Unit information: Dental Skills Year 4 in 2019/20

Unit name	Dental Skills Year 4
Unit code	ORDSM0009
Credit points	30
Level of study	M/7
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Dr. Puryer
Open unit status	Not open
Pre-requisites	None
Co-requisites	Successful completion of Elements in Unit of Dental Skills Year 3
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

This Unit of Teaching will take place in Year-4 and will comprise the following three Elements and their general aims:

Restorative Skills Year 4

During Term 2 students will attend the Clinical Skills Laboratory where they will gain experience in the diagnosis, treatment planning and provision of advanced restorations including inlays, onlays, post crowns, veneers, adhesive bridges and conventional bridges.

Supplementary aims are:

• To introduce students to the fundamental clinical and practical concepts associated with the design, provision and maintenance of fixed bridges and their effect on the periodontium.
• To introduce students to the fundamental concepts of occlusion and how this influences the design of dental restorations.
• To demonstrate the importance of the relationship of, and develop links between, the clinical management of patients and laboratory procedures. During Term 3 students will become familiar with the simple and complex management options of patients with periodontal diseases, including antimicrobial regimen.
• To provide students with experience of simple periodontal surgery techniques
• To provide knowledge of current thinking with implant placement in the periodontally compromised patient, and periodontal and bone regeneration techniques
• To familiarise students with treatment planning for restorative patients who have periodontal disease

Dental Pain and Anxiety Management Year 4: Conscious Sedation

The aim is:

To provide an introduction to the attitude, knowledge and skills required to practice conscious sedation in dentistry in preparation for supervised clinical practice.

Dental Radiography Year 4

The aim is:

To provide the foundations for the undergraduate to undertake and interpret extra-oral dental radiographs.

Intended Learning Outcomes

Restorative Skills

• Recognize 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)
• Understand the diagnosis and management of temporomandibular joint disorders (1.14.2)
• Have an understanding of canal preparation and obturation techniques in endodontics and be able to carry out these procedures to a satisfactory standard using contemporary instruments and techniques (1.14.8)(1.14.9)
• Understand the relevance of the interface between removable prosthodontics, fixed prosthodontics and periodontology (1.14.3)(1.14.4)
• Have an understanding of problem solving in the provision of complete and partial dentures (1.14.11)
• Demonstrate an understanding of the basic principles of occlusion including the ability to take accurate records and mount models on a semi-adjustable articulator (1.1.6)1.2.3)(1.2.4)(1.14.1)
• Show an understanding of the basic principles involved in the design and production of inlays, onlays, conventional and adhesive bridgework (1.14.5)
• Undertake the preparation of teeth for inlays, onlays and crowns and as abutments for bridgework to a satisfactory standard (1.14.5)
• Undertake the preparation of anterior teeth for composite and ceramic veneers to a satisfactory standard (1.14.5)
• Utilise the information acquired to produce a treatment plan for an individual encompassing all relevant aspects of restorative dentistry (1.5.1)
• Recognise the importance of links between periodontal and systemic disease and provide appropriate advice and treatment to patients (1.4.1)(1.10.2) (1.10.4)(1.11.1)
• Be able to recognise and appropriately manage acute and symptomatic periodontal disease (1.7.5)(1.9.1)(1.9.2)
• Be able to describe the importance of the periodontal and restorative interface and its relevance to treatment planning (1.11.2)(1.14.3)
• Explain the main types of periodontal surgery and their risks benefits, complications and contraindications (1.11.6)(1.12.4)
• Have experience of periodontal surgery in a simulated clinical environment (1.11.6)
• Be able to explain why and in which circumstances local and systemic antimicrobial agents are indicated for the management periodontal conditions (1.11.5)
• Have an overview of implant placement in the periodontally compromised patient and periodontal bone regeneration techniques (1.14.12)
• Be aware of current treatment regimens for patients who have peri-mucositis and peri-implantitis (1.11.4)
• Be aware of the signs, symptoms, aetiology and management of non-plaque related gingival and mucosal disease (1.12.2)
• Know when referral to a periodontal specialist is indicated and how an appropriate referral letter should be structured (1.11.3) (4.1)
• Be aware of how oral healthcare products are developed and marketed (1.1.2)

