Syllabus nd 2 B.D.S. Examination Syllabus for Second B.D.S. Examination The teaching and training progamme in Second year BDS included pre-clinical subject namely general Pathology & Microbiology. General & dental Pharmacology and Therapeutics, Dental Materials and Pre-clinical Conservative Dentistry and Pre-clinical Prosthodontics, Crown & Bridge. The subject for Second B.D.S. examination 1) General Pathology & Microbiology 2) General & Dental Pharmacology and Therapeutics 3) Dental Materials 4) Pre-clinical Prosthodontics, Crown & Bridge 5) Pre-clinical Conservative Dentistry Minimum working hours for each subject of study Subject Lecture Hours Practical Hours Total Hours General & Dental Pharmacology and Therapeutics General Pathology 70 20 90 55 55 110 Microbiology 65 50 115 Dental Materials 60 200 260 Oral Pathology & Microbiology 25 50 75 25 + 35 200 260 25 + 35 200 260 395 775 1170 Pre-clinical Prosthodontics, Crown & Bridge + Prosthodontics Lectures Pre-clinical Conservative Dentistry + Lectures Total Attendance 75% attendance in Theory in each term and 80% attendance in Practical / clinical in each term is must to appear for University examination Attendance will be displayed at Dept. Notice Board monthly, quarterly, Term wise and Annually Subject – 1 : GENERAL PATHOLOGY & MICROBIOLOGY (A) Gen. Pathology I. CORE VALUE STATEMENTS The goal of the curriculum is to produce - Competent - Confident - Compassionate and - Concerned humane who can deliver ethical dental care. II. GOAL At the end of the course, the student should be competent to apply the scientific study of disease process, which results in morphological and functional alterations in cells, tissues and organs in the practice of dentistry. III. Core Competency- As per the Vision & Mission of the institute to prepare health care professional who is competent Enough to serve as a dental surgeon, should be able to teach, be able to work as researcher, and also as a community oriented worker. IV. PROGRAMME OBJECTIVES a) KNOWLEDGE: 1. 2. 3. 4. 5. To demonstrate and apply basic facts, concepts and theories in the field of Pathology. To recognize and analyse pathologic changes at macroscopic and microscopic levels and explain their observations in terms of disease processes. To integrate knowledge of basic sciences with clinical medicine and dentistry in the study of Pathology. To demonstrate the understanding of the capabilities and limitations of morphological pathology and changes in its contribution to medicine, dentistry and biologic research. To demonstrate ability to identify and refer the resource material in consultation with outside lectures, laboratory and tutorials. b) SKILL: At the end of the course, the student should be able to: Describe the rationale and principles of technical procedures for the diagnostic laboratory tests. 2) Interpret diagnostic laboratory tests and correlate with clinical and morphological features of diseases. 3) Perform the simple bed-side tests on blood and urine. 1) V. LEARNING STRATEGY 1) Didactic lecture 2) Integrated teaching 3) Problem based learning 4) Lecture Demonstrations 5) Practicals 6) Home Assignments 7) Student seminar VI. TEACHING STRATEGY 1. Didactic lecture 2. PBL 3. Integrated teaching 4. 5. 6. 7. 44 hours Lecture Demonstrations, Practical Home Assignments Student seminar }1 1 hours 15 hours 30 hours 10 hours VII. TEACHING MEDIA • • • • Chalk and board OHP LCD Museum specimens VIII. TOPIC WISE DISTRIBUTION OF HOURS 1. 2. 3. 4. General Pathology – 37 hrs Immunopathology 3 hrs. Systemic pathology – 11 hrs Hematology – 4 hrs. VII. TERM WISE TOPIC DISTRIBUTION I TERM 1. General Pathology - 30 hours II TERM 1. General Pathology - 7 hrs 2. Immunopathology - 3 hrs 3. Hematology – 4 hrs 4. Systemic Pathology- 11 hrs VIII. COURSE CONTENT: A) GENERAL PATHOLOGY I) Introduction of Pathology 1. Introduction to Pathology: Introduction: basic sub specialties, working methodologies, techniques. Must Know - Definition of common terms, Branches of Pathology II) Cell Injury 2. Cell injury Must Know - Definitions and causes of cell injury. 3. Modes of cell injury:Must Know - Able to appreciate various mechanisms of cell injury & co-relate them with morphological changes. 4. Intracellular accumulations and alterations: Must Know - Alterations in reversible /irreversible cell injury along with alterations in cell organelles and cytoskeleton, Fatty change, Cloudy swelling, Hyaline change, Mucin & Myxomators degeneration. 5. Amylodosis Must Know - Definition, physical characters, chemical characters, classification, pathogenesis, morphology, clinical correlation and lab diagnosis. 6. Necrosis, Gangrene and Apoptosis: Must Know - Able to recognize types of necrosis with underlying mechanism and gangrene its types, gross and microscopic appearance Apoptosis.- Definition, characteristic features with examples. 7. Calcification Must know- Definition, types, mechanism, difference between Metastatic and Dystrophic Calcification. III) Inflammation & Healing 8. Acute inflammation: Must know - Define and describe changes occurring in Blood vessels & tissues in acute inflammation and integrate the changes with morphological patterns. Differentiate between transudate and exudates. 9. Chemical mediators of inflammation: Must Know - Definition, Classification, description of each type, their role in various phases of acute inflammation. Desirable to Know - NO & Lipoxin 10. Chronic inflammation (including granulomatous): Must know - Differentiate it from acute inflammation, Enumerate type and describe etiology, patterns and systemic effects of granulomas such as Tuberculosis, Leprosy and Syphilis 11. Regeneration and repair (general): Must know – Define & describe regeneration and repair with example and understand the mechanisms and list the factors influencing repair and it complications. 12. Repair in specialized tissues: Must know – Describe repair in fracture of bone and parenchymal organs and list modifying factors and their complications. IV) Hemodynamic disorders 13. Edema: Must know - Define edema, describe pathophysiology of edema and its classification and describe pathogenesis and correlate morphology with clinical significance of each type of edema. 14. Shock: Must Know – Define, classify and understand the pathogenesis, recognize the stages, clinical course of shock. 15. Thrombosis: Must Know - Definition types, Describe etio-pathogenesis, morphology and effects of thrombosis and its fate. Nice to Know - Hemocystenemia, factor V Leiden mutation 16. Ischaemia & Infarction: Must Know - Definition of ischaemia, causes, factor determining its extent. - Infarction, Definition, types pathophysiology effects and clinical significance. 17. Embolism: Must Know- Define & Enumerate types of embolism and recognize Morphological changes and correlate with clinical significance. 18. Hyperemia and Hemorrhage: Must Know - Definitions, morphology of acute and chronic congestions, clinical significance of hemorrhage. V) Neoplasia 19. Cellular Adaptations/Growth disturbances : Must know - Define the various growth disturbances and appreciate the clinical significance of each 20. Neoplasia – Nomenclature and classification. : Must know - Define important terms, classify and differentiate benign from malignant neoplasms. Enumerate characteristic features of malignant tumour, describe each feature in detail, mechanism of invasion and metastasis. 21. Carcinogenesis: Must know - Understand carcinogenesis and its classification. Discuss mechanism of chemical carcinogenesis. P53 gene, Cell cycle Desirable to Know- viral carcinogenesis. 22. Molecular Biology and Lab. diagnosis: Must know- Understand paraneoplastic Syndrome and premalignant conditions. Recommend the diagnostic workup for detection of cancer. 23. Grading and staging : Must Know - Grading of cancer, staging of cancer. VI) Immunopathology 24. Hypersensitivity reactions: Must know - Classify, differentiate between different types of Hypersensitivity reaction. Desirable to Know – Transplant rejections Nice to Know – Autoimmunity VII) HIV 25. AIDS: Must Know - Understand the natural history of the disease and Desirable to Know- recommend relevant investigations and management. VIII) Nutritional disorders 26. Rickets and scurvy Must know- manifestations of deficiencies of vitamin C and D IX) Metabolic Disorders 27. Diabetes mellitus: Must Know - Definition Classification, Pathogenesis in common type, system involvement and their sequel Desirable to Know - Investigation in Borderline Diabetes mellitus. B) HAEMATOLOGY – 28. Hemopoietic System – Introduction to hematology and hemopoiesis : Must Know - Understand the importance of hematology in clinical practice and enumerate the stages of hemopoiesis. 29. Lab diagnosis of Anemia (general): Must Know – Definition, classify anemia by various methods, clinical features and lab approach to anemia. 30. Leukemia: Must know - Classify and differentiate different types of leukaemias. Emphasis on Morphological features Desirable to Know- Cytochemistry & Immunophenotyping 31. Hemorrhagic disorders: Must know – Classify hemorrhagic disorders, describe laboratory screening tests for hemorrhagic disorders. C) SYSTEMIC PATHOLOGY I) Cardio vascular system 32. Atherosclerosis: Must Know - Definition, etiopathogenesis, gross and microscopic description, complications with clinical correlation and outcome. 33. Hypertension: Must Know - Definition, predisposing factors, mechanisms of the disease with the clinical course. 34. Ischemic heart disease: Must Know - Normal blood supply of Heart, Incidence, risk factors, Pathogenesis, morphological changes, clinical course, complications and investigations. 35. Rheumatic heart disease :- Incidence, etiopathogenesis, morbid anatomy, histopathology, Cardiac & extra cardiac lesions, clinical course and sequel. Must Know – Infective endocarditis – Pathogenesis and morphology, differential diagnosis of cardiac vegetations, etiology. 36. Congenital heart disease: Nice to Know - Gross appearances of different cardiac malformations, relations to the clinical consequences of the lesions. 37. Cardiac failure Must know- pathophysiology, types and causes of cardiac failure Salivary gland II) 38. Lesions of salivary glands: Must Know - Differential diagnosis of swelling of salivary glands. Desirable to Know – normal structure of salivary glands, sialadenitis and tumours. III) Oral cavity 39. Sr. No. 1. 2. 