ORALHLTH 2202BHO - Clinical Practice IIOH Part 2

Teaching Hospitals - Semester 2 - 2022

This course aims to build upon Clinical Practice I with regard to the consolidation of preventive, periodontal and restorative clinical skills, through manikin exercises and provision of treatment for selected patients. Strong emphasis is placed on the ability to consistently apply quality assurance principles and processes in oral health practice. Topics include clinical dental hygiene practice, operative dentistry (theory & practical), pedodontics, clinical dental therapy practice and periodontics.

  • General Course Information
    Course Details
    Course Code ORALHLTH 2202BHO
    Course Clinical Practice IIOH Part 2
    Coordinating Unit Oral Health
    Term Semester 2
    Level Undergraduate
    Location/s Teaching Hospitals
    Units 12
    Contact Up to 18 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites ORALHLTH 2201AHO, ORALHLTH 2202AHO, ORALHLTH 2203AHO AND ORALHLTH 2204HO in addition to the previous year core courses
    Corequisites ORALHLTH 2201BHO, ORALHLTH 2203BHO & ORALHLTH 2200HO
    Restrictions Available to Bachelor of Oral Health students only
    Course Description This course aims to build upon Clinical Practice I with regard to the consolidation of preventive, periodontal and restorative clinical skills, through manikin exercises and provision of treatment for selected patients. Strong emphasis is placed on the ability to consistently apply quality assurance principles and processes in oral health practice.
    Topics include clinical dental hygiene practice, operative dentistry (theory & practical), pedodontics, clinical dental therapy practice and periodontics.
    Course Staff

    Course Coordinator: Dr Jennifer Gray

    Course Coordinator: Associate Professor Cathy Snelling
    Email: catherine.snelling@adelaide.edu.au

    Course Coordinator: Ms Sue Aldenhoven
    Email: sue.aldenhoven@adelaide.edu.au
    Course Timetable

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

  • Learning Outcomes
    Course Learning Outcomes
    1 Practice within legislative parameters for relevant dental professionals and apply this knowledge in practice
    2 Abide by the principles of health care ethics and demonstrate these principles in the delivery of clinical services
    3 Apply the principles and techniques of quality assured examination & diagnostic processes including clinical photography, applied intra-oral radiography & personalized dental care concepts to customising patient care and treatment plans
    4 Describe the physical and psychological behaviour management theories and apply communication strategies supportive of these theories to enhance acceptance of dental treatment
    5 Explain effective attributes of successful change management and apply this information to foster patient behaviour that is favourable to oral health
    6 Explain the range of preventive procedures within a defined scope of practice and apply this knowledge in the clinical setting by targeting and performing preventive procedures on patients
    7 Explain the interrelating principles of cavity preparation, material selection and placement, pulp therapy and the use of liners for the deciduous and permanent dentition and apply this knowledge to operative techniques scenarios in the laboratory and simple treatments with patients
    8 Compare and contrast the pharmaceutical properties of the three main types of local anaesthetic agents used by dental therapists and hygienists, apply this knowledge to potential complications (local and systemic), utilise appropriate preventative strategies and select the appropriate technique for each clinical procedure requiring a local anaesthetic
    9 Recognise and describe the anatomical, histological and physiological features of the oral tissues (including hard and soft tissue, bones, muscles, nerves and blood supplies) and apply this knowledge to deliver safe & effective inferior alveolar block, periosteal infiltration and interpapillary injections
    10 Practice in a culturally competent manner with a diverse range of individuals and community groups
    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, 2, 3, 4, 6, 7, 8, 9, 10, 11, 12

    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, 5, 15

    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.

    4, 14, 15

    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, 2 ,3, 7

    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.

    1, 2, 14, 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.

