Course Title: Implement an individualised oral hygiene program

Part B: Course Detail

Teaching Period: Term2 2020

Course Code: DENT5848C

Course Title: Implement an individualised oral hygiene program

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C6157 - Advanced Diploma of Dental Prosthetics

Course Contact: Rachael Starr

Course Contact Phone: +61 3 9341 1420

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Nominal Hours: 330

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


Course Description

This unit of competency describes the skills and knowledge required to implement an individualised oral hygiene program and promote oral health.

This unit applies to dental assistants and to other health care workers who are actively involved in promoting the general well-being of patients through promotion of healthy eating habits and good oral health.



National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTDEN004 Implement an individualised oral hygiene program


1.Implement a prescribed oral health education program

Performance Criteria:

1.1 Follow a prescribed oral health education program

1.2 Review patient’s current oral hygiene routines

1.3 Provide information on the causes and prevention of oral diseases to patient or carer appropriately and completely using language that can be easily understood

1.4 Provide an appropriate environment for patient or carer to ask questions and become involved in improving their oral health

1.5 Actively encourage patient or carer to follow an effective individual oral health program

1.6 Implement a review strategy to determine the effectiveness of the oral health education program


2. Demonstrate oral hygiene techniques to patient or carer

Performance Criteria:

2.1 Demonstrate the presence of plaque to patient or carer using disclosing solution

2.2 Demonstrate a variety of relevant oral hygiene techniques specific to patient needs

2.3 Provide information about the advantages of different oral hygiene techniques and involve patient or carer in the decision-making process

2.4 Assist patient or carer in implementing relevant oral hygiene techniques

2.5 Demonstrate how to use appropriate aids specific to patient needs and necessary to achieve and maintain effective oral hygiene

2.6 Evaluate patient or carer oral hygiene techniques and give further instruction when appropriate

2.7 Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator


3. Provide appropriate advice on cariogenic food and drinks

Performance Criteria:

3.1 Involve patient or carer in a review of current dietary habits

3.2 Develop and give patient or carer appropriate information on acids and fermentable carbohydrates in a manner they can understand

3.3 Actively encourage patient or carer to ask questions or express views


4. Perform a saliva diagnostic test and record the results

Performance Criteria:

4.1 Provide full details of the procedure to patient or carer

4.2 Provide specific instructions to patient or carer before the appointment where a saliva diagnostic test is planned

4.3 Select and prepare appropriate materials for a saliva diagnostic test

4.4 Perform a resting or unstimulated saliva test and record the result in accordance with manufacturers’ instructions

4.5 Perform a stimulated saliva test and record the result in accordance with manufacturers’ instructions


5. Implement a prescribed prevention program to suit an individual patient

Performance Criteria:

5.1 Provide information appropriately, and as directed by the operator, on lifestyle change to assist with diminished salivary flow

5.2 Provide appropriate information on materials that can provide additional external protection to the teeth

5.3 Explain methods to increase salivary stimulation as directed by the operator

5.4 Assist the patient or carers to implement prescribed oral hygiene programs in response to saliva quality and composition

Learning Outcomes

On completion of this course you will be able to:

1. Implement a prescribed oral health education program

2. Demonstrate oral hygiene techniques to patient or carer

3. Provide appropriate advice on cariogenic food and drinks

4. Perform a saliva diagnostic test and record the results

5. Implement a prescribed prevention program to suit an individual patient

Details of Learning Activities

30 X 3.5 hour face to face theory, online/self managed and practical classes   150 hours of Home study including required readings, research and completing study and assessment tasks   100 hours integrated clinical practice with patients conducted at the teaching clinic at the Royal Dental Hospital Melbourne   Examples of learning activities to be undertaken:

-Prescribed readings located in CANVAS
-Completing prescribed home study tasks ( refer to catalogue)
-Working in groups to research information
-In class learning tasks: short answer questions and case studies
-Oral presentations
-Attendance and participation during classes
-Supervised clinical and practical experiences
----Student to student
----Student to patient

Teaching Schedule

Please note: This session plan is subject to change due staffing and available resources.

