Introduction **DENT5310 – Integrated Dental** Practice *Clinical Dental Practice module* Unit Coordinator: Dr Mina Dizdarevic #### Introduction **DENT5310 – Integrated Dental Practice** *Clinical Dental Practice module* Unit Coordinator: Dr Mina Dizdarevic  Silhouette photo of three people jumping joyfully on a cliff edge against a bright sky, used as a background visual for the slide. **DENT5310** **Integrated Dental Practice** **11 Modules** **Orofacial Pain and Dental Sleep Medicine (OFP)** **Oral Medicine (OM)** **Oral Surgery (OS)** **Prosthodontics - Removable Partial Dentures (Pr-RPD)** **Prosthodontics - Multiple Indirect Restorations (Pr-MIR)** **Restoration of Endodontically Treated Teeth (RETT)** **Orthodontics 1 (Ortho1)** **Paediatric Dentistry (Paeds1)** **Periodontics (Perio3)** **Clinical Dental Practice 3 (CDP3)** **Research Project 2 (Res2)**  #### DENT5310 Integrated Dental Practice This unit consists of 11 modules: - Orofacial Pain and Dental Sleep Medicine (OFP) - Oral Medicine (OM) - Oral Surgery (OS) - Prosthodontics - Removable Partial Dentures (Pr-RPD) - Prosthodontics - Multiple Indirect Restorations (Pr-MIR) - Restoration of Endodontically Treated Teeth (RETT) - Orthodontics 1 (Ortho1) - Paediatric Dentistry (Paeds1) - Periodontics (Perio3) - Clinical Dental Practice 3 (CDP3) - Research Project 2 (Res2) A structured list of 11 modules for the DENT5310 Integrated Dental Practice course. The table includes module names and their abbreviations: Orofacial Pain and Dental Sleep Medicine (OFP), Oral Medicine (OM), Oral Surgery (OS), Prosthodontics - Removable Partial Dentures (Pr-RPD), Prosthodontics - Multiple Indirect Restorations (Pr-MIR), Restoration of Endodontically Treated Teeth (RETT), Orthodontics 1 (Ortho1), Paediatric Dentistry (Paeds1), Periodontics (Perio3), Clinical Dental Practice 3 (CDP3), and Research Project 2 (Res2). Each row is separated by a horizontal line, with the last entry highlighted in bold. **DENT5310** **Integrated Dental Practice** **CDP3 Module:** Clinical Dental Practice Module coordinator: Dr Mina Dizdarevic - Block teaching week - Lectures/Seminars - Treatment planning sessions - Comprehensive Care Clinics - Screening Clinics - Emergency Clinics - Extraction Clinics #### Module Overview Module coordinator: Dr Mina Dizdarevic - Block teaching week - Lectures/Seminars - Treatment planning sessions - Comprehensive Care Clinics - Screening Clinics - Emergency Clinics - Extraction Clinics **DENT5310** **Integrated Dental Practice** **THE UNIVERSITY OF WESTERN AUSTRALIA** **Oral Health Centre of Western Australia** **CDP3 Module: Clinical Dental Practice** Module coordinator: Dr Mina Dizdarevic * Block teaching week * Lectures/Seminars * Treatment planning sessions (2 - 3 sessions/semester) * Comprehensive Care Clinics (30 - 33 sessions/semester) * Screening Clinics (2 - 3 sessions/semester) * Emergency Clinics (2 - 3 sessions/semester) * Extraction Clinics (1 - 2 sessions/semester) * Pros Lab sessions/Research #### Module Components and Scheduling Module coordinator: Dr Mina Dizdarevic - Block teaching week - Lectures/Seminars - Treatment planning sessions (2 - 3 sessions/semester) - Comprehensive Care Clinics (30 - 33 sessions/semester) - Screening Clinics (2 - 3 sessions/semester) - Emergency Clinics (2 - 3 sessions/semester) - Extraction Clinics (1 - 2 sessions/semester) - Pros Lab sessions/Research **DENT5310** **Integrated Dental Practice** **CDP3 Module: Clinical Dental Practice** **Learning Outcomes** 1. Develop competence in clinical dental practice through the provision of dental care to patients 2. Compose and implement periodontal, endodontic, and restorative dental treatment plans, and plan the other dental treatment needs for patients (establish correct diagnosis and formulate proper treatment plans for restoring oral functions and communicate it to the patient); 3. Display professional behavior in the educational and clinical settings; 4. Discuss challenges to professionalism and reflect on professional behaviors in the clinical setting. 1. Develop competence in clinical dental practice through the provision of dental care to patients 2. Compose and implement periodontal, endodontic, and restorative dental treatment plans, and plan the other dental treatment needs for patients (establish correct diagnosis and formulate proper treatment plans for restoring oral functions and communicate it to the patient); 3. Display professional behavior in the educational and clinical settings; 4. Discuss challenges to professionalism and reflect on professional behaviors in the clinical setting. # DENT5310 ## Integrated Dental Practice ### CDP3 Teaching **Module:** * Lectures (LMS material) * Seminars: Clinical cases * Clinic work * Self-directed learning #### Instructional Formats - Lectures (LMS material) - Seminars: Clinical cases - Clinic work - Self-directed learning DENT5310 **Integrated Dental Practice** # **CDP3 Assessment** - Block teaching exercises (**Pass/Fail**) - Formative assessment item ## Module Marks: - **Clinical assessment (PebblePad) (FC):** **20% of Unit Mark** - **Written Exam:** Combined CDP & Perio Exam (Exam period) (FC) **10% Unit Mark** - **Professionalism** → **Pass/Fail (Barrier - FC)** - *Case Presentation (formative)* *Clinical Logbook - clinical experience* → Final unit mark will not be released until **both Case Pres and Final Logbook are submitted**   #### Formative Assessment - Block teaching exercises (**Pass/Fail**) #### Module Marks - **Clinical assessment (PebblePad) (FC):** 20% of Unit Mark - **Written Exam:** Combined CDP & Perio Exam (Exam period) (FC) 10% Unit Mark - **Professionalism:** Pass/Fail (Barrier - FC) #### Submission Requirements - Case Presentation (formative) - Clinical Logbook - clinical experience Note: Final unit mark will not be released until both the Case Presentation and Final Logbook are submitted. Textual diagram illustrating a flow relationship: 'Professionalism' is connected by an arrow to 'Pass/Fail (Barrier - FC)', indicating a direct consequence or requirement. Textual diagram illustrating a dependency flow: A yellow box containing '* Case Presentation (formative)' and 'Clinical Logbook - clinical experience' is connected by an arrow to the statement 'Final unit mark will not be released until both Case Pres and Final Logbook are submitted', indicating submission prerequisites. DENT5310 **Integrated Dental Practice** Rotations and Clinics **DENT5310** *Clinical Dental Practice* • Comprehensive care Clinic (CCC1) • Emergency Clinic • Screening Clinic • Exo Clinic • Pros Laboratory Other rotations in the unit are NOT in CDP module • Ortho • E block (oral surg/oral medicine) • Paediatric Highgate • Paediatric PCH **THE UNIVERSITY OF WESTERN AUSTRALIA** **Oral Health Centre of Western Australia** #### Clinical Dental Practice (CDP) Rotations - Comprehensive Care Clinic (CCC1) - Emergency Clinic - Screening Clinic - Exo Clinic - Pros Laboratory #### Non-CDP Unit Rotations - Orthodontics - E block (Oral Surgery / Oral Medicine) - Paediatric Highgate - Paediatric PCH # **DENT5310 Integrated Dental Practice** **The University of Western Australia** **Oral Health Centre of Western Australia** ## Comprehensive Care Clinic * Clinic hours will be: **8:00 AM - 11:45 AM** and **12:30 PM - 4:15 PM**. Patient starting time is 8:15 AM and 12:45 PM. The **15 min beforehand is for ATS**. * Clinic 1, 2 (Ground floor) * Exo clinic – Clinic 5 (1st floor) * Supervision * General Practice Dentists * Specialist: Endo, Perio, Pros, Oral Surgery * GP dentist and Specialist tutors will be grading and approving clinical procedures #### Clinic Schedule and Locations - **Clinic Hours:** 8:00 AM – 11:45 AM and 12:30 PM – 4:15 PM - **Patient Start Times:** 8:15 AM and 12:45 PM - **Preparation:** The 15 minutes prior to patient start times is designated for ATS - **Locations:** - Clinic 1 and 2 (Ground floor) - Exo Clinic – Clinic 5 (1st floor) #### Supervision and Grading - **Supervisory Staff:** - General Practice Dentists - Specialists (Endodontics, Periodontics, Prosthodontics, Oral Surgery) - **Assessment:** GP dentists and Specialist tutors are responsible for grading and approving clinical procedures. **DENT5310** **Integrated Dental Practice** **Comprehensive Care Clinic** **Laboratory Work** * **All laboratory work will be undertaken** by the OHCWA clinical laboratory within the published turnaround times * **Progress Sheets** to be completed for each indirect laboratory procedure: * Progress sheets for various *pros* procedures are required to be printed and presented accordingly to be signed by the supervising tutor. * The progress sheet should be submitted to the lab with the *Laboratory Lab Slip*. * **Laboratory turnaround times**  #### Laboratory Protocols - **Service Provider:** All laboratory work will be undertaken by the OHCWA clinical laboratory within the published turnaround times. - **Progress Sheets:** - Progress sheets must be completed for each indirect laboratory procedure. - Sheets for various prosthodontic procedures must be printed and presented for signature by the supervising tutor. - The signed progress sheet must be submitted to the lab along with the Laboratory Lab Slip. - **Turnaround Times:** Students must adhere to the established laboratory turnaround times. Institutional logos for The University of Western Australia and the Oral Health Centre of Western Australia. These figures serve as visual identifiers for the academic institution and the specific clinical facility mentioned in the text. DENT5310 **Integrated Dental Practice** **Comprehensive Care Clinic** **Laboratory Work** * **LabMagic:** *all the lab work submitted to the Lab should be registered on LabMagic* ([**https://clientportal.labmagic.net/**](https://clientportal.labmagic.net/)). *Students will be able to search, track and trace their Laboratory work.* * **Lab Slip:** Patient eForms from Titanium   #### Digital Tracking and Documentation - **LabMagic Registration:** All laboratory work submitted to the Lab must be registered on LabMagic. This portal allows students to search, track, and trace the status of their laboratory work. - **Lab Slip Requirements:** Documentation must include Patient eForms generated from Titanium. The official crest of The University of Western Australia. It is a shield-shaped emblem featuring two white swans swimming in blue water against a yellow background, topped by an open book symbolizing knowledge and education. The logo for the Oral Health Centre of Western Australia. The visual element consists of a stylized, abstract butterfly or dragonfly design composed of curved lines in green and purple hues, representing the intersection of oral health with broader well-being. # DENT5310 ## Integrated Dental Practice --- # Absence * Attendance of all timetabled lectures, laboratory and rostered clinical sessions is **COMPULSORY** for all students. * Students are to remain in the clinic when rostered whether they are assigned to a patient or not. * *Learning opportunity / Assist colleagues* * *Early Sem 1 – practice skills* * Alginates; CAD-CAM Scanning; Photos * *Late Sem 1 – see Emergency patients.* *\*If you need to leave the clinic due to illness or any other reason, advise the relevant clinic coordinator. A leave application through **OHCWA App** should be submitted if you leave the clinic for the rest of the session due to illness.* Attendance of all timetabled lectures, laboratory, and rostered clinical sessions is **COMPULSORY** for all students. #### Clinical Presence Requirements Students are to remain in the clinic when rostered whether they are assigned to a patient or not. This time should be utilized for: - Learning opportunities and assisting colleagues. - Practicing skills (Early Semester 1): Alginates, CAD-CAM Scanning, and Photography. - Managing emergency patients (Late Semester 1). #### Departure During Clinic If you need to leave the clinic due to illness or any other reason, advise the relevant clinic coordinator. A leave application through the **OHCWA App** should be submitted if you leave the clinic for the rest of the session due to illness. # DENT5310 Integrated Dental Practice ## Absence * Student leave policy * Students who are absent for any clinical sessions will be required to make-up that same number of missed sessions during the June or November block teaching period. * Arrangements should be made with the module co-ordinator to ensure appropriate clinical supervision and resources are available. * “For all unplanned sick/emergency leave please submit notification on the Notification of Absence form on **OHCWA App** – 2026 Dental School Handbook * If a student cannot attend or needs to depart from a compulsory activity, the student must promptly notify the appropriate staff and initiate leave application procedures as outlined in the UWA Dental School handbook. #### Student Leave Policy and Make-up Sessions - Students who are absent for any clinical sessions will be required to make up that same number of missed sessions during the June or November block teaching period. - Arrangements should be made with the module coordinator to ensure appropriate clinical supervision and resources are available. #### Unplanned Leave Procedures - For all unplanned sick or emergency leave, please submit notification via the Notification of Absence form on the **OHCWA App** (as per the 2026 Dental School Handbook). - If a student cannot attend or needs to depart from a compulsory activity, the student must promptly notify the appropriate staff and initiate leave application procedures as outlined in the UWA Dental School handbook. # DENT5310 **Integrated Dental Practice** ## Notification of Absence **IMPORTANT:** If you are already at the School attending any type of activity whether clinics/lectures/seminars/practicals and suddenly fall ill or need to take leave due to an emergency: * Submit an online leave application through **OHCWA App** * Advise relevant staff including the Clinic Coordinators in person, if patient needs to be cancelled. * Please advise all affected staff - clinic supervisors, unit coordinator/s, module coordinator/s and any other relevant staff. Please do this allowing sufficient time. If you are able, provide further information on arranging further appointments for these patients. This will also help although you can also arrange these on your return to duty. Providing this data will ensure all administrative and clinical staff are notified of your absence and most importantly ensure **no patients are inconvenienced.** #### Emergency or Sudden Illness Protocol If you are already at the School attending any type of activity (clinics, lectures, seminars, or practicals) and suddenly fall ill or need to take leave due to an emergency: 1. Submit an online leave application through the **OHCWA App**. 2. Advise relevant staff, including the Clinic Coordinators, in person if a patient needs to be cancelled. 