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Health Careers Education
Clinical Sciences for the Dental Assistant
The content of this course prepares the student to participate in laboratory and clinical experiences necessary to develop the skills to become a dental assistant. The course provides classroom and laboratory instruction.
Lara Skaggs
Program Manager
405 743 5106
General Dentistry
1. Describe the three major parts of most hand instruments.
2. State the functions of the three instruments found in the basic setup used for all dental procedures.
3. State the function of at least 10 dental hand instruments.
4. Demonstrate the preparation of a sterile pre-set tray for a restorative procedure.
5. Assemble plastic instruments for use.

Legal and Ethical Issues

1. Explain legal responsibilities and regulations in the dental profession.
2. Anayze ethical and legal consideration in dental assisting.
3. Describe how dental records are maintained in accordance with legal guidelines.

Dental Charting

1. Demonstrate charting a dental examination using the symbols commonly employed to record dental conditions and treatment.
2. Prepare a patient chart.
3. Describe the process of recording a periodontal examination.
4. Chart a periodontal examination.

Specialty Procedures

1. Describe the specialty of oral and maxillofacial surgery.
2. Identify from set-up the specialized instruments used in oral surgery.
3. Describe the dental assistant's role in oral surgery.
4. Describe the steps in a forceps extraction.
5. Provide presurgery and postsurgery instructions to the patient.
6. Prepare the operatory for oral surgical procedures.
7. Define these terms: coronal polish, dental prophylaxis, scaling, root planing, gingival curettage, gingivectomy, and gingivoplasty.
8. Identify from set-up specialized instruments used in periodontics: periodontal probe, scalers, curettes, pocket marker, and periodontal knives.
9. State the use of the ultrasonic scaler, prophy angle, rubber cup, and brushes.
10. Define dental prophylaxis procedures.
11. Describe the specialty of endodontics.
12. Identify from set up the specialized instruments used in endodontics.
13. Describe the specialized diagnostic tests used in an endodontic examination.
14. State the need for a sterile field in endodontic treatment.
15. Describe assisting during endodontic treatment.
16. Define canal preparation and filling of the root canal.
17. Describe preventive, interceptive, and corrective orthodontics.
18. Identify from set-up specialized instrumentation used in orthodontics.
19. Describe the role of orthodontic separators.
20. Describe the steps in the selection, cementation, and removal of orthodontic bands.
21. Describe the steps in the placement, ligation, and removal of arch wire.
22. Describe the steps in the direct bonding of orthodontic brackets.
23. State the patient population served by pediatric dentistry and describe the special concerns of the pediatric dentist.
24. Describe the steps in the application of pit and fissure sealants.
25. Describe the use of fixed and removable space maintainers.
26. Describe the steps in making a vacuum-formed custom mouth guard.
27. Describe the application of topical fluoride using a commercial fluoride gel and trays.
28. Differentiate between fixed and removable prosthodontics.
29. Discuss the components of a partial removable denture.
30. Discuss the components of a complete removable denture.
31. Describe the steps in prosthodontic procedures.
32. Describe the care of complete and partial removable dentures.
33. Discuss the preparation of secondary impressions.
34. Discuss the shade and mold of the artificial teeth.
35. Discuss the try-in of the wax set-up.

Practice Management

1. Describe the functions of the reception area, business office, and dental laboratory.
2. Describe office procedures.
3. Describe radiology and laboratory techniques and procedures.
4. Describe a plan to maintain and control supplies.
5. Discuss maintenance of dental equipment/instruments.
6. Describe proper storage and disposal of supplies.
7. Describe minor accounting functions necessary in a dental office.
8. Explain the importance of quality assurance in dental practice.

