Goals and Competencies

The goals of the Dental Hygiene Program reflect the strategic plan of Cape Fear Community College.

The Goals of the Dental Hygiene Program Are To:

  • Graduates of the dental hygiene program will be able to demonstrate the basic knowledge and skills needed for entry into the dental hygiene field
  • Graduates of the dental hygiene program will be able to effectively utilize problem solving and critical thinking skills in patient care
  • Dental hygiene students will gain experience with up-to-date and paperless technology

The Competencies of the Dental Hygiene Program

These competencies serve to define the core content of the Dental Hygiene curriculum. These competences set the standards for instruction and for assessing student achievement and the degree to which students can provide dental hygiene care to patients.

The Major Competencies of the Dental Hygiene Program cover eleven domains:

  1. Ethical Behavior
  2. Professional Behavior
  3. Problem Solving
  4. Assessment
  5. Diagnosis
  6. Planning
  7. Implementation
  8. Evaluation & Maintenance
  9. Education & Communication
  10. Community Involvement
  11. Professional Commitment & Advancement

Each major competency has subdivisions of supporting competencies

DEFINITIONS:

Process evaluations – preclinical and clinical tutorials and/or competencies.  A clinical instructor observes the student perform a skill and evaluates each step in the competency.  A tutorial is a non-graded process evaluation that provides the student with the opportunity for non-graded feed-back from the instructor.

End product evaluations are performed daily in the clinical environment.

Competency

Curriculum Content (Course Number)

1.  Ethical Behavior.  The dental hygiene graduate must be able to apply a professional code of ethics in all endeavors.
1.1 Integrate the ADHA code of ethics in all professional endeavors ADHA Code of Ethics (DEN 120, 130, 233)
Evidence-based decision-making. (DEN 112, 121, 131, 141, 221, 231)
Ethical and legal issues in teaching, and practice. (DEN 111, 112, 120, 140, 224, 233)
Practice management principles in health care settings (DEN 233)
1.2 Adhere to state and federal laws, recommendations and regulations in the provision of dental hygiene care. Professional role of the dental hygienist (DEN 120)
Evidence-based decision making (DEN 121, 131, 141, 221, 231)
Legal and ethical aspects of dental hygiene (DEN 111, 112, 121, 131, 141, 221, 231, 233)
Radiation protection (DEN 112)
Jurisprudence (DEN 111, 233)
Federal regulation (DEN 111, 112, 233)
Licensure information, national and regional examination requirements (New student orientation, DEN 233)
1.3 Serve all patients without discrimination, appreciating the diversity of the population. Special needs patients (DEN 140, 220)
Evidence-based decision making (DEN 131, 141, 221, 231)
Legal and ethical issues in dental hygiene practice (SOC 240, DEN 111, 131, 141, 221, 231, 233)
1.4 Apply principles of risk Management to manage professional risks and prevent liability Record keeping (DEN 120, 121, 130, 131, 141, 221, 231, 233)
Infection control, personal protective equipment, chemical safety (DEN111, 121, 131, 141, 221, 224,  231)
Exposure limits, ALARA, dose levels, radiation biology, Operator/Patient protection DEN 112, 131, 141, 221, 231)
Infectious disease (DEN 111, BIO 168, 169, 175)
Prevention of medical emergencies (DEN 125, 140)
Legal, regulatory, and ethical issues in dental hygiene practice. (SOC 240, DEN 112, 120, 131, 141, 221, 231, 233)
Rights of employers and employees based on the employee contract (DEN 233)
2. Professional Behavior. The dental hygiene graduate must be able to practice as a member of a team in a professional manner.
2.1 Assume responsibility for dental hygiene actions and services based on scientific theories and protocol. Professional responsibility (DEN 120, 121, 131, 141, 221, 231, 233)
Post-operative instructions (DEN 124, 130, 140, 220, 224)
Legal, regulatory and ethical aspects of dental hygiene (DEN 111, 112, 233)
Achieving professional status (DEN 233)
Dental Hygiene Practice (DEN 121, 131, 141, 221, 231)
2.2 Provide accurate, consistent, and complete documentation when serving in professional roles. Documentation of clinical findings (DEN 120, 121, 131, 141, 221, 231)
Tooth nomenclature (DEN 110)
Head & neck anatomy (DEN 110)
Prescription writing (DEN 223)
Treatment planning, informed consent, informed refusal, risk management (DEN 112, 124, 131, 141, 221, 231, 233)
Dental Hygiene Practice (DEN 121, 131, 141, 221, 231)
2.3 Communicate effectively using verbal, non-verbal, written and electronic communication skills. Verbal/nonverbal communication (CIS 111, SOC 240, DEN 120, 130, 123, 220, 223, 233)
Dental hygiene care planning & evaluation (DEN  124, 130, 131, 141, 221, 231, 232)
Special procedures, placement of Intraoral radiographs on patient partners, patient relations (DEN 112, 131, 141, 221, 231)
Special needs patients and conditions (DEN 140, 221, 231)
Lesson planning and presentation (DEN 232)
Use of email and internet activity (CIS 111, ENG 111, ENG 114, Den 111, 120, 123, 124, 125,130, 140, 220, 222, 224)
Negotiation/debate skills (ENG 111, ENG 114)
Roles in a team; interpersonal relationships (ENG 111, ENG 114)
3. Problem solving, critical thinking and decision-making.  The dental hygiene graduate must be able to acquire and analyze information in a scientific manner.
3.1 Critically analyze published reports of oral research and apply this information to the practice of dental hygiene. Oral health products (DEN 130)
Journal article critique (ENG 111, ENG 114, DEN 111,  124, 220, 222, 232)
Measurement in research

