Unit information: Dental Skills Year 3 in 2019/20

Unit name	Dental Skills Year 3
Unit code	ORDS30002
Credit points	30
Level of study	H/6
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Dr. Daud
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

Unit of Dental Skills 3: This Unit of Teaching comprises the following three Elements and their general aims:

Restorative Skills

Prosthetics: To produce a student who will have acquired sufficient knowledge and skill to describe how dentures are made and to enable them to commence clinical prosthetic dentistry. They should be able to assess a patient, define a treatment plan and bring the stages of the treatment plan to a successful conclusion.

Operative & Endodontics and Applied Dental Materials: To provide students with the biological, materials science and clinical knowledge underpinning operative dentistry and endodontics so that they will have acquired the skills to enable them to enter the clinical teaching program and be able to chart accurately, diagnose simple dental pathology and formulate a treatment plan. In addition, they should be able to treat patients requiring routine operative dentistry and endodontic procedures.

Orthodontic Skills

To give undergraduates knowledge of biological and mechanical principles underlying orthodontic treatment and provide them with basic skills in removable appliance construction.

Oral and Dental Radiography

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

Intended Learning Outcomes

Students should obtain a knowledge and understanding of the following:

• The consequences of tooth loss and the anatomy in relation to prosthetic dentistry.

• The ways in which missing teeth can be replaced and their relative merits.

• The principles of crown preparation techniques for the restoration of a tooth.

• The process of production of radiographic images, the hazards of radiation, the principles of dose reduction, the protection of patients and health care personnel, and legislation appropriate to practise dental radiography in general dental practice.

The student should acquire the skills and attributes necessary for:

• Restoring the dentition using the principle of minimal intervention, to a standard that promotes the longevity of the restoration.

• Managing restorative procedures that preserve tooth structure, replace missing or defective tooth structure, maintain function, are aesthetic and long lasting, and promote soft and hard tissue health

• Determining the prognosis and undertaking appropriate non-surgical treatments to manage pulpal and periradicular disease for uncomplicated permanent teeth.

• Assessing a partially dentate patient, defining a treatment plan and bringing the stages of the prosthetic treatment plan to a successful conclusion.

• Assessing the need for, designing and prescribing biomechanically sound partial dentures

• Develop student’s ability to be able to evaluate and execute practical techniques relating to clinical practice such as denture tooth positioning, creating a post dam for denture construction, and adjustment and polishing of a denture base.

• Making Adams clasps, labial bow and palatal cantilever spring from stainless steel wire.

By the end of the second term of Year 3, in preparation for treating patients, the successful student will be able to demonstrate the following learning outcomes in Operative Dentistry and Endodontics:

• Explain, evaluate and apply the principles of an evidence base approach to learning, clinical and professional practice and decision making (1.1.1)

• Identify oral diseases and explain their relevance to prevention, diagnosis and treatment (1.1.3)

• Identify relevant and appropriate dental, oral, craniofacial and general anatomy and explain their application to patient management (1.1.6)

• Explain the potential routes of transmission of infectious agents in dental practice, mechanisms for the prevention of infection, the scientific principles of decontamination and disinfection and the relevance to health and safety (1.1.8)

• 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)

By the end of the second term of Year 3, 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)
• 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)

Teaching Information

A range of teaching are used in the unit including:

Lectures

Simulated clinical demonstration

This method is used extensively to teach the principles of cavity preparation and placement techniques of restorative materials.

Technical demonstration

This method is used to teach the principles of making various indirect extra-coronal restorations.

PowerPoint presentations

This newer teaching aid has been introduced where visual material is projected showing a detailed staged technique of the clinical procedure. One of the teaching staff provides a commentary on the procedure.

E-Learning

These are available on line to aid students in their revision.

Radiography Modules

These are available on Blackboard and should be studied before students
attend each rotation.

Dental Skills Manual

The Dental Skills Manual (DLM) is designed to increase the preparedness and maximise learning from practical sessions in the Dental School by providing information and resources on the context, processes and techniques involved.

Assessment Information

Summative assessments:

Restorative Skills. This would contribute a total of 70% to Unit mark.

A ‘must pass’ eAssessment in Restorative Dentistry (Prosthetic dentistry, Operative & Endodontics, Applied Dental Materials and Orthodontic Skills) that contribute 30% to the Unit mark.

Practical assessment in Restorative Dentistry (Operative, Endodontics and Prosthetics) that would involve simulated clinical work and contribute 40% to the Unit mark.

Oral and Dental Radiography. This Element would contribute 30% to final Unit mark.

E-Assessment (IRMER schedule 3 exams) contributing 12% towards Unit mark.

Continuous assessments during terms 3.2 and 3.3 that contributes 18% towards Unit mark.

Reading and References

Restorative Skills

• Davenport JC. A clinical guide to removable partial dentures: the assessment and treatment of patients requiring RPDs. BDJ Books: London; 2000. ISBN: 0904588599
• Davenport JC, Basker RM, Heath JR, Ralph JP, Glantz PO. A clinical guide to removable partial dentures. BDJ Books: London; 2000. ISBN:0-904588-58-9.

• Van Noort R. Introduction to dental materials 4th ed. Imprint Elsevier Mosby; 2013. ISBN:9780723436591.
• McCabe, J. F.; Walls, Angus W. G. Applied dental materials. Blackwell; London; 2008. IBSN: 9781405139618

Orthodontic Skills

• Mitchell L. An Introduction to Orthodontics 3rd Ed. Oxford University Press; 2007. ISBN:9780198568124.

Oral and Dental Radiography

• Whaites E, Drage N. Essentials of dental radiography and radiology. 5th ed. Churchill Livingstone; 2013. ISBN:9780702045998.
• Langland, Olaf E.; Langlais, Robert P.; Preece, John W. Principles of dental imaging 2^nd ed. Lippincott Williams & Wilkins; Baltimore, Md; 2002. ISBN 9780781729659
• Royal College of Radiologists; National Radiological Protection Board. Guidelines on radiology standards for primary dental care. National Radiological Protection Board; Didcot; 1994. ISBN 0859513777