This apprenticeship is in development and is subject to change

Why is this apprenticeship not ready for delivery?

An apprenticeship is only available for delivery when both the standard and assessment plan is approved and a funding band (core government contribution) has been assigned to the standard.

How can I get involved?

If you'd like to get involved and contribute to the development of this apprenticeship, please read about developing standards and assessment plans. You can email the trailblazer contact using the details on this page.

Overview of the role

Clinical dental technicians (CDT) are General Dental Council (GDC) registered dental professionals who provide complete dentures direct to patients and other dental devices such as partial dentures to the prescription of a dentist.

Details of standard

Occupation summary

Clinical Dental Technicians (CDT) are General Dental Council (GDC) registered dental professionals who provide complete dentures direct to patients and other dental devices such as partial dentures to the prescription of a dentist.

The CDT role fits between that of a dental technician and a dentist. Like a dental technician, they are able to make dentures in a laboratory but, unlike a dental technician, they have direct contact with patients. Like a dentist, they are able to work in the mouth, taking impressions for the edentulous, dentate or patient with implants. However, they are not able to prescribe to patients who have teeth and therefore work to prescriptions from the dentist as required. The CDT examines, assesses, provides treatment, gives advice and designs, manufactures, modifies and repairs custom-made dental appliances. Working as part of the dental team, they refer edentulous patients to a dentist if they need a treatment plan or if there are oral health concerns. Patients with natural teeth or implants must see a dentist before the CDT begins treatment. 

In their daily work, an employee in this occupation interacts with other dental health professions. CDTs bridge the gap between dental technicians and dentists. They have direct patient contact and provide essential dental services, especially related to dentures and other dental devices.

Day to day activities include:

  • assessing patients or contributing to patient assessment including taking detailed dental and relevant medical history
  • treating acute oral conditions including prescribing and providing complete dentures directly to patients
  • responding to treatment plans and working closely with patient to identify the best solution for them
  • providing and fitting complete or partial dentures or other dental devices on prescription from a dentist
  • taking impressions, designing and/or manufacturing of a range of dental devices
  • fitting, modifying and repairing a range of dental devices
  • taking and processing radiographs or other images
  • advising and encouraging oral hygiene and care of dental devices

Dental technicians are registered professionals and work within the standards and scope of practice as defined by the General Dental Council Scope of Practice document.

Typical job titles include:

Clinical dental technician

Entry requirements

You must be a GDC registered dental technician to do this apprenticeship.

Occupation duties

Duty KSBs

Duty 1 Undertake routine clinical dental technology clinical and technical procedures and tasks relevant to the assessment and diagnosis of patients.

K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13

S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11

B1 B2 B3 B4 B5 B6 B7 B8

Duty 2 Undertake routine dental technology clinical and technical procedures and tasks relevant to treatment planning, patient management and onward referral of patients.

K14 K15 K16 K17 K18 K19 K20 K21 K22 K23

S12 S13 S14 S15 S16 S17 S18 S19 S20 S21 S22 S23 S24 S25 S26 S27 S28 S29

B1 B2 B3 B4 B5 B6 B7 B8

Duty 3 Undertake routine dental technology clinical and technical procedures and tasks relevant to design and fitting of dental devices, prostheses and orthodontic appliances.

K24

S30 S31 S32 S33 S34 S35 S36 S37 S38

B1 B2 B3 B4 B5 B6 B7 B8

Duty 4 Communicate effectively, maintaining confidentiality and records appropriately.

K25 K26 K27 K28 K29

S39 S40 S41 S42 S43 S44 S45

B1 B2 B3 B4 B5 B6 B7 B8

Duty 5 Provide professional leadership within the team working in partnership with patients, dental teams, other health and social care professionals.

K30 K31 K32 K33 K34 K35 K36 K37 K38 K39 K40

S46 S47 S48 S49 S50 S51

B1 B2 B3 B4 B5 B6 B7 B8

Duty 6 Practise as an autonomous professional exercising judgement and integrity, keeping within the scope of practice and the legal and ethical boundaries of the profession.

K41 K42 K43 K44 K45 K46 K47

S52 S53 S54 S55 S56 S57 S58 S59 S60 S61 S62 S63

B1 B2 B3 B4 B5 B6 B7 B8

Duty 7 Practise in a non-discriminatory and inclusive manner recognising the impact of culture, equality and diversity.

