Course Title: Implement an individualised oral hygiene program

Part B: Course Detail

Teaching Period: VE 2019

Class Number: 3172

Class Section: DOD

For flexible terms and optional semesters, a Part B course guide may have been published for the entire teaching period, or for the specific class number in which you are enrolled. If there is no Part B course guide published for your specific class number, please refer to the guide for the teaching period in which you are enrolled. Enrolment Online is the definitive source for details regarding your class enrolment.

Course Code: DENT5848C

Course Title: Implement an individualised oral hygiene program

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

Campus: City Campus

Program: C4385 - Certificate IV in Dental Assisting

Course Contact: Ms Suzanne Dellas Fatone

Course Contact Phone: +61 3 9341 1406

Course Contact Email: sue.fatone@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 course 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, students should 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

A combination of learning activities have been designed to help students to achieve learning outcomes of this unit:

 

Facilitator led classroom based lecture and workshop using PowerPoint Presentations

Classroom written tasks

Facilitator led practical demonstration

Facilitator led group discussion

Participation in group activities based on simulated workplace case studies.

Supported clinical practice.

Formative structured study tasks accessed via CANVAS Learning Management System. (myRMIT Studies)

Guest Presentations


Teaching Schedule

Class Number

Location

Class type/Date

SESSION TOPICS

1

Dandenong

Class

2 March

9am

 

 

 

Introduction to the unit

Assessment requirements

What is oral health

Principles of oral health education (OHE)

The role of the DA in oral health education

Target population groups

Health determinants

 

2

Dandenong

Class

2 March

1.30pm

Factors that impact on oral health 1

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

Introduction to healthy tissues and departure from normal

 

3

Study task 01

ONLINE

 

Commence

2 March

Complete readings & review questions

  • Informed consent
  • Health determinants
  • Patient centred care

 

 

 

 

 

4

RMIT

Carlton

Practical Class

9 March

9am

 

Student to student practical activity

Factors that impact on oral health 2

Topic: Plaque (Biofilm)

Composition

Stages of formation

Impact of biofilm on health of the oral tissues

Plaque disclosing and interpretation

Modified Turesky index and O Leary’s index

Study task 02

 

5

RMIT Carlton

Class

9 March

1.30pm

Factors that impact on oral health 3

Topic: Saliva

Importance of saliva

Functions of saliva

Causes of diminished saliva

Strategies to stimulate salivary flow

Study task 03

 

 

 

 

 

 

 

 

 

 

 

6

Dandenong

Class

23 March

9am

Topic: Dental caries -Aetiology

Rampant caries

Early childhood caries

Incipient caries

Root caries

Dental erosion

Study task 05

 

7

Dandenong

Class

23 March

1.30pm

Topic: Periodontal diseases & aetiology

  • Gingivitis
  • Periodontitis
  • Reactive hyperplasia

Prevention strategies

 Study Task 06

 

8

Study task

04

ONLINE

 

Commence

30 March

 

Fundamentals of oral anatomy

Structures of the oral cavity

Landmarks of the head and neck

Teeth and supporting structures

Dentitions

 

 

 

 

 

9

RMIT

Carlton

Practical Class

6 April

9 am

Practical

Activity

 

Guest GC: Trish Hogan

Saliva testing lecture, interpretation and prac

Saliva testing prac

Student participation

 

10

RMIT

Carlton

Class

6 April

1.30pm

Factors that impact on oral health 4

Topic Nutrition and impact on oral health

ASSESSMENT Task issued

Issue group Oral presentation Topic (X1 per group )  

Topic: Nutrition fundamentals: 6 July (ref: Study Task 07)

 

 

 

 

 

11

Dandenong

Smoking cessation expert

TBC

Class

13 April

9am -12.30pm

Factors that impact on oral health 5

-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

 

 

 

 

 

12

Study task 08

ONLINE

Research task

Commence

15 April

 

Factors that impact on oral health 4 (continues)

Topic: Nutrition and oral health

Read posted resources and complete the tasks

13

Study task 09

ONLINE

 

