DENT 2005AHO - Dental Science and Practice II Part 1

Teaching Hospitals - Semester 1 - 2022

This stream has a patient care focus and builds on the knowledge acquired in first year. The aim is to develop an understanding of the changes that occur to the oral cavity when an imbalance develops in the oral ecosystem. The emphasis will be to maintain a healthy balance through prevention and minimal restoration where necessary. By working through a series of interactive learning activities, students will develop and integrate knowledge relating to evidence-based patient care including clinical skills and professional behaviours. These integrated learning activities will be supported by class meetings, laboratory, tutorial and clinical sessions. Learning will also be supported by independent study and discussion of findings in class. Students will work in a collaborative environment to learn to critically evaluate themselves, and plan and implement strategies for improvement. The stream emphasises the scientific basis of dentistry by integrating knowledge of the structure and function of the body, especially of the head and neck region, and also aspects of microbiology, immunology and pathology, with an emphasis on developing the skills to examine, assess risk and systematically manage healthy patients with minor oral conditions. There is a strong emphasis on the acquisition of manual dexterity skills relating to operative dentistry while building on knowledge relating to a preventive approach to oral health. Students will further their experience in behavioural science by examining and managing patients.

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Course Details

Course Code	DENT 2005AHO
Course	Dental Science and Practice II Part 1
Coordinating Unit	Dental
Term	Semester 1
Level	Undergraduate
Location/s	Teaching Hospitals
Contact	Up to 28 hours per week
Available for Study Abroad and Exchange	N
Prerequisites	DENT 1005AHO, DENT 1005BHO and DENT 1000HO
Restrictions	Available to BDS students only
Assessment	Formative assessment tasks, Summative Examinations/Tests/Case Scenarios, Clinical and Practical Assessments, Assignments

Course Staff

Course Coordinator: Professor Toby Hughes

Course Coordinator Contact Details

Name	Phone	Email	Location
A/Prof Toby Hughes	+61 8313 3295	toby.hughes@adelaide.edu.au	Helen Mayo Building Level 3

Course Timetable

The full timetable of all activities for this course can be accessed from .

