Dental Hygiene III

Course Details

Course Number
DNHY 4023
Fall 2016
Bridwell Hall
Classroom Number
Days & Times


Monday & Wednesday 10:00 - 11:30 AM  & Clinical Sessions as scheduled)

Barbara J DeBois RDH, MS (view Profile)

Course Attachments


Course Objectives


Upon completion of this course the student should be able to:

1.    Describe how changing perspectives on the roles of calculus, plaque, and endotoxins in periodontal disease have affected the development of dental hygiene treatment over the past several decades.

2.    Identify the rationale for use of the ultrasonic scaler, demonstrate its set-up, and properly utilize  it in the laboratory setting on extracted teeth, and in the clinical setting on select patients (fellow students).

3.    Discuss the evolution of root instrumentation and demonstrate proper treatment procedures on extracted teeth with specialized hand instruments.

4.    Identify pit and fissure sealant candidates (individuals, as well as individual teeth); and properly place sealants on (a) extracted teeth and (b) designated fellow classmates.

5.    Discuss various physical conditions/diseases and determine possible modifications and/or contraindications to dental/dental hygiene treatment.

6.    Discuss various emergency situations that may occur in a dental office in regards to; etiological  and/or precipitating factors; physiological activity that produces the clinical signs and symptoms; and management.

7.    Discuss the ethical and legal aspects of the Good Samaritan Statute, Standard of Care, and Standard of Care in a Medical Emergency in regards to the dental hygienists responsibilities.

8.    Analyze and determine the most appropriate approach to pain management during nonsurgical periodontal therapy.

9.    Analyze and determine the most appropriate supplemental care procedures for nonsurgical periodontal therapy cases.

10. Develop treatment plans for medically and/or periodontally compromised patients.

11. Integrate didactic information with clinical experiences to analyze, apply and formally present the relationships between selected patients’ personal attitudes/beliefs, cultural influences, medical, dental and periodontal conditions.

12. Develop and formally present a Case Presentation/Overview of a clinical patient: outline the assessment findings, etiologic factors, and clinical data used to determine the dental hygiene diagnosis; explain the planned sequence of care based on this diagnosis; review the implemented treatment giving possible rationales for expected/unexpected outcomes; and discuss rationale for maintenance care/recomm

13. Learning objectives related to specific topics are given for each class session.


Course Expectations



Upon completion of this course the student should be able to:

1.    Discuss the modifications and/or contraindications to dental/dental hygiene treatment various medical conditions and their underlying physiological actions may present.

 2.    Select the most appropriate method of instrumentation for patient treatment and demonstrate correct utilization of instruments selected.

 3.    Develop appropriate dental hygiene treatment plans based on analysis of patients’ medical histories, assessment data and evidence-based treatment modalities.

Grading Standards



Four examinations, including the senior 3rd Semester Final Exam, will be given for this course.  Each exam will be comprehensive from the first class session and each will constitute 20% of the final course grade.  Students missing an exam due to illness will be allowed to make up the exam on the day of their  return to school.  No grade higher than a 90 will be given for make-up examinations. Students will be allowed to make up only one (1) exam per semester. This does not include the Senior 3rd Semester Final Exam.                                 

Final Exam           

The Senior 3rd Semester Final Examination will constitute 20% of the final course grade. It is a 4-hour examination which will serve as the combined final exam for each of the courses offered in the 3rd semester of the dental hygiene curriculum; Dental Hygiene 3, Dental Health Education and  Pathology.  The exam will consist of two sections: (1) approximately 150 multiple choice questions covering the content of the courses listed above and (2) a case based portion.                                     

The case based portion of the exam (50-75 items) will incorporate content from ALL dental hygiene courses taken to this point in time. The case based portion will be figured into the final exam as bonus points. This format, rather than individual course final exams will more effectively assess the student’s ability to combine didactic and clinical content, as well as aid in preparing the student for the National Board Dental Hygiene Exam.

