SANTA CRUZ COUNTY REGIONAL OCCUPATIONAL PROGRAM Dental Assisting Program. Dental Assistant

SANTA CRUZ COUNTY REGIONAL OCCUPATIONAL PROGRAM Dental Assisting Program CBEDS Title: Dental Services CBEDS Number: 4234 Career Path: HOME HEALTH & R...
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SANTA CRUZ COUNTY REGIONAL OCCUPATIONAL PROGRAM

Dental Assisting Program CBEDS Title: Dental Services CBEDS Number: 4234 Career Path: HOME HEALTH & Recreation Course Description: This course is a ten month-program. The first half of the program consists of classroom instruction 16 hours per week including pre-clinical laboratory instruction preparing students for internship in a dental office. During the second portion of the program students will complete a minimum of 240 hours up to 345 hours of supervised clinical experience (internship) in addition to the classroom instruction. This course is designed to give the student basic information, skills and practice in all areas relating the field of dental assisting. The dental assistant is a valuable member of the dental health team who performs many essential duties in the dental office. These duties may include preparing the patient for treatment, assisting the dentist in all procedures, recoding of vital signs, processing and mounting radiographs, sterilizing instruments, and basic laboratory procedures. The dental assistant may also assist in the front office by making appointments for patients, confirming appointments, and helping with other office records. All instruction is geared to chairside assisting, providing patient care, and related duties with minimal training in front office skills.

Job Titles: Job Title

DOT codes 079.361-018

Dental Assistant

Prerequisites: Attendance of mandatory orientation and assessment 2.5 GPA or better Application/counselor recommendation Health physical clearance, 2-Step PPD, Hepatitis Vaccination series

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COURSE OUTLINE Upon successful completion of this course, students will be able to demonstrate the following skills necessary for employment or further education and training. I.

Career Preparation Standards (Note: additional hours for Career Preparation are integrated into instruction in content area standards). A. Understand how personal skill development-including positive attitude, honesty, self-confidence, time management, and other positive traits – affect employability. 1. Demonstrate an understanding of classroom policies and procedures. 2. Define business ethics and explain the importance of ethical standards in the business environment. 3. Discuss the laws that apply to sexual harassment and discuss tactics for handling harassment situations. 4. Discuss the importance of personal skills in a business environment i.e., positive attitude, self-confidence, honesty, perseverance, self-discipline. 5. Define personal hygiene and identify acceptable business attire for the industry. 6. Prioritize tasks and meet deadlines. B. Understand principles of effective interpersonal skills, conflict resolution and negotiation and their importance within the business environment. 1. Discuss and demonstrate the dynamics of conflict resolution and negotiation and their importance within the business environment. 2. Work cooperatively, share responsibilities, accept supervision and assume leadership roles. 3. Demonstrate cooperative working relationships and prepare etiquette across gender and cultural groups. C. Understand the importance of good academic skills, critical thinking and problem-solving skills in the workplace. 1. Recognize the importance of good reading, writing, math, and keyboarding skills in the business environment and implement a plan for self-improvement as needed. 2. Apply estimation, measurement and calculation skills to business applications, including whole number math, decimals and fractions, counting and monetary function and use of tables as appropriate to industry. 3. Read, write and give directions. 4. Exhibit critical and creative thinking skills and logical reasoning skills. 5. Recognize problem situations; identify, locate and organize needed information or data; and purpose, evaluate and select from alternative solution. D. Understand principles of effective communication. 1. Read and implement written instructions, technical manuals, written communication and reference books. 2. Present a positive image through verbal and nonverbal communication through use of appropriate methods. 3. Demonstrate proper etiquette in business communications,

