and retraction cord placement, troubleshooting cementation of permanent restorations, the distinction on what is heavy occlusion on a restoration and where to make adjustments are reviewed. The placement of the toffllemire matrix and matrix free systems along with correct wedge selection and placement and an understanding of point angle and line angle is also discussed.

LAB COURSE OBJECTIVES:

1. Students will demonstrate the placement of and removal of different matrix systems.
2. Demonstrate dental dam placement.
3. Practice moisture control techniques
4. Obtain CPR Certification

DA 105        

COURSE TITLE: Dental Radiology & RHS Exam Prep

PREREQUISITE:        DA 104

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE:         Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        11 hours (3 online lecture + 8 lab)

COURSE OVERVIEW

Module 8

This study unit introduces students to radiology, the use of x-radiation to study and diagnose conditions inside the tissues of the body. Topics such as radiation safety, how x-rays affect tissue, and how to protect yourself and the patient from radiation overexposure are discussed. Students are instructed on how to produce x-rays using available electrical current, how to produce a radiograph, the parts of the dental x-ray machine and how to take care of and handle dental film as well as how to expose radiographs using a technique called paralleling. The qualities of a good diagnostic radiograph, how to process the exposed radiograph, how to avoid processing, exposure errors that may interfere with the diagnostic quality of the film, and how to prepare films for mounting and interpretation are covered. This unit covers a method for taking radiographs called the bisected-angle technique and extraoral films.

DA 105 Hands-On Lab

UNDER THE DIRECT SUPERVISION OF A LICENSED DENTIST.

The student will demonstrate procedures for preparing patient for dental X rays, assembling XCP instruments/eezee grip holders, using traditional and digital equipment, perform radiographic surveys using both paralleling and bisecting techniques, processing, mounting and critiquing, while adhering to radiation safety precautions and infection control standards. Dexter mannequin training is done in class (4 sets of x-rays, processing, critiquing and mounting) and the clinical portion will be done on 4 patients. One FMX (full mouth x- ray) will be done in class on each other, with regular film. The remaining 4 patients required can be done on a scheduled clinical rotation with either regular film or digital.

Students will learn basic x-ray techniques. They will also learn how to take a full mouth series of x-rays. Students will be required to take x-rays, develop and mount radiographs. Students will also learn about Bitewing x-rays: how to position the patient, how to position the film, using digital film for each group of teeth needed for

Bitewing x-rays, how to position film so that all contacts are open, how to position film so that the BWX is symmetrical and what to do when patient has a very small mouth, gag reflex or other complications. Practice bisecting technique using Rinn holders, paralleling technique without holders (as needed), proper mounting of individual, Bitewing and complete series, tooth identification landmarks, upper versus lower, right versus left.

FMX (full mouth x-ray) - what it is, how to take them and how to mount x-rays. FMX sorting exercises on interactive platform and simulation software, expose and process all types of intra-oral and extra-oral radiographs on fellow students.

Periapical x-ray – how to position the patient, how to position the film or digital film to capture the apex of desired tooth, including different positioning required for maxillary dentition and mandibular dentition and what to do when patient has a very small mouth, gag reflex or other complications, such as large tori.

Panorex – how to position the patient for a panoramic x-ray including chin position, remembering to remove all jewelry, hair pins or piercings, general information about Panorex machines and how and why they are vital to dental health.

Cephalometric x-ray – how to position the patient to get symmetrical head x-ray, capturing soft tissue and hard tissue, remembering to remove all jewelry, hair pins or piercings, general information about why orthodontists use this x-ray.

Presentation and discussion of the various oral and periodontal surgical instruments and techniques. Discuss and demo the use of the various instruments, throat packs, surgical suction uses and techniques, sterility and instrument scrubbing techniques, intro to dental lasers, limitations and safety of dental lasers. Lower alginate impression techniques. Nitrous oxide: an introduction.

