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Dental Assisting | Hygienist

Root canal procedure step by step. Your dentist will clean the tooth out, seal it off, then top it with a crown.

DUTIES

Dental hygienists clean teeth, examine patients for signs of oral diseases such as gingivitis, and provide other preventive dental care. Dental hygienists use many types of tools to do their job. They clean and polish teeth with hand, power, and ultrasonic tools. In some cases, they use lasers. Hygienists remove stains with an air-polishing device, which sprays a combination of air, water, and baking soda. They polish teeth with a powered tool that works like an automatic toothbrush. Hygienists use x-ray machines to take pictures to check for tooth or jaw problems.

Coronal polishing, which means removing soft deposits such as plaque, gives teeth a cleaner appearance. In sealant application, a dental assistant paints a thin, plastic substance over teeth that seals out food particles and acid-producing bacteria to keep teeth from developing cavities. Fluoride application, in which fluoride is put directly on the teeth, is another anticavity measure. Some dental assistants may be qualified to apply topical anesthetic to an area of a patient's mouth, temporarily numbing the area to help prepare a patient for procedures.

Some states allow hygienists with additional training, sometimes called dental therapists, to work with an expanded scope of practice. Dental hygienists help patients develop and maintain good oral health. For example, they may explain the relationship between diet and oral health. They may also give advice to patients on how to select toothbrushes and other oral care devices.

  • Remove tartar, stains, and plaque from teeth.
  • Apply sealants and fluorides to help protect teeth.
  • Take and develop dental x rays.
  • Assess patients' oral health and report findings to dentists.
  • Document patient care and treatment plans.
  • Educate patients about oral hygiene techniques, such as how to brush and floss correctly.

EDUCATION

Some states require dental assistants to graduate from an accredited program and pass an exam. Most programs are offered by community colleges, although they also may be offered by vocational or technical schools. Most programs take about 1 year to complete and lead to a certificate or diploma. Programs that last 2 years are less common and lead to an associate's degree. The Commission on Dental Accreditation (CODA), part of the American Dental Association, accredited nearly 300 dental assisting training programs in 2017.

Accredited programs include classroom and laboratory work. Students learn about teeth, gums, jaws, and other areas that dentists work on and the instruments that dentists use. These programs also include supervised practical experience.

Dental hygienists typically need an associate's degree in dental hygiene. A bachelor's or master's degree may be required for research, teaching, or clinical practice. In 2017, the Commission on Dental Accreditation, part of the American Dental Association, accredited more than 300 dental hygiene programs. Programs typically take 3 years to complete, and offer laboratory, clinical, and classroom instruction. Areas of study include physiology, nutrition, radiography, pathology, medical ethics, anatomy, patient management, and periodontics, which is the study of gum disease.

High school students interested in becoming dental hygienists should take courses in biology, chemistry, and math. Most dental hygiene programs also require applicants to complete prerequisites, which often include college-level courses. Specific requirements vary by school.

CERTIFICATION

States typically do not require licenses for entry-level dental assistants. Some states require dental assistants to be licensed, registered, or certified for entry or advancement. States may require assistants to meet specific licensing requirements in order to work in radiography (x ray), infection control, or other specialties. For specific requirements, contact your state's Board of Dental Examiners.

States that allow assistants to perform expanded duties, such as coronal polishing, require that they be licensed, registered, or hold certifications from the Dental Assisting National Board (DANB). To earn certification from DANB, applicants must pass an exam. The educational requirements for DANB certification are that dental assistants must either have graduated from an accredited program or have a high school diploma and complete the required amount of work experience. Applicants also must have current certification in CPR (cardiopulmonary resuscitation).

Every state requires dental hygienists to be licensed; requirements vary by state. In most states, a degree from an accredited dental hygiene program and passing grades on written and clinical examinations are required for licensure. To maintain licensure, hygienists must complete continuing education requirements. For specific requirements, contact your state's Board of Dental Examiners.

QUALITIES FOR SUCCESS

Ask yourself if you can see yourself being a dental assistant or hygienist, having daily contact with patients. Other patients may have physical or emotional disabilities, which can be challenging. While classes and internships will prepare you well, certain innate qualities that you bring to bear will help you succeed.

Dental Assisting | Hygienist
Dental assistants must follow specific rules and protocols, such as infection control procedures, when helping dentists treat patients. Assistants also must be aware of what tasks they are allowed to complete in the state where they work.
Dental hygienists develop and implement oral hygiene care plans to maintain or improve patients' oral health.
Dental hygienists must use critical thinking skills in order to assess and evaluate patients.
Dental assistants should have excellent organizational skills. They should have the correct tools in place for a dentist or dental hygienist to use when treating a patient.
Sometimes patients are in extreme pain and/or mental distress, so dental assistants need to be sensitive to their emotions.

Dentist Filling A Cavity


Let's watch a full cavity filling procedure at the dentist! This cavity is a 2-surface cavity, meaning two surfaces of the tooth needs to be drilled and filled, one surface being in-between two teeth. This type of filling can also be called an interproximal filling.

Dental X-rays


How to take a good dental x-ray is not only about proper technique, but also understanding what you are looking for in the image. This video will give you some technique pointers, as well as explaining which specific structures in the mouth that should be visible in your x-ray images.

Dental Crown Procedure


This video shows the procedure of a dental crown being placed on a root-canal-treated anterior tooth. In this case, the crown was milled in-office so the patient was able to receive their permanent crown on the same day.

Deep Cleaning - Tartar Build Up


Let's watch and talk about a deep cleaning at the dentist - which might be a scaling in the presence of gingival inflammation or a full mouth debridement. It's a teeth cleaning on a patient with heavy plaque and tartar buildup.

JOB OUTLOOK

About half of dental hygienists work part time. Dentists often hire hygienists to work only a few days a week, so some hygienists work for more than one dentist. Many jobs also require cardiopulmonary resuscitation (CPR) certification. Dental hygienists may wear safety glasses, surgical masks, and gloves to protect themselves and patients from infectious diseases. The demand for dental services will increase as the population ages. As the large baby-boom population ages and people keep more of their original teeth than did previous generations, the need to maintain and treat teeth will continue to drive demand for dental care.

Studies linking oral health and general health, and efforts to expand access to oral hygiene services, will continue to drive the demand for preventive dental services. As a result, the demand for all dental services, including those performed by hygienists, will increase. In addition, demand for dental hygienists is expected to grow as state laws increasingly allow dental hygienists to work at the top of their training, and they effectively become more productive.

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