Dec 03, 2021  
2021-2022 College Catalog 
    
2021-2022 College Catalog
Add to Portfolio (opens a new window)

DHE 208 - Pain and Anxiety Control for Dental Hygiene

1 Credits, 1 Contact Hours
1 lecture period 0 lab periods

Delivery of local anesthetics. Includes introduction to pain and anxiety control; pharmacology, neurophysiology, and local anesthetic agents; nitrous oxide and oxygen analgesia. Also includes health history and complications, treatment, laboratory practices on student partners, emergency procedures, and head and neck anatomy.

Prerequisite(s): DHE 119 , DHE 122 , DHE 132 , DHE 132LB , DHE 150 , DHE 150LB , DHE 150LC  
Corequisite(s): DHE 208LC , DHE 209 , DHE 212 , DHE 250 , DHE 250LC  
Information: Students must be admitted to the PCC Dental Hygiene program and obtain consent of the Dental Hygiene department before enrolling in this course.


Course Learning Outcomes
  1. Describe and apply principles and techniques to manage pain control, pain/impulse conduction related to nerve anatomy and physiology along with possible interactions with other medications or health conditions.
  2. Describe the pharmacological properties, actions, considerations and contraindications to local anesthetic agents, vasoconstrictors, and nitrous oxide.
  3. Determine the appropriate pain control armamentarium, agents and techniques needed to ensure patient safety and comfort during the administration of local anesthesia and nitrous oxide – oxygen analgesia according to legal and ethical standards.
  4. Demonstrate competence in administering selected local anesthetic injections and nitrous oxide – oxygen analgesia.

Performance Objectives:
  1. Describe the need for pain control and explain pain/impulse conduction related to nerve anatomy and physiology.
  2. Describe the pharmacological properties, actions, considerations and contraindications to local anesthetic agents, vasoconstrictors, and nitrous oxide.
  3. Assess the client’s medico-dental history as it relates to choice of technique and agents used in the administration of local anesthetics and nitrous oxide – oxygen analgesia.
  4. Determine the appropriate pain control armamentarium, agents and techniques needed to ensure patient safety and comfort during the administration of local anesthesia and nitrous oxide – oxygen analgesia.
  5. Apply principles, techniques, and determine ways to prevent and manage potential emergency situations and any possible interactions with other medications or health conditions associated with dental anesthetics and nitrous oxide.
  6. Demonstrate competence in administering selected local anesthetic injections and nitrous oxide – oxygen analgesia.
  7. Practice pain control techniques according to legal and ethical standards.
  8. Apply highest standards of infection control and safety to protect the client and operator.
  9. Plan, present, and receive client consent for an individualized dental hygiene treatment plan, based upon the assessment data and medical history, for the anesthesia patient, including referral to appropriate health care professionals.
  10. Describe the limitations and indications for local inhalation anesthesia.
  11. Describe the related aspects of nitrous oxide oxygen to respiratory physiology.
  12. List the components, equipment and functions for a nitrous oxide delivery system and a scavenger system.
  13. Demonstrate the use and maintenance of nitrous oxide delivery system equipment.
  14. Explain the need for oxygen and describe how to administer it.
  15. Review clinic protocols for medical emergency procedures.

Outline:
  1. Introduction to Pain and Anxiety Control
  2. Pharmacology, Neurophysiology, and Local Anesthetic Agents
    1. Pharmacology of local anesthetics and vasoconstrictors
    2. Neurophysiology/how local anesthetics work
    3. Topical and local anesthetics used in dentistry
    4. Selecting a local anesthetic agent
    5. Calculating amounts of local anesthetics/vasoconstrictors
  3. Nitrous Oxide and Oxygen Analgesia
    1. National Institute for Occupational Safety and Health (NIOSH) update and steps for prevention
    2. Signs and symptoms of nitrous oxide and oxygen analgesia
    3. Management of nitrous oxide and oxygen analgesia complications
  4. Health History and Complications
    1. Health history evaluation
    2. Drug interactions
    3. Local and systemic complications
  5. Treatment
    1. Treatment planning for local anesthesia
    2. Ethical and legal considerations
  6. Laboratory Practice on Student Partners
    1. Posterior superior alveolar
    2. Middle superior alveolar
    3. Anterior superior alveolar
    4. Greater palatine
    5. Nasopalatine
    6. Inferior alveolar
    7. Lingual
    8. Mental
    9.       Long buccal
    10. Infraorbital
    11. Gow-Gates
    12. Second division
    13. Akinosi
    14. Intramuscular
    15. Nitrous oxide and oxygen analgesia
  7. Emergency Procedures
  8. Head and Neck Anatomy


Effective Term:
Fall 2016



Add to Portfolio (opens a new window)