DEPARTMENT OF ORTHODONTICS

KLEVK INSTITUTE OF DENTAL SCIENCES BELGAUM

Goals : 1. The goal of the Orthodontics program is to provide a basic education in Orthodontics for and improved understanding of the diagnosis and treatment planning of various types of malocclusions and increased skill in their management. 2. To transform the nature of dental education and practice in ways that will dramatically improve the way we serve our students, our patients, and the surrounding community. Objectives: A. Knowledge:a) To have a systematic understanding of the dynamic interaction of Biologic processes and Mechanical forces acting on the Stomatognathic system during Orthodontic treatment. . b) To lay foundation of basic knowledge and assimilate associated orthodontic skills to enable students to Diagnose and manage various Orthodontic problems.

B. Skills:Clinical practice is limited to collection and analysis of records and correction of mild occlusal problems with removable appliances.

DEPT. OF ORTHODONTICS
KLEVK INSTITUTE OF DENTAL SCIENCES BELGAUM

BDS
SYLLABUS

Teaching Hours: Theory: 50 hours Theory III BDS - 20 Hours

(III BDS- 20 Hours, IV BDS - 30 Hours)

1. Introduction history, definition, aims and objectives and scope of orthodontics 1 2. Growth and Development: General 3. Morphologic development of craniofacial structures 4. Clinical application of growth and development 5. Development of dentition and occlusion 6. Malocclusion: in general 7. Classification of malocclusion 8. Normal and abnormal function of stomatognathic system 9. Etiology and Classification of malocclusion 10. Diagnosis and Diagnostic Aids, traditional & contemporary (digital) 11. Case history 12. Model analysis 13. Cephalometrics 14. Habits IV BDS - 30 Hours 15. Genetics 16. Orthodontic appliances removable & fixed 17. Functional & Orthopedic Appliances 1 2 3 1 1 1 1 1 1 1 3 2 1 1 2 3 .

18. Treatment planning of dental and skeletal malocclusions 19. Anchorage 20. Biomechanics & tissue response to orthodontic tooth movement 21. Preventive, interceptive and corrective orthodontics 22. Methods of gaining space, space maintainers & regainers

2 2 2 3 2 2 3 1 1 1 1 2

23. Orthodontic appliances : general (Materials used in Orthodontics Welding and Soldering) 24. Management of class I , class II & class III malocclusions 25. Surgical Orthodontics 26. Cleft Lip and cleft palate 27. Computers in Orthodontics 28. Retention and Relapse 29. Revision

CLINICALS & PRACTICALS

200 hours (III year - 70 Hours, IV Year 130 Hours)

Practical training during III B D S

I ).Basic wire bending exercises Gauge 22 or 0.7 mm 1.Straightening of wires ( 4 nos) 2.Bending of a equilateral triangle 3.Bending of a rectangle 4. Bending of a square 5. Bending of a circle 6. Bending of U & V II ) Construction of clasps (Both sides upper/lower) Gauge 22 or 0.7 mm 1. 3/4 clasp ( C -clasp ) 2. Full clasp ( Jacksons clasp ) 3. Adams clasp 4. Triangular clasp

III ) Construction of springs (Both sides upper both sides) Gauge 24 or 0.5 mm 1. 2. 3. 4. Finger spring Single cantilever spring Double cantilever spring ( Z spring ) T spring on premolars

IV ) Construction of canine retractors Gauge 23 or 0.6 mm 1. 2. 3. U Loop canine retractor (Both sides upper and lower) Helical canine retractor (Both sides upper and lower) Buccal canine retractor self supported canine retractor with a) sleeve -5 mm wire or 24 gauge b) sleeve -19 gauge needle on one side 4. Palatal canine retractor on upper both sides (Gauge 23 or 0.6 mm)

V) Labial Bow (Gauge 22 or 0.7 mm) One on both upper and lower Clinical training during III B D S Exercise 1. 2. 3. 4. Making upper alginate impression Making lower alginate impression Study model preparation Model analysis a) Ponts analysis b) Ashley howe s analysis c) Careys analysis d) Boltons analysis e) Moyers mixed dentition analysis Clinical training during IV B D S

1) 2) 3)

Case history taking Case discussion Discussion on given topic

5 Cases 5 Cases

4)

Cephalometric tracing a ) Downs analysis, b ) Steiners analysis c ) Tweeds analysis

Practical training during III B D S 1) Adams clasp on anterior teeth gauge 0.7 mm

2) Modified Adams clasp on upper arch gauge 0.7 mm

3) High labial bow with apron spring on upper arch (gauge of labial bow 0.9 mm , spring 0.3 mm) 4) Coffin spring on upper arch gauge 1 mm

apron

Appliance Construction in Acrylic 1. Upper and Lower Hawleys appliance 2. Upper Hawleys with anterior bite plane 3. Upper Habit breaking appliance 4. Upper Hawleys with posterior bite plane with Z spring 5. Construction of activator 6. Lower inclined plane / catalans appliance 7. Upper expansion plate with expansion screw

Recommended and Reference Books

1. 2. 3. 4. 5. 6.

Contemparory orthodontics Orthodontics for students Handbook of orthodontics

William R Proffit White and Gardiner Moyers Graber

Orthodontics principals and practice

Design , construction and use of removable orthodontics C . Adams Clinical orthodontics vol 1 & 2 Salzmann

SCHEDULE OF CLASSES FOR ORTHODONTIC UNDERGRADUATES SS.No. 1 2. 3. 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 TOPIC Introduction to orthodontics with history Development of Dentition Functional developement Normal occlusion Malocclusion, classification Aetiology-Malocclusion, local & general factors Growth & devp basic concepts, theories Prenatal & postnatal development Growth of maxilla & mandible Diagnosis Orthodontic radiology and hand wrist and cervical v Introduction landmarks& planes in ceph, Downs, tweeds analysis Witts, Steiners analysis Model analysis, study models Orthodontic history &examination Preventive orthodontics Iinterceptive orthodontics Habits Genetics Orthodontic appliances, removable Fixed appliances Orthodontic force & biomechaincs Tissue response to orthodontic tooth movement Space gaining, extns Expansion in Orthodontics, Anchorage & classification Treatment planning in orthodontics Treatment of class1,class II,divs& classIII Treatment of AOB, Deep bite, midline diastema Soldering & welding Myo-functional app. types, mode of action, Oral screen , guide planes, activator , bionator Frankle, herbst ,twin block Head gears, chin cup,face mask Surgical orthodontics Treatment of cleft lip & palate Retention and relapse Computers in orthodontics Revision

SCHEME OF EXAMINATION A. Theory :100 marks Distribution of Topics and Type of Questions Contents Multiple choice questions

Type of Questions and Marks M.C.Q 25 x 1 =25 Long essays 2 x 10 marks

Marks

25

Long essays 1.Growth and Development 2.Development of dentition and occlusion 3.Diagnostic Aids 4.Etiolgy and Classification of malocclusion 5.Habits 6.Serial extraction and space maintainers 7.Biomechanics 8.Anchorage 9.Retention and Relapse 10.Methods of gaining space and extraction in Orthodontics 11.Functional Appliances 12.Surgical Orthodontics 13. Treatment Planning Short essays Questions may be asked from all topics Short answers Questions may be asked from all topics

20

Short essay 5 x 5 marks Short answers 10 x 3 marks Total

25

30 100

B. Viva Voce: 25 Marks C. Clinicals / Practicals :75 Marks 1. Exercise No. 1 2.Exercise No. 2 3.Exercise No. 3 25 marks ( Case history / Clinical discussion) 20 marks (2.0 x 10 Spotters ) 30 marks (Wire bending) Clasps / Springs / Retractors / Bows 75 marks

Total D. Internal Assesment: Theory - 25 marks Practical- 25 marks

DEPARTMENT OF CONSERVATIVE DENTISTRY AND ENDODONTICS

III BDS and IV BDS Syllabus GOALS 1. To develop exemplary clinicians and educators 2. To seek innovations in restorative dentistry & endodontics, education and health care delivery systems 3. Incorporate innovations in practice to deliver high quality treatment to the patients OBJECTIVES 1. Enhance and facilitate the combined pre-clinical and clinical graduate program for outstanding graduate students and clinicians who wish to practice or pursue further academic careers. 2. Upgrade and renovate the clinical environment to provide contemporary patient care, including treatment areas, clinical computing capabilities and instrument management. 3. Instill knowledge, skills and human values SKILLS 1. A thorough understanding of the biological sciences to enable the integration and correlation of basic sciences with clinical dental practice. 2. Obtaining skills in all aspects of clinical restorative diagnosis, treatment planning and prognosis 3. Skills to provide the preventive and treatment services commonly required in restorative dentistry 4. Familiarize with endodontic instruments, materials and techniques needed to carry out simple endodontic procedures ETHICS 1. Adopt ethical principles, honesty and integrity in all aspects of dental practice 2. Be humble and accept the limitations in knowledge and skill and ask for help from colleagues when needed 3. Understand the principle of justice and how it impacts dentistry

Theory - III Year BDS : 20 Hours

CONSERVATIVE DENTISTRY Sl. No. 1 Topic Examination diagnosis and treatment planning (short essay/short answer) 2 Infection control as related to conservative dentistry and endodontics. Methods of sterilization of instruments, equipments and materials 3 Control of pain during operative procedure (short essay/short answer) 4 Instrument use in conservative dentistry, Rotary cutting instruments; classification of speed, dental burs, advantages and disadvantages of low speed and high speed 5 Management of gingival tissue during operative procedure (short essay/short answer) 6 7 Contact and contours Non carious lesions Attrition, Abrasion, Erosion, etc Management ENDODONTICS Sl. No 1 Topic Definition Aim and scope of Endodontics (short essay/short answer) 2 3 Rationale and Principles of Endodontics Anatomy of pulp space (Internal anatomy ) (short essay/short answer) 4 Clinical diagnostic methods Case history- Clinical examination using various diagnostic tools / aids 5 Case selection and treatment planning, indications and contraindications. 6 Armamentarium care and sterilization of instruments, classification and standardization Hand Instruments Rotary instruments Ultrasonic and Sonic instruments 7 Diseases of pulp and periapical tissues and their management 3 hours 2 hours 1 hour 2 hours 1 hour 2 hours Hours 1 hour 1 hour 1 hour 1 hours 1 hours 1 hour 2 hours Hours 1 hour

