Course Title: Perform orthodontic procedures

National Element Code & Title:

TAFEDH023 Perform orthodontic procedures

Performance Criteria:

1.1 Review patient case notes to confirm instrument, material and equipment selection, orthodontist prescribed treatment and patient individual requirements
1.2 Maintain instruments, materials and equipment according to relevant guidelines for instrument maintenance

Performance Criteria:

2.1 Review patient‟s medical history and records to determine any contraindications to proposed treatment modalities and to confirm treatment prescription
2.2 Inform the patient of the proposed/subsequent procedures and any sensations which may be experienced. Consent is confirmed with the patient and an opportunity to ask questions is provided
2.3 Take a full set of intra oral and extra oral photographs according to relevant guidelines for orthodontic record taking to include digital and film based imaging
2.4 Take orthodontic impressions and bite registration for the construction of diagnostic study models
2.5 Investigate and evaluate the patient‟s current oral health status to provide a customised oral health program to support the prevention of dental disease and trauma with specific emphasis on orthodontic procedures and attachments
2.6 Provide dietary analysis and counselling with particular reference to maintenance and adherence of orthodontic attachments and prevention of dental disease and biofilm accumulation
2.7 Communicate and consult with the supervising orthodontist as required during recording taking procedures

Performance Criteria:

3.1 Review patient case notes to confirm treatment prescription for the placement of separators and adhering to principles of informed consent, explain procedure and provide opportunity for questions to be asked
3.2 Separators are placed as prescribed, with the use of separating pliers or dental floss where applicable, to ensure patient and operator comfort and safety
3.3 Accurately record the number and location of the separators placed in the patient‟s records for future reference
3.4 Communicate effectively with the patient to minimise patient discomfort
3.5 Provide clear post operative instructions with regard to post treatment pain and discomfort management, oral hygiene care and possible displacement of separators
3.6 Explain the procedure to remove separators and advise of associated sensations
3.7 Note the number and location of separators and cross reference with the patient‟s records
3.8 After a timeframe as recommended by the supervising orthodontist remove separators carefully with the patient‟s comfort in mind
3.9 Perform a thorough prophylaxis following the safe removal of all separators and in preparation for the placement of orthodontic attachments

Performance Criteria:

4.1 Review patient case notes to confirm treatment prescription for the placement of orthodontic attachments and adhering to principles of informed consent, explain procedure and provide opportunity for questions to be asked
4.2 Select and prepare attachments as prescribed by the supervising orthodontist
4.3 Prepare the teeth and isolate as required with the use of retractors, cotton rolls or other appropriate apparatus
4.4 Bond/cement/place orthodontic attachments following manufacturer‟s instructions, procedure, observing tooth position, anatomy and occlusion whilst adhering to the supervising orthodontist‟s treatment prescription
4.5 Remove excess material from around orthodontic attachments and examine surrounding hard and soft oral tissues for residual deposits and remove as required
4.6 Select and place archwire as prescribed by the orthodontist
4.7 Select and fix appropriate module/ligature for archwire fixation

Performance Criteria:

5.1 Examine and prepare patient for archwire removal
5.2 Remove modules, ligatures, or other attachments
5.3 Remove existing archwire/s using appropriate instruments
5.4 Place and fix archwire as prescribed by supervising orthodontist

Performance Criteria:

6.1 Discuss dietary advice, oral hygiene care instructions and pain control strategies with the patient and their carer
6.2 Provide instructions for the care and maintenance of orthodontic attachments and if required, elastics, headgear and/or removable appliances are discussed with the patient and their carer

Performance Criteria:

7.1 Provide clear patent instruction regarding all procedures involved with the removal of orthodontic attachments
7.2 Assess dentition with regard to current and previous dental condition(s) prior to the removal of the orthodontic attachments
7.3 Observe patient comfort during the procedure and modify treatment as required to alleviate pain and/or discomfor
7.4 Remove orthodontic attachments according to manufacturer‟s recommendations, ensuring the protection of tooth structure at all times
7.5 Remove residual cement, resin and calculus with a power scaler, hand instruments or handpiece to achieve a clean tooth/root surface
7.6 Take impressions for the construction of retainers/study models
7.7 Take a set of post treatment extra oral and intra oral photographs as required
7.8 Perform a thorough prophylaxis and apply fluoride as required

Performance Criteria:

8.1 Confirm orthodontist‟s treatment prescription and refer to the patient records and treatment plan
8.2 Inform the patient of all the necessary procedures and sensations associated with the application of a bonded retainer. Informed consent is given by the patient
8.3 Remove deposits from the teeth, prepare tooth surfaces for the application of the retainer following guidelines, procedure and manufacturer‟s instruction
8.3 Place and fit the retainer wire in the appropriate position using the appropriate/prescribed fixing agent to the recommendations and manufacturer‟s instruction
8.4 Check all tooth/root/composite resin surfaces are smooth
8.5 Check occlusion to maintain occlusal harmony and to ensure patient comfort and safety. Eliminate any occlusal interferences as determined
8.6 Provide post operative oral health care instruction and arrange for maintenance review appointment(s)

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