Course Title: Implement an individualised oral hygiene program

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: DENT5834C

Course Title: Implement an individualised oral hygiene program

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C4320 - Certificate IV in Dental Assisting

Course Contact: Ms. Suzanne Dellas Fatone

Course Contact Phone: +61 3 9341 1406

Course Contact Email: sue.fatone@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Nominal Hours: 330

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

  HLTIN301C Comply with infection control policies and procedures
  HLTIN302C Process reusable instruments and equipment in health work
  HLTWHS300A Contribute to WHS processes

Course Description

This unit of competency describes the skills and knowledge required to implement an individualised oral hygiene program and promote good oral health as part of general good health

This unit acknowledges that dental diseases are the most prevalent chronic diseases worldwide and that oral health is essential to quality of life.  All procedures are carried out in accordance with work health and safety (WHS) policies and procedures, current infection control guidelines, Australian and New Zealand Standards, State/Territory legislative requirements and organisation policy

This unit applies to dental assistants who assist at the chairside and to others involved in promoting healthy eating habits and oral hygiene practices for the community


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTDA407D Implement an individualised oral hygiene program

Element:

1. Implement a prescribed oral health education program

Performance Criteria:

1.1 Follow a prescribed oral health education program if available
1.2 Review the client's current oral hygiene routines
1.3 Provide information on the causes of oral diseases to clients and carers appropriately and completely using language that can be easily understood
1.4 Provide information on the prevention of oral diseases to clients and carers appropriately and completely using language that can be easily understood
1.5 Provide an appropriate environment for the client and/or carer to ask questions and become involved in oral health
1.6 Actively encourage the client and/or carer to follow an effective individual oral health program
1.7 Implement a review strategy to determine the effectiveness of the oral health education program

Element:

2. Demonstrate oral hygiene techniques to client and/or carer

Performance Criteria:

2.1 Demonstrate the presence of plaque to client and/or carer using disclosing solution
2.2 Demonstrate a variety of relevant oral hygiene techniques specific to client needs
2.3 Provide information about the advantages of different oral hygiene techniques and involve the client and/or carer in the decision making process
2.4 Assist the client and/or carer with the implementation of relevant techniques
2.5 Demonstrate the use of appropriate aids specific to client needs necessary to achieve and maintain effective oral hygiene
2.6 Evaluate client and/or carer oral hygiene techniques and give further instruction when appropriate
2.7 Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator

Element:

3. Provide appropriate advice on cariogenic food and drinks

Performance Criteria:

3.1 Involve the client and/or carer in a review of current dietary habits
3.2 Develop and give clients and/or carers appropriate information on acids and fermentable carbohydrates in a manner they can understand
3.3 Actively encourage the client and/or carer to ask questions or express views

Element:

4. Perform a saliva diagnostic test and record the results

Performance Criteria:

4.1 Provide full details of the procedure to the client and/or carer
4.2 Provide specific instructions to the client and/or carer before the appointment where a saliva diagnostic test is planned
4.3 Select the appropriate materials for a saliva diagnostic test
4.4 Perform a resting or unstimulated saliva test and record the result in accordance with the manufacturer's instructions
4.5 Perform a stimulated saliva test and record the result in accordance with the manufacturer's instructions

Element:

5. Implement a prescribed prevention program to suit an individual client

Performance Criteria:

5.1 Provide information appropriately on lifestyle change where salivary flow may be diminished as directed by the operator
5.2 Provide appropriate information on materials that can provide additional external protection to the teeth
5.3 Explain methods to increase salivary stimulation as directed by the operator
5.4 Assist the client and/or carers to implement prescribed oral hygiene programs in response to saliva quality and composition


Learning Outcomes


1.1 Follow a prescribed oral health education program if available
1.2 Review the client’s current oral hygiene routines
1.3 Provide information on the causes of oral diseases to clients and carers appropriately and completely using language that can be easily understood
1.4 Provide information on the prevention of oral diseases to clients and carers appropriately and completely using language that can be easily understood
1.5 Provide an appropriate environment for the client and/or carer to ask questions and become involved in oral health
1.6 Actively encourage the client and/or carer to follow an effective individual oral health program
1.7 Implement a review strategy to determine the effectiveness of the oral health education program

