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Academic SYLLABUS Course Title: Dental Hygiene Pharmacology Course Number: DHYG 121A,121B,121C Course Credit: 3 Course Type: Lecture College: Arthur A Dugoni School of Dentistry Department: Periodontics/Dental Hygiene Course Dir: Professor Timothy Smith Instructor: Professor Timothy Smith Term: Modules IV, V, VI Office Room: C-102D Pharmacy Course Days: Friday Phone: 209.946-3168 Meeting Time: 2 to 5 pm E-Mail: [email protected] Class Location: TBD Website: https://pacific.rsmart.com/xsl- portal?sakai.brand=pacific Lab Location: N/A Office Hrs: Open: contact me for appointment Dates: See course schedule I. Welcome! Greetings, Dental Hygiene Colleagues! This course is an overview of pharmacology with fundamentals appropriate for your profession. I look forward to teaching this course. II. Required Texts Applied Pharmacology for the Dental Hygienist 7 th Edition, Mosby, E.B. Haveles Recommended (Optional) Texts Drug Information Handbook for Dentistry Most recent edition III. Course Prerequisites Admission into the Baccalaureate Dental Hygiene Program IV. University Course Catalog Description DHYG 121 Pharmacology – This course is designed to classify and study therapeutic agents commonly encountered and/or utilized in the practice of dentistry. Students learn chemical and physical properties, therapeutic effects, methods of administration, dosage, contraindications and side effects of these agents.

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Academic SYLLABUS

Course Title: Dental Hygiene Pharmacology

Course Number: DHYG 121A,121B,121C

Course Credit: 3

Course Type: Lecture

College: Arthur A Dugoni School of Dentistry

Department: Periodontics/Dental Hygiene

Course Dir: Professor Timothy Smith

Instructor: Professor Timothy Smith Term: Modules IV, V,

VI

Office

Room:

C-102D Pharmacy Course Days: Friday

Phone: 209.946-3168 Meeting Time: 2 to 5 pm

E-Mail: [email protected] Class Location: TBD

Website: https://pacific.rsmart.com/xsl-

portal?sakai.brand=pacific

Lab Location: N/A

Office Hrs: Open: contact me for appointment Dates: See course

schedule

I. Welcome! Greetings, Dental Hygiene Colleagues! This course is an overview of pharmacology with fundamentals

appropriate for your profession. I look forward to teaching this course.

II. Required Texts Applied Pharmacology for the Dental Hygienist 7th Edition, Mosby, E.B. Haveles

Recommended (Optional) Texts Drug Information Handbook for Dentistry Most recent edition

III. Course Prerequisites Admission into the Baccalaureate Dental Hygiene Program

IV. University Course Catalog Description DHYG 121 Pharmacology – This course is designed to classify and study therapeutic agents commonly

encountered and/or utilized in the practice of dentistry. Students learn chemical and physical

properties, therapeutic effects, methods of administration, dosage, contraindications and side effects of

these agents.

V. Methods of Instruction

Lecture, Class discussions, Audio-visual presentation

VI. Course Rationale

Major drug classes will be discussed with an emphasis on representative agents. Students

will be expected to recognize the major applications of these agents, their primary

mechanism of action and major adverse effects, major contraindications, toxicity

preventions and interventions, when appropriate.

VII. Course Goal

Paramount to the importance of these topics is the ability of the student to recognize

problems associated with a patient’s drug regimen when treated for diseases not necessarily

related to dentistry and the impact of these drugs upon dental procedures and therapeutic

plans.

VIII. Course Learning Outcomes

At a minimum, upon successful completion of this learning opportunity, the student will: At the end of this course the student will be able to: Describe general principles of pharmacology:

1. Basic mechanisms of drug action, including receptor-mediated and receptor-independent actions, agonists and antagonists, and dose effect relationships. 2. Factors that influence the pharmacokinetics of drugs. 3. Therapeutic applications of drugs, including routes of administration, and variables that affect drug response 4. Adverse reactions and general methods of toxicity prevention. 5. The mechanism and classification of drug interactions.

