Unit information: Primary Care Dentistry Year 2 in 2014/15

Unit name	Primary Care Dentistry Year 2
Unit code	ORDS20009
Credit points	10
Level of study	I/5
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Dr. Cerajewska
Open unit status	Not open
Pre-requisites	None
Co-requisites	None
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

This unit is in aims to introduce students to the clinical dental setting. The unit is comprised of one element of Restorative Dentistry. The majority of the learning within the Unit occurs during supervised treatment sessions where the student communicates with and carries out prescribed treatment for, patients under staff supervision.

Element: Restorative Dentistry

Aims:

• To gain an appreciation of working as part of a dental team and develop an understanding of the individual roles and responsibilities.
• To develop a range of communication skills using appropriate verbal and written methods including gaining an understanding of the importance of maintaining good clinical records.
• To develop the essential skills to act as a dental operator and assistant in the clinical setting.
• To gain basic clinical experience in the recognition and management of non-surgical periodontal disease, including history taking,oral hygiene instruction and root surface debridement

Intended Learning Outcomes

Teamwork

At the end of Year 2 a successful student should be able to:

• Prepare and maintain the clinical environment including the instruments and equipment used for basic routine restorative dentistry including examinations, periodontal treatment, root canal therapy, crown preparation and caries management.
• Demonstrate the correct mixing and handling of the dental materials used for basic plastic restorative procedures (1.8.3).

Patient Management & Public Safety

At the end of Year 2 a successful student should be able to:

• Put patients’ interests first and act to protect them (6.1).
• Act with integrity and be trustworthy (6.2).
• Protect the confidentiality of all personal information (6.4).
• Accurately assess own capabilities and limitations in the interest of high quality patient care and seek advice from supervisors and colleagues where appropriate (9.6).
• Identify & explain the risks around the clinical environment and manage these in a safe and efficient manner (1.8.1).

Management & treatment of periodontal disease

At the end of Year 2 a successful student should be able to:

• Safely and confidently act as operator and assistant for the non-surgical treatment of Periodontal disease.
• Have knowledge of appropriate pharmaceutical agents for the chemical control of oral biofilms.
• Show an ability to provide effective instruction to patients on the importance of oral hygiene and help motivate patients to improve their oral health.
• Communicate oral health education that relates to the patients periodontal health status in an effective manner utilising applied behavioural science techniques appropriately.
• Describe the current classification system for periodontal disease and the common periodontal conditions contained within it.
• Recognise when a Basic Periodontal and or full periodontal examination are indicated.

Pain & anxiety control

At the end of Year 2 a successful student should be able to:

• Recognise the anxious patient and be able to use communication techniques to reduce the patients anxiety.
• Describe the properties of relevant local anaesthetic agents and discuss their application to patient management.
• Effectively prevent and manage the patients pain symptoms during periodontal debridement.
• Safely and administer local anaesthetic agents using an infiltration or inferior dental block technique as appropriate to enable root surface debridement under supervision

Teaching Information

Didactic lectures, tutorial and small group teaching. Simulated clinical scenarios, chairside teaching during supervised direct patient care.

Assessment Information

Formative:

Continuous assessment on clinic using a predetermined standard assessment scheme with immediate feedback to the student. Each student to complete a logbook/portfolio during the course with opportunity to reflect on progress during and at the end of the Unit. Student’s overall performance will be monitored and discussed at the School Progress committee.

Summative:

• OSCE mapped to Unit learning outcomes. (50% of Unit total).
• E-assessment exam, using multi format e-format questioning. Knowledge assessment mapped to Unit learning outcomes. (50% of Unit total).

Reading and References

• Department of Health. Heath Technical Memorandum 01-05: Decontamination in primary care dental practices. Department of Health. 2nd Ed. 2013.
• General Dental Council. Standards for dental professionals. General Dental Council 2013
• British society of Periodontology. Young practitioners guide to periodontology. 2012.
• British society of periodontology. Basic Periodontal Examination (BPE). 2011.
• British society of periodontology. Guidelines for periodontal screening and management of children and adolescent under 18 years of age. 2012.
• Armitage G. Periodontal diagnoses and classification of periodontal disease. Periodontol 2000 2004; 34: 9-21.
• Chapple ILC, Gilbert AD. Understanding Periodontal Diseases: Assessment and Diagnostic Procedures. Quintessence 2002. ISBN: 978-1-85097-053-8.
• Chapple ILC, Hamburger J. Periodontal medicine: A window on the body. Quintessence 2006. ISBN: 978-1-85097-079-8
• Heasman PA, Preshaw PM, Robertson P. Successful periodontal therapy: A non-surgical approach. Quintessence 2004. ISBN: 978-1-85097-074-3.
• Meechan JG, Robb ND, Seymour RA. Pain and Anxiety Control for the Conscious Dental patient. Oxford: Oxford University Press 1998. ISBN 0-19-262848-8.