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District

Dental Assisting

Dental Assisting 51.0600.00

STANDARD 1.0 DEMONSTRATE DENTAL OFFICE BUSINESS PROCEDURES
1.1   Explain  the importance of patient scheduling according to procedure  time requirement
1.2   Describe the function of a recall system
1.3   Prepare and maintain patient clinical records
1.4   Prepare and maintain patient financial records
1.5   Prepare and maintain inventory control and  purchasing
1.6   Recognize common terminology associated with third party payments
1.7   Describe the public relations responsibilities of the dental team
1.8   Use front office business equipment (i.e., phone, computer, scanner, etc.)
1.9   Maintain the dental office environment
1.10  Receive and dismiss patients and  visitors
1.11  Identify psychological  considerations influencing behaviors  of dental patients
1.12  Summarize dental practice business finances (i.e., accounts receivable, collections, overhead  expenses, etc.)

STANDARD 2.0 USE INFORMATION TECHNOLOGY TOOLS COMMONLY FOUND IN DENTAL SETTINGS
2.1   Demonstrate basic computer hardware  and software skills
2.2   Identify technological tools to expedite workflow  (i.e., word  processing, databases, reports, spreadsheets, multimedia presentations, electronic calendar, contacts, email, internet applications, virtual platforms, etc.)
2.3   Interpret information from electronic patient documents (e.g., referrals, lab tracking slips, prescriptions, and  diagnostic data) and direct it to an appropriate entity for processing/treatment
2.4   Employ  dental management software to access, create, manage,  integrate, and  store dental practice information to increase workplace efficiency

STANDARD 3.0 DEMONSTRATE DISEASE PREVENTION, INFECTION CONTROL, AND WASTE MANAGEMENT PROCEDURES
3.1   Differentiate between pathogenic  and nonpathogenic  microorganisms
3.2   Classify pathogens and  their modes of disease transmission
3.3   Describe infectious diseases and  their relationship to patient safety and  occupational risk
3.4   Examine  the need  for immunizations for dental healthcare workers as a protection against infectious diseases
3.5   Perform hand hygiene  protocols
3.6   Select and use personal protective equipment as needed  (i.e., gloves,  mask levels, face shields, eyewear,  etc.)
3.7   Demonstrate aseptic and nonaseptic techniques used in dentistry (i.e., sterile/nonsterile, clean/dirty, treatment and surgical rooms, reception area, dental lab, etc.)
3.8   Select methods of aerosol management based on  procedure (i.e., air/water combination, rubber dam,  low-volume  and high- volume evacuation  systems, etc.)
3.9   Perform instrument processing and sterilization
3.10   Apply  methods of surface cleaning and  disinfection
3.11   Comply  with state and federal regulations for infection control and disease prevention
3.12   Comply  with the OSHA Bloodborne  Pathogens  Standard (29CFR-1910.1030)
3.13  Adhere to the OSHA Hazard  Communications Standard  (29CFR-1910.1200)
3.14  Distinguish among agencies with guidelines for infection control (i.e., OSHA, CDC,  OSAP, NIOSH, ADA,  etc.)

STANDARD 4.0 IDENTIFY STRUCTURES AND FUNCTIONS OF ORAL, HEAD, AND NECK ANATOMY AND RELATED DENTAL PATHOLOGIES
4.1   Describe the structures and functions of head and neck anatomy including bones, muscles, sinuses, salivary glands, nerves, lymphatic system, and blood vessels
4.2   Describe embryonic development of head, oral cavity, and teeth
4.3   Identify dental anatomy, tooth morphology, tooth surfaces, and periodontium
4.4   Select oral structures and landmarks
4.5   Differentiate between dental numbering systems
4.6   Recognize  and describe oral pathological conditions and their development (e.g., gingivitis, caries, periodontal disease, classifications of occlusion, and hard and soft tissue abnormalities)

