Annexures - I INSPECTION REPORT For 2nd Year Renewal MDS Course (Units 1, 2 or 3 / Increase of Seats) PROSTHODONTICS AND CROWN

N & BRIDGE Name of the College No. of seats applied No. of seats sanctioned by the State Govt. No. of seats sanctioned by the University DCI Letter No. DE-15( Date of Inspection Date of Last Inspection Name of Inspector (1) Address of the Inspector )-________________________ Dated _________________

Name of Inspector (2) Address of the Inspector

For any clarification please go through BDS/MDS DCI Regulations, 1983, 2006 (Jan.), 2007 (Sept.), 2007 (Nov.) as the case may be.

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GENERAL INFORMATION 1. Name of the Dental College with full address, Email Address, Telephone & Fax No. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ________________________________________ 2. 3. Date of recognition for BDS degree _____________________ State Government Essentiality/ Permission Certificate

Issued By:

No. & Date:

Valid Upto:

4.

University Affiliation (Provisional / Permanent)

Issued By:

No. & Date:

Valid Upto:

5.

PRINCIPAL

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Name of the Principal: Specialty : Address : i. Resi

__________________________________________ __________________________________________ __________________________________________

__________________________________________ __________________________________________ ii. Office __________________________________________

___________________________________________

___________________________________________

Telephone: i. Resi: ii. Office: iii. Mobile: Fax : Email :

__________________________________________ ___________________________________________ ___________________________________________ __________________________________________ __________________________________________

State Dental Council Regn.no. ________________State__________________ Qualification & Experience: adequate/ inadequate

6. Date and number of last annual admission with details*:

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Category SC ST Backward Merit Management Others Total

No. admitted

Dates of admission Commence End

* Note: where admission(s) has/have been done without the permission of the competent authority the reason there of be given in each and every case separately duly certified by the Principal of the Institution.

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7. S. No

DENTAL TEACHING STAFF Faculty Name & DOB Designation

Qualific ation & Year of Passing

University

DCI ID Original CARD Affidavit No with date

Form 16

Details of Teaching Experience in an approved/recognized institution after P.G. (proof of support to be provided) Designation Institution From Period To

Total Present Experience during as on 28th Inspection February of current year

Professor & H.O.D. 1 Professors 1 2 3 Readers 1 2 3 Sr. Lecturers 1 2 3 Lecturers

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1 2 Remarks* (i) Whether the faculty has obtained NOC or not (ii) Whether the faculty was present in any other BDS/MDS inspection in the current academic year. (iii) Whether the faculty has got students registered under him in the previous institution who have yet to complete MDS Course. Give details as follow: Name of the Faculty Name of the Institution Name of the Student (s) Yes / No Yes / No

8. Non Teaching & Technical Staff: S. No Non- Teaching / Technical Staff Required* Available

* As per DCI 2007 MDS regulations

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9. Staff Assessment for Publications: S. No Faculty name & Designation Name of the Journal Category I / II Authorship (1 /2nd/3rd..etc.,)
st

Year of Publication

Points

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10.

Clinical Material (i) Attached General Hospital On the day of Inspection: .

*(should be recorded at the end of the OPD hours)

Average Number of Patients per day in Last Six Months (Total No. of Patients in a month/No. of working days): Month No. of Patients

(ii)

Dental Hospital On the day of Inspection: .

*(should be recorded at the end of the OPD hours)

Average Number of Patients per day in Last Six Months (Total No. of Patients in a month/No. of working days): Month No. of Patients

(iii)

Specialty On the day of Inspection: (UG & PG).

*(should be recorded at the end of the OPD hours)

Average Number of Patients per day in Last Six Months (Total No. of Patients in a month/No. of working days): Month No. of Patients (UG/PG) Minimum requirement (both UG & PG together) Unit 1st Unit 2nd Unit 3rd Unit Starting MDS 25 45 70 2nd Renewal 30 50 75 3rd & 4th Renewal 40 60 80 Recognition 40 60 80

11. SPECIALITY DEPARTMENT INFRA STRUCTURE DETAILS: Inspector1: Inspector 2:

Constructed Area for P.G Study Facility Faculty rooms Clinics Laboratory Space Seminar room Department Library PG common room Patient waiting room Total area (2000sft) as per DCI 2007 regulations Area (Sft.) Available Not Available

