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Evidence Guide: HLTDET011 - Construct ceramic and fixed restorations

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTDET011 - Construct ceramic and fixed restorations

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Take tooth shade

  1. Read and interpret work order
  2. Provide full details of the procedure to the patient or carer where appropriate
  3. Obtain and document consent following ethical and legal requirements
  4. Consider the accuracy of natural and artificial light
  5. Position the patient correctly for the procedure
  6. Consult patient regarding requirements and aesthetic outcomes
  7. View mouth to gain overview of procedure.
  8. Select technique and prepare equipment and materials for tooth shade recording
  9. Implement standard precautions to prevent the spread of infection
  10. Instruct patient on participation during the procedure
  11. Select tooth shade and consult patient regarding findings, and gain acceptance
  12. Document the tooth shade
  13. Discuss any follow-up procedures with the patient
Read and interpret work order

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide full details of the procedure to the patient or carer where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain and document consent following ethical and legal requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider the accuracy of natural and artificial light

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position the patient correctly for the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consult patient regarding requirements and aesthetic outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

View mouth to gain overview of procedure.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select technique and prepare equipment and materials for tooth shade recording

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement standard precautions to prevent the spread of infection

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Instruct patient on participation during the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select tooth shade and consult patient regarding findings, and gain acceptance

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document the tooth shade

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss any follow-up procedures with the patient

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare sub-structures

  1. Read and interpret the work order
  2. Design and form substructure
  3. Process the substructure
  4. Assess substructure for accuracy and appropriateness
  5. Prepare the bonding surface of the substructure if required for porcelain build up in accordance with the manufacturer’s instructions
Read and interpret the work order

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Design and form substructure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Process the substructure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess substructure for accuracy and appropriateness

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare the bonding surface of the substructure if required for porcelain build up in accordance with the manufacturer’s instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select, apply and process ceramics

  1. Select appropriate ceramic for substructure or restoration
  2. Apply procedures to selected ceramic for substructures or restoration
  3. Process the restoration in accordance with the manufacturer’s instructions
Select appropriate ceramic for substructure or restoration

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply procedures to selected ceramic for substructures or restoration

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Process the restoration in accordance with the manufacturer’s instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Trim, shape and finish ceramic restorations

  1. Trim the ceramic restoration to required anatomical shape
  2. Finish the ceramic restoration to meet clinically accepted standards
  3. Evaluate the quality of the finished restoration
  4. Decontaminate the ceramic restoration according to infection control guidelines
  5. Dry the ceramic restoration, place on model and place in a sealed container for dispatch and record completed work order
Trim the ceramic restoration to required anatomical shape

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Finish the ceramic restoration to meet clinically accepted standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate the quality of the finished restoration

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Decontaminate the ceramic restoration according to infection control guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Dry the ceramic restoration, place on model and place in a sealed container for dispatch and record completed work order

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Take tooth shade

1.1 Read and interpret work order

1.2 Provide full details of the procedure to the patient or carer where appropriate

1.3 Obtain and document consent following ethical and legal requirements

1.4 Consider the accuracy of natural and artificial light

1.5 Position the patient correctly for the procedure

1.6 Consult patient regarding requirements and aesthetic outcomes

1.7 View mouth to gain overview of procedure.

1.8 Select technique and prepare equipment and materials for tooth shade recording

1.9 Implement standard precautions to prevent the spread of infection

1.10 Instruct patient on participation during the procedure

1.11 Select tooth shade and consult patient regarding findings, and gain acceptance

1.12 Document the tooth shade

1.13 Discuss any follow-up procedures with the patient

2. Prepare sub-structures

2.1 Read and interpret the work order

2.2 Design and form substructure

2.3 Process the substructure

2.4 Assess substructure for accuracy and appropriateness

2.5 Prepare the bonding surface of the substructure if required for porcelain build up in accordance with the manufacturer’s instructions

3. Select, apply and process ceramics

3.1 Select appropriate ceramic for substructure or restoration

3.2 Apply procedures to selected ceramic for substructures or restoration

3.3 Process the restoration in accordance with the manufacturer’s instructions

4. Trim, shape and finish ceramic restorations

4.1 Trim the ceramic restoration to required anatomical shape

4.2 Finish the ceramic restoration to meet clinically accepted standards

4.3 Evaluate the quality of the finished restoration

4.4 Decontaminate the ceramic restoration according to infection control guidelines

4.5 Dry the ceramic restoration, place on model and place in a sealed container for dispatch and record completed work order

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Take tooth shade

1.1 Read and interpret work order

1.2 Provide full details of the procedure to the patient or carer where appropriate

1.3 Obtain and document consent following ethical and legal requirements

1.4 Consider the accuracy of natural and artificial light

1.5 Position the patient correctly for the procedure

1.6 Consult patient regarding requirements and aesthetic outcomes

1.7 View mouth to gain overview of procedure.

1.8 Select technique and prepare equipment and materials for tooth shade recording

1.9 Implement standard precautions to prevent the spread of infection

1.10 Instruct patient on participation during the procedure

1.11 Select tooth shade and consult patient regarding findings, and gain acceptance

1.12 Document the tooth shade

1.13 Discuss any follow-up procedures with the patient

2. Prepare sub-structures

2.1 Read and interpret the work order

2.2 Design and form substructure

2.3 Process the substructure

2.4 Assess substructure for accuracy and appropriateness

2.5 Prepare the bonding surface of the substructure if required for porcelain build up in accordance with the manufacturer’s instructions

3. Select, apply and process ceramics

3.1 Select appropriate ceramic for substructure or restoration

3.2 Apply procedures to selected ceramic for substructures or restoration

3.3 Process the restoration in accordance with the manufacturer’s instructions

4. Trim, shape and finish ceramic restorations

4.1 Trim the ceramic restoration to required anatomical shape

4.2 Finish the ceramic restoration to meet clinically accepted standards

4.3 Evaluate the quality of the finished restoration

4.4 Decontaminate the ceramic restoration according to infection control guidelines

4.5 Dry the ceramic restoration, place on model and place in a sealed container for dispatch and record completed work order

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

• read and correctly interpreted work order for the following 4 fixed restorations

• fabricated the following 4 ceramic restorations using standard precautions and safe work practices to a standard that is suitable for insertion in the mouth:

- 1 maxillary or mandibular anterior crown

- 1 maxillary or mandibular posterior crown

- 1 anterior veneer

- 1 posterior inlay

• critically evaluated the work produced to meet technical laboratory and patient requirements including:

- shade of the ceramic matches the work order requirements

- fit of the restoration is accurate

- restoration is of an appropriate anatomical form, shape and surface finish

- restoration is free of faults

- restoration provides the correct occlusion and articulation

- proximal contact areas are in contact with the contact areas of the adjacent teeth.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

• Australian/New Zealand Standards, workplace health and safety (WHS) policies, Dental Board of Australia guidelines on infection control, Commonwealth and State/Territory legislation and organisation policies relating to dental laboratory work

• fundamental oral anatomy including:

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

- structures of the oral cavity related to crown and bridge structures

- teeth form and function

- occlusion

• tooth preparation including basic cementation techniques of restorations

• dental ceramic restorations

• properties of different restoration and substructure materials

• ceramic bonding to substructures

• composition and properties of dental ceramics

• processing ceramic restorations

• causes of common faults during construction

• critical issues and techniques for taking tooth shades including:

- effects of aging, tooth wear and staining on shade

- colour

- rationale and objectives for taking shades

• social, cultural and psychological factors affecting patient perception and acceptance of tooth shade

• factors which influence selection of tooth shades

• physics of light refraction including properties of materials used in aesthetic restoration