Oral surgery – learn instruments, including different types of forceps, elevators, root picks, tissue retractors, surgical suction, suturing instruments (scissors and hemostats) scalpels, rongiers, oral surgery handpiece and oral surgery burs, review oral surgery procedures, (general extractions, 3rd molar extractions, implant placement, bone graft,

biopsy) and how to assist for each procedure, how to keep a sterile field and learn what cross contamination is and how to avoid it. Students review types of antimicrobial and antibiotic agents used for periodontal surgical procedures.

Periodontal Surgery – learn instruments, including different types of scalers and curettes, review periodontal surgery procedures (e.g. , implant placement, bone graft, biopsy, tissue regeneration) and how to assist for each procedure, how to keep a sterile field and learn what cross contamination is and how to avoid it.

Sterilization Procedures – how to scrub instruments, how to soak instruments, how to bag and sterilize instruments, including safety measures for each step. What instruments are autoclaved and what instruments are placed in cold sterile. Review of how to maintain handpieces and how to sterilize.

Nitrous Oxide – the machinery, how it works, the advantage of using N2O and state law that governing who dispenses N2O.

LAB COURSE OBJECTIVES

Radiology

1. Identifying x-ray unit components;
2. Identify types of film and digital receptors;
3. XCP assembly;
4. Full mouth series using paralleling technique*;
5. Bitewings and periapicals of various areas of the mouth using bisecting angle technique*;
6. Occlusal radiography*;
7. Automatic film processing (free from artifacts and processing errors);
8. Mount FMS film radiographs;
9. Arrange FMS digital radiographs for monitor display:
10. Infection control of x-ray equipment, imaging receptors, holders, and image processing;
11. Identify imaging errors and artifacts;
12. Identify anatomical structure of interest and landmarks

Oral Surgery

1. Perform a surgical scrub
2. Practice assisting in a mock extraction
3. practice assisting in multiple mock extractions and alveoloplasty
4. Practice assisting in the mock removal of an impacted tooth
5. Practice performing suture removal
6. Practice assisting in the mock treatment of alveolar osteitis (dry socket)
7. Practice surgical tray set ups

8.   Identify the name, parts, and use of each dental instrument

9.   Recognize the function and use of each dental instrument

10. Transfer mixed materials, dental instruments, and other items using four or six handed dentistry

11. Assess and recognize the indications for pre- and postoperative instructions, and administer to the patient when necessary

12. Practice assisting with a dental prophylaxis

13. Practice assisting with a gingivectomy and gingivoplasty

14. Practice preparing and placing a non eugenol dressing

15. Practice removing a dressing

16. Practice periodontal tray set ups

17. Practice transfer methods

18. Practice tissue retraction and oral evacuation (air/water syringe/HVE tip positioning)

19. Practice ergonomic positions

20. Obtain and document readings for body temperature, pulse rate, respiration rate, and blood pressure

21. Demonstrate skills in completing paper and electronic charting using appropriate terminology

22. Explain the need and method for nitrous oxide administration, and methods for monitoring its administration

23. Take/review and record medical and dental histories

25. Demonstrate proper application of a topical anesthetic

26. Demonstrate the process of assembling the anesthetic syringe

27. Assist the instructor in administering local anesthesia (dentist must be present-Expanded Function)

28. Assist in monitoring the vital signs during anesthesia (Expanded Function)

DA 106        

COURSE TITLE.     Room Setup, Mock Chairside Assisting

PREREQUISITE:        DA 105

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE: Saturday from 8:00 am to 5: 00 pm

COURSE LENGTH:        11 hours (3 online lecture + 8 lab)

COURSE OVERVIEW

Module 10

This study unit introduces students to the preparation, making, and placement of indirect restorations including crowns, inlays, onlays, veneers, and bridges. Students have the opportunity to learn how to identify the indications and contraindications for fixed dental prosthodontics, the components of a fixed bridge, the steps for a diagnostic workup, and the role of the laboratory technician. Core buildups, pins, and posts in crown retention and the function of provisional coverage for a crown or fixed bridge including the placement and removal of a gingival retraction cord, and how to assist in the preparation and cementation procedures of an indirect restoration are also covered.

