CDAMP PATIENT EDUCATION (click here to download)
CDAMP (Complete this skill with 4 patients, use a separate sheet for each skill)
EVALUATION: Patient Education – Oral Hygiene
STUDENT NAME ID #
DATE PATIENT’S INITIALS
Materials: 0 – 10 points
The following armamentarium is present:
___ Gloves, basic set up, soft bristled, ADA approved toothbrush, floss, typodont, face mirror
Steps: 0 – 10 points each
Brushing:
___ 1. Places brush at a 95-degree angle to teeth so that bristles are directed
into the gingival sulcus
___ 2. Vibrates bristle tips back and forth with short strokes for a count of
10, so that the tips enter the gingival sulcus and cover the gingival
margin
___ 3. Moves brush to next area, overlapping first position to repeat
actions above until all maxillary & mandibular facial and lingual
tooth surfaces are covered
___ 4. Uses a scrubbing or circular brush stroke on maxillary &
mandibular occlusal surfaces
___ 5. Turns head of brush lengthwise to brush lingual surfaces of anterior
teeth
___ 6. Brushes plaque from dorsal surface of tongue
___ 7. Instructs to brush at least 2 times a day
____ TOTAL POINT AVERAGE
Preceptor declares skill was successfully completed. (75% of total possible points)
PRECEPTOR’S SIGNATURE:
_____________________________________________
STUDENT’S SIGNATURE:
________________________________________________
CDAMP (Complete this skill with 4 patients)
EVALUATION: Patient Education –Oral Hygiene- 2
STUDENT NAME ___________________________ ID # _____________
DATE ________________________ PATIENT’S INITIALS __________
Flossing:
___ 8. Dispenses length of floss 18 – 24 inches long
___ 9. Wraps ends of floss around first joint of third fingers, more on one
finger than the other
___ 10. Grasps floss between thumb & index finger of both hands, allowing
½ – 1 inch to remain between hands
___ 11. Instructs to begin in same place every time so that no area of mouth
is passed over
___ 12. With floss passed over the thumbs to clean maxillary teeth, & over
index fingers for the mandibular teeth, directs between teeth using a
sawing motion, gently maneuvering through the contact points
___ 13. Curves floss around tooth into a C-shape and shaves up & down
tooth surface & gingival sulcus to remove plaque
___ 14. Switches floss to adjacent tooth and shaves plaque from tooth
surface and gingival sulcus
___ 15. Successfully removes floss from between teeth
___ 16. Rotates floss on fingers to access a fresh section of floss each time
before cleaning a new area
___ 17. Curving floss into a c-shape around distal area of each most
posterior tooth, flosses area with firm pressure
___ 18. Instructs patient to floss once a day
____ TOTAL POINT AVERAGE
Preceptor declares skill was successfully completed. (75% of total possible points)
PRECEPTOR’S SIGNATURE __________________________________________
STUDENT’S SIGNATURE _____________________________________________