Theory - IV Year : 55 Hours

CONSERVATIVE DENTISTRY Sl. No 1 Topic Various cavity designs for amalgam restorations Pin retained amalgam restorations Bonded amalgam restorations (short essay/short answer) Mercury hygiene (short essay/short answer) 2 3 4 Veneers (in brief) (short essay/short answer) Hypersensitivity of teeth and management Cast gold restorations 5 6 Definitions of inlay and onlay Indications and contraindications Cavity designs for Class II cast gold inlay Wax patterns Spruing, investing and casting Casting defects causes and prevention Seating, adjusting, polishing of the casting Cementation burnishing of the restoration 3 hours 1 hour 2 hours 4 hours Hours 5 hours

Direct gold filling Indication, contraindication Various cavity designs and preparation of cavities types of cohesive gold Principles of manipulation Compaction techniques, finishing and polishing

Esthetic materials Introduction, properties Indication and contraindications Acid etching techniques, enamel / dentin in bonding systems Tooth preparation, restoration techniques A matrices, finishing and polishing procedures Glass ionomers : Indications and contra indications Glass indication and contra indications Manipulation Matrices, finishing and polishing procedures Recent advances in esthetic materials

4 hours

Light cured composite inlay cavity preparation and fabrication ( in brief ) (short essay/short answer)

2 hours

Ceramic restorations, Ceramic inlay and onlay Clinical procedures for CEREC, CAD/CAM Inlay and onlay (in brief) (short essay/short answer)

2 hours

Miscellaneous Lasers Air abrasion and Carious detector dye

2 hours

ENDODONTICS Sl. No 1 2 3 Access cavity and principles Determination of working length / methods Preparation of root canal 4 Cleaning and shaping irrigation 2 hours Topic Hours 2 hours 1 hours 2 hours

Disinfection of root canal Intra canal medicaments used in Endodontics

Microbiology as related to Endodontics Microbial flora and infected pulp Various culture tests techniques culture media inter preparation anterior sensitivity

3 hours

Root canal obturation Obturation materials classification and description Ideal requirements Composition and properties

3 hours

Techniques of obturation Root canal sealers Recent advances in materials & techniques

Endodontics Periodontics interrelation - classification and management. (short essay/short answer)

2 hours

Discoloration of teeth (short essay/short answer) Etiology management Veneers bleaching (vital and non vital )

2 hours

Surgical Endodontics Case selection indications / contraindications Incision and drainage, trephination

3 hours

 10

Various flap designs for periradicular surgery (short essay/short answer) Root end surgeries apicoectomy / curettage (short essay/short answer) Bicuspidation (short essay/short answer) ( in 1 hour

Root resorption classification, etiology and management brief) (short essay/ hemi section short answer)

11 12 13 14 15

Traumatic injuries management only Endodontics emergencies and management Post Endodontic restoration ( in brief) (short essay/short answer) Single visit Endodontics Miscellaneous Xeroradiography RVG, Lasers in Endodontics Microscope in Endodontics (short essay/short answer)

3 hours 2 hours 1 hour 1 hour 2 hours

Recommended text books Sl. No 1 2 3 4 5 6 7 Title Art and Sciences of operative Dentistry Endodontics Endodontics Practice Pathways of pulp Principles and practice of operative Dentistry Endodontics Therapy Tooth colored restorative Principles and Author Strudevant John L Ingle Louis J Grossman Cohen Charbeneau Weine Albers Edition 5th 5th 11th 8th 3rd 6th 9th 1st

Techniques 8 Advances in Glass Ionomer Cements Carl L Davidson Mjor 9 Essential Endodontics Walton and Torabinejad

Recommended practical program ****

SCHEME OF EXAMINATION
I. THEORY: 100 marks Distribution of topics and type of Questions Contents Multiple choice question Long essays One long essay from Conservative One long essay from Endodontics Short essays 5 Short essay from Conservative Dentistry and Endodontics 5 Short questions from Conservative 5 Short question from Endodontics Total B. Viva Voce: 25 marks Type of Question and Marks M.C.Q 25 x 1= 25 marks Long Essays 2 x10=20 marks Marks 25 20

Short Essay 5 x 5=25 marks

25

Short Answer 10 x 3 =30 marks

30

100

C. Internal Assessment: 25 marks Theory Total: 100 + 25 + 25 = 150 marks II. CLINICAL EXAMINATION: 75 marks 1. Case History 2. Exercise A. Conservative Exercise a. Class II tooth Preparation b. Lining and Matrix c. Filling and Carving OR B. Endodontics Exercise a) Preparation of access cavity for root canal treatment in an anterior tooth 25 marks b) Working length determination c) Bio Mechanical preparation and selection of master cone 3. Internal Assessment = 25 marks Practical Total: 65+10+ 25 = 100 marks 15 marks 25 marks 65 marks 30 marks 10 marks 25 marks 65 marks + Record Book 10 marks

DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY

VISION The Department of Oral Medicine and Radiology aims in achieving excellence in establishing accurate clinical and radiographic diagnosis for management of oral and paraoral diseases. MISSION To promote and facilitate diagnostic skills in identifying oral and related paraoral lesions and their management. To provide necessary infrastructure and learning resources for quality education. To encourage and promote research activities for staff and students To participate and promote continuing education programme for upgrading knowledge through the local, State, National and International Conferences and Workshops To encourage and promote interdepartmental activities To create a conducive atmosphere within the department among the teaching and non teaching staff so that everyone dwells without any grievances. AIM To train the dental graduates of this institution, to acquire adequate knowledge, necessary skills and attitudes required for accurate investigations and appropriate treatment plan. OBJECTIVES 1. To disseminate theoretical, clinical and practical knowledge of all oral lesions. 2. To impart diagnostic skills for recognition of oral lesions and their management. (Proper history taking, thorough clinical examination of the patient, performing essential investigative procedures and other relevant tests and interpreting them to arrive at an accurate diagnosis). 3. To acquire adequate skills and competence in conventional and specialized radiographic techniques. 4. To inculcate human values, ethics and communication abilities. diagnosis,

ORAL MEDICINE AND RADIOLOGY Syllabus 1 Diseases of salivary glands. Developmental disturbances: Aplasia, atresia and aberration Functional disturbances: xerostomia, ptyalism Inflammatory conditions: Nonspecific sialadenitis, mumps, sarcoidosis heerdforts syndrome (uveoparotid fever) necrotising sialometaplasia Cysts and tumors: Mucocele, ranula, pleomorphic adenoma, mucoepidermoid carcinoma Miscellaneous: Sialolithiasis, Sjogrens syndrome, Mikuliczs disease and sialosis 2 Immunological diseases Immunological diseases with oral manifestations (a) Leukemia (b). Lymphomas (c) Multiple myeloma (d) AIDS clinical manifestations, opportunistic infections, neoplasms (e) Thrombocytopenia (f) Lupus erythematosus (g) Scleroderma (h) Dermatomyositis (1) Submucous fibrosis G) Rheumatoid arthritis (k) Recurrent oral ulcerations including Behcet's syndrome and Reiter's syndrome 3 4 5 AIDS STD Diseases of nerves: a) Facial nerve paralysis including bell's palsy, melkersson rosenthal syndrome and ramsay hunt syndrome, neuroma (b) Neurofibromatosis (c)Frey's syndrome 6 Diseases of Muscles: Muscles: (a) Myositis ossificans (b) Myofascial pain dysfunction syndrome (c) Trismus 7 Diseases of the TMJ Temporomandibular joint: Developmental` abnormalities of the condyle. rheumatoid arthritis, osteoarthritis, sub-luxation and luxation 2 Hour 1 Hour 1 Hour 1 Hour 1 Hour 2 Hour 2 Hour

Orofacial Pain Organic pain: Pain arising from the diseases of orofacial tissues like teeth, pulp, gingival, periodontal tissue, mucosa, tongue, muscles, blood vessels, lymph tissue, bone, paranasal sinus; salivary glands etc, (ii) Pain arising due to C.N.S. diseases:

2 Hour

(a) Pain due to intracranial and extracranial involvement of cranial nerves: (Multiple sclerosis, cerebrovascular diseases, Trotter's

syndrome etc.) (b) Neuralgic pain due to unknown causes: Trigeminal neuralgia, glossopharyngeal neuraIgia, sphenopalatine ganglion` neuralgia, periodic migrainous neuralgia and atypical facial pain (iii) Referred pain: Pain arising from distant tissues like heart, spine etc 9 Medical emergency management Cardiac patient, cardiac arrest, space infections, syncope, anaphylaxis. 10 Forensic Odontology. (a) Medicolegal aspects of orofacial injuries (b) Identification of bite marks (c) Determination of age and sex: lip prints (d) Identification of cadavers by dental appliances, restorations and tissue remnants 11 12 Geriatrics Therapeutics: General therapeutic measures - drugs commonly used in oral medicine viz., antibiotics, chemotherapeutic agents, antiinflammatory and analgesic drugs, astringents, mouth washes, antiseptics, local surface anesthetic, sialogogues, antisialogogues and drugs used in the treatment of malignancy. 1 Hour 1 Hour 1 Hour 1 Hour

RADIOLOGY 1. Radiographic techniques i) Intra-Oral (a) Periapical radiographs (Bisecting and parallel techniques) (b) Bite wing radiographs (c) Occlusal radiographs (ii) Extra-oral: (a) Lateral projections of skull and jaw bones and paranasal sinuses (c) Cephalograms (d) Orthopantomograph (e) Projections of temporomandibular joint [Transcranial (open, close) Transpharyngeal, Transorbital] and condyle of mandible (f) Projections for zygomatic arches (Submentovertex, reverse townes view, PNS) (iii) Specialised techniques: (a) Sialography (b) Xeroradiography 6 Hour

(c) Tomography d) RVG e) RNI f) CT g) MRI h) Ultrasonography 2 3 4 5 6 7 8 9 Radiographic appearance of periodontal diseases Radiographic appearance of cysts- odontogenic & nonodontogenic Radiographic appearance of tumors- odontogenic & nonodontogenic Radiographic appearance of malignant lesions Radiographic appearance of fibro- osseous lesions Periapical radiolucencies Periapical radioopacities Pericoronal radiolucencies 1 Hour 2 Hour 2 Hour 1 Hour 1 Hour 1 Hour 1 Hour 1 Hour

