Course Title: Scale teeth, debride root surfaces and stains from teeth

Part B: Course Detail

Teaching Period: Term2 2015

Course Code: DENT5803

Course Title: Scale teeth, debride root surfaces and stains from teeth

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: sue.fatone@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Details of other staff are available on Blackboard

Nominal Hours: 40

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

HLTFA301B - Apply first aid
HLTAMBFC301B - Communicate with clients and colleagues to support health care
HLTDA410B - Apply the principles of radiation biology and protection in dental practice
HLDA411B - Prepare to expose a prescribed dental radiographic image
HLTDA412B - Produce a dental radiographic image
TAFEDH001 - Provide leadership in promoting effective and professional work practices
TAFEDH005 – Examine, record and assess patient histories and dental records to formulate a dental hygiene treatment plan
 

Course Description

This unit deals with the knowledge, skills and attitudes required to practice scaling teeth, debriding root surfaces and removing deposits and stains from the hard tissues to promote optimum oral health.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH006 Scale teeth, debride root surfaces and stains from teeth

Element:

1. Preparation and presentation of the surgery

Performance Criteria:

1.1 Equipment, materials and instruments required for thepatient’s treatment (including for any procedure(s) to be undertaken in addition to scaling and stain removal) are gathered and arranged within the treatment cubicle, dispensed in appropriate quantity and used according to relevant guidelines and manufacturer’s recommendations
1.2 Equipment and instruments are maintained according to relevant guidelines for instrument maintenance
1.3 The surgery is prepared to cater for any predetermined special needs of the patient
1.4 Hand scaling instruments are sharpened according to relevant guidelines
1.5 All necessary safety precautions during the preparation and presentation of the surgery have been followed

Element:

2. Prepare and assess the patient

Performance Criteria:

2.1 Patient’s medical history and records including dental radiographs are reviewed to identify any
contraindications to proposed treatment modalities and to confirm treatment prescriptions
2.2 Patient’s treatment plan and records are reviewed to determine and confirm area of the mouth which is requiring treatment and to review the severity of the disease activity
2.3 An explanation of the scaling and stain removal process and the possible sensations produced by any instrument or equipment used is given to the patient. Adhering to the principles of informed consent, the patient is provided an opportunity to ask questions
2.4 The area of the mouth to be scaled is thoroughly examined
2.5 Previous treatment areas are reviewed to determine patient’s response to treatment and necessity for any further treatment
2.6 The need for pain control is determined through discussion with the patient and any necessary
requirements are followed through
2.7 All proposed treatment modalities for the removal of calculus, deposits and stain are conducted according to occupational health, safety and welfare policy and procedures and infection control policy and procedures
2.8 Socially inclusive communication skills are used at all times and demonstrated behaviours encourage a supportive treatment environment that is conducive to a collaborative operator/patient relationship

Element:

3. Remove deposits and stains

Performance Criteria:

3.1 Extrinsic electronic scalers and various hand instruments are selected as indicated in the treatment
plan to remove deposits and extrinsic stains on teeth
3.2 The patient is given instructions on the suction cannula which is placed in their mouth for the use of the electronic scaler
3.3 Adequate protection of the patient’s clothing is provided
3.4 Intermittent strokes are used to remove deposits and extrinsic stains and adjustment to these strokes are determined by the extent of the deposits
3.5 The electronic scaler is used according to relevant guidelines in order to eliminate any potential damage to the tooth surface
3.6 Hand scalers are used adhering to design principles for effective removal of deposits
3.7 Operator effectiveness is reviewed intermittently so that any adjustments required are identified and addressed accordingly in order to achieve optimum results
3.8 Hand instruments are activated to utilise the forearm/wrist action predominantly. Finger flexing is
employed minimally
3.9 Hand instruments are sharpened periodically to avoid burnishing deposits and minimising tissue trauma
3.10 Haemorrhaging resulting from inflamed tissue and treatment procedures is managed according to relevant guidelines, in order to maintain a clear operative field, minimise tissue trauma and allow for effective and safe instrumentation
3.11 Fulcrums are utilised during instrumentation and are safe and appropriate for the task being performed. Both intra-oral and extra-oral fulcrums are used to optimise operator effectiveness
3.12 Patient’s position is managed throughout the appointment so that the patient’s comfort and the
operator’s requirements are addressed
3.13 Post operative care and instruction is provided to the patient
3.14 Follow up treatment and maintenance requirements are identified and implemented, to provide an avenue for review and assessment, and to provide ongoing
supportive periodontal care

