Part B: Course Detail

Teaching Period: Term2 2020

Course Code: DENT5856C

Course Title: Construct and insert an implant retained overdenture

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: 200

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

Assumed knowledge and skills from the successful completion of the Diploma of Dental Technology.

Course Description

This unit applies to work in dental prosthetics where the dental prosthetist must enter into a structured professional relationship with a dentist as defined by the Dental Board of Australia before providing such treatment. 

This unit of competency describes the skills and knowledge required to construct and place an aesthetic, and functional implant retained overdenture.

 

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:	HLTDEP008 Construct and insert an implant retained overdenture
Element:	1. Plan treatment
Performance Criteria:	1. Plan treatment 1.1 Ensure a structured professional relationship with a dentist is established 1.2 Obtain accurate, complete and legal records of the patient’s personal, medical and dental history 1.3 Provide details of the procedure to the patient or carer and obtain and document consent following ethical and legal requirements 1.4 Make accessible in the clean zone of the surgery the patient’s required laboratory work and necessary charts and records 1.5 Ensure emergency procedures are in place and ready for use according to relevant guidelines
Element:	2. Take a primary impression
Performance Criteria:	2. Take a primary impression 2.1 Select correctly the equipment, instruments and materials for the primary impression 2.2 Apply standard precautions to take primary impressions of the maxilla and/or mandible using an impression material in stock edentulous trays 2.3 Pour impression material in dental stone and trim for custom tray fabrication
Element:	3. Prepare to take a final impression
Performance Criteria:	3. Prepare to take a final impression 3.1 Fabricate a custom tray with sufficient spacing over impression copings 3.2 Attach static (non-screw) retained impression copings to the abutments 3.3 Attach impression copings to the abutments 3.4 Try-in the custom tray in the mouth and check for comfort and path of insertion with sufficient space between tray and impression coping
Element:	4. Take the final impression
Performance Criteria:	4. Take the final impression 4.1 Paint the custom tray with an appropriate adhesive for the impression material to be used 4.2 Mix the selected impression material according to the manufacturer’s instructions and load material into custom tray 4.3 Seat the impression tray over the impression copings
Element:	5. Pour master and/or working models and fabricate occlusal rims
Performance Criteria:	5. Pour master and/or working models and fabricate occlusal rims 5.1 Seat replica analogues into impression copings 5.2 Pour master and/or working models 5.3 Fabricate customised occlusal rims
Element:	6. Record jaw relationships and occlusion
Performance Criteria:	6. Record jaw relationships and occlusion 6.1 Position the patient comfortably for the procedure 6.2 Instruct the patient on participation during the procedure 6.3 Ensure stability and comfort of registration rims 6.4 Observe centric and eccentric mandibular movements 6.5 Determine and record functional measurements and dimensions 6.6 Consider referral if jaw relationship cannot be determined 6.7 Check recordings by observation and repetition 6.8 Maintain integrity of the recording during extra-oral transfer 6.9 Ensure the patient’s wellbeing before they leave dental workplace
Element:	7. Select appropriate artificial teeth
Performance Criteria:	7. Select appropriate artificial teeth 7.1 Ensure adequacy of natural and artificial light for selection of colour and shade 7.2 Consult patient regarding aesthetic and functional requirements 7.3 Consider properties and composition of artificial teeth in relation to wear and aesthetics 7.4 Examine manufacturer’s mould and shade guides 7.5 Select artificial teeth that are appropriate in shade, size and shape
Element:	8. Fit and evaluate try-in prosthesis
Performance Criteria:	8. Fit and evaluate try-in prosthesis 8.1 Position the patient comfortably for the procedure 8.2 Instruct the patient on participation during the procedure 8.3 Examine the try-in prosthesis for retention and stability 8.4 Examine the occlusal relationships of the try-in prosthesis for accuracy of centric relation 8.5 Assess the aesthetic appearance of teeth and gums 8.6 Assess that speech has not been affected 8.7 Assess patient comfort 8.8 Complete documentation as required
Element:	9. Process, evaluate and insert the completed overdenture
Performance Criteria:	9. Process, evaluate and insert the completed overdenture 9.1 Position the patient comfortably for the procedure 9.2 Instruct the patient on participation during the procedure 9.3 Examine the prosthesis for retention and stability 9.4 Check the fitting surfaces of the appliance and ensure there are no sharp ridges or acrylic pearls 9.5 Place denture in the mouth and assess that no over-extensions occur along the periphery of the dentures 9.6 Seat denture onto overdenture abutments 9.7 Confirm the occlusal relationships are acceptable 9.8 Assess aesthetics of removable dental prosthesis 9.9 Assess phonetics of removable dental prosthesis 9.10 Assess patient comfort of removable dental prosthesis. 9.11 Provide instructions on the insertion and removal, hygiene and ongoing maintenance of the prosthesis and abutments 9.12 Ensure the dentist in the structured professional relationship is informed of completed final prosthesis