DISCUSSIONS IV YEAR I TERM 1 2 3 Revision of above posting X-ray taking and revision Case discussion by staff on rotation

IV YEAR II TERM 1 Revision Oral medicine Oral radiology 2 Case discussion

LIST OF LECTURES TOTAL: - 65 HOUR IV YEAR I TERM 1. 2 3 4 5 6 7 8 9 10 11 13 - 16 HOUR 2 Hour 2 Hour 2 Hour 1 Hour 1 Hour 1 Hour 1 Hour 1 Hour 1 Hour 1 Hour 2 Hour 1 Hour

Extra-oral radiographic techniques Diseases of salivary glands. Diseases of the TMJ Diseases of nerves Diseases of muscles Forensic odontology Medical emergency management AIDS STD Radiographic appearance of periodontal diseases Radiographic appearance of cysts odontogenic & nonodontogenic Radiographic appearance of fibro osseous lesions

IV YEAR II TERM 1 2 3 4 5 6 7 8 9 10

- 16 HOUR 2 Hour 1 Hour 2 Hour 1 Hour 2 Hour 2 Hour 1 Hour 1 Hour 1 Hour 3 Hour

Radiographic appearance of tumors- odontogenic & nonodontogenic Radiographic appearance of malignant lesions Orofacial pain Geriatrics Immunological diseases Therapeutics: general therapeutic measures Periapical radiolucencies Periapical radiopacities Pericoronal radiolucencies Specialized radiographic techniques: - Tomography, Xeroradiography, RNI - RVG, Ultrasonography - CT, MRI

Scheme of Examination
A. Theory: 100 marks Distribution of Topics and type of Questions Contents Type of Questions and Marks Long essays 2 x 10 marks Short essay 10 x 5 marks = 50 Short answer 10 x 3 marks = 30 Marks

Long essays 1 Long essay from oral medicine 1 Long essay from radiology Short essay 3 Short essay from oral medicine 2 Short essay from radiology Short answer 5 Short answer from oral medicine 5 Short answer from radiology Total

20

50

30

100

B. Viva-Voce: 25 marks Oral Medicine and Radiology = 25 marks

C. Clinical Examination: Case History: X Ray Marks = 40 Marks = 35 Total = 75 Marks

D. Internal Assessment Theory: 25 marks,

Practical: 25 marks

EXAMINATION

THEORY 1. 2nd Internal assessment 2. 3rd Internal assessment

IV/ I IV/ II

3. Preliminary exam at the end of IV / II term

PRACTICAL 1. End posting exam IV/ I

2. Preliminary exam at the end of IV / II term

ORAL & MAXILLOFACIAL SURGERY Goals: To produce a dental surgeon competent enough to perform tooth extraction under both local and general anaesthesia, anticipate, prevent and manage associated complications, recognize underlying medical conditions and modify treatment plan, acquire adequate knowledge and understanding of various congenital, developmental and acquired pathologies, dysfunctions, defects and injuries occurring in the craniofacial region, providing treatment options for common conditions and at the same time being aware of inpatient management of maxillofacial surgical patients.

OBJECTIVES: a) Knowledge & Understanding: At the end of the course of the clinical training the graduate is expected to 1. Application of the knowledge acquired in the related medical subjects like pathology, microbiology and general medicine in the management of patients with oral surgical problem. 2. Good understanding of the evaluation, diagnosis and perioperative management of oral surgical patient. 3. Knowledge of range of surgical treatments. 4. Patient counseling regarding morbidity and dysfunction associated with craniofacial pathologies and anomalies and referring such patients to specialists. 5. Understand the principles of in-patient management. 6. Understanding of the management of major oral surgical procedures and principles involved in patient management. 7. Adequate knowledge of pain and anxiety management. 8. Should know ethical and medicolegal issues and communication ability. b) Skills: 1. Acquire skill to examine any patient with oral surgical problem in a systematic manner and requisition of various clinical and laboratory investigations to arrive at a specific diagnosis. 2. Should be efficient in exodontia both under local and general anaesthesia. 3. Perform minor surgical procedures under local anesthesia like frenectomy, Alveloplasty, Biopsy and suturing techniques. 4. Ability to anticipate prevent and manage complications during and after surgery. 5. Understanding of management of major oral surgical problems and principles involved in inpatient management. 6. Management of medically compromised patients and medical emergencies occurring on dental chair.

DETAILED SYLLABUS Teaching programme for UGs (theory, Practical, Clinical) in brief U.G.

Teaching Hours Theory: 30 Hours I. Introduction a) b) Definition, Introduction, Objectives and Scope. History taking, examination of the patients, investigations and Diagnosis. 3 Hours 2 Hours

II. Emergencies in Dental Practice: a) Cardio Vascular b) Respiratory c) Endocrine disorders d) Drug allergies and interaction e) Tracheostomy III. Oral Surgical Procedure in a) Systemic disease. b) Patients with medically compromised candidates c) Immuno compromised conditions d) Geriatric patients e) Pregnant women IV. Anesthesia Local Anesthesia (L.A) a) b) c) d) e) f)

4 Hours

6 Hours

Neurology of Facial Pain Historical aspects, definition, types of L.A., Indications and contra Indication, advantage and disadvantage. Local Anesthesia drugs, classification. Ideal requirements of L.A. solutions, composition and made of action. Factors to be considered in the choice of particular made of Anesthesia. Complications of L.A., its prevention and management.

V. Anesthesia of Mandible 3 Hours a) Anatomical consideration, infiltration, mental nerve block and Inferior dental nerve block. IV) Anesthesia of Maxilla 3 Hours a) Anatomical consideration, infiltration, infra orbital block, posterior superior Alveolar and Maxillary nerve block. b) Extra oral block Indications and Technique. VI. General Anesthesia (G.A) - History of G.A. - Indications of G.A., in Oral Surgery. - Pre-anesthetic evaluation of the patients. - Pre-medication. 3 Hours

Types of G.A., including I.V. Sedation. Stage of G.A. common general anesthetic agents. Complications during and after anesthesia. Post anesthetic care of the patients. 2 Hours

VII. Asepsis, Sterilisation, Cross Infection and Disinfection Definitions. Terminologies. General considerations. Effective measures in infection control Problems encountered in asepsis and infection control.

VIII. Dento Alveolar Surgery 4 Hours Exodontia a) General Considerations. b) Indications and Contractions. c) Methods of Extractions: - Principles of forceps extraction. - Indications, Principles and surgical procedure of Trans alveolar extraction. - Principles and use of elevators. - Complications of exodontia and management. Recommended books Serial No 01. 02. 03. 04. 05. Book Name HANDBOOK OF LOCAL ANESTHESIA. MONHEIMS LOCAL ANESTHESIA AND PAIN CONTROL IN DENTAL PRACTICE. MINOR ORAL SURGERY. THE EXTRACTION OF TEETH. HAND BOOK OF MEDICAL EMERGENCIES IN THE DENTAL OFFICE. Author MALAMED.S.F. BENNETT.C.R. HOWE.G.L. HOWE.G.L. MALAMED.S.F. Edition 4ED 7ED 3ED 2ED 3ED Year 2001 1984 1985 1980 1989

IV BDS DENTO ALVEOLAR SURGERY 4 Hours Impacted Teeth a) General factors, incidence, etiology. b) Classification, indications for removal of lower third molar. c) Assessment: Clinical and radiological. d) Anesthetic considerations. e) Surgical procedure. f) Maxillary third molar and canine impactions, Incidence, Indications for removal, classification, Assessment and Localisation, Surgical procedure. g) Complication of surgical removal of impacted teeth sent to Endodontics. Endodontic Surgery - Introduction - Classification - Apicoectomy - Replantation Pre-Prosthetic Surgery - Introduction, Aims of Pre- prosthetic Surgery, Classification. - Corrective procedure hard and soft tissue. - Sulcus extension procedure. Principal of Implantology 1 Hours

3 Hours

1 Hours `

Infection of Oral Cavity 5 Hours a) Introduction. b) Microbiology of Odontogenic infections. c) Anatomical consideration and Facial spaces. d) Spread of Infection e) Acute dento alveolar abscess. f) Acute and chronic infections of the Jaws: Cellulitis, Ludwigs angina, actinomycosis, Osteomyelitis, Osteoradionecrosis. g) Management of Infections: Medical - Antibiotics. - Analgesics, Anti-inflammatory drug. Surgical Managment. h) Hepatitis B, & H.I.V. infections. Maxillary Sinus Diseases Applied anatomy, acute and chronic sinusitis, surgical approach to sinus. Removal of tooth or root from the antrum. Oral-antral fistula and its management 4 Hours 3 Hours

Cystic Lesions of the Jaws - General features, definition, Classification. - Pathogenesis, signs and symptoms. - Clinical, radiological and other investigations. - Surgical management and complications of each type of cyst.

Disorders of Tempero Mandibular Joint - Applied anatomy. - Sub-luxation and dislocation of the T.M.Joint - Pain dysfunction syndrome. - Ankylosis of the joints and management. - Infections of the T.M.Joint.

