SRI BALAJI VIDYAPEETH (Deemed-to-be university declared u/s 3 of UGC act 1956) ACCREDITED WITH “A” GRADE BY NAAC INDIRA GANDHI INSTITUTE OF DENTAL SCIENCES
Pondy - Cuddalore Main Road Pillaiyarkupam - Puducherry – 607403.
B.D.S DEGREE COURSE SYLLABUS, RULES AND REGULATIONS 2017 – 2018 ONWARDS
INDIRA GANDHI INSTITUTE OF DENTAL SCIENCES CONTENTS Sl.No. Contents Page No. 1. Vision and Mission Statement of SBV 11 2. Aims & Objectives of the BDS Course 12 3. Competencies of a Dental Graduate 14 4. Regulations related to BDS Course 16 5. Curriculum 19 6. Examination 23 7. BDS Syllabus I year syllabus 28 General Human Anatomy Including Embryology, Osteology and Histology 29 General Physiology 41 Biochemistry, Nutrition and Dietetics 53 Dental Anatomy, Embryology and Oral Histology 66 II year syllabus 77 General Pathology 78 Microbiology 89 General and Dental Pharmacology and Therapeutics 98 Dental Materials 112 Preclinical Prosthodontics and Crown Bridge 125 Preclinical Conservative Dentistry 130 III year syllabus 133 General Medicine 134 General Surgery 143 Oral and Maxillofacial Pathology & Oral Microbiology 154 IV year syllabus 164 Oral Medicine and Radiology 165 Oral & Maxillofacial Surgery 183 Periodontology 195 Paedodontics & Preventive Dentistry 212 Conservative Dentistry and Endodontics 227 Prosthodontics and Crown & Bridge 247 Orthodontics & Dentofacial Orthopaedics 260 Public Health Dentistry 271 8. Integrated Teaching Modules 284 Dental Armamentarium And Usage 285 Sterilization & Disinfection 286 Behavioural Sciences 287 Ethics 290 Cariology 293 Pulpoperiapical Lesions 295 Diagnosis Treatment Planning 296 Aesthetic Dentistry 299 Forensic Odontology 301 Implantology 303 Curriculum of Dental Internship programme 9. 305 [Systematic Competency Oriented Education (SCORE)] ANNEXURE
Rules, Regulations and Curriculum of this University have been formulated based on the Dental Council of India Regulation for the Degree of Bachelor of Dental surgery, 2007 (amended up to July 2017) and have been placed before the Standing Academic Board on 20.05.2017, consisting of the following members
Members of Board of Studies EXTERNAL MEMBERS BOS held on March 15th & 16th, 2017 Chairperson : Dr. Carounanidy Usha Principal, IGIDS First Year Subjects : Dr. B. Premalatha Associate Professor Dept. of Oral Pathology MGPGI, Puducherry Dr. R. Rajkumar Associate Professor Dept. of Anatomy, MGPGI, Puducherry Second Year subjects : Dr. Jayaram.S Prof. & Head Dept of Microbiology, MGPGI, Puducherry Dr. Devi. M Prof. & Head, Dept. of Oral Pathology Adhiparasakthi Dental College, Tamilnadu Third Year Subjects : Dr. M.Narayanasamy Prof. & Head Dept. of General Surgery, MGPGI, Puducherry Dr. A. Thangavelu Prof.& Head Dept. of Oral Surgery, RMDCH, Tamilnadu Final Year Subjects : Dr. S.P.K.Kennedy Babu Prof. & Head Dept. of Periodontology, MGPGI, Puducherry Dr. Gokkulakrishnan.S Prof.& Head Dept. of Oral Surgery Adhiparasakthy Dental College, Tamilnadu BOS held on May 11th, 2017 Chairperson : Dr. Carounanidy Usha Principal, IGIDS Dr. B. Swathika Prof. Dept. of Conservative Dentistry & Endodontics MGPGI, Puducherry Dr. N.J. Eswari Prof. Dept. of Oral Surgery, MGPGI, Puducherry
BOS held on 19th September 2017 Chairperson : Dr. Saravanakumar.R, Principal, IGIDS Basic Science Subjects : Dr. R.Madhavan Nirmal Prof & Head Dept. of Oral Pathology RMDCH, Annamalai, Tamilnadu Dental Subjects : Dr. Rajasekar.S Prof. Dept. of Periodontics RMDCH, Annamalai, Tamilnadu
Published after the approval of the standing Academic Board Internal Members
BOS held on 15th & 16th March, 2017
Chairperson : Dr. Carounanidy Usha, Prinicipal IGIDS
Members : Dr. S.S. Rajasekar, HOD, General Anatomy Dr. Chandra Philip, Prof. General Anatomy Dr. K.Jaiganesh, HOD, General Physiology Dr. Vasanthan, General Physiology Dr. R.Ramesh, HOD. General Biochemistry Dr. R. Reeta, Asst. Prof. General Biochemistry Dr. A. Santhadevy, HOD, Oral Pathology & Microbiology Dr. Selvaraj Stephen, Prof. General Microbiology Dr. Prabha, General Microbiology Dr. G. Kotteeswaran, Prof. General Pathology Dr. Sudarcodi, Assoc. Prof. General Pharmacology Dr. Mirunalini, General Pharmacology Dr. Anandrajvaithy, General Pathology Dr. K. Jayasingh, HOD, General Medicine Dr. Arthi, General Medicine Dr. R. Kannan, Assoc.Prof. General Surgery Dr. Yuvaraj, Prof, Oral Surgery Dr. R. Saravanakumar, HOD, Periodontology Dr.Pratheba, Prof, Periodontology Dr. Vishwanath Rangdhol, HOD, Oral Medicine Dr. R. Sathyanarayanan, HOD, Oral & Maxillofacial Surgery Dr. Prathima.G.S, HOD, Paedodontics & Preventive Dentistry Dr. Suganya.M, Senior Lecturer, Paedodontics Dr. P.S. Manoharan, HOD, Prosthodontics & Crown & Bridge Dr. R.S.Senkutavan, HOD, Orthodontics & Dentofacial Orthopedics Dr. Anoop, Senior Lecturer, Orthodontics Dr. M. Senthil, Prof. Public Health Dentistry Dr. Vikneshan, Public Health Dentistry
Invited Attendees: Dr. S. Sivasenthil, Dy. Controller of Examinations, IGIDS Dr. Sivasankari, I year Co-ordinator Dr. Padmaraj, II year Co-ordinator Dr. Suganya, III year Co-ordinator Dr. John Baliah, IV year Co-ordinator
BOS held on 11th May, 2017
Members Dr. Carounanidy Usha, Prinicipal IGIDS Dr. Sanguida.A, Dy. Registrar, IGIDS Dr. S. Sivasenthil, Dy. COE, IGIDS Dr. R. Saravanakumar, Vice Principal, IGIDS Dr. Santhadevy, Vice Principal, IGIDS Dr. Sivashakthy, DEU Co-ordinator Dr. Sathyanarayanan, HOD, Oral Surgery Dr. Vandana, Member Secretary, Curricular Committee
BOS held on 19th September 2017
Chairperson Dr. R.Saravanakumar, Principal, IGIDS
Members: Dr. Sanguida.A, Dy. Registrar, IGIDS Dr. S. Sivasenthil, Dy. COE, IGIDS
Associate Professors: Dr. Premlal, Oral Pathology Dr. Sivashakthy, Prosthodontics
Assistant Professors: Dr. Padmaraj, Conservative Dentistry Dr. Sivaramakrishnan, Oral Pathology
Members of Basic Sciences & Dental Departments: Dr. S.S. Rajasekar, HOD, General Anatomy Dr. Chandra Philip, Prof. General Anatomy Dr. K.Jaiganesh, HOD, General Physiology Dr. R. Reeta, Asst. Prof. General Biochemistry Dr. K.S.Seetha, HOD, General Microbiology Dr. Namratha, Microbiology Dr. Manimekalai, HOD, Pharmacology Dr. Johan Pandian, Pharmacology Dr. Vaishali, General Pathology Dr. K. Jayasingh, HOD, General Medicine Dr. Arthi, General Medicine Dr. R. Kannan, Prof. General Surgery Dr. Santhadevy, HOD, Oral Pathology Dr.Pratheba, Prof, Periodontology Dr. Vandana, Reader, Oral Medicine Dr. R. Sathyanarayanan, HOD, Oral & Maxillofacial Surgery Dr. Prathima.G.S, HOD, Paedodontics & Preventive Dentistry Dr. Padmaraj, Senior Lecturer, Conservative Dentistry Dr. P.S. Manoharan, HOD, Prosthodontics & Crown & Bridge Dr. Pradeep Babu, Reader, Orthodontics & Dentofacial Orthopedics Dr. Vikneshan, Reader, Public Health Dentistry SRI BALAJI VIDYAPEETH (Deemed-to-be university declared u/s 3 of UGC act 1956) INDIRA GANDHI INSTITUTE OF DENTAL SCIENCES
RULES AND REGULATIONS OF SRI BALAJI VIDHYAPEETH UNIVERSITY In exercise of the powers conferred by Ministry of Human Resources Development Notification No. F.9-53/2005-u-3 dated 20/7/09 and after the declaration of Indira Gandhi Institute of Dental Sciences as constituent teaching units under the ambit of the Deemed University Sri Balaji Vidyapeeth, the Standing Academic Board hereby makes the following Rules and Regulations These regulations shall be called :
THE RULES AND REGULATIONS FOR THE BACHELOR OF DENTAL SURGERY DEGREE COURSE (B.D.S) OF INDIRA GANDHI INSTITUTE OF DENTAL SCIENCES S They shall come into force from the academic year 2017-2018 session. The regulations and the syllabus are subject to modification by the Standing Academic Board from time to time. Vision and Mission Statement of SBV
Vision
“To be in the forefront of higher education and to give the country the high calibre manpower”
Mission
To provide collegiate education up to post-doctoral programs.
To ensure high standard of behaviour and discipline amongst our student community.
To produce Medical Professionals who are concerned with determinants of disease, disability and premature death and the organization of appropriate health services including Health Education and policy.
To create a climate of joyful learning.
To serve in particular the poor and minority population irrespective of caste and creed, who suffer disproportionately from illness and disability.
To impart skills in students which will make them successful in their endeavours.
To provide meaningful industrial education, research and training at all levels.
To offer a wide range and flexibility of options especially in the areas of non-formal and continuing education.
To set a high standard of professional conduct and ethics for staff and students. 11 Page AIMS and Objectives of BDS Course
AIMS The dental graduates during training in the institutions should acquire adequate knowledge, necessary skills and reasonable attitudes which are required for carrying out all activities appropriate to general dental practice involving the prevention, diagnosis and treatment of anomalies and diseases of the teeth, mouth, jaws and associated tissues. The graduate also should understand the concept of community oral health education and be able to participate in the rural health care delivery programs existing in the country. OBJECTIVES The objectives are dealt under three headings a. Knowledge b. Skills and c. Attitudes. a. Knowledge The graduate should acquire the following during the period of training: 1. Adequate knowledge of the scientific foundations on which Dentistry is based and good understanding of various relevant scientific methods, principles of biological functions and be able to evaluate and analyze scientifically various established facts and data. 2. Adequate knowledge of the development, structure and function of the teeth, mouth and jaws and associated tissues both in health and disease and their relationship and effect on general state of health and also bearing on physical and social well-being of the patient. 3. Adequate knowledge of clinical disciplines and methods which provide a coherent picture of anomalies, lesions and diseases of the teeth, mouth and jaws and preventive diagnostic and therapeutic aspects of Dentistry. 4. Adequate clinical experience required for general dental practice. 5. Adequate knowledge of the constitution, biological function and behavior of persons in health and sickness as well as the influence of the natural and social environment on the state of health in so far as it affects Dentistry. b. Skills The graduate should be able to demonstrate the following skills necessary for practice of Dentistry: 1. Able to diagnose and manage various common dental problems encountered in general dental practice keeping in mind the expectations and the right of the society to receive the best treatment available wherever possible. 2. Acquire the skill to prevent and manage complications if encountered while carrying out various surgical and other procedures. 3. Possess skill to carry out certain investigative procedures and ability to interpret laboratory findings. 4. Promote oral health and help prevent oral diseases whenever possible.
12 5. Competent in the control of pain and anxiety during dental treatment. Page c. Attitudes The graduate should develop during the training period the following attitudes : 1. Willing to apply the current knowledge of Dentistry in the best interest of the patients and the community. 2. Maintain a high standard of professional ethics and conduct and apply these in all aspects of professional life. 3. Seek to improve awareness and provide possible solutions for oral health problems and needs of the community. 4. Willing to participate in the Department of Dental Education (DDE) program to update the knowledge and professional skill from time to time. 5. Able to participate in the implementation of the National Oral Health Program. 13 Page Competencies
At the completion of the undergraduate training program the graduates shall be competent in the following
1. GENERAL SKILLS
Apply knowledge and skills in day to day practice Apply principles of ethics Analyze the outcome of treatment Evaluate the scientific literature and information to decide the treatment Participate and involve in professional bodies Self-assessment and willingness to update the knowledge and skills from time to time Involvement in simple research projects Minimum computer proficiency to enhance knowledge and skills Refer patients for consultation and specialized treatment Basic study of forensic odontology and geriatric dental problems
2. PRACTICE MANAGEMENT
Evaluate practice location, population dynamics and reimbursement mechanism Co-ordinate and supervise the activities of allied dental health personnel Maintain all records Implement and monitor infection control and environmental safety program Practice within the scope of one’s competence
3. COMMUNICATION AND COMMUNITY RESEOURCES
Assess patients goals, values and concerns to establish rapport and guide patient care Able to communicate freely, orally and in writing with all concerned Participate in improving the oral health of the individuals through community activities
4. PATIENT CARE – DIAGNOSIS
Obtaining patient’s history in a methodical way Performing thorough clinical examination Selection and interpretation of clinical, radiological and other diagnostic, information obtaining appropriate consultation Arriving at provisional, differential and final diagnosis
5. PATIENT CARE – TREATMENT PLANNING
Integrate multiple disciplines into an individual comprehensive sequences treatment plan using diagnostic and prognostic information Able to order appropriate investigations
6. PATIENT CARE – TREATMENT
Recognition and initial management of medical emergencies that may occur during dental treatment 14 Page Perform basic cardiac life support Management of pain including post-operative Administration of intra muscular and venous injections Administration all forms of local anesthesia Prescription of drugs, pre-operative, prophylactic and therapeutic requirements Uncomplicated extraction of teeth Trans alveolar extractions and removal of simple impacted teeth Minor oral surgical procedures Management of oral facial infections Simple orthodontic appliance therapy Taking, processing and interpretation of various types intra oral radiographs Various kinds of restorative procedures using different materials available Removable and fixed prosthodontics Various kinds of periodontal therapy 15 Page Regulations Relating to B.D.S. Course
ADMISSION, SELECTION, COUNSELLING AND MIGRATION 1. Age criteria The candidate shall have completed the age of 17 years at the time of admission or will complete this age on 31st December of the year in which he/she seeks admission. Qualification criteria 2. He / she has obtained a minimum of marks in National Eligibility-cum- Entrance Test as prescribed under the heading “Selection of Students” 3. In order to be eligible to take National Eligibility - cum- Entrance Test” He/she has passed qualifying examination as under:- a) The higher secondary examination or the Indian school certificate examination which is equivalent to 10+2 higher secondary examination comprising of Physics, Chemistry, Biology and Mathematics or any other elective subjects with English at a level not less than the core course for English as prescribed by the National Council for Educational Research and training after the introduction of the 10+2+3 years educational structure as recommended by the national committee on education; introduction of the 10+2+3 years educational structure as recommended by the National committee on education; Note : Where the course content is not as prescribed for 10+2 education structure of the national committee, the candidates will have to undergo a period of one year pre-professional training before admission to the dental colleges. OR b) The intermediate examination in science of an Indian University/ Board or other recognized examining body with physics, chemistry and biology which shall include a practical test in these subjects and also English as a compulsory subject OR c) The pre-professional / pre-medical examination with physics, chemistry and biology after passing either the higher secondary school examination, or the pre-university or an equivalent examination. The pre-professional / pre-medical examination shall include a practical test in physics, chemistry and biology and also English as a compulsory subject OR d) The first year of the three years degree course of a recognized university, with physics, chemistry and biology including a practical test in three subjects provided the examination is a “University Examination” and candidate has passed 10+2 with English at a level not less than a core course OR e) BSC examination of Indian University, provided that he/she has passed the BSc examination with not less than 2 of the following subjects Physics, Chemistry, Biology (Botany, Zoology) and further that he/she has passed the earlier qualifying examination with the following subjects Physics, Chemistry, Biology and English OR f) Any other examination which, in scope and standard is found to be equivalent to the intermediate science examination of an Indian university/board, taking
16 physics, chemistry and biology including practical test in each of these subjects and English. Page Selection criteria: I. There shall be a single eligibility-cum-entrance examination namely “National Eligibility - cum - Entrance Test” for admission to BDS course in each academic year. II. In order to be eligible for admission to BDS course for a particular academic year, it shall be necessary for a candidate to obtain minimum of marks at 50th percentile in “National Eligibility – cum-Entrance Test to BDS course” held for the said academic year. However, in respect of candidates belonging to scheduled Castes, Scheduled Tribes, Other Backward classes, the minimum marks shall be at 40th percentile. In respect of candidates with locomotory disability of lower limbs terms of sub-regulation above, after the commencement of theses ammendments the minimum marks shall be at 45th percentile. The percentile shall be determined on the basis of highest marks secured in the All-India common merit list in “ National Eligibility-cum-Entrance Test for admission to BDS course”. Provided when sufficient number of candidates in the respective categories fail to secure minimum marks as prescribed in National Eligibility-cum- Entrance Test held for any academic year for admission to BDS Course, the Central Government in consultation with Dental Council of India may at its discretion lower the minimum marks required for admission to BDS Course for candidates belonging to respective categories and marks so lowered by the Central Government shall be applicable for the said academic year only. III. The reservation of seats in Dental colleges for respective categories shall be as per applicable laws prevailing in States/Union Territories. An all India merit list as well as State-wise merit list of the eligible candidates shall be prepared on the basis of the marks obtained in National Eligibility-cum-Entrance Test and candidates shall be admitted to BDS course from the said lists only. IV. No candidate who has failed to obtain the minimum eligibility marks as prescribed in Clause (ii) above shall be admitted to BDS course in the said academic year. V. All admissions to BDS course within the respective categories shall be based solely on marks obtained in the National Eligibility-cum-Entrance Test. VI. To be eligible for admission to BDS course a candidate must have passed in the subjects of Physics, Chemistry, Biology/Biotechnology and English individually and must have obtained a minimum of 50% marks taken together in Physics, Chemistry and Bioloty/Biotechnology at the qualifying examination as mentioned in Sub-regulation 2 of Regulation I and in addition must have come in the merit list of “National Eligibility –cum- Entrace Test” for admission to BDS course. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or other Backward Classess the minimum marks obtained in Physics, Chemistry and Biology/Biotechnoloty taken together in qualifying examination shall be 40% instead of 50%. In respect of candidates with locomotory disability of lower limbs in terms of sub-regulation 4, after the commencement of these amendments, of Regulation I above, the minimum marks in qualifying examination in Physics, Chemistry and Biology/Biotechnology taken together in qualifying examination shall be 45% instead of 50%. Provided that a candidate who has appeared in the qualifying examination the result of which has not been declared, he/she may be provisionally permitted to take up the National Eligibility-cum Entrance Test and in case of selection for admission to the BDS course, he/she shall not be admitted to that course until he fulfills the eligibility criteria under Regulation I. VII. The Central Board of Secondary Education shall be the organization to conduct National Eligbility-cum-Entrance Test for admission to BDS course. 17 Page Common Counselling: 1. There shall be a common counselling for admission to BDS course in all Dental educational institutions on the basis of merit list of the National Eligibility-cum- Entrance Test. 2. The designated authority for counselling for the 15% All India Quota seats of the contributing States and all BDS seats of Dental Education Institutions of the Central Government, universities established by an Act of Parliament and the Deemed Universities shall be the Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India. 3. The counselling for admission to BDS course in a State/Union Territory, including, Dental Education Institutions established by the State Government, University established by an Act of State/Union Territory Legislature, Trust, Society, Minority Institutions shall be conducted by the State/Union Territory Goverment. 4. In case any dispute arises on such common counselling, the respective State Government shall refer the matter to the Central Government and its decision shall be final, in this regard. II. Duration of Course: The undergraduate dental training programme leading to BDS degree shall be of 5 years with 240 teaching days in each academic year. The BDS course shall be of four academic years plus one year compulsory internship program. During this period the student shall be required to have engaged in full time study at a dental college recognised or approved by the Dental Council of India. III. MIGRATION Migration from one dental college to another is not a right of a student. However, migration of students from one dental college to another dental college in India may be considered by the Dental council of India. Only in exceptional cases on extreme compassionate grounds, provided the following criteria are fulfilled. Routine migrations on other ground shall not be allowed: Both the colleges, i.e. one at which the student is studying at present and one to which migration is sought, are recognized by the Dental Council of India The applicant candidate should have passed first BDS university examination The applicant candidate submits his application for migration, complete in all respects, to all authorities concerned within a period of one month of passing the first professional Bachelor of dental surgery (BDS) examination The applicant candidate must submit an affidavit stating that he/she will pursue 240 day of prescribed study before appearing at 2nd professional bachelor of dental surgery examination at the transferee dental college, which should be duly certified by the registrar of the concerned university in which he/she is seeking transfer. The transfer will be applicable only after receipt of the affidavit. Note 1: (i) Migration is permitted only in the beginning of IInd year BDS Course in recognised institutions. (ii) All applications for migration shall be referred to Dental Council of India by the college authorities. No Institution/University shall allow migration directly without the prior approval of the Council. (iii) Council reserves the right not to entertain any application which is not under the prescribed compassionate grounds and also to take independent decisions where applicant has been. allowed to migrate without referring the same to the Council.
18 Note 2: “Compassionate ground criteria:(i) Death of supporting guardian.(ii) Disturbed conditions as declared by Government in the Dental College area. Page Curriculum
TITLES OF SUBJECTS First Year 1. General Human Anatomy including Embryology and Histology 2. General Human Physiology and Biochemistry, Nutrition and Dietetics 3. Dental Anatomy, Embryology and Oral Histology 4. Dental Materials 5. Preclinical Prosthodontics and Crown & Bridge
Second Year 1. General Pathology and Microbiology 2. General and Dental Pharmacology and Therapeutics 3. Dental Materials 4. Preclinical Conservative Dentistry 5. Preclinical Prosthodontics and Crown & Bridge 6. Oral and Maxillofacial Pathology & Oral Microbiology
Third Year 1. General Medicine 2. General Surgery 3. Oral and Maxillofacial Pathology and Oral Microbiology 4. Conservative Dentistry & Endodontics 5. Oral & Maxillofacial Surgery 6. Oral Medicine and Radiology 7. Orthodontics & Dentofacial Orthopedics 8. Paedodontics & Preventive Dentistry 9. Periodontology 10. Prosthodontics and Crown & Bridge
Final Year 1. Orthodontics & Dentofacial Orthopedics 2. Oral Medicine and Radiology 3. Paedodontics & Preventive Dentistry 4. Periodontology 5. Oral & Maxillofacial Surgery 6. Prosthodontics and Crown and Bridge 7. Conservative Dentistry & Endodontics 8. Public Health Dentistry 19 Page Hours of Instruction
Lecture Practical Clinical Total Subject Hours hours Hours Hours General Human Anatomy Including 100 175 ----- 275 Embryology, Osteology and Histology General Human Physiology 120 60 ------180 Biochemistry 70 60 ------130 Dental Materials 80 240 ------320 Dental Anatomy, Embryology and 105 250 ------355 Oral Histology Dental Pharmacology & Therapeutics 70 20 ------90 General Pathology 55 55 ------110 General Microbiology 65 50 ------115 General Medicine 60 ------90 150 General surgery 60 ------90 150 Oral Pathology & Microbiology 145 130 275 Oral Medicine & Radiology 65 ------170 235 Paedodontics & Preventive Dentistry 65 170 235 Prosthodontics & Preventive Dentistry 65 ------170 235 Orthodontics & Dento-facial 50 ------170 220 Orthopedics Periodontology 80 ------170 250 Oral & Maxillofacial Surgery 70 ------270 340 Conservative Dentistry & Endodontics 135 200 370 705 Prosthodontics & Crown & Bridge 135 300 370 805 Public Health Dentistry 60 ------200 260 Total 1590 1540 2240 5200
Note: There should be a minimum of 240 teaching days every academic year consisting of 8 working hours including one hour of lunch break. Internship-240x8 hours=1920 clinical hours. 20 Page Subjects in First year BDS and hours of instruction
Lecture Practical Clinical Total Subject Hours hours Hours Hours General human anatomy including 100 175 ------275 embryology, osteology and histology General human physiology 120 60 ------180 Biochemistry 70 60 ------130 Dental materials 20 40 ------60 Dental anatomy, embryology and oral 105 250 ------355 histology Pre-clinical prosthodontics & crown and ------100 ------100 bridge Total 415 685 ------1100
Subjects in Second year BDS and hours of instruction*
Lecture Practical Clinical Total Subject Hours hours Hours Hours General and Dental pharmacology & 70 20 ------90 therapeutics
General pathology 55 55 ------110 Microbiology 65 50 ------115 Dental materials 60 200 ------260 Oral pathology & microbiology 25 50 ------75 Pre-clinical prosthodontics & crown 25 200 ------225 bridge Pre-clinical conservative dentistry 25 200 ------225 Total 325 775 ------1100
* Preclinical Paedodontics and Orthodontics may be integrated and modifiable based on the availability of hours. 21 Page Subjects in Third year BDS and hours of instruction
Lecture Practical Clinical Total Subject Hours hours Hours Hours General medicine 60 ------90 150 General surgery 60 ------90 150 Dental materials 20 40 ------60 Oral pathology & Microbiology 120 80 200 Oral medicine & Radiology 20 ------70 90 Paedodontics & Preventive Dentistry 20 70 90 Prosthodontics and preventive dentistry 20 ------70 90 Orthodontics & Dento-facial 20 ------70 130 Orthopedics Periodontology 30 ------70 90 Oral and maxillofacial surgery 20 ------70 90 Conservative dentistry & endodontics 30 ------70 100 Prosthodontics and crown & bridge 30 ------70 100 Total 410 80 750 1160
Subjects in Final year BDS and hours of instruction
Lecture Practical Clinical Total Subject Hours hours Hours Hours Prosthodontics and crown & bridge 80 ------300 380 Oral Medicine and radiology 45 ------100 145 Periodontology 50 ------100 150 Public Health dentistry 60 ------200 260 Conservative Dentistry and Endodontics 80 ------300 380 Oral and maxillofacial surgery 50 ------200 250 Orthodontics and dento-facial 30 ------100 130 orthopedics Paedodontics and preventive dentistry 45 ------100 145 Total 440 ------1400 1840 22 Page Examinations
Evaluation is achieved by 2 processes a. Formative or internal assessment b. Summative or university examinations Formative evaluation is done through a series of tests and examinations conducted periodically by the institution. Summative evaluation is done by the University through examinations conducted at the end of the specified course. METHODS OF EVALUATION: Evaluation may be achieved by the following tested methods 1. Written test 2. Practicals examinations 3. Clinical examinations 4. Viva voce SCHEME OF EXAMINATIONS 1. The University shall conduct two examinations annually at an interval of not less than 6 months as notified by the university from time to time. 2. The scheme of examination of B.D.S. course shall be divided into 4 professional examinations, viz., I.B.D.S. Examination at the end of first academic year, II B.D.S. at the end of second academic year, III B.D.S. at the end of third academic year and Final year B.D.S. examination at the end of fourth academic year. 3. A pass in all 8 subjects is mandatory for completion of the final year BDS course before undergoing internship program. 4. Any student who does not clear the BDS course in all the subject within a period of 9 years, including one year Compulsory Rotatory paid Internship from the date of admission shall be discharged from the course.(7th Amendment to DCI Regulations, 2015, notified in Gazette of Government of India dated 23.05.2015). ELIGIBILITY CRITERIA TO APPEAR IN UNIVERSITY EXAMINATIONS A candidate who satisfies the requirement of attendance, progress and conduct as stipulated by the university shall be eligible to appear in the University examination. Certificate to the above effect should be produced from the Head of the Institution along with the application for examination and the prescribed fee. University shall organise admission timings and the admission process in such a way that the teaching starts from the 1st day of August in each academic year 1. Attendance percentage requirement : a. Each academic year consist of 240 days of teaching for 8 hours including 1 hour of lunch break. Every candidate shall have attendance of 80% in theory classes and 80% individually in Practicals / Clinicals in each subject in each year. b. In case of subject in which the instructional program extends more than one academic year and hence there is no University Examination in the subject during that year (i.e. non- exam going subjects), the attendance requirement shall not
be less than 80% in Lectures and 80% in Practical / Clinical classes. At the time 23 of appearing for the professional examination in the subject the candidate should Page satisfy the condition as above. c. Candidate who is declared failed in any year, will be continuing their classes till the next exam to gain similar attendance percentage. This is however not applicable for a candidate who has carry-over subject. 2. Internal assessment marks requirement : a. Formative assessment in the form of internal assessments will done throughout the program. Quarterly internal assessment exams will be held. A minimum of three internal assessments will be held. The average of these three tests will be taken for the internal assessment marks. Apart from this a model exam will be conducted. Clinical or practical exams, clinical records and periodic assignments will also be assessed. Ten percent of the total marks in each subject separately for theory and practical / clinical examination separately should be set aside for the internal assessment examination. b. A minimum of 50% of internal assessment marks in theory and clinicals individually is mandatory to be eligible to appear in the final exam. c. Candidate who has failed in a particular subject or subjects should take the internal assessment examination in failed subject/s. If this new internal assessment marks is better than the previous it will be given due consideration. UNIVERSITY WRITTEN EXAMINATION 1. The written examination in each subject shall consist of one paper of three hours duration and shall have maximum marks of 70. 2. The theory paper will be evaluated by one internal and one external examiner 3. Syllabus with system weightage, and blueprint of the question paper as per the must know / diserable to know and nice to know, topic distribution will be provided to the paper setter. 4. Each theory paper will consist of two Parts with the following marks distribution:
20 MCQs TOTAL PART I 20 X 0.5 = 10 Marks 10marks
PART II
1 Long answer 3 Short Answer TOTAL SECTION A question Questions of 25 Marks 10marks 5 marks each 1 Long Answer 3 Short Answer TOTAL SECTION B Question of Questions of 25 Marks 10 marks 5 marks each 5 Very Short Answer TOTAL SECTION C Questions 10 Marks of 2 marks each
24 GRAND TOTAL 70 Marks Page UNIVERSITY PRACTICAL AND CLINICAL EXAMINATION The specific scheme of clinical and practical examinations, the type of clinical procedures / experiments to be performed and marks allotted for each are to be discussed and finalized by the Chairman and other examiners and it is to be published prior to the conduct of the examinations along with the publication of the time table for the practical examinations. This scheme should be brought to the notice of the external examiner as and when the examiner reports. The practical and clinical examiner appointed from other universities preferably outside the state. Each candidate should be evaluated by each examiner independently and marks computed at the end of the examination. The Institution follows a hybrid pattern of practical examination having both traditional clinical examination & also Objective Structured Clinical Evaluation. Record book : The candidate should be given credit for his records based on the scores obtained in the record. UNIVERSITY ORAL EXAMINATION Oral examination will be conducted by both examiners individually. Twenty marks is allotted for viva voce and that can be divided equally amongst the examiners. UNIVERSITY EXAMINATIONS SUBJECTS I BDS exams will be on the following subjects 1. General anatomy including embryology and histology 2. General human physiology 3. Bio chemistry, Nutrition and Dietetics 4. Dental anatomy, embryology and oral histology II BDS exams will be on the following subjects 1. General pathology 2. General microbiology 3. Dental material 4. General and dental pharmacology and therapeutics 5. Preclinical conservative – only practical and viva voce 6. Preclinical prosthodontics – only practical and viva voce III BDS exams will be on the following subjects 1. General medicine 2. General surgery 3. Oral and Maxillofacial pathology and Oral microbiology IV BDS exams will be on the following subjects 1. Public Health dentistry 2. Periodontology 3. Orthodontics and Dentofacial orthopedics 4. Oral Medicine and Radiology 5. Oral & Maxillofacial Surgery 6. Conservative dentistry and endodontics 7. Prosthodontics and crown & Bridge 8. Paedodontics & Preventive Dentistry 25 Page MARKS DISTRIBUTION IN EXAMINATION SUBJECTS: Each subject shall have a maximum of 200 marks. Theory : 100 Practical /Clinical : 100
University examinations that include theory and Practicals / clinicals
Internal assessment 10 marks THEORY Written exam 70 marks Viva voce 20 marks Total 100 marks Internal assessment 10 marks PRACTICALS / Practicals/ clinicals & 90 marks CLINICALS OSCE / OSPE Total 100 marks
Practical and viva only in University examination (Pre-clinical Prosthodontia and pre- clinical Conservative Dentistry examinations) Each subject shall have a maximum of 100 marks.
Internal assessment 20 marks Practicals 60 marks Viva voce 20 marks Total 100 marks
PASS/ FAIL CRITERIA IN UNIVERSITY EXAMINATIONS For declaration of pass in a subject, a candidate shall secure 50% marks in the University examination both in Theory and Practical/Clinical examinations separately, as stipulated below: 1. For pass in Theory, a candidate shall secure 50% marks in aggregate in University theory examination i.e. marks obtained in University written examination, viva voce examination and internal assessment (theory) combined together i.e. fifty out of One hundred marks. 2. In the University Practical/clinical examination, a candidate shall secure 50% marks in aggregate i.e. Practical /Clinical and Internal Assessment combined together i.e. 50/100 marks. 3. In case of pre-clinical Prosthetic Dentistry and Pre-clinical Conservative Dentistry in II BDS, were there is no written examination, minimum for pass is 50% of marks in Practical and Viva voce combined together in University Examination including Internal Assessment i.e. 50/100 marks 4. Successful candidates who obtain 65% of the total marks or more shall be declared to have passed the examination in First Class. Other successful candidates will be 26 placed in Second Class. A candidate who obtains 75% and above is eligible for Page Distinction. Only those candidates who pass the whole examination in the first attempt will be eligible for distinction or class. 5. Any student who fails in one subject in an examination is permitted to go to the next higher class and appear for the said subject and complete it successfully before he is permitted to appear for the next higher examination. 6. Any student who fails in more than one subject in an examination will not be permitted to go to the next higher class until he completes it successfully. However they should continue to attend the classes of the same year to gain adequate attendance percentage and attend all the internal assessment exams that are conducted regularly, to improvise upon their previous internal assessment marks.
7. Moderation : Moderation process will award only up to 5 marks to candidates who fail only in one subject, provided they have appeared in exams for all the subjects in that year.
8. Re-Totaling & Re-Evaluation : Candidates can apply for Re-totaling and Re- evaluation of the theory paper after paying the stipulated fee within the prescribed time as determined by the university norms. 27 Page I Year Syllabus KNOWLEDGE OBJECTIVES clinical yearsoftheBDScourse. structures. Sothatrelevantanatomical&scientificfoundationsarelaiddownforthe important of clinically development embryological the disease, and and of inheritance basis the normalhumanheadandneck,functionalhistologyanappreciationofgenetic GOAL
SKILLS anatomy of The studentsshouldgaintheknowledgeandinsightinto,functional To detectvariouscongenitalabnormalities. To identifythefeaturesinradiographsand modern imagingtechniques. To identifyvarioustissuesundermicroscope. To locatevariousstructuresofthebodyand tomarkthetopographyofliving Know theanatomyofcardio-pulmonaryresuscitation radiographs andpicturestakenbymodernimagingtechniques. Know thesectionalanatomyofheadneckandbraintoreadfeaturesin effects ofteratogens,geneticmutationsandenvironmentalhazards. Have anideaaboutthebasisofabnormaldevelopment,criticalstages or motordeficitsencountered. Know thenervoussystemtolocatesiteoflesionsaccordingsensoryand understanding ofthediseaseprocesses. Know themicroscopicstructureofvarioustissues,apre-requisitefor Know theanatomicalbasisofdiseaseandinjury. a patientandwhileconductingclinicalprocedures. examining clinically in thebodywhile disposition ofthestructures Know thenormal anatomy. General HumanAnatomyIncludingEmbrology, Theory hours 100 Osteology andHistolog Number ofhoursprescribedbyDCI General HumanAnatomyIncludingEmbryology,OsteologyandHistology Practicals hours 175 Total 275
Page29 Page30 SYLLABUS General HumanAnatomyIncludingEmbryology,OsteologyandHistology No. Sl 2. 1. NEUROANATOMY Eyeball –Structureoftheeyeball Eustachian tube Ear –Middleear,tympanicmembrane, anatomy. supply, lymphaticdrainage&applied Tongue- Parts,Musclesoftonguewithnerve supply &action. Soft palate-Musclesofsoftpalatewithnerve air sinuses wall ofnose,medialnose,paranasal Nasal cavity¶nasalairsinuses-Lateral ciliary ganglion. ophthalmic divisionoftrigeminalnerve, artery, contents, Extraocularmuscles,Ophthalmic Orbit- Boundariesofbonyorbitandits sinuses Cranial cavity-Duralfolds&venous Pterygopalatine ganglion Pterygopalatine fossa–Maxillarynerve, ganglion nerve, Temporomandibularjoint,otic of mastication,Maxillaryartery,Mandibular Temporal &Infratemporalregion–Muscles Parotid region Lacrimal apparatus supply offace Face- Musclesofface,bloodsupply&nerve Scalp GROSS ANATOMY-HEADREGION Topic
Weightage System 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 2% Number of hours 1 1 1 1 1 1 1 1 1 1 1 1 2 Desirable know(M) know(N) know(D) Nice to Must M M M M M M M M M M M M M to 4. 3. suprarenal gland. gland, thyroid¶thyroid gland, Endocrine system-Histology ofpituitary Ovary Reproductive system–HistologyofTestis & kidney ,ureter. Urinary system-Histologyofurinarybladder, lungs. Respiratory system-histologyoftrachea& pancreas large intestine,appendix,liver,gallbladder & salivary glands,tongue,stomach,smalland Gastrointestinal system-Histologyof SYSTEMIC HISTOLOG anomalies Development ofThyroidgland&its Development ofTongue&itsanomalies Development ofpituitarygland Development ofsalivaryglands. Development ofpalate&itsanomalies Development ofFaceanditsanomalies Pharyngeal apparatusanditsderivatives SYSTEMIC EMBROLOG Cranial nerves-V,VII,IX,X,XI,XII Cerebellum- structure&function Blood supplyofcerebrumandcirclewillis Ventricles andCSFcirculation and midbrain Brain stem-crosssectionofmedulla,pons hemisphere, whitematterofcerebrum, areas onsuperolateralsurfaceofcerebral Cerebral cortex-Sulci,gyrusandfunctional supply. Spinal cord-Externalfeatures,tracts,blood General HumanAnatomyIncludingEmbryology,OsteologyandHistology 5% 5% 5% 5 hrs 5 hrs 7 hrs M M M
Page31 Page32 SYLLABUS General HumanAnatomyIncludingEmbryology,OsteologyandHistology No. Sl 6. 5. circulation, endarteries Vascular system-types ofanastomosis,collateral Classification ofmuscles withexample joints Characteristic featureandclassificationofsynovial Classification ofjointswithexample Parts ofayounglongbone,bloodsupply Classification ofbonewithexamples, GENERAL ANATOMY Cervical plexusofnerves,jointsneck Larynx Pharynx Sympathetic chain Trachea andoesophagus Thyroid gland Deep structuresofneck Submandibular region Subclavian arteryanditsbranches External andinternaljugularvein, External andinternalcarotidartery Blood vesselsofneck prevertebral fascia,carotidsheath. Investing layer,pretrachealfascia, Deep fasciaofneck Muscles ofNeck&Suboccipitaltriangle Posterior triangle-boundariesandcontents Anterior triangle-boundariesandcontents Triangles ofneck GROSS ANATOMY-NECKREGION Topic Weightage System 1% 2% 2% 2% 2% 4% 2% 4% Number of hours 1 hrs 2 hrs 2 hrs 1 hrs 2 hrs 2 hrs 2 hrs 4 hrs Desirable know(M) know(N) know(D) Nice to Must M M M M M M M M to Practicals :no:ofhours=175 S.No 1. 9. 8. 7. lymph vessels. terms, bones,joints, muscles, bloodvessels,nerves, Introduction- Anatomicalposition,bodyplanes, counseling, modesofinheritance. karyotyping, Barrbody,genemutation,genetic Turner’s syndrome,Klinefelter’s Chromosomes &itsdisorders,Down’ssyndrome. GENETICS Skin- thickandthin spleen,lymphnode Lymphoid tissue-thymus,palatinetonsil, Blood vessels-arteryandvein Nervous tissue-peripheralnerve&ganglia muscle. Muscular tissue-Skeletal,cardiac&smooth Bone- spongyandcompactboneTS&LS cartilage Cartilage-hyaline, whitefibrocartilage,elastic Connective tissue-cells,fibres Epithelial tissue-simpleandcompound GENERAL HISTOLOGY ectoderm,endoderm,mesoderm. neural crestcells,placenta,derivativesof primitive streak,notochord,somites, blastocyst,amniotic cavity,yolksac, implantation, germlayerformation, Spermatogenesis, oogenesis,fertilization, GENERAL EMBRYOLOG nerves, neuroglialcells. Nervous system-Classificationofneurons,spinal organs Lymphatic system-lymphaticvessels,lymphoid Practical exercises General HumanAnatomyIncludingEmbryology,OsteologyandHistology 2% 5% 5% 5%
10 hours Hours 2 hrs 5 hrs 5 hrs 5 hrs Observe/ assist/ Observe perform M M M M
Page33 Page34 1. Scheme ofExamination:
General HumanAnatomyIncludingEmbryology,OsteologyandHistology BLUEPRINT OFTHEOR Y PAPER 3) 2) 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks 2. 6 4 5 3 Total= 90+10=100marks Internal assessment:10 marks Records= 10marks 10 stationsX4markseach=40marks OSPE =40marks 1) Practical examination:90Marks SECTION A Demonstration ofembryologymodels Soft tissuedissection slides Demonstration ofgeneral&systemichistology parietal bone,occipitalbone mandible, maxilla,frontalbone,temporal interior ofskull,cervicalvertebra,individualbones- Osteology ofhead&neck-Exteriorskull, Surface anatomy Theory :70Marks b) a) Traditional =40marks Part I at II : Part One blockdiscussionofneckregion-10marks One blockdiscussionofheadregion–10marks Dissection =20marks One systemichistologyslidediscussion-10marks One generalhistologyslidediscussion-10marks Histology =20marks : systemic embryology. Gross anatomyofHead region,Neuroanatomy,Systemichistology, : Section A Section B Section C 20 MCQs(X0.5=10Marks) : : :
3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 5 VSAQs(5X2=10Marks)
10 hours 60 hours 20 hours
15hours 60hours perform perform perform observe observe MCQ,S andVSAQs–CombinationofbothsectionA&SectionBGenetics embryology, General 3. 2. Boston. 1. Recommended books SECTION C SECTION B
SECTION B: SECTION A: Part I-MCQs: S. No S.No S.No
1 1 1 5 4 3 2 4 3 2 6 5 4 3 2 7 8 RJ LAST’SAnatomy – McMinn,9thedition. SNELL (RichardS.)ClinicalAnatomyforMedical Students,Ed.5,LlittleBrown&company, Head region1+neck1+embryology 1+genetics1+histology1 Five VSAQ’s(5x2=10) ROMANES(G.J.) Cunningham Manual of Practical Anatomy : Head & Neck & Brain Ed.15 ROMANES(G.J.) Cunningham ManualofPracticalAnatomy:Head &NeckBrainEd.15 Vol.III, OxfordMedical publication. Genetics General histology General embryology General Anatomy Systemic embryology Systemic histology Central nervoussystem General histology systemic embryology General embryology General anatomy Gross anatomyofneckregion Gross anatomy-Neckregion Gross Anatomy-Headregion Gross anatomyofheadregion Systemic histology Genetics. : histology, Genetics. Gross anatomyofneckregion,Generalanatomy, General HumanAnatomyIncludingEmbryology,OsteologyandHistology TOPICS TOPICS TOPICS LAQ LAQ 1 1 MCQs 2 2 2 1 5 5 2 1 SAQ SAQ 1 1 1 1 1 1
Page35 Page36 8. 7. 6. 5. 4. General HumanAnatomyIncludingEmbryology,OsteologyandHistology
EMERY,Medical Genetics. WILLIAMS, Gray’sAnatomy,Ed.38.,ChurchillLivingstone. Anatomy.Williams&Wilkins. Grant’sAtlasof JAMES EANDERSON, SADLER ,LANGMAN’S,MedicalEmbryology,Ed.6. WHEATER,BURKITT& DANIELS,FunctionalHistology,Ed.2,ChurchillLivingstone.
6)
in the 5)
4)
3)
Time: 3hrs
2) 1) MODEL MULTIPLECHOICEQUESTIONS D) C) Choanae B) A) Additus The communicationbetween pharynxandnasalcavityisknown asthe: D) C) B) A) The cellbodiesoftastefibresfromtheanterior two-thirdsofthetonguearelocated D) Buccal C) B) Mylohyoid A) Lingual The paincausedbythedrillingofamandibularmolartoothisconveyedthrough. D) C) B) A) Which nervecarriespostganglionicparasympatheticfibrestoParotidgland? D) C) B) A) Following extraocularmusclesaresuppliedbyoculomotornerveEXCEPT D) Galeaaponeurotica C) B) Skin A) Which ofthefollowinglayersscalpisconsideredasdangerouslayer? Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams Piriform recess Auditory tube Trigeminal ganglion Submandibular ganglion Pterygopalatine ganglion Geniculate ganglion Inferior alveolar Lesser petrosalnerve Auriculotemporal nerve Greater auricularnerve Greater petrosalnerve Inferior oblique Inferior rectus Superior oblique Superior rectus Superficial fascia Subaponeurotic layer UNIVERSITY MODELQUESTIONPAPER
General HumanAnatomyIncludingEmbryology,OsteologyandHistology
I BDS(2017-2018) ANATOMY PART I
Max. Marks:70
(20X0.5=10)
Page37
15)
14)
13)
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by which 9) 8)
Page38 7) General HumanAnatomyIncludingEmbryology,OsteologyandHistology B) Hemophilia A) Following aretheexamples ofX-linkedrecessivetraitsEXCEPT D) C) B) Incus A) Malleus Following structuresarethederivativesoffirst pharyngealarchEXCEPT D) C) B) A) Palatine tonsilisdevelopedfrom? D) Ligamentumflavum C) B) A) The remnantofthenotochordinadultpersistsas D) C) B) Ovary A) Uterus The normalsiteofFertilisationis D) Lingual C) B) A) Facial Following arethebranchesofexternalcarotidarteryEXCEPT D) C) B) A) of thefollowingfascia? A thyroidmassusuallymoveswithswallowingbecausetheglandisenclosed D) Stylohyoid C) Sternothyroid B) Sternohyoid A) Omohyoids Following musclesareinnervatedbyansacervicalisEXCEPT D) Thyroarytenoid C) Cricothyroid B) A) The musclemostcommonlyresponsiblefortheabductionofvocalfoldis Vitamin Dresistantrickets Sphenomandibular ligament Styloid process Fourth pharyngealpouch Third pharyngealpouch Second pharyngealpouch First pharyngealpouch Nucleus pulposusoftheintervertebraldisc Spinal cord Vertebral column Ampulla oftheuterinetube Pelvic cavity Ascending pharyngeal Middle meningeal Buccopharyngeal fascia Carotid sheath Prevertebral fascia Pretracheal fascia Lateral cricoarytenoid Posterior cricoarytenoid
20)
19) 18)
17) 16)
Ans- D D) C) B) Gomphosis A) Sutures Following arefibrousjoint D) C) B) A) Parafollicular cellsareseenin D) Ileum C) Appendix B) Duodenum A) Stomach Payer’s patchesarecharacteristicallyseenin D) Pseudostratified C) B) A) Lining epitheliumofurinarybladderis D) C) Spleen B) Thymus A) Lymphnode Hassal’s corpusclesarecharacteristicof D) C) Xiphisternal joint Middle radioulnarjoint Pineal gland Thyroid gland Pituitary gland Suprarenal gland Simple columnar Simple cuboidal Transitional epithelium Palatine tonsil Duchenne musculardystrophy Colour blindness
General HumanAnatomyIncludingEmbryology,OsteologyandHistology EXCEPT
Page39 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTION 8) 7) 6) SHORT ANSWERQUESTIONS:
5) LONG ANSWERQUESTION tongue 4) 3) 2) SHORT ANSWERQUESTIONS:
Page40 1) LONG ANSWERQUESTION: General HumanAnatomyIncludingEmbryology,OsteologyandHistology State anyfourclinicalfeaturesofDown’ssyndrome. State theclinicalimportanceofpiriformfossa. Enumerate thebranchesofthirdpartmaxillary artery. State theformationandcontentsofcarotid sheath. superior obliquemuscle. Enumerate extraocularmusclesandgivetheirnervesupply.Statetheactionof Define implantation.Statethenormalandabnormalsitesof Draw alabeleddiagramshowingthehistologicalfeaturesofLymphnode. State thepartsofalongbone.Discussitsbloodsupply. D) C) B) A) Location Describe thyroidglandunderthefollowingheadings Draw alabeleddiagramshowingthehistologicalfeaturesofcircumvallatepapillae Discuss thedevelopmentofface.Addanoteoncongenitalanomalies. Discuss thebloodsupplyofsuperolateralsurfacecerebrum D) C) Communications B) Tributaries A) DescribeCavernous sinusunderthefollowingheadings Applied anatomy Blood supply Parts andrelations Applied aspects Formation andrelations
Section -A PART -II Section C Section B
(1 X10=10) (1 X10=10)
(1+4+3+2) (2+3+3+2) ( 3x5=15) (5x2=10) (3x5=15)
KNOWLEDGE OBJECTIVES body tofacilitateanunderstandingofthephysiologicalbasishealthanddisease of theorgansystems the studentcomprehensiveknowledgeofnormalfunctions GOAL Skills The broadgoaloftheteachingundergraduatestudentsinPhysiologyaimsatproviding
he/she hasperformedandobservedinthelaboratory Distinguish betweennormalandabnormaldataderivedasaresultoftestswhich Interpreted experimentalandinvestigativedata Conduct experimentsdesignedforthestudyofphysiologicalphenomena. At theendofcourse,studentshallbeableto: disease List thephysiologicalprinciplesunderlyingpathogenesisandtreatmentof the milieuinterior. Assess therelativecontributionofeachorgansystemtowardsmaintenance Co-ordinated totalbodyfunction. well the organsystemsandtheirinteractionsfor of all functioning the normal Explain HumanPhysiologyNumberofteachinghoursasperDCI Theory 120 General Physiolog Practical 60 Total 180 General Physiology
Page41 Page42 Theory teachinghours:120 I yearBDSSyllabus General Physiology Blood andodyfluids Gastrointestinal System General Physiolog Nerve MusclePhysiolog No. 11 12 10 Sl 4. 1. 3. 2. 1 2 3 6 5 4 3 2 1 7 9 8 Body fluids:Compositionanddistribution Membrane potential,Actionpotential(Nerve) Composition andfunctionsofblood Plasma proteins–Typesandfunctions Anemia Blood indices,Hemoglobin-Jaundice functions andvariations Erythrocytes –Erythropoiesis,Morphology, and dangersofbloodtransfusion Blood groups:ABO&Rhsystem,indications &Rigor mortis transmission ofimpulse, Myastheniagravis Neuromuscular junction:Structure& Skeletal muscle:structure,Sarcotubularsystem Transport acrosscellmembrane Homeostasis Structure andfunctionsofcell endothelial system Leukocytes –Classification,functions,reticulo Tissue fluids&lymph,Edema Haemostasis, anticoagulants Platelets –Morphologyandfunctions Nerve- structure,classificationofnervefibres Immunity Topic Weightage 11-15% System 4 % 4% Number of hours 0.5 0.5 0.5 0.5 0.5 1 1 1 1 1 1 1 2 1 1 1 2 1 2 / Desirable know (M) (D) /Nice to know to know Must (N) M M M M M M M M M M M M M M M M D D D Endocrine Physiolog Reproduction 3. 1. 2. 1 1 2 6 5 4 3 3 2 6 5 4 4 7 8 7 8 regulation anditsdisorders Anterior pituitary:hormones,functions, regulation anditsdisorders Endocrine pancreas-hormones,functions, Calcium homeostasis regulation anditsdisorders Thyroid andparathyroid-hormones,functions, regulation &Disorders(diabetesinsipidus) Posterior pituitary-hormones,functions, MMC, peristalsis General structure&innervationofGIT,BER, Mastication °lutition functions ®ulation Salivary glandsecretion:composition, regulation Pancreatic secretion:composition,functions& Gastric movements and Regulation. Gastric secretion-Composition,functions messengers mechanism ofhormoneaction,Second Endocrine glands,Classificationofhormones, Pregnancy: Maternal changes Contraception regulation anditsdisorders Adrenal cortex-hormones,functions, movements, Defecation Small intestine&Largeintestine:functions Bile: composition,functions®ulation progesterone Menstrual cycle,functions ofestrogensand Female reproductivesystem:Oogenesis, Blood testisbarrier,Functionsoftestosterone Male reproductivesystem:Spermatogenesis, disorders Adrenal medulla-hormones,functionsand its
15 % 8 % 8% 1.5 0.5 0.5 1 1 1 1 1 1 1 1 1 1 1 1 2 1 2 1 1 General Physiology M M M M M M M M M M M M M M M M M N D D
Page43 Page44 General Physiology Cardiovascular system Respiratory sstem 10 1 1 2 3 6 5 4 5 4 3 2 9 6 8 7 7 9 8 properties ofcardiacmuscle Heart: Originandspreadofcardiacimpulse, Normal ECG volume changesinatriaandventricles,JVP Cardiac cycle:definition,Phases,Pressure& regulation (principles underlyingthemethodsonly),its physiological variations,determination, Cardiac output:definition,normalrange, its regulation Heart rate:normalvalue,factorsaffectingand Heart sounds:causes,characteristics,murmurs Alveolar surfacetension work doneduringbreathing:airwayresistance Pressure volumerelationship(compliance); normal values Lung volumesandcapacities;definition, during ventilation Mechanics ofbreathing,pressurechanges posture Cardio-vascular changesduringexerciseand Coronary circulation (surfactant, hyalinemembranedisease); Non respiratoryfunctionsofsystem Functional anatomyofrespiratorysystem, diffusion capacityoflungs alveolar ventilation:Deadspace,v/pratio, symptoms Shock: physiologicalbasisofsignsand reflex, hypertension. regulation andmeasurement,bainbridge maintaining bloodpressure,determinants, values, physiologicalvariations,factors Arterial bloodpressure:definitions,normal dissociation curve;Carbon dioxidetransport Oxygen transport:oxygen –hemoglobin Hypoxia: types andeffects regulation Regulation ofrespiration: neural&Chemical
11-15% 8 % 1.5 1.5 0.5 0.5 0.5 1.5 1 1 1 1 1 1 1 1 1 1 2 1 2 M M M M M M M M M M M M M M M D D D D Special senses RENAL SYSTEM Central nervoussystem 10 1 6 2 6 5 4 3 5 4 9 8 7 7 1 3 6 5 4 3 2 2 1 7 functions Autonomic nervoussystem:organization& functions, UMNL&LMNL Pyramidal tracts: origin, course, termination and Vision :functionalanatomyofeyeball Visual pathway for tastesensation Taste :tastebuds,primary tastesensation,pathway hearing Auditory pathways&Deafness-types tests of inner ear,organofcorti,mechanismhearing middleand ofouter, &functions :anatomy Audition & astigmatism. hypermetropia,presbyopia Refractive errors:myopia, Physiology ofpain and vibration Pathways forfinetouch,pressure,proprioception, Cerebral cortex:areas&functions Disorders ofcerebellumandbasalganglia and hypothalamusRegulation of body temperature Functions ofcerebellum,basalganglia,thalamus, Smell :receptors,olfactory pathways Sensory receptors–types&functions types ;functions Functions ofkidneys.Nephron:structure, Mechanism of concentration and dilutionof urine Chloride, Glucose,Water)andsecretion Renal tubularfunction:reabsorption(Sodium, regulating it GFR: definition, Normal value, factors affecting and regulating RBF Renal blood flow:normalvalve,factorsaffectingand & functions apparatus; structure Juxtaglomerular Synapse -structure&itsfunction Micturition Functional organizationofCNSandspinalcord
12 % 8 % 4% 1.5 0.5 0.5 0.5 1 1 1 1 1 2 1 1 2 1 1 1 1 1 1 1 1 1 1 1 General Physiology M M M M M M M M M M M M M M M M M N N D D D D D
Page45 Page46 1. Scheme ofexamination: Practical teachinghours:60
2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks General Physiology S.No 13 12 11 10 9 8 7 6 5 4 3 2 1 TOTAL Internal assessment Practical examination:90Marks Determination ofpulse&BP Examination ofradialpulse Examination ofCNS Examination ofRS Examination ofCVS Determination ofbleedingtime&clotting Determination ofbloodgroup Differential leucocytecount Determination ofhemoglobinconcentration Determination ofWBCcount Determination ofRBCcount Study ofHemocytometry Study ofMicroscopy Theory :70Marks OSPE Minor experiment Major experiment Part I at II : Part : Section A Section B Section C 20 MCQs(X0.5=10Marks) 100 marks 10 marks
Practicals : : : 50 marks 15 marks 25 marks 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 5 VSAQs(5X2=10Marks)
Perform /Demonstration Demonstration Demonstration Demonstration Demonstration Demonstration Perform Perform Perform Perform Perform Perform Perform Perform PART I: Matrix I:IfLAQisfromblood Section A PART II: Blueprint oftheorypaper: Special senses Central nervoussystem Reproduction Endocrinology Gastrointestinal Respiratory system Cardiovascular system Renal system Nerve-muscle Blood General physiology Chapters Section C&MCQs Section B Section A Respiratory system system Cardiovascular Renal system Nerve-muscle Blood General physiology Chapters All thesystems Central nervoussystem,Specialsenses Gastro intestinaltract,Endocrinology,Reproduction, system Renal system,CardiovascularsystemandRespiratory General physiology,Blood,Nerve-muscle LAQ 1 MCQs 1 1 2 2 2 2 2 2 2 2 2 SAQ 1 1 1 VSAQ 1 1 1 General Physiology 25 marks 25 marks 20 marks
Page47 Page48 General Physiology Recommended Books: Matrix II:IfLAQisfromCVS Matrix I:IfLAQisfromEndocrinology Section B Matrix II:IfLAQisfromCentralnervoussystem PRACTICAL THEORY Respiratory system system Cardiovascular Renal system Nerve-muscle Blood General physiology Respiratory system Special senses system Central nervous Reproduction Endocrinology Gastrointestinal Special senses system Central nervous Reproduction Endocrinology Gastrointestinal Chapters Chapters Chapters AK Jain Manual ofpracticalphysiology forBDSby Bijlani Dr AKJain2.Fundamentals ofphysiology- 1. Humanphysiology forBDS.5thedition- LAQ LAQ LAQ
1 1 1 SAQ SAQ SAQ 1 1 1 1 1 1 1 1 1 VSAQ VSAQ VSAQ 1 1 1 1 1 1 1 7. 6. 5.