Course Learning Outcomes

Professional Behaviours	1. Comply with AHPRA, University and SA Dental policies by displaying appropriate professional and ethical behaviour through maintaining Academic Integrity, respecting colleagues, staff, patients and members of the oral health care team, ensuring patient safety, maintaining patient confidentiality, obtaining informed consent whilst maintaining professional boundaries in all learning environments
	2. Discuss the aims of different study designs, how they are related in the hierarchy of evidence, and the main sources of uncertainty, including systematic and random error, associated with the interpretation of their findings.
	3. Discuss the social determinants of health and the pathways through which they operate to shape oral health, and critically reflect on the roles of health care systems and policies in tackling these determinants.
	4. applies an evidence-based approach by critically evaluating studies of diagnostic tests, disease frequency and risk, prevention and treatment, and applying principles of risk assessment, treatment evaluation and decision making in clinical dental practice
	5. describes the complimentary functions and roles of all involved in patient care eg, dental assistant, dental therapist and dental hygienist
	6. critically evaluates own performance, seeking feedback and implementing appropriate strategies for improvement
	7. describes different approaches to respond to common occupational stressors and seeks assistance in developing effective management strategies for self and patients
	8. identifies limits of clinical skills and recommends referral where appropriate
	9. establishes a safe working environment in laboratory and clinical settings and identify and rectify unsafe practices
	10. demonstrates a patient centred approach by reviewing their patient’s reason for visit, information and other needs and context
	11. produces and maintains an accurate, complete and confidential record of the care of medically healthy adult patients
	12. demonstrates an understanding of patients’ problem(s), and agreed management that emphasises prevention and health promotion and supports an ongoing patient dentist relationship
	13. obtains informed consent for relevant investigations and treatments related to the preventive management of gingivitis, non-cavitated carious lesions and, toothwear as well as the management of cavitated lesions in medically healthy adults
	14. describes the distribution of oral health and disease/illness/disability at a population level in Australia and relates this to contributory factors and their importance
Interpersonal Skills	15. communicates effectively to competently manage the oral care of healthy adult patients of diverse backgrounds through active listening, clarity in explanations and ability to seek feedback
	16. works and communicates effectively and respectfully with other members of the oral health care team in simulated and clinical settings
	17. effectively uses stress management strategies for self
	18. communicates effectively to support patients to understand their oral health care needs
	19. communicates effectively to assist management of pain and stress in patients
	20. prepares patient by explaining the steps of their treatment plan and at each appointment provides an accurate explanation of the procedures, including what the patient should expect to experience (informing the patient of what to expect)
Clinical Examination, Diagnostic and Management Skills	21. discusses the factors eg, behavioural and social, that contribute to the maintenance of a balance within the oral ecosystem, including the normal oral microflora and their relation to the host under normal healthy conditions, and can apply this to the management of healthy adult patients
	22. describes characteristics/ factors that are associated with good general and oral health at a population level
	23. applies your integrated knowledge of the structure and function of selected body systems and key functions of a healthy body such as nutrient supply and waste removal, respiration, transport and movement, as a basis for analysis of patients' oral health
	24. safely and accurately takes a medical, dental and social history, examines extraoral, intraoral soft, periodontal and hard tissues, performs a simple occlusal analysis including the collection and interpretation of additional clinical information, appropriately recognises the range of normality and records normal findings and clinical signs of common oral diseases for selected healthy adult patients 25. explains the principles of identification of risk factors in relation to the development of common oral diseases in selected healthy adult patients
	26. applies understanding of the oral ecosystem, patient education, behaviour change and remineralisation materials to develop preventive recommendations to restore and maintain oral health for selected healthy adult patients
	27. applies knowledge of how various factors contribute to the imbalance in the oral ecosystem, that increase the risk of disease in healthy adults and relates these to the different levels of effective health promotion and prevention for patients and populations
	28. interprets histories and examinations and selects appropriate further investigations to formulate diagnoses of common oral diseases/conditions eg, gingivitis, caries and toothwear, for selected medically healthy adult patients
	29. applies knowledge of the aetiology and pathogenesis of gingivitis, including microbiology and histopathology, and relates these to clinical examination results, diagnosis and management for healthy adult patients
	30. applies knowledge of the aetiology and pathogenesis of caries, including microbiology and histopathology, and relates these to clinical examination results, diagnosis and management following principles of minimal intervention for healthy adult patients
	31. able to identify toothwear during a clinical examination and recognise the need for management if required, following principles of minimal intervention for healthy adult patients
Practical/ Technical Skills	32. discusses and implements appropriate infection control and occupational health and safety procedures required when working within a clinical environment and laboratory environment
	33. maintains patient comfort and privacy throughout all aspects of patient care
	34. safely and effectively manipulates dental instruments (dental mirror, explorer, periodontal probe, and the slow speed handpiece) whilst working on a patient colleague
	35. explains to patients the rationale and risks associated with dental radiographic procedures: accurately exposes, processes, critiques and interprets bitewing and periapical radiographs, and uses the results to inform patients and develop their management plans
	36. applies knowledge of risks associated with dental radiographs to safely and accurately take bitewing and periapical radiographs in simulated settings; examines and critiques bitewing and periapical radiographs and recognises the appearance of normal imaged structures and associated basic pathology (eg., restorations, caries, calculus) in bitewing, periapical and panoramic radiographs
	37. safely and effectively explains and performs simple preventive treatments, including remineralisation techniques eg, professional or home fluorides, fissure sealants (under rubber dam), oral hygiene instructions, dietary advice in simulated and/or clinical situations
	38. describes the composition, setting reactions and technical handling procedures for preventive materials used to restore and maintain balance in the oral ecosystem, including fluorides, remineralising agents, fissure sealants and chemical plaque control
	39. applies knowledge of the composition, setting reactions and technical handling procedures of dental materials in the selection and manipulation of appropriate materials in the management of caries in simulated settings, including remineralising agents, amalgam, composite resin, glass ionomer cements, liners/bases and local anaesthetics
	40. in accordance with Minimal Intervention (MI) principles, explains the principles of tooth conservation and relates these to the rationale for selection of different procedures required for the management of dental caries, from minimal to large lesions
	41. develops the manual dexterity skills required to follow basic operative procedures in the laboratory
	42. satisfactorily restores plastic or natural teeth with adhesive and amalgam restorations in simulated settings
	43. safely and effectively manipulates dental instruments (dental mirror, explorer, periodontal probe, periodontal scalers and curettes and handpiece) whilst working in the laboratory or on a patient in the clinic
	44. safely and effectively performs supragingival and subgingival scaling & cleaning, management of dentine hypersensitivity, and can select an apply appropriately remineralisation techniques as part of preventive management plans for colleagues and medically healthy adult patients
	45. safely and effectively performs common pain control procedures on colleagues
	46. applies integrated knowledge of the structure and function of selected body systems and key functions of a healthy body such as immunity and endocrine control, as a basis for analysis of patients' oral health
	47. applies knowledge of the topographical anatomy of the head and neck region, including the oral cavity and provides local anaesthesia for patients
	48. applies knowledge of microbiology, pathology and immunology in the management of patients
	49. selects appropriate tests to identify specific risk factors leading to an imbalance in the oral ecosystem and uses these results to devise tailored preventive management plans in relation to common oral diseases in medically healthy adult patients
	50. is able to demonstrate a thorough understanding of the physiological principles underlying cardio-pulmonary resuscitation (CPR), can recognise the signs and symptoms of associated with emergency situations in the clinic an collapse of a patient, and can perform the recommended emergency CPR procedures.
	51. able to write an appropriate referral letter to a dentist or another health professional