Describe the pharmacology of each class of drugs and the dental implications relative to oral complications and alterations in dental management.

Understand the mechanism of action of a given drug or drug class and the therapeutic endpoints associated with that mechanism.

Recognize the implications of drug therapy and associated pathologies as it impacts overall patient health and dental hygiene care plan.

Recognize major drug toxicities and potential interventions for these toxicities, particularly those amenable to the hygienist as well as those for appropriate referral.

Understand the relationship among health care professionals and their responsibilities for assuring adequate care appropriate to drug therapy.

Be able to counsel patients regarding drugs appropriate to the dental scope of practice as well as therapies that may impact dental care.

COMPETENCIES ADDRESSED: This course provides foundational knowledge necessary for competency in the following areas: C.3 Use critical thinking skills and comprehensive problem-solving to identify oral health care strategies that promote patient health and wellness C.7 Integrate accepted scientific theories and research into educational preventive and therapeutic, oral health services HP.4 Identify individual and population risk factors and develop strategies that promote health related quality of life. PC. 1 Systematically collect, analyze and record data on the general, oral and

psychosocial health status of a variety of patient/clients using appropriate methods.

All competencies are met via quizzes, discussion question assignments and exams.

Course Outcome

1. Describe general principles of

pharmacology

Assessment

Quiz, Discussion Questions

Supports

Program Goals and

Competencies

C7

2. Describe the pharmacology of each class of drugs and the dental implications relative to oral complications and alterations in dental management.

Identify the mechanism of action

of a given drug or drug class and

the therapeutic endpoints

associated with that mechanism.

Exams, Discussion Questions,

Quiz

C3, C7, HP.4, PC.1

3. Identify major drug toxicities

and potential interventions for

these toxicities, particularly

those amenable to the hygienist

as well as those for appropriate

Exams, Discussion Questions,

Quiz

C3, C7, HP.4, PC.1

referral.

4. Utilize the relationship among health care professionals and their responsibilities for assuring adequate care appropriate to drug therapy.

Counsel patients regarding drugs appropriate to the dental scope of practice as well as therapies that may impact dental care.

Exams, Discussion Questions

C3, C7, HP.4, PC.1

IX. Instructional Methods and Materials Lecture with appropriate audio-visual materials. X. Attendance Policy: Students at the Arthur A. Dugoni School of Dentistry Dental Hygiene Program assume professional obligations which include regular and consistent attendance at academic activities. The ability to do so is an essential qualification of all students. For students assigned to the clinics of the Arthur A. Dugoni School of Dentistry Dental Hygiene Program, or other clinics associated with the school, attendance is mandatory.

Course directors will be notified of absences due to illness, or other personal or family emergencies beyond the control of the student. The student is required to contact the Department Administrative Assistant (Jeanne Swift, 946-7477), Front Office (946-7404) and Program Director, (Deborah Horlak, 946-7394) promptly in case of absence or tardiness so that proper and timely notification can be given to course directors. An excused absence is recognized when students contact the persons listed above regarding illness or family emergency or when other proper written notification has been received and approved. Absences must be phoned in daily. If a student is absent for three or more consecutive days, certification from a health care provider is necessary.

A student who is absent from school for seven or more days in a single semester, or who otherwise significantly fails to satisfy attendance requirements, may be dismissed from the program.

Absence policy: See above. XI. Course Evaluation The final grade in this course will be based on examinations, discussion questions, quizzes and professionalism. XII. Grading System Grades in this course will be determined from cumulative totals of 5 examinations, 5 oral exams, 2 quizzes and professional assessment. Per university policy and classroom etiquette; mobile phones, iPods, etc. must be silenced during all classroom and lab lectures. Those not heeding this rule will be asked to leave the classroom/lab

immediately so as to not disrupt the learning environment. Please arrive on time for all class meetings. Students who habitually disturb the class by talking, arriving late, etc., and have been warned may suffer a reduction in their final class grade. Assessment Item Total Points Written Examinations (5) 100 Oral Exams (5) 100 Quiz (1) 10 Quiz for Extra Credit (10) Professionalism 5 ____________________________________ Total Assessment 215 90-100% A 80-90% B 70-80% C 60-70% D <60% F

The instructor reserves the right to lower, but not increase the score cutoffs for each grade level.