4.
3.
2.
Time-3hrs
1. MODEL MULTIPLECHOICEQUESTIONS D. Oxytocin C. Vasopressin B. Glucagon A. Insulin Diabetes insipidusisdue todeficiencyof D. Ammonia C. Urea B. Sodium A. Glucose Which amongthefollowingsubstanceiscompletely reabsorbedbyrenaltubules D. Dystropin C. Tropomyosin B. Troponin A. Actin Which ofthefollowinginskeletalmuscleisacontractileprotein D. C. B. Soma A. Dendrites Action potentialofanerveoriginatesat D. C. B. A. Hemophilia isduetodeficiencyof D. Parturition C. B. A. Temperature Which ofthefollowingisregulatedbypositivefeedbackmechanism? D. C. B. A. The restingmembranepotentialofnerveis______mV Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams Synaptic knob Axon hillock Factor X Factor VIII Factor V Factor II Thyroid hormones Blood pressure – 90 – 80 – 70 – 60
UNIVERSITY MODELQUESTIONPAPER I BDSEXAMINATION PHYSIOLOG PART I
MAX MARKS-70
General Physiology (20X0.5=10)
Page49 Page50 centre 11. 15.
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A. Which ofthefollowingfactorhasdirectstimulatoryeffectonmedullaryrespiratory A. 28 Optimal temperatureforspermatogenesisis D. Glucocorticoids D. C. C. B. A. Calcitonin Cretinism isduetodeficiencyof B. D. C. Segmentation A. Partial pressureofoxygeninatrialbloodisaround______mmHg B. D. A. Peristalsis Which offollowingmovementhelpsinmixingchymewithgastrointestinalsecretion D. Prostaglandin C. Histamin C. B. B. A. Gastrin Which ofthefollowinginhibitsgastricsecretion A. First heartsoundisdueto C. B. A. D. C. D. C. B. A. P waveofECGisdueto C. 37 Mechanism ofaction of intrauterinecontraceptivedevicesis D. 40 B. 32 B. Changes inarterialPCO 95 –97 Thyroid hormones 75 –77 Growth hormone 55 –57 Haustral contraction 25 –27 Reverse peristalsis Opening ofatrio-ventricularvalves Closure ofatrio-ventricularvalves Acetyl choline Opening ofsemilunarvalves Closure ofsemilunarvalves Prevents ovulation Prevents implantation ofovum Acts asbarriertosperm Changes inarterialpressure Changes inarterialpH Ventricular repolarization Ventricular depolarization Atrial repolarization Atrial depolarization Changes inarterialPO 0 0 0 0 C C C C
2
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6. SHORT ANSWERQUESTIONS insulin. 5. LONG ANSWERQUESTION Section B: 4. 3. 2. SHORT ANSWERQUESTIONS 1. LONG ANSWERQUESTION:
20.
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List thecomposition andfunction ofsaliva. List thesymptomsof diabetes mellitus. Name thehormonessecreted byendocrinepancrease.Brieflydescribe theactionsof Draw oxygendissociationcurve.Listthefactors shiftingthecurvetorightandleft. Define cardiacoutput.Writeitsnormalrange. Listthefactorsaffectingit. Draw andexplainthestructurefunction ofJuxtraGlomerularapparatus. List thefactorsregulatingit. Define erythropoiesis.Brieflydescribethestagesof D. 47 C. 43 B. 41 A. 37 Primary auditoryareais D. Cornea C. Lens B. A. Visual acuityisgreatestat D. Hypothalamus C. Thalamus B. A. Cerebellum Parkinsonism isduetolesionin D. C. B. A. Which ofthefollowingtractcarriestemperaturesensation? D. Fovea centralis Optic disk Basal ganglia Cortico spinaltract Anterior spinothalamictract Lateral spinothalamictract Dorsal columntract Increase uterinecontraction
PART -II Section A
General Physiology (2 +53) (2 +44)
1 X10= 1 X10= 3 X5=15 3 X5=15
Page51 Page52 13. 12. 11. 10. 9. 8. 7. General Physiology What ismyopia?Howitcorrected? List any4functionsofhypothalamus Draw anormalleadIIECG Draw aschematicdiagramofsacromereinrelaxedandcontractedstate. List anytwodifferencesbetweensimpleandfacilitateddiffusion. Draw anddescribethelateralspinothalamictract.Mentionitsfunction. Briefly explainuterinechangesduringmenstrualcycle.
Section C:
5 X2=10
KNOWLEDGE OBJECTIVES A mererehashshouldbeavoided. GOAL correlate genotype change to functional changes shouldbeadequate. correlate genotypechangetofunctionalchanges describing innumerable functional tests, most of which are not in vogue. A few examples which describing innumerablefunctionaltests,mostofwhicharenotinvogue.Afewexamples messengers and regulation ofenzyme activities. Medical aspects of biochemistry should avoid An overviewofmetabolicregulationistobetaughtbycoveringhormonalaction,second provide abasisforthefuturestudyofmedicalsubjects. avoided. Theexposure toantivitamins, antimetabolites and enzyme inhibitors atthis stage, will An introductiontobiochemicalgeneticsandmolecularbiologyisamustbutdetailsshouldbe to memorisethem. and molecular turnover. While details of the steps may be given, the student should not be expected and molecularturnover. While detailsofthestepsmaybegiven, student shouldnotbeexpected Discussion on metabolic processes should put emphasis on the overall change, interdependence Discussion onmetabolicprocessesshouldputemphasistheoverallchange,interdependence Skills Details onstructureneednotbeemphasised. hydrophobic and hydrophilic moieties and weak valence forces that organise macromolecules. The chemistry portion should strive towards providing information on the functional groups, The chemistryportionshouldstrivetowardsprovidinginformationonthefunctional The majoraimistoprovidethestudentsinpre-universitystageandreorienting. Theory hours 70 Number ofhoursprescribedbyDCI BIOCHEMISTRY Practical hours 60 Total 130 Biochemistry
Page53 Page54 Biochemistry No 1. 2. S. b) a) Lipoproteinsstructure,classification&their • Cholesterolandcompoundsderivedfromit. • Phospholipids&theirfunctions • (iii) Specialfeaturesand organizationofcollagen (ii) Immunoglobulins:Structure, types&functions PlasmaProteins andtheirseparationby • Proteins–Definition, functions,classification, • (i) AminoAcidsandProteins: hemoglobin : C] Proteins,aminoacidsimmunoglobulins& • EssentialFattyacids,eicosonoids&their • Definitionandsignificance • B] PhysiologicallysignificantLipids: Chondroitinsulphate,Heparin Mucopolysaccharides–Hyaluronicacid, • Physiologicallysignificantcarbohydrates • Definition • significance Carbohydrates: A] Chemistryofbiomolecules&their Dentistry Introduction toBiochemistryanditsScopein applications Liposomes, preparation,types&their functions electrophoresis structural organization peptides nutritional importancePhysiologicallyactive essential/nonessential ,metabolicfateandtheir Amino Acids–Classificationbasedon functions Micelle Neutral fatsandtheirsignificance Mono,di andpolysaccharides Topic
weightage System 7.1% 1.4% 4.3 2.9 Number of hours 3 2 2 1 (D)/ Niceto know (M)/ Desirable know (N) to know Must M M M M M M M M D D D 5. 3. 4. RegulationofBlood Glucose&Diabetes • Metabolismoffructose&galactosewith •
Regulationofenzymeactivity • Enzymeinhibition–typesandexamples • Factorsinfluencingenzymeactivity • • InhibitorofETC • • Holoenzymeconcept • Classification&propertiesofenzymes • Fatty liver&lipotropicfactors • Lipidprofile,dyslipidemia&atherosclerosis • Compoundsderivedfromcholesterol • Ketonebodyformation, utilization • Differenttypesof oxidationofFAs&their • • Metabolism oflipidswithinbornerrors • SignificanceofHMPshunt • ofglycogen&storage • Metabolism CitricAcidcycle • Glycolysis&gluconeogenesis • DigestionandabsorptionofCarbohydrate • of metabolism Metabolism ofcarbohydrateswithinbornerrors • Uncouplers • OxidativePhosphorylation • ElectronTransportChain(ETC) • Biological Oxidation Definitionofenzymes,iso • Enzymology diseases Mellitus Ketoacidosis significance inborn errors (not thestepsinvolvedinpathway) Significance ofuronicacidpathway Enzyme specificity Digestion andabsorptionoflipids Rapaport Leuberingcycle mSignificance ofbrownadiposetissue Co enzymesandcofactors
7.1% 8.9% 0.5% 7.1 5 5 6 1 Biochemistry M M M M M M M M M M M M M M M M M M M M M M M D D D D
Page55 Page56 Biochemistry 6. 9. 8. 7. Distribution, sources,functions,requirements, • Minerals metabolism Sources,RDA, functions,deficiency • A• briefaccountof Definitionsand classification ofmicro& • Vitamins : • • Regulationofhemebiosynthesis • • Heme metabolism Biologicallyimportantamines&significanceof • Compoundsderivedfromglutamicacid,aspartic • Compoundsderivedfrombranchedchain • Compoundsderivedfromphenylalanine& • Compoundsderivedfromtryptophan&its • Polyamines,nitricoxide&theirfunctions • Compoundsderivedfromofsulphurcontaining • CompoundsderivedfromHydroxyaminoacids • Compoundsderivedfromglycine&itsinborn • Productionandfateofammonia,Ureacycle • • • Metabolism ofAminoacidswithInbornerrors: metabolism assessment ofvitaminstatus manifestations, vitaminantagonists& macronutrients of theirmanagement clinical features&biochemicalbasis Porphyrias: typesbiochemicaldefect, Degradation ofHeme Heme Biosynthesis & hydroxylproline acid, glutamine,asparagines,proline,histidine amino acids&MSUD albinism &Alkaptonuria tyrosine, Phenylketonuria,tyrosinemias, inborn errorsofmetabolism cystinosis, amino acids,homocysteinurias,cystinuria& & itsinbornerrorsofmetabolism errors ofmetabolism. pathway &hyperammonemias Transamination ofAminoacids Digestion andabsorptionofAminoacids Selenium, Manganese Fluoride, Copper, Zinc,Magnesium, manifestation: Calcium, Iron,Iodine, absorption, metabolism, regulation&deficiency &itsinbornerrorsof Chemistry
1.4% 8.6% 8.6% 10% 6 1 5 8 M M M M M M M M M M M M D D D D D D D 13. 12. 11. 14. 10. • Water &electrolytebalance Thyroidfunctiontests • Renalfunctiontest • Hepato-biliaryfunctiontest • Organ functionTest • RenalregulationofpH • RespiratoryregulationofpH • Buffersofthebodyfluids • Acid–Base Balance • Obesity • Protein–caloriemalnutrition • Dietaryfibres&theirsignificance • Balanceddiet • Dietaryfactors,glycemicindex • Respiratoryquotient,SpecificDynamicaction • Nutrition, dieticsandenergymetabolism Cell,subcellular organelles,bio-membranes • Cell andMolecularBiology Salvagepathwayofpurines&pyrimidine’s • Listthesyntheticanalogueofpurine& • • • Nucleic Acids:Chemistry&metabolism • Geneticcode&theirproperties • Transcription • Mutations&DNA repairmechanisms • ReplicationofDNA • Structuralorganization ofDNA • PCR: types&applications • Recombinant • disorders associatedwithelectrolyteimbalance. Reference rangesofSodium,Potassium,chloride, Causes ofacidbasedisorders Assessment ofnutritionalstatus (Kwashiorkor andmarasmus) (BMR) and functions,BasalMetabolicRate of foods,Nitrogenbalance,milkcomposition and MembraneTransportsystem Regulation ofGeneexpression with inbornerrorsofmetabolism pyrimidine bases&theirapplications. (DNA) &RibonucleicAcid(RNA) Structure &TypesofDeoxyribonucleicacid Functions ofPurines&pyrimidines DNA technology,
cDNA
library,
4.3% 5.7% 5% 2% 1% 2% 4 2 3 1 2 8 Biochemistry M/D/M M M M M M M M M M M M M M M M D D D D
Page57 Page58 PRACTICALS :- Biochemistry
Quantitative :(Demonstrationonly)
1. Scheme ofexamination: Note :
Total =100Marks Viva voce:20marks Theory Internalassessment :10marks 19. 16. 15. 18. 17. • • • • • • • • Hormones Detoxification Saliva Other bodyfluids Free radicalsandantioxidants Enzymes ofdiagnostic&therapeuticsignificance Clinical Enzymology: • • Qualitative analysisofcarbohydrates&proteins Color reactionsofaminoacids Urine analysis(normal,abnormal) Analysis ofsaliva Electrophoresis Chromatography Extraction ofDNA&PCR not inbold All thecomponentswhichareDESIRABLETOKNOWtypedinitalics& Electrolytes –ISEmethod Theory :70Marks • tumor markers oncogenes, oncogenicviruses Biochemistry ofcancer:tumorsuppressorgenes, Metabolic functionsofhormones Mechanism ofactionhormones Part I at II : Part : Section A Section B Section C 20 MCQs(X0.5=10Marks)
: : :
3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 5 VSAQs(5X2=10Marks)
2 2 2 2 2 2 1 1 1 1 M M M M M M D MCQs shouldbefrommustknowareas 10 %shouldbefromdesirabletoknowareas 90% shouldfromthemustknowareas The questionscanbedistributedasfollows: Blueprint forTheoryPaper: 2. 2) 1) Weightage foreachtopic 6) 5) 4) 3) 10) 9) 8) 7) 12) 11) Section A Section C Section B MCQs Total –100Marks Practical InternalAssessment–10Marks Practical Record OSPE Practical examination: Nucleotide chemistry&Metabolism(2)3% system MolecularbiologyandCancerBiology (5)7% Cell biologyandsubcellularorganelles,Bio-membranesMembraneTransport Mineral andNutrition(10)14% Lipid chemistryandmetabolism(6)9% Biological oxidation(2)3% General andclinicalEnzymology(10)14% Haemoglobin chemistry andmetabolism(2)3% Amino AcidMetabolism(6) 9% Vitamin (10)14% Carbohydrate chemistryandmetabolism(10) 14% Hormones, FreeradicalsandAnti-oxidants, Detoxifications (2)3% Organ functionTest& acid–baseBalance(5)7% and metabolism,MineralNutrition Lipid chemistry and clinicalEnzymology,Biologicaloxidation, Nucleotide chemistry&Metabolism,General Molecular biologyandCancerBiology, membranes andMembraneTransportsystem Cell biologyandsubcellularorganelles,Bio- and Anti-oxidants,Detoxifications & acid–baseBalance,Hormones,Freeradicals chemistry andmetabolism,OrganfunctionTest Vitamin, AminoAcidMetabolism,Haemoglobin Carbohydrate chemistryandmetabolism, All theTopics 10 Marks 80 Marks 90 Marks All theTopics
25 Marks 10 Marks 10 Marks 1.4% Biochemistry
Page59 Page60 Biochemistry Hormones, FreeradicalsandAnti-oxidants, Detoxifications Organ functionTest& Acid–BaseBalance Haemoglobin chemistry andmetabolism Amino Acidchemistry andmetabolism Vitamin Carbohydrate chemistryandmetabolism Hormones, FreeradicalsandAnti-oxidants, Detoxifications Organ functionTest&Acid–BaseBalance Hemoglobin chemistryandmetabolism Amino Acidchemistryandmetabolism Vitamin Carbohydrate chemistryandmetabolism Mineral andNutrition Lipid chemistryandmetabolism Biological oxidation General andclinicalEnzymology Nucleotide chemistry&Metabolism Biology Membrane TransportsystemMolecularbiologyandCancer Cell biologyandsubcellularorganelles,Bio-membranes Mineral andNutrition Lipid chemistryandmetabolism Biological oxidation General andclinicalEnzymology Nucleotide chemistry&Metabolism Biology Membrane transportsystem,MolecularbiologyandCancer Cell biologyandsubcellularorganelles,Bio-membranes Chapters Chapters Topics Topics SECTION A-MATRIXII SECTION B-MATRIXI SECTION B-MATRIXI SECTION A-MATRIXI LAQ LAQ LAQ LAQ 1 1 1 1 SAQ SAQ SAQ SAQ 1 1 1 1 1 1 1 1 1 1 1 1 students, Recommended books PART 1&SECTIONC Detoxifications Hormones, FreeradicalsandAnti-oxidants, Organ functionTest&Acid–BaseBalance Haemoglobin chemistryandmetabolism Amino Acidchemistryandmetabolism Vitamin Carbohydrate chemistryandmetabolism Mineral andNutrition Lipid chemistryandmetabolism Biological oxidation General andclinicalEnzymology Nucleotide chemistry&Metabolism Cancer Biology and MembraneTransportsystemMolecularbiology Cell biologyandsubcellularorganelles,Bio-membranes 7) 6) 5) 4) 3) 2) 1) Prasad R.Manjeswar,2014thirdedition, Textbook ofBiochemistryforDentalstudents. Basic andappliedDentalBiochemistry,1979, R.A.D.Williams&J.C.Elliot Harper’s Biochemistry,1996,R.K.Murrayet.al Text bookofBiochemistrywithclinicalcorrelations1997,T.N.Devlin Lecture notesinBiochemistry1984,J.K.Kandlish Vasudevan DMandSreekumariS(2016),Textbookofbiochemistryformedical Nutritional Biochemistry1995,S.RamakrishnanandS.V.Rao Topics
Matrix I VSAQ 1 1 1 1 1 Matrix II VSAQ
1 1 1 1 1
Biochemistry MCQs
1 1 1 1 2 2 2 2 2 2 2 2
Page61 Page62
7.
6. 5.
4.
3. 2.
Time 3hours
Biochemistry
1. MODEL MULTIPLECHOICEQUESTIONS d) c) b) a) Chylomicrons The dietarylipidsfrom theintestinearetransportedtoliverbywhich lipoprotein? d) c) b) a) All statementstrueregardingBrownadipose tissueexcept d) Cyanide c) Carboxin b) Rotenone a) COMPLEX-III inhibitorinelectrontransportchainis d) c) b) a) Night blindessandxeropthalmiacausedbydeficiencyof d) c) b) a) Number ofhydrogenbondsinG-Cpairs d) Cholesterol c) Sphingolipid b) Glycolipid a) Phospholipid The mainlipidcomponentofcellmembraneis d) c) b) a) In eukaryotes,mitochondriaaretheorganellesprimarilyinvolvedin Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams Very LowDensity Lipoprotein(VLDL Low DensityLipoprotein (LDL) High DensityLipoprotein (HDL) Present innewbornsandhibernatinganimals Thermogenin ispresentinit Rich inmitochondria Produces ATP British antilewisite Vitamin E” Vitamin K Vitamin A Vitamin D 5 Hydrogenbonds 4Hydrogen bonds 3Hydrogen bonds 2 Hydrogenbonds Lipid synthesis Export ofenzymes Phospholipid assembly Production ofATP UNIVERSITY MODELQUESTIONPAPER I BDS-BIOCHEMISTRY PART -1
Max Marks:70 20 X0.5=10
16. 15.
14.
13. 12.
11. 10.
9.
8. d) Thyroxin c) Thermogenin b) Oxygen a) Bilirubin All arePhysiologicaluncouplers ofoxidativephosphorylationexcept D) Nucleus C) Golgiapparatus B) Mitochondria A) Endoplasmicreticulum The Electrontransportchainislocatedin d) c) b) a) True aboutreversiblenon-competitiveinhibitors d) Helicase c) Primase b) a) Which ofthefollowingenzymeareusedtojoinfragmentsDNA d. Thymine c. Adenine b. Phosphate a. DeoxyRibose The negativechargeonDNAatphysiologicalpHisdueto d) c) b) a) True aboutkwashiorkorincludeallexcept: d) Haptoglobin c) Ceruloplasmin b) a) Transferrin Wilson`s diseaseisduetodefectin d) c) b) a) Which ofthefollowingfattyacidsisglucogenic d) Cholesterol c) b) a) The endproductofoxidationoddchainfattyacids Increase Vmax Increase Km Lower Km Lower Vmax DNA polymerase DNA ligase Increase inlipoproteinsynthesis Increase inappetite increase inplasmacortisol decrease inplasmaalbumin Alpha -1antitrypsin Linoleic acid Propionic acid butyric acid Palmitic acid Butyric acid Palmitic acid Propionic acid
Biochemistry
Page63 Page64 8. 7. 6. SHORT ANSWERQUESTIONS 5. LONG ANSWERQUESTION 4. 3. 2. SHORT ANSWERQUESTIONS 1. LONG ANSWERQUESTION 20.
19.
18. 17. Biochemistry Mention the ketonebodiesand list 3causesforketosis. Explain theregulation ofenzymes? with suitablediagram. Briefly explainthestructure andfunctionofFluidmosaicmodel ofBiomembrane iron deficiencyanaemiawithsuitableexplanation? stored inourbody.Listthebiochemicalinvestigations whichwillhelpyoutodiagnose and diagram howiron isabsorbed,transportedmetabolised with aschematic Explain What isthefunctionofmitochondriaandgolgicomplex. Mention thefunctionsoffluorideindentalhealth Describe themetabolismofLDLwithsuitableillustration Mention differenttypesofenzymesinhibitionwithsuitableexampleforeach? d) c) Creatinine b) Glucose a) Urobilinogen The abnormalconstituentofurineamongthefollowingis d) Phosphohexoisomerase c) Phosphofructokinase b) a) The keyenzymeofglycolysisis d. c. Niacin b. Biotin a. Which ofthefollowingvitaminisusedtherapeuticallyasalipidloweringdrug d) Thiamine c) b) Pyridoxine a) Bitoin Transketolase activityisaffectedindeficiencyof Uric acid Glyceraldehyde-3-phosphate dehydrogenase Glucose 6phosphatase Vitamin C Folic acid Paraaminobuyturic acid
SECTION A SECTION B
PART II:
(1X10=10) (1X10=10) (3X5 =15) (3X5=15)
13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS Mention thedeficiencymanifestationsofvitaminC What aremucopolysaccharidesandgiveexamples? What aredietaryfibers?Giveexamples. List anyfourenzymeincreasedinLiverdisorders Mention thefunctionoftRNAandmRNA. SECTION C
Biochemistry (5X2=10)
Page65 Page66 Theory –105hours SYLLABUS IEAR
The studentshouldacquirebasicskillsin: SKILL 3. 2. 1. After acourseonDentalAnatomy,EmbryologyandOralHistology, KNOWLEDGE OBJECTIVES Embryology &OralHistologyandtheirclinicalapplications. Goal istoincorporateknowledgeaboutbasicDentalSciences-Anatomy, GOAL Dental Anatomy,EmbrologyandOralHistology
No 1. 3. 2. 4. 5. S.
The studentsmustknowthebasicknowledgeofvariousresearchmethodologies. physiologic ageingprocessinthedentaltissues. of oraltissues&variationsindifferentpathological/non-pathologicalstates. The student should understand the histological basis of various dental treatment procedures and The studentshouldunderstandthehistologicalbasisofvariousdentaltreatmentproceduresand The studentisexpectedtoappreciatethenormaldevelopment, morphology, structure& functions
Introduction totoothmorphology Morphology ofallDeciduous teeth Morphology ofallPermanentteeth Occlusion Development andgrowthofface andjaws. Age estimation by patterns of teeth eruption from plaster casts of differentagegroups. casts eruption fromplaster of teeth Age estimationbypatterns Identification ofDeciduous&Permanentteeth. Microscopic studyoforaltissues. Carving ofcrownspermanentteethinwax. Dental Anatomy,EmbrologyandOralHistolog
Theory hours Total :105 Topic Number ofhoursprescribedbyDCI Practical hours
Total :250 weightage System 3.2% 2.5% 20% 6% 2% Total 355 Number of hours 20 5 5 5 4 Nice toknow Desirable to know (M)/ know (D)/ Must (N) M M M M D
SL. NO. 11. 10. 16. 15. 14. 13. 12. 22. 21. 23. 17. 24. 20. 19. 18. 25. 26. 28. 27. 6. 9. 8. 7. 1. Development oftooth drainage ofteethandsurroundingstructures. Blood supply,nervesupplyandlymphatic and IX. Cranial nerveswithmoreemphasisonV.VII Cell –structureandfunction Cell –structureandfunction Detailed microscopicstudyofEnamel Detailed microscopicstudyofAlveolarbone ligament Detailed microscopicstudyofPeriodontal Detailed microscopicstudyofPulptissue Detailed microscopicstudyofCementum Detailed microscopicstudyofDentin Eruption ofDeciduous&Permanentteeth Preparation ofspecimensforhistologicstudy Shedding ofteeth Detailed microscopicstudyofOralMucosa Histochemistry oforaltissues Temperomandibular joint Lymphoid tissuesandlymphatics Salivary Glands Calcium, Fluoride,Phosphorousmetabolism Mastication andDeglutition Speech Theories ofmineralization ANATOMY SUBJECT TOPICS FORINTEGRATEDTEACHING Lymphoid tissue andlymphatics Salivary gland Maxillary sinus surrounding structures Blood supplynervesupply,lymphaticdrainage of Cranial nervesV,VII&IX Development andgrowthofface Dental Anatomy,EmbrologyandOralHistology TOPICS 1.9% 1.9% 1.6% 3.5% 3.5% 2.5% 2.5% 1.7% 1.3% 1.8% 5% 2% 2% 6% 3% 2% 5% 7% 2% 5% 2% 1% 2% 6 2 2 1 3 3 4 4 3 2 6 2 7 1 6 2 2 4 2 2 1 1 1 M M M M M M M M M M M M M M M M M N N N N N D
Page67 Page68 Oral Histology:80hrs Dental Anatomy:150hrs PRACTICAL :250Hours Dental Anatomy,EmbrologyandOralHistology Individual • Cube, • Carving onwaxblocks:(120hrs) Sl no 3. 2. 1. 5. 2. molar. Lateral, Canines,Premolarsand1st Incisors, Central of botharches. teeth (any one) 4 3 PROSTHODONTIA BIOCHEMISTRY PAEDODONTIA 5. Interglobular Dentin. 4. Tomesgranularlayer. 3. Incrementallinesof VonEbner. 2. DentinalTubules. 1. Dentino-Enamel junction. DENTIN : 5. GnarledEnamel. 4. IncrementallinesofRetzius. 3. Tufts,Lamellae,Spindles. 2. Hunter-SchregerBands 1. Enamelrod. ENAMEL : 5. Hertwig’sepithelialrootsheath 4. LateBellstage 3. Earlybellstage 2. Capstage 1. Budstage Development oftooth: rectangle, PHYSIOLOGY tooth
- cone
Only and Occlusion Shedding ofteeth Eruption ofdeciduous&Permanentteeth Morphology ofallDeciduousteeth Differences betweenthedeciduousandpermanentDentition Deglutition andtaste Speech Cell Calcium ,phosphrousandfluoridemetabolism. permanent cylinder CONTENT Record :(30hrs) Drawthepermanentdentition • Drawthemixeddentition • Drawtheprimarydentition • Chronologyofdeciduousand • teeth DrawingsofindividualPermanent • teeth Drawingsofindividualdeciduous • emnn teeth permanent DURATION 14 hrs 12 hrs 12 hrs 10. 9. 8. 4. 7. 6. 5.
3. Mixedgland. 2. Serousgland. 1. Mucousgland. SALIVARY GLANDS: 4. Tongue 3. 2. 1. ORAL MUCOUSMEMBRANE: Sinus lining(Pseudostratifiedciliatedcolumnar) MAXILLARY SINUS: 2. Trabeculatedbone. 1. Haversiansystem. ALVEOLAR BONE: 3. Matureandimmaturebone. 5. Hypercementosis. 4. Sharpey’sfibers. - Type310%typeGAP - Type230%typeButt - Type160%typeOverlapping. 3.Cemento enameljunction 2. Acellularcementum. 1. Cellularcementum. CEMENTUM : 11. ScleroticDentin 10. TertiaryDentin 9. Deadtracts 8. IntertubularDentin. 7. IntratubularDentin. 6. SecondaryDentin. Transeptal - Apical,Horizontal,Oblique,Alveolarcrest,Interradicular, 1. PrincipalfibersofPeriodontalligament PERIODONTAL PRINCIPALLIGAMENT: 2. 1. PULP : - - - Non keratinizedepithelium Orthokeratinised epithelium Parakeratinised epithelium Pulp stones Zones ofPulp Filliform papillae Fungiform papillae Circumvallate papillae
Dental Anatomy,EmbrologyandOralHistology 12 hrs 6 hrs 2 hrs 4 hrs 5 hrs 5 hrs 8 hrs
Page69 Page70 1. Scheme ofexamination: 2. 1. 1. PRACTICAL DEMONSTRATION:20hrs Dental Anatomy,EmbrologyandOralHistology
Blueprint forTheoryPaper: 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks VSAQ –(5X2=10 mark) Section C SectionB (25mark) Section A(25marks) PART -II Total –100Marks Practical InternalAssessment–10Marks Practical examination:90Marks H &EStaining. Demonstration ofpreparationgroundsection,Decalcification,Paraffinsection& Mixed dentitionusingstudymodels. Identification ofIndividualteeth. - Permanent. - Deciduous. Theory :70Marks Type ofquestionandMarks Part I at II : Part PART 1-MCQs : Section A Section B Section C 20 MCQs(X0.5=10Marks) : : : 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 5 VSAQs(5X2=10Marks)
embryology 2 VSAQsfromDental anatomy,Oral 3 VSAQsfromOralHistology Dental anatomy,Oralembryology Oral Histology Oral embryology 10 MCQ’SfromDentalanatomy, 10 MCQ’SfromOralHistology
Topic
Model 2:IFLAQISFROMTHEORALMUCOUSMEMBRANE,MATRIXASFOLLOWS The questionswillbedistributedasfollows: Model 1:IFLAQISFROMTHEDEVELOPMENTOFFACE,ORALCAVITYAND Model 1:IFLAQISFROMTHESTRUCTUREOFTOOTH,MATRIXAS 4. 3. 2. 1. 2. 1. 2. 1. 3. 3. MCQ’S frommustknowareasonly 10 %fromNicetoknowareas 20 %fromDesirabletoknowareas 70 %fromtheMustknowareas Occlusion andoralphysiology OralAnatomy Pulp CanalsAndChamber Morphology ofAllPermanentTeethand & Shedding Introduction ToDentalAnatomy,Eruption Tooth Development ofFace,OralCavityAnd Membrane Oral Mucous Tooth Structures ofThe Membrane Oral Mucous Tooth Structures ofThe Salivary Gland Salivary Gland SECTION A SECTION A SECTION –B TOOTH, THEMATRIXISASFOLLOWS LAQ(1X10) LAQ(1X10)
SECTION–B SECTION A
FOLLOWS 1 1
Dental Anatomy,EmbrologyandOralHistology LAQ(1X10) SAQ(3X5) SAQ(3X5) 1 1 1 1 1 1 SAQ(3X5) 1 1 1 VSAQ VSAQ 1 1 1 1 VSAQ 1 1 1
Page71 Page72 Dental Anatomy,EmbrologyandOralHistology Recommended books REFERENCE BOOK 5 Marksperstation Time durationofsinglestation–5minutes OSPE- 50Marks Tooth carving&Record-40Marks(Timeduration–45minutes) Blueprint forPracticalExamination: Occlusion Dental Anatomy,Physiology & & Function Oral Histology,Development, Structure Orban’s OralHistology&Embryology Model 2:IFLAQISFROMTHEMORPHOLOGYOFALLPERMANENTTEETH, 3. 1 1 2 3 2 -Dental anatomy–itsrelevancetoDentistry 5thEditionbyWoelfel -Applied physiologyoftheMouthbyLavelle -Oral Development&HistologybyJames and Avery -Dental anatomybyScoot&Simon Anatomy Occlusion andoralphysiology,Oral Pulp CanalsAndChamber Morphology OfAllPermanentTeethand & Shedding Introduction ToDentalAnatomy,Eruption Tooth Development OfFace,OralCavityAnd MCQ’S FROMSECTIONA-10 Total MCQ’S FROMSECTIONB-10 Name oftheBook&Title SECTION –B SECTION –B THE MATRIXISASFOLLOWS
Wheeler’s MajorM.Ash
Orban’s S.NBhaskar A.R. Tencate
10 x0.5=5Marks 10 marks 10 x0.5=5Marks Author LAQ(1X10)
1 LAQ(1X10) SAQ(3X5) 1 2 Edition 13 9 8 th th th VSAQ 1 1 1
7.
6.
5. 4.
3. 2.
Time: 3hours 1. MODEL MULTIPLECHOICEQUESTIONS: d. c. b. a. Mature boneismost appropriately calledas d. c. b. a. Fibers oftheperiodontalligamentembedded intheboneare d. c. b. a. Secondary cementumisgenerallyconfinedto d. Elastin c. Collagen b. Keratin a. Chitin Identify themostappropriateproteinsecretedbyOdontoblast d. c. s-hape b. straight a. concave Dentinal tubulesare d. Pulp c. Cementum b. Dentine a. Enamel Incremental linesofRetziusareseenin d. c. b. a. Hertwig’s epithelialrootsheathismadeupof Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams Trabecular bone Laminar bone Bundle bone Woven bone Ray’s fibers Elastic fibers Tomes fibers Sharpey’s fibers No secondaryforms apical thirdoftheroot Middle thirdoftheroot Cervical thirdoftheroot None oftheabove Hyaline layerofHopewell-Smith Stellate Reticulum Stratum Intermedium Outer andInnerepithelium DENTAL ANATOMY,EMBROLOGANDORALHISTOLOG (UNIVERSITY MODELQUESTIONPAPER)
I BDSEXAMINATION
PART -I
Dental Anatomy,EmbrologyandOralHistology
Max. Marks:70 20 X0.5=10
Page73 Page74
16.
15.
14.
13.
12.
11.
10.
9.
8. Dental Anatomy,EmbrologyandOralHistology d. c. b. a. The nonkeratinisedpapilla oftongueis d. c. b. a. TMJ isa d. c. b. a. circumvallate papillaearepresent d. c. b. a. The toothbudforthethirdmolarisinitiatedataboutageof d. c. b. a. Mesial marginalgrooveisfoundin d. c. b. a. Primary dentitionperiodisfrom d. c. b. a. Main arterialsupplyofthetonsilisfrom d. c. b. a. Keratohyaline granulesarefoundin d. c. b. a. Myoepithelial cellsarepresentin All oftheabove Fungiform papilla circumvalate papilla Filliform papilla Diarthrodial joint Synovial joint Hinge andaxisjoint Ball andsocketjoint Lateral borderofthetongue Anterior 2/3oftongue Front ofsulcusterminalis Behind sulcusterminalis Eight yearofthelife Second yearofthelife First yearofthelife sixth monthofintrauterinelife All oftheabove Maxillary firstmolar Maxillary firstpremolar maxillary lateralincisors Six yearstoeleven Six monthstosixyears Six monthstoelevenyears Birth to11years Greater palatineartery Palatine artery Ascending pharyngealartery Facial artery Prickel celllayer Stratum Basale Stratum spinosum Stratum granulosum All oftheabove Mucous Acni Serous Acni Intercalated ductandStriated
Importance -1) 5. LONG ANSWERQUESTION 4. 3. 2. SHORT ANSWERQUESTIONS Function -1) mucosa. 1. LONG ANSWERQUESTION
20.
19.
18.
17. (Chronology –3;Morphological description–4;Diagram2 & Clinical Discuss ontheChronology &Morphologyofthemaxillaryfirst molar. (Histological difference–3;Diagram1 & Siteandfunctions–1) Difference betweencellularandacellularCementum (Histology ofenameltuft–3&Diagram 2) Write anoteonEnameltufts. Functional difference–1) (Histological differenceofserousandmucouscells–3;Diagram1& Difference betweenserousandmucouscells. (Classification –3,HistologyofKeratinizedepithelium4;Diagram2& Classify oralmucosaanddiscussindetailonthekeratinizedepitheliumof d. c. b. a. Masticatory mucosainoralcavitycoversthe d. c. b. a. Calcification ofpermanentfirstmolarusuallybeginsinthe d. c. b. a. The primarycenterofformationeachlobeispresentinthe d. c. b. a. Mesial contactareaofthepermanentcanineisat Gingiva andhardpalate Lip andcheek Alveolar mucosaandvestibularfornix floor ofthemouthandsoftpalate Third monthofextrauterinelife. At birth second monthofintrauterinelife third monthofintrauterinelife Center ofthetooth Center ofthecrown Tip ofthecusp Apex oftheroot None oftheabove Junction ofthemiddleandcervicalthird Junction oftheincisalandmiddlethird Middle third
SECTION -A SECTION -B PART II
Dental Anatomy,EmbrologyandOralHistology
(1 X10=10) (1 X10=10) (3 X5=15)
Page75 Page76 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTION 8. – 1; 7. 6. SHORT ANSWERQUESTIONS Dental Anatomy,EmbrologyandOralHistology Give 2commonsequencesoferuptionprimaryteeth. Write anytwodifferencesbetweenpermanentmaxillarycentralandlateralincisors. List outthefunctionsofmaxillarysinus. Define denticles&listoutthetypes?(denticles-1)Types-1) What areSharpey’sfibres? (Theories oftootheruption–2&Ligamenttractiontheory3) List outthetheoriesoftootheruptionandwriteanoteonligamenttractiontheory. Fate –1&Diagram-1) (What isHertwig’sEpithelialrootsheath–1;Formation-1;Roleinformation What istheroleofHertwig’sepithelialrootsheathinformationanditsfate? (What isFDIsystem–1;Permanentteeth2&Primary2) How isthepermanentandprimaryteethdesignatedbyFDIsystem?
SECTION C
(5 x2=10Marks)
(3 X5=15)
II Year Syllabus Page78 Theory –55hours SYLLABUS Enabling thestudent OBJECTIVES of dentistry in cells,tissuesandorganstothestudyofpathologypractice alterations functional GOAL General Pathology
No 1. S. 1. Apply the scientific study of disease processes, which result inmorphological and 2. 3. 4. 5. and roleinpatientmanagement. introduction topathology, itsapplications Historical aspects;definition ofterms; To demonstrateandapplybasicfacts,conceptstheoriesinthefieldofPathology. levels andexplaintheirobservationsintermsofdiseaseprocesses. To recognizeandanalyzepathologicalchangesatmacroscopicallymicroscopical the studyofPathology. To Integrate knowledgefrom the basicsciences,clinicalmedicine and dentistryin Pathology initscontributiontomedicine,dentistryandbiologicalresearch. To demonstrateunderstandingofthecapabilitiesandlimitationsmorphological and tutorialclasses. To demonstrateabilitytoconsultresourcematerialsoutsidelectures,laboratory
Theory hours Total :55 Topic Number ofhoursprescribedbyDCI GENERAL PATHOLOGY-50% GENERAL PATHOLOGY Introduction topathology Practical hours Total :55 pathology- 50% Oral pathology Haematology- 5% Systemic and salivary Path-31% weightage General glands- System 14% Total 110 Number of hours 1 know (M)/ Desirable know (N) (D)/ Nice to know Must M to
1. 1. 2. 3. 2. 3. 4. 1. 6. 5. 2. hypertrophy, atrophy&metaplasia) Cellular responsestostress-(hyperplasia, (reversible&necrosis),withexamples -Morphology ofcellinjury - Typesofcellinjury[reversible&irreversible] -Cell injuryandcelldeath-cause&mechanism (examples- innate&adaptiveimmunity) immune response Introduction& basicconceptstobody’s Immune system -Cellular aging-causes -Calcification- Definition,types&differences protein, glycogenandpigmentaccumulation) -Intracellular accumulation,(examples:Lipid, Apoptosis- Definition,examples -Vascular events;cellularevents[steps] -General featuresofinflammation Acute Inflammation -Cellular events(chemotaxis,phagocytosis) Acute Inflammation -Outcomes ofacuteinflammatiom Chemical mediatorsinvolvedinsteps Acute Inflammation Factors affectingwoundhealing Complications ofwoundhealing, secondary intention,-steps Healing byprimaryintention,-surgicalincision Basic Stepsofwoundhealing Wound healing Granulomatous diseases[leprosy,syphilis,TB] Granuloma- formationwithexamples Chronic inflammation-(causes) Chronic Inflammation & spleen[causes&morphology] - Hyperemia-Chronicvenouscongestion-liver -Oedema -Definition,types&mechanism -Emboli- types,complications [Virchow’triad], types & complication -Thrombosis- Definition, pathogenesis Haemodynamic disturbances Cell responsetoinjury Cell injury 1 1 1 1 1 1 1 2 2 1 2 1 General Pathology M M M M M M M M M M M N
Page79 Page80 General Pathology 1. 3. 2. 1. 2. 3. 1. 1. 3. 2. 1. 2. Klinefelter syndrome,Turnersyndrome - Cytogeneticabnormality-Down’ssyndrome, disorder-names ofthecondition -Autosomal dominant/recessive Normal karyotype-Definition -Septic shock-causes&complications -Shock- definition,typeswithexamples -Infarction- Definition,types&differences Genetic disorders-clinicalconditionsnames Hypersenstivityreactions withexamples Disorders ofimmunity–Types Immune systemIntroduction systemic sclerosis,Sjogren’ssyndrome -Basic conceptsin-SLE,Rheumatoidarthritis, Autoimmunity –Definitionwithexamples conditions -examples Primary &secondaryimmunodeficiency complications Mechanismofinvasioncancer tumours, Tumourspread-modes& -Differences betweenbenign&malignant Definition, basicconceptsinneoplasia Introduction toNeoplasia/cancer - Namesofcarcinogenicagents -Carcinogenesis- Definition genes) -Names ofoncogenes&tumoursuppressor (essential alterationsforcancerformation - MolecularbasisofNeoplasia–basicconcepts [Ghon’scomplex], complicationsofprimaryTB Pathogenesis, Sites,types,morphology Mycobacterial infections–Tuberculosis, infestations lab diagnosisFungalinfections&Parasitic Leprosy &syphilis-Sites,types,morphology, Nutritional deficiencies-Vitamin deficiencies Environmental disorders Disorders ofImmunity Infectious disorders Genetic disorders Neoplasia 1 1 1 1 1 1 1 1 2 2 2 1 M M M M M M M M M M D D 1. 1. 4. 3. 2. 5. 6. 7. 1. 2. Reticulocyte- Definition,stains its laboratoryaspectsofdiagnosis Haemolytic anemia–classification,Types& marrow, classificationofanaemia Development ofhaematopoieticcells,bone Introduction &Basicconcepts sarcoma-Morphology, sites &complications tumors, osteosarcoma, giant celltumor,Ewings Neoplastic lesions-Classification ofbone Non neoplasticlesions –Osteomyelitis Introduction toBones& Joints Hemophilia &Vonwillibranddisease Thrombotic thrombocytopeniapurpura Immune thrombocytopeniapurpura platelets, coagulationdisorders&labdiagnosis Bleeding disorders-classification,of Aplastic anaemia Nutritional anaemia [Peripheral smear&bonemarrowfindings] morphology ofeachtypes Anaemia -WHOdefinition,classification,types, leukemias-Types, morphology,etiopathology leukemias -Morphology,etiopathologyChronic Leukaemia-Definition, classification,typesAcute Blood Components Cross matching&ScreeningofDonors Blood banking–typesofGrouping, -Sialadenitis -Causes ofwhitelesionsoralcavity -Premalignant lesionsoforalcavity Neoplastic diseases-Hodgkinlymphoma Nonneoplastic lymphadenitis Lymphnode- morphology withdiagram Pleomorphic adenoma,Warthintumour- Classification ofsalivaryglandtumour,types- Oral cavityandSalivaryglands-5% Systemic Pathology-31% Hematology- 14% Skeletal system 1 1 1 1 1 1 1 2 2 2 General Pathology M M M M M M M M M D
Page81 Page82 General Pathology Practicals :noofhours =55 1. 1. 1. 2. 1. S. No 1. cyst-Morphology -Fibrous dysplasia,Aneursymalbone -Tumours ofjaw morphology, vegetationstypes&complications with diagramInfectiveendocarditis-causes, Vasculartumours.-Types,morphology conditions Congenital heartdisease-Namesofclinical morphology Vasculitis/Kaposisarcoma-types Rheumatic fever-Definition,causes,Criteria, diagnosis – causes,etiopathogenesis,morphology&lab Ischaemic heartdisease&myocardialinfarction complications Atherosclerosis –Causes,etiopathogenesis& Leiomyoma -sites,morphology,diagram Lipoma- sites,types,morphology,diagram Tumors ofsofttissue-classification,morphology Soft tissue Renal calculi-types Chronic Pyelonephritis-causes,morphology syndrome -Basicconcepts. Glomerulonephritis, Nephrotic,nephritic pathophysiology -basicconcepts Definition, classification, of DM Lab diagnosisofdiabetes&complication Diabetic kidney-morphology Pathogenesis, effectsonvariousorgans- Definition, classification, Departmental tour,introduction todept,centrallab,bloodbank Cardiovascular system Practicals Hypertension Diabetes Kidney Seminar Seminar 2 2 2 1 1 Hours 2 hrs M M M D D 19. 21. 11. 16. 15. 14. 13. 12. 18. 20. 10. 17. 9. 8. 7. 6. 5. 4. 3. 2. Blood grouping-types&interpretations Slides- pleomorphicadenoma Gross- pleomorphicadenoma Morphology ofsalivaryglandtumors Slides- giantcelltumor/osteoclastoma Specimen-osteochondroma Morphology ofbonetumors Urine examination-Physical,chemical examinationand sediment basal cellcarcinoma Slides- lipoma,hemangioma,squamouscellcarcinoma, Squamous cellcarcinoma. Specimen-lipomaMelanoma, morphological aspectsofbenignandmalignanttumours Tutorial hemodynamics Total &Differentialleucocytecount–Peripheral smear Hb estimation&interpretations Collection ofblood,anticoagulants,-vacutainers Tutorial -Tuberculosis Specimen-TB lymphnode Morphological aspectsoftuberculosis Tutorial Neoplasia Tutorial –Leukaemia&Anaemia Myocardial infarct-slide Chronic venouscongestion-liver,spleen Tutorial Inflammationandrepair Slide -granulationtissue Slide- granuloma/TB,;leprosy Morphology ofgranuloma,granulomatousinflammation Specimen- acuteappendicitis Morphological aspectsofinflammation Tutorials Cellinjury Specimen& slide-fattyliver Demonstration ofdifferenttypespigments,calcification Morphology offatty,cloudy,hyalinechange, Slides- caseousnecrosis/TBlymphadenitis Gangrene- gangrenefoot/toe,intestine Specimen- caseousnecrosis-lymphnode, Cell injury-Morphologicaltypesofnecrosis
General Pathology 2 hrs 2 hrs 2 hrs 2 hrs 2 hrs 2 hrs 4 hrs 2 hrs 2 hrs 2 hrs 2 hrs 2 hrs 2 hrs 2 hrs 2 hrs 3hrs 2hrs 2hrs 2hrs
Page83 Page84 1. Scheme ofexamination:
Part 1(MCQs)&SectionC(VSAQs) General Pathology
Theory questionsmustbeaskedfromtheMustKnowareaonly Section BTopics:Hematology,systemicpathology,bloodbank Hemodynamic [Cell injury,Inflammation,Repair,infectiousdiseases,Neoplasia, disorders, Section ATopics:GeneralPathology, Blueprint oftheorypaper: Genetics] 25 Marks 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks Sl. No 24. 23. 22. 1. 2. 3. 4. 5. Total –100Marks Practical InternalAssessment–10Marks Practical examination: Theory :70Marks General Pathology(repair,Genetics) Hematology(bleeding disorders) Blood bank Systemic pathology[Oral cavity&Diabetes] Genetics Infectious diseases[TB, Leprosy,syphilis]/ TOTAL Kidney- Chronicpyelonephritis Soft tissue-Lipoma Cardiovascular system-Atheromaaorta Part I at II : Part : Section A Section B Section C 20 MCQs(X0.5=10Marks) 90 Marks TOPICS : : : 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 5 VSAQs(5X2=10Marks)
10 marks 5 VSAQs
(5X2)
1 1 1 1 1 25 Marks (20x 0.5=10) 10 MARKS 20 MCQs 2 hrs 2 hrs 2 hrs 4 4 4 4 4 Recommended Books: A Combinationoftraditionalmethods&OSPE Blue Printforpracticals(90marks) Sl. No Sl. No 2. 1. 4. 3. 2. 1. OSPE ...... Spotters(Extendedspotterswithquestions) Traditional...... Urine examination 1 4 3 2 Practical Pathologyfor Dentalstudents,3rded.–A.K.Mandal Textbook ofPathology fordentalstudents,4thed.-HarshMohan Neoplasia diseases Hemodynamicdisorders Inflammation, Repair,infectious CVS] [Salivary glands,bones&softtissues, Systemic pathology [Cell injury,] General Pathology Hematology[Anaemia, leukemia] Section A(GeneralPathology,Inflammation,Neoplasia,Hemodynamics) Spotters (Extendedspotterswithquestions) Total DLC Urine Examination Hemoglobin/Bloodgrouping Section B(Hematology,Systemicpathology,bloodbanking) TOPICS TOPICS DLC Hb/ bloodgrouping (1X10) (1X10) LAQ LAQ
1 1 - - (3X5) (3X5) SAQ SAQ 3 3 - General Pathology
15 Marks 15 marks 10 marks 50 marks 90 marks 25 Marks 25 Marks Total Total 15 15 10 10
Page85 Page86
7. 6.