K48 K49 K50

S64 S65 S66

B1 B2 B3 B4 B5 B6 B7 B8

Duty 8 Promote oral health to individuals and the wider population and raise awareness of its role in preventing ill health amongst communities.

K51 K52 K53 K54 K55 K56 K57 K58 K59 K60

S67 S68 S69 S70 S71

B1 B2 B3 B4 B5 B6 B7 B8

Duty 9 Reflect on, review and develop the quality of own practice.

K61 K62 K63 K64 K65 K66 K67 K68

S72 S73 S74 S75 S76 S77 S78 S79 S80 S81 S82

B1 B2 B3 B4 B5 B6 B7 B8

Duty 10 Manage own health and well-being and promote the well-being of others in the team.

K69 K70 K71 K72

S83 S84 S85

B1 B2 B3 B4 B5 B6 B7 B8


KSBs

Knowledge

K1: Aetiology, pathogenesis and epidemiological trends of oral and dental disease and their application to patient management. Back to Duty

K2: Clinical presentations of oral and dental diseases relevant to the role of a clinical dental technician and the principles underpinning their diagnosis, prevention, and treatment. Back to Duty

K3: Variance in disease presentation across diverse cultural and social groups, and those with protected characteristics, and how this impacts diagnosis, prevention, and treatment. Back to Duty

K4: General and systemic diseases and psychological conditions, and their relevance to oral health and impact on clinical treatment, patient compliance, self-care, and outcomes. Back to Duty

K5: Relevance to patient management of dental, oral, craniofacial, and general anatomy, recognising the diversity of anatomy across the patient. Back to Duty

K6: Relevant physiology and its application to patient management. Back to Duty

K7: Psychological and sociological concepts and theoretical frameworks of health, illness, behavioural change and disease. Back to Duty

K8: Potential routes of transmission of infectious agents in dental practice, mechanisms for the prevention of infection, the scientific principles of decontamination and disinfection and their relevance to health and safety. Back to Duty

K9: The need for effective recorded maintenance and testing of equipment and requirements for appropriate storage, handling, and use of materials. Back to Duty

K10: Scientific principles of medical ionizing radiation and statutory regulations, and how these are applied to clinical practice. Back to Duty

K11: Principles of obtaining valid patient consent. Back to Duty

K12: Importance of each component of the patient assessment process. Back to Duty

K13: Signs of abuse, neglect or emotional trauma, local and national systems that safeguard the welfare of children and adults and how to raise concerns and act accordingly. Back to Duty

K14: How to provide appropriate advice and support including signposting or referral for health risks from the use of prescribed, non-prescribed and recreational drug use and misuse on oral and general health. Back to Duty

K15: Scientific principles underpinning the use of materials and biomaterials and their limitations and selection, with emphasis on those used in dentistry. Back to Duty

K16: Principles of preventive care. Back to Duty

K17: Importance of achieving a healthy oral environment prior to introduction of a prosthesis. Back to Duty

K18: How diet and nutritional status can influence oral and general health and how to provide appropriate advice and support. Back to Duty

K19: Roles and organisation of various referral networks, clinical guidelines and policies and local variation. Back to Duty

K20: Responsibilities of the dental team as an access point to and from wider healthcare. Back to Duty

K21: How the design and manufacture of custom-made dental devices can contribute to the prevention of oral disease and the interests of the patient’s long-term oral, health, safety and well-being. Back to Duty

K22: Impact of medical and psychological conditions in a range of patients and how this can influence patient compliance, self-care, and outcomes, taking into account the patient’s cultural identity and values. Back to Duty

K23: Risks within and around the clinical environment. Back to Duty

K24: Principles of evidence based and appropriate design in the manufacture and provision of custom-made dental devices. Back to Duty

K25: Use of a range of communication methods and technologies and their appropriate application in support of clinical practice. Back to Duty

K26: Importance of non-verbal communication, including listening skills, and the barriers to effective communication. Back to Duty

K27: Professional expectations, potential impact, and consequence of using social media as a communication tool. Back to Duty

K28: Importance of contemporaneous, complete and accurate patient records in accordance with legal requirements and best practice. Back to Duty

