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Date updated: 01/02/2014 Dental Assistants: Details of Subjects to be Studied Units Syllabus Subject General Subjects: 13.1 8 Integrative program to improve basic thinking and learning skills, in parallel with development of fluent communication in English as a second language. Comprehension of professional texts (terminology). Vocational English 13.1.1 6 Acquisition of basic knowledge in the field of psychology. Perceptual, social and personal aspects of behavior. 1. History, principles and basic terms in psychology. 2. Motivation, assertiveness. 3. Familiarity with basic terminology in behavioral science and making contact with the dental clinic. Staff of the dental clinic, behavioral profile of the dental assistant. 4. Introduction basic terminology in psychology. 5. Fear, anxiety, pain of the anxious patient. 6. Doctor-patient relationship. 7. Role playing. Introduction to Psychology Principles of Behavioral Sciences 13.1.2 2 Familiarity with basic concepts of a computer and specific dental programs. Uses of the Computer 13.1.3 4 Management of a dental clinic in market conditions, acquisition of basic knowledge in clinic planning and selecting appropriate equipment. Casting light upon the range of practical problems that one is confronted with in a dental clinic in practical work. Learning the ability to deal with daily problems in maintaining the clinic and operating it. 1. Planning the dental clinic, computers in dentistry. 2. Principles of bookkeeping management for the dentist and dental hygienist. 3. Patient file, managing medical records and maintaining medical documentation. 4. Dental marketing. Principles of General Management and Practice Management 13.1.4 5 Familiarity with the dental laboratory, the main equipment in the laboratory, work techniques in the laboratory. Tour of a dental laboratory. 1. Restorations performed in the laboratory, acquisition of basic concepts in communication between the clinic (dentist + dental assistant) and the laboratory. 2. Temporary restorations stages of work, types of materials. 3. Removable restorations, conveying data from the patient’s mouth to the laboratory, materials used for restoration. 4. Permanent restorations as above. Concepts in Dental Technicianry 13.1.6

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Page 1: Dental Assistants: Details of Subjects to be Studied · Dental Assistants: Details of Subjects to be Studied ... Classification of malocclusion, skeletal defects. 6. ... Introduction

Date updated: 01/02/2014

Dental Assistants: Details of Subjects to be Studied

Units Syllabus Subject

General

Subjects:

13.1

8 Integrative program to improve basic thinking and learning

skills, in parallel with development of fluent communication

in English as a second language. Comprehension of

professional texts (terminology).

Vocational

English

13.1.1

6 Acquisition of basic knowledge in the field of psychology.

Perceptual, social and personal aspects of behavior.

1. History, principles and basic terms in psychology.

2. Motivation, assertiveness.

3. Familiarity with basic terminology in behavioral science

and making contact with the dental clinic. Staff of the

dental clinic, behavioral profile of the dental assistant.

4. Introduction – basic terminology in psychology.

5. Fear, anxiety, pain of the anxious patient.

6. Doctor-patient relationship.

7. Role playing.

Introduction to

Psychology

Principles of

Behavioral

Sciences

13.1.2

2 Familiarity with basic concepts of a computer and specific

dental programs.

Uses of the

Computer

13.1.3

4 Management of a dental clinic in market conditions,

acquisition of basic knowledge in clinic planning and

selecting appropriate equipment. Casting light upon the

range of practical problems that one is confronted with in a

dental clinic in practical work. Learning the ability to deal

with daily problems in maintaining the clinic and operating it.

1. Planning the dental clinic, computers in dentistry.

2. Principles of bookkeeping management for the dentist

and dental hygienist.

3. Patient file, managing medical records and maintaining

medical documentation.

4. Dental marketing.

Principles of

General

Management

and Practice

Management

13.1.4

5 Familiarity with the dental laboratory, the main equipment in

the laboratory, work techniques in the laboratory. Tour of a

dental laboratory.

1. Restorations performed in the laboratory, acquisition of

basic concepts in communication between the clinic

(dentist + dental assistant) and the laboratory.