5.
4. 3.
General Pathology 2. Time :3hours 1. MODEL MULTIPLECHOICEQUESTIONS D. None C. Fibrin B. Eosinophil A. Histamine The followingisachemical mediatorinacuteinflammation D. C. Necrosis B. Carcinoma A. Anaphylaxis The followingisanexampleofhypersensitivity D. C. B. A. Monosomy Down syndromeisassociatedwith D. Gangrene C. B. A. The followingtypeofnecrosisisseeninBrain D. Kidney C. Stomach B. Liver A. Prostate The mostcommoncanceramongmalesinIndiais D. C. Syphilis B. Leprosy A. Tuberculosis Which ofthefollowingdiseaseisassociatedwithgranuloma? D. None C. B. Leprosy A. Tuberculosis Which ofthefollowingdiseasesarecausedbyacidfastbacilli? Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams None oftheabove None oftheabove Trisomy 13 Trisomy 21 Liquefactive necrosis Fat necrosis Coagulative necrosis All theabove Both A&B UNIVERSITY MODELQUESTIONPAPER General Pathology I BDSEXAMINATION PART -I
(20x0.5=10)
Max. Marks:70 17.
16.
15.
14.
13.
12.
11.
9. 8. D. None C. Anemia B. Carcinogenesis A. Mitosis Teratogens aredefined asagentswhichinduce D. None C. B. A. Pancytopenia is D. C. B. A. The followingisanexampleofhemolyticanaemia, D. None C. B. A. Platelet countisreducedin D. None C. Both B. A. Edema isdueto D. C. B. A. The followingisanexampleofmicrocytichypochromicanaemia D. C. Inflammation B. Tumour A. Virchow’s triadis D. Carcinoma C. B. Tuberculosis A. Candiasis The followingisaopportunisticinfectioninHIV D. None C. Both B. Oncoprotein A. P53 isa Decreased WBConly Decreased Plateletsonly Decreased RBC,WBC,Platelets Aplastic anaemia Iron deficiencyanaemia Sickle cellanaemia Megaloblastic anaemia Leukemoid reaction Chronic leukemia Acute leukemia Decreased oncoticpressure Increased hydrostaticpressure All theabove Sideroblastic anaemia Thalasemmia minor Iron deficiencyanaemia All theabove Formation ofthrombus Both A&B Tumour suppressorgene
General Pathology
Page87 Page88 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. 7. 6. SHORT ANSWERQUESTIONS:
5. LONG ANSWERQUESTION: 4. 3. 2. SHORT ANSWERQUESTIONS: difference 1. LONG ANSWERQUESTION: 20.
19. 18. General Pathology Enlist thepremalignant lesionsof oralcavity. Mention thedifference thebetweenleukemiaandleukemoidreaction. Mention thecomponents ofblood. Mention theopportunistic infectionsinHIV. Enumerate thecomplications ofdiabetesmellitus Describe thecausesandmorphologyofRheumatic heartdisease Classify salivaryglandtumours.Describethe morphologyofpleomorphicadenoma Classify bonetumours.Describethemorphology ofosteosarcoma deficiency anaemia. Define anaemia.Describetheetiopathogenesis,laboratoryfindingsofiron Defibe neoplasia.Enumeratethedifferencebetweenbenignandmalignanttumours. Define thrombosis.Describetheetiopathogenesisofthrombosis Describe theroleofchemicalmediatorsininflammation between necrosisandapoptosis. Define necrosis.Enumeratethetypesofnecrosiswithexamples.Mention D. Infarction C. Syphilis B. A. Tuberculosis Caseous necrosisisseenin D. C. HIV B. Leprosy A. Chancre isseenin D. None C. Anaplasia B. Metastasis A. Dysplasia The modeofdistantspreadtumouriscalledas Fungal infections All theabove Primary syphilis
PART -II Section C Section A Section B
(2+3+5 =10) (3+4+3= 10) (1x10 =10) (1x10 =10)
(5x2 =10) (3x5 =15) (3x5=15)
Theory –65hours Syllabus Knowledge : OBJECTIVES : each branchtomankindandotherfieldsofmedicine. of variousbranchesmicrobiology&theirimportance,significanceandcontribution GOAL :
practice. Skills : cavity.
No S. 4 3 2 1 1. At theendofMicrobiologycourse,studentisexpectedto: aware the students exciting worldofmicrobes.Tomake the studentsto To introduce 2. 3. 4. 1. At theendofcourse,student: 2. 3. 2.Dryheat+others 1.Classifiction +moistheat Sterilization -Physical Methods Physiologyofbacteria, growth&metabolism Morphology &AnatomyofBacteria History ofMicrobiology&Microscopy
Understand thebasics of various branches of microbiology and ableto apply theknowledge relevantly. Apply theknowledgegainedinrelatedmedical/dentalsubjects Understand and practice various methods of Sterilization and disinfection indental and methods ofSterilization various and practice Understand Have a sound understanding of various infectious diseases and lesions intheoral infectious diseasesand of various sound understanding a Have Should have acquired the knowledge to diagnose & differentiate various oral lesions. oral various to diagnose&differentiate the knowledge acquired have Should the basicprocedures/testswhicharenecessary/helpfulindiagnosis. Should be able to carry out proper aseptic procedures in the dental practice & skill to carry out Should be able to select, collect and transport clinical specimens tothelaboratory. clinical and transport collect to select, be able Should Theory hours GENERAL BACTERIOLOGY(10classes,15.3%) Total :65 Number ofhoursprescribedbyDCI Topic Microbiology Practical hours Total :50 (65 Hrs) Total classes No. of 115 2 1 1 1 Must know(M)/ Desirable to know (D) MK MK MK MK Microbiology
Page89 Page90 Microbiology 31 30 29 28 27 26 25 24 23 21 19 22 20 18 17 16 15 14 13 12 11 10 9 8 7 6 5 atypical Mycobacteria, M.leprae Mycobacterium –II:M. tuberculosis(cont.)& tuberculosis Mycobacterium –I:classification &M. Cl. Botulinum+NonSporingAnaerobes Cl. tetani Classification ofClostridium&Cl.welchi Corynebacterium diphtheriae Gonococci &Meningococci Pneumococci &otherStreptococci Streptococcus pyogens Staphylococcus Test Tumour immunology&Autoimmunity Hypersensitivity –II Hypersensitivity –I Immune response–Humoral&Cellular IF, NT Antigen –AntibodyReactions(cont.):RIA,ELISA, Agglutination &CFT Antigen –AntibodyReactions(cont.): Complement system Precipitation Antigen –AntibodyReactions:general& Antigen &antibodies Immunity Structure &functionofimmunesystem Revision Infection Drug resistance&AST Bacterial genetics Sterilization -ChemicalMethods SYSTEMATIC BACTERIOLOG(16classes,24.6%) IMMUNOLOGY (12classes,18.4%) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK DK DK DK 56 55 54 53 52 51 50 49 48 47 46 45 44 43 42 41 40 39 38 37 36 35 34 33 32 W. bancrofti Ascaris, Ancylostoma & Strongyloides Sporozoa –II&Oppurtunisticparasiticinfections Sporozoa –Imalarialparasite Rhizopoda -E.histolytica Introduction toParasitology Test Revision Oncogenic viruses,adenovirus Human ImmunodeficiencyVirus Hepatitis virus-II:othervirusesinbrief Hepatitis viruses–I:BVirus Rabies virus Measles,Mumpsandrubella,Influenza Picorna viruses:Polio Herpes viruses-II Herpes viruses-I Lab diagnosis Classification &Generalproperties Opportunistic Mycoses-Candidiasis&Aspergillosis infections, labdiagnosisingeneral Introduction, classificationoffungiandfungal Test Revision Normal microbialfloraofthehumanbody Spirochetes –II:Leptospira&Borrelia Spirochetes –I:Treponemapallidum Actinomycetes- Actinomyces&Nocardia of viruses,Bacteriophage. PARASITOLOGY (5classes,7.6%) VIROLOGY (14classes,21.5%) MYCOLOG (3classes,4.6%) & Classification, 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK MK DK Microbiology
Page91 Page92 Practical Hrs:50 Microbiology 61 60 59 58 57 SL. NO 19. 18. 17. 16. 15. 14. 11. 13. 12. 10. 9. 8. 7. 6. 5. 4. 3. 2. 1. Test Revision Oral lesionscausedbymicroorganisms Universal precautions Biomedical wastemanagement&Standard/ Hospital AcquiredInfections&Immunoprophylaxis Model exam Mycology (macroscopyandMicroscopy) Lab diagnosisofviralinfections–HIV,HBsAg of eggs Intestinal nematodes(specimens)+Demonstration Antigen antibodyreactions–IIRPR. Antigen antibodyreactions–IASO,CRP. Albert staining Ziehl Neelsenstaining Hanging droppreparation Simple staining-saliva Antibiotic susceptibilitytesting Gram staining Identification ofbacteria Culture methods Culture media Bacteriological sterilizationanddisinfection Morphology Microscopy Introduction toMicrobiology APPLIED MICROBIOLOGY(5classs,7.6%) Topic 1 1 1 1 1 No. ofpracticals 1 1 1 2 1 1 1 1 1 1 1 3 3 1 1 1 1 1 2 MK MK MK Part I(MCQs)&SectionC(VSAQs) Scheme ofexamination NOTE: onepractical=twohours(25practicals50hours) Theory questionsmustbeaskedfromtheMustKnowareaonly Blueprint forTheoryPaper:(70Marks) 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks
Sl. No 4 3 2 1 1. Total –100Marks Practical InternalAssessment–10Marks Practical examination:90Marks Applied microbiology Virology Immunology General bacteriology Theory :70Marks Part I Part II : Section C Section B Section A : 20 MCQs(X0.5=10Marks) TOPICS : : :
5 VSAQs(5X2=10Marks) 1 LAQ(1X10=Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 3 SAQs(3X5=15Marks)
(5X2=10) 5 VSAQs
1 1 2 1
(20x0.5=10) 20 VMCQs Microbiology 05 05 05 05
Page93 Page94 Paniker’s Reference Book: Book: Recommended Books: Practicals Blue Printforpracticals(90marks) Microbiology Sl. No Sl. No 7 6 5 4 1 3 2 1. TextbookofMicrobiology fordentalstudents,9thed.-Ananthanarayan & 2. 1. 4. 3. 2. 1. A Combinationoftraditionalmethods&OSPEisidealforMicrobiology Applied microbiology Mycology Parasitology Virology General bacteriology Systematic bacteriology Immunology Practical Pathology&MicrobiologyforDental students,3rded.-C.P.Bavejace Textbook ofMicrobiologyfordentalstudents ,5thed.-C.P.Baveja ZN staining Gram staining Applied Exercises Spotters (Extendedspotterswithquestions) OSPE ...... Spotters(Extendedspotterswithquestions) Traditional...... Section A(Generalbacteriology,ImmunologyandSystematicbacteriology) Section B(Virology,Parasitology,Mycology&Appliedmicrobiology) TOPICS TOPICS Applied ZN Gram staining Microbiology staining - - - (1X10) (1X10) LAQ LAQ Total =90 ------15 marks 15 marks 10 marks 1 1 ------50 marks (3X5) (3X5) SAQ SAQ 1 1 1 1 1 1 -
25 Marks 25 Marks Total Total 10 05 05 05 15 05 05
10.
9. 8.
reaction? 7. 6.
5. host is 4.
3.
2.
Time :3hours 1. MODEL MULTIPLECHOICEQUESTIONS: c) a) The followingisaspecific testtodiagnoseSyphilis: c) a) Morphology ofPneumococci c) a) Human infectionbyMycobacteriumtuberculosis occurscommonlyby c) a) A positivetuberculinskintestisanexample ofwhattypehypersensitivity c) a) The majorchemicalmediatorinvolvedintype1hypersensitivity c) a) Which ofthefollowingimmunoglobulinisinvolvedinallergicreactions c) a) refereed as Exaggerated responseofimmunesystemtowardsanantigencausingharmtothe c) a) Which amongthefollowingisanenrichedmedium? c) a) Ziehl Neelsenstainisatypeof: c) 160 a) 140 Sterilization temperatureandholdingtimeforhotairoveninMicrobiologyLab: Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams TRUST test RPR test Banana shaped Flame shapeddiplococci Inhalation Contact Type III Type I Interferons Histamines Ig G Ig A Immunodeficiency Autoimmunity Muller Hintonagar Blood agar Special stain Differential stain o o Cx1hour Cx1hour (UNIVERSITY MODELQUESTIONPAPER) MICROBIOLOGY
d) b) d) b) d) Inoculation b) Ingestion d) b) d) Lymphokines b) Interleukins d) b) d) Tolerance b) Hypersensitivity d) b) d) b) d) b) PART -I VDRL test TPI test Bunch ofgrapes Spherical Type IV Type II Ig M Ig E Nutrient agar Mac-Conkey agar Simple stain Negative stain 160 150
o o Cx2hour C x1hour
Max. Marks:70
(20 x0.5=10) Microbiology
Page95 Page96
1. LONG ANSWERQUESTION :
20. 19.
18.
17. 16.
15.
14.
13.
12.
11. Microbiology tetccu pyogens. Streptococcus Classify Streptococci. Describeindetailpathogenesisandlaboratory diagnosisof c) a) Which ofthefollowingeggsareNOTbile stained? c) a) Which istheinfectiveformofmalariaparasitetoman? c) a) Which ofthefollowingaremodestransmissionHIVexcept: d) c) b) a) Rabies isidentifiedby c) a) Tzanck smearisusedtodiagnose: c) a) The followinghepatitisvirusesareRNAEXCEPT: c) a) The causativeagentoforalthrushis: c) a) Which amongthefollowingmediaisusedforcultivationoffungi? c) a) Principle toxinresponsibleforgasgangreneis c) a) the followingspecialstain: Metachromatic granulesofCorynebacteriumdiphtheriacanbestainedbywhich Trichuris trichiura Ascaris lumbricoides Trophozoite Merozoite Needle prick Blood products Paschen body Negri bodies Guarneri bodies Cowdry Abodies Hepatitis-B Small pox Hepatitis C Hepatitis A Cryptococcus neoformans Aspergillus flavus Nutrient agar Mac-Conkey’s agar Theta toxin Alpha toxin Methylene bluestain Albert’s stain
d) b) d) Gametocyte b) Sporozoite d) b) d) HIV b) d) b) d) b) d) b) d) b) d) b)
PART -II Section A
Taenia solium Hymenolepis nana Sexual Food Herpes simplex Hepatitis D Hepatitis B Histoplasma capsulatum Candida albicans Sabouraud’s dextroseagar Muller Hintonagar Delta toxin Beta toxin Zeihl Neelsenstain Gram stain
(1x10 =10) (3+4+3)
13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. 7. 6. SHORT ANSWERQUESTIONS: of 5. LONG ANSWERQUESTION: 4. 3. 2. SHORT ANSWERQUESTIONS: Name fourimportantstandardprecautionstobefollowedinhealthcaresetting. Pulse polioimmunisationprogramme. passive immunity. Immunity-Definition &giveoneexampleforartificialpassive&natural Role ofTandBcellsinimmuneresponse. Koch’s postulates. Describe thelifecycleofAscarislumbricoides. Universal precautionstobefollowedinahealthcaresetting. Pathogenesis andlabdiagnosisofCandidiasis. Human Immuno-deficiencyVirus. Describe structure,pathogenesis,andmodesoftransmissionlaboratorydiagnosis Non-sporing Anaerobes Anaphylaxis -Definition,mechanism,clinicalfeaturesandtreatment. Autoclave -Structure,principle,mechanismanduses. Section C Section B
(3+2+2+3) (1x10 =10) Microbiology (5x2 =10) (3x5 =15) (3x5=15)
Page97 Page98 d) c) b) profession. and curriculum keeping inviewofdental and scientificbasisoftherapeutics rational a) General andDentalPharmacologyTherapeutics integrated teachingwith clinicaldepartments. Practical knowledge of usedrugsinclinicalpracticewill be acquiredthrough INTEGRATION : SKILLS : OBJECTIVES : The broadgoalofteachingundergraduatestudentsinpharmacologyistoinculcate GOAL : GENERAL ANDDENTALPHARMACOLOGYTHERAPEUTICS iv. iii. ii. i. At theendofcoursestudentshallbeableto: vi. v. iv. iii. ii. i. At theendofcoursestudentshallbeableto: pharmacology ofmarketedpreparationscommonly usedindentistry. Critically evaluatedrugformulationsand beabletointerprettheclinical Observe experimentsdesignedforstudyof effects ofdrugs. To appreciateadversereactionsanddruginteractions ofcommonlyuseddrugs. Prescribe drugsforcommondentalandmedical ailments. Indicate theprinciplesunderlyingconceptsof“Essentialdrugs”. Integrate therationaldrugtherapyindentalpractice and immunocompromisedpatients medical situationssuchaspregnancy,lactation,oldage,renal,hepaticdamage drugs inspecial Indicate specialcareinprescribingcommonandessential efficacy, andsafetyforindividualmasstherapyneeds Tailor theuseofappropriatedrugsindiseasewithconsiderationtoitscost, commonly useddrugswithreason List theindications,contraindications;interactions,andadversereactionsof used drugsingeneralanddentistryparticular commonly and of essential pharmacodynamics and pharmacokinetics the Describe Theory hours Total :70 Number ofhoursprescribedbyDCI Practical hours Total :20 Total 90
THEORY –70Hrs No 3. 2. 1. S. h. Antiepileptics g. Sedative&hypnotics f. Antidepressants,anxiolytics. e. Preanaestheticmedication. d. Generalanesthetics c. Clinicallyusedmusclerelaxants b. Clinicallyusedlocalanaesthetics. a. Clinicallyusedopioidanalgesics. CNS drugs. d. Anticholinergics. c. Cholinomimetics. b. Sympatholytics-alphablockers,Betablockers. a. Sympathomimetics specific adverseeffectsof– uses), clinicalusesalongwithdentalifanyand pharmacological actions(whichformthebasisfor ANS drugs:Clinicallyusedexamples,theirimportant prescription writing f. Rationaltherapeutics–Pdrug,essentialdruglist, pregnancy, childrenandelderly and importantdruginteractions,prescribingin e. Principlesofdrugtherapy,Adversereactions modifying drugaction d. Pharmacodynamics:mechanismofaction,factors disadvantages withtheexamplesofdrugsadministered). perineural &Newerdrugregimes(Advantagesand Subcutaneous, intramuscular,intravenousintrathecal, c. Routesofadministration:oral,inhalation,intradermal, b. Pharmacokinetics–ADME sources ofdrugswithexamples. a.Definitions:Pharmacology,drug,Pharmacy, General Pharmacology: Topic name General andDentalPharmacologyTherapeutics
of classes Duration 1 hr 1 hr 1 hr 1 hr 2 hr 2 hr 2 hr 1 hr 1 hr 1 hr 2 hr 2 hr 2 hr 2 hr 1 hr 3 hr 3 hr 2 hr Weightage System 14% 11% 10%
Page99 Page100 General andDentalPharmacologyTherapeutics 7. 6. 5. 4. 8. a. Sulfonamides,cotrimoxazoleandquinolones Chemotherapy h. Anti-tubercularandAnti-leproticdrugs g. Anti-neoplasticdrugsandimmunosupressants f. Anti-protozoaldrugs e. Antifungalandantiviralagents. d. Broadspectrumantibiotics c. Macrolidesandaminoglycosides b. Beta-lactumantibiotics g. NSAIDs f. drugsinmigraine e. vitamins d. Treatmentofrheumatoid arthritis&gout c. Drugsusedinpepticulcer,diarrhoeaand constipation b. Drugsusedinbronchialasthmaandcough a. Antihistaminesandantiemetics Other drugs c. Thyroiddisorders b. Corticosteroids a. Drugsusedindiabetesmellitus Endocrines d. Hypolipidemicdrugs c. Vit.Dandcalciumpreparations. b. Hematinics:IronpreparationVit.B12,FolicacidVit.C anti plateletdrugsandstyptics a. Coagulants,anticoagulants,fibrinolytics, Drugs actingonblood cardiogenic hypovolemic&Septic. e. Pharmacotherapyofshocks-anaphylactic, d. Diuretics&Antidiuretics c. Antihypertensives b. Antianginaldrugs a. Cardiacglycosides CVS drugs
3 hr 1 hr 1 hr 1 hr 1 hr 2 hr 1 hr 1 hr 1 hr 1 hr 3 hr 2 hr 2 hr 2 hr 2 hr 2 hr 2 hr 2 hr 2 hr 2 hr 2 hr 4 hr 2 hr 2 hr 2 hr 2 hr 2hr 15% 18% 11% 7% 7% 14. 13. 11. 12. 10. No Sl. 9. 8. 7. 6. 5. 4. 3. 2. 1. 9. Rational Therapeutics Adverse DrugEffects Factors ModifyingDrugAction Pharmacodynamics: DoseResponseRelationship Pharmacodynamics: ReceptorPharmacology Pharmacodynamics: MechanismofDrugAction Pharmacokinetics: KineticsofElimination Pharmacokinetics: ExcretionofDrugs Microsomal inductionandinhibition Pharmacokinetics :metabolism, Pharmacokinetics: DistributionofDrugs metabolism Pharmacokinetics: Bioavailability&Firstpass Absorption Pharmacokinetics: Membranetransportand Routes ofDrugAdministration Introduction toPharmacology d. Statusasthmaticus c. Severebleeding b. Anaphylaxis a. Seizures Prevention anddrugtherapyofemergenciesindentalpractice. d. antiplaqueagents c. antibioticsinperiododontaldisease dentrifices anddisclosingagents. Mummifying, agents,bleaching b. Antiseptics,astringents&Sialogoguesc.Obtundents, a. Fluoridepharmacology Dental Pharmacology Topic
General andDentalPharmacologyTherapeutics Know Must 1 hr 2 hr 2 hr Desirable to know Nice to 7% know
Page101 Page102 General andDentalPharmacologyTherapeutics 39. 22. 21. 36. 35. 34. 33. 32. 38. 31. 29. 23. 20. 19. 37. 30. 28. 26. 25. 24. 18. 17. 16. 15. 27. Sedative Hypnotics General Anaesthetics (Adrenergic ReceptorAntagonists): Antiadrenergic Drugs Adrenergic SystemandDrugsI Drugs ActingonAutonomicGanglia Skeletal Musclerelaxants:PeripherallyActing Corticosteroids Thyroid HormonesandInhibitors Oral hypoglycaemic Insulin Local anesthetics Introduction tohormones Drugs forcoughandBronchialAsthmaI Anti-gout Drugs Anti-rheumatoid Drugs (Adrenergic ReceptorAntagonists): Antiadrenergic Drugs Anticholinergic Drugs:AtropineSubstitutes NSAIDs Drug therapyofMigraine 5-Hydroxytryptamine &itsantagonists Antihistaminics Anticholinergic Drugs:Atropine Cholinergic SystemofDrugs:Anticholinesterases Transmission &CholinergicAgonist Cholinergic SystemofDrugs: Autonomic NervousSystem:GeneralConsideration α Blockers β Blockers 68. 67. 66. 65. 64. 62. 61. 60. 59. 58. 56. 55. 54. 53. 52. 51. 57. 49. 50. 48. 47. 46. 45. 44. 43. 42. 41. 40. Anti-malarial Drugs Antiviral Drugs Antifungal Drugs Treatment ofLeprosy Anti-tubercular Drugs Macrolide Aminoglycoside Antibiotics Tetracyclines andChloramphenicol Beta-Lactam Antibiotics:Penicillins Beta-Lactam Antibiotics:Cephalosporins Sulfonamides andCotrimaxazoleQuinolones Antimicrobial DrugsGeneralConsideration, Drugs forConstipationandDiarrhea Drugs forEmesis,RefluxandDigestiveDisorders Drugs forPepticUlcer Hypolipidaemic Drugs Fibrinolytics, Anti-fibrinolytics,AntiplateletDrugs Coagulants andAnticoagulants Haematinics Diuretics Anti-diuretics Antihypertensive Drugs Anti-anginal Drugs Drugs forHeartFailure Angiotensin Antagonists&PlasmaKinins Renin AngiotensinSystemandACEInhibitors Opioid AnalgesicsandAntagonists Antidepressants andAnti-anxietyDrugs Antiepileptic Drugs General andDentalPharmacologyTherapeutics
Page103 Page104 2. Prescriptionwriting–4hrs 1. Pharmacy-12hrs f) General andDentalPharmacologyTherapeutics 6. 5. 4. 3. 2. 1. 6. 5. 4. 3. 2. 1. 7. 8. 7. Rationale ofdrugcombinationsmarketeddrugs. To familiarizethestudentwithmethodology:prescriptionwritinganddispensing. PRACTICALS ANDDEMONSTRATIONS:20HOURS 74. 69. 73. 71. 70. 72. ketoacidosis, seizures, statusasthmaticus,severebleeding,diabetic Drugs foremergencyconditions–anaphylacticshock, Dental Pharmacology Antiamoebic andOtherAntiprotozoalDrugs Antiseptics, Disinfectants Vitamins Drug interactions Case ofpost extractionbleeding Mucous patcheswithsteroids ANTIVIRAL –Acyclovir ANTIFUNGAL-Cotrimoxazole SUCRALFATE ANESTHETIC-Lidocaine andBupivicaine ORABASE-Steroids andamlexinox TOPICAL Fluoridated andnonfluoridateddesensitizingtoothpaste Case ofdentoalveolar abscess Case ofperiodontitis Case ofANUG(Acute necrotizingulcerativegingivitis) Case ofcellulitis Case oforalcandidiasis Case ofallergicstomatitis Lugol’s iodinesolution Pulp mummifyingpaste Hemostatic dentalpowder mouth wash,anestheticwash,hydrogenperoxide Mouth wash-nystatinantifungalmouthwash,analgesicwash,antiseptic Demonstration ofcommondosageformsusedinclinicalpractice. Dispensing pharmacy,prescription-partsandmodelprescription.
4. Spotters–4hrs(PartofOSPEstations) 3. Dosage forms – 2 hrs forms – Dosage 3. 11. 21. 19. 18. 17. 16. 15. 14. 13. 12. 10. 20. 9. 6. 5. 4. 3. 2. 1. 6. 5. 4. 3. 2. 1. 8. 7. 7. Metronidazole Thiopentone Clove oil Dexamethasone Ranitidine Metaclopramide Omeprazole Adrenaline Hydrocortisone Cotrimoxazole Amoxicillin Albendazole Lignocaine Ibuprofen Aspirin Transdermal therapeuticsystems Periodontal abscess Angular stomatitis Aphthous ulcer/ulcerativestomatitis Oral candidiasis Ulcerative gingivitis/Vincent’sinfection Herpes labialis Enema Suppositories Injections Capsules Implants Tablets General andDentalPharmacologyTherapeutics
Page105 Page106 Scheme ofexamination General andDentalPharmacologyTherapeutics MATRIX -1 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks Section B:CHEMOTHERAPY,G.I.T,DENTALPHARMACOLOGAND Section A:GENERALPHARMACOLOGYANDSSTEMIC Blueprint oftheorypaper:
SL.NO 1 2 1 3 2 6 5 4 3 1. Practical examination:90Marks MCQ canbeaskedfromanytopicanditwillthemustknowareaonly. Total –100Marks Practical InternalAssessment–10Marks Theory :70Marks MISCELLANEOUSfor25marks for25marks ANTIBIOTICS SYSTEM CENTRAL ANDAUTONOMICNERVOUS PERIPHERAL NERVOUSSYSTEM DENTAL PHARMACOLOGY GASTROINTESTINAL SYSTEM GENERAL PHARMACOLOGY HORMONES CARDIOVASCULAR SYSTEM BLOOD Part I Part II : Section C Section B Section A : 20 MCQs(X0.5=10Marks) SECTION A SECTION B TOPICS : : :
5 VSAQs(5X2=10Marks) 1 LAQ(1X10=Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 3 SAQs(3X5=15Marks)
[1X10]
LAQ 1 1 [3X5] SAQ
1 1 1 1 1 MATRIX -2 DENTAL PHARMACOLOGY IMMUNOSUPRESSANTS CHEMOTHERAPY OF MALIGNANCY& MISCELLANEOUS GASTROINTESTINAL SYSTEM ANTIBIOTICS AUTOCOIDS ANDRESPIRATORYSYSTEM GENERAL PHARMACOLOGY HORMONES CARDIOVASCULAR SYSTEM BLOOD CENTRAL ANDAUTONOMICNERVOUSSYSTEM PERIPHERAL NERVOUSSYSTEM SL.NO 12 11 2 1 4 3 5 4 9 8 6 5 ANTIBIOTICS SYSTEM CENTRAL ANDAUTONOMICNERVOUS PERIPHERAL NERVOUSSYSTEM AUTOCOIDS ANDRESPIRATORYSYSTEM IMMUNOSUPRESSANTS CHEMOTHERAPY OFMALIGNANCY& CARDIOVASCULAR SYSTEM BLOOD AUTOCOIDS ANDRESPIRATORYSYSTEM IMMUNOSUPRESSANTS CHEMOTHERAPY OFMALIGNANCY& DENTAL PHARMACOLOGY GASTROINTESTINAL SYSTEM GENERAL PHARMACOLOGY HORMONES SECTION C[VSAQ&MCQ] SECTION A SECTION B TOPICS General andDentalPharmacologyTherapeutics 5 X2=10 5 VSAQs VSAQ [1X10] LAQ 1 1 20 X0.5=10 MCQ [3X5] SAQ 1 1 1 1 1 2 2 2 2 2 2 3 1 1 1 1 1 1 1
Page107 Page108
j) RecommendedBooks: apparatus OSPE stations:8Hrs(50marks) Conventional –Prescriptionwriting&Clinicalpharmacologypracticals40Marks Blueprint ofPracticals: agents indentistryandtreatmentofdentalinfections. therapy, anticariesdrugs,mummifying agents, antisepticsanddisinfectants,antiplaque fluoride astringents, of dentrifices,obtundents, of steroids,use and uses effect adverse Styptics,insulinandantidiabeticdrugs, and antiplatelets, implication ofanticoagulants and hypertension,Dental shock oranyemergencyconditiontreatment,Drugsforangina asthmaticus orepilepticusmyocardialinfarctionanaphylactic Antihistaminics, Status Opioids, General anaesthetics,Preanaestheticmedication,Betablockers,Anticholinergics, anaesthetics, local GIVEN TOTHEFOLLOWINGTOPICS-NSAIDs, TO BE MARKS sulfonamides, cotrimoxazole,broadspectrumantibiotics,aminoglycosidesandmacrolides. from sectionBtobeaskedbetalactamantibiotics,quinolones,cephalosporins, BE ASKEDFROMCNS-opioid analgesics, localanaestheticsandNSAIDs.longquestion teach pharmacologyfordentalpractice,henceLONGQUESTIONINSECTIONATO General andDentalPharmacologyTherapeutics
3. 1. 3. 2. 1. In viewofteachingpharmacologyfordentalpractice,EXCESSWEIGHTAGEOF In viewofthepharmacologysyllabusfordentalstudents,importancetobelaid 2. Preparatory ManualformedicalstudentsbyTaraShanbag,2 Essentials ofPharmacologyfordentistrybyK.D.Tripati,3 Charts demonstratingdrugaction,pharmacokinetics&Pharmacodynamics Instruments- Analgesiometer,convulsiometer,hotplateapparatus,tailflick Various administrationtechniquesregardingtheroutes. Pharmacology fordentalstudentsbyPadmajaUdayakumar,3
rd edition nd rd edition edition
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2. Time :3hours 1. MODEL MULTIPLECHOICEQUESTIONS: c) a) Codeine isusedclinically as: c) a) Enalapril Which ofthefollowingantihypertensiveis not giveninpregnancy? c) a) The benzodiazepineusedasananaesthetic is c) a) Glucocorticoids ifexcesscauses c) a) following mediatorintheplatelets: Low dosesofaspirinprolongbleedingtimebyselectivelyinhibitingsynthesisthe c) a) Select theultrashortactingcardioselectivebetaadrenergicblocker d) c) b) a) Pilocarpine reducesintraoculartensioninopenangleglaucomaby: d) c) b) a) High plasmaproteinbinding: d) c) Prolong b) Drug a) Placebo isan Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams Antidiarrhoeal Analgesic Labetalol Midazolam Diazepam Hypotension Muscle wasting Platelet activatingfactor Thromboxane A2 Sotalol Bisoprolol Enhancing uveo-scleraloutflow Reducing aqueousformation Increasing toneofcilliarymuscle Contracting sphincterpupillae Generally makesthedruglongacting Minimizes druginteractions Facilitates glomerularfiltrationofthedrug Increases volumeofdistributionthedrug An activemetabolite Inert substance GENERAL &DENTALPHARMACOLOGYTHERAPEUTICS
MODEL QUESTIONPAPER
I BDSEXAMINATION
PART -I
d) b) Antitussive d) Nifedipine b) d) Oxazepam b) Lorazepam d) b) d) b) d) Esmolol b) Timolol (20 x0.5=10) General andDentalPharmacologyTherapeutics
All oftheabove α Methyldopa decreases acidsecretion hypoglycemia Prostacyclin 5-Hydroxytryptamine
Max. Marks:70
Page109 Page110
18.
17.
16. is: 15.
14. 13.
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10. General andDentalPharmacologyTherapeutics d) c) b) a) Rifampin killstubercle bacilliby: d) c) b) a) choice for: Benzathine penicillininjectedonceevery4 weeksfor5yearsormoreisthedrugof c) a) should becontinuedfor: Surgical antibioticprophylaxisforcleanelectivesurgerystartedjustbeforeoperation d) Sucralfate c) Ranitidine b) Misoprostol a) Omeprazole The firstchoicedrugfornonsteroidalanti-inflammatoryassociatedgastriculcer d) c) b) a) For healingduodenalulcertheusualdurationofH2blockertherapyis: d) Heparin c) Barbiturates b) Organophosphates a) Tranexaemic acidisaspecificantidoteof: d) c) b) 100mg a) adult is: The dailydoseofelementalironformaximalhaemopoieticresponseinananaemic d) c) b) a) Furosemide actsbyinhibitingthefollowinginrenaltubularcell: c) a) Which sensationisblockedfirstbylowconcentrationsofalocalanaesthetic: Damaging mycobacterial mitochondria Inhibiting synthesisof mycolicacidsinmycobacteria Inhibiting mycobacterial DNAsynthesis Binding tomycobacterial DNAdependentRNApolymerase Treatment ofanthrax Prophylaxis ofrheumaticfever Prophylaxis ofbacterialendocarditisinpatients withvalvulardefects Agranulocytosis patients Five daysd)Seven One dayb)Threedays 12 weeks 8 weeks 6 weeks 4 weeks Fibrinolytic drugs 500 mg 200 mg 30 mg Na+ K+ATPase Na+-H+ antiporter Na+-Cl– symporter Na+-K+-2Cl– cotransporter Touch Pain
d) b) Temperature
Deep pressure
13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. 7. 6. SHORT ANSWERQUESTIONS: 5. LONG ANSWERQUESTION: 4. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION:
20.
19. Write fourimportant adverse effectsofsteroidtherapy List fourdrugsusedin treatmentofmigraine. Write therationalefor addingadrenalinewithlignocaineforanaesthesia. List fourdrugsusedin treatmentofAIDS Name twodrugsusedasbleachingagents Name fewstypticsandtheiruses. List outthetopicalantifungalagentsalong withtheiruses Write shortnotesonoralrehydrationtherapy and usesofciprofloxacin.(3+7) Enumerate quinolones.Describebrieflythemechanismofaction,adverseeffects Write aboutthemethodsforprolongingdrugaction. Write downthetreatmentofanginapectoris. Classify Anticoagulants.Writetheadverseeffectsandusesofwarfarin. uses, contraindicationsandadverseeffectsofmorphine.(2+8) Classify OpioidAnalgesics.Writeindetailthepharmacologicalactions,therapeutic d) c) b) a) Which ofthefollowingisableachingagent d) c) b) a) Mesna isadministeredwithcyclophosphamideandifosphamideto: sodium bicarbonate tannic acid clove oil Hydrogen peroxide Ameliorate cystitiscausedbythem Block theiremeticaction Retard theirrenalexcretion Potentiate theircytotoxicaction
PART -II Section C Section A Section B (5x2=10)
General andDentalPharmacologyTherapeutics
(1X10=10) (1X10=10) (5x3=15) (5x3=15)
Page111 Page112 Theory: Hours-[40hoursintotal] The studentwouldbeableto Specific LearningObjectives: with regardstotheclaimofmanufacturers. selection ofdentalmaterialsforsituationsandtodiscriminatebetweenfactspropaganda the criteriaof to understand the student It alsoenables the behaviorofsuchmaterials. and tounderstand materials asrelatedtothemanipulation restorative andauxiliaryDental Goal oftheSubject: Dental Materials SN 2. 1. 3. To inculcate understandingof the basicchemicalandphysicalproperties of all the Biocompatibility ofdentalmaterials Corrosion, Galvanism Endurance Limit,Fatiguefailure,Tarnish and adhesion, Surfacetension,Wetting, selection, Creep,Sag,Flow,Viscosity,Principles of properties like-Colourscience,Metamerism, Shade Resilience, Hardness,Proportionallimit,Physical of elasticity,Strength,Fractureresistance, Toughness, Important mechanical,physicalproperties like modulus Classification ofdentalmaterials materials Governing bodiestocontrolstandardsofdental Development ofdentalmaterials disadvantages and settingtimeofeach materialwithadvantagesand considerations including workingtime,mixingtime classification, Composition, Propertiesandtechnical Impression materials – Idealrequirements, involved inthefabricationofrestorationsandprosthesis. laboratory equipments and instruments and contouring/finishing materials dental restorative and auxiliary of various the knowledgeinuse To understandandapply in oralenvironment. in theirpropertiesandperformancestandards of eachmaterial characteristics commonly indentalrestorativeandrehabilitativeproceduresalsoappreciatethe Understand theevolutionofmaterialsfromhistory till date,whichareused Theory hours Total :80 Number ofhoursprescribedbyDCI Topic DENTAL MATERIALS Practical hours Total :240 Total 320 Hours 1 4 5 MDN M M M N D Weightage 12.5% 2.5% 10% 11. 12. 10. 4. 6. 5. 9. 8. 7. Electroformed dies Die materials-typesanduses modifiers, expansion, Workingtime,mixingsetting Uses, Properties,Settingcharacteristicsincluding Gypsum products–Origin,manufacture,Classification, castable andcadcamceramics strengthening dentalporcelain,metalceramicsystems, Mechanical behaviorofvarioustypes,methods Firing temperature,Techniquesoffabrication, Ceramics –History,Classification,Basiccomposition, and uses,advantagesdisadvantages base metalincludingceramicalloysclassification mixture, Classificationofalloysindentistry,nobleand of metals,equilibriumphases,eutecticandperitectic Metals andAlloys–Solidificationmicrostructure Tissue conditionersandsoftliners polymerization, typesofcuringtechniques, polymerization[chemistry andcycles],procedureof Technical considerations–workingtime,setting Denture baseresins–Composition,Properties,Uses, Polymers chemistryand Classification andusesofeach Waxes –Definition,origin,Composition, abrasives fordenturebaseresin,metalsandceramics prosthetic andrestorativematerialsincludingairotor Trimming, finishingandpolishingmaterialsusedfor and grindingpolishing. Finishing andpolishingmaterials–Principleofcutting [Integrated withArmamentariummodule] Armamentarium Implant Biomaterials Maxillofacial materials Dental Castingprocedure 1 4 4 3 4 2 1 5 2 4 M M M M M M M M N N N N D Dental Materials 12.5% 12.5% 7.5% 7.5% 10% 10% 5% 5% 5%
Page113 Page114 Dental Materials theory isbriefed duringthedemonstration. base resinstoaworkable consistencywithstandardoperatinginstructions. impression compound, Alginate,Elastomer,zincoxideeugenol impression paste,denture mention ontheircharacteristics. and significancewithspecial and auxiliarydentalmaterialsexplain theirrelevance The studentwillbeableto Specific LearningObjectives: Practicals: Hours–240 Theory Syllabus–DentalMaterialsConservativeDentistry(40Hours) 12. No 11 10 S. 1 2 3 4 5 6 9 8 7 All the hours given below are inclusive of the demonstration hours by thefaculty.Necessary given below areinclusiveofthedemonstrationhours All thehours Manipulate commonly useddentalmaterialslikegypsumproducts typesII,IIIandIV, used inrestorationandreplacement materials common dental Identify andmanipulate Silver amalgamandmercury Glass ionomercements Light curecompositeresinrestorations Acid etchantandDentinConditioner Bonding agents classification objectives,ideal requirementsand Pulp protectionmaterials-definition, Cast restorativematerials Direct Gold Zinc oxideeugenolcement Zinc polycarboxylatecement trioxide aggregate. Calcium hydroxideandmineral Zinc phosphatecement TOPIC Conservative Dentistry WEIGHTAGE SYSTEM 13.3% 13.3% 6.6% 6.6% 6.6% 6.6% 6.6% 6.6% 6.6% 6.6% 10% 10% OF HOURS NUMBER 6 3 5 3 3 4 3 3 2 3 3 3 DESIRABLE TO KNOW/ NICE TO KNOW/ KNOW MUST M M M M M M M M M M D D No 14 11 13 10 12 S. 2 1 6 5 4 3 9 7 8 non perforatedimpressiontrays an impressiononedentulousmodelusing Manipulate Impressioncompoundandmaking Art workusingplasterofparis and pouring acastforthesame. [volunteer] usingalginate impressionmaterial Clinical impressionon asimulatedpatient for thesame[doughtechniqueonmaxillarycast] a specialtraywithspacerandfabricatehandle Manipulate selfcureacrylicresinandfabricate impression Manipulate dentalstoneandpourcastinthe impression trays on anedentulousmodelusingperforated Manipulate Alginateandmakinganimpression impression Manipulate modelplasterandpourcastinthe mandibular cast] handle forthesame[sprinkleontechnique a specialtraywithoutspacerandfabricate Manipulate selfcureacrylicresinandfabricate finish theacrylicspecialtraysshortofsulcus. Use contouringandfinishingmaterialsto material acrylic modeltogetusedmanipulationof Manipulate greenstickcompoundonalubricated build up] restorations. [castingprocedure andceramic steps involvedinfabricationof-metalceramic Dental Laboratoryvisit–tounderstandthe make impressionwiththespecialtray. Manipulate zincoxideimpressionpasteand portion ofcastonthesecondaryimpression Use beadingandboxingwaxtocreateartistic impression onanedentulousmodel Manipulate Puttyandlightbodymaking an Exercise
Weightage 2% 2% 3% 2% 4% 5% 2% 8% 2% 2% 8% 4% 4% 2% Hours 1 4 2 2 2 2 2 3 2 2 2 2 2 2 Dental Materials MDN M M M M M M M M M M M D D D
Page115 Page116 Scheme ofexamination Dental Materials MATRIX [Oneofthe following patternscanbeadoptedbythepaper setter] MCQs shouldbefrom must knowareas 10 %shouldbefromNicetoknowareas–All [Essaysshouldnotbeasked] 20 %shouldbefromDesirabletoknowareas –All[Essaysshouldnotbeasked] 70 %shouldbefromtheMustknowareas–Essays andShortNotes The questionscanbedistributedasfollows:please refertoQuestionbankandsyllabus Very ShortAnswerQuestions Multiple ChoiceQuestions BLUE PRINTOFQUESTIONPAPER 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks 15. 1. 2. 1. Total –100Marks Practical InternalAssessment–10Marks Practical examination:90Marks eugenol phosphate, zincpolycarboxylate,Zincoxide amalgam, Glassionomercement,zinc Manipulation ofrestorativematerials-Silver Dental Materials–Conservative Theory :70Marks related materialsfor5marks Section B:RestorativeDentistryrelatedmaterialsfor20marksandOrthodontic Section A:Prosthodonticsrelatedmaterialsfor25marks Part I Part II
Section C Section B Section A : 20 MCQs(X0.5=10Marks) 2 prostho3conservativeandortho 5x2 =10marks-3prostho2conservativeand ortho (or) 20 X0.5=10marks–5conservativeandprostho : : :
5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 50%
20
M
Section A:IfLAQinfromImpressionMaterials&GypsumproductsDentalInvestments Pattern -1 [Please correlatewithsyllabusforweightage] Dental resincompositematerial: Section A:IfLAQisfromDentalCeramicsandDenturebaseresins, Pattern -2 Categ Categ 4 3 2 1 1 2 4 3 resin compositematerial. Dental Ceramicsand Denture baseresins,Dental Casting procedures polishing materials,solderingandwelding Metals andalloysusedindentistry,finishing and investments materials] andGypsumproductsDental Impression material[Elasticandnonelastic investments materials] andGypsumproductsDental Impression material[Elasticandnonelastic dental materials [physical,mechanical andbiologicalproperties of Introduction includingADA,BasicProperties of dentalmaterials [physical, mechanicalandbiologicalproperties Introduction includingADA,BasicProperties Dental CeramicsandDenturebaseresins procedures materials, solderingandweldingCasting solidification shrinkage,finishingandpolishing Metals andalloysusedindentistry,including TOPICS TOPICS
LAQ LAQ 1 1 1 1 Section A Section A SAQ SAQ 1 1 1 1 1 1 3 3 Dental Materials MARKS MARKS 10 15 25 25 25 25 5 5 5 5 5
Page117 Page118 If thepatternfollowscategory2 Section -BConservativedentistry If thepatternfollowscategory1 Section B–ConservativeDentistry Dental Materials Categ Categ 5 5 4 4 3 2 1 3 1 2 cement, Glassionomer cements and mineraltrioxideaggregate,Zincpolycarboxylate cement, ZincphosphateCalcium hydroxide Zinc oxideeugenolcement,polycarboxylate cement, Glassionomercements and mineraltrioxideaggregate,Zincpolycarboxylate cement, ZincphosphateCalciumhydroxide Zinc oxideeugenolcement,polycarboxylate ideal requirementsandclassification Pulp protectionmaterials-definition,objectives, ideal requirementsandclassification Pulp protectionmaterials-definition,objectives, Direct Gold,Castrestorativematerials etchant andDentinConditioner,Bondingagents Light curecompositeresinrestorations,Acid Direct Gold,Castrestorativematerials etchant andDentinConditioner,Bondingagents Light curecompositeresinrestorations,Acid Silver amalgamandmercury Silver amalgamandmercury TOPICS TOPICS
LAQ LAQ 1 1 Section A Section A SAQ SAQ 1 1 1 1 1 1 MARKS MARKS 10 10 25 25 5 5 5 5 5 5 Part I&SectionC–Pattern2 Part I&SectionC–Pattern1 Categ Categ 4 3 4 2 1 2 1 3 composite material Dental CeramicsandDenturebaseresins,Resin Dental amalgam Casting procedures polishing materials,solderingandwelding Metals andalloysusedindentistry,finishing resin composite Dental Ceramicsand Denture baseresins,dental Dental Cements investments materials] andGypsumproductsDental Impression material[Elasticandnonelastic Dental Cements investments materials] andGypsumproductsDental Impression material[Elasticandnonelastic Casting procedures,Dental amalgam polishing materials,solderingandwelding Metals andalloysusedindentistry,finishing and welding of dentalmaterials,wroughtwires,soldering and [physical, mechanicalandbiologicalproperties Introduction includingADA,BasicProperties welding dental materials,wroughtwires,solderingand [physical,mechanical andbiologicalpropertiesof Introduction includingADA,BasicProperties TOPICS TOPICS 0.5mk 0.5mk MCQ MCQ 20 20 6 4 4 6 4 4 4 8 Section C Section C VSAQ VSAQ 2mk 2mk 1 1 2 1 1 1 1 2 5 5 Dental Materials Marks Marks 20 20 5 4 6 5 4 4 4 8
Page119 Page120 refer otherbookswheneverrecommendedoradvisedforselectedreading. Recommended Books:Thefollowingbooksaremandatoryandthestudentissupposedto Blueprint forpracticals:OSPE(90MARKS) Dental Materials Station Restorative 11 10 of Dental Materials 1 6 5 4 3 2 7 9 8 materials Phillip’s Science Dental Casting/amalgam Waxes/cementsandcomposite Gypsumproducts Armamentarium /any–cons/prostho/ortho Impression material ortho Applied aspectsofproperties-anycons/prostho/ 1 prosthocons materials* Manipulation ofonetheabovementioned FinishingandPolishingmaterials Root canalfillinginstrumentsandmaterials Implants /wroughtwires Denturebaseresins Robert Craig Kenneth J Anusavice EvaluatedSkills Eleventh Twelfth Saunders Mosby CVMosby Co, USA Saunders USA WB Weightage 11% 11% 11% 11% 22% 11% 4% 6% 6% 4% 495 INR 35 USD 40 marks 5 marks 5 marks 5 marks 5 marks 5 marks 5 marks 5 marks 5 marks 5 marks 5 marks Marks 2002 2013
7.
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Time :3hours 1. MODEL MULTIPLECHOICEQUESTIONS: b. a. Hardness ofmetallic objects arebesttestedwith d. c. b. Resilience a. Toughness The areabelowthestressstraincurvewithin proportionallimitisdescribedas d. c. b. a. Physical stagesofcuringindenturebaseresins areimportantasithelpsin d. c. b. a. following alloysexcept The metalframeworkforacastpartialdenturecanbefabricatedbyallofthe d. Gelatin c. Agar b. a. Alginate crucial in The temperaturelagbetweengelationandliquefactiontime-hysteresisis d. c. b. a. The investmentmaterialofchoicetobeusedforabasemetalalloywould d. c. b. a. exerted wouldbe The mostmucostaticimpressionmaterialtobeusedwhereleastpressureshould Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams Vickers method Brinnel’s method Elastic Limit Modulus ofelasticity All oftheabove Manipulation ofthematerial Setting thecuringcycle Setting thecuringtemperature Cobalt Chromiumalloys Titanium alloys Type IVgoldalloys Type IIIgoldalloys Cold mouldseal Any oftheabove Ethyl Silicatebonded Phosphate bonded Gypsum bonded Low fusingcompound Soft Wax Zinc oxideeugenolimpressionmaterial Impression Plaster
MODEL QUESTIONPAPER
DENTAL MATERIALS I BDSEXAMINATION
PART -I
Max. Marks:70 (20 x0.5=10) Dental Materials
Page121 Page122
16.
15.
14.
13.
12.
11.
10.
9. 8.
Dental Materials b. a. The mainpurposeof trituration is d. c. b. a. Calcium hydroxideaidsinformationof d. c. plasticizer b. a. Role ofzincstearateinZincoxideeugenol d. c. b. a. Which generationdentinbondingagentsfollowthetotaletchconcept. d. c. b. a. Dental varnishisappliedatwhatdepthofthecavity d. c. b. a. Glass ionomercementshaveanticariogenicpropertydueto d. c. b. a. Impression Compoundisusedinallofthefollowingexcept d. c. b. a. The personnelatriskwithmercuryvapourhazardis d. c. Saturation b. a. Metamerism The perceptionofcolourinbrightlightiscalledas d. c. to dissolve all theparticleswith mercury to coatthesilveralloy particleswithmercury all oftheabove intertubular dentin secondary dentin tertiary dentin b andc acts asanaccelerator to reducethebrittlenessofcement second generation sixth generation fourth generation first generation pin pointpulpexposure 0.5 mmbeyondtheDEJ more than2mm less than2mm all oftheabove bonding toenamelanddentin release offlouride presence ofcalcium As atrayforwashimpression Border Moulding Secondary Impression Primary Impression All areatequalrisk The assistant The Patient The dentist Raman effect Bezold bruckeeffect Knoops method Rockwells’s method
4. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION: 20. 19.
