GROUP AND INDIVIDUAL LEARNING INTRODUCTION TO BDS 4

GROUP AND INDIVIDUAL LEARNING: INTRODUCTION TO BDS 4 2017

BDS 4 INTRO OUTLINE BDS IV – Lectures – ILAs – Clinic – Formative/Summative Assessments – For Assessment Breakdown refer to ‘BDS IV 2017 Yearbook from Canvas’

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BDS 4 INTRO OUTLINE BDS IV – Lectures – ILAs – Clinic – Formative/Summative Assessments – For Assessment Breakdown refer to ‘BDS IV 2017 Yearbook from Canvas’

BDS 4 INTRO OUTLINE

Lectures • Semester 1: – – – – – Fixed Pros (PCPC + online modules) Oral Surgery (online modules) Pharmacology Paeds Endo Perio Ortho Geriatrics Rem Pros • Semester 2: – Paeds – Traumatology

CLINIC • ‘On’/‘Off’ week - fortnightly rosters A. Specialist Clinics: i. iii. iv. v. vi. Fixed Pros Endo Rem Pros Paeds Oral Surgery: rostered for 2/52 Ortho: Alternating from clinic/seminar • Check Prof. Dreyer’s roster B. General Dentistry i. ii. GDP x 2 Oral Diagnosis

A. Specialist Clinics

Fixed Pros • UNITS: 8 across BDS IV & V • 1 unit … for each tooth you prepare • 1 unit … for an Indirect P&C you prepare and cement. • I. e. 2 units for an 16 IN -direct P&C + 16 PBM. 1 unit only for 16 IN -direct P&C + 16 PBM. • Patient comes in referred for remake of 23 PBM Crown. Prep freshened 1 unit. LUCKY EASY UNIT!!!

Fixed Pros - Housekeeping • Fixed Prosthodontics Registrar • Kept in Clinic 2. 5 – Fill it out properly – FP Consult: at conclusion of appt Make sure it is signed by your Tutor. – ***You are accountable for the whereabouts, and precise record keeping of your Registrar. – End of Year No Registrar = 0 units.

Fixed Pros - Tips • Cement Removal – Be Weary of Your materials & Working Times • Tools: – Air triplex – Hollenback carver – Spoon excavator – Vaseline – (Cavitron Stick)

Fixed Pros - Tips • Cement Removal – Zinc Phosphate & Zinc oxide Eugenol complete set before removal – GIs, zinc poly carboxylate, Resin cements Messy! Remember your materials & Cements module bonds chemically and physically to surfaces • Rely X Unicem – best removed in its gel stage!!! “tack cure” 2 s @ margins – Tip: Coat vaseline, surrounding non-bonding tissue surfaces.

Fixed Pros - Tips • CAD-CAM

Fixed Pros - Tips • Polishing FGCs: – Brown Green Shofur Burs – 10, 000 RPM to a maximum of 15, 000 RPM • Without water.

Endo • UNITS: 40 across BDS IV & V • Remember ENDO ACCESS can also be done in O. D!! UNITS!!!

Endo - Tips • Medicaments: – Ledermix not stocked – Alternative is ODONTOPASTE • Myriad of instruments – H files – Buchanan’s obturating kit – Rotary • Radiographs – SNAP-A-RAY • MILTON’s SOLn is BLEACH!!!

Endo - Tips: Setup ‘ENDO’ Tray: - BLUE - ENDO KIT - IRRIGANTS - ENDO ACCESS BURS - COTTON PELLETS - CAVIT ‘Normal’ Tray: - RUBBER DAM - LA - INITIAL ACCESS BURS (before into pulp) - CONS (after pulp sealed)

Endo - Tips: Irrigants • Inbetween files = Milton’s Solution • Final wash = EDTA • Be weary of handling! NB: Sodium Hyperchlorite – Not to full length – Slow gentle pressure – Negative aspiration – Plastic Cap Na. OCl is BLEACH =

Endo - Tips: Medicaments • Odontopaste Composition: – Clindamycin HCl (5%) – Tri-amcinolone acetonide (1%%) – Ca. OH (<0. 5%) CAVIT

Endo - Tips: Which canal is which? ? ? – TUBE SHIFT: SLOB – H - Files

Endo-Tips: Rotary • Pro Taper System • Twisted File System – Will be introduced as out-of-clinic ‘Intro to Rotary’ sessions with Prof. GRF