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HOURS 20

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including an awareness of requisites for international communications (i.e. customs, time zones). 4. Demonstrate writing/editing skills i.e. write, proofread, and edit business correspondence, use correct grammar, punctuation, capitalization, vocabulary and spelling and select appropriate forms of technology for communication. E. Understand occupational safety issues, including avoidance of physical hazards. 1. Discuss and implement good safety practices, including avoidance and reporting of physical hazards in the work environment, safe operation of equipment and proper handling of hazardous materials. 2. Apply sound ergonomic principles in organizing one’s workplace. F. Understand career paths and strategies for obtaining employment. 1. Explore career opportunities and projected trends, investigate required education, training and experience, and develop an individual education plan. 2. Identify steps for setting goals and writing personal goals and objectives. 3. Examine aptitudes related to career options; relate personal characteristics and interest to educational and occupational opportunities. 4. Develop job acquisition documents, including job application, resume, appropriate cover and follow-up correspondence and portfolio. 5. Identify and demonstrate effective interviewing techniques. G. Understand and adapt to changing technology. 1. Identify and demonstrate use of computer hardware and peripherals. 2. Identify and explain use of computer software. 3. Identify and use operating systems. 4. Input and retrieve information. 5. Understand the importance of lifelong learning in adapting to changing technology. Introduction to the Dental Profession A. History of Dentistry B. Progress of Dentistry C. Education and Organized Dentistry 1. American Dental Association 2. American Dental Assistants Association D. The Dental Teams 1. Dentists 2. Dental Hygienists 3. Dental Assistants 4. Dental Lab Technicians 5. Other Members of the Dental Team Interpersonal and Human Relationships A. Understanding patient behavior B. Communication skills/staff and patients 1. Listening skills Telephone Listening 2. Verbal and nonverbal communication 3. Defense mechanisms

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20 hours

10 hours

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4. Multicultural interaction Ethics, Jurisprudence, and the Health Information Portability and Accountability Act (HIPAA) A. The Law 1. Dental Practice Act 2. State Board of Dentistry B. The Dentist, the Dental Assistant, and the Law C. Standard of Care 1. Malpractice 2. Privacy/Confidentiality 3. Fraud 4. Child Abuse and Neglect 5. Americans with Disabilities Act D. Dental Records 1. Informed Consent 2. Implied Consent 3. Subpoenas 4. Statute of Limitations E. Ethics 1. Advertising 2. Professional Fees and Charges 3. Professional Responsibilities and Rights F. HIPAA G. Principles of Ethics and Professional Conduct Prevention and Nutrition A. Oral Health and Preventative Techniques 1. Preventative Dentistry 2. Oral Hygiene Aids 3. Toothbrushes and Techniques 4. Dental Flossing 5. Oral Hygiene for Patients with Special Needs 6. Fluoride B. Nutrition Basic Dental Sciences A. General Anatomy and Physiology 1. Body Systems 2. Basic Structure and Functions of the Cell 3. Skeletal System 4. Muscular System 5. Nervous System 6. Endocrine System and Reproductive System 7. Circulatory System 8. Digestive System 9. Respiratory System 10. Lymphatic System and Immune System B. Head and Neck Anatomy 1. Landmarks of the Face and Oral Cavity 2. Bones of the Head 3. Tempromandibular Joing 4. Muscles of the Head and Neck 5. Nerves of the Head and Neck 6. Circulation of the Head and Neck C. Embryology and Histology 1. Embryology 2. Histology and the Life Cycle of the Tooth 3. Tooth Structure

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4. Components of Periodontium D. Tooth Morphology 1. Dental Arches 2. Dental Quadrants 3. Types of Teeth and Their Functions 4. Eruption Schedule 5. Divisions of the Tooth 6. Surfaces of the Teeth 7. Anatomical Structures 8. Permanent Teeth Descriptions 9. Primary (Deciduous) Teeth Descriptions Preclinical Dental Skills A. Microbiology 1. Groups of Microorganisms 2. Bacteria 3. Protozoa 4. Rickettsiae 5. Yeasts and Molds 6. Viruses 7. Diseases of Major Concerns to the Dental Assistant 8. How the Body Resists Diseases B. Infection Control 1. Rationales and Regulations of Infection Control 2. Cross-Contamination Pathways 3. Chain of Infection 4. Breaking Chains of Infection 5. Routes of Microbial Transmission in the Dental Office 6. Infection Control in the Dental Office 7. Disinfection 8. Sterilization 9. Sterilization Monitoring 10. Techniques and Aids for Infection Control 11. Clinical Asepsis Protocol 12. Dental Unit Waterlines 13. Dental Radiology Room and Equipment 14. Dental Laboratory C. Management of Hazardous Waste 1. OSHA’s Bloodborne Pathogen 2. Standard Revision 3. Engineering/Work Practice Controls 4. Sharps 5. Hazardous Chemicals D. Preparation for Patient Care 1. Patient History 2. Clinical Evaluation 3. Vital Signs E. Dental Charting 1. Dental Charts 2. Numbering Systems 3. Cavity Classifications 4. Abbreviations of Tooth Surfaces 5. Basic Charting Terms 6. Charting Color Indications and Symbols F. Pharmacology 1. Drug Names 2. Prescriptions