Element:

4. Remove stains

Performance Criteria:

4.1 Nature of staining is assessed prior to removal, and treatment procedure and selection of equipment needed is adjusted accordingly for the removal of extrinsic stains
4.2 During the treatment, the patient is provided with adequate comfort pauses
4.3 Care is executed to avoid tissue trauma or tooth damage caused by the stain removal procedure
specifically in areas of any exposed root surfaces, demineralised areas or teeth with highly inflamed (haemorrhagic) adjacent gingival
4.4 On completion of the procedure, the patient’s mouth is
irrigated with water and air (unless contraindicated due to tooth sensitivity), to review effectiveness of stain removal. Interproximal debris is identified and removed accordingly
4.5 Post operative care is executed accordingly and clear post treatment instructions are clearly given to the patient

Element:

5. Perform a prophylaxis

Performance Criteria:

5.1 Soft deposits on the teeth are assessed and prophylaxis procedure adjusted accordingly
5.2 Sufficient prophylaxis agent is used at all times to avoid unnecessary friction on the tooth surface
5.3 A slow speed handpiece with appropriate polishing attachment is used with light intermittent strokes to avoid excessive heat production
5.4 Care is taken throughout the whole procedure to avoid trauma to any surrounding tissues
5.5 On completion of the procedure, the patient’s mouth is irrigated with water and air to review effectiveness of soft deposit removal on all tooth surfaces
5.6 Topical fluoride/tooth mousse is applied to assist with the remineralisation of enamel surfaces
5.7 Post operative care is executed accordingly and clear post treatment instructions are clearly given to the patient
5.8 Appropriate recall and review appointments are established to provide ongoing supportive oral health care that meet the needs of the patient


Learning Outcomes


On completion of this unit you will have developed the knowledge, skills and attitudes required to practice scaling teeth, debriding root surfaces and removing deposits and stains from the hard tissues to promote optimum oral health.


Details of Learning Activities

These include lectures, practical work in the SIM lab and clinic.


Teaching Schedule

DateTopicAssessment
July 7th

Ergonomics revision Fulcrum revision
Ultrasonic introduction

Group A am Group B pm

 
14th

Ultrasonics. Post-operative instructions

Group A pm Group B am

 
21st

Prophylaxis, Topical Fluoride/tooth mousse
Post-operative instructions

Group A am Group B pm

 
28th

Introduction to hand instruments Minimising tissue trauma
Universal instruments

Group A pm Group B am

 
August 4thSession 1: Area specific curettes (11/12 & 13/14)
Haemorrhage management
Session 2: Sharpening
 
25thUltrasonic & prophylaxis revision. Group A am Group B pm

Area specific curettes (7/8 & 1/2) Group A pm Group B am
 
 
September 1stSIM Lab Group A pm Group B am
 
 Pre-clinical practical assessment. Formative
10thClinic – Ultrasonic scale Prophylaxis Student to student 
22ndSIM Lab Appt planning for calculus removal
Advanced techniques for root debridement
Communicating with patients (tx plan & experience)
 
29thSIM Lab Pain control
Recall decisions
Revision – preparation for clinical experience
 
October 15thClinic Prophylaxis, hand scaling student to student 
19thClinic 1 patient per student 
20thSIM Lab Posterior debridement 
26thClinic 1 patient per student 
 28th  Task 1 Theory exam
30thSIM LabTask 2 Practical assessment


Learning Resources

Prescribed Texts

A complete book list will be provided during Orientation and is available on Blackboard


References


Other Resources

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


Overview of Assessment

Assessment includes Written  and Practical Assessment


Assessment Tasks

There are two summative tasks

Task 1 Theory exam 28th October

Task 2 Practical assessment 30th October


Assessment Matrix

This is available on Blackboard

Other Information

A range of additional resources and references will be provided through My Studies on Blackboard.
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 www1.rmit.edu.au/students/assessment/extension) 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 www1.rmit.edu.au/students/specialconsideration
Note: The Pass mark for the exam is 60%.
Students will be given an additional opportunity to demonstrate competency in the practical assessment if required
Students are required to achieve a Pass grade in both tasks to achieve Competence for this course
 

Course Overview: Access Course Overview