STANDARD 5.0 MAINTAIN AND UTILIZE DENTAL INSTRUMENTS AND EQUIPMENT
5.1   Operate and maintain operatory, lab, and sterilization equipment (i.e., autoclave,  ultrasonic, lathe, model trimmer, etc.)
5.2   Identify the types and functions of dental instruments used in general dental practice (i.e., restorative, surgical, prosthodontic, hygiene,  periodontal, endodontic,  etc.)
5.3   Maintain dental instruments and handpieces emphasizing their value to practice/treatment
5.4   Operate and maintain waterlines and evacuation systems

STANDARD 6.0 IDENTIFY FUNCTIONS OF PHARMACOLOGY AND ANESTHESIA RELATED TO DENTISTRY
6.1   Identify drug agencies and  regulations (e.g., EPA,  FDA,  and  DEA)
6.2   Record dispensed or prescribed drugs in the patient’s clinical record
6.3   Recognize  drug references to identify drug actions, side effects, indications, and contraindications
6.4   Identify common drugs  used in dentistry by their classifications (i.e., antibiotics, pain  management, OTC, therapeutics, local anesthetics, etc.)
6.5   Identify delivery methods of topical anesthesia
6.6   Prepare syringes for the administration of local anesthetics [e.g., needle selection (block, infiltration, injection site) and  use of vasoconstrictor]
6.7   Demonstrate safe handling  of sharps [e.g., needles (contaminated and sterile) and anesthetic cartridges]
6.8   Monitor patients and  identify precautions and  legal guidelines in the use of nitrous oxide-oxygen  conscious sedation

STANDARD 7.0 MANIPULATE DENTAL MATERIALS
7.1   Mix and pour  gypsum and  trim models and casts (i.e., study models, bleaching tray casts, denture models, etc.)
7.2   Manipulate restorative materials and identify their uses and  properties (i.e., amalgam, composite, etc.)
7.3   Manipulate dental cements and identify their uses and  properties (i.e., permanent, temporary, interim restoratives, etc.)
7.4   Differentiate the properties and uses of impression materials, manipulate impression materials, and  obtain an impression
7.5   Identify the properties and uses of acrylics and/or thermoplastics (i.e., used in the fabrication of bleach trays, retainers, night guards,  custom impression trays, etc.)
7.6   Identify properties and uses for provisional  materials and describe methods for fabrication of provisionals  and preformed crowns
7.7   Identify properties and uses and manipulate commonly used waxes  (i.e., utility, baseplate, etc.)
7.8   Clean and  polish removable dental appliances
7.9   Identify properties and uses of abrasive agents used to polish coronal surfaces of natural and restored teeth and  appliances

STANDARD 8.0 DEMONSTRATE DENTAL RADIOGRAPHIC PROCEDURES
8.1   Describe the history, physics, and  biological effects of ionizing  radiation
8.2   Apply  ALARA  Principles for operator and patient safety (e.g., shielding, distance, proper techniques, and  limited exposure  by following  prescription)
8.3   Identify components  of radiographic equipment (i.e., tube, control panel, etc.)
8.4   Examine  radiation exposure factors, identifying errors and  corrections [e.g., exposure  time, milliamperage, voltage, receptor placement, Position Indication Device (PID) angulation,  etc.]
8.5   Perform various intraoral radiographic  imaging techniques (i.e., bitewing,  periapical, occlusal, etc.)
8.6   Explain  extraoral imaging techniques (i.e., panoramic,  CBCT, cephalometric, etc.)
8.7   Identify radiographic  anatomical landmarks and mount radiographic  surveys (i.e., full mouth series, horizontal  and vertical bitewings, pediatric exposures, etc.)
8.8   Interpret radiographic  findings (i.e., pathologies,  normal and abnormal  anatomy, atypical landmarks, dental restorations, etc.)
8.9   Describe storage and  disposal of film, processing solutions, and  hazardous/regulated  waste