2. Temporary restorations – stages of work, types of

materials.

3. Removable restorations, conveying data from the

patient’s mouth to the laboratory, materials used for

restoration.

4. Permanent restorations – as above.

Concepts in

Dental

Technicianry

13.1.6

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Units Syllabus Subject

5. Restorations upon implants – as above.

6. Basic principles of working with acrylic, metals, (wax

mold) examples of rehabilitation work.

5 Familiarity with the dental unit, operation of the unit, dealing

with common minor malfunctions. Support system:

compressor and suction. Maintenance. Proper maintenance

of the water cooling system, autoclave.

Dental

Equipment and

Instrumentation

13.1.7

Pre-Medical

Basic Sciences:

13.2

5 Characteristics of life – the cell as the basic unit of life:

structure of the cell, compartmentalization and function.

Familiarity with the organism.

1. Biology – Introduction.

2. The cell – Structure and function:

3. Composition of the cell.

4. Cell membrane.

5. The hereditary material.

6. Cell division.

Introduction to

Biology

13.2.1

5 Familiarity with the types of bacteria, fungi and viruses.

Familiarity with the connection between the various

components of the bacteria and its environment and growth.

Familiarity with the mechanisms for causing damage to the

human body.

1. Prokaryotes: bacteria, viruses and fungi – structure and

function.

2. Metabolism.

3. Antibacterial medications: antibiotics – principles of

action.

Principles of

Microbiology

13.2.2

8 Familiarity with the basic principles of pharmacologic

science.

1. Names of medications.

2. Modes of administration and presentation of

medications.

3. Analgesic medications.

4. Antibiotic medications.

5. Anesthetic medications.

6. Reading labels.

7. Sedation.

8. Gas.

9. Tranquillizers.

Principles of

Pharmacology

13.2.3

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Units Syllabus Subject

Basic Medical

Sciences

13.3

5 1. Structure of Basic Tissues

2. Tissues – their roles and purpose.

3. Epithelium – types.

4. Regular connective tissue (loose and dense).

5. Bone, cartilage, hematopoietic tissue.

6. Muscle tissue.

7. Nerve structure.

Introduction to

General

Histology

13.3.1

10 1. Acquisition of knowledge about all the main systems of

the human body. Acquisition of knowledge about

general physiology and the physiology of the bodily

systems.

2. Basic concepts: structure, bodily systems, skeleton,

muscle of bodily systems (heart, respiratory, digestion,

reno-urinary, blood and nervous).

Introduction to

General and

Functional

Anatomy

13.3.2

5 Basic knowledge: the role and purpose of nutrition,

components of nutrition as compared to components of

man, principles of good nutrition, nutritional assessment,

recommendations for a healthy person. Breakdown and

absorption of food in the digestive tract.

1. Introduction: the reasons for eating, components of

nutrition.

2. Energy, carbohydrates and dietary fiber.

3. Proteins and fats.

4. Vitamins, minerals and water.

5. Nutrition and dental health.

6. Recommended nutrition for a healthy person.

7. Nutrition during the lifecycle.

Nutrition 13.3.3

10 Trauma, unconsciousness, wounds, burns, fractures, animal

injuries, resuscitation of children and infants, resuscitation of

adults. Resuscitation in the dental clinic.

Medical emergencies, the range of causes of dental

emergencies.

First Aid and

Resuscitation

13.3.4

Basic Sciences

in Dentistry

13.4

10 General structure: skull and jaws. Muscles of the neck and

jaws, facial muscles (in a general manner).

1. Salivary glands. Pathways of the mains nerves and

blood vessels. Including the neck.

2. Large and small salivary glands.

3. TMJ (temporomandibular joint).

4. Mastication and expression muscles.

5. Tongue – muscles and innervation

6. Neck muscles – general and basic.

Anatomy of the

Head and Neck

13.4.1

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Units Syllabus Subject

7. The nasal cavity – sinuses.

8. Bones of the face and skull, including upper and lower

jaw.

