3rd Year BDS Curriculum (Revised 2019-20)

National University of Medical Sciences Pakistan

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Contents

Ser Topic Page No

1. General Medicine 07

2. General Surgery 15

3. Oral Pathology 24

4. Periodontics 36

5. Oral Medicine 42

Table of Specification

1. General Surgery 51

2. General Medicine 53

3. Oral Pathology 55

4. Periodontics 57

5. Oral Medicine 60

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BDS PROGRAMME AT NUMS

Vision: To be recognized as a leader in dental education, research, patient care and service.

Mission: To be known for innovative dental education, commitment to cultural diversity, discovery, transfer of scientific knowledge, the superior skills of our graduates and the highest degree of patient care and service, through core values of:

 Excellence

 Integrity

 Collaboration

 Courtesy

 Compassion

 Diversity

 Professionalism

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Guidelines: 3rd Year BDS Curriculum Preamble. This curriculum meets the standards of Pakistan Medical and Dental Council, Higher Education Commission of Pakistan, and World Federation of Medical Education, so that our students, on completion of program have required competencies as defined worldwide in a graduate doctor. The curriculum for 3rd year BDS has been reviewed by faculty of constituent/affiliated colleges in collaboration with Academic Directorate of NUMS Contact Hours Total Contact Hours of each subject as per PM&DC is under: -

Subject Contact Hours General Surgery 200 General Medicine 200 Oral Pathology 150 Oral Medicine 125 Periodontology 175 Prosthodontics 150 Operative Dentistry 100 Oral & Maxillofacial Surgery 150

Educational strategies: The educational strategies overarching the curriculum shall be: Student centered Integration Problem based Structured With component of community based and electives

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Teaching and Learning methods (MIT) Multiple learning strategies are used. Interactive lectures are used to provide students entrance to topic needing much effort by the student to understand subject matter. We have used Problem based learning to integrate basic and clinical sciences, and give a learning experience that is contextual, realistic, and relevant. Small group discussions encourage students to social learning bring their concepts and learning to be discussed and schemas corrected and refined. Working in labs provides experiential, hand on learning.

Time table / Structured Training Program The colleges shall make their own structured training program, taking care of recommended teaching hours in a subject as described by PM&DC.

Internal Assessment. The weightage of internal assessment shall be 10 % in 3rd professional BDS Examination.

Examination. There will be two mid-term & term examinations followed by a pre-Annual and an annual examination each year.

The structure of the paper of all the term examinations and pre-annual will be same as that for annual examination though syllabus will be different.

The structure of Mid-term exam will be exactly half of the term exam. The syllabus for mid- term & term examinations will be announced by the department at least 02 weeks prior to examination.

Pre-annual examination will be from whole syllabus.

The date sheet for mid-term, term and pre-annual examinations will be published by Examination branch of college while the examinations will be conducted by respective department. The result will be submitted to examination branch for record.

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The University shall take the 3rd professional Examination as per PM&DC guidelines at the end of the academic year. Annual Theory & Practical Examination shall be of 100 marks each in; General Medicine, General Surgery, Oral Pathology and Periodontology and 50 Marks each in Oral Medicine. The pass score shall be 50% in theory and practical separately. The detail marked distribution of 3rd year is as under

Third Professional BDS Exam (Distribution of Marks) Overview Theory Practical Oral Grand S.No Subject Int Sub Int Sub MCQs SAQs/SEQs & Total Total Assess total Assess Pract 1. Gen Surgery 45 45 10 100 90 10 100 200 Gen 45 45 2. 10 100 90 10 100 200 Medicine 3. Oral Path 45 45 10 100 90 10 100 200 4. Periodontics 45 45 10 100 90 10 100 200 Oral 5. 23 22 05 50 45 05 50 100 Medicine Total 900

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General Medicine

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General Medicine (Third Year BDS)

Sr. # Topic Cardiovascular system 1. Acute chest pain differential diagnosis and management principles 2. Ischemic Heart Disease 3. Hypertension 4. Rheumatic fever 5. Cardiac failure Infections 6. Enteric fever 7. Dengue fever 8. Malaria 9. HIV/AIDS and other STDS 10. Infective endocarditis 11. Fungal infections diagnosis and treatment Gastrointestinal system 12. Acute hepatitis 13. Acid peptic disease 14. Chronic hepatitis 15. Cirrhosis of liver 16. Liver Disease and Dentistry 17. Ascites diagnosis and management Respiratory system 18. Pneumonia 19. Bronchial asthma 20. Tuberculosis 21. COPD

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Nervous system 22. Meningitis and Encephalitis 23. Cerebrovascular accident 24. Epilepsy Blood 25. Clotting disorders (Hemophilia, Von-Willibrand) 26. Bleeding Disorders (ITP,DIC) 27. Anemia classification , diagnosis and treatment Nephrology 28. Nephrotic syndrome 29. Acute renal failure and Chronic renal failure Endocrinology 30. Hyperthyroidism and Hypothyroidism. Parathyroid disorders 31. Diabetes mellitus Bones and Muscles 32. Osteoporosis 33. RA/SLE

Learning Outcomes GENERAL MEDICINE (Third Year BDS) INTRODUCTION The subject of general Medicine at undergraduate level enables the students to learn the clinical medicine and application of the knowledge in clinical dental practice. The course curriculum is designed to give the students a touch of the major areas of General Medicine while keeping in mind the limitations and time constrains of the BDS curriculum. This practice will ensure patient safety and better understanding of the correlations of the disease

9 with other dental pathologies. The practical component of the course involves structured ward rotations and patient interaction for better learning. SECTION I CARDIOVASCULAR SYSTEM This section introduces students to the brief overview of different types of diseases related to cardiovascular system. Aims The section aims to provide basic background knowledge regarding important diseases of cardiovascular system. Learning outcomes By the end of a unit, candidates will be able to: 1. Understand differential diagnosis of acute chest pain and its principles of management. 2. Understand spectrum of ischemic heart disease and its management. 3. Understand the etiology, diagnosis and guidelines of management of hypertension. 4. Understand the etiology, diagnosis and treatment of rheumatic fever. 5. Describe the pathophysiology, etiology, investigations and management of cardiac failure.

SECTION II INECTIONS This section familiarizes students with common infections causing patients to seek medical advise and overview of its principles of management.

Aims The aim of this section is to allow students to develop knowledge, understanding and competence in identification of various common infections.

Learning outcomes By the end of a unit, candidates will be able to: 1. Identify and discuss the common causes of clinical presentation of fever like enteric fever, dengue fever and malaria. 2. Identify and discuss the infections like HIV/AIDS and other STDs.

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3. Describe the infectious agents of infective endocarditis and its diagnosis, investigations and management. 4. Describe the important fungal infections, their diagnosis, investigations and treatment.

SECTION III GASTROINTESTINAL SYSTEM This section introduces students to the different types of diseases related to gastrointestinal system. Aims The section aims to provide basic background knowledge regarding important diseases of gastrointestinal system. Learning outcomes By the end of a unit, candidates will be able to: 1. Describe the etiology, clinical features, investigations and management of acute hepatitis.. 2. Explain the causes of chronic hepatitis and cirrhosis of liver and its management. 3. Understand the clinical implications of the liver diseases in dental procedures. 4. Explain the diagnosis and management of ascites. 5. Describe the pathophysiology of the acid peptic disease and its appropriate investigations and management.