5 Hours

Disease of Salivary Glands 4 Hours - General features, investigations in the diagnosis of salivary gland diseases. - Acute and Chronic infection. - Salivary calculus and its management - Tumors of the salivary glands and its management Neurogenic Disorders: - Nerve injuries - Trigminal Neuralgia. - Glossopharyngeal and Facial Paralysis. - Facial Nerve Palsy. Fracture of Jaws Introduction, Applied Anatomy & types of Fractures. a) Dento Alveolar Fractures b) Mandibular Fractures - Classification - Clinical features & Diagnosis - Preliminary and definitive management. c) Zygomatic complex Fractures d) Middle third Fractures - Classification - Clinical features & Diagnosis. - Outline of immediate and definitive treatment. e) Orbital Fractures f) Nasal Fractures 2 Hours

12 Hours

Development Deformities: 7 Hours a) Deformities of the Jaws: - Basic forms of deformities, Prognathism, Retrognathism and apertognathia. - Reasons for surgical correction, Pre operative planning - Outline of various surgical procedure in mandible and maxilla. b) Cleft Lip and Palate: - Etiology, Incidence, Timing of Repair. i. Role of General dental Practitioner. Tumors of the Head and Neck (Odontogenic and Non Odontogenic) - Clinical Features - Diagnostic techniques - Management Clinicals Students are required to learn the following 1. Case history taking 4 Hours

220 Hours

2. 3. 4. 5. 6. Recommended books Serial No 01 02 03 04 05 06 07

Examination of the patient Recording blood pressure Various anesthetic injections techniques Use of different instruments in Oral surgery Suturing techniques on models orange peel/gloves

Book Name ORAL AND MAXILLOFACIAL SURGERY. KILLEY AND KAYS OUTLINE OF ORAL SURGERY. PART 1. KILLEY AND KAY'S OUTLINE OF ORAL SURGERY, PART II. KILLEY'S FRACTURES OF THE MIDDLE THIRD OF THE FACIAL SKELETON. KILLEYS FRACTURES OF THE MANDIBLE. CYSTS OF THE ORAL AND MAXILLOFACIAL REGIONS. ORAL AND MAXILLOFACIAL INFECTIONS.

Author LASKIN.D.M. SEWARD.G.R; HARRIS.M. SEWARD.G.R; HARRIS.M. BANKS.P. BANKS.P. SHEAR.M. TOPAZIAN.R.G; GOLDBERG.M.H.

Edition 1ED 2ED 2ED 4ED 3ED 4ED 2ED

Year 1985 1987 1987 1981 1985 2007 1987

Scheme of Examination A. Theory: 100 marks

Distribution of Topics and type of Questions Contents Multiple choice questions Entire Portion Long essays 1. One question from Local Anesthesia 2. One question from Oral Surgery Short essays 4 Question from Oral Surgery 1 Question form General anesthesia Short answers Entire portion 9 Question from Oral Surgery 1 Question form Local Anesthesia Total B. Viva-Voce: 25 marks 100 Short answers 10 x 3 marks = 30 30 Short essay 5 x 5 marks = 25 25 Type of Questions and Marks M.C.Q. 25 x 1 = 25 Long essays 2 x 10 marks 20 Marks 25

C. Clinical Examination: 75 marks (i) Case History, Examination of the patient, presenting the case history to the examiners at the chair side 25 Marks (ii) Local Anesthesia techniques 25 Marks (iii) Tooth Extraction and patient management 25 Marks

D. Internal Assessment Theory: 25 marks, Practical: 25 marks

DEPARTMENT OF PEDODONTICS AND PREVENTIVE DENTISTRY

Theory - 65 Hours III Year-30 Hours IV Year-35 Hours 1. INTRODUCTION TO PEDODONTICS & PREVENTIVE DENTISTRY. Definition, scope, objectives and importance. 02 Hours 01Hour

2. GROWTH AND DEVELOPMENT Importance of study of growth and development in pedodontics. Prenatal and postnatal factors in growth and development Theories of growth and development. Development of maxilla and mandible and related age changes. Age Changes of Mandibular foramen. 3. DENTAL ANATOMY AND HISTOLOGY. Development of teeth and associated structures in brief Eruption and shedding of teeth - theories Teething disorders and their management

02 Hours

4. CASE HISTORY RECORDING - Outline of principles of examination, diagnosis & treatment planning. 5. DENTAL RADIOLOGY RELATED TO PEDODONTICS. 6. DENTAL CARIES INCLUDING EARLY CHILDHOOD CARIES Historical background, definition, aetiology and pathogenesis. Caries pattern in primary, young permanent and permanent teeth in children. Rampant caries, early childhood caries and extensive caries: in brief

01 Hour

01 Hour 05 Hours

Definition, aetiology, clinical features, complications and management in detail Role of diet and nutrition in dental caries. Dietary modification and diet counseling. Caries, activity tests, caries prediction, caries susceptibility and their clinical application. 02 Hours

7. PREVENTIVE DENTISTRY. Definition. Principles & scope . Types of prevention.

Different preventive measures used in Pediatric Dentistry including pit and fissure sealants and caries vaccine.

Importance of first permanent molar

8. FLUORIDES. Historical background. Systemic & Topical fluorides. Mechanism of action. Toxicity & Management Defluoridation techniques.

04 Hours

9. PEDIATRIC OPERATIVE DENTISTRY INCLUDING DENTAL MATERIALS. Principles of pediatric operative dentistry.

04 Hours

- Modifications required for cavity preparation in primary and young permanent teeth. based on differences between deciduous and permanent teeth - Various isolation techniques, Matrix bands and retainers Restorations of decayed primary, young permanent and permanent teeth in children using various restorative materials like mainly Glass ionomer, composites and silver

amalgam.

10. GINGIVAL & PERIODONTAL DISEASES IN CHILDREN. Normal gingiva & periodontium in children. Definition, aetiology and pathogenesis. Prevention and management of gingival and periodontal diseases.

02 Hours

11. ORAL SURGICAL PROCEDURES IN CHILDREN. -

01 Hour

Indications and contraindications of extractions of primary and permanent teeth in children.

Knowledge of local and general anesthesia. Minor surgical procedures in children. Age Changes of Mandibular foramen.

12. BACTERIAL, VIRAL & FUNGAL DISEASES IN CHILDREN

02 Hours

13. DEVELOPMENT OF OCCLUSION FROM BIRTH THROUGH ADOLESCENCE. Study of variations and abnormalities

03 Hours

IV Year
14. DEEP CARIES MANAGEMENT PEDIATRIC ENDODONTICS. Principles & Diagnosis. Classification of pulpal pathology in primary young permanent & permanent teeth. Management of pulpally involved primary, young permanent and permanent teeth. o o o o o Pulp capping- direct pulp capping Pulpotomy. Pulpectomy. Apexogenesis. Apexification 04 Hours

Obturation Techniques & material used for primary young permanent & permanent teeth in children.

15. STAINLESS STEEL, POLYCARBONATE & RESIN CROWNS.

01 Hour

16.. TRAUMATIC INJURIES IN CHILDREN : - Classification & importance. - Sequelae & reaction of teeth to trauma . - Management of traumatized teeth. .

05 Hours

17. CHILD PSYCHOLOGY - Definition. - Theories of child psychology. - Psychological development of children with age.

04 Hours

- Principles of psychological growth & development while managing child patient. - Dental fear and its management. - Factors affecting childs reaction to dental treatment. 18. CHILD BEHAVIOUR & BEHAVIOUR MANAGEMENT: Definitions Types of behaviour encountered in the dental clinic. Non-pharmacological & pharmacogical methods of behaviour management. 04 Hours 04 Hours

19. PREVENTIVE & INTERCEPTIVE ORTHODONTICS: Definition.

Problems encountered during primary and mixed dentition phases & their management. Space management Serial extraction

20. ORAL HABITS IN CHILDREN: Definition, aetiology & classification.

04 Hours

Clinical features of digit sucking, Tongue thrusting, mouth breathing & various other deleterious secondary habits.

Management of oral habits in children.

21. DENTAL CARE OF CHILDREN WITH SPECIAL NEEDS. -

04 Hours

Definition aetiology classification, behavioural and clinical features & management of children with. o o o Physically handicapping conditions. Mentally compromising conditions. Medically compromising conditions.

Genetic disorders and aspects in pediatric dentistry

22. DENTAL EMERGENCIES IN CHILDREN AND THEIR MANAGEMENT.

01 Hour

23. SETTING UP OF PEDODONTIC CLINIC

01Hour

24. CONGENITAL ABNORMALITIES IN CHILDREN. - Definition, classification, clinical features & management.

01 Hour

25. DENTAL HEALTH EDUCATION & SCHOOL DENTAL HEALTH PROGRAMMES

01 Hour

26. ETHICS. B. PRACTICALS.

01 Hour

Following is the recommended clinical quota for under graduate students in the subject of Pedodontics & Preventive Dentistry.

PRE CLINICAL EXERCISES Sl No 1 Pre Clinical Work Wax Carving Primary tooth 1. Central incisor 2. Canine 3. Molar 2 Appliances 1. Space Maintainer (Removable). 2. Habit Breaking. 3 Cavity Preparation 1. Primary tooth 2. Permanent tooth CLINICAL EXERCISES : Sl No. 1 2 3 4 5 Extraction Oral Prophylaxes + Fluoride Application Cavity preparation & Amalgam Restoration Cavity preparation & GIC Restoration Case History recording Clinical Internal Assessment Treatment Quota 20 15 10 15 10 03 Class I & II Class - I & II 01 01 01 01 01 Quota

Clinical Demonstrations ( not for examination ) 1. Pulp therapy. 2. Stainless steel crowns for primary teeth. 3. Fixed space maintainers, retainers and eruption guiding appliance.

BOOKS RECOMMENDED & REFERENCE 1. Pediatric Dentistry ( Infancy through Adolescences ) Pinkham.

2. Kennedys Pediatric Operative Dentistry Kennedy & Curzon 3. Occlusal guidance in Pediatric Dentistry Stephen H. Wev. 4. Clinical use of Fluorides - Stephen H. Wev 5. Pediatric Oral & Maxillofacial Surgery Kaban.

6. Pediatric Medical Emergencies - P. S. whatt. 7. Understanding of Dental Caries. Niki Foruk.

8. An Atlas of Glass Ionomer cements G. J. Mount. 9. Clinical Pedodontics - Finn. 10. Text Book of Pediatric Dentistry Braham Morris. 11. Primary Preventive Dentistry Norman O. Harris 12. Hand Book of Clinical Pedodontics - Kenneth. D 13. Preventive Dentistry Forrester 14. The Metabolism and Toxicity of Fluoride Garry M. Whitford. 15. Dentistry for the child and Adolescence Mc. Donald. 16. Pediatric Dentistry Damle. S. G. 17. Behaviour Management Wright 18. Pediatric Dentistry Mathewson. 19. Traumatic Injuries Andreson. 20. Occlusal guidance in Pediatric Dentistry Nakata. 21. Pediatric Drug Therapy Tomare. 22. Contemporary Orthodontics Profitt. 23. Preventive Dentistry. Depaola. 24. Metabolism & Toxicity of Fluoride Withford G. M. 25. Endodontic Practice - Grossman. 26. Principles of Endodontics Munford. 27. Endodontics Ingale 28. Pathway of Pulp Cohen. 29. Management Of Traumatized anterior Teeth Hargreaves.