6 Supportive tissue, the teeth, salivary, lymph, glands.

Dental tissues: enamel, dentin, pulp.

Oral mucosa and gingiva.

Oral and Dental

Histology

13.4.2

3 Development of the oral cavity and teeth.

The stomatodeum, development of the tooth buds, the jaws,

the soft tissues, eruption of teeth and changing of dentition.

Oral and Dental

Embryology

13.4.3

10 Basic concepts in dental structure, methods of numbering,

tooth groups.

1. Methods of numbering deciduous and permanent

teeth.

2. Order of eruption and ages for deciduous / permanent

dentition.

3. Anatomic structure of a single tooth.

4. Directions and sides in teeth (L,P,M,B,D).

5. Characteristics of groups of teeth – incisors, canines,

premolars, molars.

6. Morphological differences between deciduous and

permanent dentition.

Practical exercise – will be performed in the framework

of 13.6.1

Dental

Morphology

13.4.4

5 1. General ethics – ethics and human rights.

2. Medical ethics – introductions.

3. Doctor-patient relationship.

4. Carriers of viruses.

5. Freedom of occupation; means of discipline.

6. Patient Rights Law, informed consent, records.

7. Dentists’ Ordinance.

8. Advertising.

Law and Ethics

in Dentistry

13.4.5

6 1. Infective agents: such as bacteria, viruses, fungi and

spores. Emphasis on oral and respiratory tract

diseases.

2. Prevention and protection: means of preventing

infection; examples from dentistry; disinfection,

sterilization and caution in sterilization of instruments.

3. Means of protection: ranging from vaccinations that

should be given for the protection of professionals, to

daily awareness at work.

4. Infective agents – viruses and bacteria, emphasis on

oral and respiratory tract diseases.

5. AIDS, NBV, HCV, TB, SARS, etc.

6. Prevention and protection – means of preventing

infection.

Infection Control

(Disinfection

and

Sterilization)

13.4.6

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Units Syllabus Subject

i. OSHA, CDC guidelines.

ii. Disinfection, sterilization, gloves, safety glasses,

clothes.

7. Ministry of Health guidelines for the prevention of

infections, protocols following exposure to infection,

medicolegal aspects.

8. Disinfectants – surfaces, fixed equipment, instruments

that cannot be heat sterilized.

Clinical Fields in

Dentistry

13.5

4 1. Introduction to orthodontics – including the objectives

of orthodontic treatment.

2. Process of the growth of the face and jaws.

3. Order of tooth eruption – morphology.

4. Jaw relations.

5. Classification of malocclusion, skeletal defects.

6. Instrumentation – fixed and moveable.

7. Examples of treatments of common types of

orthodontic problems and principles of treatment;

diagnostic aids.

8. Treatment of adults.

9. Hypodontia and hyperdontia.

Orthodontics 13.5.1

8 1. Structure of the dental pulp, histopathology, diagnosis,

types of endodontic treatment, etiology, stages of

treatment and filling of root canals, endodontic

instrumentation, including rotary.

2. Instruments for measuring the length of canals; tooth

whitening after root canal therapy. Diagnosis – clinical

and radiologic.

3. Principles of non-surgical root canal therapy, problems

and complications during root canal therapy – not at

the level of the tooth.

4. Endo-perio processes.

5. Pain of endodontic origin.

6. First aid (stages of treatment).

7. Endodontic surgery.

8. Rubber dam.

Endodontics 13.5.2

6 1. Definition and description of the disease – plaque,

substrate, genetics, age multifactorial etiology host

diet.

2. Diagnosis, saliva, substrate, bacteria.

3. Fluoride, prevention – prevention of caries.

4. Types of caries – ECC, rampant, etc.

Caries

13.5.3

8 Tooth surfaces, terms, principles of cavity preparation, types

of liners and bases, restoration materials, the various types

Conservative 13.5.4

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Units Syllabus Subject

of instrumentation.

Vital tooth whitening.