18. 17.
laboratory personnel. Discuss anyfourpotential hazardousdentalmaterialstothedentist orthe Applications oftheabove propertiesinDentalmaterialswithexamples[3] Define MalleabilityandDuctility[2] Classify CastingFailures and methodsofstrengtheningCeramics.[5] Mention theCompositionofconventional Ceramics. Addanoteofthemodifiers Classify Dentalceramicsbasedontheirfiringtemperature[3] Explain basiccompositionofDentalCeramics?[2] d. c. physically b. chemically a. mechanically Zinc polycarboxylateadherestothetoothstructure d. 6.5 c. 5.5 b. 9 a. 2 Ph ofZincphosphateatthetimeinsertionis d. c. b. a. What isacastrestoration? d. c. HEMA b. UDMA a. BISGMA Which ofthefollowingisnotresinmatrix d. c. all theabove machined restoration indirect restoration incrementally builtup direct restoration a andb none oftheabove to reducethesizeofalloyparticles
PART –II Section A
Dental Materials
1X10=10 3X5=15
Page123 Page124 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: Dental Materials 8. 7. 6. SHORT ANSWERQUESTIONS: manipulation. 5. LONG ANSWERQUESTION Enlist twoimportantphysicalpropertyofGoldfoil. Write thecompositionofdentalvarnish. Compare anytwofeaturesofsolderingandwelding. Give anexamplewherehygroscopicexpansioningypsumproducts Mention theactivatorsinheatcureandselfacrylicresins fine fillerparticle. Classify resincompositematerialbasedonfillersize.whataretheadvantageofvery What isdentalamalgam?Explainthesettingreactionofhighcoppersilveramalgam. Define welding.Explainspotwelding. of type2glassionomercement.Justifytheusepaperpadandagatespatulaforits Classify GlassIonomerCement.Writethecompositionandsettingreaction Section C Section B [2+6+2=10]. 1X10=10 3X5=15 5x2=10
Theory: Hours-[40hoursintotal] crowns Specific LearningObjectives: Theory :25hours denture, removablepartialdentureandfixeddenture. Goal of theSubject:Todeveloppreclinicalskillsrequiredtofabricateacomplete SN 7 6 5 4 3 2 1
lab hours] fabrication ofocclusion rims.[withdemonstrationin and clinicalimportance oflandmarksusedin Occlusion rimspecifications, archresorptionpattern demonstration inlabhoursoffirstyear] trial denturebases-importanceandmaterials [with Special tray,specificationandspacerdesigns and of clinicalanddummyworksteps Steps incompletedenturefabricationwith comparison Parts ofadenture–Complete and clinicalsignificance]inlabhours denture bearingarea[description,structuresrelated Anatomical Landmarksofmaxillaryandmandibular replacement Branches ofProsthodonticsandimportance Evolution ofprosthodontics To understandbasicprinciplesoftoothpreparationandtopreparecommonly To becompetenttofabricatearemovablecompleteandpartialdentures. him to skill setsasitwouldenable Understand theimportanceofpreclinical encountered preparationslikeMolar–fullveneercrownsandincisorsallceramic identify themistakesdonebyatechnicianwhenstudentisoutinpractice Theory hours Total :25 PRECLINICAL PROSTHODONTICS Number ofhoursprescribedbyDCI The studentwillbeableto Topic Practical hours Total :200 Total hours 225 No of 1 1 1 1 1 3 Preclinical Prosthodontics Weightage 18 % 5 % 6 % 2 % 2 % 2 % MDN M M M M M M
Page125 Page126
Fixed partialdenture Removable partialdenture performance.
Complete denture Specific LearningObjectives: Practicals –300hours Preclinical Prosthodontics 18 17 16 15 14 13 10 12 11 9 8 6. 5. 4. 3. 2. 1. full veneer Principles oftoothpreparationallceramicand Relining andRebasing Components ofFPD Demonstration ofcomponentsRPD[Labhours] Components ofRPD and videosinlabhours] Principles oftootharrangement[withdemonstration [in theoryandlabhours] the articulator,advantages,disadvantages,limitations theory ofocclusioninthreepointarticulator,parts Articulators –concepts,needfortheinstrument, Classification ofpartiallyedentulousarches Principles oftootharrangement Flasking andprocessingDemonstrationwiththeory and maximumintercuspationwithcurvesofocclusion occlusion inremovablecompletedenturesonlycentric Occlusion innaturalandartificialdentitionwith Tooth preparationon plasterdiesforfullveneercrownona posteriortooth poured from rubbermoulds. Tooth preparation on plaster dies for all ceramiccrown on ananterior poured from rubbermoulds. made duringtheearlyclinicalexposure. impression partial dentureontheclinical upper andlowerremovable Fabricate Special emphasisgiventothearrangement of teethbasedontheprinciples. occlusion rimtoprocessingandfinishing accordingtostandardcriteriaof Perform alllaboratoryproceduresrelatedtocompletedentureconstructionfrom understand thestepsandsequenceincompletedentureconstruction Thestudentwillbeableto
1 2 2 2 1 1 1 3 1 2 1 30 % 2 % 3 % 2 % 2 % 5 % 8 % 3 % 4% 2% 4% M M M M M M M M D D D
Pre ClinicalPracticalsSyllabus incisor onaplastermodel. removable partial denture processedandtwo teeth preparationsoneonmolar and the other on Three setsofteeth arrangement forcomplete denture -CD,onesetofCDprocessing, It shouldbenotedthatthePreclinicalProsthodontichoursstartfromfirstyear. 16. 11. 10. 17. 15. 14. 13. 12. 19. 18. SN 1 2 3 4 5 9 8 6 7 FIRST YEAR with contrastingcolours mandibular denturebearingareaandcolourthem Outline AnatomicalLandmarksofmaxillaryand Maxillary andMandibularcastpreparation Temporary DenturebasefabricationoverCast Oclusion rimsoverTrialDenturebase Processing Articulation oftheocclusionrims Denture Deflasking FinishingandpolishingofComplete Teeth arrangementsetupfinishedwithfestooning Teeth arrangementforClassIridgeincludingfinishing Flasking mandibularinreverseflaskingmethod Denture Deflasking FinishingandpolishingofComplete Dewaxing Teeth arrangement–2includingfinishing Flasking maxillarycastinconventionalmethod Sealing andDearticulation [RPD] Teeth arrangementforRemovablePartialDenture Teeth arrangement–3includingfinishing Curing Packing theinvestment mouldwithdenturebaseresin Topic
Weightage 16% 10% 12% 12% 2% 2% 2% 2% 4% 4% 2% 2% 4% 2% 2% 2% 2% 2% 2% Preclinical Prosthodontics 60 hours Hours 10 42 10 24 10 10 40 40 4 4 4 6 8 6 4 8 4 8 6 MDN M M M M M M M M M M M M M M M M M M D
Page127 Page128 Preclinical Prosthodontics Practical Syllabus Internal Assessment Viva Performance duringpracticalexamination-60marks Maximum Marks 2. Summative 1. Formative ON BASED OF THEPROGRESSANDPERFORMANCECANDIDATE EVALUATION 21. 22. 20. 23. 25. 24. No S. 4 3 2 1 5 6 7 8 Part II–OSPE[15stationsx2marks] Part I–TeetharrangementexerciseinClridgerelationship Evaluation inPracticalExamination Faculty /Selfevaluationusingcriteriaintheobservationnotebook moulds Pouring molarandincisorplasterdiesfromrubber Deflasking, finishingandpolishingRPD All ceramicpreparationinaplasterCentralincisordie Full veneerpreparationinaplastermolardie PracticalFormativeAssessment OSCE training Articulators Articulationtypes,usesandtheories of teeth Occlusion rimsusesandConstruction selection Impression traysandImpressions importance Identification ofAnatomicallandmarksand Laboratory procedures Repair andRebasing relationship Classification, Kennedy’s, edentulousridge Components ofRPD
Evaluation ofSkills
C-Understanding C-Understanding C-Understanding C-Application C-Application C-Application P –Perform Predominant 2% 2% 2% 2% 6% Domain Recall 13 25 4 6 6 6 100 marks 20 marks marks 20 30 marks 30 marks Marks 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% 5.5% M M M M M M Recommended Books: 10 9 complete dentures tooth preparation removable partial Fundamentals of Prosthodontics procedures for procedures for Laboratory Laboratory Preclinical Components ofFPD Teeth arrangementonathreepointarticulator dentures Book Shillingburg Herbert T Lakshmi Morrow Morrow Author Rudd Rudd Second Second Edition First Quintessence publications Publications Elsevier Mosby Mosby P –Perform Reed Elsevier Quintessence Publications CV Mosby, CV Mosby, Recall Publishing Preclinical Prosthodontics company Address India USA USA 5.5% 50% 1986 2010 1986 1986 Year
Page129 Page130 Preclinical ConservativeDentistry THEORY -TOTALHOURS40 S.NO 1 3 2 4 6 5 7 Review ofToothAnatomy. Dentistry, Toothnumberingsystem, Definition andobjectivesofConservative Tooth preparation Dental Caries Restorative procedure Cavity preparations Silver Amalgamrestorations Pulp capping procedures Caries removal Pulp capping Restorative procedure Cavity preparations Light cureresincompositerestorations Restorative procedure Cavity preparations Glass ionomerrestorations Blacksclassification variousrestorativematerials toothpreps ConventionalcavityVsConservative Typesofpreparation Definition Histopathology Classifications;emphasisonGV Pathogenesis Etiology Definition Comparisonofbasicprinciplesfor Basicprinciplesincavitypreparation Cavitynomenclatures PRECLINICAL CONSERVATIVEDENTISTRY Theory hours Total :25 TOPIC Number ofhoursprescribedbyDCI Practical hours Total :200
HOURS NO.OF 2 5 4 8 2 3 3 Total SYSTEM WEIGHTAGEIN 225 % (BASEDONMDN) 12.5 2.25 7.5 7.5 10 20 5 No 11 10 S. 1 6 5 4 3 2 7 9 8 11 10 9 8 Discussion anddemonstrationontheArmamentarium Class IIIGlassionomerintypodontteeth MOD silveramalgamintypodontteeth Class IIsilveramalgamintypodontteeth Class ISilveramalgamintypodontteeth preparation inplasterblocks Discussion anddemonstrationofbasicprinciplesincavity finger restsandgrasps Discussion anddemonstrationoftheChairsideposition, Class VGlassionomerintypodontteeth Class IVCompositeresin inextractedteeth Class IIGlassionomer intypodontteeth Class IGlassionomerintypodontteeth Class IIIComposite resininextracted teeth Direct andindirectfabricationprocedure Inlay cavitypreparation Cast restorations Restorative procedure Cavity preparation Direct goldrestorations Access, cleanandshape,obturation. Over viewofrootcanaltherapy Armamentarium andchairsideprotocols PRECLINICAL CONSERVATIVEDENTISTRYPRACTICALSLLABUS Equipments Fillinginstruments Matricesandwedges Rotarycuttinginstruments Handcuttinginstruments Classification Fingerrests,grasps,chairposition Exercises TOTAL HOURS-200 3 2 2 6 Preclinical ConservativeDentistry Number of Exercise 1 4 6 3 4 1 1 4 3 - - - 7.5 15 5 5 Number of Hours 12 36 18 12 12 12 12 4 6 4 6 6
Page131 Page132 Viva –20marks Internal assessment–20marks
Preclinical ConservativeDentistry Practicals –60marks EVALUATION - S.No 19 16 15 14 13 12 20 18 17 1 2 3 4 5 6 2. 1. Discussion anddemonstrationofRootcanaltreatment restoration Discussion anddemonstrationofClassIIndirect Preventive resinrestorationinextractedteeth Pit andfissuresealantinextractedteeth Class IIIndirectpulpcappinginextractedteeth Class 1Directpulpcappinginextractedteeth Class IICompositeresininextractedteeth Class ICompositeresininextractedteeth Class VCompositeresininextractedteeth BLUE PRINTFOROSCPEPRECLINICALCONSERVATIVEDENTISTRY Armamentarium andchairsideprotocols Dental caries Principles ofcavitypreparation Matrices andwedgesplacement Pulp protectiveagents&Manipulationofcements preventive andrestorative Direct compositeresinrestoration- OSPE -6stationsof5markseach30 Traditional - Class II cavity preparation, base, matricing &restoration-30marks base, preparation, II cavity - Class Traditional Preclinical Conservative dentistry Practical examination. - 100markstotal examination. dentistry Practical Conservative Preclinical Stations Weightage 12.5 17.5 12.5 12.5 20 25 % 1 1 1 1 1 3 5 - - psychomotor psychomotor Cognitive & cognitive cognitive cognitive cognitive Domains 10 12 6 6 4 6 6 6 4 III Year Syllabus Page134 as applicabletodentistry. GOAL General Medicine
SKILL The dentalgraduatesduringtrainingintheDepartmentofGeneralSurgeryshouldacquire KNOWLEDGE OBJECTIVES handling medicalemergenciesencounteredindentalpractice. of thebody-diseasesheart,lungs,kidneys,bloodetc.Heshouldbecapable of pulse, bloodpressureandbecapableofsuspectingbysightsuperficialexamination ATTITUDE
1. Special emphasisshouldbegiventhroughoutontheimportanceofvariousdiseases 2. 3. A dentalstudentshouldbetaughtinsuchamannerhe/sheisabletorecord the arterial examination. systemic approachofhistorytakingandclinical
in differentsystemicdiseases. Special precautions/contraindicationofanaesthesiaandvariousdentalprocedures Oral manifestationsofsystemicdiseases. Training shouldprovidesufficientknowledgeonhumandiseasetoenablethe student tounderstanditsmanifestationsasrelevantthepracticeofdentistry. Medical emergenciesindentalpractice. Clinical instructionsshouldenablethestudent tounderstandandperhapsdiagnose common systemicdiseaseswhichhaverelevance todentalpractice,byadoptinga outpatient medicaldepartmentsandspecialist clinics. This Requiresclinicalteachingonpatientsand shallbecarriedoutininpatientand investigations inthediagnosis ofdisease. The studentshouldalsorealisethesignificance ofvariousgeneralandspecial colleagues alsobecome importantaspectsofthistraining. effective communication withpatients,interactionvarious professional The abilitytorecognise physicalandmentalillness,dealingwith emergencies, Theory hours III yearBDS Total :60 60 Number ofhoursprescribedbyDCI General Medicine Clinical hours III yearBDS Total :90 90 Total 150
Theory –60hours SYLLABUS IIIEAR 11. 10. 12. No 1. 3. 2. 4. 5. 6. 9. 7. 8. S. Diagnosis andTreatmentPlanning Sterilization andDisinfection History ofMedicine Introduction toMedicine Zoster, SyphillisDiphtheria Enteric fever,AIDS,HerpesSimplex, Infectious diseases Rubella, Malaria InFectious mononucleosis,Mumps,Measles, Chronic Hepatitis,CirrhosisofLiver,ascites Acid PepticDisease,Jaundice,Acuteand Stomatitis, GingivalHyperplasia,Dysphagia, Malabsorption Diarrhoea, Dysentery,Amoebiasis, Systemic hypertension Valvular heartdiseases,Ischemicdisease, CVS Bronchial Asthma Pneumonia, COPD,PulmonaryTB, RS Bronchiectaisis, LungCancers,bronchitis Lung Abscess,PleuralEffusion,pneumothorax, cascade anditsdisorders Anemias, Leukemias,Coagulation Haematology syndrome Acute nephritis,Renal failure,nephrotic Renal System Trigeminal Neuralgia Facial Palsy,Pain, Epilepsy,Headache, CNS
Topic
weightage System 7.5% 7.5% 10% 10% 10% 5% 5% 5% 5% 5% 5% Number of hours 3 5 3 5 3 5 6 3 3 5 4 General Medicine (D)/ Niceto know (M)/ know Desirable know (N) to know Must M M M M M M M M D D D
Page135 Page136 General Medicine 1. Scheme ofexamination 6. 5. 4. 3. 2. 1. Clinical -90hours Sl.No. 13. 14. 15. 16. 1 6 5 4 3 2 Theory :70Marks Endocrinology -ThyroiddisordersDept. ofGen.Surgery Coagulation cascade-Dept.ofPhysiology & medicine Leukemias- DeptofPathology&medicine Anemias –Dept.Pathology&medicine AIDS-. Dept.ofofMicrobilogy&Medicine Sterilization andDisinfection-Dept.ofMicrobilogy&Medicine & ComatosePatient Meningitis,Examination ofCranialNerves Avitaminosis, BalancedDiet,PEM Nutrition: Addison Disease,CushingSyndrome Calcium Metabolism&Parathyroids, Hypothyroidism, Thyrotoxicosis, Diabetes Mellitus,Acromegaly, Endocrinology anaphylaxis, Allergy,Angioneuroticedema Adverse drugreaction,Druginteraction, Critical Care Examination ofCNS20HRS Examination ofAbdomen15HRS Examination ofRS-15HRS Examination ofcvs-20HRS General examination-10HRS History elicitation–10HRS Part II Part I Section B: Section A: : : List oftopicsforintegratedteaching 20 MCQs(X0.5=10Marks) Clinical
3 SAQs(3 X 5=15Marks) 1 LAQ(1X10= Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10= Marks)
10% 5% 5% 5%
Observe /assistperform
3 4 5 3 Perform Perform Perform Perform Perform Perform M M D D D Section -A Multiple choicequestionsshouldbefrommustknowarea Blue printofthequestionpaper 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks Part I&Section–C Section -B nervous system,Respiratory system,Nephrology,Nutrition,Endocrinology Cardiovascular system, Abdomen,Infectiousdiseases,Criticalcare medicine, Central system( 1x10=10marks) 1 Questionfromeither Respiratory system Central nervoussystem marks either system1x10=10 One Questionfrom Abdomen Cardiovascular system Long answerquestion-LAQ Long answerquestion-LAQ 10 %fromNicetoknowareas 20 %fromDesirabletoknowarea 70 %fromtheMustknowareas The questionswillbedistributedasfollows: Total –100Marks Practical InternalAssessment–10Marks Practical examination: Five Veryshortanswerquestions-VSAQ-(5x 2=10marks)
90 Marks Section C:
(3x5 marks=15marks) Endocrinology Nephrology, Nutrition, (3x5=15) Critical caremedicine Infectious diseases Haematology Short answerquestions-SAQ Short answerquestions-SAQ
5 VSAQs(5X2=10Marks)
General Medicine
Page137 Page138 General Medicine Reference books Recommended textbooks Pass criteria–Cumulativemarks-50% OSCE with10stations(10x5marks=50marks) Conventional Longcase:40marks Total marks:90 Blueprint forClinicalExamination: Acromegaly, Hypothyroidism,Thyrotoxicosis,CalciumMetabolism&Parathyroids Avitaminosis, DM, Pain,Epilepsy,Headache, Palsy, Facial nephritis, Facial Acute TB, BronchialAsthma,Anemias,Leukemias,Coagulationcascadeanditsdisorders, diseases, Ischemicheartdisease,Systemichypertension,Pneumonia,COPD,Pulmonary Jaundice, AcuteandChronicHepatitis,Cirrhosis of Liver,Ascites,Valvularheart Syphillis, DiphtheriaStomatitis,GingivalHyperplasia,Dysphagia,AcidPepticDisease, Introduction toMedicine,Entericfever,AIDS,HerpesSimplex,Zoster, 2. 1. 3. 2. 1. d. c. b. a. API TextbookofMedicine Davidsons PrinciplesandPracticeofMedicine Macleod clinicalexamination Hutchisons clinicalmethods Medicine fordentalstudents–Alagappan Communication skillassessment(observational)=1 Skill observationalstations=3 Identification stations–3 Knowledge assessmentstations=3 Twenty Multiplechoicequestions(20X0.5=10marks
7.
6. 5.
4.
3. a. 2.
Time :3hours 1. MULTIPLE CHOICEQUESTIONS: e. d. Indefinitely c. b. a. Rapidly Antacid therapyrelieves symptoms d. c. b. a. Which cranialnerveparalysiscanleadtodysphagia d. Ranitidine c. b. Metformin a. Amlodepin Of thefollowingdrugswhichdrugcancausegumhyperplasia? d. c. b. a. Vesicular lesionisseenin d. c. b. a. All ofthefollowingstatementsaboutherpeszosteraretrueexcept: d. ESR c. PCR b. Westernblot The confirmatorytesttodiagnoseAIDSis d. c. b. a. Typhoid feveristransmittedby Instructions: Attemptallthequestions Illustrate youranswerswithsuitablediagrams By protecting themucosafromacid By eradicatinghelicobacter pylori By completedneutralisation ofgastricacid Glossopharyngeal nerve Trigeminal nerve Occulomotor nerve Olfactory nerve Phenytois sodium Congenital syphilis Tertiary syphilis Secondary syphilis Primary syphilis The herpeszosterrashistypicallyunilateral The herpeszosterrashisoftenprecededbypainand/ortingling The herpeszosterrashisusuallyafullbody The herpeszosterrashisgenerallyconfinedtooneortwodermatomes Elisa Sexual intercourse Infected syringesandneedles Droplet nuclei Contaminated foodandfluid UNIVERSITY MODELQUESTIONPAPER
III BDSEXAMINATION GENERAL MEDICINE
PART -I
Max. Marks:70
General Medicine (20X0.5=10)
Page139 Page140
16.
15.
14.
13.
12.
11.
10.
9. 8. General Medicine c. Iron a. Iodine Which ofthefollowing deficiencyleadstoironanemia d. c. b. a. Gold standardfordiagnosisofPulmonary Tuberculosis is d. c. b. a. acquired pneumonia(CAP)pathogens? Which ofthefollowingassociationscorrectlypairsclinicalscenariosandcommunity d. c. Both b. a. Typical causesofsecondaryhypertensionis e. d. Hypertension c. b. a. Dyslipidemia Which ofthefollowingareriskfactorsforIHD?(Checkallthatapply) d. c. b. Congenital a. Which ofthefollowingismostcommoncauseformitralstenosis? d. c. b. a. In apatientwithcirrhosisoflivertherecommendeddietis d. c. b. a. Ascites isfluidcollectioninthe d. Obstructive c. Hepatocellular b. Haemolytic a. Jaundice inviralhepatitiscanbeclassifiedunder Bactec TB460 Sputum forAFB Culture oftheSputum Chest X-Ray Structural lungdisease: Poor dentalhygiene:Chlamydiapneumoniae,Klebsiellapneumoniae Heavy alcoholuse: Aspiration pneumonia: Neither oftheabove Kidney related Endocrine related All oftheabove Family historyofDM Family historyofCVD Carcinoid syndrome Endomyocardial fibrosis Rheumatic fever High fiber Low fat High protein Low protein Ventricles inthebrain Pericardial space Pleural cavity Peritoneal cavity Congenital hyperbilirubinaemia
Atypical pathogensandStaphylococcusaureus
Streptococcus pyogenes Pseudomonas aeruginosa,S.Aureus
d. Magnesium b.
Calcium
LONG ANSWERQUESTION SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION 8. 7. 6. SHORT ANSWERQUESTIONS : 5. 4. 3. 2. 20.
19. 18.
17. Enumerate thecomplicationsofcirrhosisliver. What iscirrhosisofliver?writetheetiologyandpathogenesisliver Hypervitaminosis ofVitaminA Write theprerenalcauses ofacuterenalfailure Enumerate thesymptoms andsignofhyperthyroidism. cerebrospinal fluidfindingsandmanagement ofviralmeningitis What arethevirusesthatcauseviralmeningitis. Describetheclinicalfeatures, Mention thefirstlineantituberculousdrugs withitssideeffects List theopportunisticinfectionswhichoccur inAIDS Draw alabelledcoagulationcascade d. c. Pheochromocytoma b. Hyperthyroidism a. Hypothyroidism Atrial fibrillationisoneofthecomplicationsin d. c. b. a. Bell's palsyis d. Acitrom c. Enaxaparin b. Dicumoral a. Heparin Which ofthefollowinghasgotalowmolecularweight? d. c. b. a. Which ofthefollowingarecorrectaboutchronicmyeloidleukemia? Cushing's Syndrome Paralysis ofthetrigeminalnerve Paralysis oftheocculomotornerve Upper motorneurontypeoffacialnerveparalysis Lower motorneurontypeoffacialnerveparalysis way toconfirmthediagnosis Immunohisto chemistryforterminaldeoxynucleotidyltransferaseisahelpful Pseudo -Gauchercellsarepresentinthebonemarrow. It typicallytakesabiphasicchronicandacutecourse It iscommoninyoungadultsandchildren
SECTION –A SECTION –B PART II
(1x10=10)
General Medicine (3x5 =15) (2+3+2+3) (1x10=10) (3x5 =15) (2+5+3)
Page141 Page142 General Medicine 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: Define chronicbronchitis Define Transientischemicattack What isthecauseforhaemophilia? What arethevirusesthatcancauseCirrhosisofliver? Mention 4causativeorganismsfornativevalveendocarditis
SECTION –C
(5x2=10marks) ATTITUDE SKILL acquire KNOWLEDGE OBJECTIVES and beabletodecidewhichpatientrequiresfurtherevaluation. various ailments,andbepracticallytrainedto differentiate benignandmalignantdiseases At theendofoneyearstudystudentshouldhaveagood theoretical knowledge of to beaddressed. also problems are surgical time otherrelevant the same importance, at due The diseasesasrelatedtoheadandneckregionarebegiven of thepatient. examination to doathoroughphysical the historyandbeable and totrainthestudentanalyze GOAL The dentalgraduatesduringtrainingintheDepartmentofGeneralSurgeryshould To acquaintthestudentwithvariousdiseases,whichmayrequiresurgicalexpertise
The The studentshouldalsorealisethesignificance ofvariousgeneralandspecial Clinical instructionsshouldenablethestudenttounderstandandperhapsdiagnose This Requires clinical teaching Training shouldprovidesufficientknowledgeonhumandiseasetoenablethe colleagues alsobecome importantaspectsofthistraining. effective communicationwithpatients, interaction withvariousprofessional investigations inthediagnosisofdisease. systemic approachofhistorytakingandclinical examination. common systemicdiseaseswhichhaverelevance todentalpractice,byadoptinga and outpatientmedicaldepartmentsspecialistclinics. student tounderstanditsmanifestationsasrelevantthepracticeofdentistry. ability torecognisephysicalandmentalillness, dealingwithemergencies, Theory hours III yearBDS Total :60 60 Number ofhoursprescribedbyDCI General Surgery Clinical hours on patientsandshallbecarriedoutininpatient III yearBDS Total :90 90 Total 150 General Surgery
Page143 Page144 THEORY -60HOURS III BDSSYLLABUS General Surgery No Sl. 10 5 4 3 2 1 6 7 9 8 Inflammation andRepairoftissues c. b. Management a. Wounds F. E. D. Management C. Pain B. Anesthesia A. General PrinciplesofSurgery Metabolic Responsetoinjury History ofSurgery Infections –Bacterialinfections Viral Infections Hemorrhage andbloodtransfusion d. c. Management b. a. Types Shock c. lymphangitis b. NHL a. Hodgkins Diseases ofLymphatic System f. e. d. c. b. Lipoma a. swellings Tumors /UlcersCystsSinusFistula skin Chronic wounds Types, scarsandcontractures Post operativeCare Principles ofpreoperativeCare Sepsis andasepsis Various energysourcesofinstruments Fluid andelectrolytebalance Systemic Manifestations Cervical lymphadenitis Venous ulcer Trophic ulcer diabetic ulcer Dermoid Cyst
TOPIC weightage System 3.3% 6.6% 1.6% 1.6% 6.6% 3.3% 6.6% 3.3% 5% 5% Number of hours 2 4 1 1 3 4 2 4 3 2 (D)/ Niceto know (M)/ know Desirable know (N) to know Must M M M M M M M M M N 11 13 12 15 14 19 18 17 16 23 22 21 20 b. Repair a. Nervous System d. c. b. Tracheostomy a. Abscess Diseases oftheLarynx/NasopharynxNeck d. c. b. a. ranula Diseases oftheoralcavity c. Instruments b. a. Principles ofoperativesurgery d. c. b. a. Fractures Biopsy /FNAC a. Swelling ofthejaw e. d. neoplasms c. MNG b. a. Diseases ofThyroid b. a. Anomalies ofdevelopmentface Salivary Glands Patient Safety Surgical Audit/Ethics /DayCareSurgery Principles ofoncology Types ofperipheralnerveinjuries Elective laryngotomy Pharyngeal pouch malignant lesionsoforalcavity premalignant lesions sublingual dermoid Suturing techniques Flaps /Graftsandsutures Fractures ofmaxillaandmandible Management ofseriouslyinjuredpatient Head injury General principlesoffracturemanagement Non odontogeictumorsofjaw Parathyroid –calcium/tetany Solitary nodule Hypo andhyperthyroidism Cleft palate Cleft lip 1`c .6% 3.3% 6.6% 6.6% 3.3% 3.3% 6.6% 3.3% 3.3% 1.6% 1.6% 5% 5% 2 4 4 2 2 4 2 3 1 2 1 1 3 General Surgery M M M M M M N N D D D D D
Page145 Page146 Integrated topics CLINICAL CLASS–90HOURS General Surgery
1. Scheme ofExamination:
S.No No. 26 25 24 Sl 7 6 5 4 3 2 1 1 3 2 Theory :70Marks Venous thrombosisandulcersoftheleg Burns andscald Diagnostic ImagingandTissue IM injections Exposure toVenepuncture/IVcannualtion Observation ofproceduresinOT procedures inOPD Observation andassistingcommonSurgical Neck Malignancies History TakingandExaminationofHead History TakingandExaminationofThyroid History TakingandExaminationofSwelling History TakingandExaminationofUlcer pain management. sources ofinstruments,Anaesthesia, Principles ofOperativeSurgery-Variousenergy Developmental disturbances. Anomalies ofdevelopmentface- Diseases oftheOralcavity. Infections. Thyroid andparathyroidglands. Trigeminal neuralgia. Nervous system–Facialnervepalsy, Part II Part I CLINICAL Section A : : TOPIC 20 MCQs(X0.5 = 10Marks) : 1 LAQ(1X10= Marks) 3 SAQs(3X5=15Marks)
1.6% 1.6% 1.6% Observation /Examination Observation /Examination Observation /Examination Observation /Examination Observation /Assisting Observation /Assisting
OBSERVE /ASSIST DEPARTMENTS General Medicine Oral Pathology / PERFORM Observation Oral Surgery
1 1 1 N D D
MCQs shouldbefrommustknowareas The questionswillbedistributedasfollows: BLUE PRINTOFTHEQUESTIONPAPER: 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks NO NO SL SL 7 6 5 4 3 2 1 2 1 10% fromNicetoknowareas 20% fromDesirabletoknowareas 70% fromMustknowareas Total -100Marks Practical InternalAssessment-10Marks Practical examination:90Marks / FNACBiopsy Energy Sources/AnesthesiaPainrelief Salivary Gland and Gangrene Ulcer –Diabetic/VenousMalignant Cyst, Ulcer,Sinus,Fistula,Skin,Swellings Hemorrhage, Shock,BloodTransfusion Inflammation, Infection Inflammation, Infection Wounds, SkinGraftingandflaps Wounds, SkinGrafting andflaps If LAQfromHemorrhage,Shock,BloodTransfusion TOPICS TOPICS Section B Section C SECTION A-(PATTERNII) SECTION A-(PATTERNI) If LAQfromSalivaryGland
: : 1 LAQ(1X10=Marks) 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks)
(1x10) (1x10) LAQ LAQ 1 (3x5) (3x5) SAQ SAQ 1 1 1 1 1 2 VSAQs
VSAQ VSAQ General Surgery (10X0.5) (10X0.5) MCQ MCQ 1 2 1 2 1 1 1 2 1
Page147 Page148 General Surgery NO NO SL SL 7 6 6 5 4 5 4 3 2 1 5 4 1 3 3 2 / FNACBiopsy Energy Sources/AnesthesiaPainrelief Salivary Gland care Surgery/DiagnosticImaging Oncology Principles/SurgicalAuditDay and Gangrene Ulcer –Diabetic/VenousMalignant Cyst, Ulcer,Sinus,Fistula,SkinSwellings Cleft lipandpalate Tracheostomy /BurnsandScalds fractures Jaw swelling/maxillaryandmandibular tumors oftheneck Neck swelling–benignandmalignant Oral cavity Cleft lipand palate Tracheostomy /Burns andScalds/ fractures Jaw swelling/maxillary andmandibular Hemorrhage, Shock,BloodTransfusion Thyroid tumors oftheneck Neck swelling–benignandmalignant Oral cavity Thyroid TOPICS TOPICS SECTION B-(PATTERNII) SECTION B-(PATTERNI) If LAQfromOralcavity If LAQfromThyroid
(1x10) (1x10) LAQ LAQ 1 1 1 1 (3x5) (3x5) SAQ SAQ 1 1 1 1 1 1 1 2 VSAQs 3 VSAQs 3 VSAQs VSAQ VSAQ (10X0.5) (10X0.5) MCQ MCQ 2 2 1 1 1 2 1 2 2 2 2 2 2 1 2 2 1. Blueprint ofPracticalexamination: Recommended textbooks OF SWELLING EXAMINATION STATION 12 STATION OBSERVER SURGERY) (OPERATIVE STATION 9 STATION PERFORMANCE ULCER) (MALIGNANT STATION 5 PATIENT STANDARISED (HISTORY) STATION 1 6 Clinical Examination 2. 1. care Surgery/DiagnosticImaging Oncology Principles/SurgicalAuditDay OSCE (15stationsX3marks):45marks Case Examination A ManualonClinicalSurgery-S.Das Short practiceofsurgery–Baily&Love (THYROID) STATION 13 REST STATION PERFORMANCE (THYROID) STATION 6 STATION OBSERVER (INSTRUMENT) STATION 2 : : 45 marks 90 marks STATION OBSERVER SKILLS) CATION (COMMUNI STATION 14 STATION OBSERVER ASPECTS) (PREVENTIVE STATION 10 (PAROTID) STATION 7 STATION PERFORMANCE ULCER) (DIABETIC STATION 3
ULCER STATION 15 PATIENT STANDARISED (HISTORY) STATION11 (SWELLING) STATION 8 STATION PERFORMANCE (LIPOMA) STATION 4 General Surgery 1
Page149 Page150 6.
5.
4.
3. 2.
primary closurec. 1. MODEL MULTIPLECHOICEQUESTIONS: TOTAL MARK–70MARKS General Surgery of calcitonin. Abiopsyconfirms the presenceofacarcinoma. Thepatientis scheduled show an increasedserum calcitoninlevelandapentagastrininduced rise in thesecretion disorder. Physical examination revealsasolitarythyroid nodule Laboratory studies endocrine A 30-year-oldpatient comes tothephysicianexplorepossibility ofan e. d. c. Hypoglycemia b. a. What arethesignsandsymptomsofearlysepsis? d. c. b. a. the physiciandecide: one ofthefollowingbloodgroups.Whichgroupsshould There isnotmuchtimetomatchbloodgroups,sothephysiciandecidesorderfor A manisrushedtocasualty,nearlydyingafteramassivebloodlossinanaccident. d. c. b. a. Edema Suppurative orpurulentinflammationischaracterisedby? d. Clostridium c. Pseudomonas b. Staphylococcus a. Streptococcus The organismcausingdestructionofskingraftsis d. c. b. a. wound shouldbemanagedby: A patientwithgrosslycontaminatedwoundpresents12hoursafteranaccident,his Illustrate youranswerswithsuitablediagrams Answer allthequestions. Cutaneous vasodilation Increased arteriovenousoxygendifference Decreased cardiacoutput Respiratory acidosis AB negative AB positive O positive O negative Large amountofpus Inflammation ofliningbodycavities Extravascular Fluid Covering thedefectwithsplitskingraftaftercleaning Primary closureoveradrain Thorough cleaningwithdebridementofalldeadanddevitalizedtissuewithout Thorough cleaningandprimaryrepair UNIVERSITY MODELQUESTIONPAPER
III BDSEXAMINATION GENERAL SURGERY
PART -I
TIME :3HOURS 20X0.5=10
13.
12. 11.
10.
9.
8.
7. treatment? e. c. a. Nasopharyngeal carcinoma mostlyarisesform: e. d. c. b. a. Healing byfirstintentionmeans: e. FNAC d. MRI. c. CT b. Ultrasound a. X-ray. After aswellinghasbeenclinicallydefined,themostadvisedinvestigationis: d. c. b. a. Melanoma Moh’s Surgeryisgenerallynotdonefor e. d. c. b. a. Cleft lipideallyrepairedat: e. d. c. b. a. The majorcausefollowingofdeathroadtrafficaccidentis: d. c. b. a. Trenderberg positionusefulinwhichtypeofshock? e. d. Hypoparathyroidism c. Hypertension b. Cretinism a. Acromegaly for atotalthyroidectomy.Whichofthefollowingispotentialcomplicationthis Lateral wall Anterior wall Roof A methodwherebyan ulcerheals Using staples Immediate useofprotectivedressing. without subsequentbreakdown Obtaining unionbetween2edgesofanincision Using catgut. Merkel cellcarcinoma Squamous cellcarcinoma Basal cellcarcinoma 1 year 24 weeks-36weeks 10 weeks-24 6 weeks-12weeks. Soon afterbirth. Fracture withfatembolism Chest trauma Facial injury Abdominal injury Brain damage neurogenic shock Septic shock cardiogenic shock hypovolumic shock Renal osteodystrophy
d. b. Fossa ofrosemuller Posterior wall
General Surgery
Page151 Page152
1. LONG ANSWERQUESTION :
20.
19.
18.
17.
16.
15.
14. General Surgery Enumerate thecomplicationsof bloodtransfusion List theindicationsof bloodtransfusion.Describethefractions used. e. Stone. d. Lymphoma c. Ranula b. Neoplasm a. Sialoadenosis. The mostcommonindicationforremoval of sub-lingualsalivaryglandis: e. Haemangioma d. c. b. a. Lymphangiectaria “CYSTIC HYGROMA”is: e. d. c. Syphilitic. b. a. A punchedoutedgeisacharacteristicofwhichtypeulcer e. d. c. b. a. Mask useinoperationtheatre: e. d. c. b. a. Endoscopy which procedure: In surgicalprofession,apatienthasbeeninfectedbyHIVpositivedoctorduring e. European c. a. Highest incidenceofnasopharyngealcancerisin: e. c. a. Branchial Cystisbestdifferentiatedfromcoldabscessby: Dermoid cyst Sebaceous cyst Cavernous haemangioma Malignant ulcer Non-specific ulce Rodent ulcer. tuberculosis isacharacteristicofwhichtypeulcer: Should notbeused None isprotected Protects bothdoctorandpatient. Protects thedoctor Protects patientfromgettinginfection Renal transplant Cardiac transplant Abdominal surgery Dental extraction American Indian Contains blood Contains cholesterolcrystal Flactuant
SECTION –A(35marks)
PART II
d. Chinese b. Pakistani d. b. Contains sulphurgranules Trans illumination
1X 10=
(3+4+3)
13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. SHORT ANSWERQUESTIONS 7. 6. 5. LONG ANSWERQUESTION 4. 3. 2. SHORT ANSWERQUESTIONS List fourcomplicationsofparotidsurgery What aretheadvantagesofdaycaresurgery What istheParklandsformulausedforburns Describe theLefortfractureIII List thefourpremalignantconditionsoforalcancer Describe thepathologyandmanagementofadamantinoma Papillary carcinomaofthyroid What aretheclinicalfeaturesandmanagementofbranchialcyst Describe themanagementofcarcinomalip Classify thyroidmalignancy.Describetheclinicalfeaturesandmanagementof Describe themanagement(labdiagnosisandtreatment)ofpleomorphicadenoma Describe thefivestagesoftuberculouslymphadenitis Describe thedifferencebetweenkeloidandhypertrophicscar
SECTION –B
1 *10=10marks General Surgery 1X10 =10 3X 5=15 3 X5=15 5X2=10
Page153 Page154 comprehend - At theendofOralPathology&Microbiologycourse,studentshouldbeable to KNOWLEDGE OBJECTIVES decide whichpatientrequiresfurtherevaluation. and bepracticallytrainedtodifferentiatebenignmalignantdiseasesable one yearofstudythestudentshouldhaveagoodtheoreticalknowledgevariousailments, at thesametimeotherrelevantsurgicalproblemsarealsotobeaddressed.Atendof the patient.Thediseasesasrelatedtoheadandneckregionarebegivendueimportance, the historyandbeabletodoathoroughphysicalexaminationof train thestudenttoanalyze To acquaintthestudentwithvariousdiseases,whichmayrequiresurgicalexpertiseandto GOAL Oral andMaxillofacialPathology&Microbiology
SKILL
1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 6. The differenttypesofpathologicalprocesses,thatinvolvetheoralcavity. pathological processes. The manifestationsofcommondiseases,theirdiagnosis&correlationwithclinical correlating withthesystemicphysicalsigns&laboratoryfindings. An understandingoftheoralmanifestationssystemicdiseasesshouldhelpin treatment oforaldiseases. The studentshouldunderstandtheunderlyingbiologicalprinciplesgoverning The principlesofcertainbasicaspectsForensicOdontology. slides &projectionslides. Microscopic study ofcommonlesionsaffecting oraltissuesthroughmicroscopic Study ofthediseaseprocessbysurgicalspecimens. Study ofteethanomalies/polymorphismsthrough toothspecimens& plaster casts. Microscopic studyofplaquepathogens. Study ofhaematological preparations(bloodfilms)ofAnaemias & leukemias. estimation andappearance ofteethininjuries. Basic exercisesinForensic Odontology such ashistological methods of age Oral andMaxillofacialpathology&oral Theory hours 145 hrs Number ofhoursprescribedbyDCI Microbiology Practical hours 130 hrs Total hours 275 hrs
Theory –145hours Syllabus : No Sl. 11 10 12 13 15 14 17 16 19 18 21 20 2 3 1 6 5 4 9 8 7 Dental caries Diseases ofthepulpandPeriapicaltissues Developmental Disturbances Regressive alterationsofteeth Salivary Glandspathology Benign &Malignanttumorsoforalcavity Tumours ofodontogenicorigin Infections oftheOralcavity Odontogenic cysts Oral cavity Allergic andImmunologicalDiseasesofthe Cavity Physical andChemicalInjuriesoftheOral Spread ofOralInfection Biopsy, CytologyandHealingofOralWounds Disorders oftheTemporomandibularJoint Disease ofBone Diseases ofPeriodontology Blood Dyscrasias Oral AspectsOfMetabolic Disease Diseases ofSkin Diseases ofNerves& Muscle Introduction toForensicOdontology TOPIC Oral andMaxillofacialPathology&Microbiology weightage System 8.3 % 4.8 % 5.2% 5.1% 3.5% 6.4% 7.6% 6.4% 1.3% 2.5% 3.2% 6.4% 3.2% 3.2% 6.4% 2.5% 16% 2% 2% 2% 2% Number of hours 12 12 30 10 5 4 3 7 6 2 4 5 3 6 3 8 5 5 8 3 4 (D)/ Niceto know (M)/ know Desirable know (N) to know Must M M M M M M M M M M M M M M M M M M M M M
Page155 Page156 Practicals :130hrs Oral andMaxillofacialPathology&Microbiology Sl.No Sl.No 11. 10. 10 9. 8. 7. 6. 5. 1. 4. 3. 2. 1 9 8 7 6 5 4 3 2 (Thyroidand Parathyroid) Diseasesofendocrine disorder Softtissuepathology Salivaryglandpathology Metabolicdisordes(endocrinedisorders) Infections Hematology Introduction toForensicOdontology Diseases ofSkin Diseases ofPeriodontology Disorders oftheTemporomandibularJoint Diseases ofbone Spread ofOralInfection Odontogenic cystsandtumors Diseases ofSkin Disease ofBone Odontogenic cysts Tumours ofodontogenicorigin Infections oftheOralcavity Salivary Glandspathology Benign &Malignanttumorsoforalcavity Diseases ofthepulpandPeriapicaltissues Dental caries Developmental Disturbances Developmental Disturbances Benign &Malignanttumorsoforalcavity INTEGRATED TEACHINGTOPICS TOPICS CONTENT DEPARTMENT INTEGRATED Oral Medicine&Radiology Oral Medicine&Radiology Oral Medicine&Radiology Oral Medicine&Radiology Oral Medicine&Radiology Oral Medicine&Radiology Oral Medicine&Radiology General Medicine General surgery Oral Surgery Oral Surgery Oral Surgery Oral Surgery Paedodontia Oral surgery Periodontia DURATION 10 10 15 10 15 10 30 20 5 5
1. Scheme ofExamination
Distribution ofTopicsandtypeQuestionsintheorypaper Blue printofthequestionpaper 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks Section A(25marks) MCQ’s –(20x.5=10marks) PART 1–MCQs Section B(25marks) Theory :70Marks Section B:Developmentaldisturbances,Microbiology&ForensicOdontologyfor Section A:OralPathologyfor25marks Total –100Marks Practical InternalAssessment–10Marks Practical examination:
Short Notes(3X5marks) Essay –(1x10marks) Short Notes(3x5marks) Essay- (1x10marks) 25marks Infections Diseasesoftheoralcavity Swellingsofthejaws Type ofquestionandMarks Part II Part I 90Marks Section A : : Section B Section C 20 MCQs(X0.5=10Marks) : : : 1 LAQ(1X10=Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 10 MCQ’SfromSECTIONBtopics 10 MCQ’SfromSECTIONAtopics / DiseasesofSkin)etc. Odontogenic Cyst&Tumors Tumors ofOralCavity,SalivaryGlands, Oral Pathology(BenignAndMalignant
Oral andMaxillofacialPathology&Microbiology
Forensic Odontology viral andfungal) Microbiology (infection –bacterial, pulpal andperi-apical infections & ParaOralStructures /Dentalcaries Developmental DisturbancesOfOral Content
Page157 Page158 Model 2:IfLAQisfromtheDiseaseOfSkin,Matrixasfollows: The questionswillbedistributedasfollows: Oral andMaxillofacialPathology&Microbiology VSAQ –(5X2=10marks) Section C-VSAQs S.No S.No Model 1:IfLAQisfromtheBenignAndMalignantTumorsOfOralCavity,Salivary 5. 4. 3. 2. 1. 5. 4. 3. 2. 1. 10 %fromNicetoknowareas 20 %fromDesirabletoknowareas 70 %fromtheMustknowareas Disease Of Skin Disease OfBloodAnd BloodFormingOrgans Disease OfNervesAnd Muscles Disease OfBoneAnd Joint Disease ofOralCavity Metabolic Disease,AllergicAndImmunologic Regressive AlterationsHealing Physical &ChemicalInjuries Salivary Glands,CystAndOdontogenicTumors Benign AndMalignantTumorsOfOralCavity, Disease OfSkin Disease ofBloodandFormingOrgans Disease ofNervesandMuscles Disease ofBoneandJoint disease ofOralCavity Metabolic Disease,AllergicandImmunologic Regressive AlterationsHealing Physical &ChemicalInjuries Salivary Glands,CystandOdontogenicTumors Benign andMalignantTumorsOfOralCavity, Glands,Cyst AndOdontogenicTumorsTheMatrixisasfollows: TOPIC TOPIC
Section A 2 VSAQ’SfromSECTIONBtopics 3 VSAQ‘SfromSECTIONAtopics (1x10) (1x10) LAQ LAQ 1 1 (3x5) (3x5) SAQ SAQ 1 1 1 1 2 MARKS MARKS 15 10 10 25 25 5 5 5 Model 2:IfLAQisfromtheDentalCaries,matrixisasfollows 5. 4. 3. 2. 1. RECOMMENDED BOOKS OSPE Blueprint ofPracticalExamination:90Marks S.No S.No 5. 4. 3. 2. 1. 5. 4. 3. 2. 1. Model 1:IfLAQIsFromTheDevelopmentalDisturbancesOfOralAndPara Oral andMaxillofacial Pathology Oral Pathologyinthe Tropics Oral Pathology Oral Pathology-Clinical Pathologiccorrelations A TextBookofOralPathology
Forensic Odontology Spread OfOralInfection Disease OfPulp,Periapical,PeriodontiumAnd Infections (Viral,Bacterial,Fungal) Dental Caries Oral Structures Developmental DisturbancesOfOralAndPara Forensic Odontology Spread OfOralInfection Disease OfPulp,Periapical,PeriodontiumAnd Infections (Viral,Bacterial,Fungal) Dental Caries Oral Structures Developmental DisturbancesOfOralAndPara Time durationofsinglestation–5minutes Observer stations–2 Non-observer stations-13. Total no.ofstations-15 Structures, theMatrixIsAsFollows:
TOPIC TOPIC
SECTION B: Oral andMaxillofacialPathology&Microbiology - - - - - Neville, Damm, Allen,Bonquet & Daftary Prabhu, Wilson,Johnson Soames&Southam. Regezi &Sciubba. Shafer, Hine&Levy. (1x10) (1x10) LAQ LAQ 1 1 (3x5) (3x5) SAQ SAQ 1 1 1 1 1 1 MARKS MARKS 10 10 25 25 5 5 5 5 5 5
Page159 Page160
7.
6.
5. 4.
3.
2.
Oral andMaxillofacialPathology&Microbiology 1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hours d. c. b. a. Ghost teethisaradiographic featureof d. Psoriasis c. b. a. Pemphigus Stria ofWichamisadiagnostic d. c. b. a. The receptorforHIVvirusis d. IgE c. IgD b. IgM a. IgA Anaphylaxis ismediatedby d. c. b. a. Stillman’s cleftis d. c. b. a. Xerostomia isa d. c. b. cherubism a. Micrognathia isafeatureof Illustrate youranswerswithsuitablediagram Answer allthequestions. Enamel dysplasia Ectodermal dysplasia Dentin Dysplasia Odonto dysplasia Herpes simplex Lichen Plannus CD 16cell CD12 cell CD8 cell CD4 cell cleft oftongue palatal cleft lip cleft MucoGingival cleft decreased salivaryph increased salivaryph Increased salivation Decreased salivation Pierre Robinsonsyndrome Fibrous dysplasia pagets disease
ORAL PATHOLOGYANDMICROBIOLOG UNIVERSITY MODELQUESTIONPAPER
III BDSEXAMINATION PART -I
Max. Marks:70 (20 x0.5=10)
16.
15.
14. 13.
12.
11. 10.
9.
8. d. A&B c. Inflammatory b. a. Developmental The Dentigerouscyst is d. c. Tongue b. a. Gingival cystofnewbornismostcommonly seenon d. c. b. a. Liesegangs calcificationsarefeaturesseenin d. tuberculosis c. Herpangina b. a. AIDS which isnotImmunodefeciencydisorders d. c. b. a. Anishow cellisafeatureseeninf d. c. b. neoplasm a. Systemic LupusErythematosisis d. Syphilis c. Tuberculosis b. a. psoriasis Monros abcessisafeatureof d. c. b. a. Perineural invasionisacharacteristicfeatureof d. c. Tetanus b. a. Syphilis Screw drivershapeisthefeatureof Non inflammatory Soft palate Alveolar ridge Hard palate Squamous cellcarcinoma Calcifying epithelialodontogeniccyst Adenomatoid odontogenictumor Calcifying epithelialodontogenictumor viral hepatitis None oftheabove Darriers disease Lupus eruthematosis Apthous ulcer Traumatic ulcer Autoimmune disorder an infectivedisease Lichen Plannus Both A&B Mucoepidermoid carcinoma Polymorphous adenocarcinoma adenoid cysticcarcinoma congenital syphilis Herpes simplex
Oral andMaxillofacialPathology&Microbiology
Page161 Page162
5. LONG ANSWERQUESTION : 4. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION:
20.
19.
18.