SCHEME OF EXAMINATION FOR UNDER GRADUATES

A. Theory : 100 Distribution of Topics and Types of Questions Contents Multiple choice questions Long Essay a) One question from the following topics : i) Psychology. ii) Child Behavior, Behavior Management . iii) Dental caries & management in children. iv) Restorative & Esthetic Dentistry in Children. v) Pulp Therapy . vi) Preventive & Interceptive Orthodontics. b) One question from the following topics : i) Occlusal Guidance & Space Management. ii) Management of traumatic injuries to teeth and associated structures in children. iii) Oral habits and their management. iv) Management of handicapped patients. v) Gingival & Periodontal diseases and management in children, Oral surgery for children. Short Essays Introduction, Definition & Scope of Pediatric Dentistry. ii) Applied aspects of Growth and Development. iii) Genetic Aspects. iv) Chronology of Human Dentition. v) Examination, Investigation, Diagnosis & Treatment in Pediatric Dentistry. vi) Setting of Pediatric Dental clinic. vii) Management of developmental and acquired disturbances of teeth. viii) Oral manifestation of systemic diseases. ix) Management of pain. x) Teething Disorders. xi) Fluorides . xii) Bacterial, Viral & Fungal diseases in children . xiii) Dental Health Education & School Dental Health programmes. Questions can be asked from any chapter of the syllabus i) Type of Questions and Marks M.C.Q. 25 x 1 =25 Long Essay 02X10 Marks Marks 25 20

Short Essays 05X0 5 Marks

25

Short Answers 10 X 03 Marks Total

30 100

B. Viva Voce

25 Marks

C. Internal Assessment Theory : 25 Marks, Practical : 25 Marks D. Clinical Examination : 75 Marks

Clinical Examination consists of two exercise:

Exercise 1 : Marks allotted : 25 (Common for all students) -Clinical Examination and recording of Long Case History - Diagnosis, Treatment planning & Management Exercise 2: Marks allotted: 50 (Any one of the following Exercise by lot ) 1. Oral Prophylaxis Fluoride Application Management of Child Oral Prophylaxis Topical Fluoride Application Post Operative Instructions 05 -Marks 20 -Marks 20 -Marks 05 -Marks 10 -Marks 15 -Marks

2. Restoration of Tooth Management of Child Cavity Preparation Isolation, Lining, Matrix Band Application Filling, Carving & Finishing Post- operative Instructions 05 -Marks 20- Marks 10- Marks 10- Marks 05 -Marks

3. Extraction of tooth Management of Child Local Anesthesia Extraction Prescription Post- operative Instructions 05- Marks 15 -Marks 20- Marks 05 -Marks 05 -Marks

BOOKS RECOMMENDED & REFERENCE S. No 1 Pediatric Dentistry Infancy through Adolescents 2 Kennedys Pediatric operative dentistry 3 4 5 Textbook of Pediatric Dentistry Clinical Pedodontics Dentistry for the child and adolescents 6 Pediatric Dentistry Mathewson 3rd 1st 1
st

Title

Author

Editi on 4th 4th 1st 4 8

th th

Year

Publisher

Pinkham J.R

2005

W.B.Sunders

Kennedy & Curzon Stephen Wei Finn McDonald

2002

Wright , Oxford

1988 1995 2006

Lea & Febiger W.B.Sunders Mosby

1995

Quintessence publishing.co

7 8

Principles & Practice of Pedodontics Text Book of Pedodontics

Arathi Rao Shobha Tandon

2006 2001

Jaypee Paras

Pediatric Dentistry

Welbury

3rd

2006

Oxford University

DEPARTMENT OF PERIODONTICS III BDS

GOALS 1. The subject of Periodontics aims at imparting knowledge in understanding the structures and function of Periodontium. 2. It aims at prevention, diagnosis and treatment of diseases affecting the surrounding tissues of teeth OBJECTIVES a. KNOWLEDGE 1. The student is expected to learn the basics of surrounding structures like Gingiva, periodontal ligament, cementum and Alveolar bone , so as to impart this understanding for diagnosing Periodontal diseases in future. 2. To perform basic oral hygiene procedures along with educating and motivating the patients.

b. SKILLS 1. Identification of Plaque and Calculus. 2. Develop skills for Scaling and Root Planning 3. Manual Scaling and Polishing. 4. Oral Hygiene maintenance programs

COURSE CONTENTS
Theory : III Year BDS : 20 Hours 1. Historical background 2. The Gingiva 3. Periodontal ligament 4. Cementum 5. Alveolar Bone 6. Defense mechanism of gingiva 7. Gingival Inflammation 8. Clinical Features of Gingivitis 9. Gingival Enlargement 10. Dental Calculus 11. Periodontal Microbiology 12. Gingival diseases in childhood 13. Classification of Periodontal diseases 14. Acute gingival infections 15. Influence of Systemic Diseases on Periodontium 16. Endocrine disorders and the Periodontium 17. AIDS and Periodontium 18. Periodontal Pocket 19. Chronic Periodontitis 20. Refractory Periodontitis 21. Aggressive Periodontitis 1 Hr 2 Hrs 2 Hrs 1 Hr 1 Hr 1Hr 2 Hr 1 Hr 2 Hrs 1 Hr 2 Hr 1 Hr 2 Hrs 2 Hrs 2 Hrs 2 Hrs 1 Hr 1 Hr 1 Hr 1 Hr 1 Hr

CLINICAL TEACHING HOURS FOR III AND IV BDS Clinical work and case discussion 25 Detailed Case History and Discussion 50 Oral Prophylaxis Demonstration of All Surgical Procedure Maintenance Therapy Total 040 100 030 030 200

Recommended Books Sl No 1 Year of Publication 2006

Author Carranza and Newman Robert Genco, Henry. M. Goldman. D.Walter Cohen Jan Lindhe, T. Karring, N. P. Lang Grant, Stern, Listgarten

Title Clinical Periodontology

Edn 10th

Publisher SB Saunders Company C. V. Mosby Company St. Louis

Contemporary Peridontics

----

1990

Clinical Periodontology & Implant Dentistry Periodontics

5th

Munksguard Copenhagen

2007

6th

Mosby CBS Publishers Indian Edition

1998

Cohen

Atlas of Periodontal Surgery

2nd Ed

C. V. Mosby Company, U. S. A.

1988

DEPARTMENT OF PERIODONTICS IV BDS

GOALS 1. The goal of periodintics is to provide basic and advanced education in periodontics for an improved understanding of periodontal diseases and increased skills in its management. 2. To provide and maintain dental hygiene program including scaling and root planning, and providing education regarding current dental hygiene practices.

OBJECTIVES a. KNOWLEDGE 1. To provide highest quality clinical knowledge and expertise in dept of Periodontics. 2. To achieve academic excellence and provide best oral health care and impart knowledge regarding prevention of periodontal diseases. 3. To provide basic knowledge about Implant Dentistry b. SKILLS 1. Identification and diagnosing appropriate periodontal disease. 2. Plan Treatment according to the individual need of the Patient. 3. Develop skills to perform, scaling, root planning and polishing 4. Develop techniques to educate and motivate the patients

COURSE CONTENTS
Theory : IV Year BDS : 74 Hours Gingival Enlargement Inflammatory Enlargement Drug Induced Enlargement Idiopathic Gingival Enlargement Enlargement associated with Systemic diseases Neoplastic Enlargement False Enlargement Oral Malodor Evidence based Decision Making Periodontal Medicine: Impact of Periodontal infection on systemic health Oral Malodor Aging on the Periodontium Effects of Aging on the Periodontium Classification of Diseases and conditions affecting the Periodontium Epidemiology of Gingival and periodontal disease Acute Gingival Infections Necrotizing Ulcerative Gingivitis Primary Herpetic Gingivostomatitis Pericoronitis Gingival Diseases in Childhood Desquamative Gingivitis and Oral Mucous Membrane Diseases The Periodontal Pocket Bone Loss and Patterns of Bone Destruction Periodontal response to external forces Trauma from occlusion Masticatory system disorders Chronic Periodontitis Necrotizing Ulcerative Periodontitis, Refractory Periodontitis and Periodontitis as a Manifestation of Systemic Diseases Aggressive Periodontitis Localized Aggressive Periodontitis Generalized Aggressive Periodontitis 2 Hrs 1 Hr 1Hr 1 Hr 2 Hrs 1Hr 1Hr 2 Hrs 1Hr 2 Hrs 1 Hr 1Hr 1Hr 1Hr 1 Hr 1 Hr 2 Hrs

AIDS and the Periodontium Pathogenesis Epidemiology and Demographics Oral and Periodontal manifestations Treatment Protocol Clinical Diagnosis Laboratory aids Periodontal Screening and Recording System Radiographic Aids in the Diagnosis of Periodontal Disease Advanced Diagnostic Techniques Risk Assessment Risk factors for periodontal disease Levels of Clinical Significance Determination of Prognosis The Treatment Plan Rationale for Periodontal Treatment Periodontal Therapy in the Female Patient (Puberty, Menses, Pregnancy and Menopause) Treatment of Aggressive Forms of Periodontitis: Refractory, Early-Onset, Necrotizing Ulcerative, and Periodontitis Associated with Systemic Diseases Periodontal Treatment of Medically Compromised Patients Periodontal Treatment of Older Adults Treatment of Periodontal Abscess Non Surgical Therapy Phase I therapy Plaque Control for the Periodontal Patient Toothbrush Dentifrice Tooth brushing Methods Inter dental Cleaning Aids Gingival Massage Oral Irrigation Disclosing Agents

2 Hrs

1 Hr

1 Hr 1 Hr 1 Hr

1 Hr 1 Hr 1 Hr 1 Hr

1Hr. 1 Hr

2 Hrs 1 Hr 1Hr 3 Hrs

Scaling and Root Planning Chemotherapeutic Agents Antibiotics Host Modulation Splints Periodontal Splints Purpose, Classification Local Delivery of Antibiotics Host Modulation Agents Sonic and Ultrasonic Instrumentation Supragingival and Subgingival Irrigation Occlusal Evaluation and Therapy Adjunctive role of orthodontic therapy Periodontic-Endodontic Continuum The Surgical Phase of Therapy Phase II periodontal Therapy General Principles of Periodontal Surgery Out Patient Surgery Hospital Periodontal Surgery Surgical Instruments Surgical Anatomy of Periodontium and Related Structures Gingival Surgical Techniques Gingival Curettage Gingivectomy Treatment of Gingival Enlargement The Periodontal Flap Classification Flap Design Incisons Suturing Techniques The Flap Technique for Pocket Therapy Resective Osseous Surgery Reconstructive Periodontal Therapy Furcation: Involvement and Treatment

