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Advanced Care Dentistry Year 5
Unit information: Advanced Care Dentistry Year 5 in 2015/16
Please note: you are viewing unit and programme information
for a past academic year. Please see the current academic year for up to date information.
Unit name |
Advanced Care Dentistry Year 5 |
Unit code |
ORDSM0011 |
Credit points |
40 |
Level of study |
M/7
|
Teaching block(s) |
Academic Year (weeks 1 - 52)
|
Unit director |
Mr. Brooke |
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 will take place in year 4 term 3 and year 5 terms 1 & 2 and will comprise of the following 3 Elements:
- Oral Diagnosis – including Specialist Clinics (Oral Medicine, Maxillofacial Surgery (OMFS), Restorative, Special Needs, Paediatric and Orthodontics) and acute dental care and management of medically compromised patients
- Conscious Sedation Year 5
- Orthodontics Year 5
The general aims of these elements are:
Oral Diagnosis:
- To have clarity as to when patients require specialist referral and how to refer
- To be able to identify patients who may have a malignant or pre malignant condition and undertake urgent referral
- To have knowledge and understanding of the dental specialties.
- To provide a knowledge of the use of conscious sedation in dentistry.
- Develop competency in the diagnosis and management of acute conditions of the teeth, jaws and surrounding structures.
- To develop competency in managing acute dental problems in medically compromised patients.
- To have clarity as to when patients require specialist referral and how to refer.
- To be able to identify patients who may have a malignant or pre malignant condition and undertake urgent referral.
- To be competent in managing medical emergencies within a dental practice setting.
Conscious Sedation Year 5:
- To provide a knowledge of conscious sedation in dentistry.
Orthodontics Year 5:
- To increase skills in the collection of the orthodontic clinical data and the formulation of a problem list.
- To increase knowledge of the correct management of orthodontic appliances and of emergencies that may arise during their use.
- To improve their ability to inform patients about the scope, nature and requirements of orthodontic treatment.
- To improve their ability to refer patients for an orthodontic opinion at the optimal time and in an optimal fashion.
- To improve their knowledge of the interaction between orthodontics and other parts of dental care.
Intended Learning Outcomes
The student should acquire the skills and attributes necessary to:
- Obtain, record and interpret a comprehensive and contemporaneous patient history and be able to discuss the importance of each component
- Undertake a systematic approach to intra and extra oral examination
- Undertake relevant special investigations and diagnostic procedures and manage appropriate clinical and laboratory investigations
- Synthesise the full results of a patient assessment and make an appropriate diagnosis and treatment plan which may include referral to a specialist service
- Treat all patients and staff with equality, respect and dignity
- Recognise, diagnose and manage acute and chronic oral facial pain and dental pain appropriately , effectively and safely including Temporomandibular Joint pain
- Recognise, diagnose and manage acute dento alveolar and mucosal trauma
- Recognise and diagnose and manage diseases of the oral mucosa and surrounding structures and refer as appropriate
- Identify malignant and premalignant conditions and risk factors and undertake urgent referral
- Safely and appropriately prescribe and administer drugs and therapeutic agents
- Comply with current best practice guidelines
- Identify, assess and manage medical emergencies
- Have clinical experience of administering intravenous conscious sedation.
- Have experience of treating patients under intravenous conscious sedation
- Have experience of the monitoring of consciously sedated patients
- Have experience of the recovery and discharge of consciously sedated patients
- Recognise and explain to patients the range of contemporary orthodontic treatment options, their impact, outcomes, limitations and risks
- Identify and explain the principles of interceptive occlusal treatment, including interceptive orthodontics, and refer when and where appropriate
Teaching Information
Oral Diagnosis:
- Attendance at Clinical Consultant Clinics:
- Rotation A am PCU 3.5-4.5 hours a day X 5 days = 17.5-22.5 per week
- Rotation B Consult ant Clinics/Oral Medicine 26 hours per week Minumim of 1 rotation majority 2
- Rotation C Consultant Clinics/Oral Medicine 32 hours per week
- Charlotte Keel 28 hours per week
- Oral Surgery 7 hours a day for one week
- Tutorial based teaching Tutorials on specific topics, problem-based learning, lectures, treatment of patients under supervision
- Problem based learning
- Supervised clinical care of patients attending the walk in dental emergency department
Conscious Sedation Year 5:
- 5 clinical sessions per student for Conscious Sedation
Orthodontics Year 5:
- 1 session per week consisting of supervised treatment
- 30 minutes tutorial /problem-based learning
- 6 lectures in term 5.1
- A three-hour topic teaching session combined with paediatric dentistry in term 5.1.
Assessment Information
Oral Diagnosis
Formative:
- Takes place during clinical rotations (Maxillofacial, Ortho, Conscious Sedation, Oral Medicine, Restorative) and tutorials on a sessional basis, assessing skills, knowledge and professionalism (Graded A –E)
Summative oral assessment:
- Structured assessment of Case Scenarios
(viva voce) Term 2 Year 5 (gateway to finals) - 30% of the Unit mark.
- Competency case presentation and management of a walk in, unseen patient to include history taking and examination Term 2 Year 5 (gateway to finals) - 50% of the Unit mark (must pass to progress)
Conscious Sedation
Formative:
- The assessment will take place during the gateway to Finals examination.
Orthodontics
Summative:
- The Gateway-to-finals exam is the summative test for this element. It consists of the presentation of a case which they have treated – 20% of the Unit mark.
Reading and References
Oral Medicine:
- Scully C. Oral & maxillofacial medicine. 3rd ed. Churchill Livingstone; 2013. ISBN:9780702049484.
Special Needs:
- Scully C. Medical problems in dentistry. 6th ed. Churchill Livingstone; 2010. ISBN:9780702030574.
- Scully C, Dios PD, Kumar N. Special care in Dentistry: Handbook of oral health care. Churchill Livingstone Elsevier; 2007. ISBN:9780443071515.
- Cawson RA, Odell EW. Cawson’s essentials of oral pathology and oral medicine, 8th ed. Churchill Livingstone. 2008. ISBN:9780443101250.
- Soames JV, Southam JC. Oral pathology 4th ed. Oxford University Press; 2005. ISBN:9780198537947.
- Pedlar J, Frame JW. Oral and maxillofacial surgery :an objective-based textbook. Edinburgh : Churchill Livingstone; 2001. ISBN:9780443060175.
- Moore UJ. Principles of oral and maxillofacial Surgery. 6th ed. Wiley Blackwell; 2011. ISBN:9781405199988.
- Dimitroulis G. A synopsis of minor oral surgery, 4th ed Butterworth Heinemann; 1996. ISBN:9780723610946.
- Meechan JG, Robb ND, Seymour RA. Pain and anxiety control for the conscious dental patient. Oxford: Oxford University Press; 1998. ISBN:0192628488.
- Craig D, Skelly A. Practical conscious sedation. Quintessentials of dental practice. London: Quintessence; 2004. ISBN:97818509070705.
- Mitchell L. An Introduction to Orthodontics. 4th ed. Oxford University Press; 2013. ISBN:9780199594719.