    1, 2, 4, 5, 14
  • Learning Resources
    Required Resources
    •    The regulation laboratory and clinical coats must be good order, and must be worn at all times in the clinic and simulation clinic

    •    Appropriate footwear to be worn at all times in the clinic and simulation clinic

    •    Safety glasses in clinic and simulation are obligatory at all times

    •    A full set of permanent plastic Nissin Teeth – purchased in 1st year
    In addition, you will need to purchase a Nissin mixed dentition model (approximate cost $400) for semester 2. The appropriate manikins will be provided at no cost, but the student is responsible for the purchase of the teeth. Further information will be provided during semester 1.

    •    Purchase of Instruments and Equipment
    Students should budget approximately $450 for additional teeth and other simulation lab resources across the year.  We strive to keep additional costs to a minimum. However as simulation is a very important part of clinical skill development, this equipment is essential for your learning.

    •    SADS Clinic manual for undergraduate dental students     
    Remember that the clinics are under the control of the SA Dental Service. You are admitted as a student to practise in these clinics under their terms and conditions (as per the University Calendar). The SA Dental Service has set down a summary of these rules for conduct and dress code, conditions, and policies in the SA Dental Clinic Manual.  You will be given a copy during your induction sessions. Make sure you read it thoroughly as observance of these rules and codes is essential for students who wish to be permitted use of the clinics and laboratories.
    Recommended Resources

    •    Nield-Gehrig JS (2008) Foundations of Periodontics for the Dental Hygienist, Lippincott Williams and Wilkins: Philadelphia
    •    Nield-Gehrig JS (2008) Fundamentals of Periodontal Instrumentation, Lippincott Williams and Wilkins: Philadelphia
    •    Noble SL (editor) (2012) Clinical Textbook of Dental Hygiene and Dental Therapy, Wiley-Blackwell: Oxford
    •    Cameron A and Widmer R (2013) Handbook of Paediatric Dentistry, 4th ed, Mosby-Wolfe: London


    Online Learning
    All resources for this course will be uploaded on My Uni under Combined Year 2 under clinical practice. MyUni will be used extensively for learning and communication, so you are strongly urged to check your emails and MyUni announcements on a regular /daily basis.

    A blended learning approach is implemented in your paedodontic topics – a combination of face-to-face resource sessions, online learning modules and tutorials are utilised to promote a contemporary, flexible and effective learning environment.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    1.    Class meetings
    2.    Tutorials
    3.    Printed and web-based media
    4.    Written assignments and oral presentations
    5.    Simulation
    6.    Clinical sessions
    7.    On-line learning activities
    8.    Self-assessment
    9.    Self-directed learning

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

    Clinical Practice IIOH occupies the majority of your time in second year.   It is presented in a number of different learning environments:
    •    Class Meetings
    •    Tutorials
    •    Simulation clinic/Learning Laboratories
    •    Pre-Clinical and Clinical Sessions
    •    Online learning activities

    Class Meetings

    In Semester 2, there will be:
    •    Paedodontics:  a ninety minute class meeting, where the student will focus on the application of clinical practice in the treatment and care of children and adolescents.
    •    Periodontology: resource session/s each week. Tutorials will also be scheduled to help support your learning.

    Learning Laboratories

    Simulation Clinic MI Dentistry Operative Techniques:
    Two practical sessions per week will be held in the Simulation Clinic, Barr Smith South Building.