1 Hr 2 Hrs

1 Hr

1 Hr

1 Hr 1 Hr 1 Hr 1 Hr 1 Hr 2 Hrs

1 Hr

1 Hr

2Hrs 2 Hrs

2 Hrs

1 Hr 1 Hrs

Periodontal Plastic and Esthetic Surgery Recent Advances in Surgical Technology Preparation of the periodontium for restorative Dentistry Restorative Interrelationship Oral Implantology Biological Aspects of Dental Implants Clinical Aspects of Dental Implants Diagnostic Imaging for the Implant Patient Standard Implant Surgical Procedures Implant related complications and Failures Supportive Periodontal Treatment Dental Ethics Legal Principles: Jurisprudence Dental Insurance Aging and the Periodontium

2Hrs 1 Hrs 1 Hrs 1 Hrs 1 Hr

1 Hr 2 Hrs

1 Hr

CLINICAL TEACHING HOURS FOR III AND IV BDS Clinical work and case discussion 25 Detailed Case History and Discussion 50 Oral Prophylaxis Demonstration of All Surgical Procedure Maintenance Therapy Total 040 100 030 030 200

SCHEME OF EXAMINATION A. Theory : 100 marks Distribution of Topics and type of Questions Contents Type of Questions and Marks Multiple choice questions M.C.Q. 25 x 1 = 25 Long essays One long essay from basics and etiopathogenesis One long essay from treatment Short essays 3 short essay from etiopathogenesis 1 short essays from basics 1 short essays from treatment 4 short answer from etiopathogenesis 3 short answer questions from basics 3 short answer questions from treatment Total B. Viva-Voce : 25 marks Etiopathogenesis Treatment Basics Total PRACTICALS C. Clinical Examination : 75 marks Exercise No.1 : Clinical Case History - Marks : 25 Exercise No.2 : Clinical Work (Oral Prophylaxis) - Marks : 50 10 marks 10 marks 05 marks 25 Marks 100 Short answers 10 x 3 marks = 30 30 Short essay 5 x 5 marks = 25 25 Long essays 2 x 10 marks 20 25 Marks

D. Internal Assessment : 50 Marks Theory: 25 marks Practicals : 25 marks

Recommended Books Sl No 1 Year of Publication 2006

Author Carranza and Newman

Title Clinical Periodontology

Edn 10
th

Publisher SB Saunders Company

Robert Genco, Henry. M. Goldman. D.Walter Cohen

Contemporary Peridontics

C. V. Mosby Company St. Louis

----

Jan Lindhe, T. Karring, N. P. Lang

Clinical Periodontology & Implant Dentistry Periodontics

5th
th

Munksguard Copenhagen

2007

Grant, Stern, Listgarten

Mosby CBS Publishers Indian Edition

1998

S. P. Ramfjord, M. M Ash

Periodontology and Peridontics Modern Theory and practice

---

AITBS Publisher India

1996

T. ITO, J. D. Johnson

Colour Atlas of Periodontal Surgery Atlas of Periodontal Surgery

-----

Mosby & Wolfe. U. S.A.

----

Cohen

----

C. V. Mosby Company, U. S. A.

------

10

PROSTHODONTICS AND CROWN AND BRIDGE INTRODUCTION: Prosthodontics deals with replacement of lost teeth or tissue by means of artificial substitutes. Prosthodontic educational and research focus has evolved dramatically in recent years. This progress resulted from major initiatives like material research, understanding of masticatory system and management of edentulism.

GOAL The goal is to provide in-depth training in removable Prosthodontic in general and removable partial prosthodontics in particular.

OBJECTIVES A) KNOWLEDGE At the end of III BDS course the student is expected to, 1. To understand basis of designing and fabrication of removable partial denture. 2. To provide quality and professional care to all patients.

B) SKILL At the end of III BDS course the student is expected to, 1. 2. Acquire skills of diagnosing and designing of partial denture. Possess skill of treating large diversity of patients.

COURSE CONTENTS Theory : 15 Hours - (I Hour per week) I. Introduction : 1 Hour a. Terminology Definitions History Scope in Prosthodontic therapy b. Stomatognathic system cranio mandibular system (Masticatory apparatus) c. Components of masticatory apparatus Functions d. Applied anatomy, histology and physiology of the components of craniomandibular system e. Applied growth and development including genetics, immunity. f. Reasons for loss of teeth and associated structures.

g. Clinic and laboratory facilities for prosthodontic therapy (equipments, instruments, materials). h. Prosthodontic therapy for diseases of cranio mandibular system. i. Asepsis and cross infection control in clinical and laboratory. Hospital and laboratory waste disposal system and management.

Applied Dental Anatomy : Physiology, nutrition, occlusion, occlusal curves, vertical overlap, horizontal overlap, condylar path, saliva, pain and other reflexes, neuro muscular mechanism and applied psychiatry medicine.

II. Removable Partial Denture Prosthesis : 1 Hour 1. Introduction and scope 2. Terminology 3. Classifications 4. Examination, diagnosis and treatment planning 5. Components of removable partial dentures and their functions

Major connectors: 2 Hours Mandibular major connectors Maxillary major connectors Minor connectors : 1 Hour Functions Form and location Tissue stops Finishing lines Reaction of tissues to metallic coverage Form of occlusal rests and rest seats Rests and rest seats Interproximal occlusal rest seals Internal occlusal rests Incisal rests and rest seals Lingual rests on canines and incisor teeth Possible movements of partial denture Support for rests

Direct retainers: 2 Hours Internal attachments Extra coronal direct retainers Relative uniformity of retention Criteria for selecting a given clasp design Basic principles of clasp design Designs of clasps

Indirect retainers : 1 Hour Denture rotation about an axis Factors influencing effectiveness of indirect retainers Auxillary functions of indirect retainers Forms of indirect retainers Auxillary occlusal rests Canine extensions from occlusal rests Canine rests Continuous bar retainers and linguo plates Modification areas Rugae support Direct indirect retention Denture base considerations Tooth supported partial denture base Distal extension partial denture base : 1 Hour Functions of denture bases Methods of attaching denture bases Ideal denture base material Advantages of metal bases Methods of attaching artificial teeth Need for relining Stress breakers : 1 Hour Types of stress breakers Advantages of stress breakers Disadvantages of stress breakers Advantages of a rigid design Disadvantages of a rigid design Stress breaking principles Principles of removable partial denture design Biomechanical considerations Other factors influencing Differentiation between two main types of removable partial dentures Essentials of partial denture design Components of partial denture design Additional considerations influencing design

Surveying : 2 Hours Description of a dental surveyor Purposes of a surveyor Factors that determine path of placement and removal Step by step procedures in surveying a diagnostic cast Final path of placement Recording relation of cast to surveyor Surveying the master cast Measuring retention and balancing of retention Influence of survey line in designing of clasps Blocking out the master cast Relieving the master cast Paralleled block out, shaped block out, arbitrary block out and relief Preparation of the mouth for removable partial denture Oral surgical preparation Conditioning of abused and irritated tissues Periodontal preparation Periodontal diagnosis and treatment planning Initial disease control therapy Definitive periodontal therapy Recall and maintenance Advantages of periodontal therapy Preparation of abutment teeth Classification of abutment teeth Sequence of abutment preparation on sound enamel Abutment preparation using conservative restorations Abutment preparation using crowns Splinting of abutment teeth Use of isolated teeth as abutment Missing anterior teeth Temporary crowns when a partial denture is being worn Fabricating restorations to fit existing denture retainers

Impression materials and procedures for removable partial dentures : 1 Hour Rigid materials Thermoplastic materials Elastic materials Impressions of the partially edentulous arch Individual impression trays Support for the distal extension denture base Distal extension removable partial dentures Factors influencing the support of distal extension bases Method for obtaining functional support for distal extension base

Occlusal relationship for removable partial denture : 1 Hour Difference in natural and artificial occlusion Desirable occlusal contact relationship for removable partial denture Method for establishing occlusal relationship Materials for artificial posterior teeth Establishing jaw relation for mandibular removable partial denture opposing a maxillary complete denture Laboratory procedures Duplicating a stone cast Waxing the partial denture framework Anatomic replica pattern Spruing, investing, burnout, casting and finishing of the partial denture framework Making record base Occlusal rims Making a stone occlusal template from a functional occlusal record Arranging posterior teeth to an opposing cast Types of anterior teeth Waxing and investing the partial denture before processing the acrylic resin base Processing the denture Remounting and occlusal corrections to an occlusal template Polishing the denture

Work authorization for removable partial denture Work authorization Definitive instructions by work authorization Legal aspects of work authorization Relining and rebasing the removable partial denture Relining tooth support supported denture base Relining distal extension denture base Method of reestablishing occlusion of a relined partial denture Repair and additions to removable partial denture Broken clasp arms Fractured occlusal rests Distortion or breakage of other components Loss of teeth not involved in the support or retention of the restoration Loss of an abutment tooth necessitating its replacement and making a new direct retainer Other types of repair Repair by soldering Temporary removable partial denture Appearance Space maintenance Reestablishing occlusal relationships Conditioning teeth and residual ridge Conditioning the patient for wearing a prosthesis Removable partial denture considerations in maxillofacial prosthodontics : 1 Hour Maxillofacial prosthodontics Intraoral prosthesis design considerations Maxillary prosthesis Mandibular prosthesis Treatment planning Framework design Class I resections Class II resections Mandibular flange prosthesis

Clinicals : - 500 Hours ( Including III & IV year Programme) III B.D.S. 200 hours Work to be done by each student during IIIrd B.D.S. 1. Complete Denture 2. R.P.D. - 2 Nos. - 5 Nos.