Written research task

 

Commence

27 April

 

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

 

Short answer questions/case studies

Self-review of dietary intake

 

14

Study task 10

 

 

Study task 11

ONLINE

Commence

27 April

 

Part 1 Oral health: influencing health behaviours

Effective communication

Readings and task

 

Part 2 Motivational interviewing

Complete module & submit certificate by 6 July

Online module: go to dentalcare.com

 

 

 

 

 

    15

Study task 12

 

 

 

 

 

 

Study task 13

ONLINE

 

  1. Watch videos on plaque control techniques
  2. Case study

 

Commence

25 May

Preparation for patient activities

 

Home study #1  Plaque control measures 1 ( videos )

  • Tooth brushing techniques and aids
  • Interdental cleaning and aids
  • Oral appliances ( fixed and removable )

 

 

Home study#2  Motivational interviewing : smoking

Case study to consider when discussing smoking cessation

 

 

 

16

Study task 14

ONLINE

Written research task

Commence

8 June

  • Product comparisons for patient advice
  • Xylitol
  • pH of mouthrinses

 

 

    17

Study task 15

ONLINE

 Written task

Commence

22 June

Topic: Fluoride in the communal water supplies

Legislative requirements in the use of fluoride

 

 

 

 

 

 

 

      

      18

RMIT Carlton

Titanium

Computer

class

Class

6 July

9.00 -11.30pm

DHSV Titanium

  • Recording oral health patient activities
  • Codes for oral health
  • Patient administration

Task for RPL for HLTDEN003

 

      19

RMIT Carlton

 

Class

6 July

11.30-1pm

Guest speaker Colgate: Cathryn Carboon

Plaque control products and rationale for use

 

 

 

      20

RMIT Carlton

 

Class

ASSESSMENT

6 July

2pm until finish

 

 

 

Group task: Oral presentation : Nutrition fundamentals

 

Preparation for patient activities

Case studies: OHE

Issue dietary diary for completion for 3 August

Bring 2 copies

 

 

 

 

 

21

Study task

16

 

ONLINE

 

 

Commence

13 July

 

Review : preparation for patient work

Impact on oral tissues of

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

and providing oral health advice

 

 

 

 

 

22

Dandenong

Class

20 July

9am

Minimal intervention strategies

Risk assessment for oral diseases:

Risk factors for dental caries and periodontal disease

Risk factors for oral candida and oral cancer

Protective factors to prevent dental caries

Modifications for special needs ( disability, aged ,child)

Video: oral health education and the special needs patient

Case studies

Study task 17 Review questions to be completed by 3 August

 

23

Dandenong

Class

20 July

1.30pm

 

Preparing for clinical practice

Review Dietary analysis of the patient

  • RDI
  • Frequency of eating
  • Hydration

Case study

Development of portfolio of patient handouts

 

 

 

 

 

24.1

Dandenong

Clinic

 

2 teachers from RMIT

Clinical activities commence

3 August

am and pm

 

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
  • Includes smoking cessation

 

 

24.2

 

3 August

Log book issued

ASSESSMENT

10 patients

 

To commence at your workplace

5 August

 

Elements  1&2

  • Comprehensive oral examination/history taking
  • Risk assessment
  • Saliva test/plaque disclosing
  • Oral hygiene advice/tooth brushing /interdental cleaning
  • Issue dietary diary

 

Elements 3,4, &5

  • Oral health plan: setting objectives with the patient
  • Diet diary analysis
  • Follow up tests for review: saliva test/plaque disclosing
  • Oral hygiene advice for home care
  • Includes smoking cessation

 

 

 

 

 

25

Study task

18

ONLINE

 

Commence

10 August

 

 

Oral health and Special needs

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

26

Study task 19

ONLINE

 

Study task

Commence

17 August

 

Traumatic injuries of teeth and tooth surface loss

  • Abrasion
  • Attrition
  • Abfraction
  • Tooth fracture

Prevention & management strategies

 

27

Study task 20

ONLINE

 

Commence

24 August

 

Oral health and children’s needs

Sports injury prevention

Video : DHSV: health education and the child patient

 

 

 

 

 

 

 

28

Dandenong

Class

7 September 9am

Tutorial; review of study tasks

Case studies

 

Log book progression meeting

 

 

 

29

Dandenong

TBC

Guest ??

