ROCHESTER COMMUNITY AND TECHNICAL COLLEGE

DH 2541 DENTAL HYGIENE PRACTICE

CASE STUDY

OBJECTIVE: To demonstrate competence in dental hygiene skills, the 2^nd year dental hygiene
student will complete one case study. The case study must be completed, documented, and ready
for presentation to faculty and fellow students near the end of Spring Semester.

The faculty advisor will evaluate progress throughout the project.

GRADING CRITERIA:

• The case study will be evaluated by the faculty advisor or a panel using the
  Case Study Rubric attached.
• The student will self assess using the attached rubric.
• The student must reach a minimum of “Acceptable” (3) or the project must be repeated.

PATIENT SELECTION:

• The patient may be a new patient to the RCTC Dental Hygiene Clinic or patient of record.
• The patient may be a periodontally involved patient, a special needs patient, or a
  medically compromised patient. This is aan opportunity for you to showcase an interesting
  clinical patient you have treated.
• This may be a patient you treated in Fall Semester.
• The patient must be approved by your faculty advisor.

CASE STUDY CONTENTS:

1. Patient profile including age, gender, height, weight, nationality.

2. Medical history synopsis including blood pressure, pulse, respiration, medical conditions,
allergies (drugs and others), all medications being taken (including OTC) and their interactions
and dental considerations.

3. Social history synopsis including employment status, family status,
method of payment (insured, MA, MN care, cash).

4. Factors contributing to health issues including tobacco use, alcohol use,
eating disorders, recreational drug use.

5. Dental history synopsis including last examination, last radiographic series,
last dental prophylaxis, last restorative work, past and present fluoride use,
any problems associated with prior dental treatment.

6. Clinical examination including complete intra/extraoral charting and dental charting,
periodontal charting and gingival description, study models (if applicable), calculus level recorded.

7. Radiographic examination: use of a FMX as a diagnostic tool in treatment planning

8. Oral Hygiene Instructions including baseline plaque index, current self-care methods,
appropriate self-care methods that were demonstrated and discussed (including adjunctive aids or therapies),
adjustment of self-care method as necessary throughout the course of treatment.

9. Treatment planning including pros and cons of treatment possibilities.

· Oral hygiene instructions

· Initial periodontal therapy

· Pain control procedures (if indicated)

· Subgingival irrigation (if indicated)

· Use of antimicrobials (if indicated)

· Nutritional counseling for caries control (if indicated) or for general health considerations

· Tobacco cessation counseling (if indicated)

· Amalgam recontouring (if indicated)

· Desensitization (if indicated)

10. Documentation of actual treatment rendered at each appointment

11. Evaluation documented. Results/success of treatment.

· Plaque Index sequence. Was there improvement?

· Patient discusses and demonstrates current self-care procedures

· Periodontal charting and comparison to baseline

· Evaluate BOP

· Decision making on further treatment recommendations

Rochester Community and Technical College

Dental Hygiene Practice IV – Case Study Rubric

Performance Indictors	Exemplary (4) (consistently does all or almost all of the following)	Acceptable (3) (does most or many of the following)	Improving (2) (does most or many of the following)	Not Acceptable (1) (consistently does all or almost all the following)	Scoring
Assessment	· Accurately interprets the assessment data	· Accurately interprets the assessment data	· Misinterprets the assessment data	· Misinterprets the assessment data
Treatment Method	· Identifies the pros and cons of all possible treatment methods · Thoughtfully analyzes and evaluates alternative treatment methods	· Identifies the pros and cons of all possible treatment methods · Analyzes and evaluates the obvious alternative treatment methods	· Fails to identify the pros and cons of all possible treatment methods · Ignores or superficially evaluates obvious alternative treatment methods	· Fails to identify the pros and cons of all possible treatment methods · Ignores or superficially evaluates obvious alternative treatment methods
Treatment Plan	· Plans treatment based on the patient’s needs, not student needs	· Plans treatment based on the patient’s needs, not student needs	· Plans treatment based on student needs	· Plans treatment based on student needs
Goals of Treatment	· Determines all priorities and establishes oral health goals with the patient as an active participant acknowledging cultural differences	· Determines some priorities and establishes oral health goals with the patient as an active participant acknowledging cultural differences	· Determines priorities and establishes oral health goals with minimal consultation with the patient and minimal consideration of cultural differences	· Determines priorities and establishes oral health goals without consideration of the patient’s culture
Documentation	· Accurately documents phases of clinical treatment (assessment, treatment plan, treatment, evaluation)	· Accurately documents phases of clinical treatment (assessment, treatment plan, treatment, evaluation)	· Inaccurately documents phase of clinical treatment (assessment, treatment plan, treatment, evaluation)	· Inaccurately documents phase of clinical treatment (assessment, treatment plan, treatment, evaluation)
Recommendations	· Thoughtfully analyzes treatment results and recommends appropriate referral/recare interval	· Thoughtfully analyzes treatment results and recommends appropriate referral/recare interval	· Fails to analyze treatment results and fails to recommend appropriate referral/recare interval	· Fails to analyze treatment results and fails to recommend appropriate referral/recare interval
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