Course Title: Scale teeth, debride root surfaces and stains from teeth
Part B: Course Detail
Teaching Period: Term2 2013
Course Code: DENT5803
Course Title: Scale teeth, debride root surfaces and stains from teeth
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 93411406
Course Contact Email: sue.fatone@rmit.edu.au
Name and Contact Details of All Other Relevant Staff
Nominal Hours: 40
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
HLTFA301B - Apply first aid
HLTAMBFC301B - Communicate with clients and colleagues to support health care
HLTDA410B - Apply the principles of radiation biology and protection in dental practice
HLDA411B - Prepare to expose a prescribed dental radiographic image
HLTDA412B - Produce a dental radiographic image
TAFEDH001 - Provide leadership in promoting effective and professional work practices
TAFEDH005 – Examine, record and assess patient histories and dental records to formulate a dental hygiene treatment plan
Course Description
This unit deals with the knowledge, skills and attitudes required to practice scaling teeth, debriding root surfaces and removing deposits and stains from the hard tissues to promote optimum oral health.
National Codes, Titles, Elements and Performance Criteria
National Element Code & Title: |
TAFEDH006 Scale teeth, debride root surfaces and stains from teeth |
Element: |
1. Preparation and presentation of the 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 scaling and stain removal) are
gathered and arranged within the treatment cubicle,
dispensed in appropriate quantity and used according to
relevant guidelines and manufacturer’s
recommendations
1.2 Equipment and instruments are maintained according to
relevant guidelines for instrument maintenance
1.3 The surgery is prepared to cater for any predetermined
special needs of the patient
1.4 Hand scaling instruments are sharpened according to
relevant guidelines
1.5 All necessary safety precautions during the preparation
and presentation of the surgery have been followed |
Element: |
2. Prepare and assess the patient |
Performance Criteria: |
2.1 Patient’s medical history and records including dental
radiographs are reviewed to identify any
contraindications to proposed treatment modalities and
to confirm treatment prescriptions
2.2 Patient’s treatment plan and records are reviewed to
determine and confirm area of the mouth which is
requiring treatment and to review the severity of the
disease activity
2.3 An explanation of the scaling and stain removal process
and the possible sensations produced by any instrument
or equipment used is given to the patient. Adhering to
the principles of informed consent, the patient is
provided an opportunity to ask questions
2.4 The area of the mouth to be scaled is thoroughly
examined
2.5 Previous treatment areas are reviewed to determine
patient’s response to treatment and necessity for any
further treatment
2.6 The need for pain control is determined through
discussion with the patient and any necessary
requirements are followed through
2.7 All proposed treatment modalities for the removal of
calculus, deposits and stain are conducted according to occupational health, safety and welfare policy and
procedures and infection control policy and procedures
2.8 Socially inclusive communication skills are used at all
times and demonstrated behaviours encourage a
supportive treatment environment that is conducive to a
collaborative operator/patient relationship |
Element: |
3. Remove deposits and stains |
Performance Criteria: |
3.1 Extrinsic electronic scalers and various hand
instruments are selected as indicated in the treatment
plan to remove deposits and extrinsic stains on teeth
3.2 The patient is given instructions on the suction cannula
which is placed in their mouth for the use of the
electronic scaler
3.3 Adequate protection of the patient’s clothing is provided
3.4 Intermittent strokes are used to remove deposits and
extrinsic stains and adjustment to these strokes are
determined by the extent of the deposits
3.5 The electronic scaler is used according to relevant
guidelines in order to eliminate any potential damage to
the tooth surface
3.6 Hand scalers are used adhering to design principles for
effective removal of deposits
3.7 Operator effectiveness is reviewed intermittently so that
any adjustments required are identified and addressed
accordingly in order to achieve optimum results
3.8 Hand instruments are activated to utilise the
forearm/wrist action predominantly. Finger flexing is
employed minimally
3.9 Hand instruments are sharpened periodically to avoid
burnishing deposits and minimising tissue trauma
3.10 Haemorrhaging resulting from inflamed tissue and
treatment procedures is managed according to relevant
guidelines, in order to maintain a clear operative field,
minimise tissue trauma and allow for effective and safe
instrumentation
3.11 Fulcrums are utilised during instrumentation and are
safe and appropriate for the task being performed. Both
intra-oral and extra-oral fulcrums are used to optimise
operator effectiveness
3.12 Patient’s position is managed throughout the
