Course Title: Construct and insert an implant retained overdenture

Part A: Course Overview

Program: C6157 Advanced Diploma of Dental Prosthetics

Course Title: Construct and insert an implant retained overdenture

Portfolio: SEH Portfolio Office

Nominal Hours: 200

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.

Terms

Course Code

Campus

Career

School

Learning Mode

Teaching Period(s)

DENT5856C

City Campus

TAFE

174T School of VE Engineering, Health & Science

Face-to-Face or Internet

Term2 2017

Course Contact: Nicholas Greer

Course Contact Phone: +61 3 93411420

Course Contact Email: nicholas.greer@rmit.edu.au



Course Description

 

This unit applies to work in dental prosthetics where the dental prosthetist must enter into a structured professional relationship with a dentist as defined by the Dental Board of Australia before providing such treatment. 

This unit of competency describes the skills and knowledge required to construct and place an aesthetic, and functional implant retained overdenture.

 

Pre-requisite Courses and Assumed Knowledge and Capabilities

There are no pre-requisites for this unit of competency, however the assumed knowledge is that you have successfully completed the Diploma of Dental Technology



National Competency Codes and Titles

National Element Code & Title:

HLTDEP008 Construct and insert an implant retained overdenture

Elements:

1. Plan treatment

2. Take a primary impression

3. Prepare to take a final impression

4. Take the final impression

5. Pour master and/or working models and fabricate occlusal rims

6. Record jaw relationships and occlusion

7. Select appropriate artificial teeth

8. Fit and evaluate try-in prosthesis

9. Process, evaluate and insert the completed overdenture


Learning Outcomes

 

You will be involved in the following learning activities to meet requirements for this competency:

- Face to Face classes

- Simulated Workplace Learning

- Online learning via blackboard

- Other forms of structured teaching and learning

You will be observed and assessed through your planned activities throughout the duration of the course.

 

On completion of this course, you should be able to:

1. Plan treatment          

1.1 Ensure a structured professional relationship with a dentist is established

1.2 Obtain accurate, complete and legal records of the patient’s personal, medical and dental history

 

1.3 Provide details of the procedure to the patient or carer and obtain and document consent following ethical and legal requirements

1.4 Make accessible in the clean zone of the surgery the patient’s required laboratory work and necessary charts and records

1.5 Ensure emergency procedures are in place and ready for use according to relevant guidelines

 

2. Take a primary impression  

2.1 Select correctly the equipment, instruments and materials for the primary impression

2.2 Apply standard precautions to take primary impressions of the maxilla and/or mandible using an impression material in stock edentulous trays

2.3 Pour impression material in dental stone and trim for custom tray fabrication

 

3. Prepare to take a final impression      

3.1 Fabricate a custom tray with sufficient spacing over impression copings

3.2 Attach static (non-screw) retained impression copings to the abutments

3.3 Attach impression copings to the abutments

3.4 Try-in the custom tray in the mouth and check for comfort and path of insertion with sufficient space between tray and impression coping

 

4. Take the final impression      

4.1 Paint the custom tray with an appropriate adhesive for the impression material to be used

4.2 Mix the selected impression material according to the manufacturer’s instructions and load material into custom tray

4.3 Seat the impression tray over the impression copings

 

5. Pour master and/or working models and fabricate occlusal rims              

5.1 Seat replica analogues into impression copings

5.2 Pour master and/or working models

5.3 Fabricate customised occlusal rims

 

6. Record jaw relationships and occlusion             

6.1 Position the patient comfortably for the procedure

6.2 Instruct the patient on participation during the procedure

6.3 Ensure stability and comfort of registration rims

6.4 Observe centric and eccentric mandibular movements

6.5 Determine and record functional measurements and dimensions

6.6 Consider referral if jaw relationship cannot be determined

6.7 Check recordings by observation and repetition

6.8 Maintain integrity of the recording during extra-oral transfer

6.9 Ensure the patient’s wellbeing before they leave dental workplace

 