3. Lesions of oral cavity Must know- Lichen planus, leukoplakia, stomatitis, squamous cell carcinoma, dental caries, Dentigerious cyst, Ameloblastoma Name of Chapter Name of Topic INTRODUCTION - Introduction to Pathology CELL INJURY - To describe the structure and Ultra structure of sick cell, Causes and mechanism of Reversible and Irreversible cell injury and different types of contents in a cell. - cloudy swelling, fatty change - hyaline degeneration, Mucoid degeneration, Myxomatous degeneration DEGENERATION 4. AMYLOIDOSIS 5. NECROSIS AND GANGRENE 6. APOPTOSIS 7. CALCIFICATION 8. INFLAMMATION To describe definition, physical characters, chemical characters, classification, pathogenesis, morphology, clinical correlation and lab diagnosis - To describe the mechanism of cell death and structure and ultrastructure of a dead cell and to correlate Structural & functional alternation in Necrosis and Gangrene (Dead tissue) To describe definition, characteristic features with examples. To describe definition, types, mechanism, difference between Metastatic and Dystrophic Calcification - To understand and describe the Mechanism & Patterns of tissue response to injury & should be able to No. of Class 1 Total 1 2 2 1 5 1 6 1 2 8 1 9 1 10 6 GRANULOMAS 7 HEALING REPAIR 8 HAEMODYNAMIC S - 9. 10. 11. 11. 12. 13. AND appreciate Pathophysiology of disease process which govern the tissue response to injury such as: - Vascular Phenomena - Cellular Phenomena - Chemical mediators-Plasma & Local factors, their Mechanism, Morphological types of inflammation. To describe the tissue response to special types of organisms or agent Their classification: TB, Leprosy, Syphilis. To describe steps or sequence that takes place during restoration of damaged part to normal with structural and Ultra structural changes. - To describe the pathophysiology (Process) which control maintenance of Homeostasis, Mechanism of their disturbances, Morphological and clinical manifestations associated with them. - Venous congestion & hemorrhages. - Thrombosis - Embolism - Infarction - Edema: General classification, mechanism with special ref. to cardiac, renal and nutritional types. - Shock To develop an understanding and the ability to describe the structure of normal cells; Causes and Mechanism of alteration of normal cell into a neoplastic cell; Morphology: gross and microscopic appearances of neoplastic cells; The outcome of such disease process like metastasis. - Growth and its disorders. - Neoplasia - Characters of Malignant tumors, difference between benign and malignant tumours. - Carcinogenesis – Physical, chemical hormonal viral, miscellaneous theories, Mechanism based on Molecular level of Proto-oncogene - Lab. Diagnosis of cancer. - Description of common tumors. - Paraneoplastic syndromes. IMMUNOPATHOLOGY - Hypersensitive reaction. - Graft vs. Host reaction. HIV and AIDS Disturbances in nutrition Rickets Scurvy Metabolic disorders- diabetes mellitus HAEMATOLOGY – Introduction – Lab diagnosis of anemia – Lab diagnosis of Leukemia – Lab diagnosis of bleeding disorders 2 2 2 2 18 3 21 2 23 2 1 29 2 1 1 2 35 2 1 37 2 1 38 39 1 1 40 44 1 1 1 1 14 SYSTEMIC PATHOLOGY – To develop an understanding and the ability to describe mechanism and causes of disease, and to correlate normal and altered morphology of different organ and systems in common diseases and their clinical significance. CVS - Atherosclerosis - Hypertension. - Ischaemic heart disease - Infective Endocarditis, Rheumatic Heart Disease - Cardiac failure - Congenital heart disease 15. Diseases of oral cavity 16. Diseases of Salivary lesions 17. RETICULOENDOTHELIAL SYSTEM 18. BONES & JOINTS 1 1 1 1 1 1 1 50 1 52 Lymphomas. 1 53 Structure of Bone & Repair. Inflammatory lesions. Neoplasm 1 1 55 Lichen planus, stomatitis, leukoplakia, squamous cell carcinoma, dental caries, dentigenous cyst, ameloblastoma Normal structure, sialadenitis, tumours TOTAL 51 55 IV) Lymphoid System 40. Hodgkin’s Lymphoma: Must Know – Definition, classification, salient diagnostic features and clinical course. 41. Non-Hodgkin’s Lymphoma: Must Know - Definition, classification, salient diagnostic features and clinical correlation. V) Musculoskeletal System 42. Non-neoplastic lesions of bone and joints: Must Know – Etiopathogenesis and morphological changes of common arthritis(rheumatoid and osteoarthritis) and osteomyelitis. 43. Tumours of bone, cartilage and joints : Must Know – Classification, radiological and pathological features of important bone tumours (Osteosarcoma, GCT and Ewing’s sarcoma). Nice to Know - Other bone tumors INTEGRATED TEACHING At the end of the course the students shall be able to apply his/her basic science knowledge in dental practice of so as to integrate the relationship of different etiological factors (social, economic and environmental) with mechanism of diseases. LIST OF LECTURES WITH EDUCATIONAL OBJECTIVES Aim of teaching undergraduate students in Pathology to provide comprehensive knowledge, mechanism (pathogenesis) and causes (etiology) of disease for understanding natural history, different terms and clinical manifestation of Disease. PRACTICAL A) GENERAL PATHOLOGY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. B) Microscopy and tissue processing Intracellular accumulation Acute inflammation Chronic inflammation and Repair Thrombosis, embolism, infarction Edema and congestion Tuberculosis & Leprosy Disturbances of growth (Atrophy, hypertrophy, hyperplasia, metaplasia, dysplasia, hypoplasia.) Neoplasm- benign. Neoplasm- malignant. REVISION HAEMATOLOGY 1. 2. 3. 4. 5. 6. 7. 8. D) Collection of specimen, anticoagulants common hematological test Hemoglobin common hematological test- total RBC and WBC count Differential leucocytes count Interpretation of ESR. Bleeding time and clotting time Blood Grouping REVISION CLINICAL PATHOLOGY 1. 2. 3. Urine physical and chemical examination. Urine examination- microscopic REVISION PRACTICALS Pract. No. SUBJECT SLIDES & MATERIAL DEMONSTRATION SPECIMENS HISTOPATHOLOGY – Learning Objective At the end of the practical the student should be able to1. Understand the importance of clinical history for the organ system provided. 2. Apply clinical history for the diagnosis of relevant organ system disease. 3. Describe the gross features of organ system and its interpretation 4. Diagnose surgicopathological condition on gross 5. Describe microscopic features of H&E stained histopathology slide. 6. Interpret histopathological feature with clinical diagnosis. 1. Microscopy & Tissue Processing 2. Intracellular accumulation Students will be taken to Histopathology & tissue processing will be demonstrated. Cloudy swelling of Kidney, Hydatidiform mole, kidney amyloidosis Special stains slides Congo Reticulin PAS VG Congo red stain for amyloid 3. Acute inflammation Acute appendicitis Acute meningitis Acute fibrinous Pericarditis 4. Chronic inflammation & Chronic appendicitis Chronic Glomerulonephritis Chronic. Pyelonephritis Fresh thrombus Myocardial infraction Kidney infarct Lung infarct Organised Edema Lung Repair 5. Circulatory disturbances 6. Circulatory disturbances CVC Liver CVC lung 7. Tuberculosis & TB Lung TB Lymph node Leprosy 8. 9. Disturbances in Growth Neoplasm- benign Lepromatous leprosy Tuberculoid leprosy Bown Atrophy Metaplasia Dysplasia Lipoma, leiomyoma, hemangioma - thrombus - Histoid leprosy Dysplasia Cervix - Chronic villi showing hydropic change Acute appendicitis Acute meningitis Acute fibrinous pericarditis TB lung Myocardial infarct Kidney infarct Lung infarct CVC Liver CVC Lung TB Intestine Fibrocaseous TB lung Miliary TB lung Left Ventricular Hypertropy Lipoma, leiomyoma 10. Neoplasm- malignant 11. REVISION Squamous cell carcinomaskin, squamous cell carcinomapenis Specimens covered from practical no.1-10 Squamous cell carcinoma, adenocarcinoma, melanocarcinoma, basal cell carcinoma Slides covered from practical no. 1-10 HEMATOLOGY - Learning Objective At the end of the practical, the student should be able to know1. The basic instruments to be used for the experiment 2. The working principle of the specific instruments and the tests to be used 3. Method of estimation of values of the test. 4. Normal values of the test and the clinical interpretation of the same 12. Collection of specimen, EDTA, citrate, Anticoagulant & heparin,floride, oxalate - Anticoagulant Bulbs Anticoagulants bulb 13. Common hematological Hemoglobin - Common hematological Total RBC and WBC - test count - test 14. 15. Interpretation of ESR Westegrens and Wintrobes tube 16. Investigation in Bleeding time Clotting time ABO blood grouping RH typing coombs Anti A test Anti B Haemorrhagic disorder 17 Blood Banking Anti D CLINICAL PATHOLOGY - Learning Objective At the end of the practical the student should be able to know1. The basic instruments to be used for that experiment 2. The working principle of the specific instruments and the test to be used. 3. Observation and interpretation of gross and microscopic findings. 4. How to estimate values of the test. 5. Normal values of the test. 6. The clinical interpretation of the sample provided. 18. Urine Examination Physical exam Cast & crystals Chemical exam 19. Urine examination Microscopic - Albuminometer Urinometer - BOOKS RECOMMENDED a) b) c) d) e) Text book of Pathology by Harsh Mohan for dental students, 6th edition Essentials of hematology by Kawthalkar Practical pathology by Harsh Mohan Text book of Pathology by Robbins, 8th edition Clinical hematology by Daisy Assessment Tool – Theory: MCQ, SAQ, LAQ, Viva Voce. Practical: OSPE & Other exercises. SCHEME OF UNIVERSITY EXAMINATION: Maximum marks for Gen. Pathology d. Theory Maximum Marks b. Practical Marks : 50 : 50 Break up of Marks for Gen. Pathology 3) Theory: Max. Marks j. University Written Exam : 50 : 35 k. Grand Oral (Viva Voce) : 10 l. : 05 Internal Assessment 4) Practical’s: Max. Marks : 50 g. University Practical Exam : 45 h. Internal Assessment : 05 Subject – 1 (b)MICROBIOLOGY Introduction: To introduce the students to the exciting world of microbes. To make the students aware of various branches of microbiology, importance, significance and contribution of each branch to mankind and other fields of medicine. 1. Core Value To prepare the health care professional who is confident, competent, concerned & compassionate humane who can deliver ethical dental care. 2. Goal : The broad goal of teaching Microbiology to BDS student is : • To provide the student comprehensive knowledge of bacteria, fungi , parasites & viruses which can cause infection to the human being and how to diagnose infectious diseases by laboratory tests. • To fascilitate and understanding of the defence mechanism of the host (human) to resist those infectious agents. 