Population and sampling technique

Research design

Data analysis and interpretation (DEN 232)

Evaluation of oral health literature (DEN 123, 220, 232)
3.2 Evaluate the safety and efficacy of oral health products and practice. Bleaching agents, abrasives, fluorides, and tooth pastes(DEN 130, 224)
Allergic reactions to dental products (DEN 224)
Oral health products and equipment (DEN 124, 130)
Dental hygiene care evaluations (DEN 124, 130, 131, 141, 221, 231)
Indications, contraindications, and dental considerations of specific drugs (DEN 120, 121,130, 131, 141, 221, 223 231)
Dental indices (DEN 120, 124, 121, 130, 131, 141, 221, 231, 232)
4. Assessment.  The dental hygiene graduate must be able to collect, analyze and record data on the general, oral and psycho-social health status of patients using methods consistent with medical, legal and ethical principles.
4.1 Assess patient concerns, goals and values to direct patient care. Medical history interview; care plan; dental hygiene diagnosis (DEN 120, 121, 124, 131, 141, 221, 230, 231)
Dental Hygiene practice (DEN 121, 131, 141, 221, 231)
4.2 Obtain, review, update and interpret an accurate medical/dental history and vital signs.  Recognize conditions that require special precautions or consideration prior to or during dental hygiene care. Medical/dental history; vital signs; dental drug reference; medical emergency prevention   (DEN 112, 120, 125, 220,230)
Dental Hygiene Practice (121, 131, 141, 221, 231)
Principles and terminology in general pathology and immunology (BIO 175, DEN 222)
4.3 Perform an Extraoral and Intraoral examination. Intra and extra oral exam procedures (DEN 120, 121, 131, 141, 221, 230, 231)
Dental Hygiene Practice (DEN 121, 131, 141, 221, 231)
Intra and extra oral anatomy (DEN 110, BIO 168)
Distinguishing features and oral manifestations of development, systemic, infectious and neoplastic diseases (DEN 131, 140, 141, 221, 231, 222)
Clinical signs and symptoms of oral pathology (DEN 222)
4.4  Perform an examination of the teeth and accurately record the results Dental exam procedures (DEN 120, 121, 130, 131, 140, 141, 221, 230, 231)
Dental Hygiene Practice (DEN 121, 131, 141, 221, 231)
Tooth anatomy (DEN 110, 112, 222 )
Recognition of restorative materials (DEN 112, 131, 141, 221, 224, 231)
Dental caries and its sequela (DEN 112, 130, 131, 141, 221, 231)
4.5  Evaluate the periodontium, and identify conditions that compromise periodontal health. Periodontal assessment (DEN 112, 124, 130, 131, 141, 221, 231)
Perform periodontal assessment and identify conditions (DEN 124, 131, 141, 221, 231)
Normal periodontium (DEN 120, 124)
Histology ( DEN 110)
Periodontal and gingival assessment (DEN 120, 121, 124, 131, 141, 221, 230, 231)
Osseous dental integration (124)
4.6 Identify the need for radiographs and distinguish normal radiographic anatomy from abnormal. Care planning (DEN 112, 124, 131, 141, 220, 221, 230, 231)
Anatomical landmarks (DEN 110, 112, 131, 141, 221, 231)
Radiographic interpretation (DEN 112, 124, 131, 140, 141,  221, 222, 231)
Radiographic appearance of tooth development (112)
Periodontal disease and radiographs (DEN 112, 124, 140)
Perform radiographic assessment( DEN 112, 131, 140, 141, 221, 222, 231)
4.7 Recognize predisposing and Etiological risk factors that require intervention to prevent and control disease Dental drug reference, assessment, oral health status (DEN 120, 223, 230)
Dental Hygiene Practice (DEN 121, 131, 141, 221, 231)
Oral anatomy & tooth anatomy (DEN 110, 120, 124)
Indications for sealants (DEN 224)
Etiologic risk factors of systemic disease (BIO 168, 169, DEN 120, 121, 124, 140, 222)
4.8 Perform appropriate Examinations to obtain, validate and interpret diagnostic information. Dental Hygiene Practice (DEN 121, 131, 141, 221, 231)
Disclosing, care planning (DEN 130, 131, 141, 221, 230, 231)
Intraoral/Extraoral radiographic techniques (DEN 112)
Periodontal assessment (DEN 130, 124)
4.9 Identify patients at risk for a medical emergency and take appropriate precautions to minimize those risks Medical emergencies (DEN 125, 130, 140)
Anti-infective agents (DEN 223, BIO 175)
Special needs patients (DEN 140)
