This course provides a continuation in developing the theories and practices of patient care. Topics include periodontal debridement, pain control, subgingival irrigation, air polishing, and case presentations. Upon completion, students should be able to demonstrate knowledge of methods of treatment and management of periodontally compromised patients.

Prerequisites: DEN 140

Corequisites: DEN 221

Class Hours: 2        Lab Hours: 0        Clinical/Work Exp.: 0        Credit Hours: 2


Power Scalers

  • Describe various Power Scalers comparing stroke and frequency.

  • Discuss indications for use of power scalers on deposits/bacteria.

  • Identify inserts and state uses for each.

  • List preparation necessary for unit, clinician and patient.

  • Identify considerations/contraindications for use.

  • List techniques for instrumentation.

Advanced Manual Instruments/Instrumentation

  • Identify situations in which advanced instrumentation techniques are acceptable and desirable.

  • Demonstrate alternative intra and extra-oral fulcrums which offer adequate stability and improved accessibility.

  • Discuss alternate stroking patterns for debridement.

  • Recognize alternative instruments and their uses. Ex: Rigids, files, curvettes, minis, extended shanks.

  • Review root surface anatomy to identify concavities and furcation areas that require advanced instrumentation techniques

Pain Control

  • Define pain perception and pain reaction and relate them to the dental hygiene appointment.

  • Discuss methods of pain control

  • Differentiate various factors which might influence pain reaction.

  • Discuss the use of a topical/subgingival anesthetic:
    • List the indications for use.
    • List the characteristics of the various preparations utilized.
    • Describe the technique for applying the various topical anesthetics.
    • Explain the necessary precautions when choosing an applyin topical/subgingival anesthetics.

  • Discuss the use of nitrous oxide-oxygen sedation:
    • Identify indications and contraindications for us of nitrous oxide-oxygen sedation.
    • Discuss advantages, disadvantages, and complications associated with its use.
    • List safety features associated with gas cylinders and the gas machine.
    • Explain the monitoring process of the patient during analgesia.

Dentinal Hypersensitivity

  • Identify factors contributing to tooth hypersensitivity:
    • Identify types of pain stimuli and give examples.
    • Discuss current theory of dentin hypersensitivity.
    • Describe the mode of activity of various desensitizing agents.
    • Describe various application procedures.
    • Explain the patientís role in the care of hypersensitive teeth.

Air Jet Polishing

  • Describe equipment needed for air jet polishing:
    • Discuss means of action.
    • Review infection control procedures.
    • Discuss daily, and weekly maintenance of equipment.

  • Identify indications for use.

  • Practice basic set up and technique of uses with and without jetshield on peer patient.

  • Discuss advantages/disadvantages compared to rubber cup polishing.


  • Discuss current research and modalities of Oral Irrigation:
    • Describe solutions according to composition, mode of action, and substantivity.
    • Discuss effectiveness of treatment comparing professional and patient application.
    • Discuss various types of delivery systems, their infectioin control issues and techniques for applicatiion.
    • Recognize situations that would benefit from the use of oral irrigation.

  • Discuss current research and utilization of Atridox, Arestin, Periostat:
    • Identify situations that would indicate the use for each product.
    • Identify the contraindications for use of each product.
    • List the procedures for placement and/or utilization for each product.
    • Read and discuss current research on each product.
    • Read and discuss AAP position paper on use of chemotherapeutic agents.

Implant Care and Maintenance

  • Identify parts of an implant .

  • List the criteria for determining the success of dental implants.

  • Name various types of instruments and their uses in the maintenance of dental implants.

  • Discuss the theory used to determine an appropriate supportive periodontal therapy schedule for the patient.

  • Develop a customized homecare regimen for the implant patient.

Smoking Cessation

  • Discuss the importance of tobacco intervention:
    • List health implications involved with the use of tobacco.
    • Identify trends of the use of tobacco products in the United States.
    • Discuss the epidemiology of tobacco-related diseases.
    • Compare the cost, use and success of tobacco cessation products.

  • Review the ADHA Ask, Advise, Refer cessation plan:
    • Know what to ask the patient.
    • Discuss strategies on how best to advise the patient.
    • List ways to assist the patient.
    • Identify when to arrange for outside intervention.

  • Develop a plan to follow through with program.

  • List references for tobacco cessation organizations/programs in our immediate area.

Tooth Whitening

  • Identify various products used in office and at home to whiten teeth.

  • Identify the active ingredients that enable the whitening process.

  • Review the process by which tooth products whiten teeth.

  • Discuss current trends in tooth whitening.


A Excellent 4 Grade Points Numerical grade of 90 - 100
B Above Average 3 Grade Points Numerical grade of 80 - 89
C Average 2 Grade Points Numerical grade of 70 - 79
D Below Average 1 Grade Point Numerical grade of 60 - 69
F Failed 0 Grade Point Numerical below 60
WP Withdraw Passing 0 Grade Point Issued if the course is dropped after the
census date and on or before the 60% point
of the course unless the instructor issues
a WF based on extenuating circumstances
WF Withdraw Failing 0 Grade Point Issued if the course is dropped after the
60% point of the course or the instructor
chooses based on extenuating circumstances


Regular, prompt attendance is essential for academic success. Students should strive for perfect attendance. It is recognized, however, that students may be absent from class occasionally. Students should reference the instructor's syllabus to determine the attendance requirement for this course. The instructor is responsible for enforcing the attendance requirement. It is the student's responsibility to withdraw from the course. Students may complete the withdrawal process in the Advising Center. Students may receive a grade of WP if they withdraw from a course by the 60% point/date of the course. Any student withdrawals that occur after the 60% point will result in a grade of WF. Exceptions to the "WF" grade may exist if the student has a mitigating circumstance. Students are encouraged to discuss withdrawal options with the faculty member and complete the withdrawal process in the Advising Center.