Module 11

In this study unit, students will have the opportunity to learn about topics related to removable prosthodontics including both partial and full dentures, assisting in the delivery of a partial or full denture, procedures for assisting in a wax denture try-in, and patient education relating to removable partial and full dentures, along with immediate dentures, overdentures, and denture relining and repairs. Students are introduced to the pathologic conditions of the oral cavity, the categories of diagnostic information, oral lesions, diseases of the oral soft tissues, conditions of the tongue, oral cancer, the oral manifestations of HIV and AIDS, developmental disorders along with other disorders including abrasion, attrition, bruxism, bulimia, and orofacial piercings. Covered are topics related to dental implants including the indications and contraindications to implants as well as the psychological evaluation, dental examination, medical history, and evaluation of the dental implant patient as well as the specialized radiographs, diagnostic casts, surgical stents, and the types of dental implants and how to properly prepare for implant surgery and proper follow-up care.

DA 106 Hands-On Lab

Students will review and Demonstrate office opening and closing procedures, taking patient medical histories, vital signs, set-up and teardown of treatment rooms, equipment, and instruments etc. Operation and positioning options of various dental chairs. lights, hand piece set-up and hand piece bur-changing, three-way syringes, etc.

Review of Four handed dentistry, including but not limited to operatory set up, instrument transfer, isolation techniques (how to use cotton rolls, dry angles, and rubber dams), Suctioning (use of high-volume suctions and low - volume suction including how to keep the patient comfortable during a dental procedure, how to hold the high-volume suction so that it efficiently removes liquid and saliva without suctioning the patients cheeks, tongue or other oral structures). Basic procedure tray set ups are also demonstrated by the student.

Techniques on patient management and communication, from entering the office to finishing with appropriate transfer to the front desk personnel. How to greet patients in the reception area and escort patients to the operatory and place bib. Patient positioning in the dental chair for different anatomical locations in the oral cavity, (including patient position for: maxillary tooth or teeth in the right and left quadrants, mandibular tooth or teeth in the right and left quadrants) and the proper positioning of dentist and dental assisting in each for mentioned quadrant. Practice using the TRANSFER ZONE exclusively. Practice in the use of cotton rolls to isolate various areas, if Dental Dam is not being used, dental handpieces, bur types explained and demonstrated, including how to use the Assistina, chuck evaluation and how to sterilize handpieces for safety and cleanliness.

Crown and Bridge Procedures – What is a crown and why is it needed? The materials crowns are made out of. How to set up an operatory for crown procedure, (instruments used and materials needed including: impression materials, bite registration material, temporary restoration material). How to assist during the preparation of a crown, where to place suction, how to keep doctors mirror clean, how to mix build up material and learn what a buildup is, how to pack cord, how to mix impression material and place in tray for doctor to take impression and what impression material the doctor uses around the crown preparation, how to make temporary restoration using luxatemp and tempbond. (mention other materials available for temporaries, e.g., Aluminum crown forms). The students will learn the different types of fixed prosthodontics restorations. Removable Prosthodontics (RPD) replaces missing teeth. The students will learn the component parts of both the partial and complete RPD’s and the various steps necessary to take during replacement appointments with patients.

Students will learn the proper technique for expelling impression materials. They are taught how to fabricate and adjust temporaries. Students will learn the steps involved in the fabrication and installation of complete (full) and partial dentures. Students are asked to practice putting tray set-ups together for each stage of removable and Prosthodontic fabrication and delivery.

Students will learn the procedure performed if the pulp of a primary or newly erupted permanent tooth has been exposed. Students are taught to set up trays for the pulpotomy and stainless crown placement procedure. A clinical video of crown preparation is shown during this session.

Review of Shade Guides and how to use them.