3. Advise all affected staff, including clinic supervisors, unit coordinators, and module coordinators, allowing sufficient time. #### Patient Management If you are able, provide further information on arranging future appointments for these patients. While these can be arranged upon your return to duty, providing this data immediately ensures: - All administrative and clinical staff are notified of your absence. - No patients are inconvenienced. How to Access the OHCWA App **The University of Western Australia** https://app.ohcwa.dental Scan the QR code or visit the link on your device  #### How to Access the OHCWA App **The University of Western Australia** URL: https://app.ohcwa.dental Scan the QR code or visit the link on your device. Instructional diagram demonstrating the login and sign-up process for the OHCWA App. The visual shows two side-by-side interface mockups: the left panel illustrates the 'Sign In' screen with fields for Staff/Student # and Password, while the right panel displays the 'Sign Up' screen with password creation fields. Callout arrows link the selection of 'Staff' or 'Student' to the respective input fields. Below each mockup is explanatory text describing the required action (e.g., 'Sign In with your Student/Staff number and password'). DENT5310 **Integrated Dental Practice** **DMD Student Leave Policy** **DMD 3 Clinical Activity Type: Allowable Missed Session Limit (per semester)** * General clinic – Semester 1: 3 sessions * General clinic – Semester 2: 4 sessions * Specialist / other clinic placements: 1 session Students who exceed the allowable missed session limit, due to planned or unplanned leave, must contact the relevant Unit Coordinator to arrange a remediation plan, which must be documented in writing. The Leave Policy is available on LMS Ultra under ‘Getting Started’ tab. #### DMD 3 Clinical Activity Type: Allowable Missed Session Limit (Per Semester) - **General clinic – Semester 1:** 3 sessions - **General clinic – Semester 2:** 4 sessions - **Specialist / other clinic placements:** 1 session #### Remediation for Exceeding Limits Students who exceed the allowable missed session limit, due to planned or unplanned leave, must contact the relevant Unit Coordinator to arrange a remediation plan, which must be documented in writing. #### Policy Access The Leave Policy is available on LMS Ultra under the 'Getting Started' tab. # DENT5310 **Integrated Dental Practice** ## Time Management * Ongoing dilemma in dentistry is time management * see more patients and do a little for more patients * OR * see less (one) patients and do more for that patient * Remember patients travel and give up time * So want something done, * but are mostly understanding of teaching procedures **THE UNIVERSITY OF WESTERN AUSTRALIA** | **Oral Health Centre of Western Australia Time management is an ongoing dilemma in dentistry, requiring a balance between two primary approaches: - Seeing a higher volume of patients and performing fewer procedures per individual. - Seeing fewer patients (or a single patient) and performing more comprehensive treatment for that individual. #### Patient Considerations - Patients often travel significant distances and sacrifice their own time to attend appointments. - While patients generally desire progress on their treatment, they are typically understanding of the requirements of teaching procedures. <!-- slide header with logos --> ### DENT5310 Integrated Dental Practice THE UNIVERSITY OF WESTERN AUSTRALIA Oral Health Centre of Western Australia # Time Management * make maximum use of time * learn how to be efficient * You have fixed number of sessions to achieve patient outcome * To start with, book one patient per session * **Time pressure points** * – Tutors * – DCA * – Instruments/materials/equipment * – Impressions/temporary #### Efficiency and Productivity - Make maximum use of available time and focus on learning how to be efficient. - Recognize that there are a fixed number of sessions available to achieve specific patient outcomes. - Initially, students should book only one patient per session. #### Time Pressure Points Be aware of factors that commonly impact clinical timing: - Tutors - Dental Clinic Assistants (DCA) - Availability of instruments, materials, and equipment - Procedures involving impressions or temporaries # DENT5310 ## Integrated Dental Practice ## Time Management - Initially 1 patient per session - Eventually – 3.5-hour sessions book: - 2 patients (2 x 1h45min) for: - Exam/Review - Denture procedures - Perio/IPT/SPT - Simple restoration - 1 patient (1 x 3h30min) for: - ‘Complex ‘ procedures » Crown/bridge » Endo » Difficult impression #### Session Booking Guidelines While students initially book one patient per session, the goal is to transition to the following structures for 3.5-hour sessions: 1. **Two Patients (1 hour 45 minutes each)** - Examinations and Reviews - Denture procedures - Periodontal treatment (Perio/IPT/SPT) - Simple restorations 2. **One Patient (3 hours 30 minutes)** - Complex procedures - Crown and bridge work - Endodontics - Difficult impressions DENT5310 Integrated Dental Practice # Time Management * Simple treatment at start of session, complex procedures towards end of session * If run late (try not to!) then run late over lunch or to end of day. * Ask tutor. * Tell them early if you are running late/have more than one patient. * Set realistic goals for time. If you run late, this is stressful for - Patients/tutors/DCA/you! #### Scheduling and Communication - Schedule simple treatments at the start of a session and complex procedures toward the end. - If a session runs late, aim to have it overlap with lunch or the end of the day rather than disrupting subsequent appointments. - Communicate with tutors early if you are running late or managing more than one patient. - Set realistic goals for the time allotted. #### Impact of Delays Running late creates stress for all parties involved, including: - Patients - Tutors - Dental Clinic Assistants (DCA) - The student practitioner <question_answered as per instructions> SUGGESTIONS FOR HELPING WITH TIME MANAGEMENT • KNOW THE PROCEDURE/MATERIALS INSIDE OUT. – Discuss with tutor → ATS • IN ADVANCE – Know what instruments/materials/consumables/equipment (CAD-CAM carts) you will need for the appointment. • IF WAITING FOR TUTOR/DA – Can I do something else while waiting (if tutor gives permission) – Be fair to other students waiting as tutor will typically see students in sequence. – If URGENT/TIME SENSITIVE enquiry – interrupt tutor/DA politely. </question_answered as per instructions> #### Preparation and Workflow - **Knowledge:** Know the procedures and materials thoroughly. Discuss these with your tutor to ensure you meet the Assessment of Technical Skills (ATS) requirements. - **Advance Planning:** Identify all necessary instruments, materials, consumables, and equipment (such as CAD-CAM carts) required for the appointment before it begins. #### Managing Wait Times - If waiting for a tutor or Dental Assistant, determine if other tasks can be completed (with tutor permission). - Be fair to other students; tutors typically see students in sequence. - If an inquiry is urgent or time-sensitive, interrupt the tutor or Dental Assistant politely. **DENT5310** **Integrated Dental Practice** # Unbooked sessions * Every week – report of unfilled sessions * Reception team will book patients/reviews if sessions are unfilled. * Make every effort to fill sessions * Working on multiple patients concurrently is part of clinical practice * Strategies to manage * Excel * Wall chart * Logbook THE UNIVERSITY OF WESTERN AUSTRALIA Oral Health Centre of Western Australia #### Filling Unbooked Sessions - A report of unfilled sessions is generated every week. - The reception team will book patients or reviews if sessions remain unfilled. - Students should make every effort to fill their own sessions. #### Clinical Practice Strategies - Working on multiple patients concurrently is a standard part of clinical practice. - Utilize organizational tools to manage these sessions, such as: - Excel spreadsheets - Wall charts - Logbooks DENT5310 Integrated Dental Practice Clinical protocols - Patient fees - In DMD2: Patient did not pay for dental procedures - In DMD3 and 4: **All** indirect procedures attract fees **Co-payment 20% applied for all patients** - Fee estimates through TOHM – Needs approval (signature) from patients before the start of the treatment  #### Clinical Protocols for Patient Fees - **DMD2 Transition:** In DMD2, patients did not pay for dental procedures. - **DMD3 