SECTION IV RESPIRATORY SYSTEM This section introduces students to the key themes of different systemic diseases related to cardiovascular system. Aims The section aims to provide basic scientific knowledge and understanding regarding important diseases of respiratory system. Learning outcomes By the end of a unit, candidates will be able to:

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1. Explain the risk factors of pneumonia, its classifications, investigations and appropriate treatment. 2. Understand the etiology, diagnosis and guidelines of management of bronchial asthma. 3. Understand the etiology, diagnosis and treatment tuberculosis. 4. Describe the pathophysiology, etiology, investigations and management of chronic obstructive pulmonary disease.

SECTION V NERVOUS SYSTEM This section introduces students to the brief overview of different types of diseases related to nervous system. Aims The section aims to provide basic background knowledge regarding important diseases of nervous system. Learning outcomes By the end of a unit, candidates will be able to: 1. Understand the etiology, diagnosis and guidelines of management of meningitis and encephalitis. 2. Understand the etiology, diagnosis and management of cerebrovascular accident. 3. Describe the classification, etiology, investigations and management of epilepsy.

SECTION VI HAEMATOLOGY This section familiarizes students with common hematological disorders causing patients to seek medical advice and overview of its principles of management. Aims The aim of this section is to allow students to develop knowledge, understanding and competence in identification of hematological disorders. Learning outcomes By the end of a unit, candidates will be able to:

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1. Identify and discuss the common clotting disorders like hemophilia and Von-Willibrand disease. 2. Identify and discuss the diseases like immune thrombocytopenic pupura and disseminated intravascular coagulation. 3. Describe the classification of anemia and its diagnosis, investigations and management.

SECTION VII NEPHROLOGY This section introduces students to the brief overview of different types of diseases related to renal system. Aims The section aims to provide basic background knowledge regarding important diseases of renal system. Learning outcomes By the end of a unit, candidates will be able to: 1. Understand the etiology, diagnosis and management of nephrotic syndrome. 2. Describe the classification, etiology, investigations and management of acute and chronic renal failure.

SECTION VIII ENDOCRINOLOGY This section introduces students to the different types of diseases related to endocrinology. Aims The section aims to provide basic background knowledge regarding important diseases of endocrinology. Learning outcomes By the end of a unit, candidates will be able to: 1. Describe the etiology, clinical features, investigations and treatment of hypothyroidism, hyperthyroidism and parathyroid disorders. 2. Describe the pathophysiology, classification of diabetes mellitus and its appropriate investigations and management.

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SECTION IX BONES AND MUSCLES This section introduces students to the brief overview of different types of diseases related to musculoskeletal system. Aims The section aims to provide basic background knowledge regarding important diseases of musculoskeletal system. Learning outcomes By the end of a unit, candidates will be able to: 1. Understand the etiology, diagnosis and guidelines of management of osteoporosis. 2. Understand the etiology, diagnosis and management of systemic lupus erythematosus. 3. Describe the etiology, investigations and management of rheumatoid arthritis.

Course Book  McCabe, John F., and Angus WG Walls, eds. Applied dental materials. John Wiley & Sons, 2013.

REFERENCE BOOKS  Anusavice, Kenneth J., Chiayi Shen, and H. Ralph Rawls. Phillips' science of dental materials. Elsevier Health Sciences, 2013. 12th Edition.

 Powers, John M., and Ronald L. Sakaguchi. Craig'srestorative dental materials, 13/e. Elsevier India, 2006.

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GENERAL SURGERY

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PROPOSED SYLLABUS/COURSE DETAILS FOR BDS GENERAL SURGERY COURSE TO BE TAUGHT DURING THIRD YEAR OF BDS DEGREE PROGRAM

TABLE OF CONTENTS

S NO TITLE PAGE NO

1 Overview 2

2 Course Organization 3

3 Annexures 5 - 9

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PART – I: OVERVIEW

INTRODUCTION: General surgery is the science and art of treating injury, deformity, and disease using operative procedures. General surgery is frequently performed to alleviate suffering when this is unlikely through medication alone. Surgical operative procedures may range from minor procedures performed in a physician's office, to more complicated operations requiring a medical team in a hospital setting. The BDS undergraduate students learn General Surgery during third year of the program and are evaluated in the Third Professional BDS Examination.

AIM OF THE BDS GENERAL SURGERY COURSE: This program aims to ensure that the dental graduates will make the bio-psycho-social care of surgical patients their first concern by applying their knowledge and skills in a competent and ethical manner and using their ability to provide leadership to analyze complex and uncertain situations.

GENERAL OUTCOMES OF THE BDS GENERAL SURGERY COURSE: The General outcomes of this course are: 1. Development of the graduate as a scholar and a scientist; 2. Development of the graduate as a practitioner; and 3. Development of the graduate as a professional.

SPECIFIC OUTCOMES OF THE BDS GENERAL SURGERY COURSE: At the completion of this course the BDS graduate will be able to: 1. Apply biomedical scientific principles, method and knowledge to clinical practice. 2. Apply the principles, method and knowledge of population health and the improvement of health and healthcare to clinical practice. 3. Apply scientific method and approaches to medical research. 4. Carry out a consultation with a surgical patient. 5. Diagnose and suggest management of common General Surgical conditions relevant to Dental practice. 6. Communicate effectively with patients and colleagues in a medical context. 7. Provide immediate care in surgical emergencies relevant to Dental practice. 8. Prescribe drugs safely, effectively and economically. 9. Carry out common practical procedures involved in general care of surgical patients safely and effectively. 10. Use information effectively in a medical context. 11. Behave according to ethical and legal principles. 12. Reflect, learn and teach others. 13. Learn and work effectively within a multi-professional team. 14. Protect patients and improve care.

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PART – II: COURSE ORGANISATION

PMDC Course 200 teaching hours (50 Theory, 150 Clinical) minimum requirements

Proposed Course 30 weeks minimum (excluding scheduled holidays) Duration Course Components 1. Theory component 2. Clinical component Theory Component 1. Principles of Surgery (Surgical Physiology, Pathophysiology, sub-divided into Infection Control, Pre and Post-Operative Care of the Surgical fiveNon-integrated patient) modules 2. Trauma and its management (Details as per ANNEX- 3. Common Surgical disorders relevant to Dental practice A) 4. Anesthesia and its Risks 5. Ethics and Professionalism in Clinical practice Mode of Information 1. Minimum of 02 lectures OR 02 Small Group Discussions of one- Transfer (MIT) for hour duration per week (Minimum 02 hours / week) Theory Component 2. Student presentations

Clinical Component 1. Learning of Clinical Skills (ANNEX-B) at the bedside or in the (Details as per ANNEX- clinical skills laboratory B, C and D) 2. Learning of Clinical Skills (ANNEX-C) through workshops 3. Observation of surgical procedures (ANNEX-D) in the operating room, emergency department and surgical ward. A log book should be maintained for skills and procedures mentioned in ANNEX-D Mode of Information Minimum of 02 Clinical sessions based in General Surgery ward / Transfer (MIT) for Clinical Skills laboratory per week. Each session should be at least of Clinical Component 02 hours and 30 minutes duration (Minimum 05 hours / week)

Assessment Plan of 1. Midterm Examination at the end of each term Theory Component 2. Pre annual Examination at least four weeks prior to University Professional Examination.

Assessment Plan of 1. OSPE / Clinical Examination of Short Cases as part of End term Clinical Component and Pre annual Examinations.

