Syllabus 2 BDS Examination - Datta Meghe Institute of Medical

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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
ƒ
Seminar
ƒ
Integrated teaching
ƒ
PBL
ƒ
SGT
Practical –
ƒ
Demonstration on plaster models
ƒ
Demonstration on ivory teeth
ƒ
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.
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