and DMD4 Requirements:** All indirect procedures now attract fees. - **Co-payment Structure:** A 20% co-payment is applied for all patients. - **Fee Estimates:** Estimates are generated through TOHM and require a patient signature for approval before the start of treatment. Highlighted text box showing 'Co-payment 20% applied for all patients' as part of the clinical protocol summary. # DENT5310 **Integrated Dental Practice** # CoC & fees * Close all CoC from: * DMD2 * Other students * Open a new CoC DMD3&4_80% *You do not need to check the subsidy level Why? * You now provide fee for service tx. * Real world practice * Learn how to discuss financial considerations & how this affects: >> tx plan >> patient timing decisions and consent. #### Course of Care (CoC) and Fees - **Closing Previous Records:** Close all CoC records from DMD2 or other students. - **Opening New Records:** Open a new CoC under "DMD3&4_80%". - **Subsidy Levels:** You do not need to check the subsidy level. #### Rationale for Fee-for-Service Model You are now providing fee-for-service treatment to simulate real-world practice. This transition helps students learn how to discuss financial considerations and understand how these factors affect: - Treatment planning. - Patient timing decisions and informed consent. # DENT5310 Integrated Dental Practice The University of Western Australia Oral Health Centre of Western Australia # Patient fees * No treatment is provided for free. – DoH pays OHCWA & UWA for tx you provide with understanding this is for student training on eligible patients. – Ultimately the tax-payer pays for this. * Please do not use the term "free treatment" * Zero co-payment or no patient co-payment – Synonyms: government subsidised care, government pays. * Be aware possible confusion: <u>FEE</u> (cost of tx without subsidy) vs <u>CO-PAYMENT</u> (subsidised payment). #### Funding and Terminology - **Treatment Costs:** No treatment is provided for free. The Department of Health (DoH) pays OHCWA and UWA for the treatment provided, with the understanding that this supports student training for eligible patients. Ultimately, this is funded by the taxpayer. - **Preferred Terminology:** Please do not use the term "free treatment." Instead, use: - Zero co-payment - No patient co-payment - Government subsidised care - Government pays #### Distinguishing Costs Be aware of the potential confusion between these terms: - **Fee:** The total cost of treatment without any subsidy. - **Co-payment:** The subsidised portion paid by the patient. **DENT5310** **Integrated Dental Practice** The University of **Western** Australia Oral Health Centre of Western Australia Patient fees – communication strategies * Remember - trainee health professional * You are not in sales * Discussing fees comes naturally for some & hard for others. * Fortunately, most patients have been screened & aware there may be co-payments. #### Professional Approach to Financial Discussions - **Professional Identity:** Remember that you are a trainee health professional, not a salesperson. - **Communication Comfort:** Discussing fees comes naturally for some and is difficult for others. - **Patient Awareness:** Fortunately, most patients have already been screened and are aware that co-payments may be required. DENT5310 **Integrated Dental Practice** Patient fees – communication strategies - Ensure clear & correct fee estimate – “I will confirm with you over phone or at next visit” Determine when fees/deposit paid – payment schedule / estimate. - **50%** co-payment at commencement of treatment - **100%** co-payment prior to insert. – In credit for amount estimated at insert – check TOHM. - TOHM - **Charge item codes on insert appt** THE UNIVERSITY OF WESTERN AUSTRALIA | Oral Health Centre of Western Australia #### Fee Estimates and Payment Schedules - **Accuracy:** Ensure a clear and correct fee estimate is provided. If uncertain, use phrases such as: "I will confirm with you over the phone or at the next visit." - **Payment Milestones:** - **50% co-payment:** Due at the commencement of treatment. - **100% co-payment:** Must be paid prior to the insert appointment. - **TOHM Procedures:** - Ensure the account is in credit for the estimated amount at the time of insert (check TOHM). - Charge the specific item codes during the insert appointment. # DENT5310 # Integrated Dental Practice ## Who zeroes co-payments * **Academic staff and Clinic Coordinators** * Treatment plan/enter item number * Enter notes, check co-payment * Tutor Approve * Tick, but don't charge! * Logout * Tutor login to TOHM. * Tutor go to your patient record, zeroes patient portion. * Tutor to make a note the patient portion was zero'd & why. * Tutor logout * If not sure, check with **Clinic coordinators**  #### Authorized Personnel Only **Academic staff and Clinic Coordinators** are authorized to zero co-payments. #### Step-by-Step Procedure 1. **Student Actions:** - Enter the treatment plan and item numbers. - Enter clinical notes and check the co-payment amount. - Obtain Tutor approval. - Tick the items, but **do not charge** them. - Logout of the system. 2. **Tutor Actions:** - Tutor logs into TOHM. - Tutor accesses the patient record and zeroes the patient portion. - Tutor records a note explaining that the patient portion was zeroed and the reason why. - Tutor logs out. #### Assistance If you are unsure of the process, check with the **Clinic Coordinators**. A text-based procedural list outlining the steps for zeroing co-payments. The sequence includes: entering notes and checking co-payment, tutor approval, ticking without charging, logging out, tutor logging into TOHM, zeroing the patient portion in the record, noting the reason for zeroing, and finally logging out. **DENT5310 Integrated Dental Practice ## PROCEDURE - **Before appt** - ATS - Number of pt’s? - Check worksheets / tx plan - Form 26 – Sequence of treatment - **Procedure** - Pt in chair - Medical Hx review - Steps/stages pre-approved procedures - Introduce tutors, DCA, other students - **After the appt** - Check tutor before dismiss pt - Next appt 3 Ds - Date - Duration - Dentistry - Steri/disinfect - TOHM Notes & charge - Remember BATCH labels - Finish Pebblepad Reflection & Grading  #### Pre-Appointment Preparation - ATS - Confirm number of patients - Check worksheets and treatment plan - Form 26 – Sequence of treatment #### Clinical Procedure - Patient in chair - Medical History review - Follow steps/stages for pre-approved procedures - Introduce tutors, Dental Clinic Assistant (DCA), and other students #### Post-Appointment Tasks - Consult with tutor before dismissing the patient - Schedule next appointment using the "3 Ds": - Date - Duration - Dentistry - Sterilization and disinfection - Titanium Solutions (TOHM) notes and charging - Record BATCH labels - Complete PebblePad Reflection and Grading Flowchart diagram illustrating the procedural steps for a dental appointment. The visual consists of a large grey arrow curving from bottom-left to top-right, with three circular nodes along its path. Each node is associated with text blocks detailing specific phases: 'Before appt' (listing ATS, patient count, worksheets), 'Procedure' (patient in chair, medical history review, etc.), and 'After the appt' (discharge instructions, next appointment details). **DENT5310** **Integrated Dental Practice** # **PROCEDURE** Patient consent (eForm) and signed estimates. ### **Before appt** </br> * ATS * Number of pt's? * Check worksheets / tx plan * Form 26 – Sequence of treatment </br> *Procedure* * Pt in chair * Medical Hx review * Steps/stages pre- * approved * Introduce tutors, * DCA, other students </br> ### **After the appt** * Check tutor before * dismiss pt * Next appt 3 Ds * Date * Duration * Dentistry * Steri/disinfect * TOHM Notes & * charge * Remember BATCH * labels * Finish Pebblepad * Reflection & * Grading  Patient consent (eForm) and signed estimates must be completed. #### Pre-Appointment Preparation - ATS - Confirm number of patients - Check worksheets and treatment plan - Form 26 – Sequence of treatment #### Clinical Procedure - Patient in chair - Medical History review - Follow pre-approved steps and stages - Introduce tutors, Dental Clinic Assistant (DCA), and other students #### Post-Appointment Tasks - Consult with tutor before dismissing the patient - Schedule next appointment using the "3 Ds": - Date - Duration - Dentistry - Sterilization and disinfection - Titanium Solutions (TOHM) notes and charging - Record BATCH labels - Complete PebblePad Reflection and Grading A flowchart diagram illustrating the 'PROCEDURE' for a dental appointment. It features a large grey arrow pointing from left to right, indicating the chronological sequence of events. Three white circles mark specific points along the arrow: 'Before appt', 'Procedure', and 'After the appt'. Text labels are associated with each stage: 'Before appt' lists pre-appointment tasks like ATS and checking worksheets; 'Procedure' (centered on the arrow) details steps such as patient in chair and medical history review; 'After the appt' lists post-treatment duties including tutor checks and sterilization. **DENT5310** **Integrated Dental Practice**  A large grey arrow pointing right and upwards, segmented into three distinct phases representing a clinical workflow. The arrow is labeled 'PROCEDURE' at the top. Phase 1 (tail) is labeled 'Before pt' with steps including ATS and Form 26. Phase 2 (middle) is labeled 'Procedure' with steps like Pt in chair and Medical Hx review. Phase 3 (head) is labeled 'After the appt' with steps including checking tutor notes and finishing Pebblepad reflection. <div> <table> <tbody> <tr> <td colspan="2"><strong>DENT5310 Integrated Dental Practice</strong></td> <td rowspan="2" style="text-align: center; vertical-align: middle;"> <img src="placeholder_logo.png" alt="University and Oral Health Centre logo" style="max-width: 400px;"> </td> </tr> <tr> <td colspan="2"><strong>PROCEDURE</strong></td> </tr> </tbody> </table> </div> ## BEFORE PT - ATS - Number of pts? - Check worksheets / tx plan - Form 26 – Sequence of treatment ## PROCEDURE - Pt in chair - Medical Hx review - Steps/stages checked pre-determined - Introduce tutors, DCA, other students ## AFTER THE APPT - Check tutor **before** dismiss pt - Next appt 3 Ds - Date - Duration - Dentistry - Steri/disinfect - TOHM Notes & charge - Remember BATCH labels - Finish Pebblepad Reflection & Grading  #### Pre-Appointment Preparation - ATS - Confirm number of patients - Check worksheets and treatment plan - Form 26 – Sequence of treatment #### Clinical Procedure - Patient in chair - Medical History review - Steps/stages checked as pre-determined - Introduce tutors, Dental Clinic Assistant (DCA), and other students #### Post-Appointment Tasks - Check with tutor **before** dismissing the patient - Schedule next appointment using the "3 Ds": - Date - Duration - Dentistry - Sterilization and disinfection - Titanium Solutions (TOHM) notes and charge - Remember BATCH labels - Finish PebblePad Reflection and Grading Flowchart diagram illustrating a dental procedure sequence. The visual consists of a large grey arrow curving upwards from left to right, containing three circular nodes representing stages: 'Before pt', 'Procedure', and 'After the Appt'. Each node is annotated with specific text instructions derived from OCR, such as 'ATS' for the first stage, 'Pt in chair' for the second, and 'Check tutor before dismiss pt' for the third. DENT5310 **Integrated Dental Practice** Records and Charging - TOHM records are **medico-legal requirement** – Mandated by DBA and AHPRA – *Contemporaneous and accurate records are critical to good practice* – Protect you (staff and patients) - Accurate fees help to fund lab costs, ongoing running costs (lights, water, maintenance, etc), staff, equipment purchases. #### Records and Charging - Titanium Solutions (TOHM) records are a **medico-legal requirement**: - Mandated by the Dental Board of Australia (DBA) and AHPRA. - Contemporaneous and accurate records are critical to good practice. - Protects staff and patients. - Accurate fees help to fund: - Laboratory costs. - Ongoing running costs (utilities, maintenance, etc.). - Staffing. - Equipment purchases. # DENT5310 Integrated Dental Practice ## GRADING * PebblePad * Grading & feedback critical to reflection, learning, ongoing academic and clinical improvement * A PebblePad submission must be made for every clinical session; omitting a submission will result in a fail grade for that clinical session * PebblePad must be submitted by 11.59pm on the same day of appointment #### Grading and Submission Requirements Grading and feedback are critical components of reflection, learning, and ongoing academic and clinical improvement. - **PebblePad Submissions:** - A PebblePad submission must be completed for every clinical session. - Omitting a submission will result in a fail grade for that specific clinical session. - All submissions must be finalized by 11:59 PM on the same day as the appointment. DENT5310 **Integrated Dental Practice** | **Student** | **Supervisor** | | :--- | :--- | | Self assessment & reflection | • What worked/went well<br>• Why that worked<br>• What did not work well<br>• Explain why | | • What areas/aspects could be improved<br>• Study more, be more prepared | • Reinforces the positive<br>• Explores what did not work well and why | Supervisor and student develop a plan for the next steps: • Avoid same mistakes, improve the quality of work, patient/student relationship, etc  #### Clinical Reflection and Feedback Roles During the assessment process, both the student and the supervisor have specific responsibilities regarding reflection and evaluation: - **Student Responsibilities (Self-Assessment & Reflection):** - Identify what worked or went well during the session. - Analyze the reasons behind successful outcomes. - Identify what did not work well and explain the underlying causes. - Determine specific areas or aspects for improvement. - Commit to further study and increased preparation. - **Supervisor Responsibilities:** - Reinforce positive performance and clinical techniques. - Explore aspects of the session that did not work well and discuss the reasons why. #### Collaborative Action Planning The supervisor and student work together to develop a plan for subsequent clinical sessions to: - Avoid repeating the same mistakes. - Improve the overall quality of clinical work. - Enhance the patient-student relationship. A structured comparison table titled 'FEEDBACK' comparing the roles of 'Student' and 'Supervisor'. The Student column includes self-assessment, reflection on areas for improvement, and preparation. The Supervisor column outlines constructive feedback points: what worked well, why it worked, what did not work well, and explanations. It also highlights reinforcing positives and exploring failures. A final row describes a collaborative plan for next steps, focusing on avoiding mistakes and improving work quality. **DENT5310** **Integrated Dental Practice** **THE UNIVERSITY OF WESTERN AUSTRALIA** **Oral Health Centre of Western Australia** # Treatment Plans * Authoried treatment plans take the form of: * TOHM treatment plans and worksheets * Patient consent – estimate form signed by patient * Scanned written/typed treatment plan with signature (e.g Form 26 for indirect restorations). Authorized treatment plans take the form of: - TOHM treatment plans and worksheets - Patient consent – estimate form signed by patient - Scanned written/typed treatment plan with signature (e.g., Form 26 for indirect restorations) # DENT5310 Integrated Dental Practice # Treatment Plans ## Indirect Procedure protocols **FORM 26 or equivalent:** All indirect procedures (crowns, bridges, dentures, splints, etc) - **Clinical and Laboratory steps.