Feedback to Students 2. Regular FORMATIVE Student Feedback & Counseling Sessions (SFCS) to be conducted after each Theory / Clinical component assessment

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3. Specific FORMATIVE Student Feedback & Counseling Sessions (SFCS) to be arranged by the Head of Department (HoD) as and when required during the academic year

Internal Assessment 1. 10 marks will be allocated for Internal Assessment 2. Marks obtained by a student in ALL the Theory and Clinical assessments during the academic year will be totaled and divided by the grand total of all the assessments. The percentage of the final figure from 10 will be awarded as internal assessment 3. If a student has been exempted from an assessment (Theory or Clinical) the result of the same will NOT be included while calculating internal assessment 4. If a student is absent from an assessment (Theory or Clinical) he / she will be awarded zero marks for the same while calculating internal assessment Pre requisite to 1. The HoD will ensure that ‘Learning Outcomes’ (LOs) are Course delivery developed for each of the topics included in the Theory and Clinical Module. These LOs will be taken into account while developing assessments 2. The HoD will ensure that the type and frequency of MITs for each of the topics included in the Theory and Clinical Module are decided Course Evaluation and 1. HoD will convene a meeting of the faculty at the end of each Improvement Cycle module, clinical rotation and the complete course 2. Faculty will provide informal feedback for each of the above mentioned periods 3. Students will provide formal feedback in written form for each of the above mentioned periods 4. The meeting will review the course delivery and its progress and identify areas of weakness along with recommendations to bring improvements. These will be authorized by the HoD 5. Minutes of all such meetings will be recorded 6. Issues relating to course delivery and administration may be addressed based on the recommendations of the HoD on as and when required basis 7. A final course evaluation meeting will be conducted at the end of each academic session Recommended books 1. Bailey and Love’s Sort Practice of Surgery – 26th edition and resources 2. An Introduction to the Symptoms & Signs of Surgical Disease by Norman S Browse 3. A Manual on Clinical Surgery by S. DAS 4. Clinical Methods in General Surgery by Hamilton & Bailey

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PART – III: ANNEXURES

ANNEX-A: TOPICAL DETAILS OF THEORY COMPONENT MODULES

S NO TOPIC MODULE 1: PRINCIPLES OF SURGERY 1. Body’s response to trauma and stress 2. Shock, Pathology, Types and management 3. Wound Healing & its complications 4. Types of Wound closure 5. Wound Infection / Surgical Site Infection 6. Cross infection control in the clinical environment 7. Blood transfusion in surgical patients 8. Colloids and Crystalloids used in surgical patients 9. Common fluid & electrolyte disorders in surgical patients 10. Common acid base disorders in surgical patients 11. Nutritional management of surgical patients 12. Risk assessment in surgery 13. Pre-operative preparation of Surgical patients 14. Post-operative care of Surgical patients 15. Principles of Minimal Access Surgery 16. Application of invasive and non-invasive diagnostic modalities in surgical practice MODULE 2: TRAUMA AND ITS MANAGEMENT 17. Trauma Management based on ATLS protocol 18. Head injury 19. Cervical spine injury 20. Maxillofacial trauma 21. Neck trauma 22. Chest trauma and its management, Thoracotomy / Use of Chest drains 23. Hemorrhage its types and management 24. Burns MODULE 3: COMMON SURGICAL DISORDERS RELEVANT TO DENTAL PRACTICE 25. Benign disorders of the Thyroid gland 26. Malignancies of Thyroid gland 27. Thyroidectomy & its complications

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28. Disorders of the Parathyroid gland and their surgical management 29. Differential diagnosis & diagnostic approach to neck swellings 30. Cervical lymphadenopathy 31. Neck dissections& its types 32. and precancerous conditions (Carcinoma tongue and ) 33. Skin malignancies (Squamous and Basal celled carcinoma, Malignant Melanoma) 34. Carcinoma Larynx 35. Tracheostomy, indications, care and complications 36. Benign and Malignant disorders of the Salivary glands 37. Benign disorders of the Oesophagus / Dysphagia 38. Malignant disorders of the Oesophagus / Oesophagectomy 39. Skin grafts, flaps, basics of reconstructive surgery 40. Surgical drains (NG tube, Foley catheter, Chest drain) 41. Principles of Surgical anastomosis 42. Cellulitis, Carbuncle, Abscess 43. Tetanus, Gas gangrene, Necrotizing fasciitis 44. Parasitic infections – Surgical aspects of Amoebiasis and Hydatid disease 45. General introduction to fractures, their healing and complications 46. Osteomyelitis 47. Common benign skin swellings (Lipoma, Epidermoid and Dermoid ) 48. Cleft lip and 49. Surgical biopsy and its types MODULE 4: ANESTHESIA AND ITS RISKS 50. General anesthesia and its complications 51. Regional anesthesia (Spinal and Epidural anesthesia) and its complications 52. Local anesthesia and its complications MODULE 5: ETHICS AND PROFESSIONALISM IN CLINICAL PRACTICE 53. Introduction to Clinical Ethics and Professionalism 54. Maintaining Quality of care 55. Evidence Based Medicine 56. Patient safety in the clinical environment 57. Professionalism in clinical practice 58. Maintaining ethics and professionalism in Clinical research 59. Occupational hazards in the clinical environment

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ANNEX-B: TOPICAL DETAILS OF CLINICAL SKILLS TO BE LEARNED AT THE BEDSIDE OR IN THE CLINICAL SKILLS LABORATORY

S NO TOPIC 1. Clinical history taking 2. General physical examination of a patient Systemic physical examination of a patient with special emphasis on chest 3. examination 4. Formulating a diagnosis and treatment plan for a patient 5. Clinical examination of a swelling 6. Clinical examination of an ulcer 7. Clinical examination of a patient with cervical lymphadenopathy 8. Clinical examination of a parotid swelling 9. Clinical examination of a submandibular gland swelling 10. Clinical examination of facial and trigeminal cranial nerve lesions 11. Clinical examination of a patient with oral lesion suspected to be malignant 12. Clinical examination of a goiter 13. Examination of a branchial / fistula, thyroglossal cyst, cystic hygroma Identification and uses of: a. Common surgical instruments b. Chest drain with under water seal. c. Common drains (NG tube, foley catheter) d. Commonly used surgical sutures 14. e. Commonly used intravenous cannulas, central venous catheters, LP needles, intra-venous fluids f. Instruments used for airway management (guedel’s airway, endotracheal tube, cricothyroidotomy / tracheostomy tube. g. Diathermy machine h. General anesthesia apparatus 15. Identification of radiologic anatomy in a normal Chest X ray Identification of following pathologies on X ray: a. Pleural effusion. 16. b. Pneumothorax c. Cervical spine injury Identification of typical presentations of extra-dural, sub-dural intracranial 17. hematomas and sub-arachnoid hemorrhage on CT scan Introduction to protocols of operation theatre, ward work, patient clerking and 18. out-patient clinics

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ANNEX-C: TOPICAL DETAILS OF CLINICAL SKILLS TO BE LEARNED THROUGH WORKSHOPS

S NO TOPIC 1. Intravenous access 2. Introduction to basic surgical skills 3. Antisepsis, cross infection control and gowning up in the operating room 4. Primary Trauma Care based on the ATLS protocol Clinical communication (Role modeling) with special emphasis on counseling and 5. taking written informed consent

ANNEX-D: TOPICAL DETAILS OF CLINICAL SKILLS AND SURGICAL PROCEDURES TO BE OBSERVED (O) OR PERFORMED (P) IN THE OPERATING ROOM (OR), EMERGENCY DEPARTMENT AND SURGICAL WARD (LOG BOOK TO BE MAINTAINED FOR THESE SKILLS / PROCEDURES)

S NO TOPIC 1. Collection of samples of blood, urine, sputum, pus swab (P) 2. Administration of drugs by intramuscular and intravenous routes (P) 3. Wound care and dressings (P) 4. Skin suturing and suture removal (P) 5. Needle biopsies, aspiration of localized fluids (P) Pre-operative preparations, sterilization, and disinfection techniques in the OR 6. (O) 7. Incision and drainage of an abscess (O) 8. Excision of soft tissue lumps (O) 9. Thyroidectomy (O) 10. Excision of a major salivary gland (Parotidectomy, sub-mandibular excision) (O) 11. Application of skin graft (O) 12. Administration of General anesthesia (O) 13. Administration of Spinal and Epidural anesthesia (O) 14. Application of POP cast to a long bone fracture (O)