Dental Pain and Anxiety Management: Conscious Sedation

• Assessment and treatment planning of patients who require conscious sedation
• Techniques of inhalation and intravenous sedation
• Clinical and electromechanical monitoring of patients treated with basic sedation techniques
• Recognise the importance of conscious sedation in the management of pain and anxiety in dentistry
• Use effective communication skills in the management of patients requiring conscious sedation for dentistry
• Take a critical and caring approach to the management of the anxious dental patient

Dental Radiography

• Apply evidence-based selection criteria to justify a radiographic exposure
• Competently undertake routine dental radiography and adapt techniques to suit different patients
• Use both digital and film based intra-oral radiography systems
• Use both direct and indirect digital panoramic units
• Strive to obtain good quality radiographs for patients, utilising quality assurance procedures
• Apply effective communication skills in the management of patients undergoing radiography

Teaching Information

Restorative Skills Year 4

Term 2

• Laboratory demonstrations
• Laboratory practical sessions
• Lectures
• Self-directed CAL sessions
• Tutorials

Term 3

• Seminar teaching
• Demonstrations
• Practical sessions

Dental Pain and Anxiety Management Year 4: Conscious sedation

• Lectures including video demonstrations
• Self-directed CAL sessions

Dental Radiography Year 4

• Self-directed E-learning modules
• Small group clinical placement sessions in radiography department.

Assessment Information

Element of Restorative Skills

Term 2

Summative:

• Practical assessment in Crown and Bridge that would involve simulated clinical work - 80% of the final Unit mark.
• Practical assessment – must-pass.

Element of Dental Pain and Anxiety Management: Conscious Sedation

Term 2

Summative:

• An e-Assessment that will contribute 15% of the Unit mark.

Element of Dental Radiography

Summative

• Continuous assessment grades from clinical sessions (This will contribute 5% of the Unit mark).
• Must-pass practical assessments.

Formative assessment

• A computerised test on extra-oral radiography is taken at a suitable time for each student.

Students must achieve a pass mark in all three elements in this Unit.

Reading and References

Restorative Skills

Term 2

1. Van Noort R. Introduction to dental materials 4th ed. Elsevier Mosby; 2013. ISBN 9780723436591.
2. Pitt Ford TR. Harty's endodontics in clinical practice. 5th ed. Wright; 2004. ISBN: 0723610894.
3. Smith BGN, Howe LC. Planning and making crowns and bridges. 4th ed. .Imprint: Abingdon : Informa Healthcare; 2007. ISBN 9780415398503.
4. Jacobsen P. editor. Restorative dentistry: an integrated approach. 2nd ed. Imprint: Oxford: Blackwell; 2008. ISBN: 9781405167994.

Term 3

1. Lindhe J, Lang NP, Karring T. Clinical periodontology and implant dentistry 5th ed. Wiley Blackwell; 2008. ISBN 9781405160995.
2. Chapple ILC, Gilbert AD. Understanding periodontal diseases: assessment and diagnostic procedures. Quintessentials of dental practice. 1. Periodontology. Quintessence; 2002. ISBN 9781850970538.
3. Clerehugh V, Tugnait A, Chapple ILC. Periodontal management of children, adolescents and young adults. Quintessentials of dental practice.17. Periodontology. Quintessence; 2004 ISBN 9781850970712.

Dental Pain and Anxiety Management Year 4: Conscious Sedation

1. Meechan JG, Robb ND, Seymour RA. Pain and anxiety control for the conscious dental patient. Oxford: Oxford University Press; 1998. ISBN 9780192628480.
2. Craig D, Skelly A. Practical Conscious Sedation. London: Quintessentials of dental practice. Quintessence; 2004. ISBN 9781850970705.

Dental Radiography Year 4

1. Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 5th ed. Churchill Livingstone; 2013. ISBN 9780702045998.