XIV. Grade Dissemination Graded tests and materials in this course will be returned individually. You can access your scores at any time using the Grade Book function of CANVAS. XV. Course Policies: Grade Extra Credit Policy: A quiz offered during the final session is equivalent to 10 points. Late Work Policy: Generally, missed exams must be taken upon return to class. Make-up exams may be essay. XVI. Course Policies: Student Expectations

Disability Access and Non-Discrimination Statement - The University of the Pacific is committed to the goal of providing qualified students an equal opportunity to attain college education regardless of disability. To reach that goal, Pacific will make efforts towards meeting reasonable requests for services and accommodations to students with disabilities. To that end, please notify me about any special needs you may require during the first weeks of the semester. Students requesting accommodations due to a disability should provide me with an accommodations request letter from the Office of Services for Students with Disabilities, Bannister Hall, Room 101, (209) 946-2879, E-mail: [email protected], website: http://www.uop.edu/education/ssd.

Accommodations for students with disabilities

In compliance with the University policy and equal access laws, I am available to discuss appropriate academic accommodations that may be required for student with disabilities. Requests for academic accommodations are to be made during the first three weeks of the semester, except for unusual circumstances, so arrangements can be made. Students are encouraged to register with Student Disability Services to verify their eligibility for appropriate accommodations. Students with Learning Disabilities: If you are registered with the Educational Resource Center as having a learning disability, you may decide to take advantage of accommodations the University can provide. To preserve student confidentiality, please discuss such accommodations with the instructor.

The Policy Manual can be found at http://web.pacific.edu/Documents/school-education/acrobat/PolicyManualforStudentswithDisabilities.pdf.

“The University of the Pacific is committed to providing access for qualified students, faculty, staff, and visitors to University programs. This non-discrimination policy applies to all qualified applicants or students who seek to or do participate in employment, in access to facilities, student programs, activities and services.” The Educational Resource Center offers a variety of services for Pacific students with disabilities. These services may include, but are not limited to, extended time for completing exams, alternative testing procedures, note takers, and transportation to and from classes.

Academic Conduct Policy: University 11.24 Honor Code - Approved by the Faculty in 1958

Established in 1958, the Honor Code is intended to maintain and preserve the high standards of personal character and integrity vital in academic pursuits. The success of the Honor Code is made possible only with the acceptance and cooperation of every student. Each student is expected to maintain the principles of the Code. A violation of the Honor Code may occur in one of the following areas:

Giving or receiving information from another student during an examination;

Using unauthorized sources for answers during an examination;

Illegally obtained test questions before the test;

Any and all forms of plagiarism; and

The destruction and/or confiscation of school and/or personal property. A violation is reported either to the professor involved, who will report it to the Dean of Students, or to the Dean of Students. Circumstances warranting, alleged violations are referred by the Dean of Students to the Joint University Judiciary for appropriate action. Example: Every student must read, understand and observe the UNIVERSITY HONOR CODE (Tiger Lore, Section 1.1 – 1.3); it is a violation of the Honor Code to submit all or part of someone else’s work or ideas as your own. Violations of the Honor Code are serious. They harm other students, your professor, and the integrity of the University. Alleged violations will be referred to the Office of Judicial Affairs. If found guilty of plagiarism, a student might receive a range of penalties, including failure of an assignment, failure of an assignment and withholding of the final course grade until a paper is turned in on the topic of plagiarism, failure of the course, or suspension from the University. If you have questions about plagiarism and other departures from the right way of conducting yourself in academic situations, speak with your professor. For more information about Pacific’s academic dishonesty policy, consult the Tiger Lore. Violations of Academic Integrity - Violations of the principle include, but are not limited to:

Cheating: Intentionally using or attempting to use unauthorized materials, information, notes, study aids, or other devices in any academic exercise. This definition includes unauthorized communication of information during an academic exercise. Fabrication and Falsification: Intentional and unauthorized alteration or invention of any information or citation in an academic exercise. Falsification is a matter of inventing or counterfeiting information for use in any academic exercise. Multiple Submissions: The submission of substantial portions of the same academic work for credit (including oral reports) more than once without authorization. Plagiarism: Intentionally or knowingly presenting the work of another as one’s own (i.e., without proper acknowledgment of the source). The sole exception to the requirement of acknowledging sources is when the ideas, information, etc., is common knowledge. Abuse of Academic Materials: Intentionally or knowingly destroying, stealing, or making inaccessible library or other academic resource materials. Complicity in Academic Dishonesty: Intentionally or knowingly helping or attempting to help another to commit an act of academic dishonesty. Plagiarism includes, but is not limited, to the following: · Copying or borrowing liberally from someone else’s work without his/her knowledge or permission; or with his/her knowledge or permission and turning it in as your own work. · Copying off of someone else’s exam or paper with or without his/her knowledge (aka Cheating) · Allowing someone to turn in your work as his/her own · Not providing adequate references for cited work · Turning in someone else’s work and calling it your own · Copying and pasting large quotes or passages without properly citing them

XVII. Testing and Quiz Policy:

All materials, notebooks, papers, back packs, etc. must be placed away from the testing area and table dividers are to be put in place. No electronic devices of any kind, unless necessary as an aid for a disability, will be allowed in the testing area. Cell phones are not allowed in the testing area, must be turned off and placed with other belongings away from the testing area. See General University policies http://web.pacific.edu/x5152.xml for details. Failure to abide by these policies can result in an “F” on the affected assignment or examination and possible academic probation sanctions. XVIII. Course Policies: Technology and Media

General information about technology and media in the classroom is included in the Clinic Manual.

Email: It is expected that students will check email and Sakai at least daily for updated information, assignments, and adjunctive reading. Student inquiries via email will generally be responded to Monday –Thursdays/ within 24 hours, etc…..relevant to the faculty. Laptop Usage: Not required, but appropriate for note taking, SAKAI access. Handheld Devices: Electronic devices, such as cell phones, calculators, may be used during lecture. Audio recorders are allowed for the purpose of recording lecture material only. XIX. Student work may be retained to assess how the learning objectives of the course are being met.

XX. Calendar of Instruction 2017 – Tentative Schedule MODULE IV

May 12th General Principles & Autonomic Drugs (Chapters 1 through 4)

May 19th QUIZ / Narcotic/Non-narcotic/NSAIDs (Chapters 5 and 6)

May 26th EXAM / Local & General Anesthetics, Anxiolytics (Chapters 9 thru 11)

June 2nd Antibiotics, Antifungal, Antiviral Drugs (Chapters 7 and 8)

June 9th EXAM / Anticonvulsants and (Chapter 16)

MODULE V

July 20th Psychotherapeutic Agents (Chapter17)

July 27th EXAM/Anticancer Drugs, Diabetes and Hormones (Chapters 21 through 23)

August 3rd Antihistamines, Respiratory Drugs (Chapters 18 through 20)

August 10th EXAM / Independent study-Diabetes reflection

August 17th GI and Cardiovascular Drugs (Chapters 14 and 15)

MODULE VI

August 24th EXAM / Emergency Drugs and Drug Abuse (Chapters 24 and 26)

August 31st Pregnancy-Lactation, Vitamins and Dietary Suppl. (Chapters 25 and 27)

Sept 7th Drugs for Oral Disorders/Review (Chapters 12 through 13)

Sept 14th EXAM

Sept 21st FINAL QUIZ More about NSAIDS

XVIII. Copies of student work may be retained to assess how the learning objectives of the course are being met Note: This Syllabus is subject to revision at the discretion of the Course Director DH 121 Weekly Objectives

General Pharmacological Principles

Following instruction the student will be able to:

Ch 1 Information, Sources, Regulatory Agencies, Legislation and Prescription Writing

Discuss the history of pharmacology and its relationship to the oral health care provider.