3. Core Competency: • As per the Vision & Mission of the institute to prepare health care professional who is competent enough to serve as a dental surgeon, should be able to teach, be able to work as researcher, and also as a community oriented worker. 4. Programme Objectives : g. Knowledge & understanding : At the end of the course the student will be able to 1. Understand the basics of various branches of microbiology and to apply the knowledge relevantly. 2. Apply the knowledge gained in related medical subjects like General Medicine and General Surgery and Dental subjects like Oral Pathology, Community Dentistry, Periodontics, Oral Surgery, Pedodontics, Conservative Dentistry and Oral medicine in higher classes. h. Skills : 1. Students should have acquired the skill to diagnose, differentiate various oral lesions. 2. Should be able to select, collect and transport clinical specimens to the laboratory. 3. Should be able to carry out proper aseptic procedures in the dental clinic. i. Attitude : 1. A graduate should develop during the training period the following attitude, 2. Willing to apply the acquired knowledge of Microbiology in the best interests of the patients and community. 3. Maintain a high standards professional ethics and conduct and apply these in all aspect of professional life. 4. Should participate in CDE programme to updates the knowledge and professional skill from time to time. 5. Course content – Learning Objectives of the course: 1. Explain how the different microorganisms can cause human infection is in oral cavity. 2. Understand commensal, opportunistic and pathogenic organisms and describe host parasite relationship. 3. Explain the various defence mechanisms of the host against the microorganisms which can cause human infection. 4. Have a sound understanding of various infectious diseases and lesions in the oral cavity. 5. Understand and practices various methods of sterilization and disinfection in dental clinics. The following topics will be taught to achieve the above objectives, Theory : General Microbiology 1. Introduction, History, Scope, Aim & objective 2. Morphology and Physiology of Bacteria 3. Sterilization and Disinfection 4. Culture media and culture techniques 5. Bacterial genetics and drug resistance in bacteria 6. Normal microbial flora of oral cavity Immunology 1. Infection 2. Immunity 3. Structure and functions of Immune system 4. Complement system 5. Antigen 6. Antibodies 7. Immune response 8. Antigen – Antibody reactions & Immuno deficiency disorder 9. Hypersensitivity reactions + autoimmune disorders Systematic Bacteriology 1. Staphylococcus 2. Streptococcus, Cariogenic Streptococci 3. Pneumococcus 4. Neisseria : Meningococcus ( mainly ) 5. Corynbacterium diptheriae 6. Mycobacterium Tuberculosis 7. M. Leprae & Atypical mycobacteria 8. Clostridium perfringeus - Clostridium tetani 9. Non – sporing anaerobes 10. Spirochaetes 11. Actinomycetes 12. Noscomial infection 13. Biosafety & Biomedical waste management Virology 1. Introduction & General Properties of viruses - Cultivation - Host – virus interaction 2. Brief account of laboratory diagnosis & immuno prophyaxis in general 3. A few viruses of relevance to dentistry • Herpes virus • Hepatitis B viruses including HCV , HDV • Human Immunodeficiency Virus (HIV) • Mumps Virus , Measles & Rubella Virus Mycology 1. Introduction 2. Candidiasis 3. Briefly on oral lesions of Systemic Mycoses 4. Cryptococcus & Histoplasma Parasitology 1. Introduction 2. Mode of transmission and prevention of commonly seen parasitic infection: • Protozoa E. histolytica , Giardia , Trichomonas , Malaria • Helminths Round worm , Hook Worm , Tape worm , W. bancrofti Practical : • • • • • • • Light Microscope , Principal, & other special Microscope Sterilisation & Disinfection Staining ( Gram Staining & ZN Staining ) Culture Media Culture Methods Selection, collection transport of clinical specimens and identification of bacteria Systemic Bacteriology • • - Staphylococcus - Streptococcus - Pneumococcus - Gonococcus - Meningococcus - C. diphtheriae - M. Tuberculosis , Atypical Mycobacteria - M. Leprae Virology Mycology j. TOTAL DURATION OF TEACHING OF MICROBIOLOGY: Total number of teaching hours allotted for Microbiology • Theory - 65 hrs • Practical - 50 hrs • Total - 115 hrs k. TEACHING LEARNING STRATEGIES : Theory a. Didactic lectures - (52 hrs) b. Interactive (PBL , integrated teaching, Seminar / Tutorial) - 13 hrs. Practical: Teaching Methods : • Didactic • Seminar/ Tutorial • PBL • Integrated • Interactive • SGD • Demonstration l. Hour – wise Syllabus : Hour – wise distribution of topics ( 65 hrs) Name of Chapter General Microbiology ( 12 hrs ) Immunology ( 15 hrs ) Systematic Bacteriology ( 20 hrs ) Virology ( 11 hrs ) 1. 2. 3. 4. 5. 6. Name of Topic Introduction, History, Scope, Aim & objective Morphology and Physiology of Bacteria Sterlisation and Disinfection Culture media and culture techniques Bacterial genetics and drug resistance in bacteria Normal microbial flora of oral cavity 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. • • • • • Mycology ( 04 hrs ) Infection Immunity Structure and functions of Immune system Complement system Antigen Antibodies Immune response Antigen – Antibody reactions & Immuno deficiency disorder Hypersensitivity reactions + autoimmune disorders Staphylococcus Streptococcus, Cariogenic Streptococci Pneumococcus Neisseria : Meningococcus ( mainly ) Corynbacterium diptheriae Mycobacterium Tuberculosis M. Leprae & Atypical mycobacteria Clostridium perfringeus a. Clostridium tetani Non – sporing anaerobes Spirochaetes Actinomycetes Noscomial infection Biosafety & Biomedical waste management Introduction & General Properties of viruses a. Cultivation b. Host – virus interaction Brief account of laboratory diagnosis & immuno prophyaxis in general A few viruses of relevance to dentistry Herpes virus Hepatitis B viruses including HCV , HDV Human Immunodeficiency Virus (HIV) Mumps Virus Measles & Rubella Virus 32. Introduction 33. Candidiasis No. of Hours 01 02 01 01 01 01 01 01 01 01 01 01 01 02 02 01 02 01 01 01 02 01 01 01 01 02 01 01 01 02 01 01 01 02 02 01 01 01 34. 35. 36. 37. Parasitology ( 03 hrs ) • • Briefly on oral lesions of Systemic Mycoses Cryptococcus & Histoplasma Introduction Mode of transmission and prevention of commonly seen parasitic infection: Protozoa A. E. histolytica B. Giardia C. Trichomonas D. Malaria Helminths E. Round worm F. Hook Worm G. Tape worm H. W. bancrofti 01 01 01 01 01 Syllabus for IInd B.D.S (Practical) 50hrs Name of Topic No. of classes ( 2 hrs each ) 01 • • Light Microscope Principal, & other special Microscope • Sterilisation & Disinfection 02 • Staining - Gram Staining - ZN Staining 03 01 03 • Culture Media 02 • Culture Methods 02 • Selection, collection transport of clinical specimens and identification 01 of bacteria • Systemic Bacteriology - Staphylococcus Streptococcus Pneumococcus Gonococcus Meningococcus C. diphtheriae M. Tuberculosis , Atypical Mycobacteria M. Leprae Clostridium Treponema Pallidum 01 01 01 01 01 01 01 01 • Virology 01 • Mycology 01 f. TEACHING MEDIA: Blackboard, chalk, Transparency with OHP, Multimedia (LCD) , Demonstration, Models, Charts, Assessment tools: • • Theory : MCQ , SAQ , LAQ , Short Notes , Viva Voce. Practical : 90 Marks. Scheme of University Exam. THEORY PAPER- combined paper of General Pathology and Microbiology SCHEME OF UNIVERSITY EXAMINATION: Maximum marks for Microbiology e. Theory Maximum Marks : 50 b. Practical Marks : 50 Break up of Marks for Microbiology 5) Theory: Max. Marks 50 m. University Written Exam : 35 n. Grand Oral (Viva Voce) : 10 o. Internal Assessment : 05 6) Practical’s: Max. Marks : 50 i. University Practical Exam : 45 j. Internal Assessment : 05 Overall marks distribution of marks for Gen. Pathology & Microbiology Section A: 20 marks: MCQ (20 MCQ’s of 1 mark each) a) Pathology syllabus 10 Questions b) Microbiology syllabus 10 questions Section B: Syllabus of Pathology only 25 marka) SAQ: (Five SAQ’s of 3 marks each) b) LAQ (1full question of 10 marks each) Section C : Syllabus of Microbiology : 25 Marks a) SAQ: (Five SAQ’s of 3 marks each) b) LAQ (1full question of 10 marks each) Note: MCQ should cover the entire syllabus. All chapters/units of syllabus to be covered while framing SAQ/LAQ (II) Internal Assessment marks a. Gen. Pathology b. Microbiology - 10 marks 05 marks 05 marks Viva voce a. Gen. Pathology b. Microbiology - 20 marks 10 marks 10 marks PRACTICAL EXAMS A) Gen. Pathology. Roll No. Clinical Pathology exercise- Hematology exercise - Histopathology- OSPE - Journal Total 12 marks 10 marks 10 marks 8 marks 5 marks 45 marks a) Viva-Voce Marksheet for Gen. Pathology Maximum Marks- 10 marks Summer/ Winter……. Date:…………………….. Note: (No scratching or overwriting please) Roll No. Marks allted out of 10 (max. ) In figures In words Certified that the total marks entered against each seat No. are totaled by us and found correct. External examiners: Name:_____________ Signature Internal examiners; Name: _____________ Signature B) Microbiology. Roll No. Staining Grams/ZN staining Spotting 20 marks 12 marks OSPE Journal Total 8 marks 5 marks 45 marks (6 spots x 2 marks) b) Viva-Voce Marksheet for Microbiology Maximum Marks- 10 marks Summer/ Winter……. Date:…………………….. Note: (No scratching or overwriting please) Roll No. Marks allted out of 10 (max. ) In figures In words Certified that the total marks entered against each seat No. are totaled by us and found correct. External examiners: Name:_____________ Signature Internal examiners; Name: _____________ Signature These marks are to be added to theory and to be awarded by both examiners and marks to be submitted in a sheet as per the proforma supplied by DMIMS university, Nagpur in sealed cover. Note: Marks awarded by examiners in Pathology and Microbiology will be amalgamated as one subject only for entering in marksheet by DMIMS university exam. Section. h. BOOKS RECOMMENDED : 1. Textbook of Microbiology - R. Ananthanarayan & - C.K. Jayaram Panikar 2. Textbook of Microbiology for Dental students - Hina Arora & Arora 3. Textbook of Microbiology - C.P. Baweja Reference Books : 1. Mackie McCartney Practical Medical Microbiology - Colle JG , Fraser AG 2. Immunology - Weir DM Subject – 2 General & Dental Pharmacology & Therapeutics Goal : The broad goal of teaching pharmacology to undergraduate students is to inculcate rational scientific basis of therapeutics keeping in view the dental curriculum and profession. CORE COMPETENCIES : Core Objectives : A ) Knowledge : At the end of the course, the student shall be able to 1. Describe the pharmacokinetics and Pharmacodynamics of essential and commonly used drugs. 