Endo – SNAP-A-RAY • Easier to use? Vs ENDO RINN? • Technique sensitive – patient factors

Endo – Symbron. Endo Kit

Rem Pros • Appointment Sequencing & Titanium Notes– refer to Rem Pros Manual • Apt 1: Consult + Primary Impressions – In between apts Cast Surveying, Denture Design • • • Apt 2: Rest seat preps Secondary Impressions Apt 3: Frame + Wax rims Apt 4: Try-in teeth Apt 5: Insert Apt 6+: Review/s

Rem Pros - Tips: Denture adjustments 73 yo female, ADH Rem Pros Clinic • CC: Pt notes pain when biting down on her bottom denture. She has stopped wearing the denture all together for last month. • IOE: 10 unit F/L acrylic denture Patient indicates pain radiating from 34 -35 region.

Rem Pros - Tips: Denture adjustments • Your Tools for denture adjustments: – Horseshoe articulating paper – PIP – Ortho pliers – Straight handpiece

Rem Pros - Tips: Denture adjustments • 73 yo female, ADH Rem Pros Clinic • PIP + Straight hand piece

Rem Pros - Tips: Denture adjustments

Paeds - Tips • CPI • Radiopgraphs • RA – Introduction – Induction

Paeds - Tips: CPI • CPI = ‘Community Plaque Index’ – WHO 1997 < 20 yo CPI SCORE 16 11 26 0 Healthy 16 31 36 1 BOP 2 Calculus 3 p. d. 4 -5 mm 20 yo < 17 16 11 26 27 4 p. d. 6+ 47 16 31 36 37 X Exclude sextant (<2 teeth present)

Paeds - Tips: Nitrous Oxide • RA: Relative Anaesthesia/Conscious Sedation/Happy or Funny Gas. – Check the hood! • Right size? • Right fit? – Excavation – Warning Signs!

Paeds - Tips: Nitrous Oxide

Oral Surgery • Maximise your time: – Exo Clinic – Outpatient Clinic – Day Surgery – Elective Clinic – Gen Theatre – AUDITs – Oral Path – Head & Neck Interdisciplinary Team meetings

Oral Surgery - Tips • Therapeutic Guidelines – BIBLE • Be weary there are now many new Bisphonates and Bisphonate alternatives • Need to ask are you taking any medications for your bones? If no, have you ever taken any medications for your bones in the past? ****

Oral Surgery - Tips • Haemostasis management: – Physical Pressure - Gauze – Warfarin – TXA protocol – Suturing

Ortho: • Seminars – Similar cases to Ortho AUSKI • MOCDO

B. General Dentistry

General Dental Practice Tips • Matrix systems – Tofflemire, Cervical, Automatrix, Sectional, Lucifix etc. • Polishing – Minimal-no SS polishing, – Minimal White stone HS polishing – ENHANCE BUR

General Dental Practice Tips

Oral Diagnosis • Aka Pain Clinic Unit (PCU) • Only treat issue causing pain

Oral Diagnosis • 55 yo male patient arrives in Clinic 2. 5 during the Oral Diagnosis sessions. • CC: Patient mentions that all his teeth ‘are hurting’ and would like for all his teeth to be taken out today. • ? ? ? • IOE: …

Oral Diagnosis

FORMATIVE/SUMMATIVE ASSESSMENTS • Formative: – Sem 1: • • • FP Module Quizzes or (Essay – Remedial exercise) x 2 Perio To. U: in semester – choose 2/3 essay topics Pop. Health Assignment OMS To. U: MCQs Ortho To. U – Sem 2: • OMS Case Report • GDP/Perio Oral VIVA • Ortho AUSKI • Summative: – Dental Science and Practice IV Part I & 2 Integrated Paper. • 2. 5 – 3 hrs / paper x 2 • Extended Response Questions only

STRESS & TROUBLE? • Preventative & Early Intervention Key! • Uni-Health – On-campus Counselling – Drop-in service • Issues re. Clinic – Email + Refer to respective clinical coordinators

BDS 4 clinical stats. LINK - 'Some BDS 4 Fun Facts by one student'

OVERVIEW

Questions?