Define the ways in which drugs are named and the significance of each.

Describe the acts and agencies within the federal government designed to regulate drugs.

Identify the four phases of clinical evaluation in drug approval and the four schedules of drugs.

Define the elements of a drug prescription.

Ch 2 Drug Action and Handling

Differentiate dose, potency and efficacy in the context of the actions of drugs.

Explain the pharmacologic effect of a drug.

Discuss the major steps of pharmacokinetics: absorption, distribution, metabolism and excretion.

Summarize the various routes of drug administration.

Provide example of factors that may alter the effect of a drug.

Ch 3 Adverse Reactions

Define an adverse drug reaction and name five categories of reaction.

Discuss the risk-to-benefit ratio of the use of a drug for therapeutic effect and its potential adverse reactions.

Explain how the toxic effects of drugs are evaluated.

Autonomic and Cardiovascular Drugs

Following instruction the student will be able to:

Ch 4 Autonomic Drugs

Identify the major components and functional organization of the autonomic nervous system.

Discuss the pharmacologic effects, adverse reactions, contraindications, and dental considerations of cholinergic

agents.

Identify the major components of the sympathetic nervous system.

Discuss the pharmacologic effects, adverse reactions, contraindications, and dental considerations of adrenergic

agents.

Explain the workings of adrenergic blocking agents and neuromuscular blocking agents.

Ch 15 Cardiovascular Drugs

Identify several dental issues in the treatment of patients with cardiovascular disease.

Describe heart failure and identify drugs commonly used to treat it including the mechanisms of action,

pharmacologic effects, adverse reactions and uses of each.

Define arrhythmia and dysrhythmia and describe the how the heart maintains its normal rhythm.

Describe the mechanisms of action, pharmacologic effects, adverse reactions and uses of antiarrhythmic agents

and identify the issues to consider in dental treatment.

Define angina pectoris and describe the types of drugs used to treat it; identify the dental implications of these

drugs.

Describe the various types of antihypertensive agents, including the mechanisms of action, pharmacologic effects,

adverse reactions, and uses of each and identify potential drug interactions and the dental implications of these

drugs.

Define hyperlipidemia and hyperlipoproteinemia and summarize the types of drugs used to restore cholesterol

homeostasis in the body with its use.

Describe the role of warfarin in blood coagulation and the potential adverse reactions and interactions associated.

Identify several other drugs that affect blood coagulation.

Analgesic Drugs

Following instruction the student will be able to:

Ch 5 Nonopioid Analgesics

Describe pain and its purpose and main components.

Discuss the chemistry and pharmacokinetics, pharmacologic effects, adverse reactions, toxicity, drug interactions

and the use of aspirin.

Define the term nonsteroidal anti-inflammatory drug and discuss the chemistry, pharmacokinetics, pharmacologic

effects, adverse reactions, toxicity, drug interactions and uses of these drugs.

Discuss the properties, pharmacologic effects, drug interactions and uses of acetaminophen.

Explain the disease known as gout and summarize the drugs used to treat it.

Ch 6 Opioid Analgesics

Explain the classification, mechanism of action, and pharmacokinetics of opioids.

List and describe the pharmacologic effects and potential adverse reactions of opioids.

Discuss the addiction of opioids, including treatment.

Name and explain the analgesic actions of the most common opioid agents.

Discuss the action of and provide examples of the mixed opioids.

Summarize the mechanisms of action of tramadol.

Apply the use of opioids to dentistry.

Anesthetics and Antianxiety Drugs

Following instruction the student will be able to:

Ch 9 Local Anesthetics

Discuss the history and reasons for the use of local anesthetics in dentistry.

Explain the mechanism of action, pharmacokinetics, pharmacologic effects, and adverse reactions of local

anesthetics.

Describe the types and workings of each of the drugs used in local anesthetic solutions and summarize the factors

involved in the choice of a local anesthetic.

Briefly discuss the use of and types of topical anesthetics used in dentistry.