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3. Drug Laws 4. Drug Administration Routes 5. Drugs 6. Herbal and Other Alternative Medications G. Emergency Management 1. Routine Preparedness of Dental Team Members 2. The Dental Assistant’s Role in Emergency Care 3. Cardiopulmunary Resuscitation (CPR) 4. Foreign Body Airway Obstruction 5. Causes, Signs, and Treatment of Emergencies 6. Dental Emergencies Clinical Dental Procedures A. Introduction to the Dental Office and Basic Chariside Assisting 1. Dental Office Design 2. Treatment Rooms and Dental Equipment 3. Routine Office Care 4. Concepts of Dental Assisting 5. Preparing the Treatment Room 6. Seating the Dental Patient 7. Ergonomics for the Operator and the Assistant 8. Dismissing the Patient 9. Patients with Special Needs B. Instrument Transfer and Maintaining the Operative Field 1. Instrument Transfer 2. Maintaining the Operating Field 3. Techniques for Moisture Control and Isolation C. Basic Chairside Instruments and Tray Systems 1. Instruments for Basic Chairside Procedures 2. Dental Rotary Instruments 3. Abrasives 4. Dental Handpieces 5. Tray Systems D. Anesthesia and Sedation 1. Anesthetics and Sedation 2. Topical Anesthetics 3. Injection Sites 4. Anesthetics, Syringes, and Needles 5. Supplemental Anesthetic Techniques 6. Nitrous Oxide Sedation Dental Radiography A. Introduction to Dental Radiography and Equipment 1. Radiation Physics and Biology 2. Biological Effects of Radiation 3. Components of the Dental X-ray Unit 4. Safety and Precautions 5. Radiation Production 6. Dental X-ray Film B. Production and Evaluation of Dental Radiographs 1. Producing Quality Radiographs 2. Producing Special Radiographs 3. Processing Quality Radiographs 4. Mounting Radiographs 5. Radiographic Errors 6. Duplicating Radiographs 7. Storage of Patient Radiographs 8. Legal Implications of Radiographs

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9. Quality Assurance C. Extraoral and Digital Radiography 1. Extraoral Radiographs 2. Radiographic Interpretation 3. Imaging Systems/Digital Imaging Systems 4. Digital Radiography in the Dental Office XI.

Dental Specialities A. Endodontics 1. Endodontic Team 2. Progress of Pulpal and Periapical Diseases 3. Endodontic Instruments 4. Endodontic Materials 5. Equipment Used in Endodontic Procedures 6. Sterilization Procedures 7. Endodontic Procedures 8. Surgical Endodontics 9. DA/RDA Duties B. Oral and Maxillofacial Surgery 1. The Oral and Maxiofacial Surgery Team 2. Oral Surgery Instruments 3. Asepsis in Oral Surgery 4. Patient Considerations 5. Patient Preparation 6. Oral Surgery Procedures 7. Postoperative Care of the Patient 8. Postsurgical Complications 9. Temporomandibular Joint Disease 10. Hospital Dentistry 11. Advanced Chairside Duties (DA/RDA Duties) a. Suture Removal b. Procedures Prior to Removal of Sutures c. Suture Removal Criteria d. Post Suture Removal C. Oral Pathology 1. Inflammation 2. Diagnosing Oral Pathology 3. Biological Agents 4. Physical Agents 5. Chemical Agents 6. Hormonal Disturbances 7. Developmental Disturbances 8. Nutritional Disturbances 9. Neoplasms 10. Oral Lesions Related to HIV and AIDS D. Orthodontics 1. The Orthodontic Team 2. Occlusion and Malocclusion 3. Etiology of Malocclusion 4. Types of Orthodontic Treatment 5. Process of Tooth Movement 6. Preorthodontic Treatment 7. Consultation Appointment 8. Orthodontic Appliances 9. Orthodontic Treatment a. Separators