LAB COURSE OBJECTIVES

Chairside Assisting

1. Demonstrate effective patient communication
2. Demonstrate admitting and seating the patient.
3. Assemble and record the medical and dental history of the patient.
4. Comprehend the relevance of medical and dental histories to treatment.
5. Assess and document the patient’s level of pain.
6. Review and demonstrate proper operation of the dental chair from DA 101
7. Review and demonstrate the functions of dental lights from DA 102.
8. Review and demonstrate operating and maintaining dental lights from DA 102.
9. Position dental lights for optimal illumination of the oral cavity for all chairside procedures from DA 101 & 102.
10. Practice more numbering systems for dental charting.
11. Practice more using appropriate color indicators and charting symbols for charting activities
12. Apply methods of tissue retraction, including retraction with a high velocity suction.
13. Place the saliva ejector for maintenance of a dry field.
14. Demonstrate protection of the patient’s oral tissues, and apply methods to prevent damage.
15. Identify the dangers of aspiration during dental procedures and apply methods to prevent aspiration of unwanted objects.
16. Isolation Methods:

•        Use dental dams.

•        Use cotton rolls.

•        Use “armamentarium”  

17. Further demonstrate oral evacuation
18. Further demonstrate how to perform a mouth rinse.
19. Review, practice further, and demonstrate single-handed transfer technique.
20. Demonstrate two-handed transfer technique
21. Practice six-handed dentistry

1. 23. Operate air/water syringe
2. 24. Maintain a clear field of vision including isolation techniques.

 25. Demonstrate efficiency of motion

26. Demonstrate knowledge of dental supplies and instruments
27. Review and demonstrate setting up of trays for different procedures
28. Review and demonstrate various patient positions
29. Demonstrate zone positions
30. Demonstrate grasping instruments
31. Review and demonstrate various moisture control techniques
32. Demonstrate how to assemble, disassemble, and prepare anesthetic syringe
33. Demonstrate safe transfer of syringe
34. Review and demonstrate irrigation procedures.
35. Use assistina
36. Place carpule into syringe
37. Demonstrate burs
38. Demonstrate the assistant’s role in nitrous-oxide
39. Perform handpiece maintenance
40. Assemble an armamentarium for placement of a dental dam.
41. Discharge patients and demonstrate the procedure to record the completed dental treatment.
42. Review and demonstrate sterilizing handpieces

Crown and Bridge

1. Apply methods of tissue retraction, including retraction with a high velocity evacuator
2. Place and remove cotton rolls and other moisture-control items
3. Assist with a direct permanent restoration (clinical)
4. Review and practice placing and removing gingival retraction cord  
5. Practice assisting in a crown or bridge preparation
6. Demonstrate the use of laboratory materials in taking an impression, and pouring and trimming a study-model for diagnostic purposes
7. Obtain accurate bite-registration
8. Describe the function and manipulation of various chairside materials
9. Fabricate a mouthguard
10. Provide patient preventive education and oral hygiene instruction
11. Practice fabricating and cementing a custom crown
12. Practice fabricating and cementing a custom bridge
13. Practice fabricating and cementing a preformed crown
14. Assemble and record the medical and dental history of the patient, including any medications taken, and report areas of concern to the dentist

1. 16. Demonstrate knowledge of the properties, and competence in the uses and manipulation of dental materials to include:

• Impression materials
• Acrylics and or thermoplastics
• Waxes
• Study casts/occlusal registrations

17. Assist in crown procedures (clinical)
18. Assist in implant surgery (clinical)
19. Assist in delivery of a partial denture (clinical)
20. Assist in delivery of a full denture (clinical)

DA 107        

COURSE TITLE.     Coronal Polishing & Sealants

PREREQUISITE:        DA 106

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE:         Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        11 hours (3 online lecture + 8 lab)

COURSE OVERVIEW

Module 3B

This study unit introduces students to the specialty of pediatric dentistry, explaining the different procedures and the dental instruments used. Students will learn about preventive dentistry and the role of good nutrition in maintaining dental health and about dental plaque and the associated bacteria that cause caries and periodontal disease. This study unit will also cover how to remove plaque and calculus from the teeth by using proper home-care techniques such as brushing, flossing, and the use of irrigation devices and fluoride. The basics of nutrition, learning about the roles of the key nutrients in the body will also be covered. Students learn about dental sealants. This unit presents the dental form for the treatment of patients. Covered are the standardized systems of charting dental conditions, tooth identification, and cavity classification as well as how to interpret the charting to the dentist with whom they work with or referrals to a dental practice. Introduction to coronal polishing and restorative dentistry is also covered.