KEY FOR COMPETENCY LEVEL OF PROCEDURES TO BE PERFORMED (TO BE MENTIONED IN LOG BOOK): 1- Observer Status 2- Assistant 3- Performed under supervision 4- Performed under indirect supervision 5- Performed independently 23

ORAL PATHOLOGY

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ORAL PATHOLOGY

List of Topics SECTION I: WHITE LESIONS SECTION II: EPITHELIAL PATHOLOGY SECTION III: INFECTIONS SECTION IV: BONE PATHOLOGY SECTION V: CONNECTIVE TISSUE LESIONS SECTION VI: HAEMATOLOGICAL MALIGNANCIES SECTION VII: ODONTOGENIC AND NON ODONTOGENIC CYSTS SECTION VIII: ODONTOGENIC TUMORS SECTION IX: SALIVARY GLAND PATHOLOGY SECTION X: DENTAL CARIES AND PERIAPICAL DISORDERS SECTION XI: IMMUNE MEDIATED DISORDERS SECTION XII: DEVELOPMENTAL DISTURBANCES OF THE ORAL REGION SECTION XIII: GRANULOMATOUS DISEASES SECTION XIV: HANDLING OF BIOPSY SPECIMEN, TISSUE PROCESSING AND H&E SLIDE PREPARATION

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CURRICULUM (NUMS) INTRODUCTION The subject of oral pathology at undergraduate level enables the students to recognize diseases of the head & neck region. The course curriculum is designed to introduce Oral Pathology to students of 3rd year BDS and facilitate them in understanding the aetiology, pathogenesis, clinical presentation & histopathological evaluation of lesions, and ultimately use this knowledge to diagnose different lesions. SECTION I WHITE LESIONS Aims Aim is to diagnose the white lesions by correlating the clinical and histopathological features. Learning Outcomes By the end of this unit, students will be able to distinguish white lesions from one another on the basis of aetiology, location and keratosis. S.NO: TOPICS 1 Candidiasis 2 Leukodema 3 4 Tobacco Pouch Keratosis 5 Nicotine 6 Actinic 7 Submucous Fibrosis 8 Hairy 9 Hairy Tongue 10 11 12 Leukoplakia, Speckled Leukoplakia, PVL 13 Dysplasia (mild, moderate, severe, ca-in-situ) 14. (red lesion)

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SECTION II EPITHELIAL PATHOLOGY This section familiarizes students with a number of key themes and subjects regarding different types of lesions involving the squamous epithelium. It will include the concepts of the lesions based on aetiology, pathogenesis, clinical features and final diagnosis on microscopic examination of the biopsy specimens. Aims The aim of this section is to allow students to develop scientific knowledge, understanding and competence in the area of:  Hyperplastic Epitheliallesions  Benign epithelial lesions  Squamous cell carcinoma and variants Learning Outcomes By the end of this section, students will be able to:  Understand basic classification and types of oral epithelial lesions  Describe clinical presentation of epithelial lesions  Diagnosis of epithelial lesions by correlating clinical and microscopic features of the following diseases: S.NO: TOPICS 1 Squamous Cell Carcinoma ( definition, risk factors, pathogenesis) 2 SCC Clinical Presentation, TNM Classification 3 SCC Histopathological Grading, treatment, prognosis 4 Variants of SCC (Verrucous, spindle, basaloid, adenoid, adenosquamous, nasopharyngeal) 5 Squamous papilloma 6 7 Smokers melanosis 8 Melanoma (ABCD,clinical types only)

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SECTION III: INFECTIONS Aims The aim of this section is to allow students to develop understanding of infectious diseases. Learning Outcomes Students of 3rd year BDS should be able to distinguish between different types of infections and diagnose bacterial, fungal & viral infections. The students also learn the treatment modalities of these diseases. 1- Bacterial infections:   Tuberculosis  Syphilis  Actinomycosis 2- Viral Infections:  virus  Varicella Zoster virus  Epstein- barr virus  Cytomegalovirus  Human Herpesvirus 8  Human papilloma viruses  Retrovirus (HIV) 3- Fungal Infections SUPERFACIAL FUNGAL INFECTIONS  Candidiasis DEEP FUNGAL INFECTIONS  Histoplasmosis  Paracoccidiodomycosis  Blastomycosis  Aspergillosis  Zygomycosis 28

SECTION IV BONE PATHOLOGY Aims

The section aims to develop understanding regarding bone diseases.

Learning Outcomes By the end of this section, candidates will be able to distinguish different diseases and diagnose them using clinical, radiographic & microscopic correlation. The students also learn the treatment modalities of these diseases. 1. Fibrous dysplasia 2. Cemento osseous dysplasia 3. Ossifying Fibroma 4. Paget’s disease 5. Hyperparathyroidism 6. Osteopetrosis 7. Osteogenesis imperfecta 8. 9. Cleidocranial dysplasia 10. BENIGN TUMOURS:  Tori  Osteoblastoma& osteoid osteoma  Giant cell lesions 11. MALIGNANT TUMOURS:  Osteogenic sarcoma  Chondrosarcoma  Ewing’s sarcoma

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SECTION V CONNECTIVE TISSUE LESIONS Aims The section aims to introduce students to basic connective tissue lesions, reactive proliferations, benign and malignant neoplasms of connective tissue. Learning Outcomes By the end of this section, students will be able to:  Understand basic classification and types of oral connective tissue lesions  Describe clinical presentation of connective tissue lesions  Diagnosis of these lesions by correlating clinical and microscopic features of the following diseases: 1- Fibrous tissue lesions 2- Neural tissue neoplasms 3- Muscle tissue neoplasms 4- Adipose and Vascular tissue neoplasms 5- Osseous and cartilaginous tissue neoplasms

SECTION VI: HAEMATOLOGICAL MALIGNANCIES Aim To gain knowledge & develop understanding about malignancies of blood. Learning Outcomes By the end of this section, candidates will be able to distinguish different diseases and diagnose them using clinical, radiographic & microscopic correlation. The students also learn the treatment modalities of these malignancies. 1- Hodgkins lymphoma 2- Non Hodgkin lymphoma 3- Burkitt Lymphoma 4- Multiple Myeloma 5- Plasmacytoma

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6- Langerhan cell histiocytosis 7- Anaemia and Leukaemia (Oal presentation only) SECTION VII: ODONTOGENIC AND NON ODONTOGENIC CYSTS Aim To gain knowledge & develop understanding about cysts of head & neck region. Learning Outcomes By the end of this section, students will be able to distinguish different cysts from one another on the basis of their tissue of origin, nature, expansion and radiographic presentation. Using the core knowledge will enable them to diagnose cysts using clinical, radiographic & microscopic evaluation. ODONTOGENIC CYSTS: 1. Periapical cysts 2. Dentigerous cysts 3. Eruption cysts 4. Paradental cysts 5. Lateral periodontal cysts 6. Gingival cysts of adult & newborn 7. Glandular

NON ODONTOGENIC CYSTS: 1. Nasopalatine duct cysts 2. Nasolabial cysts 3. 4. Median palatal cyst 5. Median mandibular cyst 6. Palatal cysts of newborn 7. Dermoid cyst 8. Epidermoid cyst

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SECTION VIII:

ODONTOGENIC TUMOURS:

Aim To gain knowledge & develop understanding about tumours of odontogenic origin.