K29: The legal responsibilities of maintaining and protecting patients’ information. Back to Duty

K30: Responsibilities and limitations of delegating to other members of the dental team. Back to Duty

K31: Role and professional responsibilities associated with appraisal training and review of colleagues provision of and receipt of effective feedback in the context of developing members of the dental team. Back to Duty

K32: Roles of dental and other healthcare professionals in the context of learning and working in a dental and wider healthcare team. Back to Duty

K33: Contribution that team members and effective team working makes to the delivery of safe and effective high-quality care, including the benefits of working in culturally diverse teams. Back to Duty

K34: Team working guidance provided by the GDC and other relevant bodies. Back to Duty

K35: Impact of Direct Access on each registrant group and the impact on the application of each group’s scope of practice. Back to Duty

K36: Scope of practice of each member of the dental team and how the roles interact for effective teamwork and patient care. Back to Duty

K37: Need to ensure that those who raise concerns are protected from discrimination or other detrimental effects. Back to Duty

K38: Differences between management and leadership. Back to Duty

K39: Own management and leadership role and the range of skills and knowledge required to do this effectively. Back to Duty

K40: How to take responsibility for the quality of services and devices provided to the patient as relevant to your scope of practice. Back to Duty

K41: Importance of having appropriate indemnity arrangements in place for both the professional and patient. Back to Duty

K42: Importance of candour and effective communication with patients when things go wrong or when dealing with a complaint. Back to Duty

K43: How and where to report any patient safety issues which arise. Back to Duty

K44: Personal responsibility and the mechanisms for raising concerns about your own or others’ health, behaviour or professional performance as described in GDC guidance. Back to Duty

K45: Explain the attributes of professional attitudes and behaviour in all environments and media, including interaction with social media. Back to Duty

K46: Principles and procedures for good complaints handling. Back to Duty

K47: Responsibility that dental practices and individual practitioners have in compliance with legal and regulatory frameworks Back to Duty

K48: Diversity, equality, inclusion and discrimination and the underpinning legislation, and explain how to apply these principles to manage patients with protected characteristics and work within the dental team, noting that this legislation may differ in England, Scotland, Wales and Northern Ireland. Back to Duty

K49: Cultural competence and its relevance in assessing the needs and planning care for patients from diverse backgrounds. Back to Duty

K50: The GDC’s expectations and requirements as set out in regulations and guidance and other relevant laws, ethical guidance and systems, in addition to the above legal frameworks. Back to Duty

K51: The basic principles of a population health approach including demographic and social trends, UK and international oral health trends, determinants of health and inequalities in health, and the ways in which these are measured and current patterns. Back to Duty

K52: Dental and wider healthcare systems dental professionals work within including local and national health policy and organisations, delivery of healthcare and equity. Back to Duty

K53: Role of health promotion in terms of the changing environment, community and individual behaviours to deliver health gain. Back to Duty

K54: Principles of planning oral health care for communities to meet needs and demands. Back to Duty

K55: Principles and limitations of the currently available options for funding of dental healthcare provision for individual patients. Back to Duty

K56: The ethical challenges associated with providing patient care within the current dental healthcare systems. Back to Duty

K57: The considerations of the management of resources in provision of care decisions including appropriate use of primary and secondary care networks. Back to Duty

K58: Importance of collaboration across the health and social care sector for the benefit of communities and individual patients. Back to Duty

K59: Barriers and challenges which prevent sections of the population accessing oral healthcare, including patients from marginalised populations and patients with protected characteristics. Back to Duty

K60: Main principles relating to sustainable oral health care, both environmentally and in terms of patient compliance, and the factors that might affect implementing a sustainable approach. Back to Duty

K61: The term insight in the context of professional practice. Back to Duty

K62: Why insight is important in ensuring safe and effective patient care, and to personal development. Back to Duty

K63: Principles of an evidence-based approach. Back to Duty

K64: Model for self-reflection and how this process can be used to inform personal development, viewpoint, preconceptions, bias and behaviour. Back to Duty

K65: Importance of assessment, feedback, critical reflection, identification of learning needs and appraisal in personal development planning. Back to Duty

K66: Importance of and requirement for commitment to lifelong learning. Back to Duty