Chairside Assisting

1. Describe the role of the dental assistant as an administrative assistant, as a chairside assistant in four-handed dentistry, as a coordinating assistant in six-handed dentistry, and as an extended function dental assistant.
2. Describe the basic components of a complete dental examination.
3. Describe the function of treatment plans and the case presentation visit.
4. List and describe Black's classification of cavities.
5. State where the left and right sides of the dental arches appear on anatomic and geometric dental diagrams.
6. Demonstrate taking and recording a patient's vital signs.
7. Perform an oral examination.
8. Discuss advantages and any disadvantages of amalgam restorations.
9. Define these terms related to amalgam restorations: mechanical retention, microleakage, pulpal floor, and the names of the cavity walls (buccal, dentinal, distal, facial, gingival, incisal, labial, lingual, mesial, proximal).
10. Discuss the steps in cavity preparation.
11. Define these terms related to the structure of amalgam: alloy, mercury, high-copper alloy, mercury to alloy ratios, and trituration.
12. Identify the parts of a Tofflemire retainer.
13. Demonstrate the assembly of a Tofflemire retainer.
14. Demonstrate preparing a pre-set tray for the placement of an amalgam restoration.
15. Demonstrate assisting during the preparation and placement of an amalgam restoration.
16. Differentiate between inlays, onlays, and full crowns.
17. Describe the components of a fixed bridge and state the functions of each.
18. Describe the steps in the preparation and cementation of a single crown.
19. Describe the steps in the preparation and cementation of a fixed bridge.
20. Describe the use of gingival retraction cord.
21. Describe the use of temporary coverage between crown and bridge visits.
22. Demonstrate preparing trays, mixing alginate impression material, loading trays, and assisting the operator during the taking of maxillary and mandibular impressions.
23. Describe the technique for taking a wax-bite registration.
24. Describe the three major steps involved in producing accurate dental diagnostic casts.
25. Demonstrate creating maxillary and mandibular diagnostic casts from alginate impressions using the double-pour method.
26. Demonstrate trimming, finishing, and labeling maxillary and mandibular diagnostic casts.
27. Describe cosmetic dentistry and define these related terms: bonding, enamel bonding, dentin bonding, veneer, direct-bonded resin veneer, indirect-bonded resin veneer, porcelain veneer.
28. State four patient responsibilities in maintaining cosmetic restorations.
29. Describe the major characteristics of the three forms of composites.
30. Differentiate between self-cured and light-cured polymerizing resins.
31. List the special precautions to be taken while placing a cosmetic restoration.
32. Describe the steps in preparation and placement of a direct-bonded veneer.
33. Describe the steps in preparation and placement of an indirect-bonded veneer.
34. Describe the steps in preparation and placement of a Class II posterior composite restoration.
35. Demonstrate assisting with a Class II posterior composite restoration.
36. -Demonstrate assisting during the preparation and placement of a Class III anterior composite restoration.

Dental Environmental Hazards

1. Name and describe the three Occupational Safety and Health Administration (OSHA) and the Environmental Protection Agency (EPA) programs of primary concern to the dental assistant.
2. Discuss current laws concerning hazardous waste management, as they relate to the dental industry.
3. Describe compliance with OSHA Hazards of Communication Regulations.
4. Describe the tasks that may be assigned to employees classified as being at risk for occupational exposure to blood or other potentially infectious materials.
5. Discuss the properties and the uses of these disinfectants: glutaraldehyde, chlorine dioxide, iodophors, synthetic phenol compounds, and sodium hypochlorite.
6. Explain infection control procedures for dental radiography, impressions, and laboratory cases.
7. Demonstrate the use of protective attire for dental personnel, including latex gloves, masks, and protective eyewear.
8. Name and describe the two kinds of sterilization most frequently used in the dental office.
9. Describe the two major sections of the sterilization area and the flow of instruments as they are cleaned and sterilized.
10.Demonstrate the preparation (cleaning and wrapping) of instruments for sterilization by autoclaving and dry heat.
11.Practice universal precautions.
12. Operate an autoclave.
13. Operate an ultrasonic cleaner.
14. Sterilize instruments.
15. List and describe the major parts of a program to comply with the OSHA Hazards Communication Regulation.
16. State the purpose and use of Material Safety Data Sheets (MSDS) and labeling requirements.
17. Describe the appropriate handling of acid etch solutions and gels, asbestos, flammable liquids, organic chemicals, gypsum products, formaldehyde, nitrous oxide and oxygen gases, mercury, cast alloys, photographic chemicals, pickling solutions, and visible light-cured materials.
18. Describe the appropriate method of discarding these medical wastes in the dental office: sharps, extracted teeth, items contaminated with blood and saliva.
19. Demonstrate and describe the steps to be taken in treating a needle-stick injury.
20. Describe the use of protective barriers in the operatory.

