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Important Medical Study Material

Topics to be covered for ORE Part 1 Paper B

Topics to be covered for ORE Part 1 Paper B

Biomedical Sciences and Oral Biology
 Have knowledge and understanding of biomedical sciences and of oral physiology and craniofacial, oral and dental anatomy in the management of patients

Human Disease
 Have knowledge of the scientific principles of sterilisation, disinfection and antisepsis
 Have knowledge of the pharmacological properties of drugs used in general dental practice and their unwanted effects
 Be familiar with the role of therapeutics in the management of patients requiring dental treatment
 Be familiar with general aspects of medicine
 Be familiar with the main medical disorders that may impinge on dental treatment

Medical Emergencies
 Be competent in carrying out resuscitation techniques and management of cardiac arrest, anaphylactic reaction, upper respiratory obstruction, collapse, vasovagal attack, haemorrhage, inhalation or ingestion of foreign bodies, and diabetic coma
 Have knowledge of diagnosing medical emergencies and delivering suitable emergency drugs using, where appropriate, intravenous techniques

Law, Ethics and Professionalism
 Have knowledge of responsibilities of consent, duty of care and confidentiality
 Have knowledge of the permitted duties of DCPs
 Have knowledge of the regulatory functions of the General Dental Council
 Be familiar with the legal and ethical obligations of general dental practitioners
 Be familiar with the need for lifelong learning and professional development

Introduction to Clinical Dentistry
 Be competent in obtaining a detailed history of a patient’s dental state – pain history, pain scenarios
 Be competent in obtaining a relevant medical history
 Be competent in using laboratory and imaging facilities appropriately and efficiently
 Be competent in clinical examination and treatment planning
 Be competent in arranging appropriate referrals
 Be competent in maintaining an aseptic technique during surgical procedures
 Be competent in obtaining informed consent and be competent when written consent is required
 Have knowledge in managing patients from different social and ethnic backgrounds
 Have knowledge of dental problems that may manifest themselves in older patients and of the principles involved in the management of such problems
 Have knowledge of working as part of a dental team
 Be familiar with the complex interactions between oral health, nutrition, general health, drugs and diseases that can have an impact on dental care and disease

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Restorative Dentistry
 Be competent in diagnosing and planning preventive, non-operative care for the individual patient with caries, periodontal disease or tooth wear
 Be competent in completing a periodontal examination and charting a diagnosis and treatment plan
 Be competent in supragingival and subgingival scaling and root debridement, using both powered and manual instrumentation, and in stain removal and prophylaxis
 Be competent in completing a range of procedures in restorative dentistry including amalgam and tooth-coloured restorations, endodontic treatments of single- and multirooted teeth, anterior and posterior crowns, post crowns, simple bridges, and partial and complete dentures
 Have knowledge of when periodontal surgery may be advised
 Have knowledge of how missing teeth should be replaced, choosing between the alternatives of no replacement, bridges, dentures or implants
 Have knowledge of the design and laboratory procedures used in the production of crowns, bridges, partial and complete dentures and ability to make appropriate chairside adjustment to these restorations
 Be familiar with the diagnosis and management of temporomandibular joint disorders
 Be familiar with dental implants as an option in replacing missing teeth

Dental Biomaterials Science
 Have knowledge of the science that underpins the use of dental biomaterials
 Have knowledge of the (strengths and) limitations of dental materials
 Be familiar with those aspects of biomaterial safety that relate to dentistry

Paediatric Dentistry
 Be competent in diagnosing active caries and planning appropriate non-operative care in children
 Be competent in fissure sealing, preventive resin restorations, and pit and fissure restorations
 Be competent in undertaking approximal and incisal tip restorations
 Have knowledge of the preformed stainless steel crown and pulp therapy in primary molar teeth
 Have knowledge of the role of sedation in the management of young patients
 Have knowledge of the management of trauma in both dentitions

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Orthodontics
 Be competent in carrying out an orthodontic assessment including an indication of treatment need

Preventive Dentistry
 Be competent in oral hygiene instruction, dietary analysis, topical fluoride therapy and fissure sealing
 Be familiar with (Practise) an evidence-based approach to treatment

Dental Public Health
 Be familiar with the prevalence of certain dental conditions in the UK
 Be familiar with the importance of community-based preventive measures
 Be familiar with the social, cultural and environmental factors which contribute to health or illness
 Be familiar with the principles of recording oral conditions and evaluating data

Oral Surgery
 Be competent in undertaking minor soft tissue surgery
 Have knowledge of the management of acute infection
 Be familiar with the diagnosis of oral cancer and the principles of tumour management
 Be familiar with the principles of treatment of dento-facial anomalies including the common orthodontic/maxillofacial procedures involved
 Be familiar with the basic principles of oral surgery practice

Oral Medicine
 Have knowledge of the drugs commonly used in oral medicine and their side effects and interactions
 Have knowledge of appropriate special investigations and the interpretation of their results
 Be familiar with the pathogenesis of common oral medical disorders and their treatment

Oral Pathology and Oral Microbiology
 Have knowledge of the role of laboratory investigations in diagnosis
 Have knowledge of (be competent in) matters relating to infection control
 Have knowledge of the causes and effects of oral diseases needed for their prevention, diagnosis and management

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Dental Radiology and Imaging
 Be competent in taking and processing the various film views used in general dental practice
 Be competent in radiographic interpretation and ability to write an accurate radiographic report
 Have knowledge of the hazards of ionising radiation and regulations relating to them,
including radiation protection and dose regulation
 Be familiar with the principles that underlie dental radiographic techniques

Pain and Anxiety Control
 Be competent in infiltration and regional block analgesia in the oral cavity
 Be competent and have Knowledge of when, how and where to refer a patient for general anaesthesia
 Be competent in managing fear and anxiety with behavioural techniques and empathising with patients in stressful situations
 Have knowledge of inhalational and intravenous sedation techniques
 Have knowledge of conscious sedation techniques in clinical practice

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