Unit information: Dental Skills Year 2 in 2015/16

Unit name	Dental Skills Year 2
Unit code	ORDS20008
Credit points	30
Level of study	I/5
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Professor. West
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 of Teaching takes place in Year 2 and will comprise of the following 2 Elements and their general aims:

Element 1: Restorative Skills

Element 2: Dental Pain and Anxiety: Local Analgesia

Element of Restorative Skills

Term 2

This element will provide undergraduate students with the necessary theoretical background in clinical periodontology to enable development of an understanding of the aetiology, pathology and clinical manifestations of periodontal disease.

Term 3

For students to build on the skills and experience gained in the Basic Biomaterials Course and in the Periodontology section of the Restorative Skills Element. To develop an understanding of the clinical techniques required in the management of cavities in posterior teeth, and to develop knowledge and understanding of the procedures and materials required to restore teeth by direct and indirect techniques. Students should be able to demonstrate their competency in the technical aspects of these procedures in simulated clinical environments and demonstrate their ability to work safely in the dental laboratory. Further to demonstrate they can handle and use of instruments and materials used in the Clinical Skills Laboratory.

Term 3

The aims of the prosthetics component of the element are to enable the student to gain knowledge of the nature and variety of dental prostheses and applied anatomy in relation to prosthetic dentistry in order to acquire sufficient knowledge and skill, both clinical and from laboratory, to describe how to provide dentures.

Element of Dental Pain and Anxiety: Local Analgesia

Term 2 The aim of this course is as follows to produce a student who has the underpinning knowledge to safely administer local anaesthesia for dentistry under clinical supervision.

Intended Learning Outcomes

By the end of the second term of Year 2, in preparation for treating patients with periodontal disease, the successful student will be able to demonstrate the following learning outcomes:

• Explain the aetiology and pathogenesis of oral disease (1.1.5)
• Explain the principles of epidemiology and critically evaluate their application to patient management (1.1.12)
• Discuss the importance of each component of the patient assessment process. (1.2.6)
• Provide patients with comprehensive and accurate preventive education and instruction in a manner which encourages self-care and motivation.(1.10.2)
• Undertake non-surgical treatments to remove hard and soft deposits and stains using a range of methods and refer as appropriate. (1.11.3)
• Monitor and record changes in periodontal health on a regular basis using appropriate methods (1.11.4)
• Communicate appropriately with colleagues from dental and other healthcare professions (4.1)

By the end of the second term of Year 2 dental assisting, the successful student will be able to demonstrate the following learning outcomes:

• Identify and explain the risks around the clinical environment and manage these in a safe and efficient manner (1.81)
• Implement, perform and manage effective decontamination and infection control procedures according to current guidelines (1.8.2)
• Communicate appropriately, effectively and sensitively by spoken, written and electronic methods and maintain and develop these skills (5.1)

By the end of the second term of Year 2, prosthetic Skills, the successful student will be able to demonstrate the following learning outcomes:

• Identify relevant and appropriate dental, oral, craniofacial and general anatomy and explain their application to patient management (1.16)
• Recognise the scientific principles underpinning the use of materials and biomaterials and evaluate their limitations and selection, with emphasis on those used in dentistry (1.1.10)
• Create an oral environment where restoration or replacement of the tooth is viable (1.14.3)

By the end of the second term of Year 2, operative dentistry, the successful student will be able to demonstrate the following learning outcomes:

• Recognise the scientific principles underpinning the use of materials and biomaterials and evaluate their limitations and selection, with emphasis on those used in dentistry (1.1.10)
• Where appropriate, restore the dentition using the principle of minimal intervention, to a standard that promotes the longevity of the restoration or prostheses (1.14.4)
• Manage restorative procedures that preserve tooth structure, replace missing or effective tooth structure, maintain function, are aesthetic and long lasting and promote soft and hard tissue health. (1.14.5)

By the end of the second term of Year 2, applied dental materials, the successful student will be able to demonstrate the following learning outcomes:

• Explain, evaluate and apply the principles of an evidence base approach to learning, clinical and professional practice and decision making (1.1.1)
• Where appropriate, restore the dentition using the principle of minimal intervention, to a standard that promotes the longevity of the restoration or prostheses (1.14.4)