Scheme of Examination As per DCI this subject has no Theory or Practical Examination
Recommended Books Sl. No. 1. Author Mc Giveney Glen P. Stuvart Tile MC Craekens Removable Partial Prosthodontics Clinical Removable Partial Prosthodontics Edn 9th Year of Publn. 1995 Publishers Name Mosby Price $ 25.00

2.

II

1997

A.A Grant/W Johnson Dr. Sybille K. Leehner, Prof. A. Roy, Mc Gregor

Removable Denture Prosthodontics Removable Patial

2nd 2nd

---

---

All India Publishers & Distributors Medical Publishers, 920, Poonamalli High road, Chennai - 600084 Longman Singapore Publishers Wolfe Publishing, Europe

Rs. 495

---

---

IV YEAR B.D.S. SYLLABUS (PROSTHODONTICS AND CROWN AND BRIDGE) INTRODUCTION: Prosthodontics is a part of the dental science that improves the esthetic and functional aspects of the oral and maxillofacial region through artificial restoration of the lost teeth and adjacent soft tissues. Prosthodontics has been an integral part of dentistry since time immemorial. With the passage of time this dynamic science has also evolved a great deal. Continuous research has lead to improved concepts and better foundation in this field. GOALS: The goal is to provide information in the basic and the applied sciences, as well as advanced aspects of Prosthodontics. The course is intended to involve all Prosthodontic disciplines including complete and removable prosthodontics, fixed prosthodontics, implant and maxillofacial

prosthodontics. Emphasis is placed on diagnosis and treatment planning with the application of various treatment modalities utilizing a multidisciplinary approach to patient therapy. OBJECTIVES: A. KNOWLEDGE 1. To understand present contemporary, technologically, and biologically-oriented aspects of prosthodontics. 2. To Provide opportunities in research, scientific articles and clinical and/or research presentations 3. To motivate students for research and continuing education in the ever increasing competitive world of dentistry.

B SKILL At the end of IV B.D.S. course students is expected to : 1. Ensure proficiency in diagnosis, treatment planning, and management of multi-disciplinary cases. 2. Practice prosthodontics in a technically competent manner as an integral part of general dentistry practice 3. Provide biologically and scientifically based education in order to render cost effective, satisfactory and world class treatment. 4. Provide quality and professional care to all patients

COURSE CONTENT: Theory: 65 hours

[III B.D.S 15 hours (1 Hour per week), IV B.D.S. 50 hours (2 hours per week) I. Introduction j. k. l. Terminology Definitions History Scope in Prosthodontic therapy Stomatognathic system cranio mandibular system (Masticatory apparatus) Components of masticatory apparatus Functions - 1 Hour

m. Applied anatomy, histology and physiology of the components of craniomandibular system n. Applied growth and development including genetics, immunity. o. Reasons for loss of teeth and associated structures. p. Clinical and laboratory facilities for prosthodontic therapy (equipments, instruments, materials). q. Prosthodontic therapy for diseases of cranio mandibular system. r. Asepsis and cross infection control in clinical and laboratory. Hospital and laboratory waste disposal system and management.

Applied Dental Anatomy: Physiology, nutrition, occlusion, occlusal curves, vertical overlap, horizontal overlap, condylar path, saliva, pain and other reflexes, neuro muscular mechanism and applied psychiatry medicine.

II. Elements of Fixed Prosthodontics (Crown and Bridge Prosthesis) Introduction, definitions Terminologies Indication and contraindications

1 Hour

Examination, diagnosis and treatment planning and radiological interpretations

1 Hour

Selection and choice of abutment teeth Biomechanical principles of tooth preparation Preservation of tooth structure Retention and resistance form Structural durability of the restoration Marginal integrity Preservation of the periodontium

1 Hour 2 Hours

10

Instrumentation Water air cooling Armamentarium

Full veneer crowns Maxillary and mandibular posterior three quarter crowns Anterior three quarter crown Pin modified three quarter crowns Seven eighths crown Proximal half crowns

2 hours

Anterior/ posterior porcelain fused to metal crowns All ceramic crowns Preparation, modifications for damaged teeth Modifications for damaged vital teeth Conversion of defects into retentive features Solution to common problems

2 hour

Endodontically treated tooth Preparation modifications for special situations Preparation for fixed bridge abutment Preparation for removable partial denture abutments

1 hour

Isolation of working field and temporary protections of prepared tooth Gingival retractions and impression procedures Construction of DIES of working models, direct and indirect technique

1 hour

Techniques of fabrication of retainers and materials used, its application with reference of fabrication and esthetics

Selection and fabrication of pontics and esthetics Connectors, stress-breakers and assembly of fixed bridges Finishing, cementing and maintenance of crowns and bridges Laser and high speed

1 Hour

Implants Osseo-integrated supported prosthesis Introduction and scope advantages and disadvantages Classification

1 hour

11

Applied material science, patient evaluation pre-osseo integration and preparation treatment plan, applied surgical procedures Osseointegrated supporting prosthesis occlusion, esthetics insertion and maintenance Examination, diagnosis and treatment planning and other clinical and laboratory procedures.

Maxillofacial Prosthesis

1 hour

Restoration of congenital and acquired oral and para oral defects (Facial Prostheses, including osseo integrated support facial prosthesis). Splints Obturators Bruxism and management of occlusal attrition

Miscellaneous

1 hour

Patient and practice management in prosthodontic clinical ethics, law, jurisprudence and forensic odontology in prosthodontic practice Assistants Laboratories and clinic Communication methods Technician work Authorization, methods and legality During impression recording in partial, complete edentulous situation and maxillofacial defects Precautions and management of traumatic accidents in tooth preparation use of constrictor in anesthetic solutions and retraction cords Ill fitting dentures Broken clasps, facings Broken prosthesis General management of elderly and C.V.S. and immuno-compromised patients

IV. Complete denture prosthesis a. Biomechanics of the edentulous state Mechanism of tooth support Mechanism of complete denture support Masticatory load Mucosal support Residual ridge Psychologic effect on retention Functional and parafunctional considerations Occlusion Functions: Mastication and swallowing Mandibular movements 2 Hours

12

Para functions Distribution of stresses to the denture supporting tissues changes in morphological face height and the temporomandibular joint Face height Centric relation Temporomandibular joint changes Individual behavioral or adaptive response Cosmetic changes Dietary changes Adaptive and psychological changes Adaptive potential of the patient

b. Tissue response to complete denture prosthesis: The aging edentulous patient Soft tissue changes

Effects of Aging:

1 hour

Oral changes Mucosa and skin Residual bone and the maxillomandibular relation Disuse atrophy Changes in the size of the basal seat Maxillo mandibular relations Tongue and taste Salivary flow and nutritional impairment Degenerative changes Dietary problems Psychologic changes

Preparing the patient for complete denture prosthesis

1 Hour

Diagnosis and treatment planning for patient with some teeth Remaining Diagnostic procedures History and records Immediate complaints

3 hours

Systemic evaluation CVS, respiratory, renal, endocrines, CNS and other Temporomandibular joint disorders

13

Intra oral examination Diagnostic cast Interarch space problems Radiographs and other investigations

Treatment Plan Mental attitudes and classification Deciding whether to extract the remaining teeth Pre-extraction record

Diagnosis of patient with no teeth remaining Examination charts and records General observations affecting diagnosis age, sex, occupation, ethnic general health and nutrition social training patient complaints gait Facial features

1 Hour

Radiographic and intraoral examination Advantages of a radiographic examination Intra oral examination Ridge form Ridge relations Arch shape Sagittal profile of the residual ridge Shape of the palatal vault Relation of the hard and soft palate Muscular development Saliva Cheeks and lips Muscle tonus Muscular control Jaw movements Temporomandibular joint problems Tongue size and position Throat form Gagging

14

Development of the Treatment Plan Communicating with the patient Nutrition care of the denture patient Nutritional needs and status of the elderly Calcium and bone health Vitamin supplementation Nutrition counseling

1 Hour

Identification and management of the patient with problems Basic rules to follow to avoid problems Conduction of the comprehensive examination Correctional procedures prior to making prosthesis

1 Hour

Patient behavior characteristics observed during the examination appointment that may indicate future management problems Disrupting regular office routine Overreacting to normal examination procedures Downgrading or criticizing treatment provided by a previous dentist 1 Hour

Use of consultation report Contents of the Report

Economics of prosthodontic service Improving the patients denture foundation and ridge relations Non-surgical methods: Rest for the prosthesis supporting tissues Occlusal and vertical dimension correcting of old prostheses Good nutrition and Conditioning of the patients musculature

Surgical Methods Hyperplastic ridge, epulis fissuratum, and papillomatosis Frenular attachments and pendulous maxillary tuberosities Bony prominences, undercuts, spiny ridges, and non-parallel bony ridges Discrepancies in jaw size Vestibuloplasty Ridge augmentation Replacing tooth roots by Osseo integrated dental implants

Rehabilitation of the Edentulous Patient Biologic considerations for Maxillary Impressions Macroscopic anatomy of supporting structures

2 Hours

15

support for the maxillary denture residual ridge stress-bearing areas incisive papilla posterior palatal area bone of the basal seat

Macroscopic anatomy of limiting structures - Resistant and non-resistant areas Peripheral valvular seal areas

Microscopic anatomy Histological nature of soft tissue and bone Microscopic anatomy of supporting tissues Microscopic anatomy of limiting structures

Clinical Considerations of Microscopic Anatomy

Maxillary Impression Procedures Principles and objectives of impression making Factors of retention of dentures Acquired muscular control Health of the basal seat tissues

1 Hour

Impressions for the edentulous patient Primary impression-Patients position, operators position, stock trays, materials and step by step procedure for making primary impression. Impression trays-special trays and design for final impression Final impression materials

Impression techniques: First technique-border molded special tray Second technique-one step border molded tray Third technique-custom tray design based on the previously worn prosthesis.