K67: Principles of personal development planning, recording of evidence, and reflective practice. Back to Duty

K68: Opportunities for improvement of a clinical service or to manage and or mitigate risks. Back to Duty

K69: Ways of self-monitoring, self-care and routes of seeking appropriate advice in terms of personal wellbeing. Back to Duty

K70: Strategies to identify and manage the personal and emotional challenges of work, teamwork and workload. Back to Duty

K71: Strategies to identify and manage the personal and emotional challenges of uncertainty and change. Back to Duty

K72: The role of coping strategies for practice, such as reflection, self-acceptance, debriefing, handing over to another colleague, peer support and asking for help in responding to challenges and setbacks. Back to Duty

Skills

S1: Identify the clinical presentations of oral and dental diseases relevant to the role of a clinical dental technician and the principles underpinning their diagnosis, prevention, and treatment. Back to Duty

S2: Identify relevant and appropriate dental, oral, craniofacial, and general anatomy, recognising the diversity of anatomy across the patient population. Back to Duty

S3: Apply psychological and sociological concepts and theoretical frameworks of health, illness, behavioural change and disease to clinical practice. Back to Duty

S4: Critically evaluate all components of patient management including risks, benefits, contra-indications and indications. Back to Duty

S5: Adopt an evidence-based approach to clinical practice. Back to Duty

S6: Obtain, record, and interpret a comprehensive and contemporaneous patient history, taking into account social and or cultural sensitivities. Back to Duty

S7: Undertake an appropriate systematic intra- and extra-oral clinical examination. Back to Duty

S8: Assess patients’ levels of anxiety, experience, and expectations in respect of dental care and oral health. Back to Duty

S9: Undertake relevant special investigations and diagnostic procedures, including radiography. Back to Duty

S10: Formulate a differential diagnosis or diagnoses and from there a definitive diagnosis for the edentulous patient. Back to Duty

S11: Obtain valid consent from patients explaining all the relevant factors and taking into account the legal requirements where appropriate within scope of practice. Back to Duty

S12: Evaluate the health risks of prescribed, non-prescribed and recreational drug use and misuse on oral and general health. Back to Duty

S13: Underpin all patient care with a preventive approach, that takes account of patient compliance and self-care, to contribute to the patient’s long-term oral and general health. Back to Duty

S14: Describe, take account of and explain to the patient the impact of their periodontal health, including compliance with oral healthcare advice, potential effect on general health and the need for self-care in the overall treatment plan and how this influences their treatment outcome. Back to Duty

S15: Identify potential malignancy and tumours and explain the importance of early referral. Back to Duty

S16: Synthesise the full results of the patient’s assessment and make clinical judgements as appropriate for the edentulous patient taking into account patient compliance, values, cultural identity self-care. Back to Duty

S17: Formulate a personalised treatment plan, synthesising patient assessment, diagnostic data, prognosis, and shared decision making. Back to Duty

S18: Assess own capabilities and limitations and refer patients for treatment or advice when and where appropriate. Back to Duty

S19: Manage appropriate laboratory investigations. Back to Duty

S20: Identify and manage the impact of medical and psychological conditions in a range of patients and determine how this can influence patient compliance, self-care, and outcomes, taking into account the patient’s cultural identity and values. Back to Duty

S21: Prevent, diagnose, and manage patient anxiety appropriately, effectively, and safely. Back to Duty

S22: Prevent, diagnose, and manage patient pain appropriately, effectively, and safely. Back to Duty

S23: Monitor and review treatment outcomes and patient response to advice, providing aftercare, follow-up and ongoing preventive advice and intervention. Back to Duty

S24: Identify the risks within and around the clinical environment and manage these in a safe and effective manner Back to Duty

S25: Implement, perform, and manage effective decontamination and infection control procedures according to current guidelines. Back to Duty

S26: Identify, assess, and manage medical emergencies. Back to Duty

S27: Manage patients’ acute oral conditions ensuring involvement of appropriate dental team members. Back to Duty

S28: Provide patients and or carers with comprehensive, personalised preventive advice, instruction and intervention in a manner which is accessible, promotes self-care and motivates patients and or carers to comply with advice and take responsibility to maintain and improve oral health. Back to Duty

