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Literacy In Dental Hygiene Who sponsors the literacy in dental
hygiene in communications between clinicians and patients? Paige
Dunn
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What Is A Discourse Community? James Paul Gee says that
Discourses are ways of being in the world; they are forms of life
which integrate words, acts, values, beliefs, attitudes, and social
identities as well as gestures, glances, body positions, and
clothes. (Gee, 526) There are different types of discourse
communities Primary Secondary
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What is a dental hygienist? According to Wilkens, The dental
hygienist is a licensed primary healthcare professional, oral
health educator, and clinician who provides preventive,
educational, and therapeutic services supporting total health for
the control of oral diseases and the promotion of oral health. (Pg.
4)
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Roles of Dental Hygiene Dental hygienists are found serving in
several interrelated roles, including clinician, educator,
researcher, administrator/manager, and advocate (Wilkens, pg.
5)
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Dental Hygiene Care Types of services offered Preventative
Services Educational Services Therapeutic Services
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Preventative Services Preventative services are the methods
employed by the clinician and/or patient to promote and maintain
oral health (Wilkens, pg. 6). There are three stages of
preventative services: 1.) Primary-primary services prevent the
disease from actually happening. 2.) Secondary- secondary services
treat early diseases, and prevent the disease from progressing
further. 3.) Tertiary- tertiary services are services that repair
the oral cavity back to a level of function.
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Educational Services Educational services are the strategies
developed for an individual or a group to elicit behaviors directed
toward health (Wilkens, pg. 6). Patients understanding is key to
the success of dental hygiene treatment!!!!
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Therapeutic Services Therapeutic services are clinical
treatments designed to arrest or control disease and maintain oral
tissues in health (Wilkens, pg. 6).
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Now that you understand what a dental hygienist is, and the
functions of a dental hygienist.Lets talk about the sponsors of
literacy in the dental hygiene discourse.
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Sponsors of Literacy Literacy between clinicians and
patients
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Different Types of Patients Call For Different Communications!
Types of patients that a hygienist might see: A patient in
Orthodontic appliances (braces) A patient wearing prosthetics
(dentures or partials) Patients with special needs Patients with
mental disabilities
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The Orthodontic Patient An individualized preventive program
that includes a specific plan of instruction, motivation, and
supervision is essential for the patient with orthodontic
appliances (Wilkens, pg. 458) Factors to teach the patient with
orthodontic appliances: The significance of dental biofilm around
orthodontic appliances and teeth (Wilkens, pg. 469) How to apply
the toothbrush (power or manual) and adjunctive devices to remove
dental biofilm from the bracket, the arch wire, and the teeth
(Wilkens, pg. 469) The frequency of professional follow-up during
and after orthodontic therapy (Wilkens, pg. 469)
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Field Research of Patients With Orthodontic Appliances
Gingivitis is very common! Most patients with braces do not floss,
making a very high plaque score! Stress the importance of oral
hygiene!
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A Patient Wearing Dental Prostheses Awareness of the types and
characteristics of prostheses, supporting tissues, and the common
issues a patient may experience with prostheses is needed to
provide information, comprehensive oral hygiene instruction, and
treatment for the patient who has prostheses (Wilkens, pg. 473)
Factors to teach the patient: Significance of regular maintenance
appointments: intraoral/extraoral screening for pathology,
especially oral cancer screening; and adjustments if needed
(Wilkens, pg. 487)
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Field Research Teach the patient the importance of caring for
the prostheses just as they would for their regular teeth. Conduct
at home screenings of oral tissues Stress importance of oral
hygiene even with a prostheses
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Treatment of Patients With Mental Disabilities More people with
developmental disabilities are seeking dental care in private and
community settings as the trend towards deinstitutionalization
grows and emphasis on special training and education in local
agencies and schools increases (Wilkens, pg. 969) Factors to teach
the patient: Why assistance from others is an important supplement
to the patients own efforts (Wilkens, pg. 979) How to use and show
their cooperation skills (Wilkens, pg. 979)
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Field Research Listen to the patients needs and wants. Be
understanding, yet stern. Provide the best possible care, with
maintaining patient comfort.
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Patients With Special Needs (Spinal Cord Injuries) The oral
cavity has added significance for those who have lost sensation in
other areas of the body (Wilkens, pg. 912) Four-handed dentistry:
Four handed dentistry is a necessity (Wilkens, pg. 912) Assist with
all procedures to make the total treatment time as brief and
efficiently used as possible without sacrificing patient comfort
(Wilkens, pg. 912) For treating wheelchair bound patients: Allow
frequent changes of the patients body position by lifting and
turning at intervals to prevent pressure sores and pain in muscles
and joints (Wilkens, pg. 912).
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Field Research Monitor the patient very closely Assistant
should provide suction Always listen to the patient, they know
their body and their condition better than the hygienist does. Be
prepared to work with caregivers.
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The End(:
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Works Cited Dickinson, Ann, and Esther Wilkens. "The Patient
With a Mental Disability." Clinical Practice Of The Dental
Hygienist. Ed. Barret Koger and Ed. Kevin Dietz. 10th. Baltimore:
Lippincott Williams & Wilkens, a Wolters Kluwer business, 2009.
969-980. Print. Gee, James P. Literacy, Discourse, and Linguistics:
Introduction and What is Literacy? Literacy: A Crtitical
Sourcebook. Ed. Ellen Cushman, et all. Boston: Bedford/St. Martins,
2001. 525-44. Print. Guttman, Marylou, and Esther Wilkens. "The
Patient With Orthodontic Appliances." Clinical Practice Of The
Dental Hygienist. Ed. Barret Koger and Ed. Kevin Dietz. 10th.
Baltimore: Lippincott Williams & Wilkens, a Wolters Kluwer
business, 2009. 458- 471. Print. Mueller-Joseph, Laura, Donna
Homenko, Esther Wilkens, and Charlotte Wyche. "The Professional
Dental Hygienist." Clinical Practice Of The Dental Hygienist. Ed.
Barret Koger and Ed. Kevin Dietz. 10th. Baltimore: Lippincott
Williams & Wilkens, a Wolters Kluwer business, 2009. 3-17.
Print. Ragalis, Kathryn. "Care of Dental Prostheses." Clinical
Practice Of The Dental Hygienist. Ed. Barret Koger and Ed. Kevin
Dietz. 10th. Baltimore: Lippincott Williams & Wilkens, a
Wolters Kluwer business, 2009. 472-488. Print. Ragalis, Kathryn,
and Esther Wilkens. "The Patient With a Physical Impairment."
Clinical Practice Of The Dental Hygienist. Ed. Barret Koger and Ed.
Kevin Dietz. 10th. Baltimore: Lippincott Williams & Wilkens, a
Wolters Kluwer business, 2009. 911- 936. Print.