Dental Therapy

Mission

Educate dental therapists to meet the oral health care needs of Alaskan Native people living in rural communities by utilizing evidence-based methodologies.

Vision

Alaska Native people receive culturally appropriate, excellent oral health care in the communities where they live.

Overview

The Dental Therapy Educational Program is operated in partnership with the Alaska Native Tribal Health Consortium (ANTHC). This program supports health providers in the dental profession by offering academic credentials. Those credentials facilitate the transition into higher level career pathways, such as a baccalaureate degree, or degrees in dental hygiene and dentistry.

Dental Therapy students will complete the didactic (classroom) and preclinical phase in Anchorage. The clinical phase is completed in Anchorage/Bethel and includes travel to remote villages to provide oral health care. The course of study is equivalent to three academic years.

Upon graduation, Dental Health Aide Therapists(DHAT) are typically employed with a Tribal Health Organization and will provide clinical and educational services in rural communities throughout the state.

Admissions

Those interested in learning more about this training program are encouraged to contact the Program Chair, Dr. Sarah Shoffstall-Cone, at sshoffstallcone@anthc.org

Degree Outcomes

  • Competently and ethically, provide the public with evidence-based dental therapy care using effective decision making within the scope of practice outlined in the CHAP CB Standards and Procedures document (see here).
  • Integrate Alaska Native/American Indian knowledge, values, and culture into business practice.
  • Communicate effectively with patients, peers, the public and other health professionals using verbal, non-verbal and written language.
  • Competently assess, plan, implement and evaluate individual and community oral disease prevention and therapy programs.
  • Apply critical thinking skills to investigate, interpret, and communicate issues involving the profession, the practice, the community, and the patient.

What is a Dental Health Aide Therapist?

A Primary oral health care professional who:

  • Provides basic clinical dental treatment and preventive services
  • Advocates for the needs of clients
  • Refers for services beyond the scope of the dental therapist’s practice

A DHAT's Scope of Practice

  • Diagnosis and Treatment Planning
  • Prevention
  • Cleanings
  • Radiographs
  • Restorative Treatment
  • Pediatric Treatment
  • Medically Necessary Extractions
  • Community Prevention & Education

Degrees and Certificates

Courses

DHAT 101: Introduction to Dental Therapy I

Credits 3.0
This course introduces the Community Health Aide Program history, structure and Standards and Procedures. It provides an introduction to the theory and practice of dentistry therapy, public health dentistry, basic dental procedures, dental anatomy, dental assisting, infection control, dental radiology, dental problems, and referrals.

DHAT 102: Introduction to Dental Therapy II

Credits 1.5
This course builds on the knowledge and skills learned in Introduction to Dental Therapy I by delving deeper into the theory and practice of dentistry as a dental health aide. New concepts introduced in this course will be Pharmacology, Ethics, and equipment management.

DHAT 111: Dental Therapy, Lab I

Credits 2.0
This is a preclinical skills building course. Introducing students to the artistic nature and fine motor skills needed to perform cavity preparations. Students sculpt clay models of teeth and begin working with dental hand pieces. Skills include: paying attention to detail, visualizing three dimensional relationships, hand-eye coordination and critical evaluation.

DHAT 112: Dental Therapy, Lab II

Credits 2.0
In this preclinical, hands-on course, students will simulate patient encounters and be required to pull from all areas of previous instruction. This course emphasizes critical thinking and appropriate self-assessment. This course prepares the student to see live patients in clinic during future aspects of the DHAT program.

DHAT 125: Operative Dental Therapy Techniques

Credits 1.5 3.0
This course provides the theoretical background for the pre-clinical operative technique course in the primary and adult dentitions. Students receive instruction on a range of skills needed prior to beginning work on patient simulators (mannequins). The material will be presented in lecture, laboratory, web-based, and self-study format.