2. List the indications, contraindications, interactions and adverse reactions of commonly used drugs. 3. Tailor the use of appropriate drugs in disease with consideration of its cost, efficacy and safety for a. individual needs and b. Mass therapy, under National Health Programmes. 4. Integrate the list of drugs of addiction and recommend the management of drug addiction. 5. Explain pharmacological basis of prescribing drugs in special medical situations such as pregnancy, lactation, infancy, old age, renal damage, hepatic damage and immuno compromised patients. 6. Explain the concept of rational drug therapy in clinical pharmacology. 7. State the principles underlying the concept of ‘Essential Drugs’. 8. Evaluate the ethics and modalities involved in the development and introduction of new drugs. B) Skills : At the end of the course, the student shall be able to 1. Prescribe drugs for common ailments. 2. Identify adverse reactions and drug interactions of commonly used drugs. 3. Interpret the data of experiments designed for the study of effect of drugs. 4. Scan information regarding common pharmaceutical preparations and critically evaluate drug formulations. 5. Explain the principles of pharmacy and dispense the medications giving proper instructions. C ) Integration : Practical knowledge of use of drugs in clinical practice will be acquired through integrated teaching with clinical subjects. Course Content : THEORY : Ƈ General Pharmacology : 1. Introduction and Scope Pharmacology 2. Sources and Nature of Drugs 3. Dosage forms 4. Routes of Drug Administration 5. Pharmacokinetics 6. Mode of Drug Action 7. Combined Effect of Drugs 8. Factors Modifying Drug Action 9. Adverse Drug Reactions 10. Drug Interactions Ƈ Autonomic Pharmacology : 1. Adrenergic Drugs 2. Anti-adrenergic Drugs 3. Parasympathomimetics 4. Parasympatholytics Ƈ Renal Pharmacology : 1. Diuretics 2. Antidiuretics Ƈ Cardiovascular Pharmacology : 1. Antihypertensives and Pharmacotherapy of Hypertension 2. Antianginals and Pharmacotherapy of Angina Pectoris 3. Cardiac Glycosides and Pharmacotherapy of Cardiac Failure 4. Vasopressors and Pharmacotherapy of Shock Ƈ Haematological Pharmacology : 1. Coagulants and Anticoagulants 2. Haematinics Ƈ Gastrointestinal Pharmacology : 1. Antacids 2. Pharmacotherapy of Peptic ulcer 3. Emetics 4. Antiemetics and Pharmacotherapy of Vomiting 5. Purgatives and Pharmacotherapy of Functional Constipation 6. Antidiarrhoeals and Management of Diarrhoea Ƈ Bronchopulmonary Pharmacology 1. Bronchodilators and Pharmacotherapy of Bronchial Asthma 2. Antitussives and Pharmacotherapy of Cough Ƈ Endocrinopharmacology : 1. Pharmacotherapy of Diabetes Mellitus : Insulin 2. Pharmacotherapy of Diabetes Mellitus : Oral Hypoglycemics 3. Corticosteroids 4. Thyroid & Antithyroid Drugs 5. Drug affecting Calcium balance 6. Hormonal Contraceptives 7. Anabolic Steroids Ƈ Neuro Psychiatric Pharmacology : 1. Local Anaesthetics 2. Muscle Relaxants 3. General Anaesthetics 4. Hypnosedatives 5. Antiepileptics 6. Opioid Analgesics 7. N.S.A.I.Ds. 8. Psychotropics 9. Analeptics 10. Aliphatic Alcohol Ƈ Chemotherapy - I : 1. General Principles 2. Sulfonamides & Cotrimoxazole 3. Quinolones 4. Penicillins 5. Cephalosporins 6. Broad Spectrum Antibiotics 7. Aminoglycosides 8. Macrolides Ƈ Chemotherapy – II 1. Antitubercular Drug 2. Antileprotic Drugs 3. Antiviral Drugs 4. Antifungal Drugs 5. Antimalarial Drugs 6. Antiamoebic Drugs 7. Anthelmintic Drugs 8. Anticancer Drugs Ƈ Autacoid Pharmacology : 1. Histamine & Antihistaminics 2. Prostaglandins 3. Leukotrienes Ƈ Vitamins and Antioxidants Ƈ Heavy Metal Antagonists Ƈ Geriatric Pharmacology Ƈ Pediatric Pharmacology Ƈ Disaster Management: Pharmacological Perspective Ƈ Counterfeit Medicine Ƈ Dental Pharmacology 1. Antiseptics 2. Astringents 3. Obtundants 4. Dentifrices 5. Mummyfying Agents 6. Mouthwashes 7. Bleaching Agents 8. Styptics 9. Caries and Fluorides PRACTICAL : Ƈ Clinical Pharmacy : 1. Prescription Writing 2. Weights & Measures 3. Instruments 4. Alkaline Mouthwash 5. Potassium Permagnate Mouth Wash / Gargle 6. Obtundant Drops 7. Gum Paint 8. Tooth Powder ( Dentifrice Powder ) 9. Castor Oil Emulsion Ƈ Fixed Dose Combination ( F.D.C. ) Ƈ Criticism of Wrong Prescription Ƈ Drug of Choice Teaching Learning Strategies: Total Teaching hours allotted to Pharmacology 90 hrs. Distribution : A) Theory : : 70 hrs i) Didactic Lectures (80%) : 56 hrs ii) Interactive Teaching (20%) : 14 hrs Practical: : 20 hrs Teaching Methods : 1. Didactic Lectures 2. Lecture Demonstrations 3. Practicals 4. Tutorials 5. Group Discussions 6. Symposia 7 Skill Based Learning 8. Home Assignments 9. Community Assignments 10. Problem Based Learning Hour-wise Distribution of Topics THEORY : Topics Ƈ General Pharmacology : 1. Introduction and Scope Pharmacology 70 Hrs. Hours 09 Hours 2. Sources , Nature and Dosage forms of Drugs 3. Routes of Drug Administration 4. Pharmacokinetics I 5. Pharmacokinetics II 6. Mode of Drug Action 7. Combined Effects and Drug Interactions 8. Factors Modifying Drug Action 9. Adverse Drug Reactions Ƈ Autonomic Pharmacology : 05 Hours 1. Adrenergic Drugs 2. Anti-adrenergic Drugs 3. Parasympathomimetics 4. Parasympatholytics I 5. Parasympatholytics II Ƈ Renal Pharmacology : 1. Diuretics and Antidiuretics 01 Hour Ƈ Cardiovascular Pharmacology : 05 Hours 1. Antihypertensives I 2. Antihypertensives II 3. Antianginals and Pharmacotherapy of Angina Pectoris 4. Cardiac Glycosides and Pharmacotherapy of Cardiac Failure 5. Vasopressors and Pharmacotherapy of Shock Ƈ Haematological Pharmacology : 02 Hours 1. Coagulants & Anticoagulants 2. Haematinics Ƈ Gastrointestinal Pharmacology : 06 Hours 1. Antacids 2. Pharmacotherapy of Peptic Ulcer I 3. Pharmacotherapy of Peptic Ulcer II 4. Antiemetics and Pharmacotherapy of Vomiting 5. Purgatives and Pharmacotherapy of Functional Constipation 6. Antidiarrhoeals and Management of Diarrhoea Ƈ Bronchopulmonary Pharmacology : 02 Hours 1. Bronchodilators and Pharmacotherapy of Bronchial Asthma 2. Antitussives and Pharmacotherapy of Cough Ƈ Endocrinopharmacology : 07 Hours 1. Pharmacotherapy of Diabetes Mellitus : Insulin 2. Pharmacotherapy of Diabetes Mellitus : Oral Hypoglycemics 3. Corticosteroids 4. Thyroid and Antithyroid Drugs 5. Drug affecting Calcium balance 6. Hormonal Contraceptives 7. Anabolic Steroids Ƈ Neuro Psychiatric Pharmacology : 1. Local Anaesthetics 2. Muscle Relaxants 3. General Anaesthetics 4. Hypnosedatives 5. Antiepileptics 6. Opioid Analgesics 7. N.S.A.I.Ds. I 10 Hours 8. N.S.A.I.Ds II 9. Psychotropics and Analeptics 10. Aliphatic Alcohol Ƈ Chemotherapy - I : 08 Hours 1. General Principles 2. Sulfonamides & Cotrimoxazole 3. Quinolones 4. Penicillins 5. Cephalosporins 6. Broad Spectrum Antibiotics 7. Aminoglycosides 8. Macrolides Ƈ Chemotherapy – II : 08 Hours 1. Antitubercular Drugs 2. Antileprotic Drugs 3. Antiviral Drugs 4. Antifungal Drugs 5. Antimalarial Drugs 6. Antiamoebic Drugs 7. Anthelmintic Drugs 8. Anticancer Drugs Ƈ Autacoid Pharmacology : 01 Hours 1. Histamine & Antihistaminics Ƈ Vitamins and Antioxidants 01 Hour Ƈ Heavy Metal Antagonists 01 Hour Ƈ Geriatric Pharmacology 01 Hour Ƈ Pediatric Pharmacology 01 Hour Ƈ Disaster Management: Pharmacological Perspective 01 Hour Ƈ Counterfeit Medicine 01 Hour PRACTICAL : 20 hrs. Hour-wise Distribution of Topics Topics Hours Ƈ Dental Pharmacology 1. Antiseptics : 02 Hours 2. Astringents 3. Obtundants 4. Dentifrices 5. Mummyfying Agents 6. Mouthwashes 7. Bleaching Agents 8. Styptics 9. Caries and Fluorides Ƈ Clinical Pharmacy : :10 hrs 1. Prescription Writing 2. Weights & Measures 3. Instruments 4. Alkaline Mouthwash 5. Potassium Permagnate Mouth Wash / Gargle 6. Obtundant Drops 7. Gum Paint 8. Tooth Powder ( Dentifrice Powder ) 9. Castor Oil Emulsion Ƈ Fixed Dose Combination ( F.D.C. ) :02 Ƈ Criticism of Wrong Prescription :04 Ƈ Drug of Choice :02 Teaching Media : Blackboard, chalk, OHP, LCD, Demonstration, charts Assessment Tool : Theory: MCQ, SAQ, LAQ, Viva Voce, Intermittent Questions, Class test. Practical: OSPE, Exercises for PCT Scheme of University Examination: Maximum Marks for the Subject : 200 : 100 II) Practical Maximum Marks Break up of Marks: : 100 I) Theory: Max. Marks : 100 I) Theory Maximum Marks p. University Written Exam : 70 q. Grand Oral (Viva Voce) : 20 r. : 10 : 100 k. University Practical Exam : 90 l. : 10 Internal Assessment II) Practical’s: Max. Marks Internal Assessment A) THEORY (100 Marks) I) Written: ( 70 Marks) Section A: MCQ (20 MCQ’s of 1 mark each) 20 Marks: Section B: Syllabus of pathology only 25 marka) SAQ: (Five SAQ’s of 3 marks each) b) LAQ (1full question of 10 marks each) Section C : Syllabus of Microbiology : 25 Marks a) SAQ: (Five SAQ’s of 3 marks each) b) LAQ (1full question of 10 marks each) II) Viva voce : 20 Marks III) Internal Assessment Marks : 10 Marks B) PRACTICAL (Marks: 100) Roll No. II ) Clinical Pharmacy 25 Marks Criticism 25 Marks Internal Assessment marks Total – 100 Drug of Choice 20 Marks OSPE Journal Total 15 Marks 05 Marks 90 Marks : 10 Marks a) Viva-Voce Marksheet for General & Dental Pharmacology & Therapeutics Maximum Marks- 20 marks Summer/ Winter……. Date:…………………….. Note: (No scratching or overwriting please) Roll No. Marks allotted out of 20 (max. ) In figures In words Certified that the total marks entered against each seat No. are totaled by us and found correct. External examiners: Name:_____________ Signature Internal examiners; Name: _____________ Signature Recommended Books : 1. 2. 3. 4. 5. 6. 7. 8. . 9. 10. 