7. Select appropriate artificial teeth       

7.1 Ensure adequacy of natural and artificial light for selection of colour and shade

7.2 Consult patient regarding aesthetic and functional requirements

7.3 Consider properties and composition of artificial teeth in relation to wear and aesthetics

7.4 Examine manufacturer’s mould and shade guides

7.5 Select artificial teeth that are appropriate in shade, size and shape

 

8. Fit and evaluate try-in prosthesis        

8.1 Position the patient comfortably for the procedure

8.2 Instruct the patient on participation during the procedure

8.3 Examine the try-in prosthesis for retention and stability

8.4 Examine the occlusal relationships of the try-in prosthesis for accuracy of centric relation

8.5 Assess the aesthetic appearance of teeth and gums

8.6 Assess that speech has not been affected

8.7 Assess patient comfort

8.8 Complete documentation as required

 

9. Process, evaluate and insert the completed overdenture               

9.1 Position the patient comfortably for the procedure

9.2 Instruct the patient on participation during the procedure

9.3 Examine the prosthesis for retention and stability

9.4 Check the fitting surfaces of the appliance and ensure there are no sharp ridges or acrylic pearls

9.5 Place denture in the mouth and assess that no over-extensions occur along the periphery of the dentures

9.6 Seat denture onto overdenture abutments

9.7 Confirm the occlusal relationships are acceptable

9.8 Assess aesthetics of removable dental prosthesis

9.9 Assess phonetics of removable dental prosthesis

9.10 Assess patient comfort of removable dental prosthesis.

9.11 Provide instructions on the insertion and removal, hygiene and ongoing maintenance of the prosthesis and abutments

9.12 Ensure the dentist in the structured professional relationship is informed of completed final prosthesis


Overview of Assessment

To be deemed competent you must demonstrate an understanding of all aspects required of the competency, the underpinning knowledge and the skills appliaction. Assessment methods have been designed to measure your achievement of the competency in a flexible manner over multiple tasks.

 

 

Assessment

Assessment:  Task 1

Assignment – 2 case studies

Assessment: Task 2

You are to prepared 2 patients for insertion of an implant retained overdenture and followed procedures to ensure patient safety (simulation and demonstration in clinic)

Assessment: Task 3

You are to construct 2 functional and aesthetic implant retained overdentures.

Assessment: Task 4

Assignment – you are to develop practice manual specifically on implant retained overdentures

 

Assessment Mapping Matrix

 

 

 

Elements/Performance Criteria Covered

Assessment 1

Assessment 2

 Assessment 3

 Assessment 4

1.1

X

X

 

X

1.2

X

X

 

X

1.3

X

X

 

X

1.4

X

X

 

X

1.5

X

X

 

X

2.1

X

X

 

X

2.2

X

X

 

X

2.3

X

X

 

X

3.1

X

X

X

X

3.2

X

X

X

X

3.3

X

X

X

X

3.4

X

X

 

X

4.1

X

X

 

X

4.2

X

X

X

X

4.3

X

X

X

X

5.1

X

X

X

X

5.2

X

X

X

X

5.3

X

X

X

X

6.1

X

X

 

X

6.2

X

X

 

X

6.3

X

X

 

X

6.4

X

X

 

X

6.5

X

X

 

X

6.6

X

X

 

X

6.7

X

X

 

X

6.8

X

X

 

X

6.9

X

X

 

X

7.1

X

X

 

X

7.2

X

X

 

X

7.3

X

X

X

X

7.4

X

X

X

X

7.5

X

X

X

X

8.1

X

X

 

X

8.2

X

X

 

X

8.3

X

X

 

X

8.4

X

X

 

X

8.5

X

X

 

X

8.6

X

X

 

X

8.7

X

X

 

X

8.8

X

X

 

X

9.1

X

X

 

X

9.2

X

X

 

X

9.3

X

X

 

X

9.4

X

X

X

X

9.5

X

X

 

X

9.6

X

X

 

X

9.7

X

X

 

X

9.8

X

X

X

X

9.9

X

X

 

X

9.10

X

X

 

X

9.11

X

X

X

X

9.12

X

X

 

 

X