If you have a documented disability and wish to discuss academic accommodations, please contact Frank Pait, Counselor for Students with Disabilities, at extension 4222, in the Learning Assistance Center (LAC) located on the first floor of the Cuyler A. Dunbar Building (CAD).

If you are a student with a mobility impairment and have a class in a multi-story building, please discuss evacuation plans with your instructor.


Students shall be permitted excused absences from all classes two days per academic year for religious observances required by their faith. The absences requested in accordance with this policy are "one of" and not "in addition to" any absences otherwise permitted by the faculty for a class. The excused absence request must be submitted by the second class meeting and a minimum of two (2) weeks in advance of the absence. Please contact your instructor for the required forms.


Students at CVCC are expected to be honest in all academic pursuits, whether class, lab, shop, or clinical. Acts of academic dishonesty are considered unethical and subject to behavior sanctions. Examples of academic dishonesty include, but are not limited to the following:

1. Sharing information about the content of quizzes, exams, classroom/lab/shop/clinical assignments (scheduled or make-up) without approval of the instructor including but not limited to unauthorized copying, collaboration, or use of notes, books, or other materials when preparing for or completing examinations or other academic assignments (scheduled or make-up).

2. Buying, selling, or otherwise obtaining a copy of a quiz, exams, project, term paper, or like document, without approval of the instructor.

3. Plagiarism, which is defined as the intentional representation of another person's work, words, thoughts, or ideas (from any source) as one's own.

4. Failing to follow approved test taking procedures by performing such acts as:
  • Looking on another student's test
  • Use of unauthorized notes; written, electronic, or otherwise
  • Changing answers after exam is scored
  • Verbal, non-verbal, or electronic communication with another student during an exam

Instructors have the authority to impose either a warning, probation, or dismissal from the class for acts of academic dishonesty relative to classes under their supervision.

Students have an obligation to report any acts of academic dishonesty to the instructor or appropriate campus authority when reasonable grounds exist for such a report. Students also have a responsibility to cooperate in the investigation of any alleged acts of academic dishonesty. Failure to report acts of academic dishonesty could result in a behavior sanction as outlined in the Student Conduct Policy, Policy 3.18


Reporting and Response to Sexual Violence, Sexual or Gender-based Harassment, and Other Sexual Misconduct

"Title IX Violations" is the term that will be used to include "sexual violence, sexual or gender-based harassment, and other sexual misconduct" and is explained further in Procedure 3.18.2. The Procedure can be found on the CVCC Website under About Us/Procedures.

Procedure 3.18.2 applies exclusively to Title IX Violations allegations. All other forms of harassment and/or discrimination are handled under Policy 3.18: Student Code of Conduct.

Students and/or employees are encouraged to report Title IX Violations in any of its forms, including, but not limited to, sexual or gender-based harassment, rape, sexual assault, other forcible and non-forcible sex offenses, domestic or dating violence, or stalking, and CVCC supports this procedure for students and employees in compliance with Title IX legislation.

Any student who believes that he or she is being, or has been subjected to, Title IX Violations is encouraged to file a report of the alleged Title IX Violations promptly with the Title IX Coordinator, Dean for the School of Access, Development, and Success.


To Report a Serious Emergency Dial 911 from any campus phone or 911 from mobile phones; then dial 711 (Campus Safety & Security) from a campus phone.

For specific CVCC emergencies guidelines, please refer to the CVCC Emergency Guidebook


Quickly get all persons behind a locked door, close blinds, lock all windows/doors, and turn off lights. Sit against an interior wall away from windows and doors (hide). Keep cell phones ON in silent mode or vibrate. Do not leave the locked area until notified by a known CVCC administrator or by law enforcement that the emergency is over.

Seek Shelter (tornados, hurricanes, etc.)
Move to hallways and/or other inner rooms. Stay away from windows and doors. Sit on floor facing the inner wall and shield head with hands. Remain in shelter until notified by CVCC administration or by emergency personnel that the danger is over.

Building Evacuation
Leave the building immediately and proceed to a parking lot location at least 300 feet from the building. Do not delay to retrieve books or other personal items. Do not use elevators. Do not touch suspicious objects. Stay clear of the building once outside. Faculty should take class rosters if possible and account for all students at evacuation locations. Report any special assistance needed to CVCC faculty/staff or to emergency personnel. If you are aware or suspect someone is trapped in a threatened building, notify CVCC faculty/staff or emergency personnel. Remain at your building evacuation location until further instructions are provided by CVCC administration or by emergency personnel. In case of bomb threat, avoid using cell phones and wireless devices; this may detonate the bomb.

Smoke, Fire or Hazardous Materials
Activate the nearest fire alarm. Before attempting to fight a fire, notify someone nearby. Never attempt to fight a fire larger than wastebasket size. Close doors and windows to isolate the problem if the situation permits. If trapped in a building during a fire, use wet towels or cloths to protect you from flames and smoke. Stop/drop/roll if your clothes catch on fire. Do not open doors that feel hot. Always stay between the fire and an exit. Stay low to the floor as you try to exit.

Personal Emergencies
Unless you feel threatened, stay with the victim until emergency personnel arrive. Avoid contact with bodily fluids. Stay calm and try to minimize panic. If the person is conscious, ask if he/she is a High School student (if so, include this information in your 911 call).

Emergency Procedures Revised: April 4, 2012

Cell phone backup to 711 Campus Safety & Security:

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