11. Pharmacology and Pharmacotherapeutics (19th Edition ) Satoskar R.S., Bhandarkar S.D., Rege N.N, Popular Prakashan Essentials of Medical Pharmacology (6th Edition) K.D. Tripathi, Jaypee Brothers Publications Principles of Pharmacology (2nd Edition) H.L. Sharma and K.K. Sharma, Paras Publication Quintessence of Medical Pharmacology (3rd Edition) S.K. Chaudhary, New Central Book Agency Pvt. Ltd. The Pharmacological Basis of Therapeutics, (11th Edition) Goodman & Gillman, McGraw-Hill Basis and Clinical Pharmacology (11th Edition), B. G. Katzung, McGraw-Hill Modern Pharmacology (6th Edition), Craig C. R. and Stitzel R. E, Little Brown and Company Pharmacology (7th Edition), Rang and Dale, Elsevier Mosby Clinical Pharmacology (10th Edition) , Laurence and Bennett, Churchill Livingstone Essentials of Pharmacotherapeutics ( 3rd Edition ) Barar F.S.K. , S. Chand and Company Oxford Text Book of Clinical Pharmacology and Drug Therapy, (4th Edition) D.G. Grahame-Smith and J.K.Aronson , ELBS Oxford University Press Subject – 3 Dental Materials 1. INTRODUCTION The science of Dental Material has undergone tremendous changes over the years. Continued research has led to new material systems and changing concepts in the dental field. Interlinked with various specialized branches of chemistry, partially all engineering applied sciences and biological characteristics, the science of dental material emerged as basic sciences in itself with its own values and principles. Aim of the course is to present basic chemical and physical properties of Dental materials as they are related to its manipulation to give a sound educational background so that the practice of the dentistry emerged from art to empirical status of science, as more information through further research becomes available. It is also the aim of the course of dental materials to provide with certain criteria of selection and which will enable to discriminate between facts and propaganda with regards to claims of manufactures. 2. CORE VALUE To prepare the health care professionals who is confident, competent, concerned & companionate towards the health related care in general and dental in particular. 3. GOALS • To understand the evolution and development of science of dental material. • Emphasis the purpose of course in dental materials to students of faculty of dentistry. • To impart knowledge of biological, physical and chemical properties of dental materials along with biomechanical requirement of particular restorative procedure. • To know the standards or specifications of various materials to guide the manufacturers as well as help professionals. • Search of newer and better materials for research orientation. • To understand and evaluate the claims made by manufactures of dental materials 4. CORE COMPETENCIES As per the vision & mission of the university to prepare health care professional who is competent enough to serve as a dental surgeon, should be able to teach, be able to work as researcher, and also as a community oriented worker. 5. PROGRAMME OBJECTIVES A. Knowledge : Ͳ The graduate should acquire the adequate knowledge of science on which Dental materials are based and good understanding of various properties, composition, uses, advantages & disadvantages of these materials Ͳ Adequate knowledge of physical, biological & biomechanical properties of Dental materials B. Skills: A graduate should able to demonstrate the following skill necessary for the practice of dentistry. 1. Able to select the best materials for each dental restorative procedure. 2. Able to manipulate each dental material. 3. Able to use these materials for various dental procedures in best possible way. C. Attitude: A graduate should develop following attitudes during the training period: 9. Selection of better and appropriate materials using acquired knowledge of dental materials & restorative dentistry. 10. To follow professional ethics and conduct its application in all aspect of professional life. 11. Participate in CDE programme to updates the knowledge and professional skill. 6. COURSE CONTENT Learning objectives of the course After the completion of syllabus the learner should: I. Know the ideal requirements of various dental materials used for dental procedures II. know the dental materials under following prospective i. Its composition ii. The role played by each ingredient iii. Its manipulation & setting reaction iv. Its applications, advantages & disadvantages III. Be able to critically evaluate physical, chemical & biomechanical properties of various dental materials used IV. Be able to select the best materials for each dental restorative procedure. V. Have research oriented approach for the improvement of available dental materials. The following topics will be taught to achieve the above objectives, Common topics for materials of Prosthodontics, Conservative Dentistry & Orthodontics 1. Introduction to Dentistry and Introduction To Dental Material Science. Aims, Objectives &Scope 2. Structure Of Matters (Behavior Of Matters) and principles of adhesion 3. Important Physical Properties applicable To Dental Material 4. Biological Consideration in Use of Dental Material and Mechanical Properties Of Dental Materials Topics on the materials of Prosthodontics 5. Gypsum Products 1. Gypsum Products: Its Origin, Chemical Formula, Classification (types), Manufacturing Process calcinations, Setting Reaction, Setting Expansion, ADA Classification & Uses in Dentistry. 2. Description of Impression Plaster. 3. Gypsum Bonded Dental Casting Investment a) Impression Materials a) Impression Materials Used In Dentistry b) Impression Plaster c) Impression Compound d) Zinc Oxide Eugenol Impression Paste, Bite Registration Paste, Non Eugenol Paste e) Reversible Hydrocolloid: Agar f) Irreversible Hydrocolloid: Alginate g) Elastomeric Impression Materials (Rubber Base Materials): General Considerations i. Polysulphide ii. Condensation Silicon And Addition Silicon iii. Poly ether & Visible Light Cure Poly ether (Urethane) 7. Denture Base Resins a) Synthetic Resins: Introduction, Development, Historical Background b) Classification Of Resins & Polymerization Mechanism c) Physical Properties Of Resins & Type Of Resins. Mode Of Polymerization, Curing Cycles, Mode Of Supply d) Polymerization Reaction & Method Of Manipulation e) Miscellaneous Resins & Technique Of Repair, Relining & Rebasing f) Soft Liners 8. Dental Casting Alloys a) Dental Casting Alloys: Introduction & Classification b) Alloys for metal ceramic crown and bridge. c) Heat treatment of alloys 9. Dental Casting Investment: Classification & Type a) Gypsum bonded investment material b) Silica bonded investment material c) Phosphate bonded investment material d) Casting & casting machines e) Casting defects 10. Dental Ceramics: a) Definition, Classification & Properties Of Dental Ceramics, b) Manipulation & Firing Technique c) Metal Ceramics {PFM): Types, Alloys & Composition d) Recent Advances: All ceramic restorations, Injection molding, Castable Ceramics, Inceram, Alceram & CAD- CAM e) Technical Considerations For Porcelain & Porcelain Fused to Metal Restoration 11. Abrasive and Polishing Agents 12. Dental Implants: a) Materials & Types 13. Materials Used for Maxillofacial Prosthesis: Requirements & Brief Review of Materials 14. Nano dentistry Topics on the materials of Conservative Dentistry 5. Dental amalgam 6. Dental Cement a) Silicate cement b) Glass ionomer cement c) Zinc phosphate cement d) Zinc Polycarboxylate cement e) Zinc oxide eugenol cement f) Calcium hydroxide cement g) Resin cements 7. Composite resin a) Traditiontional composites b) Microfilled composites c) Hybrid composites d) Finishing of composites e) Repair of composites 8. Direct filling gold a) Forms of direct filling gold b) Gold foil c) Mat gold d) Crystalling gold e) Powdered gold f) Removal of surface impurities g) Compaction 9. Dental waxes a) Inlay wax b) Base plate wax c) Sticky wax d) Boxing wax e) Bite wax a) Root canal filling materials b) Tarnish & Corrosion c) Die & cast materials a) Type II stone b) Type IV stone c) Silica & aluminium filled epoxy resins d) Electroformed silver die e) Electroformed copper die f) methods of altering die dimension Topics on the materials of Orthodontics 1. Wrought metal alloys I a) Stainless steel b) Australian orthodontic wires 2. Wrought metal alloys II a) Cobalt chrome alloys b) Titanium molybdenum alloys c) Nickel titanium 3. Soldering & Brazing: Definition, various solder materials, properties of solder joint, quenching, flux, soldering technique 4. Welding: Definition, technique of welding, properties of welded joint Practical Practical training on the materials of Prosthodontics during 1st & 2nd year B.D.S. – Manipulation of: Dental plaster, Dental stone, Impression compound, Irreversible hydrocolloid, Zinc oxide impression paste, Heat & Self cure acrylic resins. Practical training on the materials of Conservative Dentistry during 1st & 2nd year B.D.S. Manipulation of: Silver Amalgam, Zinc Phosphate cement, Glass Inomer cement, Zinc Oxide Eugenol cement, Calcium hydroxide cement, Silicate cement & Polycarboxilate cement. Distribution Spread-over 1st & 2nd BDS Total Hours allotted 1st B.D.S. 2nd B.D.S. Total Hours Theory hours 20 hrs 60 hrs 80 hrs Practical’s 100 hrs 140 hrs 240 hrs Teaching Learning Strategies – Theory a) Didactic lectures – 80 % b) Interactive (PBL, SGD), Seminar / Tutorial - 20% Practical: a) Demonstration of manipulation of dental materials – 100 % Teaching Methods – Didactic Seminar/ Tutorial PBL Interactive SGD Demonstration Teaching Schedule – Theory 1st B.D.S. (20 hrs) Common topics for materials of Prosthodontics, Conservative Dentistry & Orthodontics to be taught by Prosthodontics in 1 Year BDS (1st Term) 06 Hrs. Topic Sr. No. of Hours No. 1 Introduction To Dentistry And Introduction To Dental Material Science. 01 hr Aims, Objectives &Scope 2 Structure Of Matters (Behavior Of Matters) and principles of adhesion 02 hr 3 Important Physical Properties Applicable To Dental Material 02 hr 4 Biological Consideration in Use of Dental Material and Mechanical 01 hr Properties Of Dental Materials Topics on the materials of Prosthodontics to be taught in 1 Year BDS (1st & 2nd Term) 14 Hrs. Sr. Topic No. of Hours No. 5 Gypsum Products: Its Origin, Chemical Formula, Manufacturing 01 hr Process Calcination a) Chemistry and Setting Reaction. Theory of Setting, 02 hr Microscopic Structure of Each Variety, Setting Time, Setting Expansion, Strength and Other Related Properties. ADA Classification & Uses in Dentistry. b) Description of Impression Plaster. (Gypsum Bonded Dental Casting Investment) Manipulation Recent And Advanced Method Of Disinfection, Storage Of Material 02 hr 6 Impression Materials Used In Dentistry (Definitions, Historical 01 hr Background Of Various Impression Materials) a) Impression Plaster And Impression Compound 01 hr b) Zinc Oxide Eugenol Impression Paste, Bite Registration 01 hr Paste, Non Eugenol Paste c) Reversible Hydrocolloid: Agar 01 hr d) Irreversible Hydrocolloid: Alginate 01 hr e) Elastomeric Impression Materials (Rubber Base Materials): 01 hr General Considerations iv. Polysulphide 01 hr v. Condensation Silicon And Addition Silicon 01 hr vi. Poly ether & Visible Light Cure Poly ether (Urethane) 01 hr Topics on the materials of Prosthodontics to be taught in 2 Year BDS (1st & 2nd Term) 30 Hrs. 7 Synthetic Resins: Introduction, Development, Historical Background 01 hr a) Classification Of Resins & Polymerization Mechanism 01 hr b) Physical Properties of Resins & Type