Unit information: Dental Skills Year 4 in 2013/14

Unit name	Dental Skills Year 4
Unit code	ORDSM0009
Credit points	30
Level of study	M/7
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Professor. Robb
Open unit status	Not open
Pre-requisites	None
Co-requisites	Successful completion of Elements in Unit of Dental Skills 2
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

This Unit of Teaching will take place in Year 4 and will comprise the following three Elements and their general aims:

Restorative Skills Year 4

During term 2 students will attend the Clinical Skills Laboratory where they will gain experience in the diagnosis, treatment planning and provision of advanced restorations including inlays, onlays, post crowns, veneers, adhesive bridges and conventional bridges.

Supplementary aims are:

To introduce students to the fundamental clinical and practical concepts associated with the design, provision and maintenance of fixed bridges and their effect on the periodontium.

To introduce students to the fundamental concepts of occlusion and how this influences the design of dental restorations.

To demonstrate the importance of the relationship of, and develop links between, the clinical management of patients and laboratory procedures During term 3 students will become familiar with the simple and complex management options of patients with periodontal diseases, including antimicrobial regimen.

Supplementary aims are:

To provide students with experience of simple periodontal surgery techniques

To provide knowledge of current thinking with implant placement in the periodontally compromised patient, and periodontal and bone regeneration techniques

To familiarise students with treatment planning for restorative patients who have periodontal disease

Dental pain and Anxiety Management Year 4: Conscious Sedation

The aim is:

To provide an introduction to the attitude, knowledge and skills required to practice conscious sedation in dentistry in preparation for supervised clinical practice

Dental Radiography Year 4

The aim is:

To consolidate and expand the radiography skills and knowledge acquired in Dental Radiography Year 3.

Intended Learning Outcomes

Restorative Skills Year 4

Term 2

Students should obtain a knowledge and understanding of the following:

• the consequences of tooth loss and the anatomy in relation to prosthetic dentistry.
• the principles of crown preparation techniques for the restoration of a tooth.

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 an edentulous patient, defining a treatment plan and bringing the stages of the prosthetic treatment plan to a successful conclusion.

Term 3

Knowledge

Students should obtain a knowledge and understanding of the following:

• When and how to prescribe appropriate anti-microbial therapy in the management of plaque related diseases.
• The diagnosis and treatment planning of care for patients who present with periodontal diseases and recognising those patients for whom basic periodontal surgery or advanced periodontal techniques are indicated.
• Implants in the periodontal patient, including the management of peri-implantitis.

Dental pain and Anxiety Management Year 4: Conscious Sedation Knowledge

• To have a knowledge of the assessment and treatment planning of patients who require conscious sedation
• To have a knowledge of the techniques of inhalation and intravenous sedation
• To have a knowledge of the clinical and electromechanical monitoring of patients treated with basic sedation techniques

Attitudes

• To have an understanding of the importance of conscious sedation in the management of pain and anxiety in dentistry
• To have an understanding of the importance of communication skills in the management of patients requiring conscious sedation for dentistry
• To promote a critical and caring approach to the management of the anxious dental patient

Dental Radiography Year 4

Knowledge

• To be able to apply evidence based selection criteria to justify a radiographic exposure.

Skills

• Be competent to undertake routine dental radiography & be able to adapt techniques to suit different patients.
• To be able to use both digital and film based intra-oral radiography systems
• To be able to use both direct and indirect digital panoramic units.

Attitudes

• To strive to obtain good quality radiographs for patients utilising quality assurance procedures.
• To have an understanding of the importance of communication skills in the management of patients undergoing radiography.

Teaching Information

Restorative Skills Year 4

Term 2

• Laboratory demonstrations
• Laboratory practical sessions
• Lectures
• Self directed CAL sessions
• Tutorials

Term 3

• Seminar teaching
• Demonstrations
• Practical sessions

Dental pain and Anxiety Management Year 4: Conscious sedation

• Lectures including video demonstrations
• Self directed CAL sessions

Dental Radiography Year 4

• Self directed E-learning modules
• Small group clinical placement sessions in radiography department.

Assessment Information

Restorative Skills Year 4

This would contribute a total of 80% to Unit mark.

Term 2

E-Assessment at the end of terms 2 will be summative and contribute 35% to the final Element mark.

Practical assessment at the end of term 4.2 that would involve simulated clinical work and contribute 40% to the final Element mark.

Term 3

The course will be assessed in the form of MCQs which will contribute 25% to the final Element mark.

Dental pain and Anxiety Management Year 4: Conscious Sedation This would contribute a total of 25% to Unit mark.

A CAL assignment of 2 case scenarios which will provide formative assessment

An MCQ of 45 minutes duration (40%) and an MSA paper of 45 minutes duration(60%) will provide the summative assessment.

Dental Radiography Year 4

This would contribute a total of 5% to Unit mark.

Summative assessment

Continuous assessment grades from clinical sessions (50% of element mark) and practical assessment (50% of element mark) will provide the summative assessment.

Formative assessment

A computerised test on extra-oral radiography is sat at appropriate time for student.

Within Restorative Dentistry 3, students must achieve a pass mark in both terms’ assessments.

Students must achieve a pass mark in all three elements in this Unit.

Reading and References

Restorative Skills Year 4

Term 2

Van Noort R. Introduction to dental materials 3rded Mosby 2008

Harty, F. J. Harty's endodontics in clinical practice / F. J. Harty ; edited by T. R. Pitt Ford.5th ed. Imprint: Edinburgh : Wright, 2004. ISBN: 0723610894

Smith, Bernard G. N. Planning and making crowns and bridges.4th ed. / Bernard G.N. Smith, Leslie C. Howe.Imprint: Abingdon : Informa Healthcare, 2007.ISBN: 9780415398503 Branch: Dental RK666 SMI

Restorative dentistry: an integrated approach / [edited by] Peter Jacobsen.2nd ed. Imprint: Oxford: Blackwell, 2008. ISBN: 9781405167994 Branch: Dental RK501 JAC Record number : 3 System number [000758581]

Term 3

Clinical Periodontology and Implant Dentistry Jan Lindhe, Munksgaard 1998.

Understanding Periodontal Diseases: Assessment and Diagnostic Procedures in Practice. Chapple, Gilbert. Quintessence Publishing Co. Ltd. 2001.

Periodontal Management of Children, Adolescents and Young Adults. Clerehugh, Tugnait and Chapple Gilbert. Quintessence Publishing Co. Ltd. 2001

Dental pain and Anxiety Management Year 4: Conscious Sedation

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

Craig D, Skelly A. Practical Conscious Sedation.London: Quintessence Publishing Co. Ltd ISBN: 1-85097-070-x

Dental Radiography Year 4

Whaites E. Essentials of Dental Radiography & Radiology, 4th edition, Churchill Livingstone, 2007.