S29: Evaluate for individual patients the need for more complex treatment and seek advice. Back to Duty

S30: Apply the principles of evidence based and appropriate design in the manufacture and provision of custom-made dental devices. Back to Duty

S31: Design, manufacture, assess and provide biomechanically sound removable devices. Back to Duty

S32: Design, manufacture, assess and provide biomechanically sound fixed prostheses. Back to Duty

S33: Design, manufacture, assess and provide biomechanically sound orthodontic appliances. Back to Duty

S34: Repair and modify removable custom-made dental devices to meet the needs of the patient. Back to Duty

S35: Assess and ensure fitness for purpose of custom-made dental devices and propose alternative solutions where required. Back to Duty

S36: Carry out procedures to meet the prescription. Back to Duty

S37: Fit devices and appliances for the oral cavity according to prescription. Back to Duty

S38: Fit biomechanically sound complete dentures. Back to Duty

S39: Communicate effectively and sensitively, tailoring to context, by spoken, written and or electronic means with all patients, including patients whose first language is not English, using representatives or interpreters where necessary, in relation to patients with anxious or challenging behaviour or special considerations such as emotional trauma, difficult circumstances, such as breaking bad news, or discussing issues such as alcohol consumption, smoking, or diet. Back to Duty

S40: Communicate effectively and sensitively by spoken, written and electronic means with the public. Back to Duty

S41: Communicate effectively by spoken, written and electronic means with colleagues from dental and other healthcare professions in relation to: the direct care of individual patients, oral health promotion and raising concerns when problems arise, including where patients cause distress to staff. Back to Duty

S42: Use appropriate methods to provide accurate, clear and comprehensive information when referring patients to other dental and healthcare professionals. Back to Duty

S43: Communicate appropriately and effectively in professional discussions and transactions. Back to Duty

S44: Communicate with care, compassion, empathy and respect in all professional interactions with patients, their representatives, the public and colleagues. Back to Duty

S45: Maintain contemporaneous, complete and accurate patient records in accordance with legal requirements and best practice. Back to Duty

S46: Give feedback effectively to other members of the team. Back to Duty

S47: Respect the roles of dental and other healthcare professionals in the context of learning and working in a dental and wider healthcare team. Back to Duty

S48: Demonstrate effective team working. Back to Duty

S49: Contribute to your team in providing dental care for patients. Back to Duty

S50: Take a patient-centred approach to working with the dental and wider healthcare team. Back to Duty

S51: Where appropriate manage and refer or delegate work according to the scope of practice of members of the dental team, in line with competence and professional practice. Back to Duty

S52: Provide the best possible outcome for your patients by using your knowledge and skills, acting as an advocate for their needs where appropriate. Back to Duty

S53: Speak up to protect others from harm. Back to Duty

S54: Raise concerns where appropriate about your own or others’ health, behaviour or professional performance. Back to Duty

S55: Comply with systems and processes to support safe patient care. Back to Duty

S56: Act in accordance with current best practice guidelines. Back to Duty

S57: Act in accordance with national and local clinical governance and health and safety requirements. Back to Duty

S58: Act within the legal frameworks which inform personal behaviour, the delivery of healthcare and the protection and promotion of the health of individual patients. Back to Duty

S59: Act with integrity and ensure your actions maintain the trust of colleagues, patients, and the public in you, your team, and the profession across all environments and media. Back to Duty

S60: Proactively address discriminatory language, behaviour and microaggressions from colleagues, patients and other professionals. Back to Duty

S61: Demonstrate personal accountability to patients, the regulator, the team and wider community. Back to Duty

S62: Work in partnership with colleagues to develop and maintain an effective and supportive environment which promotes the safety and wellbeing of the patient and dental team. Back to Duty

S63: Where appropriate lead, manage and take professional responsibility for the actions of colleagues and other members of the team involved in patient care. Back to Duty

S64: Treat your patients, members of the public and your colleagues with dignity and respect and without discrimination. Back to Duty

S65: Support patients to make informed decisions about their care, making their interests your first concern. Back to Duty

S66: Demonstrate cultural competence, accepting and respecting the diversity of patients and colleagues. Back to Duty

S67: Evaluate the role of health promotion in terms of the changing environment, community and individual behaviours to deliver health gain. Back to Duty