2.1 Demonstrate the presence of plaque to client and/or carer using disclosing solution
2.2 Demonstrate a variety of relevant oral hygiene techniques specific to client needs
2.3 Provide information about the advantages of different oral hygiene techniques and involve the client and/or carer in the decision making process
2.4 Assist the client and/or carer with the implementation of relevant techniques
2.5 Demonstrate the use of appropriate aids specific to client needs necessary to achieve and maintain effective oral hygiene
2.6 Evaluate client and/or carer oral hygiene techniques and give further instruction when appropriate
2.7 Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator

3.1 Involve the client and/or carer in a review of current dietary habits
3.2 Develop and give clients and/or carers appropriate information on acids and fermentable carbohydrates in a manner they can understand
3.3 Actively encourage the client and/or carer to ask questions or express views

4.1 Provide full details of the procedure to the client and/or carer
4.2 Provide specific instructions to the client and/or carer before the appointment where a saliva diagnostic test is planned
4.3 Select the appropriate materials for a saliva diagnostic test
4.4 Perform a resting or unstimulated saliva test and record the result in accordance with the manufacturer’s instructions
4.5 Perform a stimulated saliva test and record the result in accordance with the manufacturer’s instructions

5.1 Provide information appropriately on lifestyle change where salivary flow may be diminished as directed by the operator
5.2 Provide appropriate information on materials that can provide additional external protection to the teeth
5.3 Explain methods to increase salivary stimulation as directed by the operator
5.4 Assist the client and/or carers to implement prescribed oral hygiene programs in response to saliva quality and composition


Details of Learning Activities

Class 1: INTRODUCTION TO ORAL HEALTH PROMOTION:
Class based discusion on oral health promotion, Principles of oral health promotion and potential oral health promotion projects available.


Class 2: Oral Anatomy
Class based on discussion and activities on the following topics: (Bones of the Skull, TMJ, Muscles of Head and Neck, Salivary Glands, Blood Supply to the Head and Neck, Nerves of the Head and Neck, Lymph Nodes , Sinuses and Landmarks of the Face and the Oral Cavity.
 

Class 3: Plaque
Class based on discussion and activities on the following topics: Structure, composition, Stages of Plaque Formation Plaque and its differing roles in the development of dental caries and periodontal disease. Also included the Progression of perio diseases , diseases of the gingiva and Hyperplasia.
 

Class 4 : Plaqua & use of disclosing agents
Class based on dicsussion and activities on the following topics: Plaque scores, Disclosing Agents , Methods of application and Interpretation.


Class 5: Saliva and Xerostomia
Class based on discussion and activities on the following topics: Importance of saliva, Functions of saliva, Causes of Xerostomia (including Radiation therapy) and Effects of xerostomia.


Class 6: Saliva tests
Studetn conduct practical saliva tests

Class 7. Nutrition as a foundation for general and Oral health Class based on discussion and activities on the following topics: Adequate diet, Recommended Dietary Allowances, the food guide pyramid, Nutrition implications in Chronic health conditions
Diet, Nutrition and teeth

Class 8. Nutrition for Oral Health Promotion through the Life cycle
Class based on discussion and activities on the following topics: Nutrition in Pregnancy, infancy and childhood, Adolescents, Adulthood, Older Dental patient and patient with special needs

Class 9: Dental caries
Class discussion on: Contributing factors (diet, dietary sugars, dental caries, dietary factors which protect against dental caries, diet’s effect on oral disease, carbohydrates, how they are digested, acid production and frequency of CHO consumption and it’s effects in the oral cavity. Also discussed HIDDEN SUGARS, Reading food labels, Food additives and acids, Low fat, low sugar, no added sugar, Artificial sugar, Xylitol, Medications with sucrose, Caffeine and Influences of media and marketing
The Dietary Assessment is also discussed; Objectives , Components and Diet Modification

 


Class 10: Caries Risk Assessment Class discussion on dietary analysis, saliva, rampant cariesc and recurrent caries

Class 11: Nutrition; Oral Presentation

Class 12: Oral Pathology Class discussioon on cfommon diseases of the oral mucosa, oral cancer, impact of medications

Cass 13: SMOKING Class discussion on smoking, hazards and associated risks
 

Class 14 : Water Fluoridation
Class discussion on Water fluoridation in Victoria, Fluoride in nature, benefits from fluoride, Australian recommendations for water fluoridation, Opposition to water fluoridation and Current issues
 

Class 15: Dental Disease, Risk factors and Etiology and Erosion

 

Class 16: Fluorides Tyopes and use of and legistlaiove requiremetrns.
 