of Resins. Mode of 02 hr Polymerization, Curing Cycles, Mode Of Supply 8 c) Polymerization Reaction & Method Of Manipulation 01 hr d) Miscellaneous Resins & Technique Of Repair, Relining & Rebasing 02 hr e) Soft Liners 01 hr Dental Casting Alloys: Introduction & Classification Of Casting Alloys 01 hr a) Alloys of Crown and Bridge Metal Ceramic. Properties Of Alloys 02 hr • Casting Shrinkage • Biocompatibility b) Heat Treatment 01 hr • Titanium Alloys • Technical Considerations In Casting 9 Dental Casting Investment: Definitions, Classification & Type, Mode Of 01 hr Supply, Ideal Requirements a) Composition, Manipulation, Wax patterns Spruing 01 hr b) Casting & Casting Machines 01 hr c) Casting defects 01 hr 10 Dental Ceramics: Definition, Classification & Properties Of Dental 01 hr Ceramics, 01 hr 01 hr a) Manipulation & Firing Technique 01 hr b) Metal Ceramics {PFM): Types, Alloys & Composition 01 hr c) Recent Advances: All ceramic restorations, Injection molding, 01 hr d) Castable Ceramics, 02 hr e) Inceram, Alceram & CAD- CAM f) Technical Considerations For Porcelain & Porcelain Fused to Metal Restoration 11 Abrasive And Polishing Agents 02 hr Need, Type and Mode of action 12 Dental Implants: 13 02 hr • Definition, • Introduction • Materials & Types Materials Used In Maxillofacial Prosthesis: Requirements & Brief Review Of Materials 14 01 hr Nano dentistry 01 hr Topics on the materials of Conservative Dentistry to be taught in 2 Year BDS (1st & 2nd Term) 26 Hrs. Topic Sr. No. of Hours No. 1 Introduction To Dentistry And Introduction To Dental Material 01 hr Science. Aims, Objectives & Scope 2 Structure Of Matters (Behavior Of Matters) and principles of 01 hr adhesion 3 Important Physical Properties Applicable To Dental Material 01 hr 4 Biological Consideration in Use of Dental Material and Mechanical 01 hr Properties Of Dental Materials 5 Dental amalgam a) Definations of alloy b) Composition of alloy 01 hr c) Manufacture of alloy powder d) Amalgamation and resulting microstructure e) Diemensional stability, strength, creep 6 f) Clinical performance of Amalgam Restoration g) Mercury : Alloy ratio h) Mechinical Trituration i) 7 8 9 Condensation Carving & finishing j) Clinical significance of diemensional change k) Side effects of mercury l) Marginal detoriation m) 01 hr 01 hr Repaired Amalgam restoration Dental Cement a) Introduction. b) Classification c) Silicate cement d) Glass ionomer cement 01 hr e) Metal reinforced glass ionomer cements f) Resin modified glass ionomer cement 01 hr g) Zinc phosphate cement h) Zinc Polycarboxylate cement 10 i) Zinc oxide eugenol cement j) Copper cement 01 hr k) Calcium hydroxide cement I) 11 Resin cements m) compomer n) luting agent 01 hr o) cavity base p) cavity liner 12 q) cavity varnishes r) solubility & disintegration of cement 01 hr 13 Composite resin 01 hr a) introduction b) definition c) stuructural components and their functions Classification 14 d) Curing system e) Traditiontional composites 01 hr • Properties and contents • Advantages • Limitations • Clinical considerations f) Microfilled composites g) Small particles filled particles & their properties, contents, advantages, limitations & clinical considerations 15 h) Hybrid composites 01 hr • Properties & contents • Advantages • Limitations • Clinical considerations i) Resin veneers j) Finishing of composites k) Repair of composites 16 Direct filling gold 01 hr a) History b) Properties of pure gold c) Forms of direct filling gold d) Gold foil • Cohesive gold • Non cohesive gold • Gold foil cylinders • Performed gold foil • Plastinised gold foil 17 e) Mat gold f) Crystalling gold 01 hr g) Powdered gold h) Removal of surface impurities 18 i) Compaction • Condernsers 01 hr • Pressure application • Method j) physical properties of compacted gold 19 Dental waxes a) Inlay wax 01 hr • Types • Composition desirable properties • Flow • Distorsion • mainpulation b) Base plate wax c) Sticky wax d) Boxing wax 20 e) Bite wax 01 hr f) Direct wax technique g) Indirect wax technique 21 Root canal filling materials a) types of materials 01 hr b) compositions c) Indicitions d) Contra indications e) Merits & demerits over each other 22 Tarnish & Corrosion a) Tarnish 01 hr • Definitions • Causes • Tarnish in amalgam & cast gold 23 24 b) Corrosion • Definition • Electrochemical reaction • Galvanic corrosion • Street corrosion • Concentration cell corrosion • Protection against cell corrosion 01 hr Die & cast materials i. Dies definitions 01 hr ii. Materials used in fabrications i. Type IV stone • Setting expansion • Advantages • Limitations ii. Type II stone 25 • Setting expansion • Advantages • Limitations iii. Silica & aluminium filled epoxy resins • Setting expansion • Advantages • Limitations 01 hr iv. Electroformed silver die 26 • Procedure & limitation • compatibility with different materials v. Electroformed copper die • Procedure & limitation • compatibility with different materials iii. methods of altering die dimension 01 hr Topics on the materials of Orthodontics to be taught in 2Year BDS (2nd Term) 04 Hrs. Sr. No. 1 Topic No. of Hours Wrought metal alloys I 01 hr Stainless steel – Properties, composition, types, sensitization, stabilization Australian orthodontic wires 2 Wrought metal alloys II 01 hr Cobalt chrome alloys- composition, heat treatment, types Titanium molybdenum alloys Nickel titanium – shape memory, superelasticity 3 Soldering, Brazing 01 hr Definition, various solder materials, properties of solder joint, quenching, flux, soldering technique 4 Welding 01 hr Definition, technique of welding, properties of welded joint Teaching Medias to be usedBlackboard, chalk, OHP with transparencies, LCD, Demonstration, models, charts, Multimedia. Assessment Tool – Theory: MCQ, SAQ, LAQ, Viva Voice, Class test. Practical: OSPE, Exercises for PCT Scheme of University examination: Maximum marks for the subject : 200 : 100 : 100 Theory: Max. Marks : 100 s. University Written Exam : 70 t. : 20 : 10 i. Theory Maximum Marks ii. Practical Marks Break up of Marks: 7) Grand Oral (Viva Voce) u. Internal Assessment 8) Practical’s: Max. Marks : 100 m. University Practical Exam : 90 n. Internal Assessment : 10 : 70 marks a) b) a) Written Paper Section A: MCQ (20 MCQ’s of 1 mark each) :20 marks 12 MCQ’s from Prostho materials 06 MCQ’s from Conservative materials 02 MCQ’s from Orthodontic materials Section B: Prostho materials only :25 marks a) SAQ: (5 SAQ of 3 marks each) 15 mark b) LAQ: 1 LAQ of 10 marks : 10 marks Section C: Conservative & Orthodontic materials a) SAQ: (5 SAQ of 3 marks each) :25 marks :15 marks (3 SAQ of Conservative materials & 2 SAQ of Ortho materials) b) LAQ: 1 LAQ of 10 marks :10 marks on Conservative material 10 marks b) Viva voce (Jointly for Prosthetic, Conservative & Orthodontic materials) 20 marks c)Intern Assessment marks 10 marks Total-------- 100 ii) Practical a) University Practical Exam (Marks: 90) Rol Manipulation Spotting OSPE (40 Marks) (30 Marks) (15 Marks) Journa l l No. Total (90 (5 Marks) Marks) Prostho Conservat Prostho Material ive s Materials (20 Marks) (20 Conservat Ortho Stations Prostho----- (5 X ive (1 X 3)=15 (4 X 3)=03 3)=12 Marks) ---3 Conservativ e- 2 5 X 3 = 15 b) Internal Assessment marks – 10 marks Total – 100 marks a) Viva-Voce Marksheet for Dental Materials Maximum Marks- 20 marks Summer/Wwinter……. Date:…………………….. Note: (No scratching or overwriting please) Roll Marks allotted out of 20 (max. ) No. In figures In words Certified that the total marks entered against each seat No. are totaled by us and found correct. External examiners: Name:_____________ Signature Internal examiners; Name: _____________ Signature RECOMMENDED BOOKS1. Philips Science of Dental Material 10th Ed. –Kenneth J. Anusavice 2. Basic Dental Material 3rd Ed. –John Mannapalli 3. Dental Material 5th Ed. -V.K. SubhaRao 4. Notes of Dental Material 5th Ed. -Combe 5. Applied Dental Material 7th Ed.-Mackabe 6. Restorative Dental Material 11th Ed.- Craig Subject – 4 : Preclinical Prosthodontics (Practicals) 6. INTRODUCTION The department of Prosthodontics is imparting teaching and training to its undergraduate students for preclinical Prosthodontic exercises. It helps them to master the laboratory techniques related to Prosthodontic treatments. The trained dental graduates should have desired competencies in dentistry in general and Prosthodontics as a speciality. Training programme in Prosthodontics includes : Fabrication Of Complete Denture Prosthesis Using Edentulous Models (Cast), fabrication of removable partial denture, fixed partial denture and special prostheses. 7. CORE VALUE To prepare the health care professionals who is confident, competent, concerned & companionate towards the health related care in general and dental in particular. 8. GOALS • To provide training in the subject to Undergraduate. • To help them to master the laboratory techniques related to different field in the subject of prosthodontics. • To guide them for communication with the laboratory technician and to write laboratory prescription for effective and perfect results. • To help render quality treatment to patients visiting the Department by working efficiently in the laboratory. • To provide manpower and technical expertise for outreach and extension activities as per the requirement of Department of Community Dentistry • Laying down standards or specifications of various materials to guide the manufacturers as well as to help professionals. • Search for newer and better techniques which may answer our requirements with greater satisfaction. • To understand and evaluate the claims made by manufactures of dental materials • To achieve excellence in academics and providing the State-of-Art services to the community. 9. CORE COMPETENCIES As per the Vision & Mission of the institute to prepare health care professional who is competent enough to serve as a dental surgeon, should be able to teach, be able to work as researcher, and also as a community oriented worker. 10. PROGRAMME OBJECTIVES m. Knowledge & understanding : Ͳ The graduate should acquire the adequate knowledge of sound principles of various laboratory exercises related to removable and fixed partial denture prosthodontics. Ͳ Also should understand various dental materials in terms of its properties and manipulation. Ͳ Should be able to guide the technician in his work. n. Skills : A graduate should able to demonstrate the following skills necessary for preclinical prosthodontics. 4. Able to perform the laboratory exercises efficiently. 5. Able to manipulate the materials efficiently. 