    Online Learning Activities

    There will a number of Interactive Learning Modules and online learning activities scheduled across the semester to support your learning in Paedodontics and Periodontics in an oral health context.
    Learning Activities Summary
    •    Structure and properties of teeth, and their relationship to restorative dentistry
    •    The caries process
    •    Cavity classification and nomenclature
    •    Minimum Intervention Philosophy
    Diagnostic aids
    •    Introduction to instrumentation in restorative dentistry
    •    Introduction to dental materials
    Composite resins
    Fissure sealants
    Bonding agents/ liners
    Glass Ionomer Cements
    •    Cavity preparations and restoration of permanent teeth
    Proximal posteriors
    Proximal anteriors
    Incisal edge
    Cusp protection
    Bonded amalgams
    •    Management of the occlusal lesion
    •    Management of the proximal lesion
    •    Pedodontics
    •    Pulp therapies – primary and permanent teeth
    Caries control
    Pulp capping
    •    Deciduous cavity preparation and restoration
    •    Management of traumatic injuries to anterior teeth
    •    Dental emergencies
    •    Local anaesthesia
    •    Periodontics
    •    Instrument sharpening
    •    Supra and sub-gingival hand scaling (instrumentation)
    •    Ultrasonic scaling
    •    Application of remineralising gels, solutions and pastes
    •    Impressions/mouth guards
    •    Dental law and ethics
    •    Attributes and Competencies of Oral Health Therapists
    •    Intra-oral radiography
    •    Clinical photography
    •    Patient examination and history taking
    •    Oral and radiographic diagnosis diagnosis
    •    Treatment planning (including preventive options)
    •    Tobacco Use Prevention And Cessation (TUPAC)
    •    Patient education and oral hygiene instruction
    •    Dietary considerations for oral health
    •    Special needs (Supported Residential Facilities)
    •    Care of fixed and removable prostheses
    •    Periodontal indices
    •    Polishing and recontouring restorations
    •    Calculus detection
    •    Prophylaxis and stain removal
    •    Saliva testing and other diagnostic aids
    Specific Course Requirements
    Clinic Sessions 

    The class will be divided into groups for clinic sessions and will be rostered at either Marion or Elizabeth GP Plus Dental Clinics - these groups will be organised during Commencement Week. The groups will be rostered for clinical sessions based upon the chairs available for use.

    Sessions when students are not providing direct patient care should be used for out of clinic study or clinical assistance (when required).

    Clinic sessions will be held on Monday and Fridays at the Marion and Elizabeth clinics – a roster will be provided at the start of the year.
  • Assessment

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

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

    Assessment Summary

    Component Contribution
    Clinical Placements 35%
    Pre-Clinical NGP
    Operative Techniques 20%
    •    Semester 1 written examination (MI Dentistry and Periodontology)
    •    2 Clinical Case study presentations – semester 2
    •    Semester 2 and written examination (Paedodontics and Periodontology)
         Online learning activities - semester 2

    TOTAL 100%

    Due Date for Assessments

    Component Due Dates
    Clinical Placements Semester 2 continuous assessment
    Operative Techniques (Simulation Clinic) Semster 2 continuous assessment

    Semester 2 examination
    Case study presentations
    Paedodontic online learning activities

    Semester  2 exam period
    Wk 12
    Across semester 2

    Assessment Related Requirements
    Assessment of Simulation Clinic/Clinic
    For your Simulation Clinic sessions (Operative Techniques) students will complete a self-assessment sheet for each procedure and discuss it with their tutor.
    •    At the end of Semester  you will have a feedback session with your tutor, where you will discuss a formative grade, based upon your self-assessment sheets (these formative grades are used for feedback purposes only).
    •    At the end of Semester 2 your tutor will award summative marks towards your final practical mark.

    Clinical Assessment
    For your Pre-Clinical/Clinical assessment you will complete a self-assessment sheet at the end of each session and discuss your assessment with your tutor.    

    In the Dental Hygiene component:
    •    At the end of Semester 2 these summative marks awarded by your tutors will contribute towards your final practical mark.  A feedback session for each student with the Stream Coordinator will be scheduled early in Semester 2 to review the Semester 1 assessment & set goals for Semester 2.    

    In the Dental Therapy component:
    •    At the end of Semester 2 your tutor will award a summative mark, which will contribute to your final clinical assessment. 

    Further information about the practical assessment will be given during class meetings. Every effort will be made to help students identify areas in which difficulty is being experienced, and to remediate the level of performance.  If you consider that you are having difficulty with any part of the stream, please contact the relevant discipline/stream coordinator.    

    To obtain a pass grade in Clinical Practice IIOH, you must obtain a satisfactory (or above) result for the year in the assignments and written examinations as well as in each of the clinical/laboratory components.      