Class 17 : Guest Speaker: Oral health care for the cancer patient

Class18 : Plaque control, Toothbrushing techniques and dental aids

Class 19: Practical workshop, Tooth brushing techniques & Interdental cleaning


Class 20: TRADE DISPLAY

Class 21: Modifications to oral health education programs for special need patients (Barriers and Oral Conditions) Part 1 & 2

Class 22 :Modifications to oral health education programs for special need patients (Barriers and Oral Conditions) Part 3 & 4
 

Class 23: Debate on water fluoridation

Class 24: BARRIERS TO OPTIMUM HEALTH, Student oral presentations


Class 25: Guest Speaker on "Being an OH consultant Supporting the operator in providing OHI to the patient".

Class 26 :Assessment: EXAMINATIONS
Students complete a 2hr theory paper and a 2hr Objective Structured Clinical Examination ( OSCE)


 

Class 27: Motivational interviewing, The Learning process
Class discussion on, Individual patient learning, Behaviour modification strategies and how to influence behaviour /lifestyle changes related to oral health. The Log book issued & discussed and the PLANNED FIELD PROJECT ACTIVITY is finialised.
 

 


 


 


Teaching Schedule

  As per Certificate IV in Dental Assisting timetable.

Class 1:  INTRODUCTION TO ORAL HEALTH PROMOTION:
Class based discusion on oral health promotion, Principles of oral health promotion and potential oral health promotion projects available.

Class 2: Oral Anatomy
Class based on discussion and activities on the following topics: (Bones of the Skull, TMJ, Muscles of Head and Neck, Salivary Glands, Blood Supply to the Head and Neck, Nerves of the Head and Neck, Lymph Nodes , Sinuses and Landmarks of the Face and the Oral Cavity.
 

Class 3: Plaque
Class based on discussion and activities on the following topics: Structure, composition, Stages of Plaque Formation Plaque and its differing roles in the development of dental caries and periodontal disease. Also included  the Progression of perio diseases , diseases of the gingiva and  Hyperplasia.

 

Class 4 : Plaqua & use of disclosing agents
Class based on dicsussion and activities on the following topics: Plaque scores, Disclosing Agents , Methods of application  and Interpretation. 

Class 5:  Saliva and  Xerostomia
Class based on discussion and activities on the following topics: Importance of saliva,  Functions of saliva, Causes of Xerostomia (including Radiation therapy) and Effects of xerostomia.

Class 6:  Saliva tests
Studetn conduct practical saliva tests

Class 7. Nutrition as a foundation for general and Oral health                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Class based on discussion and activities on the following topics:  Adequate diet,  Recommended Dietary Allowances, the food guide pyramid, Nutrition implications in Chronic health conditions
Diet, Nutrition and teeth

 Class 8.  Nutrition for Oral Health Promotion through the Life cycle
Class based on discussion and activities on the following topics: Nutrition in Pregnancy, infancy and childhood,  Adolescents,  Adulthood, Older Dental patient and patient with special needs

 Class 9: Dental caries
Class discussion on: Contributing factors (diet, dietary sugars, dental caries, dietary factors which protect against dental caries, diet’s effect on oral disease, carbohydrates, how they are digested, acid production and frequency of CHO consumption and it’s effects in the oral cavity.  Also discussed HIDDEN SUGARS, Reading food labels, Food additives and acids, Low fat, low sugar, no added sugar, Artificial sugar, Xylitol, Medications with sucrose, Caffeine  and Influences of media and marketing
The Dietary Assessment is also discussed;  Objectives , Components and Diet Modification


Class 10: Caries Risk Assessment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Class discussion on dietary analysis, saliva, rampant cariesc and recurrent caries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

Class 11: Nutrition; Oral Presentation

Class 12: Oral Pathology                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Class discussioon on cfommon diseases of the oral mucosa, oral cancer, impact of medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

Cass 13:  SMOKING                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Class discussion on smoking, hazards and associated risks
 

Class  14 : Water Fluoridation
Class discussion on Water fluoridation in Victoria, Fluoride in nature, benefits from fluoride, Australian recommendations for water fluoridation, Opposition to water fluoridation and Current issues

 

Class  15:  Dental Disease, Risk factors and Etiology and Erosion

 

Class 16: Fluorides Tyopes and use of and legistlaiove requiremetrns.
 

