Range: Composite

Patient type: adult

Date of Activity: Monday, 10 August 2015, 9:15 AM
The Practical Experience Record Sheet is a true representation of my
own involvement in the task described.
1. Restorative Procedure Carried Out:

Guidance Notes:
Students should state the procedure to be carried out.
Students should explain how the clinincal area was made ready for this particular
procedure, how they assisted both the clinician and the patient during the procedure.
Students should describe the patient on which the treatment was carried out.
PATIENT INFORMATION: Sex: Male Age: 22 year old - NHS patient; Medical/Social
History form up to date and signed; Health: Good. Patient consent: Gained, plan signed.

TREATMENT INFORMATION:  Restoration procedure on Lower Left 6 occlusal surface

filling

CLINICAL AREA AND PREPARATION:

First think in the morning is place a clean uniform and footwear. Hand wash following the
correct sequence by NHS .

Make sure my hair is been tied back. I wear the correct P.P.E (Gloves, Mask,Goggles)

EQUIPMENT SWITCHED ON AND CHECKED:

- Lights
- Chair
- Dental unit & light
- Computer (Sign in with the dentist)
- Ligh cure
- Amalgamator
- X-ray machine
- Autoclaves (type B and N/S)
- R.O water machine
- Compressor
- Pouching machine
- Ultrasonic Machine
- R.O Machine
- Water Distiller (if necessary)
- Assistina Machine

- Dentist chair dental bottle is filled with purified water (RO machine) and flush water lines
for 2 minutes.
- Work surfaces wiped with alcohol free disinfectant and a microfiber cloth and applied
disposable covers.
- Surgery zoned into clean and dirty areas with a decontamination room adjoined.
- Put water and disinfectant solution into dirty instrument container and keep in dirty zone of
the surgery away from clean zone.
- All surfaces in decontamination room are wiped with disinfectant and wipes and microfibre
clothes.
- The ultrasonic machine is filled up with clean water and correct amount of ultrasonic
cleaner (30 ml of solution), then I switch the machine on for 7 minutes at 30 degrees
centigrade.
- Both autoclaves (type B and N/S) are clean and wipe the inside and door seal; after drained
all the dirty water I fill the water tanks with purified water from distiller water machine.
- Is placed the helix device and strip in vacuum autoclave and press "B" cycle then start
- Is placed sterilizer class 6 strip into "N" cycle non-vacuum autoclave and press 134 degrees
cycle.
- Remove items from cold sterilizer bath, rinse and dry.
- I check day list already printed from the reception, and ensure there are enough exam and
treatment instruments/trays set up for the day.
- Check if all lab work has been collected from dentist box.
- Dentist and myself follow the 13 steps for hand washing done by NHS, placed new PPE
(gloves, mask and my safety glasses).

LIST OF INSTRUMENTS set up on dentist side:

- Mouth mirror
- Right angle probe
- College tweezers
- Excavator
- Burnisher
- Flat plastic
- Carver
- Plugger
- Slow/fast speed hand pieces
- 3 in 1 metal tip (air, water syringe)
- Topical Anesthetic
- Anaesthetic  long needle and syringe
- Cartrige: 2 % Lidocaine 1:100,000
- Articulate paper
- Cotton wool rolls

LIST OF INSTRUMENTS/MATERIALS ON MY SIDE:

-  Patient Bib, googles and bib holder
-  Mouthwash in a disposable cup and tissues
- Fast suction tube
- Saliva ejector
- Spittoon funnel
- Cotton wool rolls
- Phosphoric Acid Etch Gel Syringe 37%
- OptiBond and a disposable Micro-brush
- Composite shade A2 cartridge and composite gun
- Light cure
- Needle Stick Protector
- I select on the computer patient's name,  leave open their records and their last x rays toked.

EQUIPMENT SWITCHED ON AND CHECKED:

- Chair
- Dental unit & light
- Computer (Sign in with the dentist)
- Ligh cure
- X-ray machine
- Autoclaves (type N & S/B)
- Ultrasonic bath machine

LIST OF INSTRUMENTS set up on dentist side:

- Mouth mirror
- Right angle probe
- College tweezers
- Excavator
- Burnisher
- Flat plastic
- Carver
- Plugger
- Slow/fast speed hand pieces
- 3 in 1 metal tip (air, water syringe)
- Topical Anesthetic
- Anaesthetic  long needle and syringe
- Cartrige: 2 % Lidocaine 1:100,000
- Articulate paper
- Cotton wool rolls

LIST OF INSTRUMENTS/MATERIALS ON MY SIDE:

-  Patient Bib, googles and bib holder
-  Mouthwash in a disposable cup and tissues
- Fast suction tube
- Saliva ejector
- Spittoon funnel
- Cotton wool rolls
- Phosphoric Acid Etch Gel Syringe 37%
- OptiBond and a disposable Micro-brush
- Composite shade A2 cartridge and composite gun
- Light cure
- Needle Stick Protector

PROCEDURE:
- I bring the patient into the surgery and provide bib and safety glasses, always make sure
and ask if patient is comfortable to start the procedure.