STANDARD 9.0 DEMONSTRATE CHAIRSIDE PROCEDURES FOR DENTISTRY
9.1   Prepare and maintain an aseptic working area for intraoral/extraoral procedures
9.2   Apply  principles of four-handed  dentistry (e.g., instrument transfer, dental team and  patient position,  evacuation and maintenance of operating field, and ergonomics)
9.3   Assist with general procedures (i.e., direct and indirect restorations, simple extractions, fabrication of temporary crowns,  etc.)
9.4   Recognize  the role of the dental assistant in specialty procedures  (e.g., periodontics, endodontics,  oral surgery, orthodontics, public health, prosthodontics,  and pediatric dentistry)
9.5   Prepare armamentarium (tray setup and operatory equipment) to assist in general dental procedures
9.6   Select and manipulate dental materials for general procedures
9.7   Perform visual assessment of existing oral conditions
9.8   Perform patient management practices (i.e., communication, comfort, assurance, etc.) to meet individual patient needs (i.e., anxiety,  fear, pediatric, gag reflex, etc.)

STANDARD 10.0 RECORD PATIENT ASSESSMENT AND TREATMENT DATA
10.1   Record medical and dental histories
10.2   Record existing intraoral and  extraoral conditions
10.3   Record conditions diagnosed  by  the dentist
10.4   Record treatment plan in patient’s clinical chart
10.5   Record treatment-related data in the patient’s clinical record (e.g., treatment provided,  anesthetic administered, post-operative instruction, reactions to treatment, medications administered and/or  prescribed, and referrals)

STANDARD 11.0 DEMONSTRATE TECHNIQUES OF PREVENTIVE DENTISTRY
11.1   Instruct patients on  oral homecare and oral disease prevention
11.2   Differentiate the properties and explain the rationale for the use of dental sealants
11.3   Differentiate the properties and explain the rationale for the use of systemic and topical fluorides
11.4   Apply  anticariogenic treatment such as topical fluoride and  dental sealants
11.5   Perform coronal polishing procedures
11.6   Identify principles of nutrition essential for optimal oral health and lifestyle

STANDARD 12.0 RECOGNIZE AND RESPOND TO EMERGENCY SITUATIONS
12.1   Obtain, monitor, and record vital signs
12.2   Recognize medical conditions that may impact dental treatment
12.3   Recognize common emergencies, emergency preventive measures, and  emergency response strategies
12.4   Maintain certification in cardiopulmonary resuscitation (CPR) approved  by the Dental Assisting National Board (DANB)

STANDARD 13.0 EXAMINE THE LEGAL AND ETHICAL RESPONSIBILITIES OF DENTAL PROFESSIONALS
13.1   Describe ethical considerations/obligations between the dental team-patient relationship
13.2   Explain  risk management (i.e., OSHA, maintaining standard of care, avoiding  professional negligence, recordkeeping, etc.)
13.3   Discuss the Arizona  State Dental Practice Act as it applies to the members of the dental team
13.4   Follow  HIPAA laws related to the practice of dentistry
13.5   Discuss local and  state laws and  rules related to the practice of dental assisting in Arizona  (e.g., rules specific to supervision levels and  Article 7)

STANDARD 14.0 KEEP CURRENT WITH SERVICES AND INDUSTRY TRENDS
14.1   Identify sources for up-to-date information [i.e., journals, professional organizations  (i.e., ADA,  ADAA,  etc.), professional websites, laws/statutes, rules, etc.]
14.2   Identify the importance of continuing  education for the profession
14.3   Discuss the importance of participating and  belonging  to professional organizations (i.e., networking, mentoring,  social communication, etc.)
14.4   Explore  opportunities and career pathways in the dentistry profession
14.5   Explore  certifications and credentials that support  careers in dentistry (i.e., certifications and credentials offered through Arizona  State Board of Dental Examiners,  Dental Assisting National Board, etc.) and  how  to maintain them