Aug 23, 2026  
GRCC Curriculum Database (2026-2027 Academic Year) 
    
GRCC Curriculum Database (2026-2027 Academic Year)
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DHY 242 - Advanced Instrumentation and Treatment Modalities


Description
This course focuses on building patient behavior modification techniques and increased proficiency in applying the dental hygiene process of care for patients. Students are introduced to advanced root instrumentation skills for nonsurgical periodontal therapy, providing a foundation for complicated periodontal cases.  Continued application of self-assessment, personal goal setting, and problem solving strategies builds student proficiency in providing individualized comprehensive patient care.
Credit Hours: 1
Contact Hours: 1
Prerequisites/Other Requirements: None
English Prerequisite(s): None
Math Prerequisite(s): None
Course Corequisite(s): None
Academic Program Prerequisite: None
Consent to Enroll in Course: Department Consent Required
Dual Enrollment Allowed?: No
Course Fees: $5.00
Number of Times Course can be taken for credit: 1
Programs Where This Course is a Requirement:
Dental Hygiene, A.A.A.S.
Other Courses Where This Course is a Prerequisite: DHY 242; DHY250
Other Courses Where this Course is a Corequisite: None
Other Courses Where This course is included in within the Description: None
General Education Requirement:
None
General Education Learner Outcomes (GELO):
NA
Course Learning Outcomes:
1. Demonstrate the use of the dental hygiene diagnosis when providing care for all types of dental hygiene patients by appropriate documentation of the Dental Hygiene Patient Care Plan. 

2.  Discuss principles of advanced instrumentation techniques and identify potential treatment difficulties related to root anatomy. 

3.  Evaluate which advanced instrumentation techniques would be most appropriate for individual patients. 

4.   Explain the rationale and procedure for the application of slow-release antimicrobials.

5.   Identify symptoms and theories of dentinal hypersensitivity and contrast these with symptoms of pulpal necrosis.

6.   Identify clinical strengths, weaknesses, and patient management concerns through self-reflection and completion of goal re-evaluation. 

7.   Identify methods of patient behavior modification in accordance with a patient treatment plan. 

8.   Create and document a treatment plan for nonsurgical periodontal therapy and re-evaluation. 

9.   Apply the concepts of best practice for a periodontally involved patient treated in the clinic. 

10  Demonstrate application of the Dental Hygiene Process of Care on various assignments throughout the course. 
Course Outline:

  1. SMART Goal Setting
  2. Root Anatomy and Instrument Challenges
    1. Morphology
    2. Instrument Considerations
  3. Advanced Instrumentation Techniques and Fulcrums
    1. Advanced Curettes
    2. Ultrasonics
    3. Fulcrum Modifications
  4. Slow Release Antimicrobials
    1. Local Antimicrobials
      1. Indications 
      2. Application
  5. Ergonomics and Operator Position
    1. Review and Awareness of
    2. Injury Prevention in Clinical Dental Hygiene
  6. NSPT Planning and Re-Evaluation
    1. Creating and Documenting a Periodontal Treatment Plan
    2. The Re-Evaluation Appointment
  7. Dentinal Hypersensivity
    1. Symptoms
    2. Treatment Rationale
  8. Preventive and Therapeutic Agents of Mouthrinses
    1. Fluoride
    2. Chlorohexidine
    3. Phenolic-Related Essential Oils
    4. Quaternary Ammonium Compounds
    5. Oil-Pulling
  9. Subgingival Irrigation
    1. Irrigation Devices
    2. Techniques
  10. An Introduction to Lasers in Dental Hygiene
    1. Diode Laser in Periodontal Therapy
    2. Laser Safety and Application
  11. Peri-Implant Health and Disease
    1. Implant Maintenance
    2. Peri-Implantitis
  12. Soft Tissue Curettage
    1. Indications
    2. Technique
    3. Legal/Ethical Scope
  13. Reflection and Review
    1. Periodontal Case Study Project, Part I: Assessments
    2. Review for Comprehensive Final Exam
  14. Final Exam

Total Hours= 14 Hours


Approved for Online and Hybrid Delivery?:
No
Instructional Strategies:
 

Flipped Classroom Course Grade Breakdown

%

Weekly Pre-Class Assignments:

Lecture, Text/Article Readings, How-to Videos, Self-Check Assessment Quiz

 

60-75%

Weekly In-Class Activity:

Case Studies, Group Activities, Hands-On Typodant/Instrument Practice, Class Discussion, Guest Speakers

 

30%

Weekly Post-Class Assignments:

Reflection, Case Studies, Self-Check Quiz

10%


Mandatory Course Components:

Equivalent Courses:
None
Accepted GRCC Advanced Placement (AP) Exam Credit: None
AP Min. Score: NA
Name of Industry Recognize Credentials: None

Course prepares students to seek the following external certification:
No
Course-Specific Placement Test: None
Course Aligned with ARW/IRW Pairing: N/A
Mandatory Department Assessment Measures:

GRCC Course Type:
Program Requirement: Meets the learning needs of students in a specific GRCC program.
Course Format:
Lecture - 1:1
Total Lecture Hours Per Week: 1
People Soft Course ID Number: 104341
Course CIP Code: 51.0601
Maximum Course Enrollment: 32
Course Software Utilized: Canvas, Upscale Assessment
High School Articulation Agreements exist?: No
If yes, with which high schools?: NA
Non-Credit GRCC Articulation Agreement With What Area: No
Identify the Non Credit Programs this Course is Accepted: NA


School: School of Health & Exercise Science
Department: Dental Auxiliaries
Discipline: DHY
Faculty Credential Requirements:
Master’s Degree (GRCC general requirement), Certification/License Requirement (list below), Professionally qualified through work experience in field (Perkins Act or Other) (list below)
Faculty Credential Requirement Details:
Masters degree in Education or a related credential is preferred. A minimum of 2 years of related work experience (4,000 hours) is required to satisfy Perkin’s Vocational Act requirements. Additionally, the Instructor must possess a RDA/CDA, or RDH License or DDS/DMD License in Michigan. Documented expertise in the area of teaching responsibility and the area of content delivery method are required.
Major Course Revisions: N/A
Last Revision Date Effective: 20260303T10:11:37
Course Review & Revision Year: 2030-2031



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