** * List of clinical & technical steps * Materials * Measurements * Dimensions * Denture design All clinical and laboratory stages must be tracked & authorised/signed. TABLE | **FORM 26** | | | | Indirect Restorative Procedure Outline | | | | **Tooth**|**Procedure**|**Anatomy**|**Step**| | **Crown Prep** notation: occlusal, buccal, lingual, etc | | | | **FORM 26** **Indirect Restorative Procedure Outline** **Form Name:** **Indirect Restorative Procedure Outline** **Form 26** **Use Patient Barcode Label** **Procedure:** **Clinical Signature** **Clinician ID** **Date** **Procedure description:** 1. Tooth investigation of remaining tooth structure and previous treatment. 2. Depulpation of pulp chambering teeth if required. 3. Apply surface agent. 4. Apply boric acid. 5. Coat with flowable. **Anterior region:** 1. Tooth investigation of remaining tooth structure and previous treatment. 2. Depulpation of pulp chambering teeth if required. 3. Apply surface agent. 4. Apply boric acid. 5. Coat with flowable. **Posterior region:** 1. Tooth investigation of remaining tooth structure and previous treatment. 2. Depulpation of pulp chambering teeth if required. 3. Apply surface agent. 4. Apply boric acid. 5. Coat with flowable.   #### Form 26: Indirect Restorative Procedure Outline Form 26 (or equivalent) is required for all indirect procedures, including crowns, bridges, dentures, and splints. This form covers both clinical and laboratory steps. - **Required Documentation Details:** - List of clinical and technical steps - Materials used - Measurements and dimensions - Denture design All clinical and laboratory stages must be tracked, authorized, and signed. #### Clinical Procedure Protocols **General Procedure Description:** 1. Tooth investigation of remaining tooth structure and previous treatment. 2. Depulpation of pulp chambering teeth if required. 3. Apply surface agent. 4. Apply boric acid. 5. Coat with flowable. **Anterior Region:** 1. Tooth investigation of remaining tooth structure and previous treatment. 2. Depulpation of pulp chambering teeth if required. 3. Apply surface agent. 4. Apply boric acid. 5. Coat with flowable. **Posterior Region:** 1. Tooth investigation of remaining tooth structure and previous treatment. 2. Depulpation of pulp chambering teeth if required. 3. Apply surface agent. 4. Apply boric acid. 5. Coat with flowable. Handwritten clinical sketch on a 'Form 26' template. The drawing depicts an anterior tooth (likely central incisor) with annotations for crown preparation. Visible labels include 'Crown form good', '1mm', '2mm', and '1/2-2.0 mm'. The diagram illustrates the reduction of the buccal and lingual surfaces, indicating specific measurements for the preparation depth. Technical diagram illustrating a crown preparation outline and dimensions. It features a schematic representation of a tooth with labeled reduction depths: '1.5-2.0 mm' for the occlusal/incisal area and '1.0 mm' for the proximal walls. A corresponding photograph of a prepared tooth is included to visually demonstrate the anatomical application of these measurements. <div> **DENT5310** **Integrated Dental Practice** **Oral Health Centre** **of Western Australia** # Treatment Plans **Approval of CONTROL PHASE:** - Done by general tutors using the approval type ‘Work Sheet’ - The treatment plan for the control phase can be changed by any clinical tutor if needed. For any change in the treatment plan, a new Work Sheet needs be signed by the tutor who proposed the alteration of the treatment plan - Students are not required to have all details of the reconstructive phase from the start, but they need a concept as to where the patient is proceeding towards to ensure unnecessary procedures are not commenced in the control phase. </div> #### Approval of Control Phase - Approval is performed by general tutors using the approval type ‘Work Sheet’. - The treatment plan for the control phase can be changed by any clinical tutor if needed. - For any change in the treatment plan, a new Work Sheet must be signed by the tutor who proposed the alteration. - Students are not required to have all details of the reconstructive phase from the start, but they must have a concept of the patient's progression to ensure unnecessary procedures are not commenced during the control phase. **DENT5310** **Integrated Dental Practice** **THE UNIVERSITY OF** **WESTERN** **AUSTRALIA** **Oral Health Centre** **of Western Australia** # Treatment Plans **Approval of RECONSTRUCTIVE PHASE:** - Treatment Planning sessions for DMD3 will **now** be run by the DMD clinic coordinators. They may **also** be available one-on-one meetings for patient management and TP. - The approval type 'Treatment Plan' on Titanium should be used for the approval of the reconstructive phase. *TPs do **not** *have* *to* *be* *done* *in* *clinic* *only.* #### Approval of Reconstructive Phase - Treatment Planning (TP) sessions for DMD3 are run by the DMD clinic coordinators. - Coordinators may also be available for one-on-one meetings regarding patient management and treatment planning. - The approval type 'Treatment Plan' on Titanium should be used for the approval of the reconstructive phase. - Treatment plans do not have to be completed exclusively in the clinic. **DENT5310 Integrated Dental Practice** # Logbooks * Electronic * Submit to LMS, every month * Student’s patient progress * Log of clinical work * Video of how to fill in logbook is on LMS, will discuss in more detail on Thursday PM. #### Logbook Requirements - **Format:** Electronic. - **Submission:** Submit to LMS every month. - **Content:** - Student’s patient progress - Log of clinical work #### Resources - A video demonstrating how to fill in the logbook is available on LMS. - Further details will be discussed during the Thursday afternoon session. <dt>SOCIETAS UNIVERSALIS</dt> -dd HELP</dd> **DENT5310** **Integrated Dental Practice** # **Extraction Clinic** - Clinic 5 (first floor) – Clinic Supervisor: Dr Richard Hague - All **planned extractions** are to be booked into **Exo** clinic in Clinic 5. - Patients who meet the criteria can be booked in the Exo clinic after the approval of the treatment plan (**ALL extractions must be approved before booking the patient in for extraction**). - Patients may or may not see their usual student clinician depending on the roster (Reception is authorised to book patients into Exo clinic based on student’s requests). - Extractions for **emergency** patients in **pain** may be referred to the Extraction Clinic on the day they present to the emergency clinic (or CC) by contacting Dr Grady on the first floor to see whether the patient can be admitted to the Extraction Clinic on the day.  #### Clinic Operations and Booking - **Location:** Clinic 5 (first floor) - **Clinic Supervisor:** Dr Richard Hague - **Planned Extractions:** All planned extractions must be booked into the Exo clinic in Clinic 5. - **Approval Process:** Patients who meet the criteria can be booked in the Exo clinic after the treatment plan is approved. All extractions must be approved before booking the patient. - **Clinician Assignment:** Patients may or may not see their usual student clinician depending on the roster. Reception is authorized to book patients into the Exo clinic based on student requests. #### Emergency Referrals Extractions for emergency patients in pain may be referred to the Extraction Clinic on the day they present to the emergency clinic (or CC). This is done by contacting Dr Grady on the first floor to determine if the patient can be admitted to the Extraction Clinic on that day. Logo of the Oral Health Centre of Western Australia and The University of Western Australia, indicating the institution providing the clinical instruction for the extraction clinic procedures. # DENT5310 # Integrated Dental Practice ## Extraction Clinic **All patients need to meet the criteria below to have the extraction done by DMD students:** 1. Patients on warfarin must have their INR checked within 24 hours prior to the extraction. Patient to bring their INR results to the appointment. 