6. Able to select appropriate materials required. o. Attitude : A graduate should develop during the training period the following attitude, 12. Willing to apply the acquired knowledge in the best interests of the patients and community. 13. Maintain a high standards professional ethics and conduct and apply these in all aspect of professional life. 14. Should participate in CDE programme to updates the knowledge and professional skill from time to time. 11. Course content – Learning Objectives of the course: After the completion of syllabus the learner should be able to : • Perform the laboratory exercises related to different field in the subject of prosthodontics. • Communicate with the laboratory technician and guide him for effective and accurate results. • To render quality treatment to patients by working efficiently in the laboratory. • Take part as a technical expertise for outreach and extension activities for Community services. • Search for newer and better techniques which may answer our requirements with greater satisfaction.( Research orientation ) • To achieve excellence in academics and providing the State-of-Art services to the community The following topics will be taught to achieve the above objectives, • Practical – A) Fabrication Of Complete Denture Prosthesis Using Edentulous Models (Cast) 1. Introduction, Aims, Objectives And Scope 2. Masticatory Apparatus, Applied Anatomy Of Its Component 3. Anatomical Landmarks And Physiological Considerations Of The Edentulous Maxillary And Mandibular Arches. 4. Preliminary Impression, (Demonstration Only) And Cast Preparation 5. Construction Of Special Trays In Shellac And Self Cured Acrylic Resin 6. Final Impression And Master Cast Preparation By Box In Technique(Only Demonstration 7. Preparation Of Record Bases. a) Temporary denture bases (Shellac/ Self-cured acrylic resin) b) Occlusion Rims of standard dimensions 8. Brief Introduction And Demonstration Of Jaw Relation Records 9. Transfer Of Jaw Relation Record On Articulator 10. Brief Information About The Selection Of Teeth 11. Arrangement Of Teeth anteriors and posteriors 12. Reproducing Gingival Tissue Morphology (Waxing And Carving) 13. Laboratory Procedures – i)Flasking - Various techniques in brief ii) Wax elimination to obtain mould (Dewaxing) iii) Preparation of mould for packing with Heat Cured resin. i v) Acrylization - Brief introduction about curing cycles v) Deflasking - Denture recovery from flask along with casts vi) Laboratory Remount and Selective grinding procedure vii) Face bow preservation Record (Demonstration only) viii) Finishing and Polishing of Dentures ix) Making Remount cast for Clinical Remount procedure (Demonstration) 14. Teeth Arrangement In Prognathic And Retrognathic Ridge Relations (Only Up To Waxing & Carving Stage) 15. Arrangement Of Teeth Using Non Anatomic Posteriors & Dentogenic Arrangement 16. Repair To A Broken Complete Denture B) Removable Partial Dentures 1. Brief introduction to partial Dentures 2. Comparison between Removable and Fixed partial dentures 3. Classification (introduction) and Rules governing the classification 4. Making One tooth (Anterior) partial denture (in acrylic resin). 5. Making Removable partial denture with 'C' clasp replacing Posteriors 6. Surveying procedure (Demonstration only) 7. Brief introduction of various components of partial Denture 8. Designing partial denture framework on partially edentulous cast (Drawing on Diagnostic cast and writing laboratory prescription) 9. Brief introduction to various laboratory steps in fabrication of cast partial denture framework by using audio - visual aids and model C) Fixed Partial Denture Prosthesis: 1. Brief introduction to Crown and Bridge prosthesis 2. Principles of tooth reduction (Preparing abutment) – a) Full crown for anterior and posterior teeth b) Partial veneer crown for anterior and posterior teeth (demonstration only) c) Dowel crown/Post and Core crown (Demonstration only) 3. Casting procedure to fabricate 3 unit Bridge (Demonstration only) with special consideration to making of Dies and working models) 4. Brief introduction of pontic designs D) Special Prosthesis: (20 Hrs.) 1. Making of Cap splints & Gunning splint (only Demonstrations.) 2. Fabrication of Obturators (only demonstration) 3. Introduction (with models/charts/photographs) of various Maxillofacial prosthesis & Dental Implant. 12. Distribution Spread-over I & II BDS Total Hours allotted I B.D.S. Theory Practical hours 100 hrs II B.D.S. Total Hours 25 hrs 25hrs 200 hrs 300 hrs 13. Teaching Learning Strategies – Practical: 300 hrs Practical Training – 240 hrs (80 %) Tutorial, SGD, Demonstration – 60 hrs (20%) 14. Teaching Methods Didactic Seminar/ Tutorial PBL Integrated Interactive SGD Demonstration Chair side teaching 15. Teaching Schedule – A) Fabrication Of Complete Denture Prosthesis Using Edentulous Models (Cast) Sr. No. Name of Topic Time Allotted 01 Introduction, Aims, Objectives And Scope 01 hrs 02 Masticatory Apparatus, Applied Anatomy Of Its Component 02hrs 03 Anatomical Landmarks And Physiological Considerations Of The Edentulous Maxillary And Mandibular Arches. 04hrs 04 Preliminary Impression, (Demonstration Only) And Cast Preparation 12hrs 05 Construction Of Special Trays In Shellac And Self Cured Acrylic Resin 04hrs 06 Final Impression And Master Cast Preparation By Box In 08hrs Technique(Only Demonstration 01hrs Preparation Of Record Bases. 02hrs 07 a) Temporary denture bases (Shellac/ Self-cured acrylic resin) b) Occlusion Rims of standard dimensions 08 Brief Introduction And Demonstration Of Jaw Relation Records 09 Brief Introductions Of Various Articulators. Detail About Mean Value 12hrs 02hrs Articulator 10 Transfer Of Jaw Relation Record On Articulator 20hrs 11 Brief Information About The Selection Of Teeth 12 Arrangement Of Teeth anteriors and posteriors 06hrs 13 Reproducing Gingival Tissue Morphology (Waxing And Carving) 06hrs 14 Laboratory Procedures – i)Flasking - Various techniques in brief ii) Wax elimination to obtain mould (Dewaxing) iii) Preparation of mould for packing with Heat Cured resin. 15 16hrs 06hrs 04hrs iv) Acrylization - Brief introduction about curing cycles 04hrs v) Deflasking - Denture recovery from flask along with casts 04hrs vi) Laboratory Remount and Selective grinding procedure 04hrs vii) Face bow preservation Record (Demonstration only) 02hrs viii) Finishing and Polishing of Dentures 08hrs ix) Making Remount cast for Clinical Remount procedure 02hrs (Demonstration) 24 hrs Teeth Arrangement In Prognathic And Retrognathic Ridge Relations 16 (Only Up To Waxing & Carving Stage) 12 hrs 17 Arrangement Of Teeth Using Non Anatomic Posteriors & Dentogenic 06 hrs Arrangement Repair To A Broken Complete Denture B) Removable Partial Dentures: (50 Hrs.) Sr. Name of Chapter No of Hrs. 01 Brief introduction to partial Dentures 02 hrs 02 Comparison between Removable and Fixed partial dentures 02 hrs 03 Classification (introduction) and Rules governing the classification 02 hrs 04 Making One tooth (Anterior) partial denture (in acrylic resin). 10 hrs 05 Making Removable partial denture with 'C' clasp replacing Posteriors 06 hrs 06 Surveying procedure (Demonstration only) 02 hrs 07 Brief introduction of various components of partial Denture 08 Designing partial denture framework on partially edentulous cast 09 Brief introduction to various laboratory steps in fabrication of cast C) Fixed Partial Denture Prosthesis: (64 Hrs.) Sr. Name of Chapter No of Hrs. No. 01 02 Brief introduction to Crown and Bridge prosthesis 02 hrs Principles of tooth reduction (Preparing abutment) – d) Full crown for anterior and posterior teeth e) Partial veneer crown for anterior and posterior teeth (demonstration only) f) 04hrs 20hrs 06hrs Dowel crown/Post and Core crown (Demonstration 04hrs only) Casting procedure to fabricate 3 unit Bridge (Demonstration 03 only) with special consideration to making of Dies and 10hrs working models) 04 Brief introduction of pontic designs 04hrs D) Special Prosthesis: (20 Hrs.) Sr. Name of Chapter No of Hrs. No. 01 Making of Cap splints & Gunning splint (only Demonstrations.) 08 hrs 02 Fabrication of Obturators (only demonstration) 08 hrs 03 Introduction (with models/charts/photographs) of various Maxillofacial prosthesis & Dental Implant 16. TEACHING MEDIA • Black Board And Chalk • Models • Charts • Multimedia(LCD screen) • Demonstration on models 04 hrs 17. ASSESSMENT TOOLS Practical : Laboratory Exercises, OSPE, Log Book, Orals 18. Scheme of University examination: Maximum marks for the subject : 100 : 100 : 70 II) Viva voce : 20 III} Internal Assessment : 10 9) Practical’s: Max. Marks I] University Practical Exam (II) University Practical Exam (Marks: 70) EXERCISE-1 EXERCISE-2 REFERENCE NO. TEETH WAXING ARRANGEMENT &CARVING (20) (08) TOOTH PREPARATION (20) WAX PATTERN (05) OSPE 12) JOURNAL (05) TOTAL (70) DATTA MEGHE INSTITUTE OF MEDICAL SCIENCES UNIVERSITY SECOND YEAR B.D.S. PRECLINICAL PRACTICAL EXAMINATION CENTER : SHARAD PAWAR DENTAL COLLEGE, SAWANGI (MEGHE), WARDHA. SUBJECT :- Pre Clinical Prosthodontics & Crown Bridge ORAL Max. Marks 20 Summer/Winter :________________ Date :- _______________ Roll No Obtained Marks out of 20 Internal Examiner Marks in words External Examiner 1. Sign :…………………………………… 1. Sign………………………………………… Name :- ……………………………… Name. ………………………………………… 2. Sign :…………………………………… Name :- …………………………………… 2. Sign………………………………………… Name :- …………………………………… TOTAL – 100 MARKS 19. RECOMMONDED BOOKS 1. Laboratory Procedures By Rudd and Morrow Volume I – Complete denture prosthodontics Volume II- RPD Volume III – FPD 2. Syllabus of Complete denture by- Charles M. Heartweel Jr.and Arthur O Rahn . 3. Boucher’s “Prosthodontic Treatment for edentulous patients”. 4. Essentials of complete denture prosthodontics by – Sheldon Winkler. 5. McCraken’s Removable partial Prosthodontics 6. Removable partial Prosthodontics by Miller. 7. Fixed partial Denture –By Shillingburg 8. Practice of Crown & Bridge –Tylman 9. Philips Science of Dental Material 10th Ed. –Kenneth J. Anusavice 10. Contemporary Fixed Partial Denture: Roseinstiel Subject – 5 : PRE CLINICAL CONSERVATIVE DENTISTRY (Practical) 1) Core value of curriculum - To prepare the health care professionals who is confident, competent, concerned & compassionate. 2) Goal – i. To provide preclinical training in the subject to Undergraduate. ii. To inculcate technical and communicative skill to practice Conservative Dentistry. 