    A uniform system of clinical assessment is used in all years of both BDS and BOH programs.  It is based on self-assessment and it:
    •    gives you direct input into your clinical assessment and learning experiences
    •    encourages you to reflect on the learning process as a whole
    •    teaches you to reflect on and assess the quality of your clinical work using a standardised assessment procedure
    •    encourages you to learn by receiving regular feedback
    •    encourages you to accept responsibility for what you say and do in the clinic•    includes objective measures of clinical performance in each discipline
    •    helps develop life-long learning skills

    Wherever possible, each session will have time allocated for you to:
    •    review with your tutor what you propose to do for each patient for the session
    •    debrief to self-assess and discuss the self-assessment with your tutor.

    You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.

    You are required to keep and maintain detailed up-to-date information about your work in the clinic throughout the year.  You will be issued with a self-assessment booklet, which you must have with you at each clinic session. In addition, you will complete a Clinical Learning Portfolio that demonstrates attainment of clinical competencies you successfully complete in pre-clinic and clinic sessions over the year. During the orientation period, you will be giving detailed information on how these evidence portfolios are to be implemented in your clinical program.

    A specific self-assessment book for the Operative Techniques sessions in the Simulation Clinic will also be issued to you, and should be brought to all these sessions.

    Learning can be defined as a change in understanding.  Therefore it is your responsibility to demonstrate improved understanding related to your knowledge, skills and attitudes throughout the year.  The assessment process is designed to provide you with feedback on your progress.

    You will be given Clinical Assessment Criteria information (for both sem 1 and sem 2) describing specific skills criteria for the clinical procedures that you undertake in the Clinical Practice II OH course.

    The criteria for the assessment of Infection control, Knowledge base and Professional behaviour are common to all procedures and disciplines.

    Both you and your tutor will use these standard criteria.  If your assessment differs significantly from that of your tutor’s, the reason(s) should be recorded during the self-assessment process.

    On completion of a clinical procedure, you are required to self-assess your work in your self-assessment booklet.  You should identify strengths, areas needing improvement and strategies for improvement. You should then seek feedback from your tutor about your clinical performance.

    Tutors will record details of student and patient attendances in the clinic and whether or not you have self-assessed your work regularly. If you do not complete a self-assessment, your tutor will mark your performance as unsatisfactory.

    You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.

    Note: You should be aware that your final grade in the preclinical/clinical component of Clinical Practice II OH is not just the sum of individual assessments in your self-assessment booklet.  These assessments are formative comments and provided to help you with your learning.  Your final assessment will be based on an overall review of your knowledge, skills and attitudes in a clinical context.  You should discuss your overall performance with your tutors and mentors throughout the year.

    Further information about the practical assessment component will be given during class meetings.  However, it is important to note that the final assessment for each semester is based upon the standard obtained towards the end of the assessment period.  It is not based on an average of the entire semester.

    Every effort will be made to help students identify areas in which difficulty is being experienced, and to provide help to remedy problems.  If you are aware that you are having difficulty with any part of the course, please the discipline/stream co-ordinator
    Assessment Detail

    Component Contribution
    Clinic 35%
    Pre-Clinical NGP
    Operative Techniques 20%
    •    Periodontology test – semester 2 
    •    Paedodontic and Periodontics online learning activities
    •    Clinical Case study reports  – semester 2
    •    Written exam – semester 2 Paedodotics and Periodontics
    TOTAL 100%
    Assignments must be submitted with the dental school’s official cover sheet. Submission will be made electronically via Turnitin, unless otherwise advised.

    Any requests for extension must be made in writing to the relevant assessor no later than 7 days before the due date; marks will be deducted for any late submission of work, unless an extension has been granted.
    Course Grading

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

    GS8 (Coursework Grade Scheme)
    Grade Description
    CN Continuing
    FNS Fail No Submission
    NFE No Formal Examination
    F Fail
    NGP Non Graded Pass
    P Pass
    C Credit
    D Distinction
    HD High Distinction
    RP Result Pending

    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 Access Adelaide.

  • 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.

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