17. Oral andMaxillofacialPathology&Microbiology histopathology ofdentinalcaries. Define dentalcaries, discuss ontheclassification,clinicalfeatures and Lab investigation–2) (What isPerniciousanemia–1,Clinicalfeatures ofPerniciousanemia–2 pernicious anemia. What isPerniciousanemia?Writeanoteon labinvestigations&diagnosisof (What isOSMF–2,Etiopathogenesisof –3) Discuss ontheetiopathogenesisoforalsubmucous fibrosis. (What isit–1,Histopathologicfeatures3,Diagram1) Write anoteonthehistopathologicfeaturesofAdenoidcysticcarcinoma. investigations –1,Diagram2) (Types ofpemphigus–2,Clinicalfeatures2,Histopathology2,Laboratory investigations ofpemphigus. Discuss indetailonthetypes,clinicalfeatures,histopathologyandlaboratory d. c. b. a. Which isthemostcommonhistologicalvariantseeninameloblastoma d. c. b. a. Neoplastic cellsinPindborgtumorarethoughttooriginatefrom d. c. b. a. Which isthemostcommontoothassociatedwithcementoblastoma d. c. b. odontoma a. Ameloblastoma Dentigerous cystwilltransforminto Desmoplastic variant Unicystic variant follicular variant Acanthomatous variant Outer enamelepithelium Inner enamelepithelium Stratum reticulum Stratum Intermedium None oftheabove Maxillary anteriortooth Maxillary molartooth Mandibular molartooth squamous cellcarcinoma Keratocystic odontogenictumor
SECTION -A SECTION -B
PART II
(1 X10=10)
(3 X5=15) (1X10=10)
13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. 7. 6. SHORT ANSWERQUESTIONS:
What isfociofinfection? What arethemicro-organismthatcauseANUG Define cyst. What isCafe-au–laitspot? What isvanderWoudesyndrome (What issyphilis–1,Stageof1,Oralmanifestation3) What aretheoralmanifestationsofsyphilis? (What isbitemark–2,Role3) What istheroleofbitemarksinforensicodontology? (What isHerpessimplex–1,Pathogenesis1,Oralmanifestation3) Discuss onthepathogenesisandoralmanifestationsofherpessimplex. 2, Diagram–2) (Definition –2,Classification2,Clinicalfeatures2,Histopathology
Section C Oral andMaxillofacialPathology&Microbiology
(5 X2=10) (3 X5=15)
Page163 IV Year Syllabus should acquire KNOWLEDGE OBJECTIVES Patient. community effortsLearntoManageOralManifestationsinaMedicallyCompromised GOAL
ATTITUDE SKILL
The dentalgraduatesduringtrainingintheDepartmentofOralMedicine&Radiology To prevent,controlandTreatoraldiseasespromote oral healththroughorganized III yearBDS mouth, jawsandassociatedtissues. and diseasesoftheteeth, the prevention,diagnosisandtreatmentofanomalies involving the activities out all required forcarrying which are knowledge Adequate of Medicallycompromisedpatients. manifestations ofsystemicdisordersandManagement Proficiency inIdentifyingOral that pointoftime at a trueinformedconsent fromthemforthemostappropriatetreatment available the variousoptions available tomanageaparticular Orodentalproblemandobtain Develop adequatecommunicationskillsparticularly withthepatientsgivingthem To performwithcompetencevariousIntraoral Radiographicprocedures. treatment. and toarriveatadiagnosisabouttheOrofacial Diseasesandtorendernon-surgical radiographic andlaboratorytestsinterpretthem procedures andorderessential To obtain proper clinical history, examination ofthepatient,perform diagnostic Imaging. The graduateshouldalsounderstandtheconceptofRadiologyandMaxillofacial Develop theabilityto communicatewithprofessionalcolleagues. skills Develop ability toteachundergraduates, presentseminars anddevelopleadership 20 Theory hours Total :65 ORAL MEDICINEANDRADIOLOGY IV yearBDS Number ofhoursprescribedbyDCI 45 III yearBDS 70 Practicals hours Total :170 IV yearBDS 100 Oral MedicineandRadiology Total 235
Page165 Page166 competent inthefollowing: COMPETENCIES Oral MedicineandRadiology
Theory –20hours SYLLABUS IIIEAR no Sl 3. 2. 1. 4. 6. 5. 1. At thecompletionofundergraduatetrainingprogrammegraduatesshallbe 2. 3. 4. 5. 6. 7. 8. of X-RayswithMatter,Dosimetry X-Rays, Radiographicequipment,Interactions Basic physicsinradiology,Propertiesof Oral sepsisanditseffectongeneralsystem and Principlesoforaldiagnosis Introduction toOralMedicineandRadiology Radiation Biology Radiation Protection Asepsis inRadiology Clinic the concernedspecialtyfortheirmanagement lesions oftheoralcavityandreferto to identifyprecancerousandcancerous Able consent fromtheconcernedmedicalspecialist take priorprecautions/ and compromised patients while treatingsystemically arise can knowledge aboutmedicalcomplicationsthat adequate an have Should interpretation oftheirresults and investigations common laboratory knowledge about adequate an have Should protection Have adequateknowledgeaboutradiationhealthhazards,radiationssafetyand Competent totakeintraoralradiographsandinterpretthefindings radiography andsialography Gain adequateknowledgeofvariousextraoralradiographicprocedures,TMJ identification andAgeestimation Be aware of dental recordswithrespecttolaw. the significanceof with jurisprudence,ethicsandunderstand Should befamiliar the importanceofintraandextra-oralradiographsinforensic
TOPIC weightage System 7.5% 7.5% 10% 10% 10% 5% Number of hours 1 1 2 1 1 2 (D)/ Niceto know (M)/ Desirable know (N) to know Must M M M M M M
Theory –45hours SYLLABUS IVEAR
11. 12. 10. 16 15 14 13 no Sl 9. 8. 7. 1 2 6 5 4 3 Reactions including AutoimmunediseasesandAllergic Immunologic disordersaffectingoralcavity techniques, Localizationofobjects Principles ofIntraoralRadiography, Grids Films, Intenfyingscreens,FilmHolders& cancer phobia,tasteandsmellabnormalities glossopyrosis, glossodynia,Orofacialdysesthesia, diseases, burningmouthsyndrome, Differential diagnosisofPain,Psychosomatic Radiographic artefactsandfaultyradiographs Comprehensive CaseHistory&Examination Radiographic interpretation Radiographic FilmProcessing Periodontal Diseases Pulp &PeriapicalPathologies Dental Caries,Regressivealterationsofteeth, asepsis, sterilization,infectioncontrol Principles, procedures,andprotocolfor Clinical Pharmacology radiography Principles andtechniques ofextraoral Tomography Panoramic Radiography andConventional diseases injawbones Radiographic manifestationsofsystemic Oral manifestationsofmetabolicdisorders
TOPIC weightage System 10% 10% 10% 20% 10% 10% 20% 20% 20% 20% 6% 6% 3% 3% 6% 3% Oral MedicineandRadiology Number of hours 1 2 1 2 1 1 2 1 1 1 1 1 1 1 2 2 (D)/ Niceto know (M)/ Desirable know (N) to know Must M M M M M M M M M M M M M D D D
Page167 Page168 Oral MedicineandRadiology 11 10 13 12 21 19 18 17 16 15 14 23 22 20 7 9 8 Nuclear ImagingandContrastradiography digital imaging,Ultrasound,CT,MRI, Advance radiographictechniquesincluding and STDs infections, Osteomyelitis,Osteoradionecrosis Acute andChronicinfectionsincludingSpace Malignant Disorders Red &WhiteLesionsincludingPotentially single ulcers Acute,chronic recurrent,Multipleand Ulcerative andVesiculo-bullouslesions: Principles ofradiotherapy management including Classification, Screening,diagnosisand Oral Cancer,Epidemiology,aetiologyand Orofacial Pigmentation dentistry Dermatological diseases-importancein medically compromised patients management ofmedical emergenciesand Oral manifestationsofsystemicdiseasesand protocol andImaging Maxillofacial trauma-clinicaldiagnostic Temporomandibulardisorders andImaging Chronic OrofacialPain&Management Salivary glanddisorders Maxillary Sinus Diseases ofTongue Cysts ofsofttissues non-odontogenic anddevelopmentalcysts, differential diagnosisofCysts,Odontogenic, Diagnostic protocolforclinicalandradiographic Cysts andTumours Forensic Odontology Dental Implantsincluding Imaging
5% 6% 6% 6% 8% 4% 4% 6% 6% 8% 8% 8% 4% 6% 8% 6% 6% 3 3 3 3 1 3 1 2 2 2 1 1 3 2 1 1 4 M M M M M M M M M M M D D D D D D Chair-side teachingsyllabus Clinical -100hours no 10 Sl.No Sl 1 2 4 3 5 6 9 8 7 3 2 1 Case HistoryRecording02Cases Case HistoryRecording03Cases Occlusal Radiographs) Bisecting Angle,Paralleling,Bitewing& Intraoral Radiography10(IncludingIOPAwith Lesions and1caseofTMD) Radiographs (Including2casesofOralMucosal Case HistoryRecording10CaseswithIndicated Paralleling, Bitewing&OcclusalRadiographs) (Including IOPAwithBisectingAngle Intraoral PeriapicalRadiography Panoramic Radiography Extra OralRadiography05 of PeriapicalPathologies10 Anatomy IntraoralPeriapicalRadiography Radiographs 02)withTracingsofNormal Angle /Paralleling08),Bitewing02)&Occlusal anatomy 10(IncludingIOPAwithBisecting Intraoral PeriapicalRadiographyofnormal Vital TissueStaining Biopsy Demonstration ofIntraoralRadiographic techniques and Accessories,Dark RoomProcedures Demonstration ofUse ofRadiographicEquipment’s Tissue Examination. TMJ, Lymphnodes,&IntraOralHard Soft Physical Examination,ExtraOral,Examination of Demonstration ofCaseHistoryTaking,General Clinical Topics
Observe Faculty/Postgraduates Observe Faculty/Postgraduates Observe Faculty/Postgraduates Observe Faculty/Postgraduates Assist Faculty/Postgraduates Assist Faculty/Postgraduates Observe /assistperform Observe/Assist Faculty/ Observe/Assist Faculty/ Postgraduates Postgraduates Oral MedicineandRadiology Perform Perform 2 Hrs 1 Hr 1 Hr
Page169 Page170 III yrBDS Integrated teachingsyllabus Oral MedicineandRadiology IV yrBDS Sl.No Sl.No 2. 5. 4. 3. 2. 1. 1. 10 9 8 7 6 5 4 Malignant Disorders Red &WhiteLesions includingPotentially Periodontal Diseases teeth, Pulp&PeriapicalPathologies Dental Caries,Regressivealterationsof asepsis, sterilization,infectioncontrol Principles, procedures,andprotocolfor Clinical Pharmacology Osteoradionecrosis and STDs Space infections,Osteomyelitis, Acute andChronicinfectionsincluding Comprehensive CaseHistory&Examination Department ofMGMCRI Tour ofAdvancedImagingSystemsat Techniques Demonstration ofPanoramicRadiographic Techniques Demonstration ofExtra-oralRadiographic Mucosal lesions Identification andmanagementofCommonOral Pathologies Diagnosis andManagementofPeriodontal of Pulpal&PeriapicalPathologies Caries RiskAssessment,DiagnosisandManagement Seeking FormsandInvestigationRequisitionforms Prescription writing,Referralforms,Opinion Topics Topics
Oral Pathology OMDR, OralSurgery & Pathology OMDR, Periodontics,Oral Dentistry Pedodontics, PublicHealth Pathology, OralSurgery, OMDR, Cons&Endo,Oral All specialities OMDR, GeneralPharmacology Oral Pathology OMDR, OralSurgery, All specialities Speciality Integrating Speciality Integrating Half anHr 2 Hrs 1 Hr 1 Hr 1 Hr 1 Hr 1Hr 16. 15. 14. 13. 12. 11. 10. 9. 8. 7. 6. 5. 4. 3. Forensic Odontology Dental Implantsincluding Imaging and medicallycompromisedpatients and managementofmedicalemergencies Oral manifestationsofsystemicdiseases protocol andImaging Maxillofacial trauma-clinicaldiagnostic Temporomandibulardisorders andImaging Chronic OrofacialPain&Management Salivary glanddisorders Maxillary Sinus Diseases ofTongue developmental cysts,Cystsofsofttissues Cysts, Odontogenic,non-odontogenicand radiographic differentialdiagnosisof Diagnostic protocolforclinicaland Cysts andTumours Orofacial Pigmentation in dentistry Dermatological diseases-importance and singleulcers Acute,chronic recurrent,Multiple Ulcerative andVesiculo-bullouslesions: Principles ofradiotherapy management including Classification, Screening,diagnosisand Oral Cancer,Epidemiology,aetiologyand
dentistry Prosthodontics, Restorative OMDR, OralPathology, & Prosthodontics OMDR, OMFS,Periodontics OMDR, OMFS OMDR, OralSurgery Prosthodontics OMDR, OralSurgery, OMDR, OralSurgery Oral Pathology OMDR, OralSurgery, OMDR, OralSurgery Oral Surgery OMDR, OralPathology, Pathology OMDR, OralSurgery, Pathology OMDR, OralSurgery, Periodontics OMDR, OralPathology, OMDR, OralPathology Oral PathologyProsthodontics OMDR, OralSurgery& Oral MedicineandRadiology
Page171 Page172 1. Scheme ofExamination Oral MedicineandRadiology
PART II: Blueprint oftheoryquestionpaper: 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks S.No 1 6 5 4 3 2 9 8 7 Theory :70Marks Sec C-VSAQ-OralMedicine&Radiology Sec B-Radiology,Radiography,DiagnosticsandAdvancedImaging Sec- A–OralMedicine,Diagnostics&Therapeutics PART I–MCQ--OralMedicine&Radiology Total –100Marks Practical InternalAssessment–10Marks Practical examination: Ulcerovesiculobullous lesions Systemic diseaseand its oralmanifestions TMJ andOrofacialpain Salivary glanddiseases Oral cancer Cysts andtumors Pigmented lesions Red andwhitelesions Pharmacology If LAQfromredandwhitelesion,thematrixisasfollows Part Part I II 90 Marks Section A : : Section B Section C 20 MCQs(X0.5=10Marks) TOPIC : : : Section A 1 LAQ(1X10=Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks)
LAQ (1X10)
1x10
SAQ (3X5) 1x5 1x5 1x5 S.No S.No S.No 6 5 4 3 2 1 9 6 5 4 3 2 1 2 1 8 7 5 4 3 9 6 8 7 Orthopantomograph anddigital imaging Intraoral andextraoral radiographictechnique Projection geometry Health physics Radiation biology Radiation physics X-ray filmprocessingandqualityassurance Radiographic appearanceofsystemicdiseases Specialized radiographictechniques Orthopantomograph anddigitalimaging Intraoral andextraoralradiographictechnique Projection geometry Health physics Radiation biology Radiation physics Red andwhitelesions Ulcerovesiculobullous lesions Oral cancer Cysts andtumors Pigmented lesions Pharmacology Systemic diseaseanditsoralmanifestions TMJ andOrofacialpain Salivary glanddiseases If LAQfromUlcerovesiculobullouslesions,thematrixisasfollows If LAQfromradiationbiology,thematrixisas follows If LAQfromradiationphysics,thematrixisasfollows TOPIC TOPIC TOPIC SECTION B (1X10) (1X10) LAQ LAQ LAQ (1X10) 1x10 1x10 1x10 Oral MedicineandRadiology (3X5) (3X5) SAQ SAQ 1x5 1x5 1x5 1x5 1x5 SAQ (3X5) MARKS MARKS 1x5 1x5 1x5 10 10 25 25 5 5 5 5 5
Page173 Page174 PART I(MCQs)&SectionC(VSAQs) Oral MedicineandRadiology Sl.No 18 17 16 15 14 13 12 11 10 9 8 7 9 8 3 2 1 4 5 6 7 Radiographic appearanceofsystemicdiseases Specialized radiographictechniques X-ray films,processingandquality X-ray films,processing andqualityassurance Radiographic appearanceofsystemicdiseases Specialized radiographictechniques Orthopantomograph anddigitalimaging Intraoral andextraoralradiographictechnique Projection geometry Health physics Radiation physics Systemic diseaseanditsoralmanifestions Pharmacology TMJ andOrofacialpain Radiation biology Pigmented lesions Red andwhitelesions Ulcerovesiculobullous lesions Cysts andtumors Oral cancer Salivary glanddiseases TOPICS assurance 2 VSAQs 3 VSAQs 5X2=10 VSAQ 1x5 20 X0.5=10 MCQ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 5 Blueprint ofpracticalexamination: Sl.No 9. 4. 3. 2. 1. 8. 7. 6. 5. Stains /FilmFog Partial Images/ElongationForeshortening / Radiographic faultsandcauses–Dark/Light radiograph, for InitialProximalCariesandalveolarbone loss) for pulpalandperiapicalpathologies,bitewing radiograph Intra-oral Radiographicinterpretationand diagnosis– IOPA angulations, exposureparameters,asepsis(1 station) paralleling technique–patientpositioning,filmplacement, Making ofintraoralradiographusingbisectingangle/ TLD badges. Radiation protection accessories (leadapron/leadshield, Film holders(Snapa ray, RinnXCP),Cassettes,Grids, –Conventional X-ray films(Intraoral/Extra-oralfilms), Radiographic accessories anditsadvantages,disadvantages
Intra-oral examination ulcer, ulceroproliferativegrowth glands/ lymphnodes/Extra-oralexamination–Swelling, Local examination–TMJ/musclesofmastication/salivary Lymphadenopathy Vital signs,Pallor,Icterus,Cyanosis,Clubbing/ General examination Case history (1station) (bacterial/fungal /viral) Lab Investigations-Haematology/Microbiology cytology, AspirationCytology,Biopsy Chair-side investigations–electricpulptesting/exfoliative ii. i. c. ReviewofSystems. b. ChiefComplaint&History a. Introduction,ApproachandDemographics Hard tissueexamination- Soft tissueexamination(mucosallesions-redand white/ pigmented/vesiculo-bullouslesions,swelling Dental caries(ICCMSclassification), ulcer/ulcero-proliferative growth(1station) Developmental andRegressivechangesofteeth SYLLABUS FOROSCE/OSPE
Oral MedicineandRadiology WEIGHTAGE (%) 10% 10% 10% 10% 10% 10% 10% 05% 10%
Page175 Page176 Oral MedicineandRadiology Session 2:OSCE/OSPE-Stations10x5=50marks Total =100marks Clinical InternalAssessment:10marks Theory Viva-Vocedurationnotexceeding20MinutesperCandidate Treatment Plan–5Marks Radiographic Technique,InterpretationandDiagnosis–10Marks Case HistoryandClinicalDiagnosis/ChairsideDiscussion–25Marks Chart outtheSpecifictreatmentplan.(Duration45Mins+15Mins) indicated Radiograph,adviceforspecificInvestigationandarriveataFinalDiagnosis and a ClinicalDiagnosisandDifferentialdiagnosis.FurthertheCandidateisrequiredtomake at arriving patient, Case Historyofagiven Detailed be expectedtotake The Candidatewill Session 1: The ClinicalExaminationwillbeconductedin2sessions OSCE/OSPE :(50marks) Treatment Plan:5Marks Radiographic technique,InterpretationandDiagnosis-10Marks side CaseDiscussion-25Marks Case history and ClinicalDiagnosis(Pulpal,periapicalPeriodontalDiseases/Chair Traditional clinicalExam:40Marks Sl.No 11. 10. 1. 4. 3. 2. Examination ofTongue STATION 1 Pathology) Interpretation ofPanoramic Radiograph(Normal/ STATION 4 REST STATION Temporomandibular jointExamination STATION 3 Measuring ofBloodpressure STATION 2 parameters, Safelighting. automatic processing-Composition,Processing X-ray filmprocessing-Developer/Fixer-manualand lesions Cyst andtumours/fracturesUnilocularMultilocular identification ofnormallandmark(skullviews/OPG)– Extra-oral Radiographicinterpretation/diagnosis STATION
Observed /Perform
Observing station Observing station Non Observed Perform/ Perform / Perform 10% 05%
2. 1. Recommended textbooks 3. 2 6. Jaypee 5. 4. 7. 10. 9. 6. 5. 8. 7. 6, 7 Stuart. C.White,MichaelJPharoah.OralRadiology.PrinciplesandInterpretation. Greenberg, Glick,Ship.Burket’sOralMedicine.10,11,12 Hutchinson. Hutchinson’sClinicalMedicine.22 JoenLannucci Haring,LauriaJansen.DentalRadiography.Principlesandtechniques. Freny RKarjodhkar.TextbookofDentalandmaxillofacialRadiology.2 Shivapathasundaram. Shafer’sTextbookofOralpathology.5 Somen Das.AManualonClinicalSurgery. 10 nd edition.Elsevier. Interpretation ofFaultyRadiograph STATION 8 REST STATION Identify theRadiographicFilmsandmentionitsindications STATION 7 Pathology, Swelling) Write theprescriptionforagivencondition(Periapical STATION 10 Identify theMucosalLesion STATION 9 Pathology) Interpretation ofIntraoralperiapicalradiograph(Normal/ STATION 6 Identification ofRadiographicaccessories STATION 5 th edition. Elsevier th edition. nd edition.Saunder. th edition. BCDecker. th edition.Elsevier. Oral MedicineandRadiology NonObserved Non Observed Non Observed Non observed Non observed Perform nd edition
Page177 Page178
6.
collagen production. Because 5. 4.
3. 2. Oral MedicineandRadiology 1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hours b. a. Which ofthefollowing istheMOSTcommonoralcancer? E: D: C: B: A: b. and uppertwothirdofoesophagus. a. d. Hypoparathyroidism c. Hyperparathyroidism b. Hypothyroidism a. Hyperthyroidism Osteitis fibrosacysticisseen d. Coxsackie c. Papiloma b. a. Varicella The viruscausingoralhairyleukoplakiais d. Lingual c. Ophthalmic b. Mandibular a. Maxillary Which divisionoftrigeminalnerveisMOSTcommonlyinvolvedinShingles? d. Pustules c. Plaques b. Macules a. Papules called as Solid raisedlesionsintheoralmucosathataregreaterthan1cmdiameter Illustrate youranswerswithsuitablediagram Squamous cell carcinoma Basal cellcarcinoma If both‘a’and‘b’are false If ‘a’isfalseand‘b’ true If ‘a’istrueand‘b’false If both‘a’and‘b’aretruebutnotcausally related If both‘a’and‘b’aretrueisthereason for‘a’ Arecoline decreaseswaterretainingproteoglycans andfavoursincreasedtypeI Oral submucousfibrosisisachronicdiseasewhichaffectsoralmucosa,pharynx Epstein Barr (UNIVERSITY MODELQUESTIONPAPER)
Oral Medicine&Radiology III BDSEXAMINATION
PART -I
Max. Marks:70 (20 x0.5=10)
11. 10. 1..... 2....3.....4..... 9.
8.
7. d) c) b) a) In bisectingangletechnique, thefilmisplaced d. 28 c. 21 b. 14 a. 7 Cyclic neutropeniarecurswitharegularperiodicity of(days) Match thefollowing E: D: C: B: A: 4. Enalapril 3. Cyclosporine 2. Nifedipine 1. Phenytoin Gingival enlargementisasideeffectof E: D: C: B: A: 4. Glycopyrolate 3. Pilocarpine 2. Atropine 1. Cevimeline The drugsusedformanagementofxerostomiaare d. Adenocarcinoma c. 4. HumanPapillomaVirus16 3. Candida 2. HIVVirus 1. Coxsackie Virus Perpendicular tothebisector Parallel tothebisector As closeaspossibleto thetooth Parallel tothetooth If all4arecorrect If only4iscorrect If only2and4arecorrect If only1and3arecorrect If only1,2and3arecorrect If all4arecorrect If only4iscorrect If only2and4arecorrect If only1and3arecorrect If only1,2and3arecorrect Malignant melanoma Microbial agent
E. Hairyleukoplakia D. Denturestomatitis C. Oralsquamouscellcarcinoma B. A. Herpangina Kaposisarcoma
Condition
Oral MedicineandRadiology
Page179 Page180 appearance 18. 17.
16.
15.
14.
13.
12. Oral MedicineandRadiology 2. 1. Match thefollowingfilm processingandhandlingerrorswiththeir radiographic d. Ionization c. b. Radioactivity a. Penetration X-rays causeradiationdamageprimarilyby theirpropertyof E: D: C: B: A: 4) 3) Filtration 2) Milliampere 1) In dentalradiography,thefactorscontrollingquantityofXrayradiationare E: D: C: B: A: 4) 3) 2) 1) Which ofthefollowingistruefilmbadgesindentalradiography? d. c. b. Submentovertex a. The standardextraoralradiographicviewforfractureoftheZygomaticarchis d. c. b. a. Sialography ofnormalparotidsalivaryglandshowsanappearance d. Osteophyte c. Chondrocalcinosis b. Chondromatosis a. temporomandibular jointindegenerativediseaseiscalled The bonyprojectionwhichoccursattheperipheryofarticulatingsurface Underexposure Overdeveloping Electromagnetic induction If all4arecorrect If only4iscorrect If only2and4arecorrect If only1and3arecorrect If only1,2and3arecorrect Exposure time Kilovoltage peak If all4arecorrect If only4iscorrect If only2and4arecorrect If only1and3arecorrect If only1,2and3arecorrect Should bemonitoredeveryday Should beworninsidetheleadapron Can besharedbetweenemployees Should bewornbytheradiographerduringanexposure Lateral oblique Trans cranial Lateral skull Ball inhand Leaf lesstree Fruit ladentree Sausage string Ely’s cyst
b. a.
yellow-brown stains light
5. LONG ANSWERQUESTION: 4. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION:
Because 20.
19. 1..... 2....3.....4..... indications, limitations, advantagesanddisadvantages. Define dosimetry.Write ashortnoteonThermoluminiscentDosimeter andits Hairy leukoplakia TNM StagingofOralCancerandItssignificance staining ofOralmucosallesions Discuss Indications,Method,AdvantagesanddisadvantagesofToludineblue about theexaminationofTMJandmusclesmastication. Describe indetailaboutthenormalanatomy,functionsofTMJ.Write E: D: C: B: A: b. a. E-speedfilmsarerecommendedforintra-oralradiography d. c. b. a. The radiographicappearanceofosteosarcomamaybedescribedas 5. 4. 3. If both‘a’and‘b’arefalse If ‘a’isfalseand‘b’true If ‘a’istrueand‘b’false If both‘a’and‘b’aretruebutnotcausallyrelated If both‘a’and‘b’aretrueisthereasonfor E-speed filmresultsinlessradiationexposureforthepatient. Ground glassappearance Punched outradiolucencies Multilocular radiolucency Sun rayappearance Reticulation ofemulsion Exhausted Fixer Air bubbles SEC :A–ORALMEDICINE,DIAGNOSTICS&THERAPEUTICS SEC :B-RADIOLOGY,RADIOGRAPHDIAGNOSTICSAND
ADVANCED IMAGING
PART -II g. f. e. d. c. white grey spots cracked dark clear
Oral MedicineandRadiology
1X 10= 1X 10= -10 marks 3 X5=15
Page181 Page182 13. 12. Syndrome. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. 7. 6. SHORT ANSWERQUESTIONS: Oral MedicineandRadiology Mention 4DifferentRadiographicprojectionstoviewTMJ Enumerate 4mostcommonPeriapicalRadiolucencies Mention 4MostcommonOralManifestationsofAcquiredImmunodeficiency Mention 4conditionswithacutemultipleulcerationsoftheoralmucosa Mention 4PotentiallymalignantdisordersoftheOralCavity Discuss HardTissueComplicationsofHead&Neckradiotherapy with neatdiagram Enumerate anddescribetheradiolucentradioopaquelandmarksinmaxilla Discuss theinteractionofXraywithmatterneatlabelleddiagrams SEC :C-ORALMEDICINE&RADIOLOGY 5 X2=10 3 X5=15
SKILLS : KNOWLEDGE &UNDERSTANDING: OBJECTIVES conditions and hasanexposureinto the in-patientmanagementof maxillofacial problems.” region andoffersolutionstosuchofthosecommon & Maxillofacial occurring intheOral a reasonableknowledgeandunderstandingofthevariousdiseases,injuries,infections complications, acquire related and manage prevent anaesthesia, and general both local GOAL 3. 2. 1. 7. 6. 5. 4. 3. 2. 1. who iscompetentinperformingextractionofteethunder “To produceagraduate III yearBDS frenectomy, alveolarprocedures& biopsyetc. Should beabletocarry outcertainminororalsurgicalprocedures underL.A.like anaesthesia. and general Should becompetent intheextractionofteethunderboth local diagnosis. clinical andlaboratoryinvestigations iscapableofformulatingdifferential surgical probleminanorderlymanner.Beable tounderstandrequisitionofvarious oral with an acquired theskill toexamineanypatient should have A graduate Should knowethicalissuesandcommunication ability. involved inpatientmanagement. procedures andprinciples of majororalsurgical of themanagement Understanding Understand theprinciplesofin-patientmanagement. or treatment. Ability todecidetherequirementofapatienthaveoralsurgicalspecialistopinion Knowledge ofrangesurgicaltreatments. patients withoralsurgicalproblems. Able todiagnose,manageandtreat(understandtheprinciplesoftreatmentof) problem. surgical with oral of patients management medicine inthe general microbiology and like pathology, to applytheknowledgegainedinrelatedmedicalsubjects Able 20 Theory hours Total :70 ORAL &MAXILLOFACIALSURGERY IV yearBDS Number ofhoursprescribedbyDCI 50 III yearBDS 70 Practicals hours Total :270 IV yearBDS 200 Oral &MaxillofacialSurgery Total 340
Page183 Page184 Theory :noofhours=20 SYLLABUS IIIEAR competent inthefollowing: COMPETENCIES Oral &MaxillofacialSurgery no Sl 1. 11. 10. 9. 8. 7. 6. 5. 4. 3. 2. 1. At thecompletionofundergraduatetrainingprogrammegraduatesshallbe 6. 5. 4. and scope of oralsurgery Introduction -Definition, aims,objectives involved ininpatientmanagement. Understanding ofthemanagementmajororalsurgicalproblemsandprinciples office. Able toprovideprimarycareandmanagemedicalemergenciesinthedental Ability toassess,preventandmanagevariouscomplicationsduringaftersurgery. involved inthepatientmanagement of major oralsurgicalproblemsandprinciples Familiar withthemanagement office Able to provide primary care andmanagemedicalemergenciesinthedental during andafterminororalsurgery Competent toassess,preventandmanagecommoncomplicationsthatarise biopsy etc alveolar extraction,frenectomy,dentoprocedures, simple impaction, Competent tocarryoutcertainminororalsurgicalprocedureunderLAliketrans- anaesthesia and general be competentintheextractionofteethunderbothlocal Should Understand andpracticethebasicprinciplesofasepsissterilization in anorderlymanner Should haveacquiredtheskilltoexamineanypatientwithanoralsurgicalproblem care andcommunicationskill Should befamiliarwithlegal,ethicalandmoralissuespertainingtothepatient Have abroadknowledgeofmaxillofacialsurgeryandoralimplantology Able todiagnose,manageandtreatpatientswithbasicoralsurgicalproblems the managementofpatientswithsurgicalproblems subjects in Able toapplytheknowledgegainedinbasicmedicalandclinical
TOPIC weightage System 5% Number of hours 1 know (D)/Nice Desirable to to know(N) Must know (M)/ M Theory :noofhours=50 SYLLABUS IVEAR 11 10 no 16 15 14 13 12 Sl 2. 3. 4. 5. 1 2 3 4 5 9 8 7 6 Dento-alveolar surgery Endodontic surgery Infections Local Anaesthesia Cysts ofthejaws General anesthesia.[GA] Oral implantology Diseases ofmaxillarysinus Pre prostheticsurgery Exodontia TMJ disorders Ethics patients /Medicalproblemsindentistry Management ofmedicallycompromised Tumors Fractures ofthejaws Pre-cancerous lesionsandconditions Cleft lipandpalate Neurological disorders Salivary glanddiseases Developmental deformities
TOPIC weightage System 45% 20% 20% 10% 12% 16% 4% 8% 6% 8% 4% 6% 4% 2% 8% 2% 4% 6% 4% 6% Number of hours Oral &MaxillofacialSurgery 4 2 4 9 3 4 2 1 3 2 4 4 2 5 1 2 3 2 3 8 know (D)/Nice Desirable to to know(N) Must know (M)/ M M M M M M M M M M N N D N N N D D D D
Page185 Page186 Integrated teachingsyllabus(toincludetopicsthatarecommonwithdifferentspecialities) Clinicals :no.ofhours=270 Oral &MaxillofacialSurgery Sl.No Sl.No 14 13 12 11 10 1 1 5 4 3 2 9 8 7 6 5 4 3 2 infections Periapical Pathologiesandspace Medically Compromised patients Disorders andManagement of Oral Manifestationsof Systemic Temporomandibular disorders Oral Cancer Potentially malignantDisorders& Orofacial Pain-DifferentialDiagnosis in aorderlymanner Examination ofpatientwithoralsurgicalproblem Incision &Drainage Extraction –30cases surgery complication thatarisesduringandafterminororal Assessment, prevention&managementofcommon Primary care&Managementofmedicalemergencies Biopsy Alveolar procedures Frenectomy Suturing techniques Instrumentation Orthognathic surgery Dental Implants Fracture reductionandStabilisationunderGA Enucleation &Marsupialisation Clinical cases Clinical cases
O MED,OralSurgery, Prosthodontics Omfs, OralPathology,medicine, Oral Surgery&Pathology, Oral Surgery,Pathology, Oral Surgery,medicine Observe /assistperform
cons andendo Oral medicine medicine Observe / assist perform Observe/Perform Observe/Perform Observe/Perform Observe/Perform Observe/Perform Observe/Perform Observe/Perform Assist/Perform Assist/Perform Assist/Perform Observe Observe Observe Observe
1. Scheme ofExamination Sl.No 14 13 12 11 10 1 9 8 7 6 5 4 3 2 6 7 9 8 Theory :70Marks Examination ofpatientwithoralsurgicalprobleminaorderlymanner Demonstration ofextractiontechniques Demonstration ofinjectiontechniques Sterilisation andaseptictechniques during andafterminororalsurgery Assessment, prevention&managementof common complicationthatarises Diagnosis andmanagementofmedicalemergencies Investigation Requisitionforms Prescription writing,Referralforms,OpinionSeekingFormsand Demonstration ofsuturingtechniques Demonstration ofInstrumentsusedinexodontia Cysts andTumours Diseases ofTongue Salivary glanddisorders Oral cancer Implants Cleft lip,palate Dentofacial deformity Maxillofacial trauma Maxillary Sinus Part Part I II : : 20 MCQs(X0.5 = 10Marks) Chair-side teachingsyllabus Topics Oral Surgery,Pathology, Oral Surgery,Pathology, Oral Surgery,Pathology, Oral Surgery,Pathology, Oral Surgery,Pathology, Oral Surgery,Prosthodontics, Prosthodontics, Orthodontics Oral Surgery,medicine Oral Surgery,medicine Oral Surgery,orthodontics Oral medicine Oral medicine Oral medicine Oral medicine Periodontics
Oral &MaxillofacialSurgery
Page187 Page188 Oral &MaxillofacialSurgery
In section-A,iflonganswerquestionisfromminororalsurgerythentheblueprintwillbe The questionscanbedistributedasfollows: The papershallconsistof3sectionsasfollows: Blue printofthequestionpaper 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks no Sl 4 3 2 1 MCQs tobeselectedfrommustknowareas. 10 %fromNicetoknowareas 20 %fromDesirabletoknowareas 70 %fromtheMustknowareas Section C(VSAQs):Oral&MaxillofacialSurgery(20marks) Section B: Section A: PART II: PART I(MCQs):Oral&MaxillofacialSurgery(10marks) Total –100Marks Practical InternalAssessment–10Marks Practical examination: TRAUMA sinus, nervedisorders, implantology infections osteoradionecrosis, maxillary of oralsurgery)preprosthetic surgery, (Local anesthesia,exodontia, principles MINOR ORALSURGERY. MEDICAL EMERGENCIES APPLIED BASICSCIENCES Diseases OfSalivaryGlands(25marks) Orthognathic Surgery,GeneralAnesthesia,CleftLipAndPalate, Cysts AndTumors,OralCancer,TemporomandibularJointSurgery, Trauma (25marks) Applied BasicSciences,MedicalEmergencies,MinorOralSurgery, TOPIC 90 Marks Section A Section B Section C
: : :
1 LAQ(1X10=Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks)
(1*10-10 marks) LAQ 1 (3*5-15)
SAQ 1 1 1 (25 marks) TOTAL 10 5 5 5
11 10 16 15 14 13 12 18 17 no no Sl Sl 2 1 6 5 4 3 2 1 6 5 4 3 7 9 8 7 Local Anaesthesia and scopeoforalsurgery Introduction -Definition,aims,objectives CLEFT LIPANDPALATE GENERAL ANESTHESIA ORTHOGNATHIC SURGERY SURGERY TEMPOROMANDIBULAR JOINT ORAL CANCER CYSTS ANDTUMORS DISEASES OFSALIVARYGLANDS Infections Endodontic surgery Dento-alveolar surgery patients/ medicalproblemsindentistry Management ofmedicallycompromised Exodontia General anesthesia.[GA] Oral implantology Cysts ofthejaws Fractures ofthejaws Tumors TMJ disorders Diseases ofmaxillarysinus Pre prostheticsurgery Ethics Salivary gland diseases Developmental deformities In section–B,iflonganswerquestionisfromtempero-mandibularjointthen BLUEPRINT FORPARTI(MCQs)&SECTION–C(VSAQs) TOPIC TOPIC the blueprintwillbe (1*10-10 marks) (5 X2=10) VSAQ 1 1 1 1 1 LAQ 1 MCQ (20X 0.5 =10) Oral &MaxillofacialSurgery (3*5-15) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SAQ 1 (20 marks) (25 marks) TOTAL TOTAL 5 5 0.5 2.5 0.5 0.5 0.5 0.5 0.5 2.5 0.5 2.5 2.5 0.5 0.5 0.5 0.5 0.5 0.5 2 10 5
Page189 Page190 Oral &MaxillofacialSurgery Recommended books Session 2: OSCE –50Marks(10stationswith5markseach) Extraction –30Marks Case History–10Marks instructions. to administerlocalanaesthesiaandperform dental extractionanddeliverpost extraction the Candidateisrequired Further diagnosis. Differential and Diagnosis Clinical a at arriving Session 1: Blue printofClinicalExamination 21 19 20 (TRAUMA) STATION 9 (IMPLANT) STATION 5 (ANATOMY) STATION 1 Oral andmaxillofacial infections; TopazianRG&Goldberg MH Contemporary oraland maxillofacialsurgery;PetersonI.J.&EA Minor OralSurgery;Howe.GL Extraction ofteeth; Howe.GL Oral &maxillofacialsurgery, Vol2;LaskinDM Essentials ofsafedentistryforthemedically compromisedpatients;McCarthyFM Killey andKaysoutlineoforalsurgery–Part-1; SewardGRetal The maxillarysinusanditsdentalimplications; McGovanda Killeys fracturesofthemiddle3rdfacial skeleton;BanksP. Killeys Fracturesofthemandible;BanksP. Handbook ofmedicalemergenciesinthedental office,MalamedSF. Text bookoforalandmaxillofacialsurgery; SrinivasanB. Principles oforalandmaxillofacialsurgery; Vol.1,2&3PetersonLJetal. Impacted teeth;AllingJohnFetal. Theory Viva-Voce(durationnotexceeding20MinsperCandidiate)-marks patient, given Case Historyofa Detailed be expectedtotake The Candidatewill The ClinicalExaminationwillbeconductedin2sessions Pre-cancerous lesionsandconditions Cleft lipandpalate Neurological disorders REST (SUTURING) STATION 6 (IMPACTION) STATION 2
PRECAUTIONS) (UNIVERSAL STATION 10 (ARMAMENTARIUM) STATION 7 (CYST) STATION 3
1 1 1
(INFECTION) STATION 8 (TMJ) STATION 4
0.5 0.5 0.5
5.
4.
3.
2. 1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hour d) 3mm c) 1mm b) 1.5mm a) 2mm be ------mm Minimum distancebetweentwodentalimplants placedadjacenttoeachothermust e) d) c) b) a) B) A) d) c) b) a) Best timeforextractioninpregnancypatientis e) d) c) b) a) 4. Aspirin 3. Collaplug 2. Surgicel 1. Following arelocalhemostaticagent d) Syncope c) Bleeding b) a) a chronicalcoholicpatient? Which ofthefollowingcomplicationismorelikelyextractionperformedin If both‘A`and‘B`arefalse If ‘A`isfalseand‘B`true If ‘A`istrueand‘B`false If both‘A`and‘B`aretruebutnotcausally related If both‘A`and‘B`aretrueisthe reason for‘A` antibiotics, oxygenanddefencecell. Decrease themicrobialload,increasesvascularity andfacilitatesreachof The primaryobjectiveofdoingincisionanddrainageinmaxillofacialinfection is todrainpusandThereby Fourth trimester Third trimester Second trimester First trimester If all4arecorrect If only4arecorrect If only2and4arecorrect If only1and3arecorrect If only1,2and3arecorrect Gel foam Dry socket Facial spaceinfection (UNIVERSITY MODELQUESTIONPAPER) ORAL &MAXILLOFACIALSURGERY
IV BDSEXAMINATION
PART -I
Oral &MaxillofacialSurgery
Max. Marks:70 20 X0.5=10
Page191 Page192
Because 12.
11.
10.
9. 1------2------3------4------
8.
7.
6. Oral &MaxillofacialSurgery e) d) c) b) a) B) A) Commontypeoffractureinchildrenis Greenstick fracture d) c) b) Mandible a) Gillis approachisusedin 3) 2) 1) MATCH THEFOLLOWING:- d) c) b) a) Berger’s flapisusedfor 4) 3) 2) 1) MATCH THEFOLLOWING:- d) c) b) a) Aspiration beforeinjectionoflocalanestheticagentsprevents d) c) b) a) correct EXCEPT Each ofthefollowingstatementsaboutvasoconstrictionsandlocal-anesthesiais If both‘A` and‘B`arefalse If ‘A`isfalseand‘B` istrue If ‘A`istrueand‘B` is false If both‘A`and‘B`are truebutarenotcausallyrelated If both‘A`and‘B`are trueand‘B`isthereasonfor‘A` The rateofhealingisfasterinchildren Orbital fracture Closed reductionofzygomaticfracture Open reductionofzygomaticfracture -D)POPsplint Non rigidfixation-C)Miniplates Semi rigidfixation-B)Lugscrews Rigid fixation-A)Intra-osseouswings Malignant tumours Benign lesion Oro- antralcommunication TMJ dislocation Cow hornforceps-D)Wheelandaxle Apexo elevator-C)Firstorderlever -E)2ndorderleverprinciple Straight elevator-B)Doublewedge Cross bar-A)Wedgeprinciple None oftheabove Post operativeinjection Intra vascularinjection Excessive forcebeingusedduringinjection Adding vasoconstrictorcausesprofoundanesthesia Adding vasoconstrictorincreasesthephofLAsolution Adding vasoconstrictorprolongthedurationofaction Adding vasoconstrictorreducessystemictoxicity
20.
19.
18.
17.
16.
15.
14.
13. d) c) b) a) Match thefollowing d) c) b) a) Parade groundfractureofmandibleusually involves d) c) b) a) Tinnel’s signismeantfor d) c) b) a) Involucrum is d) c) b) a) Masticatory spaceinfectionincludesallofthefollowingEXCEPT d) c) Sepsis b) a) Mediastinitis Most commoncauseofdeathinludwigsanginais d) c) Keratocyst b) a) Protein contentlessthan4mg/mlisseenin d) c) b) a) 4) 3) 2) 1) Salivary calculusismorecommoninsubmandibularglanddueto Chromic catgut-Natural, non-absorbable Nylon -Synthetic absorbable Polyglactin 910-Synthetic non-absorbable Mersilk -Natural absorbable Bilateral body¶symphysis Bilateral angle&symphysis Bilateral parasymphysis&angle Bilateral condyle&symphysis Nerve injury Nerve crossover Nerve degeneration Nerve regeneration Sclerotic bonearounddead New livebonearounddead Involvement ofdeadbone Involvement ofcancrumoris Buccal space Temporal space Pterygomandibular space Sub-massetric space Respiratory obstruction Pleural effusion Botryoid cyst Periapical cyst Dentigerous cyst If only4arecorrect If only2and4arecorrect If only1and3arecorrect If only1,2and3arecorrect Its relationtoadjacentvitalstructures Large sizeofthegland Mucous contentofsaliva Torturous courseoftheduct
Oral &MaxillofacialSurgery
Page193 Page194 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: tissues 8. 7. 6. SHORT ANSWERQUESTIONS 5. LONG ANSWERQUESTIONS 4. patient? 3. extractions? 2. SHORT ANSWERQUESTIONS: Oral &MaxillofacialSurgery 1. LONG ANSWERQUESTIONS: Define dentalimplants. List theboundariesofpterygomandibualrspace. Mention any2drugsusedinthemanagement ofanaphylacticshock. Enlist anytwocomplicationsofTMJsurgery. What isColeman’ssign? soft of cystsjaws,oralandfacial for classification the flowchart Define cyst?Draw Describe thepossiblecomplicationsduringtemperomandibularjointsurgeries? Describe brieflyaboutthevariousneckdissectiontechniques? open bite[5]? describe variousorthognathicsurgicalproceduresforthemanagementofanterior Define apertognathia[2],discussthevariouscausesforanerioropenbite[3]and Explain indetailaboutLe-fortIlines? Describe brieflyregardingclinicalfeaturesandmanagementofahyperventilating Write indetailaboutbacterialendocarditisprophylaxisbeforeperformingdental theories oflocalanesthesia,enumeratingthemechanismaction[4]. Define localanesthesia[2].Classify[4]andexplainthevarious Section -B(25marks) Section –A(25marks) Section -C PART -II
(5X2 =10marks) (1X10=10marks) (1X10=10marks)
(3X5=15marks) (3X5=15marks)
ATTITUDE SKILLS KNOWLEDGE competent inthefollowing: COMPETENCIES who requirespecialist’scare. to referthe patients and periodontal health time bymaintaining to themaximumpossible precautions; shalldevelopanattitudeto prevent iatrogenicdiseases; to conservethetooth prevention ofperiodontaldiseasesandtheprogressdisease. the same. of maintenance for periodontaltherapyand the instruments periodontal diseases;touse OBJECTIVES hygiene practices. GOAL At thecompletionofundergraduatetrainingprogrammegraduatesshallbe aseptic also developanattitudetoperformthetreatmentwithfull The studentshall The studentshalldevelopattitudetoimpartthepreventivemeasuresnamely, diagnostic tests of scaling, to performdental acquire theskill The studentshall To preventandcontroloraldiseasespromote oral healththroughorganized
III yearBDS Give proper post treatment instructions and doperiodicrecall and evaluation Give properposttreatment instructionsand Competent toeducate andmotivatethepatient Competent toperform oral prophylaxis, subgingival scaling,root planning and Familiar withconceptsofosseointegration andbasicsurgicalaspectsof Diagnose thepatientsperiodontalproblem,plan appropriateperiodontaltreatment minor periodontalsurgicalprocedures Implantology 40 Theory hours Total :120 IV yearBDS Number ofhoursprescribedbyDCI 80 PERIODONTOLOGY III yearBDS 52 Clinical hours Total :124 IV yearBDS 72 Total 244 Periodontology
Page195 Page196 THIRD YEAR–Totalhours40 Periodontology 14 13 12 11 10 no Sl 3 4 2 1 5 6 9 8 7 Gingival enlargement Clinical FeaturesOfGingivitis Gingivalinflammation Defense mechanism Aging andPeriodontium The toothsupportingstructures The gingiva workshop 1999classification) Affecting ThePeriodontium(AAPWorld Classification ofDiseasesandConditions periodontal diseases Microbial interactionswithhostin Biofilm &periodontalmicrobiology Periodontal pathogenesis Predisposing Factors The RoleOfDentalCalculusAndOther Smoking &periodontaldiseases Influence ofsystemicconditions CLASSIFICATION &EPIDEMIOLOGYOFPERIODONTALDISEASES PeriodontalLigament Othersystemicconditions Nutritionalinfluences Stressandpsychosomaticdisorders Endocrinedisordersandhormonal AlveolarProcess Cementum changes ETIOLOGY OFPERIODONTALDISEASES TOPIC PERIODONTAL PATHOLOGY NORMAL PERIODONTIUM SYLLABUS CONTENT Weightage 2.5% 2.5% 2.5% 2.5% 7.5% 2.5% 2.5% 2.5% 2.5% 7.5% 5% 5% 5% 5% Must know(M)/ know (D)/Nice Desirable to to know(N) M M M M M M M M M M M M M M M N hours No of 1 1 1 1 1 3 1 2 1 1 2 2 2 1 2 FINAL YEAR-TheoryHours80 16 15 21 17 19 18 23 26 25 22 20 24 28 27 no Sl Desquamative Gingivitis Acute GingivalInfections Destruction Bone LossAndPatternsOf Periodontal pocket Chronic periodontitis Abscess ofperidontium Aggressive periodontitis Problems InPatientsWithHIVInfection Pathology &ManagementOfPeriodontal Clinical riskassessment Clinical diagnosis treatment plan Rationale forperiodontal treatment& Determination ofprognosis PeriodontalResponseToExternalForces Periodontal medicine:impactofperiodontalinfectiononsystemichealth Periodontaldiseaseandacute Periodontaldiseaseandchronic Periodontaldisease&Diabetesmellitus Periodontaldiseaseandpregnancy Periodontaldiseaseandcoronaryheart respiratory infections obstructive pulmonarydisease outcome disease, Stroke Pathologictoothmigration Traumafromocclusion DIAGNOSIS, PROGNOSIS&TREATMENT PLAN TOPIC PERIODONTAL PATHOLOGY
Weightage 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 10% 5% Must know(M)/ know (D)/Nice Desirable to to know(N) M M M M M M M M M M M M M M N Periodontology hours No of 2 1 1 1 1 1 2 1 1 1 1 1 4 2 1
Page197 Page198 Periodontology 31 29 48 32 30 41 36 35 34 33 42 40 38 37 43 45 44 46 47 Furcation involvement &management Treatment ofperiodontalabscesses Treatment ofacutegingivaldiseases Infectiousdisease Periodontal treatmentofmedicallycompromisedpatients Phase Iperiodontaltherapy Periodontal &periimplantsurgicalanatomy Phase IIperiodontaltherapy Breadth malodor Host modulation Anti infectivetherapy Scaling &rootplaning Periodontal instruments&instrumentation Plaque biofilmcontrol General principlesofperiodontalsurgery Gingival surgicaltechniques Treatment ofgingivalenlargements Periodontal flap Periodontal regeneration &Reconstructivesurgery Resective osseoussurgery Renal,Liver,Pulmonary,Chemotherapy, Hemorrhagic&Blooddyscrasias Pregnancy Endocrinedisorders Cardiovasculardiseases Graftmaterialsassociated tech Nonbonegraftassociated tech DIAGNOSIS &TREATMENTPLANOFPERIODONTALEMERGENCIES MANAGEMENT OFPATIENTWITHPERIODONTALDISEASES NON SURGICALPERIODONTALTHERAPY SURGICAL TREATMENT 1.25 % 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 7.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% M M M M M M M M M M M M M M M M M M M D 1 1 2 1 3 1 1 1 1 1 2 2 2 2 1 1 1 2 1 CLINICAL TEACHINGSYLLABUS S.No 61 60 62 62 49 50 63 64 65 66 67 6 5 4 3 2 1 8 7 periodontic lesions Diagnosis &managementofendodontic Periodontal restorativeinterrelationships Recent advancesinsurgicaltechniques Supportive periodontaltreatment Adjunctive roleoforthodontictherapy Periodontal plastic&estheticsurgery Biologicalaspectsofdentalimplants implantology Diagnosis &treatmentplanningin Surgical conceptsofimplanttherapy Peri implantdisease&management Supportive implanttreatment Augmentationcoronaltorecession Augmentationapicaltorecession Ultrasonic scaling Subgingival curettage & rootplaning Hand Scalingwithoral hygieneinstructions Oral hygieneinstructions Hand Scaling/Subgingivalcurettage&root planing Intraoral PeriapicalRadiography Case HistoryRecording Case HistoryRecording MULTIDISCIPLINARY APPROACHFORMANAGEMENTOF Clinical PERIODONTAL DISEASES ORAL IMPLANTOLOGY SUPPORTIVE CARE 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 1.25% 2.5% No of cases 20 25 05 05 05 05 01 5 M M M M M M Observe /Assist D D D D D Perform Perform Perform Perform Perform Perform Observe Observe Observe
Periodontology 1 1 2 1 1 1 1 1 1 1 1
Page199 Page200 CHAIRSIDE TEACHINGSYLLABUS Periodontology INTEGRATED TEACHINGTOPICS/SYLLABUS S.No S.No 11 10 15 14 13 12 1 6 5 4 3 2 1 7 9 8 continuum - endodontic Periodontic Prognosis &Treatmentplan Radiographic andlaboratoryinterpretations Oral/Gingival/Periodontal examination General examination–vitalsigns Biomedical wastedisposal Sterilization anddisinfection Periodontal instruments Principles ofinstrumentation Polishing &OHI Scaling, subgingivalcurettage&rootplanning Post operativecare Suturing andperiodontaldressing Mucogingival surgicaltechniques Gingival surgicaltechniques Abscess drainage Topic STERILIZATION ANDINFECTIONCONTROL Management ofendo–periolesions diseases Differences betweenpulpal andperiodontal Effect ofperiodontitisondentalpulp Pulpal disease SURGICAL TECHNIQUES ORAL PROPHYLAXIS INSTRUMENTATION CASE HISTORY Topic Hours Cons &Endo Cons &Endo Departments involved Perio Perio Hours 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 6 7 4 3 2 medicine Periodontal disorders of dermatologic manifestations Oral implantology Oral relationship inter Perio-ortho surgery Pre prosthetic Periodontitis &systemic associations Desquamative gingivitis Implant relatedcomplicationsandfailures considerations forimplants Biomechanics andprosthetic Implant surgicalprocedures Diagnostic imagingforimplants implant patient Clinical andradiographicevaluationof Hard andsofttissueinterface characteristics Implant geometryandsurface Biological aspectsoforalimplants and gingivaldiscrepancies Orthodontic treatmentofosseousdefects Pre orthodonticosseoussurgery periodontal management Adjunctive Orthodontictherapyin Trauma fromocclusion Classification onmalocclusion relationships (biologicwidth) Biologic considerationsforrestorative Alveolar ridgereconstruction Crown lengtheningprocedures Ridge andsocketpreservationprocedures Mucogingival problems Prostho &perio Perio &general pathology, oral Oral medicine Perio, oral Perio and and perio medicine medicine Prostho Prostho prostho Ortho Perio Perio Perio Perio Perio Perio Perio Perio Perio Perio Perio Perio Periodontology
Page201 Page202 The questionscanbedistributedasfollows:pleaserefertoQuestionbankandsyllabus Blue printofquestionpaper 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks PART :1-MCQs
1. Scheme ofExamination Periodontology If theLAQisfromnormalperiodontium, matrixisasfollows: MATRIX 1: S.No Question num 5 4 3 2 1 70%shouldbefromtheMustknowareas Total –100Marks Practical InternalAssessment–10Marks Practical examination: MCQsshouldbefrommustknowareas 10%shouldbefromNicetoknowareas 20%shouldbefromDesirabletoknowareas Theory: 70Marks 11- 20 1 -10 Classification ofperiodontaldisease Periodontal diseaseand systemichealth Gingival /periodontal pathology Etiology ofperiodontaldiseases Normal Periodontium
Part II Part I Clinical periodonticsandOralImplantology SECTION A 90 Marks Biologic basisofPeriodontology Section C Section B Section A : : PART :1-SECTIONA&B 20 MCQs(X0.5=10Marks) Topics : : : 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks)
(1X10=10)
LAQ 1 (3X5=15)
SAQ 1 1 1
20x0.5 =10marks M/D/N 25 MARKS M M 10 0 5 5 5 If theLAQisfromDiagnosis,prognosis&treatmentplan,matrixasfollows If theLAQisfromEtiologyofperiodontaldiseases,matrixasfollows MATRIX 2: of gingivalandperiodontaldiseases,thematrixisasfollows: If theLAQisfromtreatment S.No S.No S.No 5 4 5 4 3 2 5 4 3 2 1 3 1 2 1 Classification ofperiodontaldisease Periodontal diseaseandsystemichealth Supportive periodontaltherapy Oral Implantology Gingival /periodontalpathology Etiology ofperiodontaldiseases Supportive periodontaltherapy Oral Implantology diseases –Nonsurgical Treatment ofgingival andperiodontal Diagnosis, prognosis&treatmentplan Normal Periodontium diseases –Nonsurgical Treatment ofgingivalandperiodontal emergencies diseases –Surgical,periodontal Treatment ofgingivalandperiodontal Diagnosis, prognosis&treatmentplan emergencies diseases –Surgical,periodontal Treatment ofgingivalandperiodontal SECTION A SECTION B SECTION B (1X10=10) (1X10=10) (1X10=10) LAQ LAQ LAQ 1 1 1 (3X5=15) (3X5=15) (3X5=15) SAQ SAQ SAQ 1 1 1 1 1 1 1 1 1 25 MARKS 35 MARKS 25 MARKS Periodontology 10 10 10 5 0 5 5 5 0 0 5 5 5 5 5
Page203 Page204 Total =100marks Clinical InternalAssessment:10marks Clinical Examination: Blueprint forclinicalexamination: Periodontology SECTION C:VSAQs Question number OSCE /OSPE:50marks Case presentationwithscaling:40marks 11,12,13 9,10 Biologic basisofPeriodontology Clinical periodonticsandOralImplantology 90marks Topics 5x2= 10marks M /DN M M OSCE / OSPE SYLLABUS Table of Specifications
Department of Periodontology
D Systems being tested O S-1 S-2 S-3 S-4 S-5 S-6 S-7 S-8 S-9 S-10 Competency M Universal Diagnosis Measure Instrumen ultrasonic Treatment Radio Sutures/ Periodontal Oral Being A precautions of perio ment tation & piezo plan graphs periodontal Medicine hygiene assessed I dontal of PPD / instrumen dressings instructions N diseases CAL tation S Knowledge Identify Iden Identi Identify - Identify Identify For a given Knowledge of require abnormal tification fication various type of the type case and ments from of land of scalers tips used bone loss, of suture scenario sequence to disinfect normal marks and and PDL space or identify of oral dental tissues to curettes purpose widening, periodontal the under hygiene chair, hand based measure for the Periapical dressings lying perio instructions Inter peices, and on clinical PPD / same radio systemic preta K personal signs CAL lucecy link tion of data protection if any, barriers presence or absence of Lamina Dura
wear to be able to apply to demon proper chart process to choose identify choose personal to arrive findings strate use placement out a the data the periodontal appropriate protection at a to arrive of of com identified appropriate treatment OHI barriers diagnosis at instru ultrasonic prehensive and arrive suture modi instruction K in order and diagnosis ment tips treatment at a radio material or fications in terms of Application & and formulate against plan graphic periodontal for such brushing A disinfect treatment the tooth diagnosis dressing cases of methods or Periodontology the chair plan surface for a given perio inter side area condition systemic dental problems aid identi fication
Page205 Page206 Periodontology - angu adapta oral proph - Metho demon demon lations tion ylaxis of dical strate type strate of angu one way of of specified Ability probing lations quadrant inter sutures, brushing to carry P of preting mani method out M instru the radio pulation proce dure ment graph of perio and dontal strokes dressing used
RECOMMENDED BOOKS 1. Newman MG. Carranza's clinical periodontology. 11th ed. Elsevier; 2011 2. Cohen, E. Atlas of Cosmetic and Reconstructive Periodontal Surgery. 3rd ed. Hamilton: BC Deker Inc.; 2006 3. Sato N. Periodontal surgery – A clinical atlas, quintessence publishers, Germany; 2000. 4. Lindhe J, Niklaus L, Thorkild K. Clinical Periodontology and implant dentistry. 5th edition, Blackwell Publisinh company: United Kingdom; 2008.
