This booklet serves as an outline of the Orthodontic Module

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This booklet serves as an outline of the Orthodontic Module Powered By Docstoc
					Clinical Orthodontic Procedures
      A theory and clinical course for
            RDA's and RDH's




            Course Information
              Prepared by

  ORTHODONTIC MODULE STEERING
          COMMITTEE

  Division of Continuing Dental Education
     Faculty of Medicine and Dentistry
            University of Alberta
          Phone: (780) 492 - 5391
           Fax: (780) 492 – 8973
     Email: cde@dentistry.ualberta.ca
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta

This booklet serves as an outline of the Orthodontic Module utilized in Alberta.

ORTHODONTIC MODULE

The Orthodontic Module is designed to provide the participant with knowledge and
information required to reach a satisfactory level of competency in clinical orthodontics.
Emphasis is placed on clinical procedures, obtaining diagnostic records and patient care
procedures.

What are the objectives of the Orthodontic Module?

Participants in this course will be able to accomplish the following:

    a)   demonstrate understanding of orthodontic principles and classifications
    b)   discuss mechanisms of treatment for orthodontic/orthopedic/surgical movements
    c)   demonstrate skills in obtaining diagnostic records
    d)   demonstrate clinical orthodontic skills
    e)   discuss patient education and motivation techniques
    f)   demonstrate effective infection control procedures

Who developed the Orthodontic Module?

This course has been the vision of many individuals and professional associations for
many years. It has finally come together under the financial and supportive assistance of
the Alberta Dental Association & College, the College of Alberta Dental Assistants, the
College of Registered Dental Hygienists of Alberta and the Alberta Society of
Orthodontists. This is a “made in Alberta” theory and clinical course and continues to be
guided under a steering committee with representation from the four professional groups
mentioned above. The established criteria for participation in this course have been
determined by this committee.

Who administers the Orthodontic Module?

At this time, the Division of Continuing Dental education, at the Faculty of Medicine and
Dentistry, University of Alberta, is carrying out the mandate of the steering committee in
administering and delivering the components of the Orthodontic Module.

Who is the Orthodontic Module designed for?

This course is designed for any Registered Dental Assistant (radiography, dental dam,
impressions, rubber cup polishing, fluoride application, pit and fissure sealants,
desensitizing agents, topical anaesthetic, matrices and wedges, bases and liners, suture
removal, dental probing, and temporary coverage and restorations), or Registered Dental
Hygienists. All participants must also have a current CPR certificate, Level C or
Healthcare Provider. Applications for the course must include photocopies of appropriate
documentation to verify eligibility.

Revised: December 2010                                                                 Page 2
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta



What is the educational process?

Completion of the Orthodontic Module and subsequent registration with the College of
Alberta Dental Assistants or the College of Registered Dental Hygienists of Alberta
requires successful completion of two components. This course contains both a theory
component and a clinical component. The theoretical component must be successfully
completed, prior to registration in the clinical component.

The Theory Component

Applications for the theory component will be processed three/four times a year. Limits
on the number participating exist, dependent on the availability of future clinical courses.
The component is a 3 month self-study course and a manual will be provided to
participants. Students should be prepared to spend at least 10-12 hours per week on
studies. Upon successful completion of the theory component participants will receive a
certificate of completion and an application form for the clinical component.

Applications:
   - available through the Division of Continuing Dental Education website:
       http://www.dent.ualberta.ca/orthomodule.cfm
   - cost of the theory component is $195.00
   - applications are accepted on a first-come, first-served basis
   - applications must be accompanied by the fee and by photocopies of appropriate
       documentation to verify eligibility.

Cancellation/Extensions:
   - Cancellations are not permitted after registration and material mailout. Candidates
       unable to meet time requirements may apply for up to 2 three month extensions.
       There is a fee of $50 per extension for this option.
   - a request form for extension must be accompanied by the required fee and be
       received at least 2 weeks prior to the original completion date of the theory
       component.

Examination:
   - the applicant must complete the theory examination within the 3 months prior to
      the set date of examination as per the registration form.
   - to successfully pass the examination, a score of 80% or better is required.
   - successful candidates are eligible to register for the clinical component.
   - examinations can be written at the University of Alberta at specified dates and
      times or at any locale under the supervision of an invigilator.
   - the exam by invigilator can be requested at anytime during the twelve week
      course by utilizing the examination request form and payment of the applicable
      administration fee. Please mail request with sufficient time (3 weeks from
      required date) for processing and mailing.