Students will be able to identify the types of stains and deposits and assist in coronal polishing and will be able to understand the role of the dental assistant in providing support during polishing procedures.

Students will have the opportunity to learn about dental sealants, including the clinical indications for and contraindications to dental sealants and the rationales for filled and unfilled sealant materials. They will have the opportunity to learn and describe the two types of polymerization, explain the most important factor in sealant retention, and demonstrate the steps in the application of dental sealants, and to learn, describe, and demonstrate the steps necessary for the patient and operator during sealant placement.

They will learn about the many types of cements, including permanent cement (e.g. Zinc phosphate cement) and temporary cements (e.g. Rely X, Duralon, Variolink), Tempbond with and without eugenol); How to mix IRM, how to mix glass ionomer cements, how to mix resin cements; How to mix cements with proper ratios of component parts, how long to mix each type of cement, what consistency each should have when ready to use and when cured; How to mix or hand the dentist liners such as - using dycal, copalite and vitrebond liner.

Alginate – different types of alginate, how to flavor, colorized version, ratio of powder to water, how to mix, how to load tray, how to place tray in patients mouth, how long to wait for alginate to set up, how to remove set up alginate from patients mouth (upper arch only on this day).

LAB COURSE OBJECTIVES

Coronal Polish Lab

1. Practice assisting with a dental prophylaxis.
2. Practice assisting with a gingivectomy and gingivoplasty.
3. Practice preparing and placing a non eugenol dressing.
4. Practice removing a dressing.
5. Practice periodontal tray set ups.
6. Practice transfer methods.
7. Practice tissue retraction and oral evacuation (air/water syringe/HVE tip positioning).
8. Practice ergonomic positions.
9. Using mounted extracted teeth that have both direct and indirect restorations in place, describe how restorations are polished.
10. Demonstrate the fulcrum or finger rest used in each quadrant during a coronal polishing.
11. Practice the handpiece grasp and positioning for the prophy angle extra orally.
12. Select a specific tooth and surface to polish.
13. Practice rubber cup coronal polishing.
14. Use of disclosing tablets - record which teeth and surfaces show plaque.
15. Obtain and document readings for body temperature, pulse rate, respiration rate, and blood pressure.
16. Demonstrate skills in completing paper and electronic charting using appropriate terminology.
17. Explain the need and method for nitrous oxide administration, and methods for monitoring its administration.
18. Take/review and record medical and dental histories.
19. Demonstrate proper application of a topical anesthetic.
20. Demonstrate the process of assembling the anesthetic syringe.
21. Assist the instructor in administering local anesthesia (dentist must be present-Expanded Function).
22. Assist in monitoring the vital signs during anesthesia (Expanded Function).

Sealant Lab

Describe, and demonstrate the steps necessary for the patient and operator during sealant placement.

Cements Lab

1. Plaster a full upper model.
2. Pour up bubble free models.
3. Mix and transfer dental amalgam.
4. Prepare composite resin materials for permanent cementation.
5. Demonstrate proper application of calcium hydroxide (Expanded Function).
6. Demonstrate proper application of a dental varnish (Expanded Function).
7. Demonstrate proper application of a desensitizer (Expanded Function). 
8. Demonstrate proper mixing of zinc phosphate.
9. Practice mixing zinc oxide-eugenol for temporary cementation.
10. Practice mixing zinc oxide-eugenol for permanent cementation.
11. Practice mixing polycarboxylate for permanent cementation.
12. Practice mixing zinc phosphate for permanent cementation.
13. Practice removing cement from permanent or temporary cementation (Expanded Function).
14. Demonstrate proper placement and removal of a gingival retraction cord.
15. Assist in the delivery and cementation of a cast restoration.