DHAT 130: Community Oral Health Education I

Credits 1.0
This course is designed to help students learn how to communicate effectively and culturally appropriately with individuals in group settings in predominately rural, Native communities. Students will learn a series of practical methods shown helpful with a wide range of serious health-related problems, from addictive behaviors to the need for exercise and dietary change.

DHAT 135: Advanced Diagnosis and Treatment Planning I

Credits 1.5
This course prepares students to collect and analyze oral and general health information, including clinical and psychological data, in order to develop a comprehensive dental treatment plan prioritized on urgency and risk assessment, and tailored to the individual needs of the patient.

DHAT 140: Behavioral Sciences: Oral Health Education I

Credits 1.0
This course introduces the art and science of preventing dental disease. The student will learn how to provide targeted instruction on aspects of public health dentistry and working with individual patients and target populations. Subtopics covered in this course are Nutrition, Patient Education, Motivational Interview Technique, and Managing Fearful/Avoidant Patients.

DHAT 151: Behavioral Sciences: Tobacco Addiction

Credits 1.0
This course introduces the student to working with patients around tobacco use and teaches quit support techniques. This course was developed by the Mayo Clinic. Topics explored include: Biology and Pharmacology of Nicotine Dependence, Counseling Theory and Practice, Treatment Strategies, Intake, Assessment and Treatment Planning.

DHAT 152: Anatomy, Physiology, Pathology of the Head and Neck

Credits 2.0
This course introduces the anatomy of the head and neck with special emphasis on intraoral tissues, bones, and muscles. The student will explore how these structures interact together and what happens when pathological processes develop.

DHAT 153: Basic Restorative Functions

Credits 2.0
This course provides the theoretical and practical components for placing amalgam and composite restorations in pre-prepared teeth in the primary and permanent dentitions. Students learn practical skills on patient simulators (typodonts). They learn to perform a range of restorative functions in preparation for seeing their first clinical patients.

DHAT 154: Cariology and Minimally Invasive Dentistry

Credits 1.0
This course introduces the dental caries (cavity) process and emphasizes the concepts of minimally invasive dentistry and evidence based operative dentistry. This course will also introduce the student to Atraumatic Restorative Technique, Interim Therapeutic Restorations, and caries control procedures.

DHAT 155: Local Anesthesia

Credits 1.0
In this course students will demonstrate a working knowledge of local anesthetic agents, the armamentarium to administer the agents, and complications associated with administration of the agents. Students will demonstrate competency in providing clinical local anesthesia.

DHAT 156: Hygiene and Periodontology

Credits 1.0
This course provides an introduction and clinical application of the theory of hygiene practice and the management of diseases of the gingiva (gums) and other supporting structures of the teeth. This intensive course was developed by the Indian Health Service to train dental assistants to provide supervised dental cleanings.

DHAT 160: Infection Control

Credits 0.5
This course introduces infection control principles necessary for dental auxiliaries to operate safely within a dental office and to prevent the spread of microbial diseases.

DHAT 161: Infection Control, Lab I

Credits 1.0
This course applies the infection control principles and skills learned in the didactic course Infection Control to maintaining an appropriate infection control program in a working dental clinic setting. Student will be closely monitored to ensure adherence to clinical protocols. This hands-on course does not have fixed, scheduled hours, but takes place during the semester as students are assigned specific duties in the clinic sterilization area and as students are cleaning the clinic as required by clinical protocols. Students will spend a minimum of 40 hours working on various assigned tasks.

DHAT 201: Advanced Dental Therapy

Credits 1.0 5.5
This course is designed to provide an overview of all topics learned in the first year of the DHAT program with an emphasis on critical thinking and amalgamating the knowledge into direct care scenarios. New topics covered will be dental surgery (extractions), operating room dentistry, and urgent care dentistry. The course will be delivered in the following four modules.

DHAT 211: Advanced Dental Therapy Clinic

Credits 2.0 14.5
This course gives students, under the supervisor of a faculty dentist, the opportunity to gain professional dental therapy experience in the training clinic, where they provide clinical care within the DHAT scope of practice. This clinical experience continues throughout the four modules and credits are allocated as follows.