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1 to 50
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	3,4, 21 to 31
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	10, 15-18
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	1 to 50
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	10,11,12,13,15
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	6,7,8,17

Learning Resources

Required Resources

Refer to Yearbook on MyUni

Recommended Resources

Refer to Yearbook on MyUni.

Online Learning

Communications about the course will be via the Announcements section on MyUni and/or by email. Please read the Announcements section and your email regularly to keep up to date.
Information on online learning will be available through MyUni.
Learning & Teaching Activities

Learning & Teaching Modes

A variety of learning modes will be used in this stream including:

•   a number of dentally-related situations/experiences focussing particularly on the stated learning outcomes (Integrated Learning Activities - ILAs)
•   Class Meetings/Online Lectures & Modules
•   Clinic sessions
•   Simulated Clinic sessions
•   Learning Laboratories
•   Clinical Communication Tutorials with Volunteer Patients
•   Formative quizzes
• Self-directed learning and Group work

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

To successfully complete courses, students will need to allocate an appropriate time commitment to their study. In addition to the formal contact the time required for each course [eg, ILAs, class meetings, tutorials, practicals, clinics] students will need to allocate non-contact time. Non-contact time will be required for a range of activities which may include, but are not limited to, assessment tasks, reading, researching, note-taking, preparing for clinic/simulated clinic sessions, revision, and writing, consultation with staff and informal discussions with other students.

While the relative proportion of contact and non-contact time may vary from course to course, as a guide, a full-time student would expect to spend, on average, a total of 48 hrs/wk on their studies during teaching periods to achieve a satisfactory level of performance. The teaching periods for BDS 2 are:

•   19 weeks for Semester 1 (ie week 1 to the end of the examination period); and
•   17 weeks for semester 2 (ie week 1 to the end of the examination period).

The workload for undergraduate/postgraduate programs is 24 units per year (full-time).

Total workload (hrs/week) 48

Contact hours (hrs/week) up to 28:
Comprising ILAs, Class Meetings, LearningLaboratories, Simulated Clinic sessions, Clinic sessions, Clinical Communication Tutorials with Volunteer Patients, Tutorials, Radiography simulation sessions, Titanium training sessions

Non-Contact hours (hrs/week) up to 20:
Comprising Group and Individual Learning andPreparation for class meetings, learning laboratories, simulated clinic sessions, clinical communication tutorials with volunteer patients tutorials, clinics and assignments.

Learning Activities Summary

Refer to MyUni for the full program of classes/learning activities

Specific Course Requirements

There are numerous Clinical Placement requirements that are mandated. Students are required to be up to date with all clinical placement requirements.
Refer to information at following location:

Equipment Required

Laboratory coat:
You need to wear a coat in all learning laboratories in Dental Science and Practice II. You are required to wear this during your laboratory sessions, to conform with HW&S regulations.

Clinic coat:
You need to wear a clean and ironed clinic coat during clinic in Dental Science and Practice II.

