Course Title: Perform orthodontic procedures

Part B: Course Detail

Teaching Period: Term1 2014

Course Code: DENT5821

Course Title: Perform orthodontic procedures

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

Eleanor Schroeder - 93411412

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

HLTIN403B – Implement and monitor infection control policies and procedures
TAFEDH015 – Manage patients with simple to moderate dental hygiene treatment needs

Course Description

This unit deals with the knowledge, skills and attitudes required by a dental hygienist to work in orthodontic practice and perform procedures that are prescribed by an orthodontist and comply with national dental hygiene legislated regulations of practice.
Occupational health, safety and welfare practices and infection control procedures and policy are adhered to at all times. All procedures are performed adhering to the principles of informed consent with operator and patient safety and comfort maintained and ensured at all times.

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH023 Perform orthodontic procedures


1. Prepare surgery for orthodontic procedure

Performance Criteria:

1.1 Review patient case notes to confirm instrument,
material and equipment selection, orthodontist
prescribed treatment and patient individual requirements

1.2 Maintain instruments, materials and equipment
according to relevant guidelines for instrument


2. Prepare patient for the pre-orthodontic treatment phase

Performance Criteria:

2.1 Review patient’s medical history and records to
determine any contraindications to proposed treatment
modalities and to confirm treatment prescription
2.2 Inform the patient of the proposed/subsequent
procedures and any sensations which may be
experienced. Consent is confirmed with the patient and
an opportunity to ask questions is provided
2.3 Take a full set of intra oral and extra oral photographs
according to relevant guidelines for orthodontic record
taking to include digital and film based imaging
2.4 Take orthodontic impressions and bite registration for
the construction of diagnostic study models
2.5 Investigate and evaluate the patient’s current oral health
status to provide a customised oral health program to
support the prevention of dental disease and trauma
with specific emphasis on orthodontic procedures and
2.6 Provide dietary analysis and counselling with particular
reference to maintenance and adherence of orthodontic
attachments and prevention of dental disease and
biofilm accumulation
2.7 Communicate and consult with the supervising
orthodontist as required during recording taking


3. Place and remove elastomeric separators

Performance Criteria:

3.1 Review patient case notes to confirm treatment
prescription for the placement of separators and
adhering to principles of informed consent, explain
procedure and provide opportunity for questions to be
3.2 Separators are placed as prescribed, with the use of
separating pliers or dental floss where applicable, to
ensure patient and operator comfort and safety
3.3 Accurately record the number and location of the
separators placed in the patient’s records for future
3.4 Communicate effectively with the patient to minimise
patient discomfort
3.5 Provide clear post operative instructions with regard to
post treatment pain and discomfort management, oral
hygiene care and possible displacement of separators

3.6 Explain the procedure to remove separators and advise
of associated sensations
3.7 Note the number and location of separators and cross
reference with the patient’s records
3.8 After a timeframe as recommended by the supervising
orthodontist remove separators carefully with the
patient’s comfort in mind
3.9 Perform a thorough prophylaxis following the safe
removal of all separators and in preparation for the
placement of orthodontic attachments


4. Prepare the patient and place the orthodontic attachments as prescribed by the orthodontist

Performance Criteria:

4.1 Review patient case notes to confirm treatment
prescription for the placement of orthodontic
attachments and adhering to principles of informed
consent, explain procedure and provide opportunity for
questions to be asked
4.2 Select and prepare attachments as prescribed by the
supervising orthodontist
4.3 Prepare the teeth and isolate as required with the use of
retractors, cotton rolls or other appropriate apparatus
4.4 Bond/cement/place orthodontic attachments following
manufacturer’s instructions, procedure, observing tooth
position, anatomy and occlusion whilst adhering to the
supervising orthodontist’s treatment prescription
4.5 Remove excess material from around orthodontic
attachments and examine surrounding hard and soft
oral tissues for residual deposits and remove as
4.6 Select and place archwire as prescribed by the
4.7 Select and fix appropriate module/ligature for archwire