Revised: December 2010                                                                  Page 3
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta

    -    the examination will be a combination of 200 multiple choice, true and false, and
         matching questions
    -    the time allotted for the examination will be 2 hours
    -    the answers will be recorded on a computer marking form and test scores will be
         tabulated by computer services

Examination Supervision/Invigilation:
   - each theory session will have a single sitting of the examination, available at a
      specified date, time and site as indicated on the exam request form.
   - if that date and location is not suitable, then an acceptable invigilator may be
      selected to oversee the examination. A $50 administration fee is applicable for
      this option.
   - invigilators will be required to sign a form indicating their willingness to oversee
      the examination and to adhere to the rules regarding examinations
   - acceptable invigilators must be established members of the community such as
      members of the clergy, librarians, school principals or vice-principals or college
      instructors, professionals
   - relatives, friends, neighbors, employers, co-workers or persons residing at the
      same residence cannot invigilate exams
   - the student must check with the prospective invigilator to determine willingness
      to invigilate and must choose a mutually acceptable date, time, and place for
      exam writing
   - no remuneration is provided to the exam invigilator for this service
   - the invigilator is responsible for physically observing the student for the duration
      of the exam, ensuring that the lighting, noise level, etc., will not distract or hinder
      the student's concentration and that the regulations governing the writing of
      exams are maintained. The invigilator must be in attendance during the entire
      exam.
   - the Division of Continuing Dental Education reserves the right to reject
      prospective invigilators.

Rules Governing Invigilated Exams:
   - question papers for each exam are sent to invigilators in a sealed package and
       opened only at the start of the exam
   - every effort will be made to ensure delivery of exam materials prior to the
       selected date. Please send requests with sufficient time for us to process and
       return (atleast 3-4 weeks prior to the required examination date).
   - the exam shall be written without the aid of textbooks, notes or verbal assistance
   - answer papers and question sheets must be handed to the invigilator at the
       expiration of the allotted time, whether or not the paper has been completed
   - the examination papers are not to be copied in any way
   - the invigilator shall sign that the examination has been conducted in accordance
       with the examination rules
   - immediately upon completion, the invigilator will seal the question and answer
       sheets in the return envelope, sign across the seal, and mail the envelope. It is not
       returned to the candidate.

Revised: December 2010                                                                   Page 4
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta

    -    during the examination, the invigilator shall remain constantly in the room where
         the candidate is writing and take every precaution to ensure that the examination
         rules are followed

Supplemental Re-write Examinations:
   - one re-write examination is allowed for candidates who score less than 80% on
      the first sitting (fee established by the Division of Continuing Dental Education)
   - there is no refund, even if the exam is not written
   - this re-write must occur within three months of the original theory component
      exam sitting
   - the higher grade between the original examination mark and the supplemental
      examination mark will be used to determine the final grade achieved in the theory
      component
   - a score less than 80% on the re-write necessitates re-applying for the full theory
      component after a six month waiting period.
   - The supplemental exam fee is established by Continuing Dental Education and is
      currently $100.

Appeals:
   - appeals may be made on the assignment of examination grades by submitting a
      letter of appeal to the Chair of the Orthodontic Module Steering Committee, care
      of the Division of Continuing Dental Education, within one month of receiving
      the grade
   - the Chair shall present the candidate's letter of appeal to the Committee for
      consideration and decision
   - the decision of the Committee will be final and a written declaration of that
      decision will be sent to the candidate

Completion of the theory component:
  - upon attaining a mark of 80% or higher on the examination, a certificate of
      completion of the theory component will be issued to the participant
  - each certificate will be accompanied by an application form for the clinical
      component, which must be completed within one year from the completion date
      of the theory component

The Clinical Component

Clinical instruction and evaluation are provided in a clinical course (approximately 24
hours) by Registered Dental Assistants and Registered Dental Hygienists who have
completed the Orthodontic Module and an instructor’s in-service. Practicing
orthodontists and grad students supervise clinical procedures and offer instruction.