Learning Outcomes By the end of this section, students will be able to distinguish different tumours from one another on the basis of their tissue of origin, nature and radiographic presentation. Using the core knowledge will enable them to diagnose odontogenic tumours using clinical, radiographic & microscopic evaluation. Learning Objectives

Students will know about the following odontogenic tumours at the end of this section  EPITHELIAL ODONTOGENIC TUMORS: 1. Ameloblastoma 2. Keratocystic odontogenic tumour 3. Calcifying epithelial odontogenic tumour 4. Adenomatoid odontogenic tumou 5. Squamous odontogenic tumourr

 CONNECTIVE TISSUE ODONTOGENIC TUMOURS 1. Odontogenic fibroma 2. Odontogenic myxoma 3. 4. Ameloblastic fibroma& fibrodontoma 5. Odontogenic carcinoma 6. Primary intra osseous carcinoma

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SECTION IX: SALIVARY GLAND PATHOLOGY Aims The aim of this section is to allow students to develop scientific knowledge, understanding and competence in the area of:  Reactive lesions  Benign tumours &  Malignant tumours of salivary gland origin Learning Outcomes By the end of this section, students will be able to:  Understand basic classification of salivary gland pathology  Describe clinical presentation of salivary gland lesions  Diagnosis of salivary gland lesions by correlating clinical and microscopic features. Topics

1. Reactive Lesions (mucocele, mucous retention cyst, , necrotizing sialometaplasia) 2. Infections (bacterial ) 3. Immune-mediated diseases (lymphoepithelial sialadenitis, Sjogren syndrome) 4. Benign tumours (, warthin tumour, monomorphic adenoma) 5. Malignant tumours (, , , polymorphous low-grade )

SECTION X: DENTAL CARIES AND PERIAPICAL DISORDER DENTAL CARIES: 1 Aetiology 2 Clinical Types 3 Role of Plaque, Carbohydrates 4 Enamel Caries 5 Dentine Caries 6 Caries

PERIAPICAL PATHOLOGY: 1. Acute and 2. Chronic apical periodontitis 3. Periapical abscess 4. Periapical granuloma 33

5. Acute and chronic osteomyelitis 6. Cellulitis

SECTION XI:

IMMUNE-MEDIATED DISORDERS: S.NO TOPICS 1 vulgaris 2 Mucous membrane pemphigoid 3 Epidermolysis bullosa 4 5 Lichenoid Reactions

SECTION XII: Granulomatous disorders 1. Crohn’s disease 2. Cheilitis granulomatosa 3. Wegeners Granulomatosis 4. Sarcoidosis

SECTION XIII: DEVELOPMENTAL DISTURBANCES OF ORAL LESIONS Aim: The aim of this section is to allow students to develop scientific knowledge, understanding and competence in the area of developmental disturbances in oral cavity Learning Outcomes: By the end of this section, candidates will be able to:  Understand basic classifications and types of developmental anomalies  Understand the congenital defects related to disturbances in development of oral structures like , teeth, palate (hard and soft), tongue.  Understand the developmental defects of oral cavity present in different types of syndromes related to genetic defects in chromosomes

Developmental disturbances of oral region are discussed under three broad categories 1- Developmental disturbances in Teeth 2- Developmental disturbances in soft tissue 3- Developmental disturbances in bone

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Section XIV- HANDLING OF BIOPSY SPECIMEN, TISSUE PROCESSING AND H&E SLIDE PREPARATION Course Book  CONTEMPORARY ORAL and MAXILLOFACIAL PATHOLOGY (third edition)

AUTHORS : J. Philip Scapp, Lewis R. Eversole, George P. Wysocki

REFERENCE BOOKS 1- Oral and Maxillofacial Pathology 4th Edition Authors: Brad W. Neville & Douglas D. Damm & Carl Allen & Angela C. Chi 2- Oral and Maxillofacial Pathology 6th Edition Clinical Pathologic Correlations Authors: Joseph Regezi James Sciubba Richard Jordan

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PERIODONTOLOGY

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Periodontology

Learning Outcomes

Introduction to Periodontology

1. Knowledge of health periodontium macro and micro anatomy and physiology of periodontium. 1. Gingiva 2. Periodontal Ligament 3. Root cementum, 4. Alveolar bone 5. Dentogingival Junction 2. Epidemiology of Periodontal diseases a) Plaque index b) Debris index c) PMA index d) Gingival indes e) Sulcus bleeding index f) Periodontal index g) Community Periodontal index of treatment need (CPITN) 3. Etiology of Periodontal diseases

A) Dental plaque a) Definition Classification b) Composition a) Supragingival c) Maturation b) Subgingival d. Structure e. Plaque microbiology B) Dental Calculus Definition a) Origin and composition b) Mode of attachment c) Mineralization d) Clinical significance of calculus e) Dental stains, materia alba, dental pellicle

4. Microbiology of Plaque associated . 5. Histopathogensis of Plaque associated Periodontal disease 6. Host response in Periodontal Disease Hypersensitivity reaction cell mediated and Humoral immunity 7. Classification of Periodontal Diseases Clinical significance of Dental Plaque in the formation of

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A) Acute Gingival conditions Signs and symptoms of acute gingivitis and different types of gingivitis a) Traumatic gingivitis b) Acute Necrotizing gingivitis c) Acute Herpetic – gingivostomatits d) Pericornitis e) Streptococcal gingivitis (With their etiological factors and treatment)

B) Chronic Gingivitis Specific and Non-Specific gingivitis Specific Gingivitis • T.B • Syphilitic • • Allergic

Emphasis should be given towards a) Gingival Bleeding b) Gingival texture c) Gingival consistency d) e) Gingival Recession f) Gingival Pigmentation 8. a) Definition, clinical features in the form of b) Mild, moderate and severe form of Desquamative Gingivitis i) Nutritional factors ii) Hormonal factors iii) Dermatological condition iv) Chemotherapeutic agents v) Fungal infection 9. Periodontal Pocket A) a) Definition b) Soft tissue wall of Periodontal pocket c) Hard tissue wall of Periodontal pocket d) Pocket content B) Classification of periodontal pocket a) Suprabony pocket b) Infrabony pocket C) Bone loss and pattern of bone loss in periodontal disease 10. Periodontitis A) Chronic Periodontitis  Localized

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 Generalized B)  Localized  Generalized

C) Necrotizing Periodontitis i) AIDs Related ii) Non AIDs Related D) Refractory Periodontitis E) Trauma from Occlusion

Definition i) Acute & Chronic trauma ii) Primary & Secondary trauma iii) Consequences of trauma iv) Tissue Response of trauma Occlusal Analysis i. Diagnosis of ii. Occlusal Adjustment iii. Splinting

F) Periodontal manifestation of Systemic diseases

(Different systemic diseases are discussed with respect to periodontal manifestation) 11. Tumour and Tumour like lesions of the Periodontium 12. and treatment Acute Chronic

13. Periodontium and AIDs 14. Furcation Involvement in Periodontal disease Classification Management 15. Periodontal Consideration with: 1. Orthodontics 2. Endodontics 3. Removable Prosthodontics 4. Fixed Prosthodontics 5. Implants

16. GTR 9Guided Tissue Regeneration) Introduction, knowledge and the techniques.

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17. Diagnosis of Cause Related Disease. a) History taking b) Examination of the Oral Cavity c) Importance should be given to the periodontitis d) Differential Diagnosis e) Plaque Recognition i. Visualization with naked eyes ii. Visualization with disclosing agents f) Treatment planing i. Mechanical control of Dental Plaque - Motivation, education and instruction - Interdental cleaning (AIDs) - Scaling and root planning with advantages and disadvantages g) Chemical control of dental plaque i. Chemotherapeutic agents for topical and systemic administration.