Class 17 : Guest Speaker: Oral health care for the cancer patient

Class18 : Plaque control, Toothbrushing techniques and dental aids

Class 19: Practical workshop, Tooth brushing techniques & Interdental cleaning

Class 20:  TRADE DISPLAY

Class 21: Modifications to oral health education programs for special need patients (Barriers and Oral Conditions)  Part 1 & 2

Class 22 :Modifications to oral health education programs for special need patients (Barriers and Oral Conditions)  Part 3 & 4 
 

Class 23: Debate on water fluoridation

Class 24: BARRIERS TO OPTIMUM HEALTH, Student oral presentations

Class 25: Guest Speaker on "Being an OH consultant Supporting the operator in providing OHI to the patient".

Class 26 :Assessment: EXAMINATIONS
Students complete a 2hr theory paper and a 2hr Objective Structured Clinical Examination ( OSCE)

 

 Class 27: Motivational interviewing, The Learning process
Class discussion on, Individual patient learning, Behaviour modification strategies and how to influence behaviour /lifestyle changes related to oral health.  The Log book issued & discussed and the PLANNED FIELD PROJECT ACTIVITY is finialised.
      
   

 

 
 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Class discussion


Learning Resources

Prescribed Texts

• Fenton , A (2009) Basic guide to oral health education and promotion, 1st Ed. Wiley Blackwell, UK. ISBN: 978-1-4051-6162-6

  •Laskaris,G (2006) Pocket Atlas of Oral Disease; 2nd edition, Theime ,Stuttgart & New York    

  • Palmer, Carole (2007) Diet and nutrition in oral health, 2nd Ed. Pearson Education USA.  


References


Other Resources


Overview of Assessment

Assessment will include demonstration of underpinning knowledge, and skills; assessment activities may include oral presentation, written work, written tests, practical tasks and patient logbook.


Assessment Tasks

The Assessment comprises of  three parts
 

  • Thoery Exam: Weight 50%
  • Practical exam(OSCE): Weight 10 % 
  • Log book of 10 patients and  third party evidence : Weigth 40%


Assessment Matrix

Other Information

RMIT University requires that you present only YOUR work for assessment. Plagiarism is a form of cheating. It is the presentation of the work or idea of another person without appropriate referencing, as though it is your own.
Plagiarism is NOT acceptable. Penalties can include charges of academic misconduct, cancellation of results and exclusion from your course.
 

Please note: It is also a disciplinary offence to allow your work to be plagiarised by another student. When signing the coversheet to submit your learning guide, you are declaring that the work is not plagiarised.
 

Special Consideration

Please Note; Students may apply for Special Consideration as (per the information via the RMIT website http://www.rmit.edu.au/browse;ID=g43abm17hc9w (unresolved)  if they believe their ability to complete Assessment for this Unit by the submission date has been affected by factors beyond their control. Special Consideration must be lodged prior to or within 48 hours of the scheduled assessment time or assessment submission date.
The application for Special Consideration is NOT granted automatically on application.
 

RMIT assessment policies RMIT University http://www.rmit.edu.au/browse;ID=od0oagg9uc111 (unresolved)


Special consideration online application - RMIT University http://www.rmit.edu.au/browse;ID=g43abm17hc9w (unresolved)


Non completion or non-submission of compulsory tasks:
Failure to complete any or all of the compulsory tasks listed above will prevent the student from achieving a CA (competency achieved) result for unit HLTDA407D. This will result in the student not completing the unit successfully. “NYC” (not yet competent) will be recorded and re-enrolment will be required to continue the unit/program. Fees will be incurred.
Please note: A second opportunity for assessment will not be granted unless the student has applied for and been granted special consideration as per RMIT Assessment Policy. Refer to the following for further information:



 

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