Protective glasses:
You are required to wear protective glasses during your learning laboratories and in the clinic sessions, that conform with Australian HW&S regulations. The eyewear should be close fitting and not have gaps at the side of the eyes or above the brow. Students who wear prescription glasses need to purchase an overshield.

Instrument Kit:
The dental instruments purchased for Dental Science and Practice I are also required for use in 2nd, 3rd and 4thyr for operative technique exercises.

Plastic tooth Models:
Plastic teeth, gums and bases are required. During 2nd yr additional plastic teeth will also be required for additional procedures. It is the responsibility of students to ensure they have adequate teeth prior to all operative technique laboratory sessions (as outlined in the simulated clinic program).

Practice Blocks and Wax Carving Teeth:
Practice blocks and wax carving teeth will be required as outlined in the simulation clinic program and advised by coordinator.

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

Assessment Task	Assessment Type	Weighting	Learning Outcome(s) being addressed
Clinical performance (including Clinic Learning Plan and Radiography) Simulated clinical performance	Summative	30% of whole years’ work.	1-14; 15-20; 21-31; 32-39; 43-51
Semester 1 and 2 written assessments Volunteer Patient program reflection submissions Indigenous Health course including online and reflective tasks	Summative	70% of the whole years’ work.	All learning outcomes
DSP 2 Progressive Integrated Examination	Summative	Must pass this component to pass DSP 2.	All learning outcomes + DSP 1 Learning outcomes
ILA submission; Periodontal Online case	NGP	Must achieve a pass standard	All learning outcomes

Assessment Related Requirements

Assessment details are found in the BDS 2 Yearbook (on MyUni)

Attendance at all classes eg clinic, sim clinic, ILA sessions, tutorials/workshops student learner activities, subrosters (ie, radiography) are compulsory.

All students in the BDS program are required to notify the School of absences. Students are reminded that the BDS programme is a professional degree, requiring the highest standards of professional behavior. Notification of any absence is also good professional conduct. International students need to be compliant and attend classes as a requirement of the visa obligations and responsibilities under the Education Services for Overseas Students (ESOS) Act 2000.

If you are unable to attend your scheduled session the following 3-step protocol must be followed:

1. Contact the clinic asap to inform them of your absence.

2. Email the BDS Yr level/clinic/sim clinic coordinator and inform them of your absence ASAP

3. Complete and lodge a “Non-Attendance” form. This step is mandatory.

Further information is on MyUni.

Assessment Detail

Formative Assessment (Feedback)
A range of formative assessment activities will be provided in several sessions in each semester. These have been designed to help you learn key concepts in DSP II as well as give you feedback on your progress and to gain experience in the question formats used in DSP II. These activities will be in the form of questions in class meetings, learning laboratories, tutorials and online. In addition during each session in the simulation clinic and clinic, students are required to reflect on their performance, in verbal and written format, using criteria as per the DSP 2 Assessment Criteria and Standards. Tutors then provide written feedback in the students’ self-assessment booklet. There are also a range of other activities where students are provided formative feedback – refer to Section 5.2.

Summative Assessment
This table provides a summary of the summative assessment tasks

Semester 1	Semester 2
Clinic performance	Clinic performance Simulated clinic performance Volunteer patient program participation Indigenous Oral Health Course Tasks
End of Semester 1	End of Semester 2
Written Assessments Progressive Integrated Assessment (PIA	Written Assessments Progressive Integrated Assessment (PIA)

Submission

Details on submission processes/requirements will be provided in the documentation for any work that is to be submitted. These will be posted on MyUni.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

NOG (No Grade Associated)
Grade	Description
CN	Continuing

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through .

Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

The School follows the University’s SELT policy regarding the use of SELTs to evaluate its programmes, courses and teachers. The results are reviewed with by Year and Course Coordinators and actions taken as appropriate. A summary of changes that have been made are circulated to staff and students after the review process.

The year co-ordinators will meet with students on a regular basis to discuss the delivery of the course, content, clinical and other matters.

Student representative across the BDS program also meet periodically with the Head of School.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student鈥檚 disciplinary procedures.

The 成人大片 is committed to regular reviews of the courses and programs it offers to students. The 成人大片 therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator

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