2. No patients requiring sedation 3. No patients requiring AB cover 4. No impacted teeth 5. No patients on anti-resorptive (e.g. Bisphosphonates or Prolia) 6. No patients on immunosuppressants (e.g. Azathioprine or Methotrexate) 7. No patients who have had previous RT to the head and neck 8. No patients on DUAL anti-platelets (e.g. Aspirin and Clopidogrel) 9. It is OK to book patients on a single anti-platelet or the new anti-coagulant (Aspirin OR on NOAC). 10. Do NOT book for extraction of > 3 teeth at any one time. - If the patients do **not** meet the criteria, they can be referred to Oral Surgery in EBlock: add a **new waitlist entry** on TOHM under Oral Surgery and add 'Referral To Specialist' in the Course of Care (here you add any relevant clinical note about the extraction and the medical/medication history) #### Student Clinician Criteria All patients must meet the following criteria to have an extraction performed by DMD students: 1. Patients on warfarin must have their INR checked within 24 hours prior to the extraction. The patient must bring their INR results to the appointment. 2. No patients requiring sedation. 3. No patients requiring antibiotic (AB) cover. 4. No impacted teeth. 5. No patients on anti-resorptive medications (e.g., Bisphosphonates or Prolia). 6. No patients on immunosuppressants (e.g., Azathioprine or Methotrexate). 7. No patients who have had previous radiotherapy (RT) to the head and neck. 8. No patients on dual anti-platelets (e.g., Aspirin and Clopidogrel). 9. It is acceptable to book patients on a single anti-platelet or a New Oral Anti-Coagulant (Aspirin OR NOAC). 10. Do not book for extraction of more than three teeth at any one time. #### Referral to Specialist Services If the patients do not meet the criteria, they can be referred to Oral Surgery in E-Block: - Add a new waitlist entry on TOHM under Oral Surgery. - Add 'Referral To Specialist' in the Course of Care. - Include any relevant clinical notes regarding the extraction and the medical/medication history. # DENT5310 **Integrated Dental Practice** # Extraction Clinic **Extractions & Prosthodontic** - If bridge sectioning is required before extraction(s), please ensure you have allocated time for the sectioning stage – either by seeing the patient in the morning for sectioning in **CC session** and then patient has an exo appointment in the afternoon in **Exo clinic**; or by seeing the patient first (8:15AM or 12:45PM) in a **normal CC session** (8:15AM or 12:45PM) and the patient has an exo appointment later (10:30AM or 2:30PM) in **Exo clinic**. - Each chair in Exo clinic can accommodate two patients (12:45-2:30 PM and 2:30-4:15PM), if needed. - Immediate complete and partial dentures can be inserted in Exo clinic, but the review appts will be organised by usual student clinician in CC session. - Extractions for immediate dentures need to be approved when the Reconstructive treatment plan is signed off during the tx planning stage. #### Extractions and Prosthodontics - **Bridge Sectioning:** If bridge sectioning is required before extraction, ensure time is allocated for the sectioning stage. Options include: - Seeing the patient in the morning for sectioning in a CC session, followed by an afternoon Exo clinic appointment. - Seeing the patient at the start of a normal CC session (8:15 AM or 12:45 PM) for sectioning, followed by an Exo clinic appointment later in the same session (10:30 AM or 2:30 PM). - **Chair Capacity:** Each chair in the Exo clinic can accommodate two patients per session (12:45–2:30 PM and 2:30–4:15 PM) if needed. - **Immediate Dentures:** - Immediate complete and partial dentures can be inserted in the Exo clinic. - Review appointments will be organized by the usual student clinician in a CC session. - Extractions for immediate dentures must be approved when the Reconstructive treatment plan is signed off during the treatment planning stage. - **DENT5310** **Integrated Dental Practice** # Emergency Clinic - **2 x DMD3 and 2 x DMD4** – 1 student clinician, 1 student to assist – rotate. – DMD3 assist DMD4 or vice versa. – 2 patients per sessions usually. – 1 dedicated supervising tutor. – Emergency treatment then return to ongoing clinician or WL (offer student treatment). * Diagnosis is critical → knowledge → read and be prepared! * Extractions (simple). #### Clinic Staffing and Structure - **Staffing:** 2 x DMD3 and 2 x DMD4 students. - **Roles:** One student clinician and one student assistant; roles should rotate. - **Collaboration:** DMD3 students assist DMD4 students or vice versa. - **Capacity:** Usually 2 patients per session. - **Supervision:** One dedicated supervising tutor. #### Clinical Objectives - **Patient Flow:** Provide emergency treatment, then return the patient to their ongoing clinician or the waitlist (offer student treatment). - **Diagnosis:** Accurate diagnosis is critical. Students must have the necessary knowledge and be prepared. - **Procedures:** Simple extractions. DENT5310 **Integrated Dental Practice** **Emergency Clinic** **Emergency phase** - “life threatening” - Prevent normal function - Swelling, pain, bleeding, or infection  #### Emergency Phase Definitions Conditions treated in the emergency phase include: - "Life-threatening" situations. - Conditions that prevent normal function. - Swelling, pain, bleeding, or infection. Clinical photo of an orange and white ambulance labeled 'EMERGENCY DENTAL AMBULANCE' with the Star of Life symbol and phone number '932 003'. This visual demonstrates the concept of mobile emergency dental care for life-threatening conditions mentioned in the text. # **DENT5310** # **Integrated Dental Practice** ## **Emergency Clinic** ### **Emergency phase** * Tentative diagnosis, differentials in mind. * Toothache most common. * Relief of pain and discomfort. Active dental treatment, sometimes associated with medication. * Antibiotics * Analgesics * Resolve short term aesthetic/functional problem. * Chipped/broken/missing front tooth. * Cracked/sharp cusp/restoration. * Lost restoration. * Food impaction. * Denture problems. #### Clinical Management - **Diagnostic Approach:** Formulate a tentative diagnosis while keeping differentials in mind. - **Common Presentations:** Toothache is the most common complaint. - **Pain Relief:** Focus on the relief of pain and discomfort through active dental treatment, sometimes supplemented by medication: - Antibiotics - Analgesics #### Aesthetic and Functional Resolution Resolve short-term problems such as: - Chipped, broken, or missing front teeth. - Cracked or sharp cusps and restorations. - Lost restorations. - Food impaction. - Denture problems. **DENT5310** Integrated Dental Practice THE UNIVERSITY OF WESTERN AUSTRALIA Oral Health Centre of Western Australia **Emergency Clinic** Decision making in emergency phase * Frequently coincides with first time you see patient. * Still building rapport. * Conservative treatment aimed at managing symptoms and limiting spread of disease. * Consider diagnosis very carefully before proceeding with irreversible treatment * Extraction * Pulp extirpation * Diagnosis – recognise severity, right site, right tooth, right tissue. * Consent, consent, consent!!!! #### Decision Making in the Emergency Phase - **Patient Interaction:** The emergency phase frequently coincides with the first time seeing the patient; focus on building rapport. - **Treatment Philosophy:** Use conservative treatment aimed at managing