DHAT 221: Professional DHAT Practice I

Credits 0.5
This course is an introduction to professional roles. Students develop skills to enable them to begin to think and behave as professionals. Students are introduced to professional ethics and the laws that govern healthcare practice.

DHAT 222: Professional DHAT Practice II

Credits 0.5
This course is a continuation of introducing students to professional roles. Students develop skills to enable them to begin to think and behave as professionals. The student is introduced to professional ethics and the laws that govern healthcare practice.

DHAT 231: Community Oral Health Education II

Credits 2.0
This course is designed to increase the depth of knowledge and cultural competency of students in skills and concepts learned in Community Conversations and Disease Prevention I regarding communicating effectively with individuals in group settings in the community. Students will apply a series of practical methods shown helpful with a wide range of serious health-related problems, from addictive behaviors to the need for exercise and dietary change.

DHAT 232: Community Oral Health Education III

Credits 0.5
This course is designed to increase the depth of knowledge and cultural competency of students in skills and concepts learned in Community Conversations and Disease Prevention I regarding communicating effectively with individuals in group settings in the community. Students will apply a series of practical methods shown helpful with a wide range of serious health-related problems, from addictive behaviors to the need for exercise and dietary change.

DHAT 235: Advanced Diagnosis & Treatment Planning II

Credits 1.0
In this course students present clinical cases, medical conditions and pharmacological agents to their classmates followed by a quiz on pertinent information. The presentations provide a rich amount of information, which will enhance the students’ diagnostic and treatment planning skills.

DHAT 241: Behavioral Sciences: Oral Health Education II

Credits 0.5
This course explores things learned in Behavior Sciences I DHAT 141 and begins the process of actively using this knowledge and skills in working with patients and populations. Subtopics covered in this course are Nutrition, Patient Education, Motivational Interview Technique, and Managing Fearful/Avoidant Patients.

DHAT 242: Community Clinical Rotations I

Credits 3.0
At the end of this course the student, in the presence of a faculty dentist, will have gained professional experience away from the training clinic implementing and evaluating community prevention projects and providing clinical care in a community practice setting. This course is run as weeklong modules in remote Alaska Native villages in the first semester of the second year as scheduled.

DHAT 243: Community Clinical Rotations II

Credits 3.0
At the end of this course the student, in the presence of a faculty dentist, will have gained professional experience away from the training clinic implementing and evaluating community prevention projects and providing clinical care in a community practice setting. This course is run as weeklong modules in remote Alaska Native villages in the second semester of the second year as scheduled.

DHAT 251: Pharmacology

Credits 0.5
This course focuses on medication uses in and interactions with dental care. Students research medications and present information to their peers. Students are taught how to recognize and report when a clinical situation requiring medications is beyond their scope of practice.

DHAT 262: Infection Control, Lab II

Credits 0.5
This course applies the infection control principles and skills learned in the didactic course Infection Control to maintaining an appropriate infection control program in a working dental clinic setting. Student will be closely monitored to ensure adherence to clinical protocols. This hands-on, lab course does not have fixed, scheduled hours, but takes place during the semester as students are assigned specific duties in the clinic sterilization area and as students are cleaning the clinic as required by clinical protocols. Students will be involved in lab activities for at least 40 hours over the course of the semester.

DHAT 263: Infection Control, Lab III

Credits 1.0
This course applies the infection control principles and skills learned in the didactic course Infection Control to maintaining an appropriate infection control program in a working dental clinic setting. Student will be monitored, but expected to have mastery of skills and take ownership of adherence to clinical protocols. This hands-on course does not have regularly scheduled hours; rather, throughout the semester, students are assigned specific duties in the clinic sterilization area and are cleaning the clinic as required by clinical protocols. Students will be involved in lab activities for at least 40 hours over the course of the semester.