1. Introduction to conservative dentistry.

2. Principles of cavity preparation – Black – and new

developments.

3. Hand and rotary instrumentation + accessories.

4. Treatment of caries: plastic restorations (cavity types

as above).

5. Hand and rotary instruments for use in dentistry.

6. Vital tooth whitening.

10 1. Classification of missing teeth.

2. Single tooth partial denture.

3. Multiple tooth partial denture.

4. Partial denture and complete denture.

5. Implants, restoration over implants, denture over

implants (hours to be added on the topic of implants).

6. Cores.

7. Treatment plan, principles of execution.

8. Impression methods.

9. Temporary rehabilitation.

10. Cementation.

Oral

Rehabilitation

13.5.5

16 1. Introduction to materials

2. Core and properties of the materials.

3. Amalgam and its components, resins and their

products.

4. Materials for temporary fillings*.

5. Bases.

6. Liners. Cements.

7. Metals, porcelain, plasters, waxes.

8. Impression materials.

9. Methods of preparation of the materials.

10. Importance of the instructions that come with the

materials’ packaging in the role of the dental assistant.

11. Expiry date.

12. Materials used in conservative dentistry:

13. Amalgam.

14. Composite.

15. Liner and base materials.

16. GlasIonomer.

Dental Materials 13.5.6

10 Extractions, apicectomy, dental and osseous trauma, benign

and malignant tumors- surgery, cysts, infections of

odontogenic and non-odontogenic origin. Surgical

equipment, hemisection, TMJ.

1. Extraction of teeth and extraction of wisdom teeth.

2. Apicectomies.

Surgery 13.5.7

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Units Syllabus Subject

3. Odontogenic and non-odontogenic infections.

4. Malignant tumors in the mouth.

5. Cysts and benign tumors.

6. Pathology.

7. Salivary glands and benign and malignant tumors.

8. Osseous tumors.

9. Manifestations in the oral cavity of systemic diseases

and metastases of various tumors in the body.

10. Temporomandibular joint pain.

11. Trauma to the teeth and facial muscles.

12. Treatment of various craniofacial distortions (e.g. cleft,

orthognathic surgery and the like).

13. Control of bleeding – complications of oral surgery

procedures.

10 Principles and concepts in general pathology, inflammation,

healing, infections of various origins, benign and malignant

tumors, white lesions, red lesions, pigmentation, cancer,

cysts. Pathological terms and inflammatory processes.

1. Introduction.

2. Anamnesis.

3. Clinical examination.

4. Ancillary tests.

5. Classification of lesions by appearance:

6. White lesions.

7. Red lesions.

8. Hyperpigmentary lesions.

9. Bullous conditions.

10. Ulcerative conditions.

11. Papillary and cauliflower-like lesions.

12. Conditions of gingival enlargement.

13. Classification of lesions by cause:

14. Developmental lesions.

15. Inflammatory lesions.

16. Pre-cancerous tumors.

17. Systemic diseases.

18. Idiopathic diseases.

19. Pulpar and periapical processes.

20. Cysts.

21. Tumors.

22. Various therapeutic aspects.

23. Dental and facial pain.

Oral Pathology

and Oral

Medicine

13.5.8

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Units Syllabus Subject

8 X-radiation, uses, dangers, protection, anatomical

structures, methods of imaging and developing, common

errors. Computerized radiograph. Instrumentation,

radiological identification.

Introduction:

1. What are x-rays?

2. Concepts in physics.

3. The x-ray machine:

4. Structure of the apparatus.

5. Generation of x-rays.

6. Factors influencing the quality and quantity of photons.

7. Types of radiographs:

8. Periapical, bite, occlusal.

9. Methods of imaging:

10. Paralleling, bisecting angle.

11. X-ray film:

12. Structure.

13. Various sizes.

14. Developing and fixation.

15. Obtaining the radiograph.

16. Dangers of radiation.

17. Interpretation of radiographs:

18. Anatomy and morphology.

19. Identification of caries.

20. Identification of defects of the alveolar bone.

Oral Radiology 13.5.9

5 General structure of the supportive tissue of the teeth.

1. Basic concepts: periodontal diseases, etiology,

diagnosis and classification, treatment, instruments,

implants.

