Course Title: Administer pain control for dental treatment

Part B: Course Detail

Teaching Period: Term2 2016

Course Code: DENT5801

Course Title: Administer pain control for dental treatment

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C6119 - Advanced Diploma of Oral Health (Dental Hygiene)

Course Contact: Sue Fatone

Course Contact Phone: +61 3 93411406

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Deborah Brown

Nominal Hours: 60

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

This unit should be assessed after achievement of the following related competency units:
• TAFEDH032 - Confirm physical health status
• TAFEDH003 - Analyse oral status
• TAFEDH005 – Examine, record and assess patient histories and dental records to formulate a hygiene treatment plan


Course Description

This unit deals with the knowledge, skills and attitudes required to administer general non-pharmacological pain control strategies, as well as local aesthetics on prescription, for the purpose of reducing pain and anxiety associated with dental treatment.

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH004 Administer pain control for dental treatment


1. Analyse the anatomy of the head and neck

Performance Criteria:

1.1 Identify the major bone structures and landmarks of the head and neck

1.2 Analyse the facial and masticatory muscles to interpret their origin, insertion and action

1.3 Interpret the anatomy and movement of the temporomandibular joint


2. Analyse and interpret the spread of dental infection in the head and neck tissues

Performance Criteria:

2.1 Identify the arterial blood supply and venous drainage of the head and neck tissues with particular reference to the oral tissues

2.2 Identify and interpret the lymphatic system and drainage of head and neck tissues

2.3 Analyse and interpret lesions and complications that can occur with the spread of dental infection in the head and neck region


3. Analyse, interpret and apply nerve innervation to the head and neck

Performance Criteria:

3.1 Identify and interpret cranial nerve pathways and innervation with particular reference to oral tissues

3.2 Recognise and interpret the innervation of the trigeminal and facial nerve in the application of generalised and local pain control


4. Prepare surgery

Performance Criteria:

4.1 Equipment, materials and instruments reasonably expected to be required for the patient’s treatment are gathered and arranged

4.2 Prepare surgery according to relevant policies and manufacturer’s recommendations

4.3 Materials required are dispensed according to quality and medical standards

4.4 Safety precautions during the preparation and presentation of the surgery are followed


5. Prepare, assess and inform patient

Performance Criteria:

5.1 Patient’s medical history and records are reviewed to eliminate any contraindications to proposed pain control modalities and to confirm treatment prescriptions and necessity for pain control strategies

5.2 Analyse and identify possible complications with localised anaesthesia for pain control considering oral and anatomical structures of the head and neck

5.3 Patient’s treatment plan and records are reviewed to determine and confirm the area of the mouth requiring treatment

5.4 The nature and severity of disease activity is reviewed, along with the patient’s past responses and attitudes to pain associated with dental treatment

5.5 Patient’s perceptions and requests are validated and supportive strategies are employed to provide reassurance

5.6 The patient is provided with an explanation of pain control options and outcomes, which include both clinical and behavioural techniques, to be provided with the opportunity of making an informed decision based on personal choices

5.7 Adhering to the principles of Informed Consent, the patient is informed of possible negative outcomes resulting from any planned pain control strategies. Consent is confirmed with the patient

5.8 The patient is provided with the opportunity to ask questions concerning aspects of the planned treatment and any concerns are addressed

5.9 An environment is established whereby, the patient is aware of the provision of an ongoing opportunity to signal pain sensations as a means of monitoring effectiveness of pain control strategies

5.10 The area of the mouth to be treated is thoroughly examined in order to confirm treatment and pain control prescription


6. Utilise non-pharmacological pain control strategies

Performance Criteria:

6.1 Engage positive and supportive conversation skills

6.2 Communicate appropriately to eradicate anxiety provoking language as a method of reducing pain

6.3 A care plan is devised to suit the patient’s pain tolerance level

6.4 A detailed account of the procedures to be carried out are explained and demonstrated to the patient, and possible sensations are clearly identified

6.5 Pain indication through a patient’s verbal or nonverbal responses is acknowledged and addressed immediately

6.6 Suitable distractions are to encourage patient relaxation

6.7 Where appropriate, modelling is used to promote patient acceptance of treatment

6.8 Patient is encouraged to contribute control over the planned sequence of treatment, as a method of reducing anxiety associated with dental pain

6.9 All non-pharmacological pain control strategies are carried out according to occupational health, safety and welfare guidelines and infection control policy and procedures


7. Select and administer local anesthetics

Performance Criteria:

7.1 Equipment, materials and instruments reasonably expected to be required for the administration of local anaesthesia, are gathered and arranged within the treatment cubicle

7.2 Topical anaesthetic is used, according to relevant guidelines, in localised gingival/mucosal tissue to control discomfort

7.3 Correct anaesthetic solution is selected according to patient’s medical history and this is confirmed through consultation with the dentist and is maintained at room temperature

7.4 Anaesthetic solution is administered to patient for the purpose of periodontal treatment according to relevant guidelines

7.5 Administration of local anaesthetics are carried out according to occupational health, safety and welfare guidelines and infection control policy and procedures

Learning Outcomes

This unit will enable students to gain the knowledge, skills and attitudes required to administer general non-pharmacological pain control strategies, as well as local aesthetics on prescription, for the purpose of reducing pain and anxiety associated with dental treatment.

Details of Learning Activities

Activities will include lectures, classroom activities, online learning, pre clinical and clinical work.

Teaching Schedule

July 11th: Online - Head and Neck anatomy & innervation review. Pre-reading for 15th July.

July 15th: Lecture - Review: Head and Neck anatomy, TMJ, Cranial Nerve Pathways. Introduction to local anaesthetics

July 20th: Online - Prepare, assess inform patientSurgery preparation. Complete. Management of medical emergencies task

July 28th: Online - Dentsply Technique Videos task

July 29th: Lecture/Rad lab - Technique. Armamentarium. Assembling syringe. Practice on chicken Thighs. Issue post op instruction task.

July 29th: Lecture (PM) - Innervation of the head and neck. Blood supply and venous drainage. Lymphatic drainage. Review online task July 20th.

Aug 2nd: Online (AM) - Pharmacology of local anaesthetics:clinical implications

Aug 2nd: Lecture - Revision of morning task & post op instructions. Issue consent task.

Aug 5th: Lecture/Rad Lab - Medical history, obtaining consent task review, landmarking:Maxillary infiltrations, palatals. Oraqix  

Aug 12th: Lecture/Rad Lab - Medical history, obtaining consent: Landmarking. IAN, Long Buccal and mental block. Oraqix 

Aug 17th: Rad Lab - Medical history, obtaining consent, landmarking all sites

Aug 19th: Computer lab - Online Pre Clinical Assessment. Landmarking Assessment

Aug 24th: Clinic - Student to student: 1 infiltration. 1 Palatal. 1 Metal Block

Aug 25th: Clinic - Student to student: Left side. 1 IAN. 1 Long Buccal

Aug 26th: Clinic - Student to student: Right side

Sept 14th: Lecture - Management of medical emergencies- revision of task. Non-pharmacological pain control strategies. Management of anxious patient. Issue pre reading for Sept 21st.

Sept 16th: Online

Sept 21st: Lecture - Spread of Dental infection

Sept 26th: Online

Oct 3rd: Clinic - PC negotiated assessment - if student has been unable to be assessed on DHSV patient

Oct 7th: Tutorial - Revision of unit

Nov 2nd: Classroom - Written exam    


Learning Resources

Prescribed Texts


Other Resources

A range of additional resources and references will be provided through My Studies on Blackboard

Overview of Assessment

Assessment for this unit will include written exam and practical clinical tasks

Assessment Tasks

  • Clinical Assessment : Student is required to successfully administer the injections listed below on a clinical patient. Upon completion of the program area, student is required to submit the completed log book by November 11th 2016. Assessment includes: Administer an infiltration injection x2, Administer a palatal injection x2, Administer an inferior alveolar Nerve injection x3, Administer a long buccal injection x3, Administer a mental block x1


Assessment Matrix

Other Information

Late work that is submitted without an application for an extension (see below) will not be corrected. • APPLICATION FOR EXTENSION OF TIME FOR SUBMISSION OF ASSESSABLE WORK - A student may apply for an extension of up to 7 days from the original due date. They must lodge the application form (available at least 24 hours before the due date. The application is lodged with the School Admin Office on Level 3 of Dental Hospital. Students requiring longer extensions must apply for SPECIAL CONSIDERATION. • For missed assessments such as exams- you (& your doctor if you are sick) must fill out a special consideration form. This form must be lodged online with supporting evidence prior to, or within, 48 hours of the scheduled time of examination Note: The Pass mark for the exam is 60%. Students are required to achieve a Pass grade in both exam and clinical tasks to achieve Competence for this course

Course Overview: Access Course Overview