Course Title: Apply rubber dam and fissure sealants

Part B: Course Detail

Teaching Period: Term2 2014

Course Code: DENT5804

Course Title: Apply rubber dam and fissure sealants

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: 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


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


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


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


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


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

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

Practical preclinical. Practical Clinical.

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 (;ID=xjog855ryrtq;STATUS=A;SECTION=3;PAGE_AUTHOR=Penny%20Mercer).
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