Dates for these courses vary throughout the year. Enrollment will be limited to 16-18
participants per course and a minimum number of participants will be required in any
given course to make it feasible to deliver. The instructor/student ratio is 1:4. Upon


Revised: December 2010                                                                Page 5
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta

successful completion of the clinical component, participants will receive a certificate of
completion.

Clinical skills to be included in the clinical course are:

    -    taking intra-oral photographs
    -    registration of centric occlusion wax bite and orthodontic quality impressions
    -    bitefork and facebow registration
    -    patient placement for exposure of extra-oral radiographs (cephalometric,
         hand/wrist)
    -    placement and removal of separators
    -    placement and removal of oral isolation devices in preparation for direct bonding
         procedures
    -    manipulation and application of materials for bonding and banding procedures
    -    removal of banding cement and bonding adhesive utilizing hand instruments
    -    preparation of the teeth for banding and bonding procedures
    -    preliminary placement of fixed and removable appliances prior to adjustment by a
         dentist
    -    preliminary fitting of bands
    -    bonding of non critical attachments under the direction of a dentist, to be checked
         by the dentist prior to patient dismissal
    -    indirect bonding under the direction of the dentist, to be checked by the dentist
         prior to patient dismissal
    -    cementation of bands and appliances under the direction of a dentist, final check
         to be done by the dentist
    -    bonding lingual retainers under the direction of a dentist, final check to be done
         by the dentist
    -    checking integrity of bands, bonds, attachments, etc.
    -    placement and removal of archwires which have been prescribed by a dentist
    -    placement and removal of archwire accessories and ligatures
    -    removal of bands and bonded metal attachments, utilizing hand instruments
    -    provide patient instruction regarding
             o the care and use of orthodontic appliances
             o oral hygiene and disease control
             o elastic placement
             o proper eating habits and patient cooperation
             o orthodontic emergencies

Clinical Instruction/Evaluation Course – 3 Days – approximately 24 hours

Pre-requisites:
    - completion of the theory component
    - current CPR certificate, Level C or Healthcare Provider
    - currently registered RDA or RDH



Revised: December 2010                                                                 Page 6
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta


Applications:
   - available from the Division of Continuing Dental Education website upon
       successful completion of the theory component
   - cost of the clinical component is $815.00 (as of Jan. 2010)
   - accepted on a first come, first-served basis
   - applicants required to complete the clinical component within one year of
       successfully completing the theory component
   - withdrawal is permitted upto 4 weeks prior to the clinical date for an
       administration fee of $125.

Program:
   - attendance is required at a 3 day clinical instruction/evaluation course
   - to maintain course costs, participants will be required to bring various
      instruments/supplies
   - instruction will be provided and evaluations of clinical skills will be completed
      during the 3 day clinical course

Evaluation/Re-evaluation:
   - all clinical exercises must be completed to a satisfactory level to pass the clinical
       component
   - candidates not achieving required levels, of competence, may be referred to
       refresher courses and will be required to re-register for the clinical evaluation
       course after a six month waiting period

Appeals:
   - candidates may appeal results of the examination. Standard faculty policies
      apply.

What is the result?

Candidates successful in both the theory and clinical components can submit copies of
their certificates of completion to their respective associations for registration of the
Orthodontic Module.

                               Clinical Orthodontic Steps

    1. Register for Theory Component

              Pre-Requisites
              - (radiography, dental dam, impressions, rubber cup polishing, fluoride
                 application, pit and fissure sealants, desensitizing agents, topical
                 anaesthetic, matrices and wedges, bases and liners, suture removal, dental
                 probing, and temporary coverage and restorations)
              - Current CPR certificate, Level C or Healthcare Provider

Revised: December 2010                                                                  Page 7
                                   Orthodontic Module
                         Continuing Dental Education, University of Alberta

              -    Applications are accepted on an ongoing basis for examinations to be held
                   three/four times a year.
              -    Completion of course and examination 3 months from start date.

    2. Certificate of Completion of Theory Component

    3. Register for Clinical Course (approx 24 hours)

              -    Once successfully completed theory portion can register for clinical
                   portion
              -    Complete clinical component within one year from completion of theory
                   component

    4. Certificate of Completion of Clinical Component

    5. Registration of Orthodontic Module with CADA or CRDHA or your provincial
       association if outside Alberta




Revised: December 2010                                                                  Page 8

				
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