Unit information: Advanced Care Dentistry Year 5 in 2013/14

Please note: you are viewing unit and programme information for a past academic year. Please see the current academic year for up to date information.

Unit name Advanced Care Dentistry Year 5
Unit code ORDSM0011
Credit points 40
Level of study M/7
Teaching block(s) Academic Year (weeks 1 - 52)
Unit director Dr. Luker
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 of Teaching will take place in year 4 term 3 and year 5 terms 1 & 2 and will comprise of the following 3 Elements:

  • Oral Diagnosis – including Specialist Clinics (Oral Medicine, Maxillofacial Surgery (OMFS), Restorative, Special Needs, Paediatric and Orthodontics) and acute dental care and management of medically compromised patients
  • Conscious Sedation Year 5
  • Orthodontics Year 5

The general aims of these elements are:

Oral Diagnosis:

  • To have clarity as to when patients require specialist referral and how to refer
  • To be able to identify patients who may have a malignant or pre malignant condition and undertake urgent referral
  • To have knowledge and understanding of the dental specialties.
  • To provide a knowledge of the use of conscious sedation in dentistry.
  • Develop competency in the diagnosis and management of acute conditions of the teeth, jaws and surrounding structures.
  • To develop competency in managing acute dental problems in medically compromised patients.
  • To have clarity as to when patients require specialist referral and how to refer.
  • To be able to identify patients who may have a malignant or pre malignant condition and undertake urgent referral.
  • To be competent in managing medical emergencies within a dental practice setting.

Conscious Sedation Year 5:

  • To provide a knowledge of conscious sedation in dentistry.

Orthodontics Year 5:

  • To increase skills in the collection of the orthodontic clinical data and the formulation of a problem list.
  • To increase knowledge of the correct management of orthodontic appliances and of emergencies that may arise during their use.
  • To improve their ability to inform patients about the scope, nature and requirements of orthodontic treatment.
  • To improve their ability to refer patients for an orthodontic opinion at the optimal time and in an optimal fashion.
  • To improve their knowledge of the interaction between orthodontics and other parts of dental care.

Intended Learning Outcomes

The student should acquire the skills and attributes necessary for:

  • Obtain, record and interpret a comprehensive and contemporaneous patient history and be able to discuss the importance of each component
  • Undertake a systematic approach to intra and extra oral examination
  • Undertake relevant special investigations and diagnostic procedures and manage appropriate clinical and laboratory investigations
  • Synthesise the full results of a patient assessment and make an appropriate diagnosis and treatment plan which may include referral to a specialist service
  • Treat all patients and staff with equality, respect and dignity
  • Recognise, diagnose and manage acute and chronic oral facial pain and dental pain appropriately , effectively and safely including Temporomandibular Joint pain
  • Recognise, diagnose and manage acute dento alveolar and mucosal trauma
  • Recognise and diagnose and manage diseases of the oral mucosa and surrounding structures and refer as appropriate
  • Identify malignant and premalignant conditions and risk factors and undertake urgent referral
  • Safely and appropriately prescribe and administer drugs and therapeutic agents
  • Comply with current best practice guidelines
  • Identify, assess and manage medical emergencies
  • To have clinical experience of administering intravenous conscious sedation.
  • To have experience of treating patients under intravenous conscious sedation
  • To have experience of the monitoring of consciously sedated patients
  • To have experience of the recovery and discharge of consciously sedated patients
  • Recognise and explain to patients the range of contemporary orthodontic treatment options, their impact, outcomes, limitations and risks
  • Identify and explain the principles of interceptive occlusal treatment, including interceptive orthodontics, and refer when and where appropriate

Teaching Information

Oral Diagnosis:

  • Attendance at Clinical Consultant Clinics:
  • Rotation A am PCU 3.5-4.5 hours a day X 5 days = 17.5-22.5 per week
  • Rotation B Consult ant Clinics/Oral Medicine 26 hours per week Minumim of 1 rotation majority 2
  • Rotation C Consultant Clinics/Oral Medicine 32 hours per week
  • Charlotte Keel 28 hours per week
  • Oral Surgery 7 hours a day for one week
  • Tutorial based teaching Tutorials on specific topics, problem-based learning, lectures, treatment of patients under supervision
  • Problem based learning
  • Supervised clinical care of patients attending the walk in dental emergency department

Conscious Sedation Year 5:

  • 5 clinical sessions per student for Conscious Sedation

Orthodontics Year 5:

  • 1 session per week consisting of supervised treatment
  • 30 minutes tutorial /problem-based learning
  • 6 lectures in term 5.1
  • A three-hour topic teaching session combined with paediatric dentistry in term 5.1.

Assessment Information

Oral Diagnosis:

Formative assessment during clinical rotations (Maxillofacial, Ortho, Conscious Sedation, Oral Medicine, Restorative) and tutorials on a sessional basis, assessing skills, knowledge and professionalism (Graded A –E)

Summative oral assessment of course unit -Structured assessment of Case Scenarios 

(viva voce) Term 2 Year 5 (gateway to finals) 25% of the Unit mark

Summative assessment - competency case presentation and management of a walk in, unseen patient to include history taking and examination Term 2 Year 5 (gateway to finals) 50% of the Unit mark (must pass to progress)

Conscious Sedation Year 5:

The summative assessment will take place during the gateway to Finals examination

Orthodontics Year 5:

The Gateway-to-finals exam is the summative test for this element. It consists of the presentation of a case which they have treated. This orthodontic component is 20% of the total mark for that exam.

Reading and References

Recommended text:

  • Oral Medicine: Oral & Maxillofacial Medicine 2nd edition 2008 ;Crispian Scully
  • Dental Radiology: Essentials of Dental Radiography and Radiology 4th Edition 2007; Eric Whaites
  • 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

Further reading:

  • Special Needs: Medical problems in Dentistry 6th edition 2010, Crispian Scully
  • Special care in Dentistry: Handbook of Oral health care (2007) Churchill Livingstone Elsevier Reprinted 2009
  • Essentials of Oral Pathology and Oral medicine 8th edition 2011, R. A. Cawson and E.W. Odell
  • Oral pathology, 4th edition, J.V. Soames and J.C. Southam
  • Oral and Maxillofacial Surgery: An objective based textbook, Pedlar & frame

Principles of Oral and Maxillofacial Surgery, Moore (Ed)

  • A synopsis of Minor Oral Surgery, Dimitroulis
  • 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
  • An Introduction to Orthodontics. 3rd edition. Laura Mitchell. Oxford university press

Related links