Unit information: Foundations for Practice - Year 2 in 2020/21

Unit name	Foundations for Practice - Year 2
Unit code	ORDS20024
Credit points	30
Level of study	I/5
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Mrs. Edwards
Open unit status	Not open
Pre-requisites	N/A
Co-requisites	N/A
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

Year 2:

Subject Areas:

1. Advanced Periodontal Treatment and Management
2. The role of periodontal surgery
3. Dental Caries and Fluoride (mechanisms and water fluoridation)
4. Recognition of Malignant & Potentially Malignant Lesions
5. Common Diseases of the Oral Tissues, Tongue & Salivary Glands
6. Oral Manifestations of Systemic Disease, Oral Infections and Ulceration
7. General pathology (Neoplasia)
8. Embryology/Dental hard tissues (enamel, dentine and pulp)
9. Dental Morphology (anomalies)
10. Dental & Oro-facial Pain
11. Referral and Referral Pathways
12. Paediatric dentistry
13. Radiology

Aims:

The aim of this unit is to expand on the knowledge gained from Year 1 subject areas. Students will explore in more detail the multifactorial nature of periodontal disease, encompassing more complex/ acute conditions, advanced treatment modalities and planning for refractory cases.

This unit will introduce paediatric dentistry; develop an understanding of management techniques, safeguarding, diagnosis treatment and management of paediatric cases.

The unit also looks at dental hard tissue loss (i.e. dental caries) with specific relevance to the Dental Hygienist and Therapist in recognition, management/ advice and referral to appropriate health professionals. This incorporates the mechanisms of action and uses of fluoride in the prevention and treatment of dental caries.

This unit will cover aspects of ionising radiation, radiation protection and radiology.

This unit will cover aspects of systemic and localised common oral disease/disorders which affect dental management and enable the student to make referrals to appropriate health professionals.

Students must work safely within their scope of practice in the best interest of the patient. This involves being aware of the appropriate cases that involve seeking urgent and non-urgent specialist advice and identify suitable onward referral pathways. This also encourages the concept of working as part of the dental team with regards to patient care.

Intended Learning Outcomes

Intended Learning Outcomes

1. To identify the complex multifactorial nature of periodontal disease and dental caries
2. To describe the relevance of common human disease in the management and practice of dentistry
3. To describe the theory associated with identifying non-responders and comply with referral criteria
4. To be able to explain conditions such as gingival recession, gingival hyperplasia, and dental abscesses
5. To recognise the need to monitor the outcome of non-surgical periodontal therapy
6. To evaluate the use of topical and systemic antibiotics in the treatment of periodontal disease
7. To evaluate the physiology of ageing and the modified management of problems associated with care of the older adult
8. To outline the potential impact of poor periodontal health on the rest of the body
9. To give examples of surgical procedures used in the treatment of periodontal disease
10. To identify the techniques which may be used by a specialist practitioner following a referral, such as the use of topical or systemic antibiotics or surgical intervention
11. To summarise the management of patients with osseo-integrated implants
12. To describe the aetiology, epidemiology prevention and treatment of dental caries in relation to clinical practice
13. To analyse the modes of action and application of fluoride in the prevention and treatment of dental caries
14. To have an understanding of the principles oral medicine and oral pathology and be able to apply these principles while understanding the limits of their knowledge
15. To recognise abnormalities of the oral cavity and the rest of the patient and raiseconcerns where appropriate
16. To have knowledge of the pathological features and dental relevance of common disorders relating to systemic disease
17. To state underpinning knowledge of general pathology, oral medicine and oral surgery. This includes the presentation and management of infective and non-infective oral diseases and recognition of malignancy and potentially malignant lesions in the oral cavity/ head and neck region
18. To recognise abnormality and appreciate when urgency of referral is required
19. To describe relevant dental, oral, craniofacial anatomy and explain their application to patient management
20. To identify and understand the management of acute oral conditions
21. To recognise local referral networks, local clinical guidelines and policies
22. To identify when to refer to other members of the Dental team, and summarise appropriate referral protocols
23. To understand appropriate paediatric behavioural and psychological techniques when treating paediatric patients
24. To be aware of how to manage trauma and emergency situations should they arise
25. To gain the appropriate knowledge to enable prompt action to protect the safety of patients if there are concerns regarding patient welfare/safeguarding
26. To understand the scientific principles and the statutory regulation of ionising radiation

Teaching Information

Teaching methods include:

• Lectures
• Small group Seminars and Tutorials
• Guided Independent study
• Continuous Clinical Assessment logbook/portfolio (CCA) including reflective Practice

Teaching will use a blended learning approach delivered through a combination of synchronous and asynchronous activities. Students will be expected to engage with all learning.

Assessment Information

Summative assessment

There are three parts to the unit assessment each of which must be passed. Formative must pass assessments below must be completed before progressing to the summative assessment.

1. Dental Caries and Hard Tissue (50% of unit total)

e-Assessment, 1 hour

2. Periodontology (25% of unit total)

e-Assessment, 1 hour

3. Oral Medicine (25% of unit total)

Patient case study including identification of suspicious lesion and referral, 1 hour

Must-pass Formative assessment

1. Radiology IRMER

e-Assessment, 1 hour

Formative assessment

Students are supported in their learning by a variety of directed formative assessments with which they must engage within this unit. Overall performance will be reviewed and discussed at the School Progress committee at regular meetings x 1 per term.

1. Paediatric Dentistry

Written assessment - Home Study Assignment 1000 - 1500 words on management of a paediatric patient

Marks obtained in formative assessments above do not contribute to the overall unit mark but failure to complete by the stated end of term deadlines will be raised at the Progress Committee, and may be a barrier to progression.

Reading and References

A Colour Handbook of Oral Medicine. Lewis & Jordan (2012)

ISBN: 978-1840761818

Cawson’s Essentials of Oral Pathology and Oral Medicine - 9^th Edition, Cawson & Odell (2017)

ISBN: 9780702049828

Scully’s Medical Problems in Dentistry – 7^th edition (2014)

ISBN: 978-0702054013

Clinical Periodontology and Implant Dentistry – 6^th edition, Lang & Lindhe (2015)

ISBN: 978-0470672488

Understanding Periodontal Diseases. Chapple, Gilbert & Wilson (2002)

ISBN: 978-1850970538

Periodontics. Eley & Manson, 5^th edition (2004)

ISBN: 978-0723610977

Essentials of Dental Caries – 4^th edition, Kidd & Fejersker (2016)

ISBN: 978-0198738268