appointment so that the patient’s comfort and the
operator’s requirements are addressed
3.13 Post operative care and instruction is provided to the patient
3.14 Follow up treatment and maintenance requirements are
identified and implemented, to provide an avenue for
review and assessment, and to provide ongoing
supportive periodontal care |
Element: |
4. Remove stains |
Performance Criteria: |
4.1 Nature of staining is assessed prior to removal, and
treatment procedure and selection of equipment needed
is adjusted accordingly for the removal of extrinsic
stains
4.2 During the treatment, the patient is provided with
adequate comfort pauses
4.3 Care is executed to avoid tissue trauma or tooth
damage caused by the stain removal procedure
specifically in areas of any exposed root surfaces,
demineralised areas or teeth with highly inflamed
(haemorrhagic) adjacent gingival
4.4 On completion of the procedure, the patient’s mouth is
irrigated with water and air (unless contraindicated due
to tooth sensitivity), to review effectiveness of stain
removal. Interproximal debris is identified and removed
accordingly
4.5 Post operative care is executed accordingly and clear
post treatment instructions are clearly given to the
patient |
Element: |
5. Perform a prophylaxis |
Performance Criteria: |
5.1 Soft deposits on the teeth are assessed and prophylaxis
procedure adjusted accordingly
5.2 Sufficient prophylaxis agent is used at all times to avoid
unnecessary friction on the tooth surface
5.3 A slow speed handpiece with appropriate polishing
attachment is used with light intermittent strokes to
avoid excessive heat production
5.4 Care is taken throughout the whole procedure to avoid
trauma to any surrounding tissues
5.5 On completion of the procedure, the patient’s mouth is
irrigated with water and air to review effectiveness of
soft deposit removal on all tooth surfaces
5.6 Topical fluoride/tooth mousse is applied to assist with
the remineralisation of enamel surfaces
5.7 Post operative care is executed accordingly and clear
post treatment instructions are clearly given to the patient
5.8 Appropriate recall and review appointments are established to provide ongoing supportive oral health care that meet the needs of the patient |
Learning Outcomes
On completion of this unit you will have developed the knowledge, skills and attitudes required to practice scaling teeth, debriding root surfaces and removing deposits and stains from the hard tissues to promote optimum oral health.
Details of Learning Activities
Attendance of lectures and tutorials.
Preclinical:
Participate in the following activities in a supervised environment on simulated models :
• Hand instrumentation
• Ultrasonic and Sonic Instrumentation
• Polishing Procedures
• Sharpening of instruments
Clinical:
Participate in a supervised environment on the following procedures
Hand instrumentation
o Ultrasonic and Sonic Instrumentation
o Polishing Procedures
o Sharpening of instruments
Case study presentations and group tutorials
Teaching Schedule
Classes will commence in Semester 2 and be delivered in 3 hour blocks. Each class will include teacher led presentations, workbook activities, group collaboration and self directed learning opportunities. This unit also includes a major component of practical application the the preclinical Laboratory.
Learning Resources
Prescribed Texts
Nield-Gehrig Foundations of Periodontics for the Dental Hygienist
Wilkins Clinical Practice of the Dental Hygienist
Nield-Gehrig Fundamentals of Periodontal Instrumentation
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References
Other Resources
Students to purchase their own instrument kit, and safety glasses for use in the preclinical Lab. Loupes will be required by Year 2 of the course
Overview of Assessment
Assessment includes Written and Practical Assessment
Assessment Tasks
Formative Assessment:
Preclinical
Instrumentation Test
Instrumentation OSCE
Completion of preclinical log book
On completion of all formative assessment, student can undertake summative assessment
Summative Assessment
Written Examination
OSCE and Practical Assessment: (ergonomics; instrumentation techniques, sharpening of instruments; preparation of surgery and patient; removing stains; performing a prophylaxis) Competency must be demonstrated.
Assessment Matrix
Written Examination ( 1 x 2 hr Theory): 50% (70% pass mark
OSCE and Practical Assessment: (50%) (70% pass mark)
Other Information
This unit should be assessed after achievement of the following
related competency units:
HLTFA301B - Apply first aid
HLTAMBFC301B - Communicate with clients and colleagues
to support health care
HLTDA410B - Apply the principles of radiation biology and
protection in dental practice
HLDA411B - Prepare to expose a prescribed dental
radiographic image
HLTDA412B - Produce a dental radiographic image
TAFEDH001 - Provide leadership in promoting effective and
professional work practices
TAFEDH005 – Examine, record and assess patient histories
and dental records to formulate a dental hygiene treatment
plan
Course Overview: Access Course Overview