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b. Selection of Orthodontics Bands c. Band Cementation d. Direct Bonding Brackets e. Placement of Arch Wire f. Oral Hygiene Instructions g. Periodic Office Visits for Adjustments h. DA/RDA Duties 10. Completion Appointment E. Pediatric Dentistry and Enamel Sealants 1. The Pediatric Dental Team 2. Behavioral Characteristics of Children at Various Ages 3. Patient Management 4. Role of Parent or Guardian 5. Procedures in Pediatric Dentistry 6. Emergency Treatment for Traumatic Injuries 7. Child Abuse 8. Advanced Chairside Functions (DA/RDA Duties) a. Enamel Sealants b. Indications and Contraindications for Sealants c. Role of the Dental Assistant d. Enamel Sealant Materials e. Placement of Enamel Sealants F. Periodontics and Coronal Polish 1. The Periodontal Team 2. Periodontal Disease 3. Periodontal Diagnostic Procedures 4. Periodontal Instruments 5. Lasers 6. Nonsurgical Periodontal Procedures a. Occusal Adjusment b. Scaling and Polishing c. Root Planing d. Gingival Curettage 7. Surgical Periodontal Procedures 8. Periodontal Dressing 9. Advanced Chairside Procedures (DA/RDA Duties) a. Coronal Polish b. Rationale for Performing Coronal Polish c. Contraindications and Modifications d. Dental Deposits e. Abrasives and Polishing Agents f. Equipment and Supplies g. Maintaining Operating Field h. Auxiliary Polishing Aids G. Fixed Prosthodontics and Gingival Retraction 1. Patient Considerations/Case Presentation 2. Types of Fixed Prostheses 3. Types of Materials Used for Fixed Prostheses a. Gold Casting Alloys b. Tooth-Colored Cast Restorations 4. CAD/CAM Restorative System 5. Role of Laboratory Technician 6. Role of Dental Assistant 7. Retention Techniques a. Core Buildups b. Retention Pins

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c. Post-Retained Cores Implant Retainer Prostheses Maintenance of Fixed Prosthodontics a. Fixed Prostheses Maintenance b. Dental Implant Maintenance

10. Advanced Chairside Functions (DA/RDA Duties) a. Gingival Retraction b. Types of Gingival Retraction H. Cosmetic Dentistry and Teeth Whitening 1. Cosmetic Dentist and Staff 2. Scope of Cosmetic/Esthetic Dentistry 3. Fundamentals of Cosmetic Dentistry 4. Cosmetic Dentistry and Psychology 5. How a Patient selects a Cosmetic Dentist 6. Procedures in Cosmetic Dentistry 7. Oral Photography a. Uses of Oral Photography b. Basic Equipment for Dental Photography c. Extraoral Techniques d. Intraoral Techniques 8. Contouring Soft Tissues in Cosmetic Dentistry 9. Occlusion in Cosmetic Dentistry 10. Types of Restorations and Materials 11. Marketing Cosmetic Dentistry 12. Advanced Chairside Functions (DA/RDA Duties) a. Introduction to Tooth Whitening b. How Teeth Are Whitened c. Causes of Tooth Stains d. Role of the Dental Assistant e. Whitening Techniques f. Over-the Counter Whitening Materials g. Patient Information I. Removable Prosthodontics 1. Patient Considerations 2. Dental Assistant’s Role 3. Diagnosis and Treatment Planning 4. Consultation Appointment 5. Removable Partial Denture 6. Complete Denture 7. Denture Reline 8. Denture Repair 9. Polishing Removable Prostheses 10. Overdenture a. Endoosseous Implant and Overdenture for Implant Restorative and Laboratory Materials and Techniques A. Dental Cements, Bases, Liners, and Bonding Agents 1. Role of the Dental Assistant 2. Properties of Dental Materials 3. Types of Restorative Dental Materials 4. Dental Cements a. Uses of Dental Cements b. Zinc Phosphate Cement c. Zinc Oxide Eugenol Cement d. Polycarboxylate Cement