symptoms and limiting the spread of disease. - **Irreversible Treatment:** Consider the diagnosis very carefully before proceeding with irreversible treatments such as: - Extraction - Pulp extirpation - **Diagnostic Accuracy:** Recognize severity and identify the correct site, tooth, and tissue. - **Consent:** Ensure thorough informed consent is obtained. **DENT5310** **Integrated Dental Practice** Screening Clinic * Triage. * Overriding question: “Would I see this patient?” * Determine suitability for students, general dentist or specialist WL. * 45 mins appts. * Suitability. – Medical history. – Ambulatory/mobility. – Case complexity. * Availability. * TOHM WL/Academic management module. #### Triage and Suitability - **Primary Function:** Triage patients to determine suitability for students, general dentists, or specialist waitlists. - **Core Question:** "Would I see this patient?" - **Appointment Duration:** 45-minute appointments. #### Assessment Criteria - **Suitability Factors:** - Medical history. - Ambulatory status and mobility. - Case complexity. - **Availability:** Assessment of patient and clinic availability. - **Administration:** Use of TOHM Waitlist and Academic Management module. **DENT5310** **Integrated Dental Practice** Questions? Questions? [^1]: Original PDF page 1: [[Introduction to DENT5310 CDP module_2026.pdf#page=1|Introduction to DENT5310 CDP module 2026, p.1]] [^2]: Original PDF page 2: [[Introduction to DENT5310 CDP module_2026.pdf#page=2|Introduction to DENT5310 CDP module 2026, p.2]] [^3]: Original PDF page 3: [[Introduction to DENT5310 CDP module_2026.pdf#page=3|Introduction to DENT5310 CDP module 2026, p.3]] [^4]: Original PDF page 4: [[Introduction to DENT5310 CDP module_2026.pdf#page=4|Introduction to DENT5310 CDP module 2026, p.4]] [^5]: Original PDF page 5: [[Introduction to DENT5310 CDP module_2026.pdf#page=5|Introduction to DENT5310 CDP module 2026, p.5]] [^6]: Original PDF page 6: [[Introduction to DENT5310 CDP module_2026.pdf#page=6|Introduction to DENT5310 CDP module 2026, p.6]] [^7]: Original PDF page 7: [[Introduction to DENT5310 CDP module_2026.pdf#page=7|Introduction to DENT5310 CDP module 2026, p.7]] [^8]: Original PDF page 8: [[Introduction to DENT5310 CDP module_2026.pdf#page=8|Introduction to DENT5310 CDP module 2026, p.8]] [^9]: Original PDF page 9: [[Introduction to DENT5310 CDP module_2026.pdf#page=9|Introduction to DENT5310 CDP module 2026, p.9]] [^10]: Original PDF page 10: [[Introduction to DENT5310 CDP module_2026.pdf#page=10|Introduction to DENT5310 CDP module 2026, p.10]] [^11]: Original PDF page 11: [[Introduction to DENT5310 CDP module_2026.pdf#page=11|Introduction to DENT5310 CDP module 2026, p.11]] [^12]: Original PDF page 12: [[Introduction to DENT5310 CDP module_2026.pdf#page=12|Introduction to DENT5310 CDP module 2026, p.12]] [^13]: Original PDF page 13: [[Introduction to DENT5310 CDP module_2026.pdf#page=13|Introduction to DENT5310 CDP module 2026, p.13]] [^14]: Original PDF page 14: [[Introduction to DENT5310 CDP module_2026.pdf#page=14|Introduction to DENT5310 CDP module 2026, p.14]] [^15]: Original PDF page 15: [[Introduction to DENT5310 CDP module_2026.pdf#page=15|Introduction to DENT5310 CDP module 2026, p.15]] [^16]: Original PDF page 16: [[Introduction to DENT5310 CDP module_2026.pdf#page=16|Introduction to DENT5310 CDP module 2026, p.16]] [^17]: Original PDF page 17: [[Introduction to DENT5310 CDP module_2026.pdf#page=17|Introduction to DENT5310 CDP module 2026, p.17]] [^18]: Original PDF page 18: [[Introduction to DENT5310 CDP module_2026.pdf#page=18|Introduction to DENT5310 CDP module 2026, p.18]] [^19]: Original PDF page 19: [[Introduction to DENT5310 CDP module_2026.pdf#page=19|Introduction to DENT5310 CDP module 2026, p.19]] [^20]: Original PDF page 20: [[Introduction to DENT5310 CDP module_2026.pdf#page=20|Introduction to DENT5310 CDP module 2026, p.20]] [^21]: Original PDF page 21: [[Introduction to DENT5310 CDP module_2026.pdf#page=21|Introduction to DENT5310 CDP module 2026, p.21]] [^22]: Original PDF page 22: [[Introduction to DENT5310 CDP module_2026.pdf#page=22|Introduction to DENT5310 CDP module 2026, p.22]] [^23]: Original PDF page 23: [[Introduction to DENT5310 CDP module_2026.pdf#page=23|Introduction to DENT5310 CDP module 2026, p.23]] [^24]: Original PDF page 24: [[Introduction to DENT5310 CDP module_2026.pdf#page=24|Introduction to DENT5310 CDP module 2026, p.24]] [^25]: Original PDF page 25: [[Introduction to DENT5310 CDP module_2026.pdf#page=25|Introduction to DENT5310 CDP module 2026, p.25]] [^26]: Original PDF page 26: [[Introduction to DENT5310 CDP module_2026.pdf#page=26|Introduction to DENT5310 CDP module 2026, p.26]] [^27]: Original PDF page 27: [[Introduction to DENT5310 CDP module_2026.pdf#page=27|Introduction to DENT5310 CDP module 2026, p.27]] [^28]: Original PDF page 28: [[Introduction to DENT5310 CDP module_2026.pdf#page=28|Introduction to DENT5310 CDP module 2026, p.28]] [^29]: Original PDF page 29: [[Introduction to DENT5310 CDP module_2026.pdf#page=29|Introduction to DENT5310 CDP module 2026, p.29]] [^30]: Original PDF page 30: [[Introduction to DENT5310 CDP module_2026.pdf#page=30|Introduction to DENT5310 CDP module 2026, p.30]] [^31]: Original PDF page 31: [[Introduction to DENT5310 CDP module_2026.pdf#page=31|Introduction to DENT5310 CDP module 2026, p.31]] [^32]: Original PDF page 32: [[Introduction to DENT5310 CDP module_2026.pdf#page=32|Introduction to DENT5310 CDP module 2026, p.32]] [^33]: Original PDF page 33: [[Introduction to DENT5310 CDP module_2026.pdf#page=33|Introduction to DENT5310 CDP module 2026, p.33]] [^34]: Original PDF page 34: [[Introduction to DENT5310 CDP module_2026.pdf#page=34|Introduction to DENT5310 CDP module 2026, p.34]] [^35]: Original PDF page 35: [[Introduction to DENT5310 CDP module_2026.pdf#page=35|Introduction to DENT5310 CDP module 2026, p.35]] [^36]: Original PDF page 36: [[Introduction to DENT5310 CDP module_2026.pdf#page=36|Introduction to DENT5310 CDP module 2026, p.36]] [^37]: Original PDF page 37: [[Introduction to DENT5310 CDP module_2026.pdf#page=37|Introduction to DENT5310 CDP module 2026, p.37]] [^38]: Original PDF page 38: [[Introduction to DENT5310 CDP module_2026.pdf#page=38|Introduction to DENT5310 CDP module 2026, p.38]] [^39]: Original PDF page 39: [[Introduction to DENT5310 CDP module_2026.pdf#page=39|Introduction to DENT5310 CDP module 2026, p.39]] [^40]: Original PDF page 40: [[Introduction to DENT5310 CDP module_2026.pdf#page=40|Introduction to DENT5310 CDP module 2026, p.40]] [^41]: Original PDF page 41: [[Introduction to DENT5310 CDP module_2026.pdf#page=41|Introduction to DENT5310 CDP module 2026, p.41]] [^42]: Original PDF page 42: [[Introduction to DENT5310 CDP module_2026.pdf#page=42|Introduction to DENT5310 CDP module 2026, p.42]] [^43]: Original PDF page 43: [[Introduction to DENT5310 CDP module_2026.pdf#page=43|Introduction to DENT5310 CDP module 2026, p.43]] [^44]: Original PDF page 44: [[Introduction to DENT5310 CDP module_2026.pdf#page=44|Introduction to DENT5310 CDP module 2026, p.44]] [^45]: Original PDF page 45: [[Introduction to DENT5310 CDP module_2026.pdf#page=45|Introduction to DENT5310 CDP module 2026, p.45]] [^46]: Original PDF page 46: [[Introduction to DENT5310 CDP module_2026.pdf#page=46|Introduction to DENT5310 CDP module 2026, p.46]] [^47]: Original PDF page 47: [[Introduction to DENT5310 CDP module_2026.pdf#page=47|Introduction to DENT5310 CDP module 2026, p.47]] [^48]: Original PDF page 48: [[Introduction to DENT5310 CDP module_2026.pdf#page=48|Introduction to DENT5310 CDP module 2026, p.48]] [^49]: Original PDF page 49: [[Introduction to DENT5310 CDP module_2026.pdf#page=49|Introduction to DENT5310 CDP module 2026, p.49]] [^50]: Original PDF page 50: [[Introduction to DENT5310 CDP module_2026.pdf#page=50|Introduction to DENT5310 CDP module 2026, p.50]]