Session Number

Class type






Introduction to the unit and expectations

Assessment requirements

What is oral health

Principles of oral health education (OHE)

The role of the DP in oral health education

Target population groups

Health determinants

Complete readings & review questions

  • Informed consent
  • Health determinants
  • Patient centred care






Health determinants continues

Oral health assessment and patient- centred care

The value of the medical history and patient questioning

  • What is a risk factor
  • Risk factors for oral diseases

Link between general health and oral health

  • Impact of systemic disease and medications

Case study



Lecture & Practical



Plaque (Biofilm)


Stages of formation

Impact of biofilm on health of the oral tissues

Plaque disclosing and interpretation







Importance of saliva

Functions of saliva

Causes of diminished saliva

Strategies to stimulate salivary flow






Dental caries -Aetiology

Rampant caries

Early childhood caries

Incipient caries

Root caries

Dental erosion









Periodontal diseases & aetiology

  • Gingivitis
  • Periodontitis
  • Reactive hyperplasia

Prevention strategies



Self- managed task



Topic: Nutrition and the impact on oral health


READ posted resources in preparation for 17 August







Nutrition and oral health

Australian nutritional guidelines and how to use

How much is too much sugar?

Hidden sugars in the diet: reading food labels

Video : How much sugar is in drink products

Dietary assessment of the patient:  using the 3 day diet template


Issue dietary diary to complete


Issue oral presentation task:

  Topic:  Nutrition through the life cycle:



Lecture and Practical  



Saliva testing lecture, interpretation and prac

Saliva testing prac

Student participation










Self- managed task




Topic: Motivational interviewing and effective communication

Complete modules & upload the corresponding certificates

#1 Task Online module: go to


Topic: Commence development of portfolio of patient handouts

#2 Task                                                                               


Topic: Smoking and its impact on oral health review from semester 1 oral path class

#3 Task


Topic: Fluoride in the communal water supplies

Legislative requirements in the use of fluoride products

#4 Task



Self- managed task




Oral hygiene instruction to the patient


Preparation for clinic:

Home study #1 REVIEW ( videos )

  • Tooth brushing techniques and aids
  • Interdental cleaning and aids
  • Oral appliances


Home study #2 TASK

  • Product comparisons for patient advice
  • Xylitol







Preparation for patient work


Topic 1: Oral hygiene instruction to the patient

Group case studies and workshop

Ensure that you have reviewed videos for this class


Topic 2: Impact on oral tissues of

  • Recreational drug use
  • Medications
  • Systemic diseases
  • GERD
  • Nutritional deficiencies


Issue prep document for clinic scheduled for 28 September








Student to student



Preparing for clinical practice


Each student will conduct the following activities on 2 students


•             Oral health check/history taking/interview

•             Risk assessment

•             Saliva test/plaque disclosing

•             Oral hygiene advice/tooth brushing /interdental cleaning                                             

•             Collect dietary diary

•             Oral health plan: setting objectives with the patient

•             Diet diary analysis

•             Oral hygiene advice for home care including products with rationale

•             Includes smoking cessation


Log book for 10 patients issued

Patient case assessment issued



29 September 2020

To commence 10 patients for HLTDEN004 at RDHM clinic






Student Oral presentations


Nutrition through the life cycle and the impact on oral health

Preparation for patient work

Case studies looking at dietary analysis of the patient, RDI, Frequency of eating, Hydration







Reviewing study tasks:

  • Caries
  • Nutrition
  • Fluoride

Case Study







Topic: Smoking and oral health

  • all forms of recreational smoking including , tobacco, cannabis, e-cigarettes and non- tobacco products; chewing tobacco
  • the impact on oral tissues and saliva quality ( changes to pH , hydration, buffering capacity) 
  • potential risks for oral diseases ( caries, perio and oral cancers)
  • smoking cessation strategies including motivational interviewing techniques and referral pathways
  • resources available to offer to patients
  • referral protocol to QUIT



Self- managed task




Topic 1: Oral health: influencing health behaviours

Effective communication

Readings and task


Topic 2: Oral health and Special needs II

  • The aged person
  • Disability and impairment
  • Mental health including dementia
  • Patient living with cancer
  • Developmental disorders