2. Periodontal tissue – structure:

3. The gingiva as an enveloping tissue.

4. Periodontal support mechanism.

5. Gingival and periodontal diseases and diagnosis:

6. Gingival diseases and their classification.

7. Causes of periodontal and gingival diseases.

8. Staining.

9. Instrumentation for treatment of the gingiva and of

periodontal disease.

Periodontics 13.5.10

5 Dental morphology, caries in children, conservative

treatment, anesthesia in children, principles of prevention:

fluoridation, pit and fissure sealants. Principles of how to

behave with children, dental injury.

1. The art of how to behave with children:

2. Pediatric treatment triangle.

3. Psychological development of children by age.

Pediatric

Dentistry

13.5.11

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Units Syllabus Subject

4. How to behave with children.

5. Communication with children in the dental clinic.

6. The routine of visits to the dentist.

7. Parental behavior in the dental clinic.

8. Pharmaceutical methods for reducing the child’s

anxiety prior to dental treatment.

Treatments performed in the dental clinic:

1. Initial examination.

2. Diagnosis of habits that affect the teeth (sucking a

pacifier or fingers).

3. Caries.

4. Administration of local anesthesia (anesthetic

injection).

5. Rubber dam.

6. Fillings.

7. Crowns on front deciduous teeth.

8. Pulp therapy in children.

9. Prefabricated crowns for molars.

10. Trauma to teeth.

11. Preventative methods in treating caries:

12. Fissure sealants.

13. Use of fluoride in the dental clinic.

14. Composite sealant.

3 The concept of pain, principles of local anesthesia,

equipment and materials, techniques of anesthesia.

Complications of anesthesia, sedation.

Hypnosis.

Note: The course can be given in the framework of the

course on surgery.

Pain Control

and Anesthesia

13.5.12

2 Basic health education.

Methods of brushing, fluoridation.

Prevention

13.5.13

8 1. Systemic diseases and phenomena, and the relation

with dental treatment. Introduction and approach to the

systemic patient.

2. Hypertension, heart failure, ischemic heart disease,

arrhythmia.

3. Prophylaxis.

4. Bleeding disorders (problems with the coagulation

system).

5. Diabetes.

6. Asthma.

7. Diseases of the liver.

8. Organ transplant recipients.

9. The pregnant woman.

10. Neurological disorders.

Patients with

Systemic

Disease

13.5.14

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Units Syllabus Subject

11. Diseases of the kidney.

2 Causes, abuse, detection, characteristics.

Neglect, children at risk, the abusers.

Patients who

are Victims of

Violence and

Neglect

13.5.15

Practical

Subjects and

Practical

Exercise

13.6

60 Familiarity with and practical identification of dental

equipment and materials, practicing their preparation and

adaptation to types of treatment.

1. Identification and mixing of dental materials.

1. Tray of accessory fillings for amalgam, composite

fillings and fissure sealants.

2. Preparation of temporary crowns and bridges (acrylic).

3. Cast core and prefabricated core.

4. Tray for the various dental impressions, mixing the

alginate, materials for impressions.

5. The various types of adhesives- types, temporary and

permanent adhesive.

6. Tray of copper bands, removal of crowns and bridges.

7. Surgical instruments, surgical extractions, extractions

for children, extractions for adults, removal of sutures.

8. Roles of dental assistants, practice management:

9. Ordering dental materials.

10. Role of the dental hygienist.

11. Chart recording practice.

12. 4-handed work.

13. Correct suction.

Practical

Exercise and

Preparation for

Work in the

Clinic for Dental

Assistants

13.6.1

3 Familiarity with the instrumentation and equipment: dental

unit, compressor, suction, accessory instrumentation.