Biologic considerations for mandibular impressions Sequelae of tooth loss Macroscopic anatomy of the supporting structures -Stages of changes in the mandible Throat form and tongue positions

2 Hours

16

-Mental foramen area resorption -Insufficient space between the mandible and the tuberosity -Direction of ridge resorption -Torus mandibularis

Macroscopic Anatomy of Limiting Structures: Buccal vestibule External oblique ridge and the buccal flange Masseter muscle region Distal extension of the mandibular impression Retromolar region and pad Influence and action of the floor of the mouth Sublingual gland region Alveololingual sulcus Lingual frenum and lingual notch Lingual flange

Microscopic Anatomy Supporting tissues Crest of the residual ridge Buccal shelf area

Mandibular impression procedures Classification of mandibular impressions Aims and objectives, and theories of impression making Construction Procedures

1 Hour

Biologic considerations in jaw relations and jaw movements Anatomic factors Temporomandibular articulation Classification of jaw relations

2 Hours

Movements of the mandible Practical significance of understanding mandibular movements Methods of studying mandibular movements Influence of temporomandibular joints Clinical understanding of mandibular movement

1 Hour

17

Biologic consideration in vertical jaw relations Anatomy and physiology of vertical jaw relations

1 Hour

Establishment of the vertical maxillomandibular relations for complete denture prosthesis Methods of determining the vertical dimension

Biologic considerations in horizontal jaw relations Muscle involvement in centric relations Orienting centric relation to hinge axis Significance of centric relation

1 Hour

Recording and transferring bases and occlusion rims Trial denture base, or recording base Occlusion rims Guide for esthetics Central line, lip line, canine line, smile line -level of the occlusal plane -preliminary centric relations records

2 Hours

Relating the patient to the articulator Articulators -articulators based on theories of occlusion -articulators based on the type of record used for their adjustment Selection of articulator for complete dentures

1 Hour

Selecting artificial teeth for the edentulous patient Mold charts and shade guides Anterior tooth selection Pre-extraction guides Size of the anterior teeth Form of the anterior teeth The dentogenic concept in selecting artificial teeth

1 Hour

Posterior tooth selection Bucco lingual width of posterior teeth Mesiodistal length of posterior teeth Vertical length of the buccal surfaces of posterior teeth Types of posterior teeth according to materials Types of posterior teeth according to cusp inclines

18

Preliminary Arrangement of Artificial Teeth Guides for preliminary arranging anterior teeth Setting maxillary anterior teeth in wax for try in Setting mandibular anterior teeth in the wax for try in Preliminary arrangement of posterior teeth Setting posterior teeth for try in

1 Hour

Perfection and Verification of Jaw Relation Records Verifying Vertical Dimension Verifying the centric relation Extra oral articulator method

1 Hour

Creating Facial and Functional Harmony with Anterior Teeth: Anatomy of natural appearance and facial expression Normal facial landmarks Maintaining facial support and neuromuscular balance

Basic guides to developing facial and functional harmony Patient acceptance of arrangement of anterior teeth

Completion of the try in: Eccentric jaw relation records articulators and cast adjustments, establishing the posterior palatal seal Protrusive and lateral relations Controlling factors of movement Eccentric relation records Establishing the posterior palatal seal 1 Hour

Arranging Posterior Teeth for Functional Harmony: Importance of occlusion Maintenance of occlusal harmony Differences in artificial occlusion and natural occlusion Reduced inclines in dentures

Rational for arranging posterior teeth in temporomandibular joint disturbances Factors of centric occlusion Critical components in arranging posterior teeth Occlusal schemes used in complete dentures for the edentulous patients Techniques for arranging cusped teeth in Balanced occlusion Techniques for arranging cuspless teeth in occlusion

19

Appearance and Functional Harmony of Denture Bases Materials used for denture bases Acrylic resin Metal Formation and preparation of the mold packing the mold Preserving the orientation relations Construction of remounting casts Completing the rehabilitation of the patient Treatment of the time of the denture insertion Errors in occlusion Interocclusal records for remounting dentures Interocclusal record of centric relation Remounting the mandibular denture verifying centric relation

Patients instructions after care and recall and management of patient complaints: 1 hour Protrusive inter occlusal record Alternative use of plaster inter occlusal records advantages of balanced occlusion in complete dentures Special instructions to the patient -individuality of patients -appearance with new dentures -mastication with new dentures -speaking with new dentures -oral hygiene with dentures Maintaining the comfort and health of the oral cavity in a rehabilitated edentulous patient Twenty four hour oral examination and treatment -adjustments relaxed to the occlusion -adjustments relaxed to the denture bases -subsequent oral examination and treatments

Immediate Denture Treatment -indication for immediate dentures -contraindications to immediate denture service -delayed and transitional dentures -treatment planning -clinical procedures -subsequent service for immediate dentures

1 Hour

20

Single complete dentures opposing natural teeth -maxillary single dentures -clinical and laboratory procedures -subsequent problems with single dentures against natural teeth -mandibular single dentures -supplemental prosthodontic procedures for the edentulous patient

Over Dentures Advantages & Disadvantages Indications & Treatment Planning Selection of abutment teeth Clinical Procedures

1 Hour

Relining or rebasing of complete dentures -treatment rationale -diagnosis -clinical procedures

1 hour

-static impression technique closed and open mouth relines/ rebases -functional impression technique -chair side technique

Repair of Complete Dentures and Duplication of Casts: -Maxillary and mandibular fracture repair -repairs using cold-curing resin

-duplication of casts -reversible hydrocolloid technique -irreversible hydrocolloid technique

Osseointegrated Prosthesis (Dental Implants) for the Edentulous Patient -maladaptive denture behavior -use of dental implants -patient considerations -tissue integration in the edentulous patient

1 Hour

21

Clinicals:

500 hours (including III and IV year programs) Clinical Programs (Assignments)

Clinical requirement III BDS 200 hrs IV BDS 300 hrs

500 hrs

Work to be done by each student during: III BDS

2 complete denture 1 Kennedys class I 1 Kennedys class II

IV BDS
3 Complete dentures 10 Interim partial dentures 1 Immediate complete denture 1 relining of complete denture 1 rebasing of complete denture 2 repair of complete dentures

1. FPD Preparation of crown anterior, posterior, one each 2. Relining and rebasing, repair 1 each immediate denture 1 single Single denture 1 denture 1

Demonstrations of clinical and laboratory procedures for maxillofacial prosthesis, and osseo integrated supported prosthesis*

22

Scheme of Examination A. Theory: 100 marks Distribution of Topics and type of Questions Contents Multiple choice questions Type of Questions and Marks M.C.Q. 25 x 1 = 25 Long essays One long essay from complete denture One long essay from removable partial denture/ fixed partial denture Short essays 4 short essay from complete denture 3 short essays from removable partial denture 3 short essays from fixed partial denture Short answers 4 short answer from complete denture 3 short answer questions from removable partial denture 3 short answer questions from fixed partial denture Total B. Viva-Voce : 25 marks Complete denture Removable partial denture Fixed partial denture Implants, maxillofacial and Allied prosthesis Total C. Clinical Examination : 75 marks (i) Exercise No.1 - Marks : 40 Final impression for an edentulous patient Maxillary or Mandibular 1. Peripheral Moulding 30 marks 2. Impression 10 marks (ii) Exercise No.2 - Marks : 25 Preparation of the tooth to receive all porcelain or metal ceramic crown (on phantom head) (iii) Exercise No.3 - Marks: 10 Designing on the master cast for a RPD frame work Total (i+ii+ iii) = 40+25+10 = 75 Marks D. Internal Assessment Theory: 25 marks, Practicals : 25 marks - 5 marks 25 Marks - 10 marks - 5 marks - 5 marks 100 Short answers 10 x 3 marks = 30 30 Short essay 5 x 5 marks = 25 25 Long essays 2 x 10 marks 20 Marks 25

23

Text Books and Reference Books: Sl. No. 1. 2. Author Boucher Heartwell Title Prosthodontic treatment of edentulous patients Syllabus of complete denture Edn. XII IV Year of publn. 2004 1992 Publishers Name Mosby St.Louis, Missouri, USA. Varghese Publishing House Hindi Rajasthan Building, Bombay, India. Mosby, St.Louis, Missouri, USA. --Quintessence Publications 551, North Kimberly Drive, Carol Stream, IL-601881881 Ishiyaku EuroAmerica, Inc. 716, Hanley Industrial Court, St.Louis Missouri, USA. --Mosby Price $76 Rs.595

3. 4. 5.

Rosenstiel Sharry Shillingburg

Contemporary Fixed Prosthodontics Complete Denture Prosthetics Fundamentals of Tooth Preparation

IV --I

2006 --1987

$70 -- 53

6.

Tylman

Theory and practice of fixed prosthodontics

VIII

1993

$ 69

7. 8.

Jhonston McGiveney Glen P Shillingburg

Modern practice in fixed prosthodontics Mc Crackens Removable Partial Prosthodontics Fundamentals of Fixed Prosthodontics

--9th

--1995

--$ 25.00

9.

III

1997

Quintessence Publications 551, North Kimberly Drive, Carol Stream, IL-601881881 All India Publishers and Distributors Medical Publishers, 920, Poonamalli High Road, Chennai600084. W.B. Saunders Company, Philadelphia, USA. Mosby, St.Louis Missouri, USA.

37

10.

Stewart

Clinical Removable Partial Prosthodontics

II

1997

Rs.495

11.

Skinner

Science of Dental Materials Dental Materials, Properties and Manipulation

1996

$35

12.

Craig

VI

1996

$35

24

13.

Combe

Notes on Dental Materials Contemporary Implant Dentistry Tissue Integrated Prosthesis Dental Crowns and Bridges: Design and preparation Removable Denture Prosthodontics Removable partial

VI

1992

Churchill Livingstone, NY, USA ----Martin Duntiz Ltd., U.K., London Longman Singapore Publishers Wolfe Publishing Europe

$4.95

14. 15. 16.

Carl Misch Branemark Bernard G. N. Smith A.A. Grant/ W Johnson Dr. Sybille K. Leehner, Prof.A. Roy, McGregor Grant Health McCord George F. Kantorowicz Bengt O Wall Arud F. Kayser Gunnar E. Carlsson

------

----1986

------

17.

2nd

--

--

18.

2nd

--

--

19. 20.

Complete Denture A clinical handbook inlays, crowns and bridges Prosthodontics Principles and Management Strategies

Wolfe Publishing Europe Indian Edition by Varghese Company Mosby, Wolfe Mosby-Wolfe

---

21. 22.

---

Recommended Books: sl.no.1,5,6,8,9 Reference Books: sl.no.2,3,4,7,10,11,12,13,14,15-22

25