This unit applies to work in dental prosthetics at advanced diploma level

Pre-requisite units

This unit must be assessed after successful achievement of pre-requisites:

HLTDP601C Identify, select and prepare instruments, equipment, materials as required

HLTDP602C Gather data, conduct a dental prosthetic examination and develop treatment plan

HLTDP603C Take impressions

HLTIN301C Comply with infection control policies and procedures

HLTIN302B Process reusable instruments and equipment in health work

HLTOHS401A Maintain workplace OHS processes

ELEMENT

PERFORMANCE CRITERIA

1. Prepare client for procedure

1.1 Interpret prescription if referred from another source

1.2 Provide full details of the procedure to the client and/or carer

1.3 Prepare personal protective equipment for the client and members of the dental team

2. Select technique, equipment
and materials for recordings

2.1 Select technique, equipment and materials that are appropriate for the procedure

2.2 Prepare and use equipment and materials in accordance with manufacturer's instructions

3. Record jaw relationships and occlusion

3.1 Implement aseptic techniques to prevent the spread of infection

3.2 Position the client comfortably for the procedure

3.3 Instruct client on participation during the procedure

3.4 Ensure stability and comfort of registration rims

3.5 Observe centric and eccentric mandibular movements

3.6 Determine and record functional measurements and dimensions

3.7 Consider referral if jaw relationship is unable to be determined

3.8 Check recordings by observation and repetition

3.9 Maintain integrity of the recording during extra-oral transfer

3.10 Ensure the client's well being prior to being dismissed

4. Select appropriate artificial teeth

4.1 Ensure adequacy of natural and artificial light for selection of colour and shade

4.2 Consult client regarding aesthetic and functional requirements

4.3 Consider properties and composition of artificial teeth in relation to wear and aesthetics

4.4 Examine manufacturer's mould and shade guides

4.5 Select artificial teeth that are appropriate in shade, size and shape

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Applied oral anatomy

dentition - arrangement of the teeth, naming and coding of teeth

structures of the oral cavity - hard and soft palate, lateral and posterior borders of the oral cavity, tongue and floor of the mouth

teeth - form and function

Client management techniques

Current infection control guidelines

Legal and ethical issues relating to: informed consent, duty of care, confidentiality, disability awareness

Principles and practices which underpin interpersonal communication

Principles of quality assurance and work effectiveness

Relevant occupational health and safety policies and procedures

Techniques for establishing and recording jaw relationships and occlusion

The rationale and objectives for establishing and recording of jaw relationships and occlusion

Essential skills:

It is critical that the candidate demonstrate the ability to

Consistently prepare clients, environments, instruments and materials for registration teeth.

Consistently determine the form of the upper rim during full denture construction

Consistently record jaw relations

Consistently comply with occupational health and safety procedures.

Consistently implement standard precautions

Consistently follow procedures to ensure client safety

In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Consistently apply standard and additional precautions during all prosthetic procedures

Consistently select and prepare equipment and materials as required for establishing and recording of jaw relationships

Consistently establish and record jaw relationships for clients who may be:

dentate

edentulous

Consistently demonstrate interpersonal skills when relating to people from a range of social, cultural and religious backgrounds and physical and mental abilities

Consistently demonstrate communication skills as required in fulfilling the job role as specified by the dental practice/organisation including:

acknowledging and responding to a range of views

active listening

asking for clarification from client and/or carer

asking questions

negotiation

Consistently deal with conflict

Consistently work with others and display empathy with client and relatives

Consistently use problem solving skills required including:

planning and organising personal work activities

using available resources

Consistently maintain equipment, instruments and materials

Recognise, respond to and assist with dental and medical emergencies

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of workplace performance is essential for assessment of this unit

Consistent compliance with infection control guidelines, Australian and New Zealand Standards and legislative requirements as they relate to the dental prosthetist's specific job role

Consistency of performance should be demonstrated over the required range of workplace situations

Context of and specific resources for assessment:

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Evidence of essential knowledge and understanding may be provided by:

traditional or online (computer-based) assessment

questions during workplace assessment

written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice.

Staff and/or client feedback

Supporting statement of supervisor

Authenticated evidence of relevant work experience and/or formal/informal learning

Role play/simulation

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance.

Personal protective equipment may include:

Examination gloves that comply with AS/NZS 4011 and surgical gloves that comply with AS/NZS 4179

Footwear to protect from dropped sharps and other contaminated items

Glasses, goggles or face-shields

Gowns and waterproof aprons that comply with AS 3789.2 and AS 3789.3

Guidelines for latex allergic clients and staff

Surgical face masks that comply with AS 4381

Equipment and materials may include:

Artificial teeth mould and shade guides

Burner

Face bow

Instruments

Intra-oral and extra-oral tracing

Intra-oral recording devices

Occlusal registration materials

Waxes

Aseptic techniquesmay include:

Cleaning of surfaces and management of spills

Personal hygiene practices especially handwashing

Reprocessing of instruments and equipment between client use

Use of personal protective equipment

Functional measurements and dimensions may include:

Customise the form of the upper rim including:

checking for stability of the registration rims

support of the upper lip

incisal level of the upper rim relative to the resting upper lip.

determining the anterior plane

centre line

high lip line

canine position

Recording the jaw relationships

Vertical dimension

Centric relation

Selection of colour and shade may include:

Brilliance

Hue

Saturation

Translucency

Selection of artificial teeth may include:

Selection of upper and lower anterior teeth

colour

size

shape

material

Selection of posterior teeth types

colour

size

mould

material

This unit contains Employability Skills