DHYG 204 - Pain Management

1. Control pain and anxiety during treatment through the proper use of accepted clinical and behavioral techniques.
2. Assess patient health history for safe administration of local anesthetics and nitrous oxide.
3. Identify types of analgesics and anesthetics used to control pain and anxiety for the dental hygiene patient.
4. Describe the following in relation to the administration of local anesthesia:
   1. Theory of pain control
   2. Selection of pain control modalities
   3. Anatomy
   4. Neurophysiology
   5. Pharmacology of local anesthetics
   6. Pharmacology of vasoconstrictors
   7. Psychological aspects of pain control
   8. Systemic complications
   9. Techniques of maxillary and mandibular anesthesia
   10. Infection control
   11. Local anesthesia medical emergencies
5. Assemble the appropriate armamentarium for local anesthesia..
6. Locate accepted injection sites used to control pain in the oral cavity.
7. Demonstrate the proper and safe use of local anesthetic drug delivery in dentistry.
8. Calculate maximum dosages of local anesthetics.
9. Monitor patient response to anesthetics used in order to verify patient’s level of comfort.
10. Describe the following in relation to the administration and monitoring of nitrous oxide in a dental office:
    1. The pharmacology of nitrous oxide
    2. The biochemistry of nitrous oxide
    3. The anatomy of nitrous oxide administration
    4. Emergency procedure related to the use of nitrous oxide
    5. Mechanics of operating a nitrous oxide unit
    6. Proper disinfection of nitrous oxide equipment
11. Demonstrate the proper use of setting up, administering and monitoring of nitrous oxide for a patient in a dental setting.
12. Properly document in a patient’s chart the administration and monitoring of nitrous oxide and local anesthetics.
13. Discuss the role of the dental hygienist and dental assistant in the administration and monitoring of nitrous oxide.
14. State the requirements, as specified by the Indiana State Board of Dentistry, for a dental hygienist and dental assistant administering and monitoring nitrous oxide during patient treatment.
15. Describe environmental hygiene as it relates to nitrous oxide use.
16. Evaluate signs and symptoms of nitrous oxide-oxygen sedation.

• Medical history assessment to identify contraindications to the use of local anesthesia
• Oral anatomy/injection sites
• Types of anesthetics used in dentistry
• Injection technique
• Pharmacology of anesthetics
• Recognition and management of dental emergencies
• Chain of response to emergencies
• Nitrous oxide and oxygen sedation

 
Course Addendum - Syllabus (Click to expand)