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e. Glass Ionomer Cement f. Calcium Hydroxide Cement g. Cavity Varnish h. Resin Cement i. Resin-Reinforced Glass Ionomer Cement j. Compomer Cement k. Etchants 5. Bonding Agents a. Enamel Bonding b. Dentin Bonding 6. Restorative Dentistry a. Classification b. Cavity Detection c. Cavity Cleaners/Disinfectants d. Desensitizers e. Cavity Preparation Identification f. Elements of Cavity Preparation 7. Advanced Chairside Functions (DA/RDA Duties) a. Placing Cements, Bases, and Liners b. Cavity Preparation/Pulpal Involvement c. Treatment of Cavity Preparations d. Cavity Liners e. Cavity Varnish f. Cement Bases B. Restorative Materials, Dental Dam, Matrix and Wedge 1. Amalgam Restorative Materials 2. Composite Restorative Materials 3. Glass Ionomer Restorations 4. Compomers 5. Advanced Chairside Functions (DA Duties/RDA Duties) a. Dental Dam b. Advantages of Dental Dam Use c. Contraindications to Dental Dam Isolation d. Materials and Equipment e. Preparation Before Dental Dam Placement f. Placement and Removal Procedures for Dental Dam g. Dental Dam for Pediatric Patients h. Alternatives to Full Dental Dam Placement i. Matrix and Wedges j. Matrices k. Wedges l. Tofflemire Matrix m. Plastic Strip Matrix n. Sectional Matrix System C. Laboratory Materials and Techniques 1. Hydrocolloid Impression Materials 2. Elastomeric Impression Materials 3. Gypsum Materials 4. Trimming and Finishing Diagnostic Casts 5. Articulating Casts or Study Models 6. Dental Waxes 7. Custom Trays 8. Constructing a Custom Tray 9. Vacuum formed Tray 10. Provision (Temporary) Restorations

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Types of Provisional (Temporary) Restorations Preformed Aluminum Temporary Crowns Preformed Acrylic Temporary Crowns Custom Acrylic or Composite Temporary Restorations e. DA/RDA Duties Dental Practice Management A. Dental Office Management 1. Reception Area 2. Dental Receptionist and Business Office Staff 3. Dentistry Marketing 4. US Postal Service/USPS Services 5. Telephone Technique 6. Business Office Systems a. Common Dental Office Software b. Database Management c. Computer Safety 7. Patient Scheduling 8. Dental Records Management 9. Accounts Receivable 10. Patient Account Management 11. Accounts Payable Employment A. Employment Strategies B. Obtaining National Certification C. Employment D. Employment Search E. Preparation of Career Portfolio F. Setting Up an Interview G. Interview Process/Workshop H. Professional Conduct During Employment 1. Terminating Employment 2. Continued Success Community Classroom A. General dental offices 1. Exposure to digital x-ray and new technology 2. Exposure to dental soft-ware systems 3. Exposure to front office skills B. Specialty dental offices 1. Exposure to digital x-ray and new technology specific to each specialty 2. Exposure to dental soft-ware systems 3. Exposure to front office skills C. Dental pre-clinical laboratory *Minimum hours of community classroom (internship) is 240 hours and up to 345 hours if additional internship is needed. TOTAL HOURS

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HOURS 240* Must be 25% as indicated by RDA Program recommendations

900 hours

Maximum hours of instruction: Classroom 660 + Internship 240* Note: Internship or work based learning hours will vary in number and area of concentration within the scope of the course outline, depending upon community training site, interest and skill level of each student.

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Instructional Strategies: Lecture, simulations, guest speakers, field trips, role-play activities, demonstration, clinical lab, pre-clinical lab, and applied clinical practice. Instructional Materials: Textbook, student workbooks, transparencies, slide presentations, video, CDrom, power-point presentations, and assessment materials. Articulation: To be determined Academic Credit: 10 credits Industry/Licensing requirement met: Applied 10 months of work experience towards RDA (Registered Dental Assistant) licensing and NELDA (National Entry-Level Dental Assistant) certification. Certificates: Course completion certificate attached. Competencies should match major sections of the course outline. Revised: (6/16) dmr

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