DA 108        

COURSE TITLE.     Cerec Procedures & Practical Final Exam

PREREQUISITE:        DA 107

LAB INSTRUCTOR/STUDENT RATIO: 5:1

LAB COURSE SCHEDULE:         Saturday from 8:00 am to 5:00 pm

COURSE LENGTH:        8 hours

COURSE OVERVIEW

An introduction to CEREC setup, imaging, design, and milling. Students learn how to set up the CEREC system properly, understand the system parameters and how to correctly start a case. They will also learn the '5 Click' workflow and get a better understanding of the software. Students will be able to identify the types of stains, deposits and assist in coronal polishing and are able to understand the role of the dental assistant in providing support during polishing procedures.

Students learn about the many types of cements, including permanent cement (e.g. Zinc phosphate cement) and temporary cements (e.g. Rely X, Duralon, Variolink), Tempbond with and without eugenol); how to mix IRM, how to mix glass ionomer cements, how to mix resin cements; how to mix cements with proper ratios of component parts, mixing duration, what consistency each should have when ready to use and when cured; how to mix or hand the dentist liners such as - Dycal, copalite and vitrebond liner.

The online Final Exam portion will consist of 50 to 100 multiple-choice questions concerning all subjects covered in the online lectures’ component of the program. A 75% exam grade is required to pass.

The practical final exam consists of mock assisting for dental procedures (Station 1 -evaluation of proper patient position, proper suction placement, and proper instrument transfer), (Station 2 - Radiology) (Station 3 - taking impression, pouring up impression in yellow stone, trimming model), (Station 4 - making temporary crown) (Station 5 - Sterilization and Infection Control) (Station 6 - Charting and Eaglesoft). A 75% exam grade is required to pass.

LAB COURSE OBJECTIVES

Practice using Cerec Computer and software

Externship (40 hours)

The externship is designed to expose the trained students, once they have completed the initial lecture, laboratory, clinical and final examination components of the program, to the entire dental practice environment, to round out their training program and prepare them for employment in a dental practice. The student will be assigned to a 2-week rotation in the dental practice. Travel will be required to externship sites.

This course requires a final evaluation and timecards (provided) and further prepares students for employment as a dental assistant. The externship is typically scheduled during the office hours of the assigned practice but may involve early morning/evening hours as well, based on the needs of the clinic.

DA 101 – DA 108 MEDIA, TEXT & RESOURCE REQUIREMENTS:

Typodont

Handouts

Safety glasses

General supplies

X-Ray mannequin

Modern Dental Assisting / Edition 13, by Doni L. Bird CDA, RDA, RDH, MA, Debbie S. Robinson CDA, MS, Elsevier 2021, ISBN-13: 9780323624855 (Borrowed)

Eaglesoft Training Software

Dental Anatomy (Quick Study Academic) Cards – Student Edition, November 1, 2016

The library provides books and magazines with articles that are specifically geared to what Dental Assisting students need for review or to further their industry knowledge. The following books and resources are available to students:

Modern Dental Assisting / Edition 13, by Doni L. Bird CDA, RDA, RDH, MA, Debbie S. Robinson CDA, MS, Elsevier 2021, ISBN-13: 9780323624855 (Borrowed)

Dental Instruments Pocket Guide, 7th Edition

by Linda Bartolomucci Boyd, CDA, RDA, BA

Dental Assisting Notes: Dental Assistant's Chairside Pocket Guide First Edition

by Minas Sarakakis CDA(DANB) CP

Dentaltown Magazine

Grading Scale & Breakdown

Grading Scale                                         Grading Breakdown

A = 90 – 100%  Excellent                                Lecture Quizzes = 20%

B = 80 – 89% Above Average                        Lecture Final Exam = 30%

C = 70 – 79% Average                                Lab Participation = 30%

D = 60 69% Below Average/Fail                        Externship = 20%

P/F = Pass or Fail (Externship Grading Only)                

Satisfactory Academic Progress Policy: Students must maintain satisfactory academic progress to remain enrolled. To maintain satisfactory academic progress, the student is required to pass each exam. The program in which the student is enrolled must be completed in no more than 150% of the clock hours required. Students must maintain a grade point minimum of 70% (C) or higher for at least 50% of the program.