3) Core Competency: The prepared health care professional should be competent enough serve as a) First contact dental surgeon b) Teacher c) Researcher d) Community oriented worker 4) Programme objectives To carry out various preclinical technical procedures used in conservative dentistry 5) Course Content 1. Identification and study of hand cutting instruments chisels, gingival margin trimmers, excavators and hatchet. 2. Identification and use of rotary cutting instruments in contra angle hand piece( burs &micro motor) 3. Preparation of class I, extended class I , class II , MOD’s and class V mounting for 10 exercises in plaster models. 4. 10 exercises in mounted extracted teeth of following class 1,4 in number, class I extended cavities 2, class II, 4in number and class V, 2 in number cavity preparation base application matrix and wedge placement restoration with amalgam. 5. Exercises on phantom head models which includes cavity preparation base and varnish application matrix and wedge placement followed by amalgam restoration. Class 1 5 Class I with extension (Buccal or Lingual) 2 Class II 10 Class II MOD 2 Class V and II for glass ionomers 4 Class V for silver amalgam 2 6. Polishing of above restorations 7. Demonstration of class III and Class V cavity preparation for composites on extracted tooth. 8. Polishing and finishing of composite restoration 9. Identification & manipulation of various bases like zinc phosphate, poly carboxylate, Glass lonomers & zinc oxide eugenol cements. 10. Identification of various matrices, tooth separators and materials like composites and modified glass ionomer cements. 11. Understand importance of isolation 12. Cast Restoration 1. Preparation of class II inlay cavity 2. Fabrication of wax pattern 3. Sprue for inner attachment for investing 4. Investing of wax pattern 5. Finishing and cementing of class II inlay in extracted tooth. 13. Endodontics 1. Identification of basic endodontic instruments 2. Coronal access cavity preparation on extracted upper central incisors, determination of working length. 3. Biochemical preparation of root canal 4. Obturation of root canal space 6. Teaching learning strategies Total no of hours allotted – 232 hrs Theory 32Hrs - i) Didactic - (80 %) -25 Hrs ii) Integrated Teaching (20%) - 7 Hrs (PBL +SGT) Practical (200 hrs.)- i) Demonstration & Seminars- (22 hrs.) ii) Pre-clinical practice-(178 hrs.) 7) Teaching methods – Theory – Didactic Lectures Seminar Integrated teaching PBL SGT Practical – Demonstration on plaster models Demonstration on ivory teeth Demonstration on extracted teeth 8) Teaching schedule A. Theory Sr. (total 32 hrs.) Name of Chapter No Hrs. No. 1 Introduction to Operative Dentistry 1 2 Nomenclature of dentition 1 3 Patient assessment case history diagnosis treatment planning 2 4 Dental Caries: Introduction, Definition, Classification, Factors, 4 Etiology, Immunology, clinical features & sequelae 5 Liners , Bases and Varnishes 2 6 Fundamentals in tooth preparation 3 7 Silver amalgam restorations class I , class II &,class V 3 8 Finishing & polishing of restoration 1 9 Basic of composite restoration clinical steps of cavity preparation 2 and restoration 10 Instruments in operative dentistry 3 11 Importance of contacts & contours (matrices, wedges & 2 separation of teeth) 12 Cast gold restoration 2 13 Modifications & advances in tooth preparation 1 14 Introduction to endodontics brief about access cavity preparation, 2 bio mechanical preparation & obturation 15 Operator and chair positioning 1 16 Isolation 3 B. Practical – 1. EXERCISE TO IMPROVE THE DEXTERITY ( 57 HRS) Sr. Topic Hours No. 1. Preparation of models of teeth in plaster 07 hrs 2. Finishing and polishing of plaster models 02 hrs 3. Preparation of cavities for amalgam filling on plaster model 38 hrs 4. Restoration of the prepared cavities with modeling wax 10 Hrs 2. Exercise for cavity preparation for Dental Amalgam Restoration on Natural/lvorine teeth (76 hrs) Sr. Topic Hours 1. Mounting of the natural/lvorine teeth on phantom head 02 hrs 2. Preparation of class I/class I comp/class II/Class V/ M.O.D. cavities 30 hrs No. in posterior teeth with special emphasis on class II cavities. (U/L premolar & U/L molars) 3. Cavity lining on all the prepared cavities ( as above) 16 hrs 4. Restoration & polishing of all teeth restored with dental amalgam. ( 28hrs as above) 3. Exercises for inlay cavity preparation (25 hrs) Sr. Topic Hours 1. Preparation of class I & II cavities in posterior teeth 15 hrs 2. Preparation of wax pattern for the same with inlay wax 10 hrs No. 4. Demonstration (22 hrs) Sr. Topic Hours 1. Amalgam Restorations 05 hrs 2. Casting procedures 05 hrs 3. Restoration of fractured anterior teeth with composite resins 04 hrs 4. Opening of root canal for anterior/ 08 hrs No. Posterior teeth + BMP + obturation Internal Assessment and revision 20 hrs Total 200 hrs 9) TEACHING MEDIA TO BE USED – 1. BLACK BOARD & Chalk 2. LCD PROJECTOR 3. MODELS 4. CHARTS, MULTIMEDIA 10) ASSESSMENT TOOL Preclinical conservative practical exam Log book Viva voce Internal Assessment 11. SCHEME OF UNIVERSITY EXAMINATION Total Marks Practical = 100 marks Practical 70 marks Oral 20 marks Internal 10 marks PRACTICAL :DATTA MEGHE INSTITUTE OF MEDICAL SCIENCES UNIVERSITY SECOND YEAR B.D.S. PRECLINICAL PRACTICAL EXAMINATION CENTER : SHARAD PAWAR DENTAL COLLEGE, SAWANGI (MEGHE), WARDHA. SUBJECT :- Pre Clinical Conservative Dentistry Max. Marks 70 Summer/Winter :________________ Date :- _______________ NOTE :- SCRATCHING OR OVERWRITING IN MARKS ARE NOT ALLOWED. Rol Exercise-I Lining Filling of Exercise- Wax Journal OSP Total l Class II along with cavity in II inlay patter s E Mark No. cavity matrix amalga cavity n for preparatio band & m& preparatio inlay n for wedge carving n amalgam applicatio s n 15 8 10 Internal Examiner 15 5 5 12 70 External Examiner 1. Sign :……………………………………….1. Sign………………………………………… Name :- …………………………………… Name. ……………………………………….. 2. Sign :………………………….………….. 2. Sign………………………………………… Name :- ……………………………………………Name. ……………………………………….. DATTA MEGHE INSTITUTE OF MEDICAL SCIENCES UNIVERSITY SECOND YEAR B.D.S. PRECLINICAL PRACTICAL EXAMINATION CENTER : SHARAD PAWAR DENTAL COLLEGE, SAWANGI (MEGHE), WARDHA. SUBJECT :- Pre Clinical Conservative Dentistry ORAL Max. Marks 20 Summer/Winter :________________ Date :- _______________ Roll No Obtained Marks out of 20 Marks in words Internal Examiner External Examiner 1. Sign :……………………………………………1. Sign………………………………………… Name :- ……………………………………………Name. ……………………………………….. 2. Sign :……………………………………………2. Sign………………………………………… Name :- ……………………………………………Name. ……………………………………….. 12) BOOKS RECOMMENDED 1. The art and science of operative dentistry - 5th ed Strudvent 2. Text book of operative dentistry -2nd ed Vimal Sikri 3. Grossmans Endodontic therapy – 12th ed 4. Philips science of dental material - 11th edition 5. Text book of conservative dentistry -3rd edition-Charebeanu 6. Essentials of conservative dentistry 1st edition-Anand sherwood Scheme of Practical Examination: University Practical Examination 90 Marks (Max.) Internal Assessment Examination 10 Marks (Max.) Total 100 marks (Max) The practical examination shall be conducted at the centers where adequate facilities are available to conduct such examinations and the college is approved/ recognized by Dental Council of India. The Dean of the College shall be the Centre-in-Charge. In case it is not possible for the Dean, then the senior most Professor to be given a charge of Centre incharge with the prior permission from DMIMS(DU). Not more than 30 students to be examined per day. The marks should be submitted in the proforma supplied by the University. This proforma should be signed by both examiners. Overwriting or scratching will not be permitted. However any corrections made, must have the counter signature of both external and internal examiners. The sealed envelop containing statement of marks in proforma supplied by University shall be submitted on the same day to the Centre In charge for onward transmission to the Controller of Examination, Datta Meghe institute of Medical Sciences (Deemed University), Nagpur. No examiner or any other person connected with the work of practical examination is permitted to carry any examination related material or paper outside the premises or violate the rules of conduct of examination. The person found guilty will be debarred from such confidential work or the actions as suggested by the relevant Committee to investigate such matters. Appointment of Examiners For practical Examinations A panel of: I) a) Internal Examiner One for each subject b) External Examiner 2) Fifty percent of examiners shall be external from Medical/ Dental Institutions approved I recognized by the Medical/ Dental Council of India for B.D.S. course, from other university, preferably from outside the state. 3) No person shall be an external examiner to the same university for more than three consecutive years. However, if there is a break of one year then he can be reappointed. 4) Reciprocal arrangement of examiner should be discouraged. 5) No teacher should be considered having qualification less than master degree. 6) Examiner should have minimum experience of 4 years and not below the rank of Reader! Asso. Prof. In the subject concerned. N.B. : In the subject of Gen. Pathology & Microbiology, if external examiner is from Physiology then the internal examiner should be from Biochemistry. For next examination it should be reversed. DATTA MEGHE INSTITUTE OF MEDICAL SCIENCES UNIVERSITY SCHEME OF EXAMINATION FOR SECOND BDS EXAMINATION Sr No . Subject Subheads General Pathology & Microbiology i)Theory (written) ii) Oral iii)Int. Assessment(Th) i)practical ii)Internal assessment (Pr) i)theory (written) ii) Oral iii)Int. Assessment(Th) 70 20 10 90 10 70 20 10 50 marks i)practical ii)Internal assessment (Pr) i)theory (written) ii) Oral iii)Int. Assessment(Th) i)practical ii)Internal assessment (Pr) 90 10 70 20 10 90 10 50 marks i)practical ii) Oral ii)Internal assessment (Pr) 70 20 General & Dental Pharmacolog y& Therapeutics Dental Materials Pre-clinical Prosthodonti cs Max marks allotted to subheads Minimum marks 50 marks Minimum marks Required for Awarding distinction 150 50 marks 150 50 marks 50 marks 150 50 marks 75 10 Pre-clinical Conservative Dentistry i)practical ii) Oral ii)Internal assessment (Pr) Grand Total 70 20 10 800 50 marks 75 400 NB: 1.candidate has to score minimum of 35% marks in internal assessment as a prerequisite for appearing in university examination. 2. in each subject a candidate must obtain a 50 % in aggregate with a minimum of 50 % in theory including orals and internal assessment of theory and minimum of 50 % in practical including internal assessment of practical.