Course Title: Manage patients with moderate to complex dental hygiene treatment needs

Part B: Course Detail

Teaching Period: Term2 2014

Course Code: DENT5818

Course Title: Manage patients with moderate to complex dental hygiene treatment needs

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: 250

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

TAFEDH015 – Manage patients with simple to moderate dental hygiene treatment needs

Course Description

This unit deals with the high degree of knowledge, skills, judgments, values and attitudes needed to provide evidence based dental hygiene therapeutic, preventive and supportive services, and educational intervention to patients with moderate to complex periodontal conditions and disorders, within the context of dental hygiene practice and conducted according to occupational health, safety and welfare policy and procedures and infection control policy and procedures.

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH020 Manage patients with moderate to complex dental hygiene treatment needs


1. Establish and maintain an effective and collaborative relationship with a patient

Performance Criteria:

1.1 Demonstrate courtesy and empathy in all communication with the patient whilst developing and maintaining an effective relationship with the patient
1.2 Promote trust and confidence with patients in all of the relevant work activities that are undertaken whilst respecting the patient‟s rights and role in collaborative decision making
1.3 Socially inclusive communication skills are used at all times and demonstrated behaviours encourage a supportive environment that is conducive to establishing collaborative relationships
1.4 Seek feedback from patient regarding quality of care and respond to patient‟s needs


2. Prepare and present the surgery

Performance Criteria:

2.1 Gather and prepare all equipment, materials and instruments required for planned procedure catering for any predetermined special needs of the patient
2.2 Follow manufacturer‟s instructions and guidelines when preparing and using materials, equipment and instruments
2.3 Follow all necessary safety precautions during the preparation and presentation of the surgery


3. Conduct an accurate periodontal assessment for a moderate to complex patient presentation

Performance Criteria:

3.1 Take a comprehensive and systematic medical, dental and social history to collect, collate and record data by:
 interview
 questionnaire
 observation,
 measurement
 examination
 radiographic procedures
3.2 Collect relevant clinical data to perform a periodontal health and risk assessment
3.3 Discuss the process and rationale of data collection and recording with the patient
3.4 Preserve and maintain patient privacy and confidentiality at all times


4. Formulate and validate a dental hygiene diagnosis and treatment plan

Performance Criteria:

4.1 Collect, record and analyse data findings and discuss with the patient and the supervising dental practitioner responsible for overall patient care
4.2ormulate a dental hygiene diagnosis in communication with the supervising dental practitioner
4.3 Develop a dental hygiene treatment plan using evidence based criteria, to incorporate treatment, preventive and supportive dental hygiene interventions, that are prioritized to cater for the patient‟s periodontal and oral health needs and takes into consideration the patients own goals, values and preferences
4.4 Integrate the dental hygiene treatment plan within the overall dental treatment plan identifying the need for specialist dental referral if required
4.5 Adhering to the principles of informed consent, the treatment plan is discussed comprehensively with the patient, who is provided with the opportunity to clarify issues and is informed of possible treatment outcomes resulting from any planned treatment. Consent and acceptance of the hygiene treatment plan is confirmed with the patient


5. Implement educational interventions for the management of moderate to complex periodontal diseases and conditions

Performance Criteria:

5.1 Educate and inform the patient considering their needs, goals and treatment expectations based on evidence based criteria
5.2 Deliver educational interventions at a pace that will encourage patient understanding and ownership of their periodontal and oral health status in relation to their overall health and well-being
5.3 Provide regular opportunities for the patient to actively participate and ask questions to evaluate comprehension and promote compliance
5.4 Instruct the use of specific oral hygiene aids, and any safety precautions associated with the use of these
5.5 Evaluate and review oral health techniques and patient understanding/compliance regularly utilising a variety of evaluation methodologies as an avenue to provide specific maintenance
5.6 Design educational methodologies to encourage a sense of self responsibility for oral health based on an understanding of (their) periodontal and oral health status and personal goals
5.7 Adjust methodologies and strategies based on evaluative investigation and feedback, to meet the individual patient‟s needs and preferences


6. Implement therapeutic, preventive and supportive interventions for the management of moderate to complex periodontal conditions and disorders within the context of dental hygiene practice

Performance Criteria:

6.1 Discuss proposed therapeutic interventions and outcomes comprehensively with the patient abiding to the principles of informed consent, whilst providing an opportunity to clarify issues, and inform of possible outcomes resulting from any planned treatment
6.2 Provide selected and prioritized therapeutic interventions according to the dental hygiene treatment plan, patient expectations and dentist/dental specialist instructions, to manage, control and/or eliminate identified risk factors
6.3 Determine the need for pain control based on examination findings, observation and recognition of non-verbal feedback mechanisms and discussions with the patient, and proceed with any necessary pain control requirements
6.4 Implement preventive strategies based on the patient‟s examination findings and risk assessment analysis to address poor oral health determinants
6.5 Communicate and collaborate with the supervising dentist and if required, dental specialist, to consolidate and unify patient management
6.6 Monitor and evaluate treatment outcomes of moderate to complex periodontal patient presentations and devise an evidence based maintenance program in collaboration with dentist/dental specialist for continuing oral and general health


7. Identify the social and physical health impact of tobacco use to determine preventive practice management in oral health practice

Performance Criteria:

7.1 Research current literature on prevention and cessation of smoking to explore contemporary tobacco use patterns
7.2 Analyse and evaluate the impact of tobacco use on systemic and oral health
7.3 Interpret contemporary tobacco use by analysis of behavioural patterns in mechanisms of psychological and physical addiction
7.4 Identify social factors influencing tobacco addiction of marginalized communities and minority cultural groups
7.5 Analyse the spiritual and psychological crisis of Aboriginal Australia as an example of how people in distress are predisposed to substance addiction


8. Provide empathetic brief motivational interviewing technique to counsel patients towards behavioral change for cessation of smoking

Performance Criteria:

8.1 Investigate patient history and examination findings to support the individual needs of the patient
8.2 Communicate strategies to address tobacco use, prevention and cessation through brief motivational interviewing
8.3 Provide patient information on pharmaceutical aides that assist in tobacco cessation through recommended nicotine replacement therapies
8.4 Identify and engage the relevant community support services for patient referral

Learning Outcomes

On completion of this unit you will have developed a high degree of knowledge, skills, judgments, values and attitudes needed to provide evidence based dental hygiene therapeutic, preventive and supportive services, and educational intervention to patients with moderate to complex periodontal conditions and disorders, within the context of dental hygiene practice and conducted according to occupational health, safety and welfare policy and procedures and infection control policy and procedures.

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


Oral presentation.


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 (

Assessment Matrix

All summative assessments listed are compulsory for a successful outcome.

Course Overview: Access Course Overview