Course Title: Apply rubber dam and fissure sealants

Part B: Course Detail

Teaching Period: Term2 2015

Course Code: DENT5804

Course Title: Apply rubber dam and fissure sealants

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 9341 1406

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


Name and Contact Details of All Other Relevant Staff

Teacher: Marcella Sabo

Tel 9341 1409

Marcella.sabo@rmit.edu.au

Nominal Hours: 20

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

HLTIN403B – Implement and monitor infection control policies and procedures
TAFEDH006 - Scale teeth, debride root surfaces and stains from teeth
 

 

Course Description

This unit deals with the knowledge, skills and behaviours required to apply rubber dam for the purposes of placing fissure sealants.
 


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH007 Apply rubber dam and fissure sealants

Element:

1. Prepare surgery

Performance Criteria:

1.1 Equipment, materials and instruments required for the patient’s treatment (including for any procedure(s) to be undertaken in addition to the application and removal of rubber dam (RD) and the application of fissure sealant) are gathered and arranged within the treatment cubicle
1.2 The surgery is prepared to cater for any predetermined special needs of the patient
1.3 Material required is dispensed with the correct quantity
1.4 Rubber dam is prepared for use in accordance with the manufacturer’s instructions
1.5 Fissure sealant solution is prepared and dispensed by being decanted into a light-limiting receptacle and covered so as to slow polymerisation and taking into account all other manufacturer’s recommendations
1.6 All necessary safety precautions during the preparation and presentation stages have been followed

Element:

2. Assess and prepare the patient

Performance Criteria:

2.1 Patient’s medical history and records, including radiographs, are reviewed to eliminate any
contraindications to proposed treatment modalities and to confirm treatment prescriptions
2.2 An explanation of rubber dam use and fissure sealing is given to the patient. Adhering to the principles of informed consent, the patient is informed of possible negative outcomes resulting from any planned treatment. Consent is confirmed with the patient
2.3 Modifications to prescribed treatment is confirmed through consultation with the overseeing dentist
2.4 Patient is provided the opportunity to ask questions concerning any aspect of the planned treatment
2.5 The area of the mouth to be isolated is examined to confirm treatment prescription
2.6 The need for pain control is determined through discussion with the patient and any necessary
requirements are followed through
2.7 Holes for placing over teeth are punched so as to recreate any arch peculiarities, and clamps are selected and ligated with floss as a safety precaution
2.8 Adjustments to the dental surgery are made to cater for patient’s needs as necessary

Element:

3. Apply rubber dam

Performance Criteria:

3.1 Rubber dam is applied in accordance to relevant guidelines and without trauma to the surrounding hard and soft tissues
3.2 Teeth are exposed through the rubber dam and are secured ensuring minimal corrugation and adequate rubber dam material surrounding each isolated tooth
3.3 Rubber dam frame is applied and patient comfort is confirmed
3.4 Rubber dam is applied according to occupational health, safety and welfare policy and procedures and infection control policy and procedures
3.5 Operator position is adjusted, as required, throughout the appointment to facilitate the operator’s most efficient and safe application of rubber dam

Element:

4. Apply fissure sealant

Performance Criteria:

4.1 Tooth/teeth to be sealed are examined and cross checked for verification in the current treatment plan for the patient
4.2 Fissures are debrided and any concerns are directed to the dentist
4.3 Etchant is applied to the dried fissures for the time recommended by the manufacturer, and flushed off for the recommended time
4.4 Fissure sealant is mixed according to manufacturer’s instructions and examined for any visible sign of air bubbles
4.5 The fissure sealant is applied to the etched tooth/teeth
4.6 Moisture control is maintained throughout the fissure sealant process
4.7 The fissure sealant is photocured, if required, for the time recommended by the manufacturer
4.8 On removal of the moisture control items the fissure seal is dried, occlusion examined using articulating paper and floss is passed through the adjacent teeth to ascertain presence of excess sealant material
4.9 Evaluation of the quality of the fissure sealant is conducted according to relevant guidelines
4.10 Fissure sealant is applied according to occupational health, safety and welfare policy and procedures and infection control policy and procedures
4.11 Operator position is adjusted, as required, throughout the appointment to facilitate the operator’s most efficient and safe application of fissure sealant

Element:

5. Remove rubber dam

Performance Criteria:

5.1 The most anterior securing devices are removed and the rubber dam stretched towards the buccal/facial/ labial surfaces to enable cutting of the interproximal dam
with scissors
5.2 The removed rubber dam is inspected for completeness
5.3 Any missing rubber dam pieces are recovered and accounted for
5.4 Patient’s soft tissues are inspected for trauma
5.5 Post operative instructions and follow up care and maintenance requirements are clearly explained to the patient
5.6 Rubber dam is removed according to occupational health, safety and welfare policy and procedures and infection control policy and procedures


Learning Outcomes


On completion of this unit you will have the knowledge, skills and behaviours required to apply rubber dam for the purposes of placing fissure sealants.


Details of Learning Activities

These will include lectures, online learning and practical activities in the SIM Lab and clinic.


Teaching Schedule

DateTopicAssessment
August 5thTheory class, techniques to apply rubber dam. WHS, Infection control 
7th Online research task, alternatives to latex dam, clamp types 
10th theory class, Indications for use of  fissure sealants. Minimum intervention dentistry 
11th SIM Lab rubber dam placement. Group B am Group A pm 
17th .Online research task, types of sealants, MSDS 
18th SIM Lab rubber dam & fissure sealant placement        Group A am Group B pm 
20th RDHM clinic, rubber dam placement, student to student 
September 17th RDHM clinic, rubber dam placement, student to student 
24th RDHM clinic, rubber dam placement, student to student 
October 1st RDHM clinic, rubber dam placement, student to student 
5th  Task 1 Exam
6th SIM LabClinical 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 for this course may include online test and practical assessment.


Assessment Tasks

There are two assessment tasks for this course

Task 1 Written exam 5th October

Task 2 Clinical assessment 6th October


Assessment Matrix

Available on Blackboard

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 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 a second  opportunity to achieve competency in the Clinical 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