2025-2026 Pierce College Catalog 
    
    Jul 04, 2025  
2025-2026 Pierce College Catalog
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DHYG 417 Clinical Restorative Dentistry I (2 credits)



Course Description
First in a series of three clinical restorative courses focused on transferring and integrating knowledge and skills in the preparation for placement, carving and finishing of amalgam and composite restorations in pre-clinical lab settings. Students will complete more complex dentoform restorations and begin to treat simple restorative patient cases in the clinical setting as defined by Washington State Chapter RCW 18.29 dental restorative skills.

Course Content
Considerations and clinical applications for patient assessment, treatment planning, treatment, monitoring, and clinical documentation by dental hygiene professionals performing restorative procedures under Washington State Chapter RCW 18.29.
Anatomical considerations and clinical applications for tooth anatomy facts and occlusion concepts contributing to patient-centered outcomes for restorative procedures.
Strategies for restoring single, multiple and adjacent permanent and primary dentition teeth with increasing complexity, to include Class II adjacent proximal surfaces (“back-2-back”), Cl II MOD, Class III esthetics and function, Class V, and timed rehearsal of board examinations in simulation situations.
Analysis of comprehensive health histories to identify alterations to care relevant to clinical restorative treatment plans, to include local anesthesia when providing restorative procedures to patients in clinical situations.
Troubleshooting inadequate anesthesia and adjunctive dental pain management techniques for restorative procedures.
Restorative treatment planning and sequencing for single teeth, single quadrants, and simple restorations.
Armamentarium and steps for organizing and implementing restorative treatment plans in clinical situations, with proper care and maintenance of the clinical dental unit and related restorative equipment.
Appropriate selection of composite materials for location, function and aesthetics.
Strategies for isolation of tooth (teeth) to be treated relative to their position in the mouth and surfaces to be prepared based on a restorative treatment plan.
Tooth isolation techniques for complex restorations, and the selection and placement of matrix systems for composite and amalgam restorations in the all human dentitions.
Preparation and management of restorative materials to include liner, bonding, composite and amalgam materials in the oral cavity.
Placement of base/liner/sealer materials under composite and amalgam restorations based on restorative material used and cavity preparation as instructed by a dentist in clinical situations.
Assessing cavity preparations to identify appropriate anatomy required to properly restore the functional anatomy and esthetics of each tooth treated
Restoring multiple and adjacent teeth, to include adjacent proximal surfaces, in the same clinical appointment.
Reproduction of clinical functional anatomy with composite and amalgam restorative materials for any given restorative treatment plan.
Elements of documentation for restorative treatment procedures.
Post-operative patient communications following local anesthesia and restorative procedures.
Team communication and collaboration for successful restorative appointments and patient care using four-handed and six-handed dental assisting principles

Student Outcomes
  1. Describe the laws for dental hygiene professionals performing restorative procedures under Washington State Chapter RCW 18.29.
  2. Practice comprehensive understanding of dental materials and techniques for the placement of dental restorations on a dentoform and for clinical patient treatment.
  3. Apply anatomy facts and functional occlusion concepts to restorative dental treatment for patient-centered outcomes for simple and complex dental restorative treatment plans.
  4. Demonstrate effective sequencing for simple comprehensive, patient-centered, restorative dental treatment plans based upon a diagnosis, to include safe and effective pain management.
  5. Communicate essential information for the management of simple and complex dental restorative treatment plans to a team of dental healthcare professionals and patients.


Degree Outcomes
This course is part of the as per the current Dental Hygiene Department Policy on Academic Standards in Dental Hygiene Degree. Please refer to the Dental Hygiene Competency Map for detail of the Program Competencies this course addresses. Each competency is identified at a level of skill by the terms Introductory (I), Developing (D), or Competent (C). The map also shows the alignment between each Program Competency and the Pierce College Core Ability(ies). 

Core Abilities

Critical, Creative, and Reflective Thinking: Graduates will evaluate, analyze, synthesize, and generate ideas; construct informed, meaningful, and justifiable conclusions; and process feelings, beliefs, biases, strengths, and weaknesses as they relate to their thinking, decisions, and creations.

Effective Communication: Graduates will be able to craft and exchange ideas and information in a variety of situations, in response to audience, context, purpose, and motivation.

Lecture Contact Hours 0
Lab Contact Hours 40
Clinical Contact Hours 0
Total Contact Hours 40

Potential Methods
Clinical discussion
Instructor observations
Instructor evaluation
Patient clinical practice
Peer evaluation
Self-evaluation
Lab activities/competency
Mock board
ePortfolio
Clinical (Acceptable, Improvable, Standard Not Met)
AIS Evaluation Criteria and/or Pierce College Global Rubrics



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