Ch 10 General Anesthetics

Summarize the history of general anesthesia in dentistry.

Describe how general anesthesia works and the stages and planes involved.

Compare and contrast the classifications of general anesthesia.

Discuss the use of nitrous oxide in dentistry , including how it works, the pharmacologic effects, adverse reactions

and contraindications.

Name and describe several types of halogenated hydrocarbons.

Identify and describe several other types of general anesthesia.

Ch 11 Antianxiety Agents

Discuss the value of patient relaxation in dentistry.

Describe the mechanism of action, interactions, and dental relevance of the benzodiazepines and barbiturates.

Name and briefly describe the mechanism of action of the nonbenzodiazepine-nonbarbiturate sedative-hypnotics

and the nonbenzodiazepine-nonbarbiturate receptor agonists.

Name a melatonin receptor agonist and summarize its actions.

Explain the workings of the centrally acting muscle relaxants and how they are used.

Discuss some general precautions about which the dental practitioner should be aware with the use of antianxiety

agents.

Antibiotics, Antifungal and Antiviral Drugs

Following instruction the student will be able to:

Ch 7 Antiinfective Agents

Outline the history and basic principles of infection and its relation to dentistry.

Summarize the principal indications for the use of antimicrobial agents.

Name and describe the major adverse reactions and disadvantages associated with the use of antiinfective agents.

Name and describe several other types of antibiotics and antiinfectives.

Discuss the use of antiinfective agents in dentistry.

Describe the drugs used to treat tuberculosis and the difficulties the disease presents.

Summarize the concept and practice of antibiotic prophylaxis in dentistry.

Ch 8 Antifungal and Antiviral Agents

Name several types of antifungal agents and discuss their indications in dentistry.

Discuss the treatment of herpes simplex. Describe the various drugs and drug combinations used to treat acquired

immunodeficiency syndrome.

Anticonvulsants and Psychotherapeutic Agents

Following instruction the student will be able to:

Ch 16 Anticonvulsants

Define epilepsy and briefly summarize the various types of seizures.

List and describe general adverse reactions to anticonvulsants.

Summarize the pharmacologic effects, adverse reactions and drug interactions of the main anticonvulsants.

Name two miscellaneous anticonvulsants and describe the workings of each.

Provide several examples of new types of anticonvulsants, including the mechanism of action, indications and

adverse reactions of each.

Outline the dental treatment of patients with epilepsy.

Ch 17 Psychotherapeutic Agents

Name and describe the three categories of functional disorders discussed in the chapter.

Outline some basic precautions that the dental health care professional should keep in mind when treating

patients with psychiatric disorders.

Summarize the basic mechanism of action, pharmacologic effects, adverse reactions and drug interactions and

uses of antipsychotic agents.

Describe the mechanism of action, the pharmacologic effects, adverse reactions and drug interactions, uses and

dental implications of tricyclic antidepressants.

Describe the mechanism of action, the pharmacologic effects, adverse reactions and drug interactions, uses and

dental implications of selective serotonin reuptake inhibitors.

Name several other types of antidepressants.

List several drugs used to treat bipolar disorder.

Antihistamines and Hormones

Following instruction the student will be able to:

Ch 18 Antihistamines

Define histamine and discuss its the pharmacologic effects, adverse reactions and uses.

Describe the dental implications, the pharmacologic effects, adverse reactions, toxicity and uses of the

antihistamines.

Name and discuss the mechanism of action and nonsedating H1-receptor antagonists.

Categorize the prostaglandins and thromboxanes and outline their pharmacologic effects, uses and dental

implications.

List several other types of autocoids and describe how they work.

Ch 19 Adrenocorticosteroids

Define adrenocorticosteroids and describe how the body releases them.

Summarize the classification, administration, mechanism of action, and the pharmacologic effects of

adrenocorticosteroids.

Describe the various adverse reactions and uses of adrenocorticosteroids, including their application to dentistry.

Differentiate several examples of corticosteroids and list several implications to the use of steroids.