5.
4.
diagnosis? 3.
2. secondary colonization Time: 3hours 1. MODEL MULTIPLECHOICEQUESTIONS: (iv) (iii) (ii) (i) Pick thepairthatisnot rightlymatched (d) (c) (b) (a) EXCEPT All ofthefollowingarefeaturesinitiallesion ofgingivalinflammation (d) (c) (b) (a) finding revealsarcshapedbonelossinanteriorteethandmolars.Whatis the probable for past 1month.Onhistory no underlyingsystemicconditions were found.Radiographic A 24yearoldmalepatientcomplainsofspacingandmobilityinmaxillaryanterior (d) (c) (b) (a) (R) Thereisnoviablejunctionalepithelium (A) Inacutenecrotizingulcerativegingivitis,thereisnopocketformation (d) (c) (b) (a) The correctsequenceofplaqueformationis Gingival enlargement –Metronidazole Trauma fromocclusion –Butressingboneformation Chronic periodontitis –P.gingivalis Periodontal ligament – Sharpey’sfibers Increase inGCF Lasts 2to4days Plasma cellinfiltration Vascular dilatation Localised chronicperiodontitis Generalised aggressiveperiodontitis Localised aggressiveperiodontitis Generalised chronicperiodontitis A isfalseandRtrue A istrueandRfalse Both A&Raretruebutisnotthereasonfor Both A&Raretrueandisthereasonfor Formation ofpellicle,initialattachmentandadhesion,plaquematuration Formation ofpellicle,initialattachmentandadhesion,secondarycolonization Secondary colonization,plaquematuration,Formationofpellicle,initial Initial attachment&adhesion,Formationofpellicle,secondarycolonization and plaquematuration attachment andadhesion and plaquematuration. (UNIVERSITYMODELQUESTIONPAPER)
IV BDSEXAMINATION PERIODONTICS PART -I
Max. Marks:70 (20 X0.5=10)
Periodontology
Page207 Page208 9.
compounds? 11. 8.
10.
7.
6. Periodontology
endocrinesystem 4) Gingivaldiseasesmodifiedby naturalteeth 3) Mucogingivaldeformitiesaround 2) Gingivallesionsofgeneticorigin 1) Gingivaldiseasesmodifiedbymalnutrition (4) Riskmarker (3) Riskindicator (2) Riskdeterminant (1) Riskfactor Choose thecorrectlymatchedsequencefromfollowingtable (d) (c) (b) (a) (iv) Putresine (iii) (ii) Cadaverin (i) Choose thecorrectlymatchedsequencefrom thefollowingtable Choose theappropriateoption:Whichoffollowingarevolatilesulphur (iv) (d) (iii) (c) (ii) (b) (i) The drugofchoiceforhostmodulationis (a) Choose theFALSEstatementformfollowing (d) (d) (c) (c) (b) (b) (a) All thefollowingareeffectsofsmoking (a) If only4iscorrect If onlytwoand4arecorrect If only1&3arecorrect If only1,2&3arecorrect Methyl mercaptan Hydrogen sulphide Tertacycline 20MGTD Gracey #1,2,3&4areusedinanteriorteeth Doxycycline 20mgBD Universal curetteiscurvedinoneplane Tertacycline 100mgBD Both cuttingedgesareusedinGraceycurettes Docycycline 100mgTD Curette istheinstrumentofchoiceforsubgingivalscalingandrootplanning 1-i, 2-iv,3-ii,4-iv Increase ininflammation&Bleedingonprobing Increase inboneloss 1-iv, 2-iii,3-ii,4-i Increase inpocketdepth 1-ii, 2-iv,3-i,4-iii Increase inprevalence&severityofdestruction 1-iii, 2-ii,3-iv,4-i
EXCEPT (iv) Ascorbicaciddeficiencygingivitis (iii) Hereditarygingivalfibromatosis (ii) Pseudopocket (i) Diabetesmellitusassociatedgingivitis (v) Malnutrition (iv) Diabetes (iii) Age (ii) Osteoporosis (i) Bleedingonprobing
18.
17. 16.
15. 14.
13.
12.
(d) (c) (b) Undisplaced (a) Conventional flapsinclude all (d) (c) (b) (a) (B) Itremovesthepocketlining (A) Internalbevelincisionisbasictomost periodontal flapproceduresBECAUSE d) Furcationplasty c) Osteoplasty b) Odontoplasty a) Coronoplasty Tunnelling procedureinperiodontalsurgeryisalsoknownas (d) (c) (b) (a) iv) iii) ii) i) Which ofthefollowingfactor/smayaffectprobingdepthmeasurements? d) c) b) a) The dosageofsystemictetracyclineintreatmentaggressiveperiodontitis. d) c) b) a) Antimicrobial therapycomesunderwhichphaseoftreatmentplan? d) c) b) a) periodontal surgeryis The appropriatetypeofbrushingtechniqueforapatientwhohasundergone d) c) b) a) Apically displaced Papilla preservation Modified Widman A isfalseandBtrue A istrueandBfalse Both A&Baretruebutnotcausallyrelated Both A&Baretrueandisthereasonfor A All fourarecorrect ii andivarecorrect i andiiiarecorrect i, iiandiiiarecorrect Periodontal health Angulation ofprobe Probe type Probing force 250mg, 3timesdailyforatleast5days 500mg, 3timesdailyforatleast5days 250mg, 4timesdailyforatleast7days 500mg, 4timesdailyforatleast7days Phase IV Phase III Phase II Phase I Fones method Bass method Stillman’s method Charter’s method 1-iv, 2-ii,3-iii,4-v 1-iv, 2-iii,3-ii,4-i 1-v, 2-i,3-ii,4-i 1-iv, 2-v,3-i,4-ii
EXCEPT
Periodontology
Page209 Page210
8. 7. 6. SHORT ANSWERQUESTIONS: 5. LONG ANSWERQUESTION: 4. 3. formation. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION:
20.
19. Periodontology maintenance careateach recallvisit(3) Write tworationalefor supportiveperiodontaltherapy(2).Write theperiodontal doxycycline andmention thecorrectdosageofsame(1+2) What ishostmodulatory therapy(2).GiveanexampleforSubantimicrobial dose sequence ofperiodontaltherapy(1). Explain thephasesofperiodontaltherapyin treatmentplan(4).Writethecorrect bone loss&prognosis(8). Glickman underthefollowingheadings:Type ofpocket,Nabersprobepenetration, What isfurcationinvolvement(2).Classify furcationinvolvementaccordingto What istheeffectofdiabetesmellitusonperiodontalpathogenesis. pocket (4). Define periodontalpocket(1).Addanoteonpathogenesisof Enlist (1)andexplainanyfourpredisposingfactors(4)fordentalcalculus fibers (6). Define Gingiva(2).WritethepartsofgingivaAddanoteongingival (d) (c) (b) (a) Resective osseoussurgeryisindicatedinallofthefollowingsituations (d) (c) (b) (a) iv) iii) ii) i) The designoftheflapisdictatedby Shallow craters Extensive boneloss Buttressing boneformation Reverse architecture i -False,iiTrue,iiiiv–True i -True,iiiiiFalse,ivTrue i -True,iiFalse,iiiivTrue i -False,iiTrue,iiiivFalse Blood supplytotheflap Esthetic concernsoftheareasurgery Depth ofthepocket Surgical judgementoftheoperator Section -A Section -B PART -II
EXCEPT
1x10 =10 1x10 =10 3x5 =15 3x5 =15
13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: What isDNAprobe? Define osseointegration Write twodifferencesbetweenuniversalandareaspecificcurettes Define dentalplaque. What arefenestration&dehiscence(1+1) Section -C Periodontology 5x2 =10
Page211 Page212 demonstrate skillsnecessaryforpractise: be able to SKILL :AftertraininginPedodonticsandPreventiveshould Dentistry thestudent should acquireknowledge: KNOWLEDGE :DuringthetraininginPedodonticsandPreventive Dentistry thestudent OBJECTIVES : GOAL : Paedodontics &PreventiveDentistry
1. 3. 2. 1. 3. 2. 1. 2. 3. 4. 5. 6. III yearBDS the rightofpatienttoreceivebestpossible treatment. and , keepinginmindtheexpectations treatment diagnosis anddelivereffective reasonable a at interpret them,arrive diagnostic proceduresand perform essential history ,methodological examinationofthechildpatient, Obtain properclinical complications ifencounteredwhilecarrying outvariousdentalprocedures. Be competenttotreatdentaldiseasesoccurring inchildren,preventandmanage between hardandsoft tissuesoftheoralcavity. Manage torepairandrestorethelost/tooth structuresoastomaintainharmony Control painandanxiety amongthepatientsduringdentalprocedures. Manage thechildwith specialhealthcareneedseffectivelyandefficiently. Promote oral healthandprevent oraldiseaseswherepossible. To have adequateknowledgeto observe andcontrolthenecessarydeveloping To haveathoroughknowledgeinearlydiagnosisandprompttreatment, To considerchildpatientasa“WHOLE,everyeffortismadetoimprovethe Emphasise indevelopingapositiveattitudetowardsDentistry Achieve ahighandethicalstandardofpractice,promotioneducation, Primary concernistopromotetheoralhealthofinfants,children,adolescents dentition ofthechildbyhimselfinterveningorreferringtoaspecialist patient of the health with thegeneral in accordance it isalways as health dental research inPediatricandPreventiveDentistry and childrenwithspecialhealthcareneeds 20 Theory hours Total :65 PAEDODONTICS &PREVENTIVEDENTISTRY IV yearBDS Number ofhoursprescribedbyDCI 45 III yearBDS 70 Clinical hours Total :200 IV yearBDS 130 Total 265
ATTITUDE :thestudentshoulddevelopduringtrainingperiodfollowingattitudes
Theory :noofhours=20 SYLLBUS CONTENT–IIIBDS
competent inthefollowing COMPETENCIES no Sl 6 5 4 3 2 1 7 3. 2. 1. 4. 5. 6. 4. 3. 2. 1. be shall training programmethegraduates the completionofundergraduate At Case History Recording Pediatric OperativeDentistry Behaviour Management Child Psychology Dental Caries Birth ThroughAdolescence Development ofOcclusionfrom Preventive Dentistry Introduction toPedodontics& tailored totheneedsofindividualrequirementandconditions Able tomanagechildrenwithspecialhealthcareneedseffectivelyandefficiently, Able totreatdentaldiseasesoccurringinchildrenthroughadolescence. including differentfacetsofPreventiveDentistryrightfrombirthtoadolescence Able to guide and counseltheparentsin regards to various treatmentmodalities birth toadolescence. Dentistry rightfrom Preventive of Paedodonticsand the principles understand and a positiveattitudeandbehaviourinchildrentowardsoralhealth to instill Able Deliver treatmentcareirrespecitiveofsocialstatus,castecreedorreligion Professional honestyandintegritytobeinculcated practise Develop anattitudetoadoptethicalprinciplesinallaspectsofpedodontic Willingness toshareknowledgeandclinicalexperiencewithprofessional Respect childpatient`srightsandprivileges,includingrightto colleagues Develop anattitudetoseekopinionfromalliedmedicalanddentalspecialitiesas information andrighttoseeksecondopinion. and whenrequired TOPIC
III BDS weightage System 1 % 4 % 5% 6% 6% 6% 8% Number of hours
Paedodontics &PreventiveDentistry 1 2 2 3 5 5 2 Desirable toknow(D) / Nicetoknow(N) Must know(M)/ M M M M M M M
Page213 Page214 Theory :noofhours=45 SYLLABUS CONTENT Paedodontics &PreventiveDentistry 11 19 18 17 16 15 14 13 12 10 no Sl 2 1 9 6 5 4 3 8 7 Pedodontics Dental RadiologyRelatedTo Growth &Development Child Abuse &Neglect Ethics Setting UpOfPedodontic Clinic& Dentistry Recent AdvancementsInPediatric Fluorides Dental HealthProgrammes Dental HealthEducation&School Preventive Dentistry Dentistry Dental MaterialsUsedInPediatric Their Management Dental EmergenciesInChildren& Congenital AbnormalitiesInChildren Special Needs Dental CareOfChildrenWith Oral HabitsInChildren Orthodontics Preventive &Interceptive Traumatic InjuriesInChildren Pediatric Endodontics Children Gingival &PeriodontalDiseasesIn Dental Caries Oral SurgicalProceduresInChildren TOPIC
IV BDS weightage System 6.5 % 6.5% 1 % 3 % 3 % 3% 2% 2% 5% 2% 5% 2% 2% 2% 5% 5% 5% 3% 8% Number of hours 1 1 1 1 1 1 1 1 2 4 3 5 4 4 4 4 2 3 2 Desirable toknow(D) / Nicetoknow(N) Must know(M)/ M M M M M M M M M M M N N D D D D D D Dentistry. PRECLINICAL WORK-II Chair sideteachingsyllabus:IIBDS III BDS:CLINICALHOURS no no Sl Sl no 1 1 6 5 4 3 2 7 6 5 4 3 2 Sl 2. 1. Fluoride application,Pitandfissuresealants,ART,PRR Base, sub-base,Varnish,Amalgam,GIC,Compositerestorativematerials Methods ofisolationanduserubberdam,Matricesforprimaryteeth Principles ofcavitypreparationandmodificationsinprimaryteeth Morphological differencesbetweenprimaryandpermanentteeth Teeth identificationexercises–10 Sterilisationandinfectioncontrol,wastedisposal Construction offixedSpacemaintainers /stainlesssteel crowns Pulp therapy teeth, PitandFissure Sealants,PRR 20 cases-cavitypreparation andrestorationsinprimarypermanent 5 -casesofCaseHistoryRecording,Fluoride application disclosing solution&oralhygieneinstructions 10 case-CaseHistoryRecording,withOral prophylaxisafterusing 05 -DetailedCaseHistoryRecordingwith recordingofCRA Fissure sealants-01Case,CRA–case demonstration ofFluorideapplication,andPit Tooth identification,CaseHistorydiscussion, Primary Typhodontteeth/extracted Class V(63)Cavitypreparationandrestorationin 01 each-ClassI(55,85),II(64,74),III(61),
To beintegratedwithIIyearBDSPreclinicalwork,DepartmentofConservative ONLY cavitypreparationswillbedoneontyphodontmodels. II BDSPreClinicalhours ND BDS III BDSClinicalhours Topics
Paedodontics &PreventiveDentistry Observe /assist Perform Observe perform Observe Perform Perform Perform Perform Perform Observe 20 mins 20 mins 20 mins 20 mins 20 mins 20 mins P/O/A Hours
Page215 Page216 Paedodontics &PreventiveDentistry III BDS:CHAIRSIDETEACHINGSYLLABUS IV yearBDSChair-sideteachingsyllabus: IV BDS–CLINICALHOURS Sl. no no no Sl Sl 9. 1 1 2 1 3 4 5 6 8 2 7 6 5 4 3 2 8 9 01 -WrittenAssignment 05 -DetailedCaseHistoryRecordingwithCRAforms oral hygieneinstructions 10 case-CaseHistoryRecording,withOralprophylaxis& 05- casesofCaseHistoryRecording,Flapplication permanent teeth,PitandFissureSealants,PRR 25 cases-cavitypreparationandrestorationsinprimary 15 cases-Extractionswithpostextraction instructions Apexogenesis) Pulp therapy(Pulpotomy,PulpectomyApexification, Behaviour management/shapingofuncooperative/specialchild Preventive and interceptiveOrthodontics Caries riskassessment, dietchartrecording Exodontia Preventive andInterceptiveDentistry,Habits,spacemanagement Pit andfissuresealants,ART,PRR Behavioural sciencesanditsclinicalapplication Plaque controlmeasures,CRArecording Anticipatory guidanceinPediatricoralhealth,infanthealthcare, Methods ofisolationanduserubberdaminclinic Principles ofcavitypreparationandmodificationsinprimaryteeth Construction offixedSpacemaintainers/ stainlesssteelcrowns Behaviour management/shapingofuncooperative/ specialchild Fourth BDSClinicalhours Topics Topics
Observe/Assist Observe/Assist Observe /assist Perform Perform Perform Perform Perform Observe perform Observe Perform 20 mins 20 mins 20 mins 20 mins 20 mins 20 mins 20 mins 20 mins Hours Hours EARLY CLINICALEXPOSURE:DISCUSSION Integrated teachingsyllabus(toincludetopicsthatarecommonwithdifferentspecialities) Sl.No Sl.No 8 7 6 5 4 3 1 1 1 2 3 6 4 5 Current conceptsinPediatricdentistry,MID,ART,PRR Dental managementofchildrenwithspecialhealthcareneeds Pulp therapyinPediatricDentistry & PreventiveDentistry Clinical significance/futureadvancesofRadiographsinPaedodontics Clinical ManagementofTraumaticinjuriestoanteriorteeth Space management&OralHabits pit andfissuresealants, extractions OBSERVE -clinical procedures likerestoration, identification Case history,diagnosis andtreatmentplan,tooth Drawing Exercise Morphologicaldifferencesbetweenprimary PediatricEndodontics Traumaticinjuriestoanteriorteeth Cariology Eruptionshedding Anatomicdifferencesofgingiva,Gingival PreventivePaedodontics Fluorides Cleftlipandpalate Myofunctionalappliances GrowthandDevelopment Exodontia Localanaesthesia and permanentteeth. adolescents and periodontaldiseasesinchildren Topics II BDS I BDS
Speciality Integrating Dental Anatomy Conservative & Prosthodontics Oral Medicine Public Health Orthodontics Oral Surgery Endodontics Periodontics Paedodontics &PreventiveDentistry Dentistry Speciality Integrating 2 hours 2 hours
1st year 3 3 3
YEAR 20 mins 20 mins 20 mins 20 mins 20 mins 20 mins Final Final Final rd rd Year Year Year rd and Year Year
Page217 Page218 SECTION -A MCQ`stobetakenONLYfromtheMUSTKNOWAREA 10%fromNicetoknowareas 20%fromDesirabletoknowareas 70%fromtheMustknowareas The questionscanbedistributedasfollows: BLUE PRINTOFTHEORYQUESTIONPAPER: 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks
1. Scheme ofExamination Paedodontics &PreventiveDentistry Sl.No 6 5 4 3 2 1 Total –100Marks Practical InternalAssessment–10Marks Practical examination: Theory :70Marks dentistry & ethics Dental materialsused inPediatric children care needs&congenital abnormalitiesin Dental careofChildren withspecialhealth Child psychology&behaviourmanagement education andschooldentalhealthprogram Preventive dentistry,dentalhealth Development ofdentition&occlusion Growth &development anatomy andhistology,radiology diagnosis &treatmentplanning,Dental Fundamentals ofPaedodontics,casehistory, If LAQfromPreventiveDentistry,thematrixisasfollows
Part II Part I 90Marks Topic Section C Section B Section A : : 20 MCQs(X0.5=10Marks)
: : :
5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks)
(1x 10) LAQ 1 (3X5) SAQ 1 1 1
VSAQs
VSAQ (5X2) 3 (10X0.5) MCQ 2 2 2 2 2 - Sl.No Sl.No If LAQfromdentalcareofchildrenwithspecialhealthneeds,thematrixisasfollows 6 5 4 3 2 1 6 5 4 3 2 1 If LAQfromChildPsychology&BehaviourManagement,thematrixisasfollows dentistry & ethics Dental materialsused inpediatric children care needs,congenital abnormalitiesin Dental careofChildrenwithspecialhealth Child psychology&behaviourmanagement education, schooldentalhealthprogramme Preventive dentistry,dentalhealth Development ofdentition&occlusion Growth &development anatomy &histology,radiology diagnosis &treatmentplanning,Dental Fundamentals ofPaedodontics,casehistory, dentistry ðics Dental materialsusedinpediatric children care needs&congenitalabnormalitiesin Dental careofChildrenwithspecialhealth Child psychology&behaviourmanagement education, schooldentalhealthprogramme Preventive dentistry,dentalhealth Development ofdentition&occlusion Growth &development anatomy andhistology,radiology diagnosis &treatmentplanning,Dental Fundamentals ofPaedodontics,casehistory, Topic Topic
(1x 10) (1x 10) LAQ LAQ 1 1 Paedodontics &PreventiveDentistry (3X5) (3X5) SAQ SAQ 1 1 1 1 1 1 VSAQs VSAQs VSAQ VSAQ (5X2) (5X2) 3 3 (10X0.5) (10X0.5) MCQ MCQ 2 2 2 2 2 2 2 2 2 2
Page219 Page220 Paedodontics &PreventiveDentistry Sl.No Sl.No If LAQfromPreventive&interceptiveorthodonticsoralhabits,thematrixisasfollows 5 4 3 2 1 5 4 3 2 1 If LAQfromCariology&PediatricOperativeDentistry,thematrixisasfollows Paedodontic clinic Child abuse&neglect, settingupof antimicrobials inPediatricDentistry & dentalemergencies,Analgesics Pediatric OralSurgery,LocalAnaesthesia Endodontics Traumatic injuriesinchildren&pediatric & oralhabits Preventive &interceptiveorthodontics Gingival &periodontaldiseases & recentadvances Cariology &PediatricOperativedentistry Setting upofPedodonticclinic Dentistry, Childabuse&neglect, Commonly useddrugsinPediatric & dentalemergencies Pediatric OralSurgery,LocalAnaesthesia Endodontics Traumatic injuriesinchildren&pediatric & oralhabits Preventive &interceptiveorthodontics Gingival &periodontaldiseasesinchildren & recentadvancesinPediatricdentistry Cariology &PediatricOperativedentistry Topic Topic SECTON -B
(1x 10) (1x 10) LAQ LAQ 1 1 (3X5) (3X5) SAQ SAQ 1 1 1 1 1 1 VSAQs VSAQs VSAQ VSAQ (5X2) (5X2) 2 2 (10X0.5) (10X0.5) MCQ MCQ 2 2 2 2 2 2 2 2 2 2 Recommended andReference books Total =100marks Clinical InternalAssessment:10marks 2. 1. Blueprint ofclinicalExamination: If LAQfromtraumaticinjuriesinchildren&PediatricEndodontics,thematrixisasfollows Sl.No Dentistry) (Pediatric Operative STATION 9 (Traumatology) STATION 5 Radiology) (Diagnosis and STATION 1 5 4 3 2 1 3. 2. 1. marks foreachstation) OSCE/OSPE =50Marks(5marksforeachstation)(total10stationscarrying5 Case historyrecordingandclinicalprocedure(includingrecordbook)=40marks Setting upofPaedodonticclinic Child abuse&neglect, antimicrobials inPediatricDentistry, & dentalemergencies,Analgesics Pediatric OralSurgery,LocalAnaesthesia Endodontics Traumatic injuriesinchildren&pediatric & oralhabits Preventive &interceptiveorthodontics Gingival &periodontaldiseases & recentadvances Cariology &PediatricOperativedentistry Kennedy’s Pediatric OperativeDentistry –Kennedy& Curzon. Clinical Paedodontics –Finn. Dentistry fortheChild andAdolescence–Mc.Donald. REST Endodontics) (Pediatric STATION 6 Child Psychology) Management and (Behavior STATION 2 Topic
observers station) (Health Education, STATION 10 Health Careneeds) (Child withspecial STATION 7 (Cariology) STATION 3 (1x 10) LAQ 1 Paedodontics &PreventiveDentistry (3X5) SAQ
1 1 1 VSAQs
VSAQ Procedures) Surgical (Minor Oral STATION 8 Orthodontics) Interceptive (Preventive and STATION 4 (5X2) 2 (10X0.5) MCQ 2 2 2 2 2
Page221 Page222 Paedodontics &PreventiveDentistry 12. 11. 10. 9. 8. 7. 6. 5. 4. Pediatric Dentistry–Mathewson. Pediatric Dentistry(InfancythroughAdolescences)–Pinkham Total patientcare–StephenWei Understanding caries–GordonNikiforuk Traumatic Injuries–Andreason. Pediatric Dentistry–Principles&PractiseM.S.Muthu Behaviour Management–Wright Text bookofPediatricDentistry–NikhilMarwah Text bookofPaedodontics–ShobhaTandon
6.
5.
4.
3.
surfaces 2.
Time :3hours 1. MODEL MULTIPLECHOICEQUESTIONS: d) c) b) Rotation a) The extractionofmaxillary deciduousmolarin5yearsoldchild; youshoulduse d) Oligodontia c) b) a) stages oftoothdevelopmen Which ofthefollowinganomaliesoccursduring theinitiationandproliferation d) c) b) a) Which primaryteethareLEASTaffectedwiththenursingbottlesyndrome d) c) b) a) Which ofthefollowingshouldbeconsidered which 2mmofthepulpisexposed;presentsfortreatmentthreehoursafterinjury. incisor in 8 yearsoldchildwhohassustainedafractureofmaxillarypermanentcentral d) c) b) a) reduction oftheproximalsurfacebesimilartodepthbuccalandlingual the depthfor should crowns steel prepared forstainless are When primarymolars d) Gutta-percha c) b) a) pulpectomy is The obturatingmaterialofchoiceforprimaryteethfollowingcomplete Bucco -lingual movement Distal pressureandmovement Mostly towardstheapex pressureandsomemovement Enamel hypoplasia Dentinogenesis imperfecta Amelogenesis imperfecta Mandibular molars Mandibular incisors Maxillary andmandibularcanines Maxillary molars Pulpectomy andapexification Pulpectomy andimmediaterootfilling Place calciumhydroxidedirectlyontheexposedpulp Remove thesurface1-2mmofpulptissueandplacecalciumhydroxide Yes, allundercutsareuniformlyremovedsothatthesteelcrowncanbeseated No, thebuccalsurfaceshasgreatestreductiontoremovecervicalbulge No, proximalreductionisgreatertoallowthecrownpasscontactarea Yes; reductionofallwallissimilarforbestretention Zinc oxideandeugenolcement Quick settinghydroxidecement Zn phosphatecementandformocresolcombinationpaste PEDODONTICS ANDPREVENTIVEDENTISTRY (UNIVERSITY MODELQUESTIONPAPER)
IV BDSEXAMINATION
PART -I
Paedodontics &PreventiveDentistry
Max. Marks:70
(20 X0.5=10)
Page223 Page224
13.
12.
11.
10.
9.
considered 8.
7. Paedodontics &PreventiveDentistry d) c) b) a) The differencebetween deciduousandpermanentteethare d) c) Pulp-stones b) a) Transillumination isusedto d) c) b) a) children’s oralhealth What istheeffectofofficedentalprophylaxisregularsixmonthintervalson d) c) b) a) and generalmalaiseforseveralweeks.Howwouldyoumanagethispatient An 8-yearsoldchildpresentswithsymptomsofwidespreadgingivitisbleeding c) d) b) a) treatment planinsuchsituationwouldbe The mostappropriatediagnosisand there arenootherradiographicabnormalities. of theun-eruptedpermanentfirstmolarcrownandthreefourthtoothdevelopments, the uneruptedpermanentarea.Apanoramicradiographshowsalveolaremergence permanent firstmolarsareerupted.Oralexaminationrevealsalargegingivalbulgein 8 yearsoldchildpresentswithallpermanentincisorserupted,butyetonlythree d) c) b) a) you fortreatmenttwodaysaftertheinjury.Whichoffollowingshouldbe A childhassustainedatraumaticexposureofprimarycentralincisor,hepresentsto d) c) b) a) Loss oftoothinmixeddentitionaffectsthe All oftheabove Deciduous teethhave thinnerenamelsurface Deciduous teethhave flattercontactareas Deciduous teethhave ahigherpulphornsandlargerchambers Hemorrhagic pulp To detectcaries To findintrinsictoothcoloration Prevent gingivitis Provide ashorttermimprovementinoralhygiene Provide alongtermimprovementinoralhygiene Reduce cariesincidencebyapproximately 30% Advise forbedrestwithsupportiveandpalliativetreatment Refer forhaematologicalscreening Give aprophylaxiswithultrasonicscaling Locally debride,giveoralhygieneinstructionandprescribeH2O2mouthwash. Ankylosis ofthemolar,removalfirstmolartoallowsecondone Ankylosis ofthemolar,surgicalsofttissuesexposureandluxationmolar erupt intoitsplace. Idiopathic failureoferuption,surgicalsofttissuesexposure Dentigerous cyst;surgicalenucleation. Pulpectomy (RCT) Direct pulpcapping Pulpotomy andformocresol Pulpotomy andCa(OH)2 The relevantquadrant The wholemouth The relevantjaw Same quadrant
20.
gingivitis 19. 18.
17. 16.
15.
14. d) Hypodontia c) b) Macrodontia a) Macroglossia Which ofthefollowingisNOTcharacteristic ofDown’ssyndrome d) c) b) a) Which ofthefollowingorganismsarepathognomonic ofacutenecroticulcerative d) Taurodontism c) Concrescence b) Fusion a) Gemination than usual;onxraysitshowswithtworootsandcanals;yourdiagnosisis Child withlessthannormalnumberofteeth,mandibularlateralincisorislarger d) c) b) a) The bestspacemaintaineris d) 5 c) 4 b) 3 a) 2 molar is How manypulphornsarepresentedinatypicalmandibulardeciduoussecond d) c) b) a) The causativemicroorganismforHerpeticgingivostomatitis d) c) b) a) Measles What istheMOSTLIKELYdiagnosis and atemperatureof39°c,oralexaminationshowsnumerousyellowgreylesions. A 12yearoldgirlcomplainsofsoremouth,shehaspainfulcervicallymphadenitis An increasedsusceptibility toperiodontaldisease Porphyromonas gingivalisandprevotellaintermedia Actinobacillus actinomycetescomitansoral capnocytophaga Spirochaetes andeikenellacorrodes Spirochaetes andfusobacteriumSP none oftheabove Band andloopmaintainer Pulpectomised primarytooth Lingual holdingarch Borrelia vincentii Herpes simplexvirus Herpes zostervirus Herpes simplexbacteria Stevens-Johnson syndrome Herpetic gingivostomatitis Erythema multiforme
Paedodontics &PreventiveDentistry
Page225 Page226 13.
12. 11. 10. 9. VERY SHORTQUESTIONS technique 8. 7. gingivostomatitis. 6. Short answerquestions:
5. LONG ANSWERQUESTIONS: SECTION -B 4. 3. 2. SHORT ANSWERQUESTIONS:
1. LONG ANSWERQUESTIONS: Paedodontics &PreventiveDentistry List thecontraindications forDistalShoeSpaceMainatiner. block inchildren? below fiveyears?Whatisthemostcommon complicationofInferioralveolarnerve What isthepointofinsertionneedle forinferioralveolartechniqueinachild List threeclinicalfeaturesofPapillonLefevre Syndrome. List anyfourstoragemediaforavulsedteeth. List thetestsformouthbreathing. List theindicationsandcontraindicationsdescribeFormocresolPulpotomy Write theindicationsofNancepalatalarchapplianceanditsdesign. Describe theetiology,clinicalfeaturesandmanagementofprimaryherpetic k) j) Define EarlyChildhoodCaries.(2) and fissuresealants. Classify fissuresandfissuresealants.Listtheindicationscontraindicationsofpit development ofocclusionandmechanismsbywhichtheygetcorrected Tabulate theselfcorrectinganomaliesthatpresentduringdifferentstagesof Describe theAversiveconditioningtechnique. b) a) Classify bleedingdisordersinchildren.(4)Describethedentalconsideration Describe thetypes,itsclinicalfeaturesandmanagement.(5) What isitsetiology?(3) Management ofchildwithcyanoticcongenitalheartdisease.(3) Management ofhemophiliacchild.(3)
SECTION -C SECTION -A PART -2
(3 X5=15) (1X10 =10) (1X10 =10) (3X5 =15) (5X2=10)
ATTITUDES He shouldattainfollowingskillsnecessaryforpracticeofdentistry SKILLS The graduateshouldacquirethefollowingknowledgeduringperiodoftraining. KNOWLEDGE OBJECTIVES To preventandcontrolcariousnon-cariousdiseaseslesions GOAL III yearBDS He should be abletomotivatethe patientforproper dental treatmentatthe same To helpandparticipate intheimplementationofnationaloral healthpolicy. skill fromtimetotime. professional the knowledge and in CDEprogramtoupdate to participate Willingness aspects ofprofessionallife. Maintain ahighstandardofprofessionalethics andconductapplytheseinall To achievetheskillstotranslatepatientsesthetic needsalongwithfunction. needed forcarryingoutsimpleendodontic treatment. Possess theskillstouseandfamiliarize endodontic instrumentsandmaterials To usemediumandhighspeedhandpiecestocarryoutrestorativework. treatment. To diagnoseandmanagetraumaticinjuriestoprovideemergencyendodontic To carryoutsimpleendodontictreatment. foundation. To gain theknowledgeaboutendodontictreatmentonbasisofscientific patient’s needs. To gain knowledgeaboutaestheticrestorativematerialandtotranslatethesame To diagnosecariousandnon-cariouslesionstreatwithsimplerestorativework 30 Conservative DentistryandEndodontics Theory hours Total :110 IV yearBDS Number ofhoursprescribedbyDCI 80 III yearBDS 70 Clinical hours Total :370 IV yearBDS Conservative DentistryandEndodontics 300 Total 480
Page227 Page228
Theory -30hours SYLLABUS IIIEAR Conservative DentistryandEndodontics in thefollowing: At thecompletion of the undergraduatetrainingprogram the graduatesshallbecompetent COMPETENCIES no Sl 6 5 4 3 2 1 8 7 7. 6. 5. 4. 3. 2. 1. caries Non-operative treatmentofdental assessmentandLesiondetection Clinical Cariology plan Examination, diagnosisandtreatment procedures Occlusion considerationsinOperative Anxiety andpainmanagement Instrument set-up Control ofthefieldoperation operative armamentarium Disinfection andsterilisationof Understand theprinciplesofaestheticdentalprocedures Competent tocarryoutsmallcompositerestoration Able toperformRCTforanteriorteeth Able todiagnoseandappropriatelytreatpulpallyinvolvedteeth Restore classV&IIIcavitieswithglassionomercement Competent toperformclassI&IIcavitiesandtheirrestorationwithamalgam Competent todiagnoseallcariouslesions maintain therestorativeworkandpreventfuturedamage. time propermaintenanceoforalhygieneshouldbeemphasizewhichwillhelpto and sealant restorationprocedure Pit andfissuresealant procedure At thehostlevel At thedietarylevel At themicrobiallevel Disease diagnosis—Cariesrisk Latest classification Clinical presentation
TOPIC Conservative dentistry
weightage System 6.5% 10% 10%
3% 3% 3% 3% 3% Number of hours
1 1 1 1 1 3 3 2
Desirable toknow(D) / Nicetoknow(N) Must know(M)/
M M M M M M N N
10 6 5 4 3 2 1 9 Overview ofendodontic treatment Internal anatomyofpulpspace Endodontic armamentarium endodontics Diagnosis andtreatmentplanin Pulpo–peri apicallesions endodontic therapy Rationale andprinciplesin Minimal InvasiveDentistry Operative treatmentofdentalcaries Canal configurationtypes Dimensions ofcrownandroots Apical tipanatomy Sterilization Standardization Classification Treatment plan Radiographs Diagnostic aids—Vitalitytests, Diagnosis Definitive management Clinical features Classification Kronfeld’s mountainpassconcept Zones ofinflammation Mercury hygiene failures inamalgam complex amalgam Bonded amalgam clinical approach simple, compoundandcomplex Silver amalgamrestorations- restorations Designing thecavityforvarious Choice ofrestorativematerials Caries removal
Endodontics
6.5% 6.5% 6.5% 6.5% 6.5% 6.5% 13% 3% Conservative DentistryandEndodontics 1 4 2 2 2 2 2 2 M M M M M M D D
Page229 Page230 Theory -80hours SYLLABUS IVEAR Conservative DentistryandEndodontics no Sl 5 4 1 3 2 Light curecompositerestorations compound andcomplex Silver amalgamrestorations—simple, Operative treatmentofdentalcaries caries Non-operative treatmentofdental operative armamentarium Disinfection andsterilisationof Clinical Cariology treatment plan Examination, diagnosisand Fibre reinforced resinrestorations. direct vs.indirectresin restoration posterior restoration anterior restorations material advancements clinical approach Mercury hygiene failures inamalgam complex amalgam Bonded amalgam clinical approach restorations Designing thecavityforvarious Choice ofrestorativematerials Caries removal and sealantrestorationprocedure Pit andfissuresealantprocedure At thehostlevel At thedietarylevel At themicrobiallevel assessment andLesiondetection Disease diagnosis—Cariesrisk Latest classification Clinical presentation
TOPIC
Conservative
weightage System 3.75% 1.25% 3.75% 2.5% 15% Number of hours 12 3 3 1 2 Desirable toknow(D) / Nicetoknow(N) Must know(M)/ M M M M M 13 12 11 10 9 7 6 8 Micro biology inendodontics Minimal InvasiveDentistry Non-carious disfigurement endodontics Diagnosis andtreatmentplanin Aesthetic dentistry Deep Cariesmanagement Gold foilrestorations Cast restorations Glass ionomerrestorations Pulpo–peri apicallesions endodontic therapy Rationale andprinciplesin management Dentin hypersensitivityand Clinical presentation Bleaching Veneers Pulpotomy -clinicalapproach restorations Temporization andinterim advancements inmaterials clinical approach,latest Direct andindirectpulpcapping- clinical approach CAD-CAM clinical approach modified GIC Clinical approach Treatment plan Radiographs Diagnostic aids—Vitality tests, Diagnosis Definitive management Clinical features Classification Kronfeld’s mountainpassconcept Zones ofinflammation
Endodontics
1.25% 3.75% 3.75% 3.75% 2.5% 2.5% 5% 5% Conservative DentistryandEndodontics 2 3 1 3 4 3 4 2 M M M M M M D D D D
Page231 Page232 Conservative DentistryandEndodontics 25 24 23 22 21 20 19 18 17 16 15 14 Endodontic surgery Traumatic injuriesand management Failures inrootcanaltherapy Post endodonticrestoration Obturation Intra canalmedication Clean andshape Working lengthandwidthestimation Access preparation Internal anatomyofpulpspace Pulpotomy andApexification Endodontic armamentarium Procedures Indications andcontra indications posts Custom castpostandprefabricated Rationale Obturating techniques Obturating andsealermaterials Rotary endodontics Conventionall Canal shapingmethods Irrigation andirrigants Rationle Apex locators Radiographic method Rationale Procedure Instruments Ratioanle Canal configurationtypes Dimensions ofcrownandroots Apical tipanatomy Clinical techniques Materials Rationale Definition Sterilization Standardization Classification
3.75% 3.75% 3.75% 3.75% 3.75% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 3 3 2 2 3 2 3 2 2 2 3 2 M M M M M M M M D D D D Clinicals :200hours Integrated teachingsyllabus Sl no 11. 16. 15. 14. 13. 12. 10. 26 28 27 no Sl 2. 1. 9. 6. 5. 4. 3. 8. 7. 2 1 Silver amalgamrestorationsclassI,II Caries riskassessment Root resorption materials inendodontics Equipments andrecentadvancesin Endo-perio relationship Direct compositeveneer Anterior rootcanaltreatment P andNPinlaysonlays Indirect resininlays—DEMO Diastema closure Splinting Post endodonticrestoration Periapical surgery Bleaching Pulp capping–directandindirect Pit andfissuresealantrestoration Composite resinrestorationsclassIV,I,II,III,V Glass ionomerrestorationsclassI,II,III,V Posterior RCT Gingival overhang Dental Caries,Pulp& PeriapicalPathologies dentistry Microscope assistedprecision Laser Clinical cases Clinical cases 3.75% 3.75% 2.5% many How 10 10 10 10 10 30 3 Conservative DentistryandEndodontics 3 3 2 Perform Perform Perform Perform Perform Perform Perform Perform Speciality integrating Oral Pathology Cons &Endo, Cons& Endo, Periodontics Assist /Observe Assist /Observe Assist /Observe Assist /Observe Assist /Observe Assist /Observe Assist /Observe Assist /Observe Assist /Observe Assist/ Observe N D D
Page233 Page234 Chair -sideteachingsyllabus Conservative DentistryandEndodontics Early ClinicalExposure No Sl. Sl.No 1 2 3 7 6 5 4 3 11 13 12 10 9 1 8 7 6 5 4 3 2 Rubber damisolation Restoration –silveramalgam Restoration –GIC pathology Diagnosis &treatmentplan–pulpalandperiapical Post endodonticrestorations Local anaesthesiaandpaincontrol Tooth malformation Intrinsic andextrinsicdisclouration Patient communicationskill Cariology Casehistorydiscussion Pain management Esthetic emergencymanagement Endodontic emergencymanagement demonstration innaturaltooth Step bystepprocedureofAnteriorrootcanaltherapy flowable compositeapplicationinpatients Demonstration ofpitandfissuresealant,fissurotomy Matrix bandandretainerapplication Root canalsealermanipulation Instrument setup Case historydiscussion Vitality test Rubber damapplication Topics Integrated Teachingsyllabus Topics Half -Hour 1hr 30min 10 Mins Number of hours
Cons& Endo,Ortho Oral Pathology Desirable toknow/ Oral pathology Cons &endo, Cons& Endo, Cons& Endo, Periodontics Oral surgery Nice toknow Must know/ Prostho M M M Half Hr Half Hr Half Hr Half Hr Hours 1 1 1 3 1 1 1 1 1 The questionscanbedistributedasfollows: Section C(VSAQs):ConservativeDentistry andEndodontics(10marks) Section B:Endodontics(25marks) Section A:ConservativeDentistry(25marks) PART II: PART I(MCQs):ConservativeDentistryandEndodontics(10marks) Blue printofthequestionpaper 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks
The difficultylevelwill bedistributedas
1. Scheme ofExamination 8 7 6 5 4 70 %fromtheMustknowareas Total –100Marks Practical InternalAssessment–10Marks Practical examination: 20 %fromDesirabletoknowareas 10% verydifficult 30% averagelydifficult 60% Easy 10 %fromNicetoknowareas Theory :70Marks Pulp capping Root canaltreatment-anterior Preventive resinrestoration Pit andfissuresealant Restoration –composite
Part II Part I 90 Marks Section C Section B Section A : : 20 MCQs(X0.5=10Marks)
: : : 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks)
15 Mins Conservative DentistryandEndodontics 30 min 1 1 1
M M M M M
Page235 Page236 Conservative DentistryandEndodontics Sl.No Sl.No Sl.No (If theLAQisfromNoncariouslesions/Dentinal Hypersensitivity,thepatternisasfollows) (If theLAQisfromAestheticRestorativeprocedures/Materials,patternasfollows) 1 5 4 3 2 1 1 3 2 6 6 5 4 3 2 8 4 6 5 7 (If theLAQisfromMetallicRestorativeprocedures/Materials,patternasfollows) Dental Caries Non cariouslesions/ Dentinal Hypersensitivity Metallic Restorativeprocedures/ Materials Aesthetic Restorativeprocedures/Materials Minimal InvasiveDentistry Diagnosis, treatmentplan Deep CariesManagement Dental Caries Aesthetic Restorativeprocedures/Materials Minimal InvasiveDentistry Deep Caries Management Metallic Restorativeprocedures/Materials Minimal InvasiveDentistry Dental Caries considerations inRestorativeDentistry Operative ArmamentariumandOcclusal control Infection control,moisturecontrolandpain Non cariouslesions/DentinalHypersensitivity Metallic Restorativeprocedures/Materials Deep CariesManagement Non cariouslesions/DentinalHypersensitivity Topic Topic Topic Section A:ConservativeDentistry 1X10 =10 1X10 =10 1X10 =10 LAQ LAQ LAQ 1 1 1 1 3X5 =15 3X5 =15 3X5 =15 SAQ SAQ SAQ 1 1 1 1 1 1 1 1 1 Total :25 Total :25 Total :25 10 10 10 5 5 5 5 5 5 5 5 5 Sl.No Sl.No Sl.No (IftheLAQisfromDentalCariesandMinimalInvasiveDentistry,patternasfollows) 1 1 2 1 5 4 3 2 3 4 4. Endodontic Instruments 3. Microbiologyofroot canal 2. Pulpalanatomy 1. Pulpoperiapicalpathosis Basics inEndodontics Dental Caries Diagnosis andtreatmentplaninEndodontics 4. EndodonticInstruments 3. Microbiologyofrootcanal 2. Pulpalanatomy 1. Pulpoperiapicalpathoses Basics inEndodontics Non cariouslesions/DentinalHypersensitivity Metallic Restorativeprocedures/Materials Aesthetic Restorativeprocedures/Materials Minimal InvasiveDentistry 6. FailureinRCT 5. Obturation–materialsandprocedure 4. Intracanalmedicaments 3. Cleanandshape–materialsprocedure 2. Access 1. Rationale Root canalTherapy 6. Rootresoprtion 5. EndoPeriolesions 4. Retreatment 3. TraumaticInjuries 2. SurgicalEndodontics 1. Postendodonticrestoration Special topicsinendodontics (If theLAQisfromDiagnosisandtreatmentplan,patternasfollows) (If theLAQisfromRootcanaltherapy,pattern isasfollows) Topic Topic Topic Section B:Endodontics 1X10 =10 1X10 =10 1X10 =10 Conservative DentistryandEndodontics LAQ LAQ LAQ 1 1 3X5 =15 3X5 =15 3X5 =15 SAQ SAQ SAQ 1 1 1 1 1 1 1 Total :25 Total :25 Total :25 10 10 5 5 5 5 5 5 5
Page237 Page238 Conservative DentistryandEndodontics Sl.No 3 2 4 3 2 1 4 6. FailureinRCT 5. Obturation–materialsandprocedure 4. Intracanalmedicaments 3. Cleanandshape–materialsprocedure 2. Access 1. Rationale Root canalTherapy Diagnosis andtreatmentplaninEndodontics 6. Rootresoprtion 5. EndoPeriolesions 4. Retreatment 3. TraumaticInjuries 2. SurgicalEndodontics 1. Postendodonticrestoration Special topicsinendodontics 6. FailureinRCT 5. Obturation–materialsandprocedure 4. Intracanalmedicaments 3. Cleanandshape–materialsprocedure 2. Access 1. Rationale Root canalTherapy Diagnosis andtreatmentplaninEndodontics 4. EndodonticInstruments 3. Microbiologyofrootcanal 2. Pulpalanatomy 1. Pulpoperiapicalpathoses Basics inEndodontics 6. Rootresoprtion 5. EndoPeriolesions 4. Retreatment 3. TraumaticInjuries 2. SurgicalEndodontics 1. Postendodonticrestoration Special topicsinendodontics (If theLAQisfromspecialtopics,patternasfollows) Topic 1X10 =10 LAQ 1 1 3X5 =15 SAQ 1 1 1 1 1 Total :25 10 10 5 5 5 5 5 PART I&SECTION-C Sl.No 5 4 3 2 1 modifiedGIC Clinicalapproach Glass ionomerrestorations Fibrereinforcedresin restorations. directvs.indirectresin restoration posteriorrestoration anteriorrestorations materialadvancements clinicalapproach Light curecompositerestorations Mercuryhygiene failuresinamalgam complexamalgam Bondedamalgam clinicalapproach simple, compoundandcomplex Silver amalgamrestorations- Designingthecavityforvarious Choiceofrestorativematerials Cariesremoval Operative treatmentofdentalcaries Pitandfissuresealantprocedure Atthehostlevel Atthedietarylevel Atthemicrobiallevel Non-operative treatmentofdentalcaries Diseasediagnosis-Cariesrisk Latestclassification Clinicalpresentation Clinical Cariology Examination, diagnosisandtreatmentplan armamentarium Disinfection andsterilisationofoperative restorations sealant restorationprocedure assessment andLesiondetection
Topic CONSERVATIVE DENTISTRY
(5X2=10) Conservative DentistryandEndodontics VSAQ 1 1 (20X0.5=10) MCQ 2 1 2 1 TOTAL 20
3 1 3
Page239 Page240 Conservative DentistryandEndodontics 11 13 16 15 14 12 10 6 8 7 Non-carious disfigurement Minimal InvasiveDentistry Endodontic armamentarium Deep Cariesmanagement Pulpo–peri apicallesions Working lengthandwidth estimation Access preparation Pulpotomy andApexification Diagnosis andtreatmentplaninendodontics Rationale andprinciplesinendodontictherapy Treatment plan Diagnostic aids-Vitalitytests,Radiographs Diagnosis Definitive management Clinical features Classification Kronfeld’s mountainpassconcept Zones ofinflammation Dentin hypersensitivityandmanagement Clinical presentation Pulpotomy -clinicalapproach Temporization andinterimrestorations Direct andindirectpulpcapping-clinical Apex locators Radiographic method Rationale Procedure Instruments Rationale Clinical techniques Materials Rationale Definition Sterilization Standardization Classification approach, latestadvancementsinmaterials ENDODONTICS
1 1 1 1 2 1 1 1 2 1 1 1 4 4 5 Therapy shouldbeperformedbythestudentduringclinicalexamination One ofthethreeExercisesallotted-classIIsilveramalgam,anteriorLCR, Root Canal oral examination,IntraDiagnosis,Treatmentplan Chief complaint,Historyofchiefpastdentalhistory,Medicalextra Case history&diagnosis:15mins/10marks Traditional : Blue printofClinicalExamination marks C /30mins/20 marks B/ 15mins/10 marks A/45 mins/20 17 19 18 20 2. 1. Steps Clean andshape Traumatic injuriesandmanagement Obturation Intra canalmedication OSCE -30marks(6stationsof5each) Traditional -60marks Obturating techniques Obturating andsealermaterials Rotary endodontics Conventional Canal shapingmethods Irrigation andirrigants Rationle Op X-ray class IIandPost restoration for Silver amalgam II amalgam wedge forclass Base, matrixand Class II preparation for Cavity Class IIsilver amalgam Post Opx-ray and polishing for anterior,finishing composite restoration Bonding, Lightcure composite restoration matricing for Base, acidetching, for anteriorLCR bevel, shadeselection pumice prophylaxis, Caries removal, Anterior LCR Conservative DentistryandEndodontics X-ray withthesheet with mastercone Cleaning andshaping RCT withthesheet estimation foranterior working length Pre flaringand cavity forRCT management, access pre endodontic Caries removal, Root CanalTherapy 1 1 1
Page241 Page242 Conservative DentistryandEndodontics Clinical ConservativeDentistry Recommended books Sl.No Sl.No 10 2 6 5 4 3 2 1 1 3 9 8 7 Pickard’s ManualofOperative Dentistry.8 Indirect Restorativematerials Direct Restorativematerials&estheticdentistry Restorative materials-Materialaspect Preventive -Fluoride,P&Fsealants Quadrant /singletooth Isolation withrubberdam– solving activity-Pulpoperiapicallesions Diagnostic skill,decisionmaking-Problem –RESTORATIVE solving activity Diagnostic skill,decisionmaking-Problem CLASSIFICATION,cariesriskstatus –DentalCaries solving activity Diagnostic skill,decisionmaking-Problem - DentalCaries 5 Sturtevant’s ArtandScienceofoperativeDentistry. 2 Preservation andrestoration oftoothstructure Amalgam, GIC Management offailedrestorations–LCR, Post restorativeinstructions/Preventive Counselling -Treatmentexplanation and restorationofbadlybrokendownteeth Management oftraumaticinjuriestotheteeth materials length determination,instrumentationand Endodontic -RootcanalTreatmentWorking nd th edition edition BLUE PRINTFOROSCEFINALYEARCLINICAL Stations Books Name
th edition
Weightage %
10% 10% 10% 10% 10% 10% 10% 10% 10% 2% 8% TheodoreM Roberson Graham J.Mount Author Name Sturtevant’s, E.A.M Kidd Communication Psychomotor Psychomotor Cognitive / Attitude / Cognitive Cognitive Cognitive Cognitive Cognitive Cognitive Cognitive Domains Clinical Endodontics Sl.No 1 3 4 5 6 5 4 2 Pathways ofPulp-10 Endodontic therapy-4 Problem SolvinginEndodontics-5 Principle andpracticeofEndodontics-3 shtc etsr – n edition 2nd – dentistry Esthetic Contemporary approach.3rdedition Fundamentals ofOperativeDentistry–A Textbook ofoperativeDentistry - 6 Endodontics - th edition th Books Name edition th edition th edition rd Conservative DentistryandEndodontics Walton andTorabinejad K.W.Aschheim and James L.Gutman James B.Summit Baum, Lundand Stephen Cohen Author Name John I.Ingle F.S.Weine B.G. Dale Phillips
Page243 Page244
9.