Exercising the initial disassembly, maintenance, dealing with

common minor malfunctions.

Dental

Equipment and

Instrumentation/

Maintenance

and Handling.

13.6.2

6 Exercising the taking of radiographs with an appropriate

phantom-doll. Exercising the development and arrangement

of radiographs. Panoramic, cephalometric, status, CT

imaging.

Radiology 13.6.3

6 I – Familiarity with disinfection and sterilization systems,

familiarity with the equipment and the appropriate materials.

II – Exercising disinfection and sterilization in the clinic itself,

use of disinfectants, equipment for sterilization and

disinfection.

Infection Control 13.6.4

4 Exercising in the computer laboratory – familiarity with Uses of the 13.6.5

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Units Syllabus Subject

Windows. Computer

Clinical Training 13.7

200 Placement and assisting in selected public and private

clinics. Observation and practical work alongside

experienced dentists and dental assistants. Preparation for

one’s own work after receiving the certificate.

Placement as a

dental assistant

in a range of

clinics.

13.7.1

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Preliminary Report for Inspection of Dental Assistants’ Course

Appendix 3.4.19.2

Date: _________________

Name of School: ______________________

Address: ____________________________

Telephone: ____________________

Fax: ____________

Email: ________________________________

1. Course Teaching Staff:

1.1. Name of Course Director: ______________________________________

Specialization:_____________ Senior lecturer in University: ____________

1.1.1 Holder of approval from the Director of the Dental Health Department

_______________________

1.2. Teachers in Non-Clinical Subjects:

Professional

Seniority

Academic

Degree

Diploma of

Education

Lecturer’s Name Subject

Vocational English

Psychology and

Behavioral Sciences

Uses of the Computer

Practice Management

Dental Technicianry

Dental Equipment and

Instrumentation

Introduction to Biology

Microbiology

Pharmacology

Histology

Anatomy

Nutrition

First Aid

Embryology

Dental Morphology

Law and Ethics

Infection Control

(Disinfection and

Sterilization)

The report shall be filled in by the School, prior to receiving recognition of the course (prior to inspection, there is a different report), and sent to the District Dentist, and to the Dental Health Department, to

email address [email protected] or

to fax number 02-5655995.

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1.3. Teachers in Clinical Subjects:

Teacher in

School of

Dentistry

Professional

Seniority

(3 years)

Specialist Lecturer’s Name Subject

Orthodontics

Endodontics

Caries

Conservative

Oral Rehabilitation

Dental Materials

Surgery

Dental Pathology

and Oral Medicine

Radiology

Periodontics

Pediatric Dentistry

Pain Control and

Anesthesia

Prevention

Patients with

Systemic Disease

Patients who are

Victims of Violence

and Neglect

1.4. Teachers of Practical Subjects

Teacher in

School of

Dentistry

Dentist with 3

Years of

Seniority

Specialist Lecturer’s Name Subject

Practical

Exercise and

Preparation for

Work in the

Clinic

Instrumentation

and Equipment

Infection Control

X-Ray

Practice

Management

and Inter-

Personal

Relations

Uses of the

Computer

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1.5. Instructors:

Background Seniority in Years as a

Qualified Dental

Assistant (at least 3

years)

First Name and Surname

2. Students

2.1. Number of Students in the Course:______

2.2. Names of students in the course who do not meet admission requirements as

determined by the Ministry of Health:

Personal

Interview

Medium or Higher

Result in the

Psychometric

Examination

12 Years of School /

Bagrut (Matriculation)

Certificate

Student’s Name

Remarks: __________________________________________________

2.3 Number of Students in Exercise Class (12 per instructor): _________________

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3. Teaching – Totals of Academic Units

