Domains of Practice in Australian Dentistry

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Domain 6. Patient Care 

 6.1 Clinical Information Gathering  

It covers the collection and recording of information that is necessary and relevant. 

As an Australian dentist you must be able to:   

 

1. obtain and record a relevant history of the patient’s medical, social and oral health status  

2. perform an examination for health, disease and abnormalities of the dentition, mouth and associated structures  

3. select necessary clinical, pathology and other diagnostic procedures and interpret results  

4. take radiographs relevant to dental practice  

5. evaluate individual patient risk factors for oral disease 

6. maintain accurate, consistent, legible and contemporaneous records of patient management and protect patient privacy  

 

6.2 Diagnosis and Management Planning  

  • It covers the identification of disease or abnormalities that require treatment or investigation As an Australian dentist you must be able to:   

  • 1. recognise health as it relates to the individual  

  • 2. diagnose disease or abnormalities of the dentition, mouth and associated structures and identify conditions which require management  

  • 3. determine the impact of risk factors, systemic disease and medications on oral health and treatment planning   

  • 4. formulate and record a comprehensive, patient-centred, evidence-based oral health treatment plan  

  • 5. determine when and how to refer patients to the appropriate health professional  

  • 6. obtain and record patient informed consent and financial consent for treatment  

 

6.3 Clinical Treatment and Evaluation  

It covers the provision of evidence-based patient-centred care. 

As an Australian dentist you must be able to:    

1. apply the principles of disease and trauma prevention and early intervention in the management of the dentition, mouth and associated structures  

2. apply the principles of behaviour management  

3. manage a patient’s anxiety and pain related to the dentition, mouth and associated structures  

4. manage surgical and non-surgical treatment of diseases and conditions of the periodontium and supporting tissues of the teeth or their replacements  

5. manage surgical and non-surgical treatment of pulp and periapical diseases and conditions with endodontic treatment  

6. manage the loss of tooth structure by restoring the dentition with direct and indirect restorations  

7. utilise patient removable prostheses to rehabilitate, restore appearance and function, prevent injury and stabilise the occlusion 

8. utilise fixed prostheses to rehabilitate, restore appearance and function and stabilise the occlusion  

9. manage oral conditions, pathology and medically related disorders and diseases associated with the dentition, mouth and associated structures  

10. manage skeletal and dental occlusal discrepancies  

11. manage the removal of teeth and oral surgical procedures  

12. administer, apply and/or prescribe pharmaceutical agents  

13. evaluate and monitor the progress of treatment and oral health outcomes  

14. manage dental emergencies. 

15. manage medical emergencies. 

Face bow

Face bow-for Whip mix Arcon articulator


Face bow is a device that is used to transfer the relationship of upper jaw to the temporomandibular joint and the skull. The use of face bow are as follows:

  1. in full mouth rehabilitation
  2. when you want to give accurate crown and bridges 
  3. when you need to alter VDO
  4.  for diagnostic mounting
  5. for the correction of the occlusion
  6.  when you want to use inter-occlusal records except when you are making tooth supported prosthesis or a single tooth restoration
  7.  when you are using cusp form teeth
  8.  when you need balanced occlusion
  9. when you want to do a gnathological study
Face bow for Hanau Non-Arcon Articulator

Multiple choice questions


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INSTRUCTIONS:

1) The duration of the examination is 70 minutes.
2) After 70 minutes, the paper will not submit itself automatically so that you can keep on solving it. But, in the real exam, this will not happen, so try to finish it within the stipulated time frame.
3) Once you have finished answering the paper, press the submit button to see the answers .
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Composites: Properties

You have read about the composition of dental composites in earlier class notes This article will speak about the properties. 

Properties of Composites

The important properties of the composites are as follows:
  1. Polymerisation shrinkage - should be low
  2. Water sorption - should be low
  3. Coefficient of thermal expansion - should be same as tooth
  4. Fracture resistance - should be high
  5. Wear resistance - should be high
  6. Radiopacity- should be high
  7. Bond strength to enamel & dentin - should be high
  8. Colour match to tooth structure - should be excellent
  9. Manipulation - should be easy
  10. Finishing and polishing - should be easy
Few of the above mentioned properties may be important for anterior than posteriors restorations and vice versa. The properties of microfilled and nanofilled composites are same while the microhybrid's differ from both of them.