Produce specific custom-made devices for the design and manufacture of removable prostheses

"This standard focuses on preparations for the design and manufacture of complete and partial removable prostheses. You will need to prepare and maintain environments, materials and equipment for the design and manufacture of the prosthesis; produce working casts and custom-made trays, bleaching trays, stents, baseplates and occlusal registration rims.
The term 'client' is used to mean the member of the oral health care team who has prescribed the custom-made prosthesis. Clients may be external to the organisation (such as other laboratories, dental practitioners, training schools) or internal (within a dental hospital). The individual is the one for whom the custom-made prosthesis is being made.
Users of this standard will need to ensure that practice reflects up to date information and policies."

"1.     access and accurately interpret all relevant work instructions and information
2.     work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
3.     deal promptly and effectively with any problems within your control and report those which cannot be solved
4.     identify and minimise hazards and risk in the workplace
5.     communicate with relevant others at a pace, manner and level appropriate to their understanding, preferences and needs
6.     review the prescription and contract and correctly identify the materials and equipment which will be required
7.     assess the risks involved in undertaking the design and manufacture of the custom-made prosthesis
8.     use working methods and systems throughout the process which:

• reduce the risk of infection and contamination
• are consistent with the assessed risks
  9.     confirm that the environment in which the work is to be undertaken is in a fit state ready for use and take any necessary remedial action
  10.  select the correct type and quantity of materials that will be required
  11.  confirm that the required equipment is clean, in working order and set correctly
  12.  move and handle equipment and materials in an appropriate, safe manner which is consistent with current legal and organisational requirements
  13.  select material and make cast which is capable of meeting the technical requirements of the case
  14.  evaluate the casts or digital information to determine what needs to be incorporated into the design of occlusal registration rims, custom-made trays, stents or bleaching trays
  15.  apply appropriate spacer materials to the cast or create digital information to:
• eliminate undercuts
• provide the correct amount of space for the impression material or method of use in a stent or bleaching tray as selected by the client
  16.  apply a separating medium to the cast that is appropriate to the cast material and the processing method to be used
  17.  select materials that are appropriate to the nature and construction requirements of the specific custom-made device
  18.  prepare the specific custom-made device in the correct manner and to the specified design, quantity and quality
  19.  process materials using the correct method for the material concerned
  20.  confirm that the specific device conforms to the prescription
  21.  on receipt of the custom tray impression or appropriate digital information, correctly determine the prescription requirements from the information available
  22.  ensure the received impression has been effectively cleaned, confirm that it is free of voids or defects which render it unacceptable and prepare it appropriately to receive the cast material
  23.  inform the client in an appropriate manner if the impression is not of sufficient quality and obtain a replacement impression
  24.  prepare and cast the impression
  25.  trim the cast to prescription requirements
  26.  identify the casts with a unique individual reference
  27.  survey the cast to identify the position and size of undercuts, determine an appropriate path of insertion for the planned prosthesis and block out any unsuitable undercuts
  28.  check the completed specific custom-made device to confirm it is fit for purpose
  29.  effectively clean the specific custom-made device, correctly identify it with the individual's unique reference, prescription request and date of production, prepare and package it safely for despatch to the client at the agreed time
  30.  store the specific custom-made device in an appropriate safe manner and place when they are not in use
  31.  provide formal documentation for the device as required under current regulation
  32.  dispose of waste in accordance with organisational procedures
  33.  complete and store all relevant documentation in accordance with organisational requirements"

"1.     the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
2.     the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
3.     how to access and interpret all relevant work instructions and information
4.     specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
5.     the duty to report any acts or omissions that could be unsafe/detrimental to you or others
6.     the hazards and risks which may arise during the execution of your work role and how you can minimise these
7.     how to communicate with relevant others at a pace, manner and level appropriate to their understanding, preferences and needs
8.     the correct use of any equipment and PPE to protect the health and safety of you and others
9.     the skeletal anatomy, physiology of the head and neck and tooth morphology
10.  the aetiology and classifications of malocclusions
11.  the effect of skeletal form and ridge relationships upon the function, design and manufacture of complete and partial removable prostheses
12.  the broader factors (sociological, behavioural, environmental and economic) that contribute to oral health and illness
13.  the principles and practice of:

• retention and stability
• design of bleaching trays or stents
• aesthetics and phonetics
• articulation
  14.  the classification and sub-classification of materials on the basis of chemical composition and internal structure
  15.  cast and mould manufacture
  16.  the principles and use of digital design and manufacturing
  17.  waxes and similar materials used in the manufacture of removable prostheses
  18.  dental polymers
  19.  impression, duplicating and cleaning materials
  20.  methods of developing, maintaining and improving communication and information relating to the provision of custom-made dental devices
  21.  the importance of communicating with individuals at a pace, in a manner, and at a level appropriate to their understanding, needs and preferences, whilst maintaining their dignity and choice
  22.  methods of infection control when handling received impressions and other items which may have been in the mouth, or which are intended to be placed in the mouth
  23.  the reasons for maintaining records throughout the process and of clearly identifying the products during the manufacturing process
  24.  organisational procedures and requirements for the recording of information about incoming work, work in progress and work delivered to clients, and the purpose of this
  25.  principles of quality assurance including effective recording and sampling; processes and procedures for quality assurance in your workplace
  26.  methods of setting and calibrating equipment and of testing that this is correct
  27.  the effects of modifying manufacturers' products to meet laboratory requirements on the physical properties of products and on quality assured products, and the legal implications of poor manufacturing
  28.  the range of equipment used in the design and manufacture of dental devices
  29.  methods of using equipment and materials safely including the use of chemicals and other hazardous substances
  30.  methods of storing different equipment and materials safely and securely
  31.  methods of cleaning and maintaining different types of equipment
  32.  how to dispose of waste in accordance with organisational procedures
  33.  how to complete and safely store all relevant documentation in accordance with organisational requirements"