Unit information: Primary Care Dentistry Year 5 in 2016/17

Unit name	Primary Care Dentistry Year 5
Unit code	ORDSM0010
Credit points	60
Level of study	M/7
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Dr. McNally
Open unit status	Not open
Pre-requisites	Successful completion of year 4 BDS
Co-requisites	None
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

This unit is in Year 5 of the BDS programme and aims to develop student skills in clinical dentistry. The Unit aims to expand the student’s experience in the management of patients within a range of clinical dental treatment settings. At the end of the Unit students should be able to supervise and manage the treatment of patients under their care to the level of proficiency required at the start of Dental Foundation Training.

The unit is comprised of five elements:

• Restorative Dentistry Year 5
• Basic Oral Surgery Year 5
• Child Dental Health Year 5
• Community Based Dental Teaching Year 5

The majority of the learning within the Unit occurs during supervised treatment sessions where the student communicates with, and carries out, prescribed treatment for patients of all ages with staff guidance.

Aims:

• To translate and consolidate knowledge and skills gained in the clinical skills settings to the clinical environment and to learn from and apply knowledge from an evidence-based understanding of dental health and disease.
• To gain an insight into integration of dental care into the wider health care setting
• To participate as a member of the wider dental team and to begin to appreciate the role and responsibilities in the team of the dental surgeon whilst working as a dental operator
• To begin to understand how subjects within teaching specialties inter-relate
• To provide students with clinical experience in the recognition, management, prevention and treatment of oral diseases.
• To develop students proficiency in the diagnosis and patient centred treatment planning for restorative, endodontic and minor oral surgical procedures
• To develop students with the knowledge and skills to be proficient at planning and delivering all common fixed and removable prosthodontic procedures
• To provide students with opportunities for the delivery of a full range of preventive, restorative and casualty care for healthy children and adults with straightforward dental needs.
• To provide students with an orthodontic literacy sufficient to evaluate patient needs in general dental practice.
• To stress the importance of team work in the clinical management of patients
• To develop the skills and qualities expected from an independent dental practitioner.
• To be able to apply the principals of radiation protection in a competent manner in relation to Justification; Optimization and Limitation of exposure to ionizing radiation
• To be able to identify pathology competently on intra oral films, DPT’s and Lateral Ceph radiographs and give an appropriate differential diagnosis

Intended Learning Outcomes

At the level of an independent dental practitioner, students should be able to:

• 1.1.3 Identify oral diseases and explain their relevance to prevention, diagnosis and treatment.
• 1.1.10 Recognise the scientific principles and underpinning use of materials and biomaterials and evaluate their limitations and selection with emphasis on those used in dentistry
• 1.2 Comprehensive patient assessment
• 1.2.1 Obtain, record and interpret a comprehensive and contemporaneous patient history.
• 1.2.2 Undertake an appropriate systematic intra and extra oral clinical examination.
• 1.2.3 Manage appropriate clinical and laboratory investigations
• 1.2.4 Undertake relevant special investigations and diagnostic procedures including radiography.
• 1.2.5.Assess patient’s levels of anxiety experience and expectations in respect of dental care
• 1.2.6. Discuss the importance of each component of the patient’s assessment process
• 1.4 Diagnosis
• 1.4.1 Synthesise the full results of the patient’s assessment and make clinical judgements as appropriate
• 1.4.2 Formulate a differential diagnosis or diagnoses and from them a definitive diagnosis
• 1.5 Treatment planning
• 1.5.1 Formulate an appropriate treatment plan synthesising patient assessment and diagnosis and data
• 1.5.5 Refer patients for treatment or advice when appropriate
• 1.5.6 Critically evaluate the treatment planning process
• 1.7 Patient management
• 1.7.1 Treat all patients with equality respect and dignity
• 1.7.3 Monitor and review treatment outcomes
• 1.7.4 Prevent diagnose and manage patient anxiety appropriately, effectively and safely
• 1.7.5 Prevent diagnose and mange pain appropriately, effectively and safely
• 1.7.9 Explain the role and organisation of referral networks clinical guidelines and policies
• 1.7.11 Critically evaluate all components of patient management
• 12 Hard and soft tissue disease
• 1.12.4Identify and explain appropriately to patients the risks benefits complications and contra indications to surgical interventions
• 1.12.6 Cary out simple oral surgery of hard and soft tissues
• 1.12.7 Extract erupted teeth and roots in the permanent and deciduous dentition
• 1.13 Management of the developing and developed dentition
• 1.13.1 Undertake an orthodontic assessment including an indication of treatment need
• 1.14 Restoration and replacement of teeth
• 1.14.1 Assess and mange caries occlusion and tooth wear
• 1.14.3 Create an oral environment where restoration or replacement of the tooth is viable
• 1.14.4 Where appropriate restore the dentition using the principle of minimal intervention to a standard that promotes the longevity of the restoration or prostheses
• 1.14.5 Manage restorative procedures that preserve tooth structure, replace missing or defective tooth structure, maintain function , are aesthetic and long lasting and promote soft and hard tissues
• 1.14.6 Assess diagnose and manage the health of dental pulp and peri-radicular tissues including treatment to prevent pulpal and peri-radicular disease.