S68: Evaluate evidence-based prevention at a community and or population level. Back to Duty

S69: Where appropriate support patients to negotiate the barriers and challenges which prevent sections of the population from accessing oral healthcare, including patients from marginalised populations and patients with protected characteristics. Back to Duty

S70: Evaluate and apply the evidence base in relation to the environmental impacts of common treatment methods and approaches to the delivery of oral healthcare. Back to Duty

S71: Contribute positively to the healthcare communities of which you are a part. Back to Duty

S72: Evaluate an evidence base. Back to Duty

S73: Critically appraise approaches to dental research and explain how to integrate the outcomes of research with patient care. Back to Duty

S74: Utilise the receipt of effective feedback in the professional development of self. Back to Duty

S75: Demonstrate personal development planning, recording of evidence, and reflective practice. Back to Duty

S76: Evaluate the impact of new techniques and technologies in clinical practice. Back to Duty

S77: Accurately assess your own capabilities and limitations in the interest of high-quality patient care and seek advice from supervisors or colleagues where appropriate. Back to Duty

S78: Recognise personal assumptions, biases and prejudices and manage the impact of these on patient care and professional behaviour with colleagues, patients and wider society. Back to Duty

S79: Recognise the impact of contextual factors on the health care environment and patient safety and manage this professionally. Back to Duty

S80: Demonstrate own professional responsibility in the development of self. Back to Duty

S81: Develop and maintain professional knowledge and competence. Back to Duty

S82: Demonstrate appropriate continuous improvement activities. Back to Duty

S83: Demonstrate engagement with systems and personal strategies which promote and maintain physical and mental wellbeing. Back to Duty

S84: Recognise when and how to take action if wellbeing is compromised to a point of affecting an individual’s role or professional relationships. Back to Duty

S85: Effectively manage your own time and resources. Back to Duty

Behaviours

B1: Compassionate professional behaviour and professional responsibilities making sure the fundamental needs of patients and carers are addressed. Back to Duty

B2: Act with integrity, be polite, considerate, trustworthy, conscientious and honest. Back to Duty

B3: Take personal and professional responsibility for their actions. Back to Duty

B4: Manage time and prioritise effectively. Back to Duty

B5: Be open and honest in their interactions with patients, carers, colleagues and employers when things go wrong, known as the professional duty of candour. Back to Duty

B6: Respect patients’ wishes about whether they wish to participate in the education of learners. Back to Duty

B7: Uphold the General Dental Council Standards for The Dental Team (2013). Back to Duty

B8: Willingness to learn, and be proactive in progressing in your own development. Back to Duty


Qualifications

English and Maths

Apprentices without level 2 English and maths will need to achieve this level prior to taking the End-Point Assessment. For those with an education, health and care plan or a legacy statement, the apprenticeship’s English and maths minimum requirement is Entry Level 3. A British Sign Language (BSL) qualification is an alternative to the English qualification for those whose primary language is BSL.

Other mandatory qualifications

High Level Qualification

A qualification approved by the GDC to enable professional registration with the GDC as a Clinical Dental Technician

Level: 5


Additional details


Regulated standard

This is a regulated occupation.

Training Provider does not require approval by regulator body

EPAO must be approved by regulator body

Occupational Level:

5

Duration (months):

24

Review

this apprenticeship will be reviewed in accordance with our change request policy.

Status: Standard in development
Proposal approved Standard approved EPA plan approved Funding approved
Level: 5
Reference: ST1433
Route: Health and science
Typical duration to gateway: 24 months (this does not include EPA period)
Regulated standard:
This is a regulated occupation
Regulator body:
EPAO must be approved by regulator body
EQA Provider: Office for Students
Employers involved in creating the standard: Bupa Dental Care, City and Guilds, Colosseum Dental, Community Dental Services, Damira Dental, General Dental Council, Health Education England (HEE), NCFE, Nexus Dental, NHS England, Northern Skills Group, Obex Dental, Orthodontic Team Training, Riverdale Healthcare, Rodericks Dental, Skills for Health, Smile Dental Care, Taunton & Somerset NHS Foundation Trust, Tempdent, Today's Dental, UCLAN, University of Bolton, Workforce Development Trust, Yoevil College

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