Lectopia sessions



Self- managed task




REVIEW Traumatic injuries of teeth and tooth surface loss

  • Abrasion
  • Attrition
  • Abfraction
  • Tooth fracture

Prevention & management strategies







Semester 1


Re-commencement of unit and expectations for the semester


Topic: Risk assessment for oral disease and minimum intervention

Class discussion Case “Mr K” task


Discuss AT3 case oral presentation ASSESSMENT



Lecture /Tutorial

Review of progression of clinical patients


Review tutorial #1

Review MID study task


Topic: The geriatric patient and oral health




The child patient and oral health education

Prevention of sports injuries

Mouthguard hygiene


Class case study task





Review tutorial #2

Case study discussion and task





All day

Log book assessment patient (student to student)


3rd floor SIM lab





Half day

Log book assessment patient (student to student)


3rd floor SIM lab





Review tutorial #3

Case study discussion and task





Review tutorial #4

Case study discussion and task


Written assessment preparation





Review tutorial #5

Case study class discussion and task





Supervised knowledge test




All day


Case presentation X1 per student: oral presentation upload copy into canvas


Clinical Log book fully completed due: upload into canvas


Learning Resources

Prescribed Texts


Other Resources

For each scheduled class there are resources posted in the canvas shell to support the topic outlined in the class lecture and practical activities.

Pre-reading prior to each class is highly recommended


Overview of Assessment



The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

• provided complete and appropriate information to at least 10 different patients including:

  • providing information on the prevention of oral diseases
  • providing advice and demonstrating oral hygiene techniques
  • using learning and motivational skills to inform and motivate behaviour change.

To be deemed competent you must demonstrate an understanding of all aspects required of the competency.   Regular attendance is necessary.  Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks and consist of theory and practical based tasks.

Assessment Tasks

1. Clinical log book of at least 10 different patients demonstrating:
-providing information on the prevention of oral diseases
-providing advice and demonstrating oral hygiene techniques
-using learning and motivational skills to inform & motivate behaviour change.
NOTE: This will include assessor practical observations and questioning

2. Supervised knowledge test

3. Case presentation : oral presentation on a clinical case from the log book

Assessment Matrix

The assessment tasks listed in this course guide address all the elements and criteria of the requirements of this course.

Other Information

1. Prescribed TEXTBOOK:
Felton , S; Chapman, A; (2013) Basic Guide to Oral Health Education and Promotion, 2nd Ed. Wiley UK
(this can be purchased or via the ebook via RMIT library webpage)

2. Catalogue of prescribed home study /learning tasks : these are compulsory to complete forming part of the structured learning requirements of this course and are to be uploaded into canvas “ assignments” as per schedule. This catalogue follows the syllabus…..some tasks are totally self- managed, some are commenced in class and require completion. Some tasks are required to be brought into clinic. It is expected that you complete each task each week as the semester progresses , and when indicated by the teacher (and as per syllabus)

                                                       Study Task (ST)


Task Topic Title

DEN004 ST01

Patient Centered Care

DEN004 ST02

Link between oral health and general health

DEN004 ST03

Plaque Worksheet

DEN004 ST04


DEN004 ST05

Dental Caries

DEN004 ST06

Periodontal Disease

DEN004 ST07

Nutrition fundamentals Oral Presentation

DEN004 ST08

Nutrition & Dietary Analysis Worksheet

                            DEN004 ST09

Effective Communications Techniques


DEN004 ST10

Motivational Interviewing.

DEN004 ST11

Motivational Interviewing-Smoking


DEN004 ST12


DEN004 ST13

                       Prepare a portfolio of patient take- home pamphlets


DEN004 ST14

Videos on plaque control and written task


DEN004 ST15

Comparative review of Dental Hygiene Products

DEN004 ST16

Impacts on Oral Health

DEN004 ST17

Case study

DEN004 ST18

Readings & Special needs case study

DEN004 ST19

Traumatic injuries & tooth surface loss


                           DEN004 ST20

Minimum Intervention Dentistry (MID)

                            DEN004 ST21

Case study Mr K


                           DEN004 ST22

The geriatric patient and oral health


                            DEN004 ST23


Oral health & the child patient

                            DEN004 ST24

Case study

                             DEN004 ST25

Case study

                            DEN004 ST26

Case study

                            DEN004 ST27

 Case study

Course Overview: Access Course Overview