Unit information: Primary Care Dentistry Year 2 in 2019/20

Unit name	Primary Care Dentistry Year 2
Unit code	ORDS20022
Credit points	0
Level of study	I/5
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Mrs. Julie Mallinson
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 aims to prepare and introduce students to the clinical dental setting. The unit is comprised of the following 4 elements and has the following general aims:

Element of Periodontology

Term 2

This element will give undergraduate students knowledge, principles and skills to be able to undertake non-surgical management of patients susceptible to periodontal disease.

Additional aims will ensure that students will develop skills for handpiece manipulation within the oral cavity and learn basic instrumentation techniques for supra and subgingival debridement. They will also become familiar with using indices to record periodontal parameters.

Element of Introduction to Clinical Management and Teamworking

Term 2

To provide students with an appreciation of working as part of a dental team and enable understanding of individual roles and responsibilities.

To enable students 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 and the use of the clinical e-portfolio system.

To provide students with the essential skills to act as a dental operator and assistant in the clinical setting.

To prepare students for clinical patient care in basic history taking, extra and intra-oral examination, the recognition and non-surgical management of periodontal disease non-surgically, including oral hygiene instruction and root surface debridement.

Element of Dental Pain & Anxiety Management Yr 2: Local Analgesia

Term 2

To produce a student who will have acquired sufficient knowledge and skill to administer local analgesia under supervision.

Element of Patient Care

Term 3

To produce a student who has acquired sufficient knowledge and skills to safely carry out a basic history and examination for an adult patient, recognise and non-surgically manage periodontal disease, including oral hygiene instruction, scaling and root surface debridement.

To produce a student who has acquired sufficient knowledge and skills to safely and effectively assist patient care in the clinical setting.

Intended Learning Outcomes

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

Periodontology

• Understand and apply appropriate indices and charting systems for teeth and periodontal disease
• Describe and apply the Basic Periodontal Exam and explain its importance as a screening tool for periodontal disease
• Know the principles of good oral hygiene and be able to communicate and demonstrate these in a simple/easily understandable manner

• Recognise when a Basic Periodontal Exam and or full periodontal exam are indicated

• Apply skills for handpiece manipulation and basic instrumentation techniques within the oral cavity for periodontology
• Describe the current classification system for periodontal disease and the common periodontal conditions contained within it

Clinical management and teamworking

• Have knowledge and skills to carry out a basic history, extra oral and intraoral exam
• Maintain and protect patients’ information
• Prepare and maintain the clinical environment including the instruments and equipment used for basic routine restorative dentistry including exams, periodontal treatment, root canals, crown preparation and caries management
• Demonstrate the correct mixing/handling of the dental materials used for basic plastic restorative procedures
• Recognise the risks around the clinical environment and manage in a safe and efficient manner
• Manage the clinical e-portfolio system effectively, including management of clinical feedback
• Put patients’ interests first, act to protect them, be honest and act with integrity

Dental Pain & Anxiety Management

• The technique of infiltration local analgesia and regional block analgesia
• The maximum safe doses of local analgesic agents that should be administered along with the prevention and management of complications of local analgesia
• The properties of relevant local anaesthetic agents and their application to patient management

• Using the equipment required to administer local analgesia for dentistry including assembling and dismantling a local analgesic syringe
• The technique of administering an infiltration analgesic and also an inferior alveolar nerve block local analgesia under clinical supervision

Patient care

• Carry out a basic history and exam for an adult patient
• Safely and confidently act as operator/assistant for the non-surgical treatment of periodontal disease
• 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 patient's periodontal health status in an effective manner utilising applied behavioural science techniques appropriately
• Recognise an anxious patient and be able to use communication techniques to reduce the patient’s anxiety
• Effectively prevent and manage the patient’s pain symptoms during periodontal debridement
• Safely administer local anaesthetic agents using an infiltration or inferior dental block technique as appropriate to enable root surface debridement under supervision
• Accurately assess own capabilities and limitations in the interest of high-quality patient care and seek advice from supervisors/colleagues where appropriate

• Use CAFS effectively to advance learning from feedback given during clinical encounters

• Work as part of a dental team
• Maintain accurate contemporaneous clinical records
• Understand and apply the process to gain valid consent for the non-surgical treatment of periodontal disease

These learning outcomes are the foundation level required at this stage and relate to the GDC ‘Preparing for Practice’ learning outcomes: 1.1.5, 1.1.9, 1.1.10, 1.1.12 / 1.2.6 / 1.7.5, 1.7.8 / 1.8.1, 1.8.2, 1.8.3, 1.8.5, 1.8.7 / 1.10.2 / 1.11.3, 1.11.4 / 4.1 / 5.1 / 6.1,6.2,6.3,6.4 / 8.1 / 9.6

Teaching Information

A variety of teaching methods are used throughout this Unit, please see individual Element handbooks for details and includes the following:

• Didactic Lectures
• Clinical Skills Laboratory simulated practical sessions
• Clinical teaching sessions with simulated activity on peers
• Tutorials
• Chairside teaching during supervised direct patient care
• Self-directed learning

Assessment Information

Formative Assessments:

Clinical Competency Assessment in periodontology:

Demonstrating they have sufficient basic skills to carry out a periodontal examination and control instrumentation with good technique, finger rests and seating position.

Continuous assessment on clinic using a predetermined standard clinical assessment scheme with immediate feedback to the student. Each student to complete a 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 termly School Progress Committee meetings.

Summative assessments:

The summative assessments for the Primary Care Dentistry Year 2 Unit fall within the combined Dental Skills/PCD ‘Capstone’ Assessment.

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.
• Clinical periodontology and implant dentistry (5th Ed) Jan Lindhe, Niklaus P Lang, Thorkild Karring; Wiley Blackwell, 2008
• 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. ISBN978-1-4051-8436-6