5. Diagnosis.  The dental hygiene graduate must be able to use critical decision making skills to determine the patient’s needs related to their oral health and disease, based on all available data.
5.1 Analyze and interpret the data to formulate a dental hygiene diagnosis related to and harmonious with the diagnosis of the dentist and other health professionals. Dental hygiene diagnosis (DEN 124, 130, 131, 140, 141, 221, 230, 231)
Oral and tooth anatomy (DEN 110)
Sealant tooth selection (DEN 224)
Study models & diagnostic casts (DEN 224, 231)
Risk factors, diagnosis, treatment planning (DEN 131, 141, 221, 231)
5.2 Obtain consultations as appropriate Medical/dental history, medical and dental referrals (DEN 112, 120, 121, 131, 141, 221, 230, 231)
6. Planning.  The dental hygiene graduate must be able, through consultation with the patient and other health professionals, to formulate a comprehensive dental hygiene care plan.  The care plan will identify dental hygiene interventions to be provided that are evidence-based.
6.1 Establish a planned sequence of educational, preventive, and therapeutic services, collaboratively with the  patient, based on the dental hygiene diagnosis. Dental hygiene diagnosis and care planning (DEN 124, 130, 140, 230, 232)
Dental Hygiene Practice (DEN 131, 141, 221, 231)
6.2 Formulate goals and establish expected outcomes related to the needs and desires of the patient. Dental hygiene diagnosis and care planning (DEN 124, 130, 131, 141, 221, 231, 232)
Special needs (DEN 130, 131, 140, 141, 221, 231)
6.3  Make referrals as indicated by the care plan. Dental hygiene diagnosis and care planning (DEN 130, 131, 141, 221, 230, 231)
Dental Hygiene Practice (DEN 131, 141, 221, 231)
Prescription writing (DEN 223)
7. Implementation.  The dental hygiene graduate must be able to provide individualized care that includes educational, preventive and therapeutic services designed to assist the patient in achieving and maintaining oral health.
7.1 Educate patients to prevent and control risk factors that contribute to caries, periodontal disease, and other oral conditions. Disease risk factors, Epidemiology of caries, periodontal disease and other conditions (DEN 124, 130)
Sealants, impressions, periodontal dressing, polishing agents (DEN 221, 224, 231)
Nutritional counseling, risk factors (DEN 123)
Osseous dental integration (DEN 124, 220)
Dental Hygiene Practice (DEN 131, 141, 221, 231)
7.2 Utilize accepted infection control procedures Infection control (DEN 111, 121, 224)
Dental Hygiene Practice ( DEN 112, 121, 131, 141, 221, 231)
7.3 Obtain radiographs of diagnostic quality Radiographic film processing, factors affecting radiographic image (DEN 112)
Radiographic techniques (DEN 112)
Dental Hygiene Practice (DEN 112, 131, 141, 221, 231)
7.4 Apply basic and advanced principles of dental hygiene instrumentation to remove deposits without trauma to hard or soft tissue. Basic instrumentation skills (DEN 120, 130)
Root debridement (DEN 124, 140,  220)
Advanced ultrasonic (DEN 220, 221, 231)
Dental Hygiene Practice (DEN 131, 141, 221, 231)
7.5 Control pain and anxiety during treatment through use of accepted pharmacological and behavioral techniques. Local anesthesia (DEN 140, 220, 223, 224)
Topical anesthesia, nitrous oxide (DEN 220, 224)
General anesthetics, analgesics, sedative hypnotics (DEN 220, 223)
Patient management during radiographic procedures (DEN 112, 131, 141, 221, 231)
7.6 Select and administer appropriate chemotherapeutic agents and provide pre- and post-treatment instructions Dental Hygiene Practice (DEN 131, 141, 221, 231)
Toothpaste formulations, fluoride, sealants, tooth whiteners (DEN 130, 224)
Chemotherapeutic, local drug delivery (DEN 130, 220)
7.7 Provide adjunct dental hygiene services that can be legally performed Sealants, periodontal dressings, impressions, topical anesthesia (DEN 220, 224, 221, 231)
Polish selective restorations (DEN 224, 231)
Desensitization, pulp testing (DEN 124, 220, 224)
7.8  Manage medical emergencies Medical emergencies (DEN 125, 131)
CPR course (Preadmission, DEN 125)
8. Evaluation & Maintenance.  The dental hygiene graduate must be able to evaluate the effectiveness of educational, preventive, and therapeutic services and modify if needed.