Pain and Anxiety Year 2: Local Analgesia

Upon completion of Year 2 the student will be able to demonstrate the outcomes as relevant to the practice of dentistry and patient care:

• Describe the properties of relevant drugs and therapeutic agents and discuss their application to patient management (1.19)
• Prevent, diagnose and manage pain appropriately, effectively and safely (1.75)
• Safely and appropriately prescribe and administer drugs and therapeutic agents (1.78)

Teaching Information

Dental Skills:

• Didactic lectures
• PowerPoint presentations, Blackboard
• Chairside discussion/seminars
• Demonstrations of the technical procedures
• Lectures
• Consolidation session – Group work and discussion
• Laboratory demonstrations & practical sessions
• A self-directed learning handbook is provided to facilitate learning during laboratory sessions. Written material includes E learning tutorials, topic notes and recommended textbooks.

Pain and Anxiety Year 2: Local Analgesia:

• Lectures including video presentations
• Demonstrations of the technical procedures

Assessment Information

Formative Assessments

• Weekly evaluation sheets during periodontology teaching.
• Clinical Competency Assessment in periodontology to demonstrate they have sufficient basic skills to carry out a periodontal examination and control ultrasonic instrumentation with good technique, finger rests and seating position.
• For prosthetic skills there are 2 MCQs and 1 short answer question exam in course.

Summative Assessments

These contribute a total of 95% to the Unit mark.

• eAssessment - This will cover questions in Periodontology, Operative Dentistry, Prosthetic Dentistry, Dental Assisting and Dental Biomaterials. (47% of the final Unit mark)
• Continuous Simulated Clinical Assessment during the Operative Dentistry teaching. (19% of the final Unit mark)
• 5 Longitudinal Assessments in Operative Dentistry (29% of the final Unit mark)

Dental Pain and Anxiety Year 2: Local Analgesia

Summative

• e-Assessment - This will cover questions in Dental Pain and Anxiety Local Analgesia (5% of the final element mark)

Each of the two Elements of Teaching would contribute to the final Unit Mark as follows:

Rest.Skills - 95% Pain and Anxiety Control - 5%

Students must achieve 50% of the available marks in each Element to pass the Unit. Progression criteria in this Unit of Teaching requires that undergraduate students pass this Unit.

Reading and References

Term 2

• Armitage G. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999; 4: 1-6.
• Needleman I, Giedrys-Leeper E, editors. British Society of Periodontology. Young practitioners guide to periodontology. 2012. available from:

http://www.bsperio.org.uk/publications/downloads/37_162847_ypg-2nd-version-nov-12.pdf

• Chapple ILC, Gilbert AD. Understanding periodontal diseases: assessment and diagnostic procedures. Quintessentials of dental practice. 1. Periodontology. Quintessence; 2002. ISBN 9781850970538.
• Lindhe J, Lang NP, Karring T. Clinical periodontology and implant dentistry. 5th ed. Wiley Blackwell; 2008. ISBN 9781405160995.
• Robinson DS, Bird DL. Essentials of dental assisting. 4th ed. St. Louis: Mo. Elsevier Saunders; 2013. ISBN 9781437704235.
• Finkbeiner BL, Johnson CS. Mosby's comprehensive dental assisting: a clinical approach. St. Louis: London: Elsevier Mosby; 1995. ISBN 9780815132394.

Term 3

• McCabe JF, Walls AWG. Applied dental materials. 9th ed. Oxford Blackwell; 2008. ISBN 9781405139618.
• Mitchell CA. Dental materials in operative dentistry. Quintessentials of dental practice; 33. Operative dentistry. Quintessence; 2008. ISBN 9781850971290.
• F. J. Harty. Harty's endodontics in clinical practice. 5th ed. Wright. 2004. ISBN: 0723610894
• Qualtrough AJE, Satterthwaite J, Morrow L, Brunton P. Principles of operative dentistry. Wiley Blackwell; 2005. ISBN 9781405118217.

Dental Pain and Anxiety Year 2: Local Analgesia:

• 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.
• Baart JA, Brand HS. Local anaesthesia in dentistry. Chichester: Willey Blackwell; 2009. ISBN9781405184366.