8.
7.
6.
5. particle. particle. amalgam. 4.
3. 2.
1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hours Conservative DentistryandEndodontics c. a. formation offinecrystals intubulelumen. Zone ofcariousdentin withdemineralizationofintertubulardentin and c. a. Pickling toremoveoxidelayersininlayisdone with: c. a. When thepinsareusedincavityforamalgam, thestrengthofamalgam? c. a. When etchingenamel,approximatelyhow long shouldtheacidbeinplace? c. a. Microabrasion involvestheuseof: d. c. b. a. Mercuroscopic expansionindentalamalgamoccurswhen: c. a. found tobe The concentrationoffluorideintheimmediatevicinityglassionomerfillingis c. a. Chronic dentalcariesmanifestsas c. a. Which hasthehighestCFactor? Affected dentin (diseased) Subtransparent dentin 90% HCl 50% HCl Unchanged Increased 20 Sec 10 Sec Phosphoric acid Sulphuric acid Mercury releasedbecauseofelectrochemicalcorrosionrereactswithAg-Cu Mercury releasedbecauseofelectrochemicalcorrosionrereactswithAgSn Moisture contaminationoccursduringtriturationofzinccontainingamalgam. Moisture contaminationoccursduringcondensationofzinccontaining 4 ppm 1 ppm Greater depththanwidth Brown pigmentedlesion class V class I CONSERVATIVE DENTISTRY&ENDODONTICS (UNIVERSITY MODELQUESTIONPAPER) IV BDSEXAMINATION
PART -I d. b. d. b. d. b. d. b. d. b. d. b. d. b. d. b. Normal dentin Transparent dentin 80% H2SO4 50% HF May increaseordecrease Decreased 25 Sec 15 Sec Hydrochloric acid. Acetic acid. 5 ormoreppm 3 pp Severe painonstimulation Undermining oftheenamel class III class II
Marks :70 20X0.5=10
19.
18.
17.
16. 15.
14.
13.
12.
11.
10. d. c. b. a. A tell-talesymptomof internalresorptionis d. c. b. a. Lingual shouldercanberemovedwith d. c. b. a. Step downtechniqueisthepreparationfrom c. a. Guttapercha issterilizedby d. Apexification c. b. a. reveals noresponse.Whatisthetreatmentofchoice. The vitalitytest earlier. is drainingpusintohismouth.Thetoothhasbeentraumatized A sevenyearoldboyarrivesintheclinicwithacomplaintthathisleftcentralincisor c. a. Pain onpercussionbeforeendodontictreatmentindicates d. c. b. a. The confirmatorytestforpulpvitalityis c. a. Substantivity isassociatedwithwhichirrigant c. a. Alpha guttaperchaisusedwithwhichtechnique d. c. b. a. Floor ofclassIIcavityforamalgamrestoration,occlusallyshouldbe: Completely asymptomatictooth or verymildpain short, sharpstabsofpain pulpal discomfortearly inthemorning continuous sharppain inthetoothwithoutanyapparentcause All theabove Safe tipcarbideburs Safe tipdiamonds Gates gliddenburs coronal toapicalthird coronal tomiddlethird apical tocoronalthird apical tomiddlethird Glass beadsterilizer 5.2% NaoCl Periodontal surgerytoremovesinustract Root canaltreatment Apexogenesis /pulpotomy Pulpal necrosis Reversible pulpitis Digital pulpvideography Analytical technologyelectricalpulptester Test cavity Thermal test Tetraclean Chlorhexidine Vertical condensation Lateral condensation Just abovetheroofofpulpchamber In DEJ. In dentin. In enamel
d. b. d. b. d. MTAD b. d. b.
Alcohol 3% H2O2 Inflammation ofperiodontaltissue Irreversible pulpitis Hypo chlorite MC spaddentechnique Obtura-II technique
Conservative DentistryandEndodontics
Page245 Page246 13. 12. 11. 10. 9. Very shortanswerquestion 7. 6. SHORT ANSWERQUESTIONS: 5. LONG ANSWERQUESTION 4. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION
20. Conservative DentistryandEndodontics What isthebestmethod ofsterilizingthehandcuttinginstruments? Enlist thevariousforms inwhichfluorideisavailable? What isinfectedand affected dentin? Enumerate anytwomediums whereanavulsedtoothcanbestore. Enlist anythreeintracanalmedicaments Define apost.[2]Comparethecustommade postandprefabricatedpost.[3] Sodium hypochloriteirrigant[2] file. [2].7.Enumeratethecleaningandshapingmethods.[3]Elaborateon Classify endodonticinstruments.[3]Explainthestandardizationofan vitality tests.[5] Enumerate thediagnosticaidsinendodontics.[5]Elaboratepulp direct compositeveneering?[3] Define andclassifyveneers.[2]Whataretheindicationscontraindicationsfor contraindications forpinamalgamrestorations?[3] Classify pinsforcomplexrestorations.[2]Whataretheindicationsand Explain theHydrodynamictheoryofdentinalhypersensitivity methods usedtodetectcariouslesions.[6] Define Dentalcaries.[2]Classifythecariouslesions.Enlistandexplain d. c. b. a. In whichofthefollowingisone-visitrootcanaltreatmentnotadvocated Pulp isvitalandsymptomatic Pulp isnecroticandthereadrainingsinustract Pulp isnecroticandsymptomatic Pulp isnecroticandnotsymptomatic Section C:ConservativeDentistryandEndodontics SECTION A:CONSERVATIVEDENTISTRY SECTION B:ENDODONTICS
2x5=10 marks
1x10=10 1x10=10 3x5=15 3x5=15
III yr70hours Theory Clinical At theendoftrainingprogramme Specific LearningObjectives: and understandinginreplacementofteethwithimplants. partial denture,completedentureandfixed partial dentureandimpartnecessaryknowledge with theskillsinvolvedinfabricationofremovable Goals :Toequiptheundergraduate S.No 3 2 1 5. 4. 3. 2. 1. Relining and Rebasing Anatomical landkarks incompletedenture Introduction toRPD, classification,Applegaterules III yearBDS outline, treatmentoptionsforedentulismandcareprosthesis. procedure the treatment effectively to communicate be able will The student to motivateedentulouspatientsforthesamewhenindicated. The studentwillbeabletounderstandtheimplanttreatmentprotocoland ceramic andfullveneercrown. for all on typodontteeth to performtoothpreparation be able will The Student on patients,includingthelaboratorystepsassociatedwithit. The studentwillbeabletofabricatecompletedenture,removablepartialdenture such conditions. and partiallyedentulousstatebeabletodeveloptreatmentplanoutlinefor The studentwillbeabletoevaluatethepredicamentassociatedwithcompletely : : 30 IV year80hours III year30hours IV year300hours III year70hours Theory hours Total :110 PROSTHODONTICS, CROWN&BRIDGE IV yearBDS Number ofhoursprescribedbyDCI 80 THIRD ANDFOURTHYEAR Topic III yeartheory(30hrs) III yearBDS 70 Clinical hours Total :370 IV yearBDS 300 Weightage 3.5% 3.5% 3.5% Bridge andOralImplantology Total Hours 480 1 1 1 MDN M M M
Page247 Page248 Prosthodontics, Crown&Bridge S.No S.No 11 10 16 15 14 13 12 7 8 6 5 4 2 1 5 4 3 2 1 Internal Assessment RPI,RPA clasps Laboratory procedureinRPDconstruction Mouth preparation Special impressionproceduresindistalextensionRPD Surveyor andsurveying equalization Principles ofRPDdesign,stressdistributionand indirect retainer,restsandrestseats Major connector,minordirectretainer, Internal Assessment All ceramic,metalceramicandpreparation Principles oftoothpreparation for RPD Removable partialdentureforMFPandattachments Other formsofRPD Internal Assessment Mandibular movementsTMJand articulator Biomechanics ofedentulous state locate undercuts Surveying Removablepartiallyedentulousarches and crown Tooth preparationontypodontteethforfull veneer crown Tooth preparationontypodontteethforall ceramic Repair workofprocessedmandibulardenture Relining ofprocessedmaxillarydenture III yearPracticalsinlab(70hours) Topic Topic IV yrtheory(80hrs) Weightage Weightage 11% 10% 17% 27% 28% 28% 3% 3% 1% 5% 2% 1% 5% 7% 7% 7% 7% 7% 1 hour 1 hour 1 hour Hours Hours 12 20 20 1 1 4 1 1 1 2 1 4 2 4 2 2 2 8 MDN MDN M M M M M M M M M M M M D D D D D D 25 24 23 19 18 17 16 15 14 13 22 21 20 12 11 10 9 8 7 6 5 4 3 denture Diagnosis andtreatment planningforfixedpartial Rigid andnonrigidconnectors Pontic –requirements, typesandindications Single completedentureandcombinationsyndrome Immediate dentures Overdentures Neutral zone,neutrocentricconcept Try inprocedure[duringclinicalhours] Posterior toothforms concept Selection ofanteriorteethincludingdentogenic Abutment evaluationforFPD Postinsertionadjustmentsindenturetreatment Relining Rebasing Articulators concept,classification of factors occlusion -Definition,factors,need,interplay Occlusion inCompleteDentures-Balanced occlusion. importance torecord,methodsdevelopcentric and decreasedverticaljawrelation,centric face bow,verticaljawrelationandmethods,increased Jaw relations-Classification,orientationrelationand Posterior palatalseal Residual ridgeresorption [In clinics] anatomy -Objectives,theoriesandtechniques anatomical considerationsandmicroscopic Impression makingincompletedentureswith mental attitudeofdenturepatients. Nutrition, careandcounselingunderstanding some teethremainingandallmissing Diagnosis andtreatmentplanningforpatientswith dentures includingdenturestomatitis. Denture wearerandthesequelaeinwearingfaulty muscles, salivarychanges Age changesintheelderly,bone,softtissue,
Bridge andOralImplantology 5% 1% 2% 1% 1% 1% 1% 1% 1% 1% 2% 1% 1% 2% 2% 5% 2% 2% 3% 1% 4% 1% 1% 2 1 2 1 1 1 1 1 1 1 2 1 1 2 2 4 1 1 1 1 1 1 1 M M M M M M M M M M M M M M M M M N D D D D D
Page249 Page250 Prosthodontics, Crown&Bridge 36 35 34 33 32 31 46 45 44 43 39 38 37 30 42 41 40 29 27 26 28 Luting agentsandcementation including 7/8,mesialhalfcrown[clinicalhours] Partial veneercrowns-anteriorandposteriors teeth[Integrated Teaching] Management ofperiodontallyweakened Laminates [Integratedinestheticmodule] Post andcorerestorations[Integrated] teeth Preparation forendodonticallytreatedanddamaged Die andlocktrays Unit Test Special ImpressionProcedures Direct Retainers Rests andrestseatsIndirectretainer Minor connectoranddenturebase Mandibular defects prosthesis, splints,stents Management ofdefects,Obturators,facial Types oforofacialdefects–Classification, prosthesis Osseointegration, failures,Loadingtypes,typesof components andtypesofcrownsdentures, advantages anddisadvantagesofvariousmaterials, Dental Implants–Materials,classification,Origin, Provisionalisation Surveyor Major Connector Resin BondedFixedPartialdentures Gingival retractionandsofttissuecontrol Occlusion inFPD Principles oftoothpreparationRevision Impressions inFPD
2% 2% 2% 2% 1% 2% 5% 2% 2% 2% 2% 5% 5% 4% 2% 2% 5% 2% 2% 5% posting hours 12 during 1 1 1 1 1 1 1 1 1 1 1 2 2 2 1 1 2 1 1 2 M M M M M M M M M M M N N N D D D D D D 1. Scheme ofExamination
Discussion topicsinclinicswithdemonstration Preclinical work Clinical Quota Integrated Modules S.No 6 5 4 3 2 1 6. 5. 4. 3. 2. 1. 3. 2. 1. 2. 1. 3. 2. 1. Implantology Theory :70Marks veneer crown Tooth preparationontypodontteethforfull ceramic crown Tooth preparationontypodontteethforall treatment plan proper preparation/sequencing/modificationof Treatment planningfor10standardcasesrequiring path ofinsertionandocclusalplaneforfivecases simulated casesrequiringcoronoplastyofproper understanding theconceptandperformon Removable partialdenturesurveyingand Complete DentureCases-1-2 Removable partialdentureclinicalcases-5 Fabrication ofacrylic RPDwithsurveyorandconceptofblockouts Surveying withinstrument Try inanddeliveryincludingpostinsertion adjustments. Flasking andProcessingcompletepartial dentures Primary andsecondaryimpression Diagnosis andtreatmentplanninginCD Surveying anddesigningtoothtissuesupported andtoothsupportedRPD Anterior Porcelainjacketcrownontypodont Complete veneercrownposteriorontypodonts Removable partialdenture Complete dentures Management ofbadlymultilateddentitionincludingpostandcorerestorations Esthetic dentistry Part I III &IVyearClinicalhours(70hours+300hours) : Topic 20 MCQs(20 X0.5=10Marks)
5 2
Weightage
40% 40% 5 % 5% 5% 5%
Bridge andOralImplantology Hours hours Rem. 20 20 20 20 MDN 1-M 2-N M M M M M
Page251 Page252 The questionscanbedistributedasfollows:spleaserefertoQuestionbankandsyllabus 2. 1. BLUEPRINT OFTHEORYPAPER: 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks
follows If LAQisaskedfromImpressionmaterials or anatomical landmarks thenthepatternisas Model 1 Internal Assessment Viva 20 marks Prosthodontics, Crown&Bridge S.No 2 1 SECTION A[COMPLETEDENTUREAND REMOVABLEPARTIALDENTURE] 70 %shouldbefromtheMustknowareas–EssaysandShortNotes Section BFPDImplantandMFP-1LAQ[1x10]3SAQ[3x5] Section A-CDandRPD1LAQ[1x10]3SAQ[3x5] Total –100Marks Practical InternalAssessment–10Marks Practical examination: 20 %shouldbefromDesirabletoknowareas–All[Essaysnotasked] 10 %shouldbefromNicetoknowareas–All[Essaysnotasked] Surveyor and surveying Priniciples ofdesigning RPD Components ofRPD macroscopic andmicroscopic landmarks Impression makingin denturesincluding the elderly,Nutritionforgeriatric Biomechanics ofedentulousstate,Agechanges in [One ofthefollowingpatternscanbeadoptedbypapersetter]
Part II [Please correlatewithsyllabusforweightage] 90Marks Section C Section B Section A : Topic MATRIX : : : 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) [1X10] LAQ 1
[3X5] SAQ
25marks 25marks 10marks MARKS 10 25
follows If LAQisaskedfromImpressionmaterials or anatomical landmarks thenthepatternisas Model 2 S.No 15 14 13 12 11 10 2 1 7 6 5 4 3 9 8 SECTION A[COMPLETEDENTUREAND REMOVABLEPARTIALDENTURE] Surveyor and surveying Priniciples ofdesigning RPD Components ofRPD macroscopic andmicroscopic landmarks Impression makingin denturesincluding the elderly,Nutritionforgeriatric Biomechanics ofedentulousstate,Agechanges in preparations incompromisedteeth Resin bondedbridges,Specialabutmentsand Maxillofacial Prosthodontics Implants Luting agents,connectorsandretainers and laboratoryprocedures Mouth Preparationspecialimpressionprocedures prosthodontics Immediate dentures,overdentures,implant Try in,deliveryandpostinsertionadjustments occlusion andotherOcclusalschemesfordentures Selection ofteeth,teetharrangement,balanced considerations, articulators Jaw relationprocedure,thebiological and occlusion Isolation, gingivalretraction,Impressionmaking Laboratory procedures,diesandcasting provisional restorations Individual crownpreparationsandtypesofretainers, Pontics Principles oftoothpreparation PROSTHODONTICS, MAXILLOFACIALPROSTHODONTICS] SECTION -B[FIXEDPARTIALDENTUREANDIMPLANT Topic
[1X10] LAQ 1 Bridge andOralImplantology [3X5] SAQ 1 1 1 1 1 1 1
MARKS 10 25 5 5 5 5 5 5 5
Page253 Page254 PART I(MCQs)&SectionC(VSAQs) Prosthodontics, Crown&Bridge S.No 15 14 13 12 11 10 2 1 9 8 7 6 5 4 3 SECTION -B[FIXEDPARTIALDENTUREANDIMPLANTPROSTHODONTICS, SECTION A[COMPLETEDENTUREAND REMOVABLEPARTIALDENTURE] preparations incompromisedteeth Resin bondedbridges,Specialabutmentsand Maxillofacial Prosthodontics Implants Luting agents,connectorsandretainers Surveyor and surveying Priniciples ofdesigning RPD Components ofRPD macroscopic andmicroscopic landmarks Impression makingin denturesincluding the elderly,Nutritionforgeriatric Biomechanics ofedentulousstate,Agechanges in Laboratory procedures,diesandcasting making andocclusion Isolation, gingivalretraction,Impression provisional restorations Individual crownpreparationsandtypesofretainers, Pontics Principles oftoothpreparation and laboratoryprocedures Mouth Preparationspecialimpressionprocedures prosthodontics Immediate dentures,overdentures,implant Try in,deliveryandpostinsertionadjustments occlusion andotherOcclusalschemesfordentures Selection ofteeth,teetharrangement,balanced considerations, articulators Jaw relationprocedure,thebiological MAXILLOFACIAL PROSTHODONTICS] Topic
[20x0.5] MCQ 1 1 2 VSAQ [5X2] 1 1 1 1 1 1 MARKS 10 10 20 5 1 2 5 5 5 5 Matrix forPartIIObjective StructuredPracticalExaminationOSPE Internal Assessment–Prosthodontics 2. 1. Performance duringpracticals BLUEPRINT FORPRACTICALEXAMINATION 15 14 13 11 12 10 6 3 8 7 5 4 9 SECTION -B[FIXEDPARTIALDENTUREANDIMPLANTPROSTHODONTICS, Part II–ObjectiveStructured PracticalExamination Part I–Bordermouldingandfinalimpression preparations incompromisedteeth Resin bondedbridges,Specialabutmentsand Maxillofacial Prosthodontics Implants Luting agents,connectorsandretainers making andocclusion Isolation, gingivalretraction,Impression prosthodontics Immediate dentures,overdentures,implant considerations, articulators Jaw relationprocedure,thebiological Laboratory procedures,diesandcasting Principles oftoothpreparation and laboratoryprocedures Mouth Preparationspecialimpressionprocedures Try in,deliveryandpostinsertionadjustments occlusion andotherOcclusalschemesfordentures Selection ofteeth,teetharrangement,balanced provisional restorations Individual crownpreparationsandtypesofretainers, Pontics MAXILLOFACIAL PROSTHODONTICS]
2 1 1 2 1 1 1 2 2 1 2 2 Bridge andOralImplantology Total marks 1 1 1 1 100 marks 50 marks 40 marks 90 marks 0.5 0.5 0.5 2.5 0.5 0.5 20 1 1 3 1 3 3 10
Page255 Page256 Prosthodontics, Crown&Bridge denture Prosthodontics Essentials ofcomplete edentulous patients treatment for Prosthodotnic dentures Syllabus ofcomplete for completedentures Laboratory procedures preparation Fundamentals oftooth Prosthodontics Removable partial S.No 13 12 11 10 3 2 1 9 4 6 8 7 5 veneer crown Tooth preparationforallceramicandfull dentures inspecialtray Secondary Impressionmakingforcomplete Overdenture/Immediate/transitional denture Fixed PartialDenture Removable prosthesis–CompleteDenture delivery instructions/sequelaeoftoothloss Counselling –Treatmentoptions/postdenture Diagnositc andproblemsolvingability FPD/Implant failure Implant Maxillofacial, Splints CD/ RPDfailure Laboratory procedures CM rpd,surveying Removable prosthesis-RPDacrylic, Book Evaluated Skills Winkler Sheldon and Carlson Bolender Zarb, Heartwell Charles M Morrow Rudd Shillingburg Herbert T Stewart Kenneth Author Text Books Thirteen Second Second Edition Fourth Fourth
Lea Febiger Publications Saunders Quintes Quintes Mosby Mosby sence sence C-Understanding C-Understanding C-Understanding C-Understanding C- Application A-Responding C-Application C-Application P –Perfrom P –Perform Predominant C- Recall C-Recall C-Recall C-Recall Domain USA CV Mosby, USA CV Mosby, Co, Philadelphia WB Saunders USA Philadelphia company Publishing Quintessence company Publishing Quintessence Address Weightage 2.5% 2.5% 10% 10% 10% 10% 10% 10% 10% 10% 5% 5% 5% 2012 1986 1979 1986 1986 2008 Year
10.
denture 9.
8.
7.
6.
5.
4.
3.
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1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hours d. c. b. a. Hybrid denturesarethose whichareintendedto c. a. Which componentofRPDhelpsinreducing heelawaymovementofamandibular c. a. All ofthefollowingarephilosophiesdesigning inRPDexcept d. c. b. a. Of thefollowingwhichcomponentliesabovesurveyline c. a. Major connectorofchoiceforahighfloormouthwouldbe c. a. The sealareaisobtainedinmandibulardentureallexcept c. a. The materialrecommendedforwashimpressioncompletedenturesis d. c. b. a. Complete Removabledenturesshouldberemoved c. a. The totalchewingtimeinadayisapproximately c. a. The totalsurfaceareaformaxillarydenturebaseisapproximately None ofthe above To beusedinreduced interarchspace Reduce theweightof the denture Mix twoormoreattachments toenhanceretention Minor connectors Direct retainer Stress distribution Stress equalization Only thetipofreciprocalarm Entire lengthofthereciprocalarm Only thetipofretentiveterminal Entire lengthoftheretentiveterminal Double Lingualbar Swing locklabialbar Buccal andlingualsulcus Sublingual foldspace Irreversible hydrocolloid Impression Plaster Should beremovedinthenighteveryalternateday Should beremovedeveryweekandgiven1dayrest Only afterthreedaysinsertionforinitialcheckup Every dayforallowgoodvascularisation 1hour and30minutes 30 minutes 12sqcm 25sqcm PROSTHODONTICS &CROWNANDBRIDGE UNIVERSITY MODELQUESTIONPAPER IV BDSEXAMINATION PART -I
d. b. d. b. d. b. d. b. d. b. d. b. d. 21sqcm b. 52sqcm
Denture base Indirect retainer Inclined plane Physiologic basing Lingual plate Lingual bar Buccal shelfarea Retromolar padarea Reversible hydrocolloid Addition silicone 2 hours 1 hour
Bridge andOralImplantology
Max Marks70
20X0.5=10
Page257 Page258
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13.
available. 12.
11. Prosthodontics, Crown&Bridge d. c. b. a. Occlusion infixedpartial denturescanbeallofthefollowingexcept d. c. b. a. Attachments inFixedpartialdenturearegiven as d. c. b. a. Surgical obturatoris c. a. All ofthefollowingareretainersforfixedpartialdenturesexcept d. c. b. a. The postlengthshouldbe d. c. b. a. The lutingagentsprovideretentionby d. c. Cantilever b. Telescopic a. Pier The lonestandingabutmentbetweentwosingletoothedentulousspanisreferredas c. a. The minimumtaperinacrownpreparationisgiventoenhance d. c. b. a. Prefabricated ponticsarecommonlyusedtoday.Thereasonbeingitiseasily c. a. The ponticwhichcanbeplacedinanextractedsocketis Bilaterally balanced occlusion. Unilaterally balanced occlusion Cusp marginalridgerelationsip Cusp fossarelationship None oftheaboveastheyaregivenonlyin RPD As both Non rigidconnection Rigid connection Fabricated only3monthsaftersurgery Fabricated aftersurgery Fabricated duringsurgery Fabricated beforesurgery Full crown Inlay As shortaspossibleandhalfofthecoreheight As shortaspossibleandhalfofthecrownheight More thanthecrownheight Five timesthecoreheight All oftheabove Frictional resistancebetweencrownandtooth Mechanical interlockingtotoothstructure Chemical adhesiontotoothstructure The moststrongabutmentforadenture Resistance Retention Statement isincorrectandreasoncorrect Statement iscorrectreasonincorrect Statement andreasonareincorrect Statement andreasonarecorrect Ridge lap Ovate pontic
d. b. Onlay d. b. Stability d. b.
Post andcore Structural durability Hygienic Modified ridgelap
8. 7. 6. SHORT ANSWERQUESTIONS: 5. LONG ANSWERQUESTION:
4. 13. 12. technique 11. 10. 9. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION for implants. Draw thepartsofanimplantfixtureandmentionanyfourmaterialsthatareused Mention mechanicalmethodsofgingivalretraction Discuss whyprovisionalrestorationsareneeded ceramic preparationwiththeprinciplesinvolved. Discuss theprinciplesoftoothpreparationanddrawalabeleddiagramanall patient whoishavingadeviatedmandible Advantages ofOverdenturesoverconventionaldentures Mention theprosthesisandmechanism ofcorrectionforamandibulectomy Mention anytwomethodstorecordfixedpartial dentureimpression Compare withanytwopointsthedifference betweenhindel’sandfunctionalreline Mention anyfourimportanceforcentricrelation incompletedentures Mention anyfouragechangesincompletelyedentulousstate Dentogenic ConceptinAnteriorteethselectionforcompletedentures Methods torecordVerticalJawRelationforCompleteDentures handling characteristics situations withthecomposition,advantages,disadvantages,compositionand example animpressionmaterialwhichcanbeusedfordentulousandedentulous Mention theIdealRequirementsofanimpressionmaterial.Explainwith SectionC SECTION A Section B PART II
Bridge andOralImplantology
1X10=10 1X10=10
3X5=15 3X5=15 5x2=10
Page259 Page260 competent inthefollowing: COMPETENCIES The followingbasicinstructionalprocedures willbeadaptedtoachievetheaboveobjectives. ATTITUDE SKILL interceptive andcorrectiveorthodonticprocedures. surgeon todiagnose,analyseandtreatcommonorthodontic problems bypreventive, UndergraduateprogrammeinOrthodonticsisdesignedtoenablethequalifyingdental KNOWLEDGE OBJECTIVES orthodontic procedures. To preventandcontrolmalocclusionpromotefeasiblefacialprofilethroughorganized GOAL Orthodontics &DentofacialOrthopaedics At the completion of the undergraduate training programme the graduates shall be shall programme thegraduates training At thecompletionofundergraduate
Develop theabilitytocommunicatewithprofessional colleagues. informedconsent fromthemforthemostappropriatetreatment. to manageamalocclusionandobtaintrue them thevariousoptionsavailable with thepatientsgiving Develop adequatecommunicationskillsparticularly To performwirebendingexercisesandfabricationofappliances. render appropriatetreatment. to and types ofmalocclusion different diagnosis about a at to arrive of thedata To obtainproperclinicalhistory,examinationofthepatient,andinterpretation Theory hours III yearBDS Total :50 30 ORTHODONTICS &DENTofacial Number ofhoursprescribedbyDCI III yearBDS ORTHOPAEDICS 70 Clinical hours Total :200 IV yearBDS 130 Total 250 CLINICAL HOURSFORII Theory :noofhours=50 SYLLABUS IVEAR SYLLABUS forIIyear Sl.No no 11 10 13 12 Sl 1 2 3 4 5 6 9 8 7 1. development dentition andocclusion,functional development, facialstructures, General principlesofgrowthand malocclusion Occlusion, Classificationof Biology oftoothmovement,Anchorage indicators Model Analysis,SkeletalMaturity Orthodontic diagnosis,Cephalometrics, Habits Fixed Orthodontic appliances-Removable, Arch expansion Preventive,Interceptive orthodontics Appliances Myofunctional andOrthopedic Retention &Relapse Cleft lip&Palate Surgical orthodontics Deep bite,Crossbite Management ofopenbite, stainless steel wire) 1’’ radius.3Uloop,3V loop,5UVloopwith 1’’, rectangle2’’x triangle1’’x1’’x1’’,circle straightening ofwire3”, fabricationofsquare Basic wirebendingexercise (includes TOPIC
CLINICAL nd , III rd andIV IV YEAR th YEAR=200Hrs weightage System 15% 12% 10% 12% 10% 8% 6% 6% 7% 7% 2% 2% 3% Orthodontics &DentofacialOrthopaedics OBSERVE /ASSITPERFORM Number of hours 6 Hrs 4 Hrs 6 Hrs 4 Hrs 2 Hrs 4 Hrs 4 Hrs 2 Hrs 4 Hrs 4 Hrs 4 Hrs 2 Hrs 4 Hrs Observe &Perform Desirable toknow(D) / Nicetoknow(N) Must know(M)/ M M M M M M M M M M N D D
Page261 Page262 Orthodontics &DentofacialOrthopaedics SYLLABUS FORIVEAR SYLLABUS FORIVEAR SYLLABUS FORIIIEAR Sl.No Sl.No Sl.No 2. 1. 2. 1. 5. 4. 3. 3. 2. 2 1 3 Occulusion Growth anddevelopment Case historyrecordingfor4clinicalcase Case historyrecordingfor1clinicalcase appliance. cantilever spring,Oralscreen,Catalan’s tongue spike,Hawley’s,appliancewithdouble Hawley’s appliance,appliancewith and polishingofthefollowingappliances– the appliancesandacrylisation,finishing Fabrication ofappliances(wirebending premolar, T.spring spring, Springforlingualmovementof retractor, PalatalcanineCoffin Helical canineretractor,Buccal Cantilever spring,Uloopcanineretractor, spring, SingleCantileverDouble Fabrication ofsprings(FabricationFinger Removable appliance Cephalometric analysis Model analysis Preparation ofstudymodel Robert’s retractor,Highlabialbow) bow, LonglabialSplit different typesoflabialbows–Short Fabrication oflabialbows(Fabrication Modified Adam’sclap) Jackson’s clasp,triangularAdam’s important clasps-circumferentialclasp, Fabrication ofclasps(fabrication5 CLINICAL CLINICAL TOPIC OBSERVE /ASSITPERFORM OBSERVE /ASSITPERFORM SPECIALITY INTEGRATING Prosthodontics, Pedodontics Observe &Perform Observe &Perform Observe &Perform Observe &Perform Observe/Perform Observe/Perform Observe/Perform Pedodontics Pedodontics Perform Assist 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks
Early ClinicalExposure
1. Scheme ofExamination No Sl. 1. 2. 3. 4. 11 10 13 12 6 5 4 9 8 7 Total –100 Marks Practical InternalAssessment –10Marks Practical examination: Theory :70Marks Introduction toOrthodonticmaterials Introduction totheconceptsoforthodonticprinciples Introduction totheconceptsofremovableappliances Display ofdifferentorthodonticappliances Diagnostic aids Habits Arch expansion Orthopaedic appliance Myofunctional appliance Adult orthodontics Cleft lipandpalate Esthetic Dentistry Gummy smile Surgical orthodontics
Part II Part I 90 Marks Section C Section B Section A : : Topic 20 MCQs(20X0.5=10Marks) : : : 5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) Orthodontics &DentofacialOrthopaedics Pedodontics, Oralsurgery Conservative Dentistry Number of hours 1 1 1 1 Prosthodontics,
Oral medicine Periodontics Pedodontics Pedodontics Pedodontics Pedodontics Oral surgery Oral surgery
Desirable toknow / Nicetoknow Must know/ D D D D
Page263 Page264 dentition andocclusion,functionaldevelopmentthematrixisasfollows: If LAQisfromgeneralprinciplesofgrowthanddevelopment,facialstructures, MATRIX -1 SECTION A:BASICCONCEPTSOFGROWTHANDDEVELOPMENTDIAGOSIS The questionscanbedistributedasfollows:pleaserefertoQuestionbankandsyllabus planning andMechanicsfor10marks Section C(VSAQs):BasicConceptsofGrowthandDevelopment,Diagnosis,Treatment Section B:TreatmentplanningandMechanicsfor25marks Section A:BasicConceptsofGrowthandDevelopmentDiagnosisfor25marks PART II: planning andMechanicsfor10marks Part I(MCQs):BasicConceptsofGrowthandDevelopment,Diagnosis,Treatment Blue printofquestionpaper Orthodontics &DentofacialOrthopaedics If LAQisfrombiologyoftoothmovement, anchoragethematrixisasfollows: MATRIX -2 S.No S.No 4 3 2 1 4 3 2 1 10 %shouldbefromNicetoknowareas 20 %shouldbefromDesirabletoknowareas 70 %shouldbefromtheMustknowareas Analysis, Skeletal Maturityindicators andHabits Orthodontic diagnosis, Cephalometrics,Model Biology oftoothmovement, Anchorage Occlusion, Classification ofmalocclusion functional development facial structures,dentitionandocclusion, General principlesofgrowthanddevelopment, Analysis, SkeletalMaturityindicatorsandHabits Orthodontic diagnosis,Cephalometrics,Model Biology oftoothmovement,Anchorage Occlusion, Classificationofmalocclusion functional development facial structures,dentitionandocclusion, General principlesofgrowthanddevelopment, Topic Topic
LAQ LAQ 1 1 SAQ SAQ 1 1 1 1 1 1 25 MARKS 25 MARKS
10 10 5 5 5 5 5 5 MATRIX 1 matrix isasfollows: If LAQisfromRetention&relapseandmanagementofcommonmalocclusionthe MATRIX -2 as follows: If LAQisfromPreventive,InterceptiveOrthodonticsandarchexpansionthematrix MATRIX -1 SECTION -B:TREATMENTPLANNINGANDMECHANICS S.No S.No S.No 3 3 2 1 1 2 4 4 3 2 1 BASIC CONCEPTSOFGROWTH&DEVELOPMENT, DIAGOSIS,TREATMENT Biology of tooth movement,Anchorage Retention &Relapse Management ofcommonmalocclusion, Myofunctional andOrthopedicAppliances Orthodontic appliances-Removable,Fixed, expansion Preventive, InterceptiveorthodonticsandArch expansion Preventive,Interceptive orthodonticsandArch Occlusion, Classification ofmalocclusion Cleft lip&Palate,Surgicalorthodontics Cleft lip&Palate,Surgicalorthodontics Retention &Relapse Management ofcommonmalocclusion, Myofunctional andOrthopedicAppliances Orthodontic appliances-Removable,Fixed, development structures, dentitionand occlusion,functional General principlesofgrowthanddevelopment, facial PART I(MCQs)&SECTION-C(VSAQs) PLANNING ANDMECHANICS. Topic Topic Topic
Orthodontics &DentofacialOrthopaedics
VSAQ LAQ LAQ 1 1 1 1 1 MCQ SAQ SAQ 1 1 1 1 1 1 2 2 2 25 MARKS 25 MARKS 20 MARKS 10 10 5 5 5 5 5 5 3 3 3
Page265 Page266 MATRIX 2 Orthodontics &DentofacialOrthopaedics S.No 13 12 11 13 10 12 11 10 9 9 8 7 6 5 8 7 6 5 4 3 2 1 4 Surgical orthodontics Management ofopen bite,Deepbite,Crossbite Cleft lip&Palate Surgical orthodontics Retention &Relapse Management ofopenbite,Deepbite,Crossbite Myofunctional andOrthopedicAppliances Retention &Relapse Myofunctional andOrthopedicAppliances Orthodontic appliances–Removable,Fixed Arch expansion Preventive,Interceptive orthodontics Habits Cleft lip&Palate Orthodontic appliances–Removable,Fixed Arch expansion Preventive,Interceptive orthodontics Habits Analysis, SkeletalMaturityindicators Orthodontic diagnosis,Cephalometrics,Model Biology oftoothmovement,Anchorage Occlusion, Classificationofmalocclusion development facial structures,dentitionandocclusion,functional General principlesofgrowthanddevelopment, Analysis, SkeletalMaturityindicators Orthodontic diagnosis,Cephalometrics,Model Topic VSAQ 1 1 1 1 1 1 1 MCQ 2 1 2 1 1 1 2 2 2 1 1 1 1 2 2 2 1 2 1 1 1 2 2 20 MARKS 2.5 2.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3 1 1 3 3 1 1 3 1 1 3 4. 3. 2. 1. Recommended books 4-Diagnosis Practical examination: Blueprint forpracticalexamination: 9. 8. 7. 6. 5. Elsevier. Orthodontics -Currentprinciplesandtechnique.Graber,Vanarsdal.4 Handbook oforthodontics.Moyers Orthodontics fordentalstudents.WhiteandGardiner Contemporary orthodontics.WilliamR.Proffit.5 B) A) Orthodontic materials.WilliamBrantley.Thiem Principles andpractice.BasavarajSubashchandra.Jaypee. Textbook ofOrthodontics.GowriShankar.1stedition.Parus. Clinical orthodontics:vol1&2Salzmann Adams. 6 Design, constructionanduseofremovableOrthodonticappliances.C.Philip 2-Wire bending=total5stations(each6marks) 1-Spotters =Total5stations(each4marks) OSCE/OSPE =50marks 5-Treatment planning 3-Intraoral examination 2-Extraoral examination I- Casehistory Traditional =(40marks) th edition.Varghese.
TH Orthodontics &DentofacialOrthopaedics edition.Mosby th edition.
Page267 Page268
8.
7.
6.
5.
4.
3.
2. 1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hours Orthodontics &DentofacialOrthopaedics b. a. Hyperactive mentalis muscle isaprominentfeatureof c. b. a. Benett shiftis d. c. b. a. Which ofthefollowingisnotaverticaltrajectory offorce d. 6.9mm c. b. a. 0.9mm The averageleewayspaceavailableineachhalfofthemaxillaisapproximately d. c. b. a. succadenous permanenttooth Accepted latencybetweenexfoliationofdeciduousteethanderuption d. c. b. a. Main growthsiteinmandible d. c. b. a. Meckels cartilageextendsfrom d. Surgical c. Corrective b. Interceptive a. Preventive Which branchoforthodonticsismostlyrelatedtomixeddentitionperiod? Class IIdiv 1 Class I Direct lateralshiftof balancing sidecondyle Direct lateralshiftof working sidecondyle Lateral movementofbodymandible Pterygoid buttress Malar Zygomaticbuttress Fronto nasalbuttress Hard palatebuttress 4.0 mm 2.9 mm 12 months 9 months 6 months 3 months Coronoid processandramus Condylar cartilage Body ofmandible Gonial angle None oftheabove Hyoid cartilage Styloid bone Otic capsule ORTHODONTICS &DENTOFACIALORTHOPEDICS
MODEL QUESTIONPAPER IV BDSEXAMINATION
PART -I
Max Marks70
20X0.5=10
17.
16.
15.
14.
13.
12.
11.
10.
9.
c. a. Reinforced anchorage exampleis d. c. Infinity b. Bracket a. A toothwilltranslatewhenitscentreofrotation isat d. c. b. a. Optimum orthodonticforceaccordingtoSchwartz d. c. b. a. Angle SNAisusedto d. c. b. a. Study modelsareused d. c. b. a. Blanch testisusedindiagnosisof d. c. b. a. Dolicocephalic refersto d. c. b. Imbrication a. Abnormal thicklabialfrenumresultsin d. c. b. Profile a. Alignment Ackermann profitclassification–outerenveloperepresents d. c. Inclined bite plane d.Alltheabove Bite planeanterior b.Posteriorbiteplane The rootapex Incisal edge 20-26 g/sq.mm 20-26 g/sq.inch 20-26 g/sq.cm 30-36 g/sq.cm None oftheabove Relate mandibletomaxilla Relate maxillatocranialbase Relate maxillatomandible All theabove As anaidintreatmentplanning To showshape,sizeandpositionofteeth As referencesinorthodonticcases Thumb sucking Tongue thrusting Pseudo ClassIII Abnormal frenalattachment Short narrowface Short wideface Long narrowface Long wideface All theabove Labial inclinationofincisors Midline diastemma Vertical relation Transverse relation Class III Class IIdiv2
Orthodontics &DentofacialOrthopaedics
Page269 Page270 13. 12. 11. 10. 9. VERY SHORTANSWERQUESTIONS: 8. 7. 6. SHORT ANSWERQUESTIONS:
5. LONG ANSWERQUESTION: 4. 3. 2. SHORT ANSWERQUESTIONS: 1. LONG ANSWERQUESTION:
20.
19.
18. Orthodontics &DentofacialOrthopaedics Give anyfour fixednon-functional spacemaintainers. Write anyfourusesof BitewingRadiographs. What isfrontalresorption Write anyfouradvantages ofAckerman-proffit What isGrowthspurt. Discuss thedesignandconstructionofAdams Clasp. Mention thetheoriesofretention. Difference betweenslowandrapidmaxillary expansion. Explain Tweedsmethodforserialextraction. (5marks) Write theindications,contraindicationsforserialextraction.(3marks) Define Serialextraction.(2marks) Clinical phasesofthumbsucking. Angle’s classificationofmalocclusion Classification ofanchorage Explain Functionalmatrixhypothesisindetail.(5marks) Define functionalmatrixtheory.(2marks) Name thedifferenttheoriesofgrowth.(3marks) d. c. b. a. Chin cupisusedtocorrect d. Frankel c. b. Activator a. Which ofthefollowingisbasicallynotavestibularappliance d. c. b. a. When thelengthofspringisdoubleforceexertedby Dental ClassImalocclusion Skeletal ClassIImalocclusion Skeletal ClassIImalocclusion Skeletal ClassImalocclusion Lip bumper Oral screen increases by16times decreases by16times increases by8times decreases by8times SECTION -C SECTION -B
SECTION A
PART II
1x10 =10 1x10 =10 5x2 =10 3x5 =15 3x5 =15 competent inthefollowing: COMPETENCIES preventing oraldisease methodologies in recent the efficiently, informthesocietyofall of thecommunity needs COMMUNICATION ABILITY towards theproblemsofsocietyandmusttakeresponsibilitiesinprovidinghealth. should developapositiveattitude education classesanddecidinghealthstrategies.Students health problemsaffecting the society, conducting healthsurveys,conductin SKILL ANDATTITUDE health policywithemphasisonoralpolicy. and theirroleinhealth,basicsofdentalstatistics,epidemiological methods, National oral public health,preventivedentistry,healthproblemsinIndia,Nutrition,Environment KNOWLEDGE OBJECTIVES community efforts GOAL 7. 6. 5. 4. 3. 2. 1. be shall programme thegraduates training At thecompletionofundergraduate At theconclusionofcoursestudentshouldbeabletocommunicate At theconclusionofcoursestudentsshallhaveskillsidentifying At theconclusionof the coursestudentshallhaveaknowledgeof the basis of To preventandcontroloraldiseasespromotehealththroughorganized encourage them totakeresponsibility fortheiroralhealth. Educate patientsconcerning theetiologyandpreventionoforal disease and Administer hygieneinstructions, topicalfluoridetherapyandfissure sealing contribute tohealthor illness Have knowledgeofthe social,culturalandenvironmentalFactors which Have knowledgeofcommunity basedpreventivemeasures Have knowledgeoftheprevalencecommon dentalconditionsinIndia and inthehospitalservice Have knowledgeoftheorganizationandprovision ofhealthcareincommunity Apply theprinciplesofhealthpromotionand diseaseprevention Theory hours IV yearBDS Total :60 60 PUBLIC HEALTHDENTISTRY Number ofhoursprescribedbyDCI III yearBDS 70 hours
Clinical hours Total :200 IV yearBDS 130 Total
260 Public HealthDentistry
Page271 Page272 Theory: no:ofhours=60 SYLLABUS CONTENT Public HealthDentistry 11 10 12 19 21 18 14 13 20 17 16 15 no Sl 9 8 7 5 6 2 1 3 4 Bio-statistics Sampling Planning &Evaluation Bias Cancer Caries, PeriodontalDiseases &Oral Epidemiology &AetiologyofDental D.M.F.T, D.M.F.S,C.P.I.T.N,CPI. O.H.I, O.H.I-S,Plaque,Gingival, Indices inDentalDiseases Dental Manpower Dental PracticeManagement Analytical, Experimental Epidemiological Methods-Descriptive, Oral HealthSurvey Environment &Health-Introduction Health Education Basic MeasurementsofEpidemiology Waste Disposal Water Purification&SewageTreatment International PublicHealth General Epidemiology-Introduction Concept ofDiseases Concept ofPrevention Public HealthinIndia Concept ofHealth TOPIC
FINAL BDS–PUBLICHEALTH PUBLIC HEALTHDENTISTRY weightage System 1.6% 1.6% 3.3% 1.6% 6.6% 3.3% 3.3% 1.6% 6.6% 3.3% 3.3% 1.6% 3.3% 1.6% 1.6% 3.3% 3.3% 5% 5% 5% 5% Number of hours 1 1 2 1 4 3 2 2 3 1 4 3 2 2 3 1 2 1 1 2 2 (D) /Nicetoknow(N) Desirable toknow Must know(M)/ M M M M M M M M M M M M M N N N N N N D D Clinicals :noofhours=200 Sl.No 27 31 30 29 28 26 25 36 35 34 33 32 24 23 22 3. 2. 1. 5. 4. 6. Caries ActivityTest A.R.T Pit &FissureSealants Dental CariesVaccine Oral cancer,Malocclusion Periodontal Disease, Prevention ofDentalCaries, D.C.I &I.D.A Cultural FactorsinHealth&Diseases Psychology Child&Adult Concept ofSociology Social &BehaviouralSciences Minimum InvasiveDentistry Public HealthProgram School HealthProgramandDental Payment inDentalCare Ethics inDentalPractice Fluorides inDentistry Case History-7cases Case history–3cases Case History–2cases Indices –21cases Indices –1caseeach Pit andFissure sealantapplication- 1case Clinical cases PREVENTIVE DENTISTRY SOCIAL SCIENCES 11.6% 1.6% 1.6% 1.6% 1.6% 6.6% 1.6% 1.6% 1.6% 1.6% 1.6% 1.6% 6.6% 1.6% 1.6% Observe /AssistPerform 1 1 1 1 4 1 1 1 1 1 1 4 1 1 7 Observe/Assist Perform Perform Observe Observe Assist Public HealthDentistry M M M M M N N N N N N N D D D
Page273 Page274 Public HealthDentistry Early ClinicalExposure Environmental SciencesasperUGC Sl.No environmental 11. 13. 12. 10. 9. 8. 7. 4. 3. 5. disciplinary 1 2 Resources nature of Natural UNIT 2 UNIT 1 studies I year I year UNIT Multi Topical fluorideapplication-1case Pit andfissuresealantapplication-cases Topical fluorideapplication-2cases Dental caries–Prevention Oral prophylaxis-20cases Outreach activities-Treatmentcamps Oral healtheducationtalk Oral screeningcamp-3 Atraumatic RestorativeTreatment–1case Atraumatic RestorativeTreatment–1case Child psychology&behavioralsciences Plaque control,preventionofperiodontaldiseases Oral cancerscreeningandprevention Fluorides application need forpublicawareness Definition, scopeandimportance, Sustainable development Forest, Water,foodand landresources Topic TOPICS Speciality integrating Oral medicine,oral preventive dentistry preventive dentistry Observe /Assist Observe/Assist Pedodontics and Pedodontics and Cons &Endo Periodontics Perform Perform Perform Perform Observe pathology WEIGHTAGE 5 %(five) 5 %(five) SYSTEM Environmental conservation Biodiversity Ecosystems pollution UNIT 4 UNIT 5 UNIT 3 II year II year and its I year f. e. d. c. b. a. Airpollution d. Aquaticecosystems(ponds,streams,lakes, c. b. a. cyclone andlandslides Disaster management :floods,earthquake, Pollution casestudies Role ofanindividual in preventionofpollution control measuresofurban andindustrialwastes Solid wastemanagement:Causes,effectsand Cause, effectsandcontrolmeasures: Definition Conservation ofbiodiversity:In-situ Endangered, endemicspeciesofIndia wild life,man-wildlifeconflicts Threats tobiodiversity:habitatloss,poachingof Hot-spots ofBiodiversity India asamega-diversitynation local levels Biodiversity atglobal,nationaland use, social,ethical,aestheticandoptionvalues Value ofbiodiversity:consumptiveuse,productive Bio geographicalclassificationofIndia and ecosystemdiversity Introduction –Definition:genetic,species rivers, oceans,estuaries) structure andfunctionofthefollowingsystems Introduction, types,characteristicfeatures, Food chains,foodwebsandecologicalpyramids Ecological succession Energy flowintheecosystem Producers, consumersanddecomposers Structure andfunctionofanecosystem Concept ofecosystem Nuclear hazards Thermal pollution Noise pollution Soil pollution Water pollution(sources,water,purification) Desert ecosystem Grassland ecosystem Forest ecosystem
and Ex-situ
Public HealthDentistry 15 %(fifteen) 20% (twenty) 10 %(ten)
Page275 Page276 Blue printofthequestionpaper 2. Total =100Marks Viva voce:20marks Theory Internalassessment:10marks
The questionscanbedistributedasfollows : 1. Scheme ofExamination Public HealthDentistry
environment environment Social issues Field Work population UNIT 7 UNIT 6 UNIT 8 Total –100Marks Practical InternalAssessment–10Marks Practical examination: Human Theory :70Marks and the and the II year II year IIyear Section B:PublicHealthDentistryandPreventive Dentistry(25marks) Section A:PublicHealth(25marks) 10 %fromNicetoknow areas 20 %fromDesirable to knowareas 70 %fromtheMustknow areas Field visit Environment protectionact Visit tosewagetreatmentplant Visit towaterpurificationplant Visit tobiomedicalwastemanagementplant HIV &AIDS Public awareness Water (Preventionandcontrolofpollution)Act Air (Preventionandcontrolofpollution)Act
Part II Part I 90 Marks Section C Section B Section A : : 20 MCQs(X0.5=10Marks)
: : :
5 VSAQs(5X2=10Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks) 3 SAQs(3X5=15Marks) 1 LAQ(1X10=Marks)
(twenty five) 5 %(five) 5 %(five) 25% SECTION -B SECTION A Behavioral Sciences Behavioral Sciences Waste Disposal Environment andHealth Health Education Biostatistics Planning andEvaluation Measurements, Methods,Sampling,Bias General Epidemiology-Basic International andNationalPublicHealth Concept ofPrevention Concept ofHealthandDisease Waste Disposal Environment andHealth Health Education Biostatistics Planning andEvaluation Methods, Sampling,Bias General Epidemiology-BasicMeasurements, International andNationalPublicHealth of Prevention Concept ofHealthandDisease Preventive Dentistry Epidemiology ofOral Diseases Topic Topic Topic If LAQisfromConceptofHealthandDisease If LAQisfromEpidemiology ofOralDiseases If LAQisfromHealthEducation
(1X10) LAQ (1X10) (1X10) LAQ LAQ 1 1 1 (3X5) SAQ (3X5) (3X5) SAQ SAQ 1 1 1 1 1 1 1 VSAQ (2X2) VSAQ VSAQ (2X3) (2X3) 1 1 1 1 1 1 Public HealthDentistry (12x0.5) MCQs (8x0.5) (8x0.5) MCQs MCQs 4 4 4 4 MARKS MARKS MARKS 10 10 10 5 2 2 2 2 5 5 2 7 2 5 2 7 2 5
Page277 Page278 Public Health–20marks OSCE/OSPE :50marks(10stationsx5each=marks) Case presentationwithindices/clinicalprocedures:40marks Practical exam-90marks Blueprint forPracticalexamination: Public HealthDentistry Conduction oforalhealth educationprogrammesat Dental PublicHealth– 40marks Dental Manpower&FinanceinDentistry COPRA DCI andIDA Fluorides inDentistry Oral HealthSurvey Indices ofDentalDiseases School dentalHealthPrograms Preventive Dentistry Epidemiology ofOralDiseases Dental Manpower&FinanceinDentistry DCI andIDACOPRA Fluorides inDentistry Oral HealthSurvey Indices ofDentalDiseases School dentalHealthPrograms d) c) b) a) a) Observation ofinterlinkagesdelivery oral healthcarewithprimary Observation ofatleastoneNationalHealth Programme: worker maleandfemale,healtheducators otherworkers. Observation offunctioninghealthcareteam includingmultipurpose Observation offunctioninghealthinfrastructure. School setting -2 should beprovidedfor thisteachings. Health care.Mobiledentalclinics,asandwhen available, Topic If LAQisfromDentalManpower (1X10) LAQ 1
(3X5) SAQ 1 1 1 1 1 1 VSAQ (2X2) 1 1 1 1
(12x0.5) MCQs 4 4 4 4 4 4 MARKS
10 2 7 2 2 5 5 4 4 2 4 5 5 5
Preventive dentistry–30 marks Dental PublicHealth–40marks Public Health–20marks Model stations
They shallarrangeeffectivedemonstrationof: Preventive Dentistry–30marks Public HealthDentistryOSCEblueprint Total 3. 2. 1. Preventive dentistry 3. 2. Indices 1. Dental PublicHealth 3. 2. 1. Public Health Preventive procedure Tobacco cessation Plaque control Health education Treatment plan Health caresystem Primary healthcare National Healthprogram c) b) a) d) c) b) Tobacco cessation counselingfor Simulatedpatient- observed station-5marks Pit andfissuresealant /Fluorideapplication-20marks Brushing demonstration –5marks Short Casehistory+indices-hybridstation -40marks Health caredeliverysystem–scenarioresponse station(5marks) National Healthprogram–responsestation (5marks) (10 marks) Educating anAnganwadiworker-Simulated patient-observedstation Adult educationprogrammes-25. Community setting-2 Preventive andinterceptiveprocedureforprevalentdentaldiseases. Preparation ofHealthEducationmaterials Tooth brushingtechniques-5cases Mouth-rinsing andotheroralhygienedemonstrations-5cases Topic No. ofstations 2 (Hybrid station) 8-10 3-4 3-4
Communication Yes Yes Yes Yes Yes
Examination Yes Yes Yes Public HealthDentistry
Procedure
Yes
Page279 Page280 Recommended books Public HealthDentistry 15. 14. 13. 12. 11. 10. 9. 8. 7. 6. 5. 4. 3. 2. 1. Introduction toStatisticalMethodsbyGrewal Research methodologyandBio-statisticsby Introduction toBio-statisticsbyB.K.Mahajan Community DentistrybyDr.SobenPeter. Text BookofPreventiveandSocialMedicinebyParkpark,14thedition. Preventive DentistrybyMurray,1997. 1980. Preventive Dentistry-byJ.O.ForrestpublishedbyJohnWrightandsonsBristoli, Century Crofts,1986. Preventive MedicineandHygiene-ByMaxcyRosenau,publishedbyAppleton Geneva availableattheregionalofficeNewDelhi. Oral HealthSurveys-BasicMethods,4thedition,1997,publishedbyW.H.O. 1980 sons Bristol, Published byJohnWrightand Burt, Brain and Geoffrey L.Slack Public Health-AnIntroductiontoCommunityDentistry.Editionby Dental Gardner, PSGPublishingcompanyInc.LittletonMassachusetts,1980. and AmesF.Tryon,Serieseditor-Alvin series Vol.8byStephenL.Silverman Community Dentistry-A problemorientedapproachbyP.C.DentalHandbook Levy publishedbyAppleton-Century-Crofts/NewYork,1981 system approachbyPatriciaP.CormierandJoyceI. Health-A Community Oral by TheC.V.MosbyCompany1981 Dental PublicHealthandCommunity Dentistry Ed by Anthony Jong Publication Harvard UniversityPress. Principles ofDentalPublicHealthbyJamesMorseDunning,IVEdition,1986, Burt, Edn.–1983,W.B.SaundersCompany Dentistry DentalPracticeandCommunitybyDavidF.StrifflerBrainA.
