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Clinical Practice I

Course Details

Course Number
Fall 2015
Bridwell Hall
Classroom Number
109-110 & Gaines Dental Hygiene Clinic
Days & Times

Monday and Wednesday 8:00-12:00

Martha Crump (view Profile)

Course Attachments


Fundamentals of Periodontal Instrumentation
Course Objectives


Clinical Practice I is designed to provide the student with the opportunity to apply didactic information from Dental

Hygiene I (DNHY 3014), as well as clinical Practice I, to the clinical setting. Basic skills, patient positioning, intraoral finger rests and basic instrumentation are introduced and then practiced throughout the course. Instrumentation techniques are introduced via instructor demonstration and audiovisual aids, followed by student practice on typodonts in the lab setting. The student then moves to clinical manikins, followed by practice on screened patients (fellow classmates). Infection control protocol is demonstrated and then the student follows this protocol each time he or she works on a classmate in the clinic. Clinical Practice I provides the student with the opportunity to begin to develop data collection skills (assessment of medical/dental histories, extra/intraoral examinations and dental/periodontal charting) through practice on fellow classmates in the clinical setting. Instrument sharpening techniques are introduced early in the lab and students are responsible for maintaining sharp instruments at all clinical and lab sessions. Clinical Practice I and Dental Hygiene I are integrated courses to permit the maximum learning experiences for the students. One integrated schedule will be utilized for both courses.


1. Explorers are the hygienist’s eyes below the gingival margin; a light touch is critical for tactile sensitivity.

2. Instrumentation is an art requiring understanding of the functions and capabilities of instruments, as well as

correct instrumentation techniques.

3. Sharp instruments are absolutely critical to the success of instrumentation and patient comfort.

4. Patient records must be up-to-date and accurate.

5. Every patient is an individual and treatment must be based on the needs of the individual.

6. Every patient is considered infectious, therefore following infection control protocol at all times in the clinical

setting is critical.

7. Treatment should be based on evidence based research.


Given the integration of didactic and clinical experiences, upon completion of this course (as integrated with Clinical Practice I), the students should be able to:

1. Demonstrate proper infection control protocol during patient care, set-up and break-down of clinic operatories

    and instrument preparation for sterilization.

2. Demonstrate and consistently utilize correct positioning while working on selected patients in the clinical


3. Identify and correctly sharpen dull dental hygiene instruments.

4. Demonstrate correct instrumentation technique when using the dental mirror, explorer and periodontal probe,   as well as sickles, universal and Gracey curettes.

5. Perform extra and intraoral examinations, correctly documenting findings for this level of their education.

6. Complete dental charting and periodontal assessment with adequate documentation for this level of their


7. Identify possible contraindications to dental/dental hygiene treatment based on patients’ medical histories.

8. Correctly take and record vital signs: blood pressure and pulse.

9. Explain the rationale for antibiotic premedication and/or consultation with a patient’s physician prior to tissue


10. Review medical histories identifying areas requiring further information from the patient and then questioning

and documenting additional information.

Grading Standards



Five clinical competency evaluations will be given for this course. Clinical evaluations will be scheduled during regular clinic sessions.Evaluation # 1 Sickles 20%

Evaluation # 2 Universal Curettes 20%

Evaluation # 3 Graceys 20%

Evaluation # 4 Exploring & Probing 20%

Final Eval # 5 ALL Instruments 20%

All Eval Grades averaged for final 100%

Clinic 1 Grade

All didactic information presented during clinical sessions will be incorporated into Dental Hygiene I examinations.


92 - 100 = A

83 - 91 = B

75 - 82 = C

65 - 74 = D – Constitutes Failure of course in Dent. Hygiene

– A student failing a dental hygiene course CAN NOT advance into the next semester in the

Dental Hygiene curriculum

– Rationale for this grading scale is found in the Dental Hygiene Handbook



* If a student is unsuccessful in demonstrating the specified competency on the FIRST ATTEMPT the

following will apply:

1. Remediation Session - Student must remediate one-on-one with an instructor outside of regularly

scheduled Clinical Practice I sessions. (Friday morning remediation sessions - on a typodont)

2. 1st Re-Eval - Student will be re-evaluated on the designated competency outside of regularly scheduled

Clinical Practice I sessions.

3. Grading - both grades (Original & Re-Eval) will figure into the final course grade.



* If a student is unsuccessful in demonstrating the specified competency on the 1st RE-EVAL (2nd

attempt) the following will apply:

1. 2nd Remediation Session - Student must remediate one-on-one with an instructor outside of regularly

scheduled Clinical Practice I sessions. (Friday morning remediation sessions - on a typodont)

2. 2nd Re-Eval - Student will be re-evaluated on the designated competency outside of regularly scheduled

Clinical Practice I sessions.

