1. Indiana University School of Dentistry
Continuing Education
Registration
http://www.iusd.iupui.edu/Depts/CE/
q Coronal Polishing - $495
q Fluoride Application - $495
q Both - $850 Coronal Polishing &
Name ____________________________________
Fluoride Application
Mailing Address ____________________________
City ________________ State ______ Zip ______
Daytime Phone _____________________________
Cell _______________________________
E-mail ____________________________________
Employer __________________________________
Employer Phone _____________________________
Employer Email _____________________________ Indiana University School of Dentistry Office of Continuing Education
Method of Payment Certification Courses for
Dental Assistants
q Check Check No. ______________
q Credit Card (Visa/ MasterCard)
Credit Card #:______________________________
Expiration _______________
Name on card ______________________________
719 Indiana Avenue, Suite 209
Signature __________________________________
Indianapolis, IN 46202
(Charges will show up as IUPUI Bursar on your credit card statement)
q Please contact me for special needs
Please contact the IUSD CE office for hotel / travel
assistance at 888-373-4873.
2011 Coronal Polishing and Fluoride Application.indd 1 1/20/2011 5:10:05 PM

2. Coronal Polishing Fluoride Application Additional Information
The Indiana State Board of Dentistry has recently added This board approved course will instruct Dental Assistants how Faculty:
coronal tooth polishing as a permitted function of a trained to deliver evidence-based fluoride interventions to patients. All classes are taught under the direction of Patricia Capps,
Dental Assistant. This course will provide the required didactic This course will provide the required didactic and laboratory CDA, RDH, MS. Ms. Capps is Associate Clinical Professor and
and laboratory training required for certification. training required for certification. Director of the Distance Learning Dental Assisting Program at
Indiana University School of Dentistry.
Course Requirement: Course Requirement:
Graduate of a Commission on Dental Accreditation of the Graduate of a Commission on Dental Accreditation of the
Tuition:
American Dental Association approved program or a practicing American Dental Association approved program or a practicing
$495 for each course. If registering for both, save and pay
dental assistant for a minimum of one (1) year. dental assistants for a minimum of one (1) year.
$850. Tuition for enrollment in this program will cover the
Course Objectives: Course Objectives: didactic and laboratory fees. It will be up to each participant
•Module 1 - Overview of Ethics, Laws and Infection Control •Module 1 - Overview of Ethics, Laws and Infection Control to ensure the required clinical experience to comply with the
•Module 2 - Understand plaque and materia alba •Module 2 - Learn effects & benefits of fluoridation rule set by the Indiana State Board of Dentistry. In case of
•Module 3 - Recognize intrinsic and extrinsic stains •Module 3 - Understand the caries process questions, please contact the CE office at 317-278-9002 or
•Module 4 - Learn the types •Module 4 - Recognize systemic fluoride e-mail Prof. Patricia Capps at paacapps@iupui.edu
of abrasive agents used when •Module 5 - Learn the benefits and contraindications of topical
performing coronal polishing fluoride Location:
•Module 5 - Learn proper handpiece •Module 6 - Learn appropriate Saturday laboratory sessions will be held at the Indiana
use and armamentarium types of fluoride for patients University School of Dentistry, 1121 W Michigan Street,
and the appropriate delivery Indianapolis, IN 46202.
How it works mechanisms
Participants must complete online didactic instruction and pass
All didactic instruction will be completed online. Once registered,
participants will receive instructions that will allow them access How it works all online quizzes before signing up to attend a lab session
on Saturday. Available lab dates will be posted online in
to Indiana University’s Oncouse system. All lecture material will This course will work in the same fashion as the Coronal Polishing
Oncourse and on the IUSD CE website: http://www.iusd.iupui.
be available online 24 hours a day. There are five modules course. All didactic instruction will be completed online. There
edu/Depts/CE/
with corresponding quizzes that must be completed prior to are six modules with corresponding quizzes that must be
advancing to the laboratory training. completed prior to advancing to the laboratory training.
Continuing Education Credits:
Upon completing all the didactic assignments online and passing Upon completing all the didactic assignments online and passing Participants who complete the Coronal Polishing course will
all of the quizzes, participants will enroll in one of the available all of the quizzes, participants will enroll in one of the available earn a total of 11.5 CEU’s including 5 hours for the online
Saturday laboratory sessions. Laboratory sessions will consist Saturday laboratory sessions. Laboratory sessions will consist instruction, 4 hours for the laboratory work, and 2.5 for the
of two (2) hours of laboratory work, including working with a of two (2) hours of laboratory work, including working with a clinical competency.
mannequin and two (2) live patients (fellow participants), in mannequin and two (2) live patients (fellow participants), in
the use of a slow speed hand piece, prophy cup, and occlusal topical fluoride application. Participants who complete the Fluoride Application course will
polishing brush and hand dexterity. earn a total of 15.5 CEU’s including 9 hours for the online
Once the didactic and laboratory requirements are fulfilled,
instruction, 4 hours for laboratory work, and 2.5 hours for
Once the didactic and laboratory requirements are fulfilled, each participant must demonstrate clinical competency on a
clinical competency.
each participant must demonstrate clinical competency on a minimum of five (5) patients under the direct observation of
minimum of five (5) patients under the direct observation of their current employer. A form will be provided to employers
their current employer. A form will be provided to employers for them to certify competency and completion of required
for them to certify competency and completion of required clinical cases. The form must be signed by the employer and
clinical cases. The form must be signed by the employer and submitted to Indiana University School of Dentistry’s Office of
submitted to Indiana University School of Dentistry’s Office of Continuing Education. Upon receipt, IUSD will issue a certificate
Continuing Education. Upon receipt, IUSD will issue a certificate of completion to be publicly displayed in the dental office. Once
of completion to be publicly displayed in the dental office. Once the certificate is received, participants will be able to legally
the certificate is received, participants will be able to legally apply fluoride medicaments for the control or prevention of
polish the coronal surfaces of dentition under the supervision of dental caries under the direct supervision of a licensed dentist.
a licensed dentist.
2011 Coronal Polishing and Fluoride Application.indd 2 1/20/2011 5:10:12 PM