8.1 Determine the outcomes of dental hygiene interventions using indices, instruments, examination techniques, and patient self-report. Oral health indices (DEN 124,130, 232)
Dental hygiene practice (DEN 131, 141, 221, 231)
Oral and tooth anatomy (DEN 110, 124)
Outcomes assessment, goal attainment, patient motivation (DEN 130, 220, 230)
8.2 Compare actual outcomes to expected outcomes, re-evaluating goals, diagnoses and services when expected outcomes are not achieved. Oral health, indices (DEN 124, 232)
Outcomes assessment, goal attainment, evaluation procedures (DEN 131, 141, 221, 231, 230, 232)
8.3 Develop and maintain a periodontal maintenance program Perio maintenance program (DEN 124, 141, 220, 221, 230, 231)
8.4 Determine the patient’s satisfaction with the oral health care received and the oral health status achieved Evaluating consumer satisfaction (Den 131, 141, 221, 230, 231)
9. Education and communication.  The dental hygiene graduate must be able to promote the values of oral and general health to the public and organizations.
9.1 Identify factors that can be used to motivate the patient for health promotion, disease prevention and health maintenance. Risk factors (DEN 130, SOC 240)
Community health promotion and education (DEN 232)
Dental hygiene practice (DEN 131, 141, 221, 231)
9.2 Educate other individuals and/or organizations about the assessment, access and delivery of services in the provision of oral care. Dental hygiene practice (DEN 121, 131, 141, 221, 231)
Special needs/medically compromised (DEN 140)
Community dental health education (DEN 232)
Marketing dental hygiene services (DEN 233, ENG 114)
9.3 Present educational information to diverse patient populations, in a variety of settings using appropriate teaching strategies. Special needs/medically compromised/cultural diversity (DEN 140, SOC 240)
Lesson plan development (DEN 232)
Develop teaching aids for oral health education (DEN 130, 131,232)
Oral health education development and presentation (DEN 130, 232)
10. Community involvement. The dental hygiene graduate must be able to assume responsibility for health promotion and disease prevention to the public and organizations within and outside the profession.
10.1 Assess community oral health needs, risk and available resources and evaluate outcomes for health improvement and access to the healthcare system. Preventive oral health methods (DEN 232)
Selecting a population & sampling techniques (DEN 232)
Measurement, data analysis & interpretation in research (DEN 232)
Electronic data bases & Internet web sites for health sciences (DEN 124, CIS 111)
10.2 Plan, implement, and evaluate community oral health  education and services. Develop dental health programs (DEN 232)
Community program planning (DEN 232)
Measurement in research (DEN 232)
Develop and present oral health educational activity (DEN 232)
Data analysis & interpretation process (DEN 232)
10.3 Provide dental hygiene services as an  interdisciplinary health caremember in a variety of settings Provide dental hygiene services and education in public health settings (DEN 221, 231, 232)
Provide dental hygiene education in public health settings (DEN 232)
11.  Professional Commitment and Advancement.  The dental hygiene graduate must be concerned with improving the knowledge, skills and values of the profession.
11.1 Advance the values of the profession through leadership, service activities and affiliations with professional and public organizations. Achieving professional status in dental hygiene (DEN 233)
Professional service and leadership (DEN 220, 230)
11.2 Assume the roles of the  professional dental hygienist (clinician, educator, researcher, change agent, consumer advocate, administrator) as defined by the ADHA. Professional roles and responsibilities (DEN 232, 233)
Quality assurance standards (DEN 233)
Characteristics of leader and managers (ENG 114, SOC 240, DEN 233)
11.3 Assume responsibility for professional growth through lifelong learning. Interviewing concepts (ENG 114, DEN 233)
Resume development (ENG 114, DEN 233)
Career opportunities (Den 233)
11.4 Evaluate professional issues and scientific literature  in order to make evidence-based decisions that advance the profession of dental hygiene. Evaluation of oral health literature (DEN 220, 232, ENG 114)
Professional issues (DEN 224)