Course Title: Apply rubber dam and fissure sealants

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: DENT5804

Course Title: Apply rubber dam and fissure sealants

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C6119 - Advanced Diploma of Oral Health (Dental Hygiene)

Course Contact: Sue 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: 20

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
TAFEDH006 - Scale teeth, debride root surfaces and stains from teeth
 

 

Course Description

This unit deals with the knowledge, skills and behaviours required to apply rubber dam for the purposes of placing fissure sealants.
 


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH007 Apply rubber dam and fissure sealants

Element:

1. Prepare surgery

Performance Criteria:

1.1 Equipment, materials and instruments required for the
patient’s treatment (including for any procedure(s) to be
undertaken in addition to the application and removal of
rubber dam (RD) and the application of fissure sealant)
are gathered and arranged within the treatment cubicle
1.2 The surgery is prepared to cater for any predeterminedspecial needs of the patient
1.3 Material required is dispensed with the correct quantity
1.4 Rubber dam is prepared for use in accordance with the
manufacturer’s instructions
1.5 Fissure sealant solution is prepared and dispensed by
being decanted into a light-limiting receptacle and
covered so as to slow polymerisation and taking into
account all other manufacturer’s recommendations
1.6 All necessary safety precautions during the preparation
and presentation stages have been followed

 

Element:

2. Assess and prepare the patient

Performance Criteria:

2.1 Patient’s medical history and records, including
radiographs, are reviewed to eliminate any
contraindications to proposed treatment modalities and
to confirm treatment prescriptions
2.2 An explanation of rubber dam use and fissure sealing is
given to the patient. Adhering to the principles of
informed consent, the patient is informed of possible
negative outcomes resulting from any planned
treatment. Consent is confirmed with the patient
2.3 Modifications to prescribed treatment is confirmed
through consultation with the overseeing dentist
2.4 Patient is provided the opportunity to ask questions
concerning any aspect of the planned treatment
2.5 The area of the mouth to be isolated is examined to
confirm treatment prescription
2.6 The need for pain control is determined through
discussion with the patient and any necessary
requirements are followed through
2.7 Holes for placing over teeth are punched so as to
recreate any arch peculiarities, and clamps are selected
and ligated with floss as a safety precaution
2.8 Adjustments to the dental surgery are made to cater for
patient’s needs as necessary

Element:

3. Apply rubber dam

Performance Criteria:

3.1 Rubber dam is applied in accordance to relevant
guidelines and without trauma to the surrounding hard
and soft tissues
3.2 Teeth are exposed through the rubber dam and are
secured ensuring minimal corrugation and adequate
rubber dam material surrounding each isolated tooth
3.3 Rubber dam frame is applied and patient comfort is
confirmed

3.4 Rubber dam is applied according to occupational health,
safety and welfare policy and procedures and infection
control policy and procedures
3.5 Operator position is adjusted, as required, throughout
the appointment to facilitate the operator’s most efficient
and safe application of rubber dam

Element:

4. Apply fissure sealant

Performance Criteria:

4.1 Tooth/teeth to be sealed are examined and cross
checked for verification in the current treatment plan for
the patient
4.2 Fissures are debrided and any concerns are directed to
the dentist
4.3 Etchant is applied to the dried fissures for the time
recommended by the manufacturer, and flushed off for
the recommended time
4.4 Fissure sealant is mixed according to manufacturer’s
instructions and examined for any visible sign of air
bubbles
4.5 The fissure sealant is applied to the etched tooth/teeth
4.6 Moisture control is maintained throughout the fissure
sealant process
4.7 The fissure sealant is photocured, if required, for the
time recommended by the manufacturer
4.8 On removal of the moisture control items the fissure seal
is dried, occlusion examined using articulating paper
and floss is passed through the adjacent teeth to
ascertain presence of excess sealant material
4.9 Evaluation of the quality of the fissure sealant is
conducted according to relevant guidelines
4.10 Fissure sealant is applied according to occupational
health, safety and welfare policy and procedures and
infection control policy and procedures
4.11 Operator position is adjusted, as required, throughout
the appointment to facilitate the operator’s most efficient
and safe application of fissure sealant

Element:

5. Remove rubber dam

Performance Criteria:

5.1 The most anterior securing devices are removed and
the rubber dam stretched towards the buccal/facial/
labial surfaces to enable cutting of the interproximal dam
with scissors
5.2 The removed rubber dam is inspected for completeness
5.3 Any missing rubber dam pieces are recovered and accounted for
5.4 Patient’s soft tissues are inspected for trauma
5.5 Post operative instructions and follow up care and
maintenance requirements are clearly explained to the
patient
5.6 Rubber dam is removed according to occupational
health, safety and welfare policy and procedures and
infection control policy and procedures


Learning Outcomes


On completion of this unit you will have the knowledge, skills and behaviours required to apply rubber dam for the purposes of placing fissure sealants.


Details of Learning Activities

Research and report on the following:
• Product types and uses.

Practice application of rubber dam and tying floss ligatures on teeth on model.

Preclinical
Participate in individual/team scenarios/role plays/case studies dealing with
• Managing the patient.
• Reviewing records
• Selecting and preparing equipment & materials.
• Correct finger placement
• Operator /patient positioning
• Tooth surface preparation
• Tooth isolation methods
• Placement of various sealant materials
• Articulation technique

Complete tasks sheets/log book

Clinical
In supervised clinical environment, perform the above mentioned tasks on patients.
 


Teaching Schedule

Classes will commence in Semester 1 and be delivered in 3 hour blocks. Each class will include teacher led presentations, workbook activities, group collaboration and self directed learning opportunities

Practical classes will be delivered in the preclinical lab


Learning Resources

Prescribed Texts

 Wilkins: Clinical Practice of the Dental Hygienist

9781608317189


References


Other Resources

Access to equipment and preclinical sim lab required for this unit


Overview of Assessment

Assessment for this course may include online test and practical assessment.


Assessment Tasks

questioning - verbal and written
role-play/simulation
case studies

class participation/contribution

written assessment

practical demonstration of procedure


Assessment Matrix

Formative
Preclinical Log sheets/book, pre-requisite for summative assessment
Log sheet for each patient episode
 

Summative
Practical preclinical assessment 50% (70% pass mark)
Clinical assessment 50% (70 % pass mark)
All assessments must be completed successfully to achieve a competent result
 

Other Information

This unit should be assessed after achievement of the following
related competency units:
 HLTIN403B – Implement and monitor infection control
policies and procedures
 TAFEDH006 - Scale teeth, debride root surfaces and stains
from teeth
The unit should also be assessed in conjunction with
competency unit(s) related to planning/delivery of the Advanced
Diploma of Oral Health (Dental Hygiene)

Course Overview: Access Course Overview