Course Content and Outcomes Guides (CCOG)

CCOG for DA 182 archive revision 202404

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Effective Term:
Fall 2024 through Winter 2025

Course Number:
DA 182
Course Title:
Expanded Functions (Lab)
Credit Hours:
1
Lecture Hours:
0
Lecture/Lab Hours:
0
Lab Hours:
30

Course Description

Covers clinical training and practical experience in Expanded Function Dental Assisting (EFDA) and Expanded Function Orthodontic Dental Assistant (EFODA) duties as allowed by the Oregon Dental Practice Act. Focuses on expanded function procedures such as coronal polishing, amalgam and composite finishing/polishing, fluoride application, retraction cord placement, pit and fissure sealant placement, and orthodontic specialty procedures.

Intended Outcomes for the course

Upon successful completion of the course students should be able to:

  1. Perform coronal polishing using correct and safe technique and positioning.

  2. Demonstrate amalgam and composite finishing and polishing using correct and safe techniques.

  3. Apply fluoride using correct and safe techniques.

  4. Demonstrate placement of retraction cord using correct and safe techniques. 

  5. Demonstrate sealant preparation and placement using correct and safe techniques. 

  6. Perform separator placement.

  7. Demonstrate fitting, seating, and cementing molar bands.

  8. Remove molar bands with Ultrasonic scaler and hand scaler.

  9. Demonstrate maxillary and mandibular archwire placement.

  10. Place both elastomeric and steel ligature ties.

  11. Perform intraoral photos.

  12. Demonstrate malocclusion elastics.

  13. Demonstrate the process of bonding brackets and the removal of brackets.

Outcome Assessment Strategies

  • Complete assignments

  • Complete quizzes

  • Complete clinic competencies

  • Complete course midterm and  final

  • Complete internship evaluations

  • Complete specialty externship office rotation

Course Content (Themes, Concepts, Issues and Skills)

Themes:

  • Dental assisting clinical duties

  • Professionalism

  • Communication

  • Teamwork

  • Legal & ethical standards

Concepts:

  • Division 42 of the Oregon Practice Act

  • Armamentarium

  • Industry-standard documentation 

  • Fulcrum

  • Tooth surfaces

  • Indirect vision

  • Ergonomic positioning

  • Handpiece operation

  • Fluoride treatment

  • Indications and contraindications for sealant placement, cord placement, margination and polishing of dental composites and amalgam

  • Post-operative instruction

  • Restoration finishing

  • Restoration polishing

  • Margination

  • Retraction cord placement

  • Sealant procedure

  • Orthodontic office personnel work duties

  • Orthodontic instruments

  • Indications and contraindications for orthodontic treatment

  • Orthodontic diagnosing

  • Orthodontic treatment

  • Orthodontic treatment sequence

  • Palmer notation

  • Bite registration

  • Separators

  • Bracket placement

  • Orthodontic band placement 

  • Orthodontic wires and placement

  • Orthodontic ligatures

  • Fitting bands

  • Band and cement removal

  • Elastics

  • Orthodontic Oral Hygiene Instructions (OHI)

  • Orthodontic appliances

Issues:

  • Time management

  • Organization

  • Self-direction

  • Safety

Skills:

  • Coronal polish on a manikin and a patient

  • Perform amalgam and composite polishing on typodont tooth

  • Apply fluoride on a manikin and on a patient

  • Perform sealant placement on manikin tooth and on a patient

  • Place retraction cord on typodont tooth chairside and on a patient

  • Describe the role of an orthodontic assistant

  • Take a bite registration on a patient

  • Place separators

  • Identify orthodontic instruments

  • Fit and cement orthodontic bands

  • Place and remove orthodontic arch wires

  • Identify the different ways to treat malocclusion 

  • Present oral hygiene and home care instructions

  • Remove cement with hand and ultrasonic scaler

  • Follow OSHA standard precautions and hazardous materials guidelines while providing patient care during expanded functions procedures

  • Review patient health history for possible contraindications to treatment

  • Taking intraoral photos specifically for orthodontic treatment

  • Role plays the steps in an orthodontic evaluation

  • Bracket placement

Related Instruction

Communication
Hours: 12

  • Perform coronal polishing using correct and safe technique and positioning

  • Apply fluoride using correct and safe techniques

  • Demonstrate sealant preparation using correct and safe techniques

  • Communicate with the patient while providing coronal polishing and fluoride treatment on a co-student's teeth, utilizing patient management and inquiry, and listening communication skills. Communicate with co-student and/or patients about procedure and post operative instructions while providing sealant placement. 

  • Perform, at a basic level, expanded functions of orthodontic duties while utilizing correct and safe methods.

  • Medical history review

  • Initial records - impressions, dental images and dental photos specific for orthodontic treatment

  • Separators placement

  • Banding appointment

  • Adjustment appointments 

  • De-banding, cement removal and retainer (s) appointment

  • Post-treatment records - dental images, dental photos

Human Relations
Hours: 3

  • Perform coronal polishing using correct and safe technique and positioning

  • Apply fluoride using correct and safe techniques

  • Students work with/on each other to practice and complete coronal polishing and fluoride treatment procedures accounting for differences in individual patients.