Oral Health Education and Preventive Dentistry

1. State the primary goal of preventive dentistry.
2. Demonstrate proper brushing and flossing techniques.
3. Describe the use of fluorides in water, fluoride supplements, topical applications, dentifrices, and mouth rinses.
4. Describe dental plaque and state its role in causing dental disease.
5. Describe instructing a patient in the use of disclosing tablets, the Bass technique of toothbrushing, and the use of dental floss.
6. Describe the use of interdental cleanser, Perio-Aid, Stim-u-Dent, oral irrigation devices, therapeutic oral rinses.
7. Describe personal oral habits that may compromise general health.
8. Identify pre/post treatment instruction needed for patients.
9. Discuss plaque control techniques.

Dental and Medical Emergencies

1. Maintain current certification in cardiopulmonary resuscitation and first aid.
2. Describe the types of emergencies that might be encountered in a dental office.
3. Describe the basic staff qualifications for managing medical emergencies.
4. Describe types of supplies that might be found in a minimal emergency kit.
5. Differentiate between administering oxygen and the use of positive-pressure ventilation.
6. State the six basic emergency steps to be taken until help arrives.
7. Describe the emergency treatment for anaphylactic shock, angina pectoris, diabetic acidosis, insulin shock, and an epileptic seizure.
8. List the five classifications of fractured teeth and describe the treatment for evulsed teeth.
9. Demonstrate the treatment for syncope, hyperventilation, and postural hypotension when the patient feels faint.
Dental Assistant Skill Standards - CTTC

- Aligns with Dental Assisting National Board

Dental Assistant - OBD
-Coronal Polishing
-Nitrous Oxide
-Placing Sealants
-Radiation Safety

Certified Dental Assistant License - CDA-DANB

Registered Dental Assistant - AMT
Dental Assistant Skill Standards - CTTC

- Aligns with Dental Assisting National Board

Gaylor, LJ The Administrative Dental Assistant 2nd
Ed., Saunders, ISBN:13-978-1-4160-2566-5

Torres and Ehrlich Modern Dental Assisting, 8th Ed., Bird, D.L., and Robinson, D.S.,
2005 07211639070 $70.00

Student Workbook to Accompany Modern Dental Assisting, 8th Ed., Bird, D.L., and Robinson, D.S.,
2005 0721639089

Dental Instruments A Pocket Guide, 2nd Ed., Bartolomucci, L., 2005
DSI-2, CSI-3, DR, CP

Dental Terminology, 2nd
Ed., Dofka, C., 2007 1418015229 FDA, DSI-2, CS-3, DR, PM, CP $50.00

Illustrated Handbook of Clinical Dentistry, Lehman, R.A.,
2005 1930598521

DSI-2, CS 1,2 & 3, DR, CP

Behavioural Sciences for Dentistry., Humphris, G., and Ling, M.S., 20050443051909 FDA, CS
1, 2&3, PM, CP

Legend: FDA=
Foundations of Dental Assisting, DS= Dental Sciences 1-2, CS1, 2 & 3=
Clinical Sciences 1, 2, & 3, DR= Dental Radiology, PM= Practice Management,
CP= Clinical Practice

Career Majors That Sequence This Course
Career Cluster Pathway Career Major
Health Science Therapeutic Services Certified Dental Assistant
Health Science Therapeutic Services Dental Assistant