3. Grading - All three grades (Original, 1st Re-Eval, and 2nd Re-Eval) will figure into the final course




* If a student has not demonstrated competency after the 2nd Re-Eval he/she will be given a grade of "D"

(Failure in Dental Hygiene), dropped from Clinical Practice I and not be permitted to advance into

the next semester of the program. In this situation the following will apply:

- A student who successfully completes C or better) ALL 1st semester didactic courses may return

in Fall of the following year to retake Clinical Practice I. The Student MUST audit ALL 1st

semester didactic courses running concurrently with Clinical Practice I.

- Readmission of the student is dependant upon the approval of the Dental Hygiene Admissions Committee.

* A student who DOES NOT successfully complete ALL 1st semester didactic courses must reapply to the

Program and if accepted must retake all 1st semester clinical and didactic courses.

* The Dental Hygiene Department reserves the right to make arrangements on an individual basis for students failing to maintain a passing grade in any course. Whatever arrangements made will be based upon an examination of the individual student’s overall dental hygiene scholastic record. This will be decided by the Department Chair and at least two other Dental Hygiene faculty members. Readmission is not automatic.

Submission Format Policy Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.
Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements


The Dental Hygiene Faculty feel very strongly that maximum participation in all clinical and laboratory exercises is critical to the development of clinical competencies. Therefore, more than two (2) absences for any reason will result in a loss of five (5) points from the final course grade for each absence over two (2).




Dental Hygiene Honor System:

All Dental Hygiene courses adhere to the MSU Code of Conduct.  In particular, academic dishonesty, however small, creates a breach in academic integrity. A student’s participation in this course comes with the expectation that his or her work will be completed in full observance of the MSU Code of Student Conduct. A student should consult the current Student Handbook for answers to any questions about the code.

Many components of DNHY 3014 are designed to be highly interactive with students helping each other learn. Students are encouraged to take full advantage of many resources available including course resources, Internet sites, other textbooks and journals, faculty, and peers when answering objectives. This interactive collegial learning environment is conducive for life-long learning.

Cheating includes, but is not limited to, (1) use of any unauthorized assistance in taking quizzes, tests, or examinations; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or completing other assignments; or (3) the acquisition of tests or other academic materials belonging to the university faculty or staff without permission.

Plagiarism includes, but is not limited to, the use of, by paraphrase or direct quotation without correct citation in the text and on the reference list, the published or unpublished works of another person. Students may NOT submit papers and assignments that they have previously submitted for this or other courses. The use of materials generated by agencies engaged in "selling" term papers is also plagiarism. Students are encouraged to review the tutorials and suggested websites for more information about plagiarism. 

Academic dishonesty (cheating, plagiarism, etc.) will not be tolerated in this class. Whenever a student is unsure of whether a particular situation will be interpreted as academic dishonesty, he/she should ask the instructor for clarification. If students are guilty of academic dishonesty, a grade of zero (0) will be given for the quiz, assignment, etc. Cases may also be referred to the Dean of Students for possible dismissal from the university.

Other Policies

MSU COHSHS Student Conduct Appeals Committee

All Midwestern State University (MSU) students may legitimately appeal a course grade if: 1) the student has not been evaluated according to the same criteria as his or her classmates, or 2) an error has been made in grading and/or posting (MSU Student Handbook, p. 37). In addition, the Office of the Dean of Students has the responsibility to enforce standards of conduct for students as outlined in the MSU Student Handbook (p. 70-80).

When enrolled in the college of Health Sciences and Human Services (COHSHS), students are often assigned to community agencies, such as health care facilities, social service agencies, or athletic environments, as part of their academic process. During these experiences, the student is expected to behave in a manner required of professionals working in this environment. COHSHS students may also be required to successfully complete a licensing/certification process following graduation. As a result, students in these programs are often held to a different academic and/or behavioral standard than students in other MSU programs. For example, students may no be allowed to progress in a program if they have been unsuccessful (D or F) in a certain number of courses in the major. In these circumstances, COHSHS faculty and administration, all of whom have had similar professional experience, may make decisions which negatively impact students" programmatic progress.

COHSHS students have a right to a review of decisions made by the program faculty, which prevent individuals from progressing in their program in a timely manner. However, those who participate in the review must understand the context of the professions involved. Therefore, issues concerning the professional conduct of students in the COHSHS will NOT be brought to the University Grade Committee, but to the COHSHS Student Conduct Appeals Committee. Specifically, the COHSHS Student Conduct Appeals Committee will review faculty decisions related to:

• Student conduct in a clinical experience, internship, or other work-related environment that negatively

impact the student’s academic progress. This conduct may include behavior which is prohibited by

licensing and/or professional standards or departmental policy.

• Student removal from a program because of a) professional conduct issues, or b) failure to maintain

academic standards required specifically by the program


The American With Disabilities Act:

Midwestern State University does not discriminate on the basis of an individual’s disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities. MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements. For assistance call (940) 397-4 618 or (940) 397- 4515.

It is the student’s responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.





Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at