Prosthetic Reconstruction, Rehabilitation & Surgical Planning —
Training activity: 1

Details

Plan, design and manufacture custom occlusal fixation devices as part of the management of a complex middle third trauma case and evaluate against treatment goals

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What specific treatment goals will you be evaluating against?
• What prior knowledge of middle third trauma and occlusal fixation is relevant?
• What aspects of planning, design, and manufacturing for complex trauma cases do you anticipate learning more about?
• What challenges related to the complexity of the trauma or the customisation of the device do you foresee?
• Have you reviewed relevant literature on middle third trauma management and occlusal fixation devices?
• Have you discussed the case and the planning process with your training officer and the multidisciplinary team?
• How will you ensure the device design aligns with the treatment goals?

In action

• As you plan, design, and manufacture the occlusal fixation device, are you consciously aware of each step and the rationale behind it? What immediate design or manufacturing decisions are you making in response to the case requirements? Are certain parts of the process feeling more natural based on your prior experience, while others require more deliberate thought?
• Are the design and manufacturing processes unfolding as expected? Are you encountering any unforeseen difficulties in adapting the design or using the manufacturing equipment for this specific trauma case? What immediate insights are you gaining about the complexities of this type of case? How does this task relate to your understanding of middle third trauma and occlusal fixation principles?
• If the initial plan or design encounters obstacles, what alternative solutions are you considering in real-time?
• Do you need to seek immediate advice or support from colleagues or your training officer during this process?
• Are you ensuring that your actions remain within your current level of training and expertise?

On action

• Describe the process of planning, designing, and manufacturing the custom occlusal fixation devices. What challenges did you encounter during the planning, design, and manufacturing stages? How did the manufactured devices compare to the initial treatment goals? What were the key considerations for managing a complex middle third trauma case that influenced your work?
• What specific skills or knowledge did you develop or improve in planning, designing, and manufacturing custom occlusal fixation devices? What did you learn about the management of complex middle third trauma cases? Were there any unexpected challenges or successes during the process? What did you learn from these? How effective was the evaluation process against the treatment goals? What did this reveal?
• What areas for continued development have you identified in relation to occlusal fixation devices and trauma management? How can you apply the knowledge and skills gained from this activity to future, similar cases? What resources or support might you need to further develop in this area?

Beyond action

• Have you revisited experiences where you planned and manufactured custom occlusal fixation devices? How does your understanding of these cases compare now with your initial reflections?
• How have these experiences impacted upon your current practice in managing complex trauma cases or designing other intra-oral appliances? Have you applied the knowledge gained to different situations?
• How might these experiences contribute towards your future practice in more complex or novel trauma scenarios? What transferable skills did you develop that will be valuable?

Relevant learning outcomes

#	Outcome
# 1	Outcome Deliver quality patient centred care with the best interests of patients in all elements of practice.
# 2	Outcome Practice in accordance with local and national health and safety policies, regulatory requirements and overall service governance.
# 3	Outcome Communicate effectively with patients, relatives, healthcare professionals and other stakeholders.
# 5	Outcome Analyse and interpret patient investigations, multimodal imaging and information.
# 6	Outcome Perform clinical investigations, formulate treatment plans and manufacture medical devices to a safe clinical standard.
# 7	Outcome Prepare surgical treatment plans for complex head and neck surgery.
# 8	Outcome Select appropriate biomedical materials and components/instrumentation used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	Outcome Practice in partnership with other clinical specialisms as part of a multidisciplinary team and understand their roles and their impact on patient care and pathway.
# 10	Outcome Apply the principals of a quality management system to their professional practice.
# 12	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.