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: rachael.starr@rmit.edu.au


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

None

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

Element:

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

Element:

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

Element:

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

Element:

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

Element:

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

SESSION TOPICS

1

Lecture

 

 

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

 

2

Lecture

 

 

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

 

3

Lecture & Practical

 

 

Plaque (Biofilm)

Composition

Stages of formation

Impact of biofilm on health of the oral tissues

Plaque disclosing and interpretation

 

4

Lecture

 

 

Saliva

Importance of saliva

Functions of saliva

Causes of diminished saliva

Strategies to stimulate salivary flow

 

5

Lecture

 

 

Dental caries -Aetiology

Rampant caries

Early childhood caries

Incipient caries

Root caries

Dental erosion

 

6

 

Lecture

 

 

 

 

Periodontal diseases & aetiology

  • Gingivitis
  • Periodontitis
  • Reactive hyperplasia

Prevention strategies

 

7

Self- managed task

CANVAS

 

Topic: Nutrition and the impact on oral health

 

READ posted resources in preparation for 17 August

 

9

Lecture

 

 

 

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:

 

10

Lecture and Practical  

 

 

Saliva testing lecture, interpretation and prac

Saliva testing prac

Student participation

 

11

 

 

 

 

 

 

 

Self- managed task

CANVAS

 

 

Topic: Motivational interviewing and effective communication

Complete modules & upload the corresponding certificates

#1 Task Online module: go to dentalcare.com

 

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

 

12

Self- managed task

CANVAS

 

 

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

 

 

13

Workshop

 

 

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

 

14

Practical

 

 

ALL DAY

 

Student to student

 

CLINIC or Lab: TBC

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

 

15

Class

 

 

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

 

 

16

Workshop

 

 

Reviewing study tasks:

  • Caries
  • Nutrition
  • Fluoride

Case Study

 

 

17

Lecture

TBC

 

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

 

19

Self- managed task

CANVAS

 

 

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

 

20

Self- managed task

CANVAS

 

 

REVIEW Traumatic injuries of teeth and tooth surface loss

  • Abrasion
  • Attrition
  • Abfraction
  • Tooth fracture

Prevention & management strategies

 

 

 

 

21

2021

Semester 1

Lecture

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

 

22

Lecture /Tutorial

Review of progression of clinical patients

 

Review tutorial #1

Review MID study task

 

Topic: The geriatric patient and oral health

 

23

Lecture

The child patient and oral health education

Prevention of sports injuries

Mouthguard hygiene

 

Class case study task

 

24

Workshop

 

Review tutorial #2

Case study discussion and task

 

25

Practical

ASSESSMENT

All day

Log book assessment patient (student to student)

 

3rd floor SIM lab

 

26

Practical

ASSESSMENT

Half day

Log book assessment patient (student to student)

 

3rd floor SIM lab

 

27

Workshop

 

Review tutorial #3

Case study discussion and task

 

28

Workshop

 

Review tutorial #4

Case study discussion and task

 

Written assessment preparation

 

29

Workshop

 

Review tutorial #5

Case study class discussion and task

 

31

ASSESSMENT

 

Supervised knowledge test

 

32

ASSESSMENT

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


References


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

Saliva

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

dentalcare.com

 

DEN004 ST10

Motivational Interviewing. dentalcare.com

DEN004 ST11

Motivational Interviewing-Smoking

 

DEN004 ST12

Fluoride

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

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