- The procedure starts when patient is already numb, after taken the local anaethetic (2 %
Lidocaine 1:100,000). Whilst dentist start drilling, I get away all tooth decay and I keep all
mouth area dry and clean from bites of decay aspirating with fast suction tube and ejector
saliva.

- Cavity is now prepared, I pass the Etch gel to the dentist to clean inside of the cavity, etch
gel stays 15 to 20 sec, then is washed using the 3 in 1 metal tip, in same time is used the fast
suction to clean the mouth. A drop of bond on a disposable micro brush is ready to pass to
the dentist and then shine the light cure for 30 sec.
- I pass to the dentist the composite shade A2 and after packing into the tooth cavity, again is
shined the light cure for 30 sec.

- When the filling is completed, dentist shaped and check the bit with the articulate paper.

- Composite filling procedure is done, I let patient rinse their mouth.

2. Aim of the Procedure:

Guidance Notes:
Students should state the overall aim of the process.
- Fillings are used to repair minimal tooth fractures, tooth decay, or otherwise damaged
surfaces of the teeth. In many cases, individuals with enamel loss resulting in tooth
sensitivity will notice a significant improvement or complete elimination of sensitivity once
the appropriate dental filling material is placed.

- The choice between the two materials, amalgam (silver color) and composite (white); will
depend on strength and aesthetics.

- These days we use more and more composite as technological advances have improved
these materials a lot in recent years.

3. Reflective Account:

Guidance Notes:
Students should identify their strengths and weaknesses during the procedure and describe
any action they would take to address weaknesses in the future, if required.
STRENGTHS
All materials/instruments was passed to the dentist on time. Good concentration.

WEAKNESSES
In beginning I forgot to put the glasses on the patient. Dentist always need to remember me.

Preparation:
Student turned on all equipment required for the procedure: competent
Student donned appropriate PPE (gloves, mask, eye protection,
competent
appropriate clinical dress):
Student cleaned work surface using viricidal disinfectant or detergent
competent
solution:
Student flushed through all water lines: competent
Student applied disposable covers to required areas of the dental
competent
surgery e.g. light handles, control panel etc:
Student made all required patient records and radiographs available: competent
Student prepared all relevant equipment and materials: competent
Student established zoning of clean and dirty areas within the
competent
working field:
During Procedure:
Student greeted patient appropriately: competent
Student provided the patient with a bib and safety glasses: competent
Student aspirated and retracted soft tissues when appropriate: competent
Student provided eye shields when required during use of curing
competent
light:
Student followed safe practice procedures throughout: competent
Student monitored the patient throughout: competent
Student reassured the patient during the treatment: competent
Student prepared anaesthetic appropriate to the patients medical
competent
history:
Student assisted with the placement of the rubber dam (if used): competent
Student prepared any materials required as requested by the clinician: competent
Student maintained contemporaneous notes as directed by the
competent
clinician:
Student ensured the patient was cleaned prior to leaving: competent

Professionalism:
Student demonstrated professionalism in his/her duties and effective
competent
team working towards the delivery of safe, effective care:
Student demonstrated effective clinical decision making throughout
competent
the task:
Student managed themselves and the clinical environment in line
competent
with current standards and guidelines:
Student demonstrated knowledge and clinical skills appropriate to the
competent
patient's condition:
Student communicated appropriately, effectively and sensitively with
competent
the patient, their relatives or carers and colleagues:
4. Witness Feedback

This Section should be completed by the GDC (or other) registrant who witnessed the
activity of the student and is assessing their competence. Constructive feedback will help the
student to develop their performance in the workplace.
Witness Assessment of Competency:
carolina  is  competent  with  this  procedure  and  she  showed  full understanding about 
different  materials  for    restorative  treatment's
carolina  write  a  lot  of  detail  but  that  shows  she  is  thinking  about  each  procedure 
and  learning  a  lot
I confirm that the performance of the student demonstrated
I confirm
competence as indicated in the table above
5. Tutor Feedback

This section should be completed by the GDC registrant who is assessing all sections of the
completed PER and is normally based at the Training Centre. Constructive feedback will
help the student to develop their performance in the workplace.
Tutor Feedback to Student:
14/8/15
Lots of hard work on this Carolina, there is one errors

Error
Lidocaine is almost always used with a vasoconstrictor of 1:80000

In all other ways this is a competent and considered pers - keep up the good work

Witness
Very nice comments helping the Carolina to see her strengths will only help her improve!! 
Tutor Judgement: satisfactory
Sampled by Internal
yes
Moderator:
Meets NEBDN
yes
requirements:
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 Record of Experience - Introduction
 Behavioural Standards
 Principles of Good Practice
 Record of Experience - Overview
 Record of Experience - Status
 Unit 1
 Unit 2
 Unit 3
 Unit 4
 Unit 4 Introduction
 Unit 4 Section 1: Cavity Restoration Procedure
 Unit 4 Section 1: Introduction
 PERS 4.1.a Cavity Restoration Procedure
 PERS 4.1.b Cavity Restoration Procedure
 PERS 4.1.c Cavity Restoration Procedure
 Unit 4 Section 2: Endodontic Procedure
 Unit 4 Section 3: Fixed Prosthesis Procedure
 Unit 4 Section 4: Removable Prosthesis Procedure (...
 Unit 4 Supplementary Outcomes
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