18. Re-evaluation of the cause related therapy, surgical control of dental plaque. A) Aims and objectives of periodontal therapy i. Local Anaesthesia in Periodontal Surgery ii. Instruments for periodontal surgery procedures iii. Periodontal probing impact and radiographic interpretation iv. Sterilization, universal precautionary measures B) Indications and contra indications of periodontal surgery Surgical Procedures i. Curattage ii. Gingivectomy with different modalities iii. Flap Surgery with different modalities iv. Muco gingival Problem

- Soft tissue graft - Pedical graft or displaced flap - Free gingival graft - Crown lengthening procedure - Frenectomy 19. Periodontal dressing 20. Periodontal Suturing 21. Periodontal treatment of medically compromised patients 22. SPT (Supportive Periodontal therapy 23. Oral implantology

Clinical & Practical Work

1. Knowledge of the objectives of Periodontal therapy

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• Elimination of local etiological factor • Elimination of periodontal pocket • Establishment of normal Physiolocal architecture of periodontium • To be able to interpret Findings of medical and dental history and relate this to periodontal dignosis and treatment. 2. To be able to secure a good dental history pertaining to: a) Past Periodontal treatment b) Present oral hygiene habits c) Past present oral habits d) Presence of Hypensensitive teeth e) Past extraction (Reason) f) Past Restorative treatment, filling types, flexed/removal restoration g) Past orthodontic treatment h) Family dental history 3. Detailed clinical examination and charting of the Periodontium i.e. aceurate probing

• To be able to recognize problems of an inadequate width and attached gingival

4. Shallow vestibule

• High muscle frenum attachment a) Scaling manual b) Root Planing c) Polishing d) Curettage e) Gingivectomy f) Epulus Removal (with incisional and excisional procedure) g. Flap Surgery.

Books Recommended

1. Clinical periodontology by Glickman 2. Clinical Periodontology by Manson 3. Colour Atlas of Clinical and Surgical Periodontology by Strahan& Waite 4. A Text book of Clinical Periodontology by Jan Lindhe 5. Fundamentals of Periodontic by Thomas G.Wilson, KennethsKomman. 6. Periodontology and Periodontics, Modern Theory and Practice by Sigurd P. Ramford Major M. Ash

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ORAL MEDICINE

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ORAL MEDICINE 3RD YEAR BDS

Introduction: The specialty of dentistry that deals with the diagnosis and mostly non-surgical management of oral mucosal diseases (dermatologic diseases of the mouth), orofacial pain, oral manifestations of systemic diseases, salivary gland disorders, and the dental management of medically compromised patients. This curriculum is designed to guide the students of 3rd year BDS to diagnose and manage the orofacial pain, disorders and oral and maxillofacial diseases. Disparities in oral health status and access to dental care among population will be highlighted. Students will learn to take proper history, physical examination, advise appropriate investigations and establish diagnosis and treatment plan.

Rationale: Oral medicine is that area of dentistry that concentrates on diagnosis and treatment of oral mucosal diseases and other oral complaints that may reflect either local oral disease or local manifestations of systemic problems. It is concerned with diagnosis and management of temporomandibular disorders, neuropathic pain in oro-facial region, migraine, tension-type headache and chronic daily headache along with those phases of dental practice that are especially concerned with dental treatment of medically compromised patients. Oral medicine sits at the interface between dentistry and medicine. The overall objective in teaching clinics is to emphasize the responsibility of dental students in obtaining medical and dental history, performing a comprehensive head and neck plus oral examination to facilitate appropriate and safe dental care for patients.

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Section A: Theory (Lectures)

No of S.No Topic Learning outcomes Sub-topics lectures Students should be able to differentiate between Definitions and basic Introduction and various terms and identify terms used in Oral 1. Terminologies used 1 different clinical terms Medicine in oral medicine depending on clinical and radiographic examination. Students should be able to Normal Mucosa The differentiate between 2. Abnormal oral 1 normal and abnormal oral mucosa mucosa. Students will be able to Principles of oral conduct a comprehensive History taking and 3. medicine (patient history, extra-oral and intra- examination 1 assessment) oral examination of the patient. Blood examination, Students should be able to Clinical chemistry, identify various diagnostic immunological tests, modalities used in patients endocrine function, suffering from oral diseases serology, biopsy, and manifestations of 4. Investigations microbiological 1 systemic diseases in the oral investigations, cavity. They will be able to Imaging techniques classify the different types (radiographic views of biopsy and their use in and specialized dentistry. imaging techniques) Students should be able to identify different Topical therapy, therapeutic options Creams and Principles of 5. including topical and ointments, systemic 1 Management systemic modalities, their therapy, limitations uses, and limitations in the of therapy oral cavity. Students should be able to Mucoceles, diagnose and accordingly etc. Sialadenitis Salivary gland manage different salivary 6. 2 Swellings gland swellings e.g. Sialosis Different obstructive, viral, Salivary Gland bacterial, non-neoplastic Tumours

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and neoplastic infections. They will also be able to differentiate between unilateral and bi-lateral salivary gland swellings involving any of the three major salivary glands or minor salivary glands. Students should be able to identify causes of dryness in the oral cavity, symptoms Xerostomia Disturbances of and complications Halitosis 7. 1 salivary flow associated with it. They will Hyper-salivation be able to assess such Sjogren syndrome patients and diagnose such conditions. Students should be able to Classification classify different types of Migraine 8. Facial Pain headache, their diagnosis Cluster Headache 1 and management using tension type non-surgical methods. headache Students should be able to diagnose a patient with 9. Trigeminal Neuralgia 1 trigeminal neuralgia and manage such a patient. Students should be able to diagnose a patient with 10. Glossopharyngeal 1 glossopharyngeal and manage such a patient. Students should be able to differentiate between Palsy UMNL and LMNL and 11. Facial Paralysis UMNL 1 identify various causes of LMNL such conditions as well as their management. Students should be able to TMPDS understand the TMJ and Diagnostic disorders related to it. They tools/aids/methods 12. Anatomy of TMJ 3 will learn the diagnostic Arthritis modalities and brief Internal treatment of such disorders. derrangements Students should be able to 13. Oral Ulcerations Traumatic ulceration 3 identify different types of

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ulcerations and syndromes RAS associated with it. They will Major RAS be able to diagnose and Minor RAS manage oral ulcerations in Herpetiform RAS all age groups including Behchet's Syndrome adolescents Sweet's Syndrome PFAPA MAGIC Syndrome Herpes simplex virus, varicella zoster virus, Students should be able to Epstein barr virus, diagnose and manage oral 14. Viral Infections coxsackie virus, 2 lesions associated with paramyxo virus, viruses human papilloma virus HIV Students should be able to differentiate between candidosis and candidiasis and identify the causes of Candidosis 15. Fungal Infections fungal infection and 2 Mucormycosis establish a diagnosis on basis of its clinical examination and investigations , Coated tongue, Student should be able to , diagnose and manage , 16. Diseases of Tongue 1 different abnormalities of Hairy Tongue tongue. Median Rhomboid Geographic Tongue Swelling of lips Students should be able to 17. Diseases of lips diagnose and manage Lip fissures different diseases of lips Lick eczema Acute necrotizing Students should be able to ulcerative gingivitis, diagnose and manage Tuberculosis 18. Bacterial Infections bacterial lesions presenting 2 Syphilis in the oral cavity due to Hospital Acquired specific bacteria. Infections