Grading: Students will receive a grade on Part I based on the 50 multiple choice items pertaining directly to Dental Hygiene 3 content. Points earned on Part 2’s case based items pertaining to Dental  Hygiene 3 will be added to Part I as bonus points to determine the final exam grade for this course. The values of Part 2 items will be determined by the individual course instructor. Therefore, the points earned for Part 2 items will vary between courses.

Water bottles, cell phones, hand-held calculators/computers are not allowed in the room during any examination.  Possession of any of these items during an exam will be construed as academic dishonestly and will be dealt with accordingly.


Case Presentation Project:                

The Senior Case Presentation project will constitute 20% of the final course grade.  Students will work in teams of two on this project.  Each team will plan, develop and then formally present to the class a case presentation based on one of the team member’s Clinical Practice 3 patients.

The overall project is an integration of two (2) parts: 

  1. Den Hygiene 3’s Report of assessment, treatment plan development & rationale, treatment provided & rationale, and assessment of results

            Specific instructions for this part of the project will be passed out and discussed during the first Dental Hygiene III class session. 

      2. Dental Health Education’s Report- literature review

          Specific instructions for this part of project will be passed out and discussed during a Dental Health Education class session


All work on this project MUST conform to the MSU Dental Hygiene Department PRIVACY PRACTICE PROTOCOL

                                   ↓             (See complete policy Dental Hygiene Dept Handbook Section 1.4)


 Protocol to insure confidentiality regarding a patient’s medical condition, oral health, and records in accordance with the Health Insurance Portability and Accountability Act (HIPAA) 1996. 

Any breaches in patient confidentiality or privacy may result in disciplinary actions including:

1.    Dismissal from the Dental Hygiene Program 


2.    A monetary fine of $25,000 per HIPAA Violation



Faculty and students may access PHI for the purpose of : 

1.    Providing patient treatment in the Gaines Dental Hygiene Clinic (clinical and/or radiology areas). 

2.    Full-filling class assignments for didactic and/or clinical dental hygiene courses.  Only de-identified copies of PHI

       will be utilized by students for assignments in didactic and/or clinical courses outside of direct patient care.

       PHI will NOT be electronically transferred via cell phones, face book, etc.


 Grading Scale:           

Examination  #1                   = 20%                                         

Examination  #2                   = 20%      

Examination  #3                   = 20%                                                     

Exam #4 (Sr Final Exam)           = 20%     

Senior Case Presentation    = 20%                   


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


Attendance:         More than two (2) absences for any reason will result in a loss of 5 points from the final course

                              grade for EACH absence over the allowed 2. This includes the lecture and scheduled clinical sessions.

                              In cases of extreme illness and/or hospitalization, individual decisions may be made. Two (2) tardies

                              will be the equivalent of one (1) absence. Students must be present for the entire class period to

                              get credit for a class session. Students leaving class early will be counted as absent.


Other Policies


Phone Use:     

Cell phone use (texting or verbal) is extremely disruptive to your fellow classmates and to the faculty teaching your course.  Therefore, the use of cell phones will not be tolerated, FOR ANY REASON.  If you utilize your cell phone it will be confiscated for the remainder of the scheduled day. Repeat offenders will be asked to leave the classroom and will be required to meet with the faculty and the chair of the Dental Hygiene Department. In cases of emergencies, please notify spouses, family and friends to contact you via the program secretary at 397-4764.



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 dental hygiene courses 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.


By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course.  The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality and authenticity, and for educational purposes. Specifically, faculty may submit student papers and assignments to an external agency to verify originality and authenticity, and to detect for plagiarism

 MSU COHSHS Student Conduct Appeals Committee

All Midwestern State University (MSU) students may legitimately appeal a course grade if 1) the student has not be 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 not 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 impacts 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 Americans 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) 397-4618 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.


Concealed Handguns on Campus

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



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.

>Calendar Attachment

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