Course Title: Perform orthodontic procedures

Part B: Course Detail

Teaching Period: Term2 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

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 maintenance


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 attachments
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 procedures


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 asked
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 reference
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 required
4.6 Select and place archwire as prescribed by the orthodontist
4.7 Select and fix appropriate module/ligature for archwire fixation


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 instruments
5.4 Place and fix archwire as prescribed by supervising orthodontist


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 carer
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 discomfor
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 models
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 required


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 smooth
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

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

Simulated pre clinical.

Reflective journal.

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