3.1 Basic Sciences (General and Medical):

Total Practical

Hours

Theoretical

Hours

60 General Subjects:

Vocational English

Introduction to Psychology/Principles of

Behavioral Sciences

Uses of the Computer

Principles of General Management and

Practice Management

Concepts in Dental Technicianry

Dental Equipment and Instrumentation

50 Pre-Medical Basic Sciences:

Introduction to Biology

Principles of Microbiology

Introduction to Chemistry

Principles of Pharmacology

60 Basic Medical Sciences

Introduction to General Histology

Introduction to General and Functional

Anatomy

Nutrition

First Aid and Resuscitation

80 Basic Sciences in Dentistry

Anatomy of the Head and Neck

Oral and Dental Histology

Oral and Dental Embryology (development of

the oral cavity and teeth)

Dental Morphology

Law and Ethics in Dentistry

Infection Control (Disinfection and

Sterilization)

(302) (52) (250)

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3.2 Clinical Fields in Dentistry:

Total Practical

Hours

Theoretical

Hours

Subject

Conservative

Orthodontics

Endodontics

Caries

Conservative

Oral Rehabilitation

Dental Materials

Surgery

Oral Pathology and Oral Medicine

Oral Radiology

Periodontics

Pediatric Dentistry

Pain Control and Anesthesia

Prevention

Populations with Special Needs

Patients with Systemic Disease

Patients who are Victims of Violence and

Neglect

(280) (80) (200) Clinical Subjects

3.3. Practical Subjects:

Total Practical

Hours

Theoretical

Hours

Subject

Practical Exercise and Preparation for Work in

the Clinic

Dental Equipment and Instrumentation –

Maintenance and Handling

Radiology

Infection Control

Uses of the Computer

(158) (158) Practical Subjects

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Date updated: 01/02/2014

4. Practical Work in Dental Clinics

4.1. Hours actually performed (at least 400 hours) ____________

4.2. Dental Clinics in which the Practical Experience is Undertaken

Accompanyin

g Instructor’s

Name

Responsible

Dental

Assistant’s

Name

No. of

Chairs

Responsible

Dentist’s Name

No. of

Students in

the Clinic

Name of

Clinic

5. The Students Undergo a Resuscitation Course: Yes / No

Details:

Company Providing the Course: _________________________________

Hours: __________________________________________________

Exercise: _________________________________________________

6. Total Teaching Hours:

Total Practical

Hours

Theoretical

Hours

Subject

Basic Sciences

Clinical Subjects

Practical Subjects

Work in Dental Clinics

(504) (558) (450) Total

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Date updated: 01/02/2014

Consent Form to Serve as an Instructional Clinic for Trainees

Appendix 3.4.19.3

Name of Dental Clinic Corporation/Private

Corporation License

No.

In Force Until

Responsible Dentist’s

Name

License No.

Specialist License No.

Responsible Dental

Assistant’s Name

Certificate of

Recognition No.

Address

Telephone Fax

Number of Chairs 1-2 3-4 4+

Clinic’s Opening Hours:

Fri. Thur. Wed. Tue. Mon. Sun.

Morning

Afternoon

Evening

Clinic’s Field of Activity:

General Orthodontics Endodontics Periodontics Surgery Rehabilitation Children

Consent

I, Dr. ___________________, consent that my clinic serve for instruction of dental

assistants from _____________________ School.

Authorization of District Dentist ______________________________________

Note

A course that works with set corporate dental clinics (e.g. Shila, Meuhedet, Hila)

shall submit one authorization per three years, unless a change occurs in the

collaboration between the clinic and the school.

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Date updated: 01/02/2014

Report of Experience Obtained in the Dental Clinic

Appendix 3.4.19.4

Summary Form Assessing the Practical Work in a Dental Clinic of a Trainee in a

Dental Assistants’ Course

Date: ___________

Trainee’s Name: School’s Name:

Name of Dentist / Clinic:

Period of Practical Experience: From Until

Total Hours of Experience:

Improveme

nt Required

Fair Good Tasks

Presentation and professional behavior

at work

Order and cleanliness at work

Theoretical knowledge

Adherence to schedule

Practical skills

Precision of work

Working as part of a team

Remarks:

Responsible Dental Assistant’s Signature ______________

Certificate of Recognition Number ______________