Teaching Information

Seminars, lectures and small group teaching. Simulated clinical scenarios, chairside teaching during supervised direct patient care.

Assessment Information

Formative:

Continuous assessment on clinic using a predetermined standard assessment scheme with immediate feedback to the student.

Each student to complete a logbook/portfolio during the course with opportunity to reflect on progress during and at the end of the Unit.

Endodontic patient presentation.

Student’s overall performance in the programme will be reviewed and discussed at the School Progress committee.

Failure to comply with completion of formative assessments by the stated end of term deadlines will be raised at the Progress Committee. Any performance not completed or deemed unsatisfactory will be reviewed along with the student’s overall performance and may affect the student’s progression. Student’s overall performance in the programme will be reviewed and discussed at the School Progress committee.

Summative:

This unit has no internal summative assessment. However BDS finals occurs in Term 3 and forms the final assessment of the BDS programme.

Reading and References

GDC publications:

• Standards Guidance (standards for the dental team), Protecting patients, regulating the dental team, scope of practice
• Preparing for Practice.
• Banerjee A, Watson TF. Pickard’s Manual of Operative Dentistry 9th ed. Oxford University Press; 2011. ISBN 9780199579150.
• Jepson NJA. Removable partial dentures. Quintessentials of dental practice. 18. Prosthodontics. Quintessence; 2005. ISBN 9781850970750.
• Allen PF, McCarthy S. Complete dentures from planning to problem solving . 2nd ed. Quintessentials of dental practice.12. Prosthodontics. Quintessence; 2012. ISBN 97818509972273.
• Chong BS. Harty's endodontics in clinical practice. 6th ed. Edinburgh: Churchill Livingstone; 2010. ISBN 9780702031564.
• Shillingburg HT jr 3rd, Sather DA, Wilson EL, Mitchell DL, Blanco LJ, Kessler JC. 4th ed. Fundamentals of fixed prosthodontics. Quintessence; 2012. ISBN 9780867154757.
• Whaites E, Drage N. Essentials of dental radiography and radiology. 5th ed. Churchill Livingstone; 2013. ISBN 9780702045998.
• Pedlar J, Frame JW. Oral and maxillofacial surgery: an objective-based textbook. Edinburgh: Churchill Livingstone; 2001. ISBN 9780443060175.
• Cameron AC, Widmer RP,editors. A handbook of paediatric dentistry 4th ed. Edinburgh: Elsevier Mosby; 2013. ISBN 9780723436959.
• Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford : Blackwell Munksgaard; 2007. ISBN 978140512954.
• Chapple ILC, Gilbert AD. Understanding periodontal diseases: Assessment and diagnostic procedures. Quintessentials of dental practice. 1. Periodontology. Quintessence; 2002. ISBN 9781850970538.
• Cameron AC, Widmer RP, editors. A handbook of pediatric dentistry. 4th ed. Edinburgh: Elsevier Mosby; 2013. ISBN 9780723436959