5. Remove and replace archwire as prescribed by the orthodontist

Performance Criteria:

5.1 Examine and prepare patient for archwire removal
5.2 Remove modules, ligatures, or other attachments
5.3 Remove existing archwire/s using appropriate
5.4 Place and fix archwire as prescribed by supervising


6. Provide patient education and oral hygiene instruction for the care of the oral tissues and orthodontic appliances

Performance Criteria:

6.1 Discuss dietary advice, oral hygiene care instructions
and pain control strategies with the patient and their

6.2 Provide instructions for the care and maintenance of
orthodontic attachments and if required, elastics,
headgear and/or removable appliances are discussed
with the patient and their carer


7. Prepare the patient and remove orthodontic attachments as prescribed by the orthodontist

Performance Criteria:

7.1 Provide clear patent instruction regarding all procedures
involved with the removal of orthodontic attachments
7.2 Assess dentition with regard to current and previous
dental condition(s) prior to the removal of the
orthodontic attachments
7.3 Observe patient comfort during the procedure and
modify treatment as required to alleviate pain and/or
7.4 Remove orthodontic attachments according to
manufacturer’s recommendations, ensuring the
protection of tooth structure at all times
7.5 Remove residual cement, resin and calculus with a
power scaler, hand instruments or handpiece to achieve
a clean tooth/root surface
7.6 Take impressions for the construction of retainers/study
7.7 Take a set of post treatment extra oral and intra oral
photographs as required
7.8 Perform a thorough prophylaxis and apply fluoride as


8. Place fixed retainers

Performance Criteria:

8.1 Confirm orthodontist’s treatment prescription and refer
to the patient records and treatment plan
8.2 Inform the patient of all the necessary procedures and
sensations associated with the application of a bonded
retainer. Informed consent is given by the patient
8.3 Remove deposits from the teeth, prepare tooth surfaces
for the application of the retainer following guidelines,
procedure and manufacturer’s instruction
8.3 Place and fit the retainer wire in the appropriate position
using the appropriate/prescribed fixing agent to the
recommendations and manufacturer’s instruction
8.4 Check all tooth/root/composite resin surfaces are
8.5 Check occlusion to maintain occlusal harmony and to
ensure patient comfort and safety. Eliminate any
occlusal interferences as determined

8.6 Provide post operative oral health care instruction and
arrange for maintenance review appointment(s)

Learning Outcomes

On completion of this unit you will have developed the knowledge, skills and attitudes required by a dental hygienist to work in orthodontic practice and perform procedures that are prescribed by an orthodontist and comply with national dental hygiene legislated regulations of practice.

Details of Learning Activities

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 collaborate.
role-play/simulation, Pre-Clinical and clinical practice in the simulation lab / undergraduate teaching clinic
Learning Outcomes : To be able to practice effectively as a Professional Dental Hygienist, according to the guidelines and within your scope of practice.

Teaching Schedule

Timetable to be issued

Learning Resources

Prescribed Texts


Other Resources

Overview of Assessment

Simulated pre clinical.

Reflective journal.

Assessment Tasks

Assessment for this course forms part of the Advanced Diploma of Oral Health (Dental hygiene)
Refer to the Australian Dental Council June 2011 document “Professional attributes and competencies of the newly qualified dental hygienist for additional information”
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.
Assessment is undertaken through successful completion of all assessment activities and classroom, project & industry participation.
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.
An RMIT assessment charter ( ) summarises your responsibilities as an RMIT student as well as those of your teachers.
Your course assessment conforms to RMIT assessment principles, regulations, policies and procedures which are described and referenced in a single document, the Assessment policies and procedures manual (;ID=ln1kd66y87rc).

Assessment Matrix

Overview of assessment
May include:
Observation in the work place with questioning to address
appropriate application of knowledge
• written assignments/projects/exam
• case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
• questioning – verbal and written
• completion of clinical log book
70% Pass mark

Course Overview: Access Course Overview