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Students should be able to Facial swellings perform neck examination Swellings in the neck 19. Swellings of the neck and establish differential 1 Cervical diagnosis of the face and lymadenopathy neck swellings Students should be able to relate different mucosal Lichen planus symptoms with dermal Pemphigus vulgaris signs to diagnose and treat MMP mucocutaneous blistering Bullous pemphigoid Vesicobullous 20. disorders and know the Epidermolysis bullosa 3 disease difference between all Systemic Lupus vesicobullous lesions by erythematosus means of comprehensive Scleroderma history and clinical Erythema multiforme evaluation Students should have sound knowledge of white and red lesions that may progress to cancerous lesions. They will Leukoplakia (all be able to diagnose and 21. Precancerous lesions types) OSF Oral 2 manage pre-cancerous Cancer conditions. They will also be taught to differentiate between pre-cancerous lesions and conditions. Students should be able to Oral Carcinoma & identify and refer to Oral squamous cell 22. 1 Carcinogenesis specialist cancerous lesions carcinoma and conditions Students should be able to Melanoma diagnose oral lesions Melanoacanthoma presenting as pigmented 23. 2 lesions based on history and Drug induced clinical findings and manage pigmentation such conditions. AnemiasLeukemias Students should be able to Platelet Blood related 24. identify oral manifestations abnormalities 2 Disorders of blood related disorders. Myelodysplastic syndrome Students should be able to Nutritional 25. Disorders of nutrition 1 identify and manage oral deficiencies

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symptoms of diseases due Scurvy to nutritional deficiencies Students should be able to diagnose and manage AutoimmunityHypers different immune-mediated ensitivity 26. Immunity 1 diseases that may show Immunodeficiency signs and symptoms in the Drug Allergy oral cavity. Coeliac Disease Students should be able to Crohn's disease Gastro-Intestinal identify and manage oral Ulcerative Colitis 27. 2 Disorders symptoms of different Inflammatory bowel Gastro-intestinal disorders. disease GORD Students should be able to All medical manage medical emergencies 28. Medical Emergencies 3 emergencies in their clinical encountered in a practices. dental office Students should be able to Addison's disease identify and manage oral Cushing Sydrome Endocrinopathies 29. symptoms of different thyroid disease 2 and renal diseases endocrine disturbances and Diabetes mellitus renal diseases. Renal diseases Inflammatory Students should be able to overgrowths Gingival and Labial identify causes of gingival 30. Drug-induced 1 Swellings enlargement and swelling Endocrine associated and its management. Hemangioma Albright syndrome Students should be able to Pagets disease recognise various Disorders of teeth Cleidocranial 31. syndromes that directly or 2 and bone dysplasia indirectly affect facial hard Fibrous dysplasia tissues and teeth.

Students should be able to diagnose patients presenting with symptoms 32. Osteochemonecrosis of osteochemonecrosis or 1 BRONJ osteoradionecrosis and management of such a patient.

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Section B: Clinical training Learning outcomes: By the end of the clinical rotation of three weeks students will be able to: 1. Take detailed history of the patient 2. Perform extra-oral and intra-oral examination a) Examination of lymph nodes b) Examination of cranial nerves c) Examination of temporo-mandibular joint d) Examination of muscles of mastication e) Examination of salivary glands f) Examination of hard and soft tissues of oral cavity (Tongue, Mucosa, Soft g) Palate, Hard Palate, Teeth, Alveolar bone Lingual & Pharyngeal tonsils. h) Major & Minor Salivary glands. 3. Advise investigations 4. Establish diagnosis 5. Formulate appropriate treatment plan 6. know uses of instruments used in medical emergency a) Endotracheal tube b) Guedel’s airway c) Oxygen mask d) AMBU bag e) IV cannula f) Syringe g) Nasogastric Tube 7. Know uses of drugs prescribed to patients in a dental OPD a) Analgesics b) Steroids c) Adrenaline d) Nitroglycerine e) Anxiolytics f) Antibiotics g) Glucogon h) Saltbutamol

Recommended Books: . Tyldesley's Oral Medicine, 5th Edition, by Anne Field & Lesley Longman. . Oral and Maxillofacial Medicine, the Basis of Diagnosis and Treatment, 2nd Edition, by Crispian Scully. . Medical Problems in Dentistry, 6th Edition, by Crispian Scully. . A Clinical guide to Oral Medicine by P J Lamely & M A O Lewis.

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Table of Specifications Professional/Pre-Annual/Annual/Supply

BDS Examination

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Third Professional BDS Examination (2020) General Surgery

Time Allowed = 03 hrs. (Including MCQs) Marks of theory paper =90 Internal assessment =10 Total =100 Pass Marks =50

Paper-I 45 x MCQs (45 Marks) Time = 50 mins

Paper-II 3 x SAQs / SEQs (Recall) = 05 marks each 6 x SAQs / SEQs (Application) = 05 marks each Total Marks = 45 Marks Time = 02 hours & 10 mins

Numbers of MCQs (45) Number of SAQs / SEQs (09) S. No Topic Recall: 18 05 marks each Application: 27 1 marks each 1. Principal of surgery 16 03 Trauma and its 2. 16 02 management Common surgical disorders 3. 09 02 relevant to Dental Practice 4. Anesthesia and its Risks 03 01 Ethics and Professionalism 5. 01 01 in clinical practice Total 45 (45 Marks) 09 (45 Marks)

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Internal Assessment Calculation (Theory Annual)

A B C D Roll No. Name All Modules/ Total Pre annual Exams or any other exam Marks of internal Assessment out of 10 Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

Table of Specifications for Annual Professional Exam: Practical

VIVA Practical Total 30 marks 60 marks OSCE Examiner 1 Examiner 2 10 Stations of Short case I Short Case II 3 marks each 90 Marks 15 Marks 15 Marks 30 Marks 15 Marks 15 Marks

Internal Assessment Calculation (Practical)

A B C D Roll No. Name OSPE/ Practical Class tests though out Total Marks of internal the year/ Pre annual Practical Exams or assessment Out of 10 any other exam

Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

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Third Professional BDS Examination (2020) General Medicine Time Allowed =03 hrs. (Including MCQs) Marks of theory paper =90 Internal assessment =10 Total marks =100 Pass Marks =50 45 x MCQs (45 Marks) Time =50 min Q. No. 1,2,3,4,5,6,7,8,9 3 x SAQs/SEQs (Recall) = 05 marks each 6 x SAQs/SEQs (Application) = 05 marks each Total Marks = 45 Marks Time = 2 hours & 10 min

NUMBER OF MCQs (45) NUMBER OF SAQs/SEQs S.No Topic Recall : 18 (09) Application : 27 05 marks each 1 mark each 1 Cardiovascular system 05 1 2 Infections 05 1 3 Gastrointestinal system 05 1 4 Respiratory system 05 1 5 Nervous system 04 1 6 Blood 05 1 7 Nephrology 04 1 8 Endocrinology 05 1 9 Bones and Muscles 06 1 Total 45 (45 Marks) 09 (45 Marks)

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Internal Assessment Calculation (Theory Annual)

A B C D Roll No. Name All Modules/ Total Pre annual Exams or any other exam Marks of internal Assessment out of 10 Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

Table of Specifications for Annual Exam: Practical

VIVA Practical 50 marks 40 marks Total

Examiner 1 Examiner 2 Long case Short case I Short Case II

25 Marks 25 Marks 20 Marks 10 Marks 10 Marks 90 Marks

Internal Assessment Calculation (Practical)

A B C D Roll No. Name OSPE/ Practical Class tests though out Total Marks of internal the year/ Pre annual Practical Exams or assessment Out of 10 any other exam

Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

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Third Professional BDS Examination (2020) Oral Pathology Time Allowed =03 hrs. (Including MCQs) Marks of theory paper =90 Internal assessment =10 Total marks =100 Pass Marks =50 45 x MCQs (45 Marks) Time = 50 min Q. No. 1,2,3,4,5,6,7,8,9 3 x SAQs/SEQs (Recall) = 05 marks each 6 x SAQs/SEQs (Application) = 05 marks each Total Marks = 45 Marks Time = 2 hours & 10 min NUMBER OF MCQs (45) Recall : 18 NUMBER OF SAQs/SEQs (09) S.No Topic Application : 27 05 marks each 1 mark each 1 WHITE LESIONS 04 2 EPITHELIAL PATHOLOGY 04 01 3 DENTAL CARIES 04 4 DEVELOPMENTAL DISTURBANCES 04 01 of the ORAL REGION 5 PERIAPICAL DISORDERS 04 01 6 IMMUNE-MEDIATED DISORDERS 04 7 SALIVARY GLAND PATHOLOGY 04 01 8 VIRAL INFECTIONS 01 9 FUNGAL INFECTIONS 02 10 BACTERIAL INFECTIONS + 01 04 GRANULOMATOUS DISEASES 11 ODONTOGENIC TUMOURS 01 01 12 ODONTOGENIC CYSTS 01 01 13 Non-ODONTOGENIC CYSTS 01 14 BONE PATHOLOGY 01 01 15 CONNECTIVE TISSUE LESIONS 04 16 HAEMATOLOGICAL 02 01 MALIGNANCIES (Lymphomas) Total 45 (45 Marks) 09 (45 Marks)

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A. Internal Assessment Calculation (Theory Annual) A B C D Roll No. Name All Modules/ Total Pre annual Exams or any other exam Marks of internal Assessment out of 10 Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

B. Table of specifications for Annual Professional Exam: Practical

VIVA Practical (OSPE + Draw and label Task) 50 marks 40 marks

Examiner 1 Examiner 2 Total

OSPE Practical Notebook

25 Marks 25 Marks 30 Marks 10 Marks 90 Marks

C. Internal Assessment Calculation (Practical)

A B C D Roll No. Name OSPE/ PTT/ Class tests though out the Total Marks of internal year/ Pre annual Exams or any other assessment Out of 10 exam

Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

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Third Professional BDS Examination (2020) Periodontology Time Allowed =03 hrs. (Including MCQs) Marks of theory paper =90 Internal assessment =10 Total marks =100 Pass Marks =50 45 x MCQs (45 Marks) Time =50 min Q. No. 1,2,3,4,5,6,7,8,9 3 x SAQs/SEQs (Recall) = 05 marks each 6 x SAQs/SEQs (Application) = 05 marks each Total Marks = 45 Marks Time = 2 hours & 10 min NUMBER OF MCQs (45) Recall : 18 NUMBER OF SAQs/SEQs (09) S.No Topic Application : 27 05 marks each 1 mark each 1 The Normal Periodontium 2 Classification of periodontal disease & 05 01 Epidemiology. Etiology of periodontal disease 1) Periodontal microbiology 3 2)Host response and host bacterial interactions 06 01 3)Iatrogenic and other local factors 4)Systemic factors 5) Dental deposits 4 Periodontal pathogenesis 1)Gingival inflammation 05 01 2)Periodontal pocket 3)Bone loss and patterns of bone loss 5 Periodontal diseases 1)Gingivitis 2)Acute Periodontal Conditions 3)Desquamative gingivitis 4)Chronic enlargement 07 02 5)Gingival Growth 6)Chronic Periodontitis 7)Aggressive periodontitis 8)NUG, NUP 9)Trauma from occlusion

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10)Systemic disease with periodontal manisfestation 6 Periodontal Examination, Diagnosis and therapy 1)Periodontal examination 2)Periodontal diagnosis 3)Treatment planning 05 01 4)Plaque control 5)Instrumentation 6)Chemotheurapeutic agents 7)Periodontal therapy (Non Surgical) 7 Surgical periodontology 1) Surgical curettage 2) Gingivectomy, Gingiveoplasty 3) Flap surgery 05 01 4)Osseous surgery, Regenerative Periodontal Therapy, GTR 5) Furcation involvement 6) Esthetic and plastic periodontal surgery 8 Dental implants – basic intro, Rationale & Rx Planning, Dental implants complication 06 01

9 Supporative Periodontal care 1)Rationale for supportive periodontal treatment 2)Maintenance program 06 01 3)Classification of post treatment patients 4)Referral of patient to the periodontist 5)Splinting of Teeth Total 45 (45 Marks) 09 (45 Marks)

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A. Internal Assessment Calculation (Theory Annual)

A B C D Roll No. Name All Modules/ Total Pre annual Exams or any other exam Marks of internal Assessment out of 10 Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

B. Table of Specification for Annual Practical Examination

VIVA PRACTICAL 50 Marks 40 Marks Examiner 1 Examiner 2 Oral History Scaling of Identification of Total examination taking teeth clinical slides and and diagnosis instruments 25 Marks 25 Marks 10 Marks 5 Marks 15 Marks 10 Marks 90

C. Internal Assessment Calculation (Practical)

A B C D Roll No. Name OSPE/ Practical Class tests though out Total Marks of internal the year/ Pre annual Practical Exams or assessment Out of 10 any other exam

Total Marks Sum of Marks obtained x 10 / sum of total marks in all exams

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Third Professional BDS Examination (2020) Oral Medicine Time Allowed =01 Hr and 30 Min. (Including MCQs) Marks of theory paper =45 Internal assessment =05 Total marks =50 Pass Marks =25 23 x MCQs (23 Marks) Time =26 Minutes Q. No. 1,2,3,4,5,6,7,8,9 3 x SAQs/SEQs (Recall) = 02 marks each 6 x SAQs/SEQs (Application) = 4 x 03 mark, 2 x 02 marks each Total Marks (22 Marks) Time = 1 hour & 4 min NUMBER OF MCQs (23) NUMBER OF SAQs/SEQs (09) S.No Topic Recall : 05

Application : 18 1 mark each 1. Principles of oral medicine: assessment and investigation of patient 02 02 2. Infections of gingiva and oral mucosa 3. Oral ulceration 03 4. Diseases of lips and tongue 02 5. Swellings of face and neck 02 6. Salivary glands and saliva 7. Inflammatory overgrowths, developmental and benign lesions and oral pigmentation 02 8. Precancerous lesions and conditions 01 03 9. Oral Carcinoma & Carcinogenesis 01 Muco-cutaneous diseases and connective 01 10. tissue disorders 11. Oral manifestation of systemic diseases 02 12. Orofacial pain & Psychogenic Pain 02 13. Temporomandibular disorders 02 01 14. Immunity and oral reactions to drug therapy 01 15. Disorders of teeth and bone 02 16. Medical emergencies in dentistry 02 01 Total 23 (23 Marks) 09 (22 Marks)

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Internal Assessment Calculation (Theory Annual)

A B C D Roll No. Name All Modules/ Total Pre annual Exams or any other exam Marks of internal Assessment out of 05 Total Marks Sum of Marks obtained x 05 / sum of total marks in all exams

Table of specifications for Annual Professional Exam: Practical Clinical Assessment Total = 50 OSPE = 20 VIVA = 20 Log Book = 05 Internal Assessment = 05

OSPE (20 Marks) Stations Marks Time Static Stations 5 5×2=10 2 min each station Interactive Stations 2 2×5=10 5 min each station

Internal Assessment Calculation (Practical)

A B C D Roll No. Name OSPE/ Practical Class tests though out Total Marks of internal the year/ Pre annual Practical Exams or assessment Out of 05 any other exam Total Marks Sum of Marks obtained x 05 / sum of total marks in all exams

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