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12. Library Details: Books Central Library(Pertaining to Specialty) Department Library Minimum Requirements: Central Library (Pertaining to Specialty) 20 Titles Department Library 10 Titles No. of Titles No. of Books

Journals Specialty & Related Back Volumes Minimum Requirements:

International

National

Specialty & Related 6 - 8 international and 2 - 4 national Back Volumes Minimum 3 International Journals for 10 years

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13. POST GRADUATE ACADEMIC DETAILS: Table I (Pre-Clinical Work*): S.No Name of the Student Year of Study Complete Dentures Removable Partial Dentures Fixed Prosthod ontics Maxillo Facial Prosthesis

* Pre-clinical work as per DCI Revised MDS Course Regulations-2007 Table II: (Clinical Work) S.No. Name of the student Year of study Complete dentures Removable partial dentures Cast Partial dentures

Minimum Requirements: Complete dentures three cases Removable partial dentures two cases Cast partial denture one case Table III: S.No. Name of the student Year of study Attend ance Journal Discussions Seminars Lectures taken for under graduates

Minimum Requirements for each student: 1. Journal Discussions 5 per year 2. Seminars 5 per year 3. Lectures for undergraduates 1 per year Table IV: S.No. Name of the Student Year of Study LD Topic Dissertation topic Approved/Not approved by the University

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14. EQUIPMENTS: DEPARTMENT: Prosthodontics and Crown & Bridge NAME Electrical Dental Chairs and Units SPECIFICATION With shadow less lamp, spittoon, 3 way syringe, instrument tray and suction, micromotor, airotor With Face-bow QTY. One chair & unit per PG student and Two chairs & unit for Faculty 6 6 2 4 2 1 1 2 1 1 2 Availability

Articulators Semi adjustable Airotor & Airmotor Handpieces Micromotor (Lab Type) Ultrasonic Scaler Light Cure Sterilization : - Hot Air oven Autoclave Surveyor Refrigerator X-ray viewer Pneumatic crown remover Needle destroyer

Clinical Lab For Prosthetics Plaster Dispenser Model Trimmer with Carborandum Disc Model Trimmer with Diamond Disc Lathe High Speed lathe Vibrator Acrylizer Dewaxing Unit Hydraulic Press Mechanical Press Vacuum Mixing machine Micro motor lab type Curing pressure pot Pressure molding machine 2 1 1 2 2 1 1 1 1 1 1 2 1 1

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Chrome Cobalt Lab Equipment Duplicator Pindex System Burn-out furnace Welder Sandblaster (micro & macro) Electro Polisher Model Trimmer with Carborandum Disc Model Trimmer with Diamond Disc 1 1 1 1 2 1 2

Model Trimmer with Double disc one Carborandum and one Diamond Disc Casting Machine Motor Cast with the safety door closure Gas blow torch with Regulator Dewaxing Furnace Induction Casting Machine with Vacuum pump, capable of casting Titanium Chrome Cobalt precision Metal Programmable Porcelain Furnace with Vacuum pump Spot Welder with Soldering, attachment of Cable Steam Cleaner Spindle Grinder 24,000 ROM with Vacuum Suction Wax Heater Wax Carver Milling Machine Stereo Microscope Magnifying Work Lamp Heavy duty lathe with suction Preheating furnace Dry model Trimmer Die cutting machine

1 1

1 1 1 1 2 2 1 1 1 1 1 1 2

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Ultrasonic cleaner Composite curing unit Ceramic Lab Equipment Ceramic Furnace Ceramic Kit (instruments) Ceramic Materialx Implant Equipment Implant Kit Implants Prosthetic Components Unit Mount Light Cure X-ray Viewer Ultrasonic Cleaner Implant Micro Surveyor Camera Electrical Dental chairs and Units Strengthen Unit X-ray Machine Short cycle autoclave (KAVO) Refrigerator Surgical Kit Sinus lift instruments set Educating Models

1 1

1 6

2 25 25 2 2 1 1 1 2 1 1 1 1 2 1

Note : These requirements are in addition to requirement for BDS Course .

15. Overall Impression: Deficient Infrastructure Satisfactory

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Clinical Material Staff Assessment Student Assessment Library facilities Equipment Overall Department Assessment

16. Any other Observations (not more than 3 lines): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

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