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

Part B: Course Detail

Teaching Period: Term2 2014

Course Code: DENT5803

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

School: 155T Life & Physical Sciences

Campus: City Campus

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

Course Contact : Paulette Smith

Course Contact Phone: +61 3 93411403

Course Contact

Name and Contact Details of All Other Relevant Staff

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


1. Preparation and presentation of the 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 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


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


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


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


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

Includes a combination of some or all of the following; class attendance and participation, individual or group project work, e-learning, self-directed learning, Blackboard pre-reading, clinical practice.
Online activities are strongly encouraged to prepare for, support and extend learning.

Teaching Schedule

A final schedule will be issued by the teacher at the commencement of the course (unit).
Timetable will indicate face-to-face and on-line activities and how these address learning elements.

Learning Resources

Prescribed Texts


Other Resources

Overview of Assessment

Written Examination 
OSCE and Practical Assessment

Assessment Tasks

Assessment for this course forms part of the Advanced Diploma of Oral Health (Dental Hygiene).
Training is mapped to the Australian Dental Council June 2011 “Professional attributes and competencies of the newly qualified dental hygienist” and the Dental Board of Australia “Scope of Practice”.
Students must abide by the 2012 “ADA Guidelines for Infection Control Second Edition”, 2010 NHMRC “Australian Guidelines for the Prevention and Control of Infection in Healthcare” and Worksafe Victoria “Occupational Health and Safety Regulations 2007”.
Primary assessment involves on-going practical and applied assessment in a clinical workplace or simulated environment such as a supervised student clinic.
Assessment is typically based around written and/or online tests, assignments, reflective journals, evidence portfolio’s, logbooks and/or practical demonstrations.
Competency based training requires the student to be in attendance in order for assessment to be undertaken. Please refer to definition of Vocational Competency.
Assessment is undertaken through successful completion of all assessment activities and classroom, project & industry participation. Assessment will also be undertaken replicating workplace conditions (as far as possible), and where relevant undertaken in the clinical setting. Assessments are spaced across the duration of the course, in order for your teacher to provide you with progressive feedback.
Feedback will be provided throughout the semester in class and/or online discussions, through individual and group feedback on practical exercises and by individual consultation.
If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.
The RMIT assessment policy outlines your responsibilities as a RMIT student as well as those of your teachers ( (unresolved)).

Assessment Matrix

All summative assessments listed are compulsory for a successful outcome.

Course Overview: Access Course Overview