10.
9.
8.
7.
6.
5.
4.
3.
2.
around, 1. MODEL MULTIPLECHOICEQUESTIONS: Time :3hours C. A. Texas statewidepreventive dentistryprogramisalsoknownas D. C. B. A. Calibration is C. A. Which ofthefollowingareW.H.Orecommended indexagesandagegroups? C. A. As temperatureincreasesdentalcaries C. A. Most cariessusceptibleteethare D. C. B. A. Tools ofdentalpublichealthare, C. A. Dentist actofIndiawasenactedin, C. A. Hospital refuseisbestdisposedoffby, C. A. Where theterrainismoderatelyslopingtypeofcontrolledtippingchosenis, C. A. Permanent hearinglossmayresultduetorepeatedorcontinuousexposurenoise Askov Dental demonstration Sharp Program All oftheabove Training ofexaminers It’s aprocedureinbio-statistics Method toachieveintraandinterexaminers consistency 8, 12,16,35-44&65-74 4, 12,15,35-44&65-74 Remains same Increase 2nd Premolars 1st PermanentMolars None oftheabove All oftheabove Principals ofadministrationandpreventivedentistry Epidemiology, biostatisticsandsocialsciences 1948 1949 Composting Incineration Area method Area Trench method 60 –80DB 100 DB
PUBLIC HEALTHDENTISTRY MODEL QUESTIONPAPER IV BDSEXAMINATION
PART -I
D. B. D. B. D. B. Decreased D. B. D. 1947 B. 1950 D. Burial B. D. Dumping B. D. B. Incremental dentalcare Tattle toothprogram 12, 15,18,25-35&55-64 5, 12,15,35-44&65-74 None oftheabove 2nd PermanentMolars 1st PrimaryMolars Controlled tipping Ramp Method 75 DB 50 –60DB
Public HealthDentistry Max Marks70 20X0.5=10
Page281 Page282 LONG ANSWERQUESTION : 1. 20.
19.
18.
17.
16.
15.
14.
13.
12.
11. Public HealthDentistry Define Health? Enumerateand explain theIndicators ofHealth C. A. Most commonetiologyoforalcancerinIndia is, C. A. World NoTobaccodayisobservedon C. A. The PresidentofDentalcouncilIndiacanholdtenureofficefor, C. A. Head officeofIndiandentalassociationissituatedat, D. C. B. A. Most easilyavoidablemalpracticecaseis, D. C. Non-beneficence B. A. One ofthefollowingisnotanethicalprincipal, D. C. B. A. Advantages ofgrouppractice, C. A. The portionofthecostdentalservicethatpatientspayiscalled, C. A. In Indiamostcommonmechanismofpaymentstowardsdentaltreatmentis, C. A. Treating dentaldefectsastheyoccurandnotwaitinguntilneedsbuiltupiscalled Alcohol Smokeless tobacco 1st December 1st July 7 Years 5 Years Coimbatore Delhi None oftheabove Case involvingfailuretosterilize Case involvingbrokeninstrument Case involvingincompletetreatment Non- malficence To dogood To donoharm All oftheabove No problemofshortageequipmentsandauxiliaries Dentist cantakeleave All familymemberscanundergofordentaltreatmentsimultaneously UCR fee Deductible Post Payment Fee forservice Essential care Comprehensive dentalcare SECTION A[PUBLIC HEALTH]
PART II
D. B. D. B. D. B. D. Calcutta B. Mumbai
D. B. Budgeting D. B. D. B. All oftheabove Smoking tobacco 11th December 31st May None oftheabove 3 Years Fee schedule All oftheabove Pre-payment Initial care Incremental dentalcare
1X10 =10
13. 12. 11. 10. 9. VERY SHORTQUESTION: 8. 7. 6. SHORT ANSWERQUESTIONS: Disease 5. LONG ANSWERQUESTION: 4. 3. 2. SHORT ANSWERQUESTIONS: SECTION -B[PUBLICHEALTHDENTISTRYANDPREVENTIVE] What isUsualCustomaryandreasonablefee? Explain Schoolwaterfluoridation What arealltheresourcesconsiderinplanning? What isBimodality? Explain Quarantineinpublichealth What isTattletoothSchoolOralhealthProgram Write indetailaboutSilness&LoePlaqueIndex Explain preventiveresinrestoration Write inDetailaboutEtiology,EpidemiologyandPreventionofPeriodontal What arealltheaudiovisualaidsusedinHealthEducation Enumerate andExplaintheMeasuresofCentralTendency What arevarioususedofepidemiology?
SECTION- C
Public HealthDentistry 1X10 =10
3X5 =15 3X5 =15 5X2 =10
Page283 INTEGRATED TEACHING MODULES Evaluation : Evaluation : Objective : MODULE 1–FirstyearBDS the instrumentationsrequiredfordentalpracticeappropriatelyandeffectively. At theendoftheseintegratedmodulesBDSstudentwillbeabletoidentifyanduse COMPETENCY Teaching methods: At theendofmodulestudentwillbeableto Objectives MODULE 2–ThirdyearBDS Teaching methods: Departments involved: Departments involved: endodontic procedures. endodontic procedures Discussions &Demonstrations Discussions &Demonstrations Endodontics andPeadiatric&preventivedentistry OSCE, Practicalexamination Small group-Practicalsessions&Chairsideteaching Large group-Lectures Conservative dentistry,Prosthodontics,crown&bridge Appropriately usetheinstrumentsforrestorationandreplacementofteeth. Apply theprinciplesofinstrumentationforeffectiveusifinstruments Identify variousinstrumentsusedforrestorationandreplacementofteeth. OSCE, Practicalexamination Small group–Practicalsessions&Chairside teaching- Large group–Lectures Periodontology, Oral&maxillofacialsurgery, Conservativedentistry& Appropriately usetheinstrumentsforscaling&rootplaning,extractionand Apply theprinciplesofinstrumentationforeffectiveusifinstruments Identify variousinstrumentsusedforscaling&rootplaning,extractionand DENTAL ARMAMENTARIUMANDUSAGE
Integrated TeachingModules-DentalArmamentariumandUsage
Page285 Page286 Learning Objectives: protocols inpatientcare. infection controlandshouldbeabletopracticeeffectivesterilizationdisinfection COMPETENCY Sterilization andDisinfection TL Method: Evaluation :
Departments Involved: clinic
1. At theendof2ndyrBDSstudentshouldunderstandrationalepractical 9. 2. 10. 3. 11. 5. 4. 12. 6. 13. 7. 8. Small groupteachingwithdemonstrations inthesterilizationareaandchairside Lecture (Largegroupteaching) Orthodontics Public HealthDentistry Prosthodontics Conservative DentistryandEndodontics Oral Surgery Oral Medicine Microbiology Laboratory materials Surgical instruments Restorating &Endodonticsinstrumentsandmaterials Orthodontic instruments Radiography Dental chairunit Structured Viva Practicals -OSCE/OSPE Written -SAQ,VSAQ, MCQs demonstration forDental equipmentsandmaterials) Define keyterminologiesrelatedtoinfectioncontrol Explain andapplyuniversalprecautionsinpatientcare List thetransmissiblediseasesofconcerntodentalhealthcareproviders Perform properhandhygiene Explain themodesofmicrobialtransmission Explain andapplybarriertechniquesduringpatientcare Classify patientcareitemsasrelatedtosterilizationanddisinfection. Explain andpracticevariousmethodsofsterilization&disinfection Explain immunizationforDentalHealthcareProfessionals. Describe andpracticepropercleaning,packaging&storageofinstruments. Explain andapplyBiomedical&BiodentalWasteManagementrulesinDental Explain aboutmonitoringofsterilization and materialsusedinDentistry. Explain andapplysterilization&disinfectionprotocolforvariousinstruments
STERILIZATION ANDDISINFECTION
At theendofcourse,studentshallbeableto Objectives community andreferadvancedcasestospecialisedpsychiatrichospitals. promotive, curative andrehabilitativeservicestothecareofpatientsbothinfamily sciences shallpreparethestudentstodeliverpreventive, Also, thetraininginbehavioural compliance behaviour. and improvingpatients technique stress, learningsimplecounselling to developskillsofassessingpsychologicalfactorsineachpatient,explaining be able Competency
techniques.
The studentshallbeableto B. Skills dentist-patient relationship.
Portions tobecovered Physiology, psychology Psychology-I Basicsofbehaviouralsciences Module 1–1stYear
1. At theendofBDSintegratedmoduleonbehaviouralsciences,graduateshould 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 1. Integrating departments:OralMedicine, PublicHealthDentistry,Pedodontics, 2. 3. 4. motivation, personalityandintelligence. Comprehend different aspectsof normal behaviourlike learning, memory, Recognise differencebetweennormalandabnormalbehaviour Classify psychiatricdisordersindentistry children. Addictive disorders, psychological disorders in various dental departments children. Addictivedisorders,psychologicaldisordersinvariousdental problems in orofacial manifestationsofpsychiatricdisordersandbehavioural Recognise clinicalmanifestationsofdentalphobia,anxiety,facialpain, Have understandingofstressindentistryandknowledgesimplecounselling solving skillswhichareanintegralpartofmoderndentalpractice. Have some background knowledgeofinterpersonal,managerialandproblem Have knowledgeofsocialcontextdentalcare. Interview the patient and understand different methodsofcommunicationskillsin Interview thepatientandunderstand Improve patientcompliancebehaviour Develop betterinterpersonal,managerialand problemsolvingskills Diagnose and manage minor psychological problems while treating dental patients. Diagnose andmanageminorpsychological problems whiletreatingdental Definition andneedof behaviouralscience. Determinants ofbehaviour &Scopeofbehaviouralscience Sensory processandperception perceptualprocess-clinicalapplications Attention-definition-factors that determineattention. Clinical application BEHAVIORAL SCIENCES Behavioral Sciences
Page287 Page288 Behavioral Sciences Portions tobecovered biochemistry Psychology-II Learningprocessandintelligence Module 2:2ndyear Evaluation :Shortanswer,MCQs Teaching –learningmethods learning-clinical application. Portions tobecovered psychology Psychology –IIIMotivation,emotionsandpersonalityassessment Module 3–3rdyear
Portions tobecovered Sociology Module 4-FinalYear Evaluation :Shortanswer,MCQs,OSCE assessment Teaching –learningmethods
5. 1. Integrating departments:PublicHealthDentistry,psychology- Student counselor, Large group:lecture,teamteaching 2. 1. Integrating departments:OralMedicine,PublicHealthDentistry,Pedodontics, 2. 3. 4. 1. Integrating departments:Publichealthdentistry, psychology Large group:lecture,Smallgroupteaching with practicalsession–patienthistory and 2. 3. clinical assessmentofmemoryandapplications Memory-memory process-Typesofmemory,methodstoimprove learning, Insightsocialobservationalprinciplesof Type oflearning.Classicalconditioning,operantcognitive Definition-Laws oflearning determinants ofintelligence,clinicalapplication Intelligence-Definition: Natureofintelligence,stability Thinking-Definition: Typesofthinking,delusions,problemsolving Motivation- Definition:Motive,drive,needsclassificationofmotives cortex, adrenalglandsANS.Theoriesofemotion,Typesemotions. Emotions-Definition differentiationfromfeelings-roleofhypothalamus,cerebral rating scales,Interviewprojectivetechniques-Rorshachinkblottest,RAT,CAT Personality –Assessmentofpersonality:Questionnaries,personalityinventory, Social class,socialgroups-family Types offamily,and types ofmarriages, Types ofcommunities
Reference books: Evaluation methods:OSCE/OSPE,WPBA-evaluationduringfieldvisit Teaching –learningmethods:
General Psychology-S.K.Mangal Large group:lecture,Smallteaching-incamps,fieldvisit General Psychology–HansRaj,Bhatia Sciences BasictoPsychiatry–BasanthPuri&PeterJTyrer Behavioural SciencesinMedicalpractise-ManjuMehta General Psychology–Munn
Behavioral Sciences
Page289 Page290 Module 1:Introductiontoethics: Portions tobecovered component. case discussionon ethical discussion andclinical teaching, groupdiscussions,buzz habit forlifelongpractice. Objective them todealwiththeseproblems. therefore absolutelynecessaryfor each andevery one inhealthcaredeliverytoprepare specialists likeotherhealthprofessionalsareconfrontedwithmanyethicalproblems.Itis community asawhole.Thereisshifttogreateraccountabilitythesociety.Dental of the of thepatient,theirfamiliesandcommunity,thereisaconcernforhealth delivery ofdentalcare.Withadvancesinscienceandtechnologytheincreasingneeds Introduction Ethics
Module 2:Ethicsoftheindividual-
Module 4:ResearchEthics- Module 3:ProfessionalEthics-
- flipped Class,team practice trainingbylecture, will undergoethical The students to makeita and care patent for effective among students values To develophuman There isadefiniteshiftnowfromthetraditionalpatientanddoctor relationship and - - - - The patientasaperson Truth andconfidentiality Right toberespected Animal andexperimental research/humanness Malpractice andnegligence Over –investigatingthepatient Prescription ofdrugs Charging offees,feesplitting Contract andconfidentiality Code ofconduct Doctor Patientrelationship Autonomy ofdecision Drug trials Human volunteerresearch-informed consent Human experimentation What isethics? What arevaluesandnorms? How toformavaluesysteminone’spersonalandprofessionallife? Hippocratic oath ethics, DCIcodeofethics. Declaration ofHelsinki,WHOdeclarationGeneva,Internationalcode
ETHICS
At theendofsecondyearBDSstudentshouldbeabletoappreciate Objectives : Integrating departments:PublicHealthDentistry&Oralmedicine Module 1:Introductiontoethics:(SecondYear) Syllabus
At theendofthirdyearBDS,studentshouldbeabletoappreciate Objectives : Integrating departments:OralMedicine,PublicHealthDentistry&Prosthodontia Module 2:Ethicsoftheindividual(thirdyear) Evaluation :MCQ,OSCE Teaching –learningmethods:
Teaching –learningmethods At theendoffourthyearBDS,student willbeabletoappreciate Objectives : Prosthodontia &OralSurgery Integrating Department:PublicHealthDentistry, ConservativeDentistry,OralMedicine, Module 3:ProfessionalEthics- Evaluation :Shortanswer,MCQ,OSCE.
1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. What isethics? What arevaluesandnorms? How toformavaluesysteminone’spersonalandprofessionallife? What isHippocraticoath Small groups-groupdiscussions,buzzdiscussion Large groups-lecture,flippedClass,teamteaching code ofethics,DCIethics. What isDeclarationofHelsinki,WHOdeclarationGeneva,International How torespectthepatientasaperson What aretherightofpatienttoberespected How isbeTruthfulandmaintainconfidentiality How tomaintaintheAutonomyofdecisionmakingwithpateints Large group-lecture,flippedclass,teamteaching Types ofDoctorPatientrelationship Small group–chairsideteaching,discussion What arethedentistCode ofconduct How tomaintainthe Contract withthepatientandmaintainconfidentiality How toChargethefees andfeesplitting Ethical Prescriptionof drugs How toavoid orrestrictover–investigating thepatient (Fourth year)
Ethics
Page291 Page292 Ethics Teaching –learningmethods
At theendofInternshipBDS,studentwillbeabletoappreciate Objectives : pathology &ResearchCommittee Integrating Department:PHD,ConservativeDentistry,OMR,OralSurgery, Module 4:ResearchEthics-(Internship) Evaluation :Shortanswer,MCQ,OSCE
Teaching –learningmethods Recommended Reading: Evaluation :OSCE 6. 1. 2. 3. 4. Medical Ethics,Francis.C.M.,1Ed.1993,JaypeeBrothers,NewDelhi,p.189 How toavoidMalpracticeandmedicalnegligence Large groups-lecture,flippedclass,teamteaching. Small groups–chairsideteaching,roleplay,groupdiscussion, Types ofAnimalandexperimentalresearch/humanness How todoaethicalhumanexperiment How torecruitHumanvolunteerforresearchandgetinformedconsent How todoaethicaldrugtrials Small groups–GroupDiscussion,Chairsideteaching,roleplay
Causes Definition Module 1Secondyear Portions tobecovered participation incariesprevention. on their patient the to counsel skill communication and attitude the professional acquire and operativemanagementofDCbasedoncariesriskassessment; and institutepreventive and treatmentplan;possesstheknowledge&skillofidentificationdentalcariesdisease knowledge ofthebasicsciencesbehindcauses,etiopathogenesis,classification,diagnosis Competency At theendofsecondyearBDSstudent shouldbeableto Objectives : Integrating departments:Cons,Pedo,Oralpath, PHD Module 1:FoundationScienceInCariology(secondyear) Syllabus tertiary secondary primary Prevention Module 3Finalyear Diagnosis Histopathological Radiological Clinical Classification Module 2Thirdyear Prevalence
Pathogenesis (remin–demincycle) Theories ofcaries At theendofBDSintegratedmoduleonCariology,graduateshouldhavea 1. recent advancement operative treatment Treatment decision Clinical presentation 2. 3. 4. 5. Define DC Define earlychildhood caries List thecausesofcaries Explain theinteraction ofcausativefactorswiththefocusonremin- demincycle Enlist and explain thetheoriesof dentalcariesetiopathogenesis
CARIOLOGY
Cariology
Page293 Page294 Cariology At theendofthirdyearBDS,studentshouldbeableto Objectives : Integrating departments:Oralpath,Cons,Pedo,OMR,PHD Module 2:DiagnosisandDetection(thirdyear) Evaluation Teaching –learningmethods:
Teaching –learningmethods At theendoffourthyearBDS,studentwillbeableto Objectives : Integrating Department:OMR,Cons,Pedo,PHD Module 3:Cariesmanagementandprevention(Fourthyear) Evaluation
Teaching –learningmethods Evaluation 6. 1. MCQ, OSPE Early clinicalexposure-observationofpresentationdentalcaries Small groups-groupdiscussions,buzzdiscussion Large groups-lecture,flippedClass,teamteaching 3. 2. 4. 5. Small group–chairsideteaching,discussion(canchooseadditional Large group-lecture,flippedclass,teamteaching 1. Long answer,shortMCQ,OSCE. appropriate teachinglearningmethods) 2. 3. 4. 5. Large groups-lecture, flippedclass,teamteaching. Theory and practicalexams appropriate teachingmethod Small groups–chair side teaching,roleplay,groupdiscussion, additional Discuss theincidenceandprevalenceofDCnationallyglobally from non-carious(K,S) Diagnose dentalcariesdiseasebyusingriskassessmenttool(K,S,A) Comprehendtheclinicalpresentationofcavitatedlesion(K,S) Detect cariouslesionsusingICDAS/ICCMScodingsystemanddifferentiate Classify thelesionusingtraditionalandnovelmethods.(K) Classify DCradiographicallyandhistopathologically.(K,S) Device thecariesmanagementbasedonrisk assessment(K) prevention (K,A) Counsel thepatientondietaryhabitsandoral hygienepracticesforcaries Institute preventivemeasuresatlesionlevel anddiseaselevel(K,S) the principalsofminimalinvasivedentistry (MID) Institute restorativemanagementbyusingvarious restorativematerialsadopting Provides evidencebasedknowledgeoncurrent conceptsincariology(K)
Integrating departments: appropriate treatmentforlesionsinvolvingpulpandperiodontium apical region,classificationofpulpo-periapicaldiseases,beabletodiagnoseandplanan peri and pathology ofpulp area, periapical and knowledge ontheanatomyofpulp a have Competency :
At theendofthirdyearBDS,studentwillbeableto: Objectives :
Evaluation : Teaching learningmethods: 1. At theendofBDSintegratedmoduleonpulpoperiapicallesions,graduatewill 3. 2. Periodontology 4. 5. 1. 2. 3. 4. 5. 6. 7. Long answers,Shortanswers,Veryshortanswer questions,MCQs,OSCE Small group:discussions,buzzsessions Large group:lecture,teamteaching Cons andEndo Oral medicineandradiology Oral pathologyandmicrobiology Oral andmaxillofacialsurgery Describe pulpalandperiapicalanatomy Distinguish healthanddiseasesstatesofpulpoperiapicalcomplex the interrelationshipbetweenbothtissues List thepathwaysofcommunicationbetweenpulpandperiodontiumexplain Interpret radiologicalchangesinthepulpo–periapicalcomplex Histopathological investigations Classify end-periolesions Describe theclinicalfeaturesandmanagementofallendo-periolesions
PULPO -PERIAPICALLESIONS
Pulpo-Periapical Lesions
Page295 Page296 6. 5. 4. 3. 2. 1. At theendofcoursestudentwouldbeableto Structured ClinicalExamination] to keyareasofassessmentintheory[writtenexamination]orpracticals[Objective LEARNING OUTCOMES:Thesestatementscanbeconverted OBJECTIVES/INTENDED 3. 2. 1. Skills List Diagnosis &TreatmentPlanning Able toprescribe medicationsfor theabovesaiddiseases orconditions. interpretation. Arrive atadiagnosisbased ontheclinicalfeaturesandinvestigation resultsbycorrect Prescribe appropriate investigations forvariouslesionsmentioned above diseases, temporomandibular joint,salivarygland disorders, oralmanifestationofsystemic List the clinicalfeaturesof Caries, periodontal diseases, oral mucosallesions, gland disorders,oralmanifestationofsystemic diseases **Caries, periodontaldiseases,oralmucosal lesions,temporomandibularjoint,salivary cavity andrelatedmaxillofacialstructures conditions** oforal and of commondiseases prevalence the incidenceand Explain gland disorders,oralmanifestationofsystemicdiseases * Caries,periodontaldiseases,oralmucosallesions,temporomandibularjoint,salivary manifestation ofsystemicdiseases on theemergenceofcommondiseases*oralcavity,headandneckalso Explain theinfluenceoflifestyle,occupationandhabitslocal/Indianpopulation referral [usingform]forspecialty[medical/dental]opinionandcare. Ability toprescribemedications[prescriptionwriting]asindicatedandappropriate confirmatory diagnosisbycorrelatingwiththeclinicaldiagnosticfeatures : 2babilitytochoseappropriateinvestigation/diagnosticaidandarriveat a Subskill patient andrecordthefindingsmeticulouslyarriveataclinicaldiagnosis. Subskill :2bAbilitytoperformasystematic[localandgeneral]examinationofthe history ofthepatient Subskill :2aAbilitytodeveloprapportwiththepatientandelicit[dentalmedical] gland disorders,oralmanifestationofsystemicdiseases, *Caries, periodontal diseases,oralmucosallesions,temporomandibularjoint,salivary maxillofacial structure Ability todiagnosecommon**diseasesand/orconditions*oftheoralcavityandrelated manifestation ofsystemicdiseases diseases, oralmucosallesions,temporomandibularjoint, salivary glanddisorders, oral to localitywithreferencelifestyle,occupationandhabitsCaries,periodontal Awareness ofthecommondisease*burdenIndianpopulationmorespecific DIAGNOSIS&TREATMENTPLANNING Departments involved 7.
Teaching LearningActivity:“HEART”Programme Portions covered: Early ClinicalExposure-Iyear Training fromIyeartoIV Early ClinicalExposure–IIyear Evaluation Portions covered Clinical [IIIyearandIVyear] Evaluation Observation needs]
1. condition. / medicalspecialistconcernedwiththedisease to writeareferralformdental Able 2. 7. 6. Orthodontics 5. Pedodontics 4. Prosthodontics 3. Periodontics 8. 9. 9 daystrainingprogrammewithPublicHealthdentistryandCommunityMedicine Rotational postingsinvariousdepartments and ComprehensiveCareClinic every day. Report generationimmediatelyusinggraphicsandotherpictorialrepresentation 3 days–Compilationofreportindividuallyandsubmission burden oflocalpopulation,Anynewdiseaseoutbreak. 3 days–fieldvisittolocalvillages.Demographicvariables,Hygienestatusanddisease 3 days–Theoreticbackgroundbeforefieldvisit guided byfaculty. and students with medical activity undergo jointlearning The student Department. 1. Immediate Reportgenerationbasedonthe observationsandsubmission Appreciate diversityandawarenessofpresentation ofcasesspecialtywise. 2. 3. Oral MedicineandRadiology Oral Pathology Oral Surgery Public HealthDentistry Conservative Dentistry&Endodontics Developing patientdentist relationship,CaseHistory[Adult,Child, Geriatric Caries Diagnosiswith ICIDASandSalivarybuffertest–withcaries module Periodontal Charting–Identification anddiagnosisusing investigations Disease burdenoflocalpopulation
Diagnosis &TreatmentPlanning
Page297 Page298 Diagnosis &TreatmentPlanning lesions
Teaching LearningActivity clinics. 4. 7. 5. 9. 8. 6. 10. 12. 11. Practical Training: Evaluation :WrittenExamination mentioned 13areas. Theoretical Training: Place BasedassessmentToolsintheirpostingdepartmentsandalsocomprehensive : ReferSCOREprogramme.AlltheabovementionedareassessedusingWork Internship Evaluation :ObjectiveStructuredClinicalExamination–FormativeandSummative professionalism, communicationandothersoftskillspertainingtodiagnosis. Tooth wear–identificationofdiseasetypeandpathology appropriate diagnosticaids interpret cephalometricfindingstoarriveatdiagnosis. Malocclusion andrelatedproblems–Identification,Modelanalysisabilityto special cases–redandwhite,salivaryglands,precancerouscancerous Tooth stains–IntrinsicandExtrinsicidentificationPathology Identifying needforbiopsy,smearorvitalstainingandtointerpretresults Identification ofred,white,precancerouslesions,salivaryglandpathologywith Pain cases[painduetopulpal,periodontalorpaininheadandneck]3 intervention andpreventionofdentaland/ororaldiseasesorconditions TMJ examinationonstandardisedpatients precancerous, cancerous,malocclusions,stains,toothwear,pain oral manifestationofsystemicdiseases,tmjproblems,redandwhitelesions, disorders, gland joint, salivary lesions, temporomandibular mucosal diseases, oral Disease covered-Caries,periodontal Lifestyle, occupationandhabitinfluence. of systemicdiseases manifestation other oral diseases and Epidemiology oforal Identification ofspecialneedsachildandidentificationneedfor Skill basedTrainingoftheabovementionedincluding Integrated Classeswithdepartmentsinvolvedinabove
Module 2thirdyear Occlusion Module 1:secondyear Portions tobecovered Prosthodontics Intergrating Departments-ConservativeDentistryandEndodontics,Periodontics appearance. of yourteethandsmilethatenhanceone’soral original teeth,givinganaturalappearance with theestheticmaterialswhichmatchcloseresemblancetolookandfeelofyour To deal beautiful. and healthy are into smilesthat science and both art in blending are bothdurableandestheticallypleasing.AbilitytogaintheskillsinAestheticDentistry have aknowledge,thesciencebehindaestheticsandallowthemtoutilizematerialsthat Competency Module 3finalyear At theendofsecondyearBDS,student shouldbeableto Objectives : Integrating departments:Prostho,Cons Module 1:FoundationofAesthetics(secondyear) Syllabus
contours
disadvantages Tooth preparationforlightcurecompositeresinrestorationandGIC Material aspectofestheticdentistry Contacts andcontours Alignment ofteeth At theendofBDSintegratedmoduleonaestheticdentistry,graduateshould Aesthetic dentistry-treatmentplanningandmanagement Gingiva normalanatomyandcontour Tooth preparationforceramicrestoration 1. Pink estheticsingingiva 2. 3. 4. Ceramics -composition, classification,settingreaction. Glass ionomercements –composition,settingreactionclassification, advantages, Composition, classification ,settingreaction,advantagesanddisadvantages To knowthecorrectalignmentofteeth maxilla andmandible To knowtheidealcontactsandcontours differenttypesofcontactsand Know theidealocclusionandtypesof Material aspect–lightcureresincomposite material– AESTHETIC DENTISTRY
Aesthetic Dentistry
Page299 Page300 Teaching –learningmethods Aesthetic Dentistry
At theendofthirdyearBDS,studentwillbeableto Objectives : Integrating Department:Cons,Perio,Prostho Module 2:Restorationforaestheticmaterial Evaluation
At theendoffourthyearBDS,studentwillbeableto Objectives: Integrating Department:Cons,Perio,Prostho Module 3:Aestheticmanagement(fourthyear) Evaluation Teaching –learningmethods
Recommended Books: Evaluation Teaching –learningmethods Large group-lecture,flippedclass 2. 3. Small group–Demoofmanipulationthematerialonanextractedtoothin 1. Long answer,shortMCQ,OSCE. preclinical hours. 4. 5. 1. Theory andpracticalexams Small groups–chairsideteaching,models Large groups-lecture, 2. 3. 4. 5. Esthetics & thetreatmentoffacial form,Vol28;Mc Namara (JA) Esthetics ofanteriorfixed prosthodontics.Chiche(GJ)&Pinault (Alain) Esthetic guidelinesfor restorativeDentistry;Scharer&others Theory, OSCE,Practicalexaminations Small groups–chairsideteaching, Large groups-lecture,demonstration To knowthenormalcolour,contourandcharacteristicsofgingiva(K) the aestheticrestorativematerials(K,S) To knowthehistology,vascularsupply,nervesupplyofgingiva(K) To knowthevariousdesignsandtoothpreparationinanteriorsposteriorsfor To knowtheattachmentofgingiva(K) To evaluateclinicallythegingiva(S) relation todifferentpartsoftooth.(S) To knowhowtousetheshadeguideandestablishproperselectionwith to knowhowdosmiledesigningbyconventionalanddigitalmethod(K,S) To knowvarioustechniqueinplacementof directaestheticmaterial.(K,S) To knowthefabricationofindirectesthetic restorativematerial. To knowthesurgicalmeansofcorrecting gingivalesthetics.(K,A,S)
(third year)
At theendofteachingprogramdentalgraduateshouldbeableto: COMPETENCY
forensic casework.
Module 1(Thirdyear) Portions tobecovered (must know) (must know)
Module 2(Finalyear) At theendofthirdyear BDSthestudentshouldbeableto: Objectives : Integrating departments:OralPathology; medicine;Forensicmedicine Module 1:Introductiontoforensicodontology (Thirdyear) Syllabus 1. 2. 4. 3. 5. 1. 3. 2. 5. 4. 6. 7. 8. 9. 2. 1. 4. Bitemarksprocedures 3. Sexdetermination Sound knowledgeofthetheoreticalandpracticalaspectsforensicodontology the police,forensicpathologists,lawyersandassociatedprofessionals. Awareness ofethicalobligationsandlegalresponsibilitiesinroutinepractice ethnic andsexdifferentiation,ageestimationbitemarks Proficient inpropercollectionofdentalevidencerelatedtocasesidentification, Capable ofrecognisingforensiccaseswithdentalapplicationswhenconsultedby realm oflaw. Ability toassistinanalysis,evaluation,andpresentationofdentalfactswithinthe Introduction, definition,aims&scope(mustknow) Determination ofsexandbloodgroupfrombuccalmucosasaliva Sex andethnicdifferencesintoothmorphologyhistologicalageestimation Bite marks,rugaepatternandlipprints(mustknow) Dental DNAmethods(mustknow) Dental importanceofpoisonsandcorrosives(desirabletoknow) Overview ofForensicMedicineandToxicology(nicetoknow) Medical Jurisprudenceandethics Writing areport Know thebite markanalysisand differentrugaepattern andlippattern; its Know thedentalDNA extractionmethods Determine sexandblood groupsfrombuccalmucosaandsaliva Determine thesexand ageofthesample Identification ofindividual Age estimation-clinical,radiographicalhistological FORENSIC ODONTOLOGY
Forensic Odontology
Page301 Page302 Forensic Odontology Evaluation :SAQ,MCQ Teaching –learningmethods: Teaching –learningmethods: At theendoffinalyearBDSstudentshouldbe: Objectives : Integrating departments:Oralmedicine;Pathology Module 2:Applicationofforensicodontology(FinalyearBDS) Evaluation –SAQ,MCQ Small groups-groupdiscussions,buzzdiscussion Large groups-lecture,teamteaching Large groups-lecture,teamteaching Small groups-groupdiscussions,buzzdiscussion role inforensicdentistry records withrespecttolaw Know theimportanceofforensicmedicineandtoxicology Familiar withjurisprudence,ethicsandunderstandthesignificanceofdental
SUB TOPICS: DEPARTMENTS INVOLVED: LEARNING OBJECTIVES: MODULE 1: TEACHING LEARNINGMEDIA: SUB TOPICS: DEPARTMENTS INVOLVED: tooth Implantplacement placement protocols. LEARNING OBJECTIVE: Internship Module Prosthodontics, oralsurgeryandPeriodontology and functionalcapacityofOsseointegration. The learnershouldbeabletoassessPeriimplantanatomyandappreciatethebiology The learnershouldbeabletodiagnoseandplanatreatmentforimplantplacement. 3. 2. Assignments 1. Lectures Prosthodontics, PeriodontologyandOralsurgery The learnershouldbeabletoidentifythevarious typesofimplantcomplications impression makinginmodelsforsingle to demonstrate The learnershouldbeable The learnershouldbeabletoidentifyimplantarmamentariumandfacilitate -Finalyear Types ofImpression making Principles offixedimplant Prostheses Implant macroandmicrodesign Soft andhardtissueinterface Clinical comparisonofteethandImplants Introduction toImplants/history Introduction toadvanced implantsurgicalprocedures Two stageimplantplacement Treatment planning Radiographic evaluation/diagnosticimaging Risk factorsandcontraindication Pretreatment evaluation Case typesandindication One stageimplantplacement General principlesof Implant surgery Case baseddiscussions. 2 : Surgical aspects Prosthetic aspects, Complications of Dental Implants – 2 :SurgicalaspectsProstheticaspects,ComplicationsofDentalImplants IntroductionandDiagnosis&TreatmentplanninginImplantology BASICIMPLANTOLOGY
Basic Implantology
Page303 Page304 Basic Implantology TEACHING LEARNINGMEDIA: Overall Evaluation:
Suggested booksforreading: 3. 2. Videos 1. Lectures 2. 1. OSPE/OSCE 4. Demonstrations 3. Quintessence PublishingCompany. Osseointegration andocclusalrehabilitation-Hobo.S.IchidaE.GarciaLT. Contemporary ImplantDentistry–Carl.E.Misch,Mosby Esthetic complication Mechanical complications Surgical complications Biologic complications Occlusal considerationsforimplantsupportedProstheses Case discussionandpresentations Viva voce Implant placement(minimumquotaofONE)
CURRICULUM OF DENTAL INTERNSHIP PROGRAMME
Systematic Competency Oriented Education (SCORE) Page306 in theclinicalsetting and communityteamwork for developing workingrelationship imparting hopeandoptimism inthepatientf.Attributes of essentiallaboratory datad.Dataanalysisandinferencee.Communication skillsaimedat competence in:-a.History taking b.Clinicalexaminationc.Performance and interpretation B. a. A. Objectives : vii) vi) services v) iv) iii) ii) i) The Curricularcontentsofinternshiptrainingshallbebasedon. Determinants ofCurriculumforInternshipDentalGraduates: 5. 4. 3. 2. 1. Internship Programme To facilitatetheachievement ofbasicskills:attainingcompetence Vs.maintaining a sharedtofullresponsibility from phased manner, in a Training c. setting cultural and community. Social he and individual to the resources available and Techniques of knowledgeb. Reinforcement To facilitatereinforcementoflearningand acquisition ofadditionalknowledge:- dental problemsandsocialdisruptioncaused bytheseproblems. problems, severityof of dental magnitude into considerationthe problems, taking health of differentdental Epidemiological studiesconductedtofindoutprevalence government serviceactuallyperform and settings, private in dentistryvariouspractice graduates of what Task analysis Existing dentalasalsotheprimaryhealthcareconcept,fordeliveryof Socio-economic conditionsofthepeopleingeneral National dentalhealthpolicy Financial, materialandmanpowerresourcesavailableforthepurpose Dental healthneedsofthesociety. The degreeBDSshallbegrantedaftercompletionofinternship the purpose. The internshipshallbecompulsoryandrotatingaspertheregulationsprescribedfor extending beyondaperiodofoneyear. The Internssshallbepaidstipendiaryallowanceduringtheperiod of aninternshipnot Dental graduatesinthecountry. the DentalCouncilof India for the purpose of imparting educationandtrainingto college dulyrecognized/approvedby be doneinaDental parts ofInternshipshall All The durationofInternshipshallbeoneyear. CURRICULUM OFDENTALINTERNSHIPPROGRAMME Systematic CompetencyOrientedEducation(SCORE) Revised InternshipProgramme,2011 DENTAL COUNCILOFINDIA
C.
D.
E. 2. 1. General Guidelines: dentistry. dentistry; pedodontics;oralpathologyandmicrobiology;orthodonticscommunity surgery; Prosthodontics;periodontics;conservative and radiology;oralmaxillofacial Content (subjectmatter) cases
investigations
1. OralMedicineandRadiology jurisprudence
a. To facilitatedevelopmentofsoundattitudesandhabits:- c. b. a. To facilitateunderstandingofprofessionalsandethicalprinciples:- d. c. b. To initiateindividualandgroupaction,leadingtodiseasepreventiondental a. provided toalldentalgraduates To facilitateachievementofbasicskillsandattitudethefollowingfacilitiesshouldbe departments ofthedentalcollegesandassociatedinstitutions. and fieldprogrammesbegivendueresponsibilitytoperformtheactivitiesinall It shallbetask-orientedtraining.Theinternsshouldparticipateinvariousinstitutional The compulsoryrotatingpaiddentalinternshipshallincludetraininginoralmedicine health promotion,athelevelofindividualsfamiliesandthecommunity b. c. d. f. e. h. g. i. 2. 1. 3. 4. Emphasis onindividualandhumanbeings,notdisease/symptoms Continuing dentaleducationandlearningofacceptingtheresponsibility Provision ofcomprehensivecare,ratherthanfragmentarytreatment Right anddignityofpatients Provision offreeprofessionalservicesinanemergentsituation Obligations ofpeers,colleagues,patients,familiesandcommunity Consultation withotherprofessionalsandreferraltoseniors/institutions History taking,examination,diagnosis,chartingandrecodingtreatmentplanof Presentation ofcasesinagroupseminar Care andsterilizationofinstrumentsused Performance andinterpretationofessentiallaboratorytestsotherrelevant health carewhileworkingintheinstitution asalsointhefield thereapeutive modalities Proper useofantibiotics,anti-inflammatory andotherdrugs,aswell Data analysisandinference Communication aimedasinspiringhope,confidence andoptimism Education ofpatients,theirrelativesandcommunity onallaspectsofdental Legal rightsofpatientsandobligationsdental graduateunderforensic Exposure toclinical, pathological laboratoryprocedures&biopsies 5cases Standardized examination ofpatients25cases oral) E.O.1Cephalogram 1 Effective trainingintaking ofradiographs2fullmonth(intraoral) I.O.(extra Effective management ofcasesinwards2
Internship Programme
Page307 Page308 The internessduringtheirpostinginoralsurgeryshallperformthefollowingprocedures: 2. Oralandmaxillofacialsurgery Internship Programme
B. Theinternsshallperformthefollowingoncancerpatients:
3. 2. angina toothfracturepostinternhaxillaryfixationaftergeneralanaesthesia. attacks; ludwig’s dislocation ofmandible;syncopeorvasovagal mandible andmaxilla; extraction, bleedingdisorder or haemophylia; (iv)Airwayobstructionduetofracture (i) Toothache:(ii)trigemminalneuralgia;(iii)Bleedingfrom mouth duetotrauma,post 1. Emegencies. during anyoperation: period theyshellattendtoallemergenciesunderthedirectsupervosionoforalsurgeon hospital withextendedresponsibilitiesinemergencydentalcarethewards.During this C. Theinternessshallhave15dayspostinginemergencyservicesofadental/general The dentalgraduatesduringtheirinternshippostinginProsthodonticsshallmake: 3. Prosthodontics
A. Thedentalgraduates shallperformthefollowingprocedures 4. Periodontics
1. 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. Conduct tutorials on medico-legat aspects including reporting on actual cases comingto Conduct tutorialsonmedico-legataspectsincludingreportingactual Work inI.C.Uwithparticularreferancetoresuscitationprocedures. 1. casualty. Theyshouldhavevisitstolawcourts. 2. 3. 5. 4. 6. 8. 7. Crowns 1. 2. 3. Extractions 50 Surgical extractions2 Impactions 2 Simple intramaxillaryfixations1 Cysts enucleations1 Incision anddrainage2 Alveoloplasties, biopsiesandfrenectomiesetc3 Maintain filework. Do extractionsforradiotherapycases. Perform biopsies. Observe variedcasesoforalcancers. Complete denture(upper&lower)-2 Removable partialdenture–4 Fixed partialdenture-1 Micellaneous-like reline/overdenture/repairs ofMaxillofacialprosthesis–1 Planned castpartialdenture-1 Learning useoffacebowandsemianatomic Articulatortechnique Introduction ofImplants Prophylaxis -15Cases Flap Operation-2Cases Root planning -1Case
B. supervisors: the followingproceduresindependentlyorunderguidanceof perform atleast shall 5. ConservativeDentistry
Case During theirpostinginPaedodonticstheDentalgraduatesshallperform: 6. PaedodonticsandPreventiveDentistry The intermessshallperformthefollowing: 7. Oralpathologyandmicrobiology
A. Theintermessshallobservethefollowing procedureduringtheirpostinginorthodontics: 8. Orthodontics:
4. 5. 6. During theironeweekpostinginthecommunityhealthcenters,internessshall 1. of basicskills,theinterns and achivement reinforcement oflearning To faciliate educate thepublicinpreventionofPeriodontialdiseases. 3. 2. 4. 6. 5. 7. 8. 9. 5. Fabricationandinsertationofspacemainteners-1Case 4. Pulpectomy-2Cases 3. Pulpotomy-2Cases 2. RestorativeproceduresofcariousdeciduousteethInchildren-10Cases 1. 1. 6. Oralhabitsbreakingappliances-1Case 3. 2. 4. 1. 3. 2. 4. 5. 6. Retainers. Currettage -1Case Gingivectomy -1Case Perio-Endo cases-1Case Restoration ofextensivelymutilatedteeth-5Cases Use oftoothcolouredrestorativematerial-4Cases Inlay andonlaypreparations-1case Treatment ofdiscolouredvitalandnon-vitalTeeth-1Case Management ofpulpless,single-rootedteethwithoutperiapicallesion-4Case Management ofdentoalveolarfracture-1Case Management ofacutedetoalveaolarInfections-2cases Management ofpulpless,single-rootedTeethwithprepherallesionperiod-1 Non-surgical managementoftraumatisedteethduringformativeperiod. Topical applicationoffluoridesincludingvarnish-5Cases History-recording andclinicalexamination -5cases Exfoliative Cytologyandsmearsstudy-2cases Blood, UrineandSputumexamination-5 cases Biopsy –LaboratoryProcedure&reporting -1case Detailed diagnosticsprocedurefor5patients Treatment ofplanoptions anddecisions. soldering andprocessing ofmyo-functionalappliances. Laboratory techniquesincludingwire-bending forremovableappliances Making ofbands,bonding procedureandwireinsertions Use ofextraoralanchorage andobservationofforcevalues.
Internship Programme
Page309 Page310 Internship Programme 9. PublicHealthDentistry: 3. 2. 1. The dentalgraduatesandshalldothefollowinglaboratorywork:
are providedinalldepartments andattachedinstitutionfortheir performance. The supervisorsshouldsending itthatproperfacilities Education. departments ofDental are givenunderthe coursecontentofdifferent along withtheminimum performancelevel based, communityoriental training.Thepracticalskillsto be mastered bytheinterness learning practicalskills .Duringoneyearinternshiptheemphasis willbeoncompetency- The curriculumduringthe4yearsofBDStraining issubjectbasedwithmoreemphasison Organisation ofcontent: choice mentionedintheforegoing. 10. ElectivePosting: 7. 1. Cold-cure andheat-cureacrylisationofsimpleOrthodonticsappliances-5cases Soldering exercises,banding&bondingprocedures-2cases and heattreatmentprocedure-5cases Wire bendingforremovableappliancesandspacemaintainersincludingweldoing 2. 3. a) b) c) 4. a) b) c) 6. 5. a) b) c. d. The internsshallbepostedfor15daysin anyofthedentaldepartmentstheir Observe handlingofpatientswithoralhabitscausingmalocclusion. dentistry andepidemiology. preventive health, sciences, environmental nutrition, behavioral health public The internsshallconducthealthsessionsforindividualsandgroupsonoral the alternate,participateinplanningandmethodology. They shallconductashorttermepidemiologicalsurveyinthecommunity,or They shallarrangeeffectivedemonstrationof: Preventive andinterceptiveproducersforprevalentdentaldiseases. Mouth-rinsing andotheroralhygienedemonstrations-5cases Tooth brushingtechniques-5cases Conduction oforalhealtheducationprogrammesat School setting-2 Community setting-2 Adult educationprogrammes-2 Exposure toteamconceptandNationalHealthCaresystems: Preparation ofHealthEducationmaterials-5 Observation offunctioninghealthinfrastructure. male andfemale,healtheducatorsotherworkers. Observation offunctioninghealthcareteamincludingmultipurposeworker Observation ofatleastoneNationalHealthProgramme: for thisteachings. Health care.Mobiledentalclinics,asandwhen available,shouldbeprovided Observation ofinterlinkagesdeliveryoralhealthcarewithprimary
In theruralservices,studentwillhavetoparticipatein- Rural Services: accordingly. the recordsandperformancedatabookmaintainedbyinterns.Gradingshallbedone 2. SummativeEvaluation: of formativeevaluationandshallalsoconstituteacomponentfinalgradinginterns. intermess ownacquisitionofcompetencesasrotatedtoperformance.Itshallforma part but moreimportantly, ofthe evidence; oftheprocessestraining provide ademonstrable by maintainingrecordsandperformancedatabookallintermess.Thiswillnot only be achieved This can work competently. required forcarryingoutday-to-dayprofessional be done.Theobjectivitiesthatalltheinternsmustacquirenecessaryminimumskills 1. FormativeEvaluation: Evaluation : provided. showing differentproceduresandtechniquestobemasteredbytheintermessshould Colleges andattachedinstitutionsfieldarea.Ifpossible,television,videotapes posters, specimens,modelsandotheraudiovisualaidsshallbeprovidedinalltheDental Use ofResourceMaterials: and selflearning. teaching anddiscussionstutorials,seminars,wardposting,laboratoryfieldvisits group during theinternshipprogramme.Emphasisshallbeonchair-sideteaching,Small Specification ofTeachingActivities:
Period ofPosting: 1. and of differentdepartments of thesupervious observation on the be based It shall Day-do-day assessmentoftheintemessduringtheirinternshippostingshould Overhead projectors,slidefilmprojectorschartdiagrams,photographs, be voided These shall are deliveredduringthefouryearsinBDS. Didaetic lectures 2. 3. a) b) c) 4. 5. 1. Preventive, Diagnosticandcorrectiveprocedures. Community HealthMonitoringprogrammesandserviceswhichinclude To createeducationalawarenessaboutdental hygieneanddiseases. Conduction ofOralHealthEducationProgramme at– School Setting-5 Community Setting-5 Adult EducationProgram-5 Compulsory setupofsatelliteclinicsinremote areas-1 Lecturers perstudent. affects oftobaccoconsumption andthepredisposition to oral cancer –two Lectures tocreateawarenessandeducation inpublicforumsabouttheharmful Oral Medicine &Radiology-1 month Internship Programme
Page311 Page312 Internship Programme
3. 2. 4. 5. 6. 7. 8. 9. 10. Prosthodontics -1½months Oral &MaxillofacialSurgery-1½months Periodontics -1month Conservative Dentistry-1month Pedodontics -1month Oral PathologyandMicrobiology-15days Orthodontics -1month Community Dentistry/Ruralservices-3months Elective -15days