Learning Outcomes

On completion of this course, you should be able to:

1. Plan treatment 

2. Take a primary impression 

3. Prepare to take a final impression 

4. Take the final impression

5. Pour master and/or working models and fabricate occlusal rims

6. Record jaw relationships and occlusion

7. Select appropriate artificial teeth

8. Fit and evaluate try-in prosthesis

9. Process, evaluate and insert the completed overdenture          

 

 

Details of Learning Activities

You will be required to complete 2 Implant retained overdentures for this unit utilizing two different types of implant systems.

 

You will need to demonstrate the following for 2 patients while being observed by an assessor

 

 

Construct a new set of conventional dentures for two patients

 

For the two patients you must:

 

1: Plan Treatment

2 Take a primary impression

3:Pour working model

4:Construct edentulous special tray

5:Take final impression

6: Pour master/working models and fabricate occlusal rims

7: record jaw relationships and occlusion

8: fit and evaluate try in prosthesis

9: Process, evaluate and insert the completed prosthesis

10: Construct surgical guide/stent  

 

Note: Due to the low availability of implant patients for this part of the procedure you will use a simulated model as your patient, although real dental clinic and laboratory conditions will be used along with real people presenting as supervisors and practitioners.   

 

1: Plan treatment for implant overdenture

2: Take final impression 

3: Pour master/working models 

4: Process, evaluate and insert the completed overdenture

 

 

Teaching Schedule

 

C6157 Advanced Diploma of Dental Prosthetics

HLTDEP008 Construct and Insert an Implant Retained Overdenture

PT17. Commencement Term 2, 2020

 

 

Session 1	OT	Face to Face Class	Theory	Introduction to Implants
Session 2	OT	Face to Face Class	Thoery / Prac
Session 3	OT	Face to Face	Prac	Continued
Session 4	OT  & Industry Speakers	OT  & Industry Speakers	Theory	MUST ATTEND CLASS
Session 5	OT  & Industry Speakers	OT  & Industry Speakers	Theory/Clinic	MUST ATTEND CLASS
Session 6	OT	Face to Face	Prac	Continued
Session 7	OT	Face to Face	Prac	Continued
Session 8	OT	Face to Face	Knowledge Assessment	Written
Session 9	OT	Face to Face	Task 2 Due Date	Copmpleting and Submitting Task 2

Learning Resources

Prescribed Texts

References

Other Resources

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:

• performed the activities outlined in the performance criteria of this unit during a period of at least 240 hours of work in a clinical dental workplace environment

• prepared 2 patients for insertion of an implant retained overdenture

• followed procedures to ensure patient safety during try-in and insertion

• constructed 2 functional and aesthetic implant retained overdentures.

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

Assessment 1 - Knowledge                     

• Written Assessment to be completed online via CANVAS

 

Assessment 2 - Practical 

The following assessment tasks are to be completed for 2 implant retained overdentures

1:

For the two patients the student must construct a new set or conventional dentures:

a: Plan Treatment

b:Take a primary impression

c: Pour master/working models and fabricate occlusal rims

d: Record jaw relationships and occlusion

e: Fit and evaluate try in prosthesis

f: Process, evaluate and insert the completed prosthesis

g: Construct surgical stent/guide 

 

2:

The students existing 2 patients from Task 1 have decided they are not satisfied with the retention and stability of the conventional dentures. They are to construct a new set of removable implant retained overdentures

Note: Due to the low availability of implant patients for this part of the procedure the student must use a simulated model as their patient, although real dental clinic and laboratory conditions will be used along with real people presenting as supervisors and practitioners. 

a: Plan treatment for implant overdenture

b: Attach implant impression copings to abutments

c:  Take final impression 

d: Attach implant analogues to impression copings

e: Pour master/working models 

f: Process, evaluate and insert the completed overdenture

 

Assessment Matrix

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

 

Other Information

Implant systems used:

1: Locator

2: Novaloc

Course Overview: Access Course Overview