Ch 20 Other Hormones

Outline the functions of the anterior and posterior glands.

Provide an overview of thyroid hormones, hypo and hyperthyroidism, and antithyroid drugs.

Define diabetes mellitus, list and describe the types of diabetes, its complications, issues involving dentistry,

cautions and contraindications in the treatment of patients with diabetes and the effects of drugs on complications

of diabetes.

Name and describe the types of drugs used to treat diabetes.

Summarize the major female and male sex hormones and name and describe several type s of hormonal

contraceptives .

Anticancer, Respiratory and GI Drugs

Following instruction the student will be able to:

Ch 21 Antineoplasitc Drugs

Define antineoplastic drugs.

Summarize the use, mechanisms of action, and classification of antineoplastic drugs.

Describe several adverse drugs effects associated with antineoplastic agents.

Discuss the dental implications of patients planning to take or actively taking antineoplastic drugs.

Ch 22 Respiratory and GI Drugs

Summarize the two groups of respiratory diseases.

Name and describe the mechanisms of action of several types of drugs used to treat respiratory disease.

Discuss the types of drugs used to treat respiratory infections, including the implications to dentistry.

Summarize the most common types of gastrointestinal diseases.

Name and describe the types of drugs used to treat gastrointestinal diseases, including any implications to

dentistry.

Emergency Drugs and Drug Abuse

Following instruction the student will be able to:

Ch 23 Emergency Drugs

Summarize the general measures a dental professional should follow to train for an emergency and the

preparation for treatment in the event of an emergency.

Name and describe several categories of emergencies and provide common examples within each category.

List the critical drugs to include in a dental office emergency kit and several examples of second- or third-level

drugs that would be optional.

Name several pieces of equipment that would be included in the emergency kit.

Ch 25 Drug Abuse

Define addiction, dependence, tolerance and withdrawal in relation to drug abuse.

Name several types of CNS depressants that are commonly abused and outline the typical pattern of abuse,

treatment, adverse reactions, management of overdose and withdrawal, and dental treatment implications of

each.

Identify several types of central nervous system stimulants that are commonly abused.

Describe the pattern of abuse and treatment options associated with tobacco use, and summarize the role of the

dental health care worker in tobacco cessation.

Discuss ways in which the dental health care worker can identify patients or colleagues who may be abusing drugs.

Pregnancy, Lactation and Dietary Supplements

Following instruction the student will be able to:

Ch 24 Pregnancy and Breast Feeding

List the two main concerns in the administration of drugs during pregnancy.

Define teratogenicity and outline the FDA’s categories of drugs for pregnancy.

Name several types of local anesthetic, antiinfective and antianxiety agents and state their indications or

contraindications for pregnant women.

Ch 26 Natural Products & Dietary Supplements

Discuss why people choose herbal products over traditional medicine.

Discuss the federal legislation governing herbal and dietary products.

Discuss Good Manufacturing Practice and the standardization of herbal products.

Explain the adverse effects and drug interactions associated with herbal products and their impact on oral health

care.

Discuss the herbal supplements that are used in oral health care.

Explain the dental hygiene considerations associated with the use of herbal products.

Vitamins, Minerals and Hygiene Related Disorders

Following instruction the student will be able to:

Ch 12 Vitamins and Minerals

Explain the body’s need for vitamins and minerals.

Summarize and explain how vitamins are classified.

Name and describe the water and fat soluble vitamins: sources, recommended amounts, roles, deficiencies,

adverse reactions, and clinical considerations.

Describe the sources, recommended amounts, roles, deficiencies and toxicity of the minerals iron, zinc and

calcium.

Discuss the clinical considerations of vitamins and minerals and provide several examples of their relevance to

dental treatment.

Ch 14 Hygiene-Related Oral Disorders

Discuss the non-pharmacologic therapies that are effective in preventing caries.

Differentiate between acute and chronic fluoride toxicity and know how to treat both.

Compare and contrast professionally applied and at-home fluoride products.

Review gingivitis and tooth hypersensitivity and the pathophysiology and therapies for each.