Special Care Clinic

Faculty

Dr. Paul Subar, Director:  415.749.3374  / psubar@pacific.edu
Dr. Carsen Bentley: 415.351.7104 / cbentley1@pacific.edu
Dr. Allen Wong: awong@pacific.edu
Dr. Douglas Young: dyoung@pacific.edu
Jack Morris, RDH
Michelle Fang, RDA

Introduction

What:

  • The Special Care Clinic (SCC) rotation is part of DS 307 Extramural Patient Care. Please use Canvas as a more complete reference and for additional information.

Who and When:

  • During DDS quarters 9-12 and IDS quarters 5-8, you will be assigned to the SCC for 2.5 days (clinic sessions on MTW). Morning clinic sessions begin at 8:00 AM and afternoon clinic sessions begin at 2:00 PM.
  • There are 5 students per rotation with 1 faculty member.

Location:

  • Pediatric Clinic 2G, chairs 7-9 and chairs 10-11 (quiet rooms).

​SCC Patients:

  • In the ambulatory clinic at UOP:
    • Developmentally disabled.
      • Autism spectrum disorder, cerebral palsy, seizure disorder, intellectual disability.
    • Medically compromised.
    • Psychosocial issues.
  • Hospital dentistry at California Pacific Medical Center:
    • Medically compromised.
    • Uncooperative but medically stable.
  • If you have a patient who may benefit from a referral to the SCC, please talk to your GPL.

Working in Special Care Clinic (SCC)

Appointments:

  • Appointments are scheduled for you. They are usually two hours long.
  • Each student sees about 3 patients in a full clinic day.
  • Patients will be assigned to you on axiUm on the day of their appointments.

Prepare for Appointments:

  • Bring your blood pressure cuff, loupes, and a pen to the clinic. It is preferred that you do not bring your backpack.
  • There is a group huddle for the first hour each day (2:00 PM on Monday; 8:00 AM on Tuesday and Wednesday). The medical and dental histories of the patients will be discussed in preparation for their scheduled dental treatments.
  • Review the Pacific Protocols for the Dental Management of Medically Complex Patients.

Protocols for Patient Care:

  • Many patients are accompanied by a caregiver. It is important to know who is able to give consent for dental treatment.
  • In addition to consent, patients must assent to dental treatment.
  • Caregivers routinely stay in the operatory​ during treatment.

Dental Treatments:

  • You can expect to perform diagnostic exams, direct and indirect restorative treatment, oral surgery, and removable prosthodontic work.
    • Review glass ionomer restorations. 98% of restorations in the SCC are glass ionomer. Composite and amalgam are infrequently used.
    • Review suture techniques.
  • You will not perform prophies or SRPs because the hygiene department provides these treatments to patients in the SCC.​
  • Endodontic treatment is referred to the Endodontic Department.
  • Implants are referred to Main Clinic. ​

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Updated: May 6, 2019