 

Class

7 September

1.30pm

Management of the diabetic patient

 

 

 

 

 

 

 

30

Dandenong

Class

5 October

9am

 

Case studies

Log book progression

31

Dandenong

 

 

Class

5 October

1.30pm

 

Impact of Family violence on oral health

DHSV Family violence policy for all staff

Video resources

Revision

 

 

 

 

 

32

Dandenong

ONLINE

23 November

9am

ASSESSMENT

 

Half day

 

Multiple choice questions via CANVAS

 

 

 

Log book due

Case presentation due

 

 

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


Learning Resources

Prescribed Texts


References


Other Resources

Felton, A;Chapman,A; Felton,S;(2014) Basic guide to Oral Health Education and Promotion 2nd ed Wiley Blackwell UK


Overview of Assessment

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
  • inform and motivate behaviour change.

To be deemed competent students must demonstrate an understanding of all aspects required of the competency.

Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks

 

 


Assessment Tasks

Task Code

Task Topic

DEN004 AT1

Patient Logbook. Evidence of 10 patient interactions based on descriptor for oral health educator

   

DEN004 AT2

Individual patient case study.

Delivery of PowerPoint study of one 

identified logbook patient.

 

    DEN004 AT3

Multiple Choice Test

 


Assessment Matrix

1.

Log book

Clinical activities

10 patients

 

1.1-1.6; 2.1-2.7

3.1-3.3; 4.1-4.5

5.1-5.4

All

All

1,2,3,4,5,6,7,8,9,10,11,12,13,14, 15,16

1,2

2.

Case presentation

One patient

Oral presentation of a case 

 

 

All

 

2,3,4,5,6,7,8,9,10,11,12,13,14, 15,16

2

3.

Written test

 

multiple choice test

 

ALL

All

 

2,3,4,5,6,7,8,9,10,11,12,13,14, 15,16

2

 

 

 

 

 

 

 

 

Other Information

To support on- going learning and consolidation of concepts to prepare for clinical practice as an oral health educator, there is an expectation that students attend all classes and undertake the formative study tasks. Study task catalogue for reference:

                    Study Task (ST) Code

 

Task Topic Title

Date to commence

 

DEN004 ST01

Patient Centered Care

2 March

DEN004 ST02

Plaque Worksheet

9 March in class

DEN004 ST03

Saliva Worksheet

9 March in class

DEN004 ST04

Oral Anatomy Review

30 March

DEN004 ST05

Caries Worksheet

23 March in class

DEN004 ST06

Periodontal Disease Worksheet

23 March in class

DEN004 ST07

Nutrition fundamentals Presentation issued  

6 April due 6 July

DEN004 ST08

Nutrition dentalcare.com

15 April

DEN004 ST09

Nutrition & Dietary Analysis Worksheet

27 April

DEN004 ST10

Effective Communications Techniques

27 April

DEN004 ST11

Motivational Interview. dentalcare.com

27 April

DEN004 ST12

Videos on plaque control

25 May

DEN004 ST13

Motivational Interviewing-Smoking

25 May

DEN004 ST14

Comparative review of Dental Hygiene Products

8 June

DEN004 ST15

Fluoride Worksheet

22 June

DEN004 ST16

Impacts on Oral Health

13 July

DEN004 ST17

Minimum Intervention Dentistry (MID)

20 July due 3 August

DEN004 ST18

Readings & Special needs case study

10 August

DEN004 ST19

Traumatic injuries & tooth surface loss

17 August

 

DEN004 ST20

 

Oral health, tooth injury prevention & the child patient

 

24 August

Course Overview: Access Course Overview