Revised Ordinance Governing Bachelor of Dental Surgery (B.D.S.) Degree Course 2008 At. Po. PIPARIA, DIST WAGHODIA, VADODARA, GUJARAT, INDIA 391760 TEL:-- 02668-245262 / 64 / 66 Fax:- 02668-245292 Website:--www.sumandeepuniversity.co.in E-mail:-- info@sumandeepuniversity.co.in Page 1 FORWARD A syllabus and. curriculum ought to be a clear statement to students, administrators, teachers and a document providing security to the general population. Very often it is reduced to list the topics to be covered. In actual fact it should uncover the knowledge and its ethical use such that the syudent and teachers alike discover the philosophy of the career they have chosen. There has been a conscious effort to be as crystal clear as possible in all aspects of course and act as a facilitator to understand the intricacies of the course and the inherent expectations. It is a step to be the following:-1) A clear understanding to students what is expected in terms of topics taken, depth of treatment, examination methodology, grading process and individual divisions. 2) A clear understanding to teachers as a directional tool. 3) A clear understanding to examiners to what is expected. 4) A clear procedural methodology towards trouble free documentations. 5) To be as objective as ever in the examination scoring. 6) Subjective procedures to step by step convert into objective methods especially towards objectively structured practical/clinical evaluation. This is done by innovative methods of introducing spotting, poster presentations and table clinics. 7) Students to understand what and how much to study. 8) Teachers to know what to teach—this will need more amendments in future. 9) Paper setters to know what and how to ask. 10) Paper correctors to know mark distribution. 11) Practical examiners to know what to ask. This is the first step and future amendments in a phased manner is expected to fine tune the curriculum. The course is already showing a first innovative development in the introduction of Evidence Based Dentistry ass a new subject from first to fourth year. It will prepare the students for the future which appears to be imminent. It is also under development in the field of learning—a problem based approach. It is expected that in future this methodology will be the main stay of dental teaching// learning. Further development is also envisaged in topic distribution giving weightages for proper distribution. DR. BHARAT M. MODY PRINCIPAL Page 2 SUMANDEEP VIDYAPEETH UNIVERSITY, VADODARA, GUJARAT Vision Statement Chancellor Dr.Mansukhlal Shah Education is a dynamic venture, both an art and a science. Education must be prepared to continually adapt to meet the ever changing social needs and convert potential adult citizens in a productive global community. Learning is an active as well as an interactive process. Students learn by doing, but they also learn by watching and modeling those around them. With this in mind,teachers, specialists, para professionals, administrators, parents and all invoed in the life of a university need to be committed to life – long learning for their own professional and personal development. Their aim should be to a university community should truly be a learning community for all. (1) Develop multi faceted professionals in diverse fields, through absorption of emerging technologies, to understand the rapidly changing needs of the complex global economy and to prepare their mind set to be confident, creative and proactive. (2) Develop sustainable network with high quality academicians & professionals in the corporate & social arena. (3) Shape up a complete human being through value education that has global focus enriched by extensive industry interaction. (4) Provide students with clear guidelines regarding policy and procedure as well as expectations for their behavior in university situations, in order to enhance their academic performance. The best approach to education in the twenty- first century is a collaborative one that involves continually assessing and addressing the needs of the student, their families, the school and the community. This process can not work unless it includes diverse members from all of the groups. Educational leaders must have the vision to empower all of those involved to remain committed to the organization. Pro Chancellor Dr.Dixit Shah We believe That education empowers the individual and betterment of mankind We have a vision Of high quality lifelong learning, accessible to all We will Put the learner at the heart of everything we do, raise expectations and work together with mutual trust and respect. The ultimate return is achieving the vision : challenging all learners to reach their individual potential and preparing them to realize their role in a global community. The Sumandeep Vidyapeeth University envisages itself as a vibrant and reflective institution, providing health care, education, services and research of the highest recognized standards and is committed to innovation and best practice in all its perspectives. Page 3 Mission The Vision of SUMANDEEP VIDYAPEETH UNIVERSITY is to be a world class centre of excellence in learning and innovation driven by social sensitivity and state-of-the-art technology. By 2010 it will be amongst the top rated Educational Institutes in the offering contemporary education, high quality research, training and consultancy services to suit the ever changing needs of industry and society Our Philosophy Treat Industry & Corporate as customers & Students as products. Encourage research in all disciplines. Benchmark against the best practices, policies and standards. Operate with the spirit of humanity, liberty, integrity, responsibility and togetherness. Encourage new ideas and inculcate spirit of entrepreneurship. Maintain national as well as global identity. Create a rewarding sense of belonging for mutual growth. Respect for one and all irrespective of any considerations. Develop a sense of partnership amongst all. Strive hard toward creating human centered development and building knowledge – centered society. Our Strength First self finance dental collage of Gujarat State recognized by the Dental Council of India Largest self finance dental collage of Gujarat State. Annual intake capacity of 100 students ) ( First self finance dental collage of Gujarat State to start post-graduation courses (MDS ) in dental surgery. Largest dental hospital of Gujarat ( 320 dental chairs ) MODERN DETISTRY---OUR GOAL Page 4 SUMANDEEP VIDYAPEETH UNIVERSITY, VADODARA, GUJARAT NOTIFICATIONS “The Board Of Studies, Faculty of Dentistry in its meeting held on 15Th May 2008 hereby resolve that the draft of new BDS syllabus for the five year new DCI amended course submitted by Principal Dr. Bharat M. Mody is approved unanimously without any changes and request the chairperson to submit for approval to the Academic Council of the Sumandeep University at its next meeting.” “Academic Council in its meeting held on 1st June 2008 AT 10.A.M. in the Syndicate Hall hereby approve and adopt the draft proposal of the new syllabus for the new amended five year dental undergraduate course submitted by the Board of Studies, Faculty of Dentistry.” REGISTRAR SAFE DENTISTRY We acknowledge the help of DCI, MUHS AND RGUHS syllabus guidelines in framing this document Page 5 SUMANDEEP VIDYAPEETH UNIVERSITY, VADODARA, GUJARAT CONTENTS Section I Section II Section III Section IV I BDS Table of Contents Page Forward Vision Statement 2 3 Notification 5 Goals of Education and Training in Dental 8 Science of Sumandeep University. Aims and Objectives of BDS Course 9 to 10 Regulations relating to B.D.S. Course Course of study (Syllabus) and Scheme of Examination 1. General Human Anatomy including Embryology, Osteology and Histology 2. a) General Human Physiology, and 11 to 25 25 25 to 30 31 to 36 2. b) Biochemistry, Nutrition and Dietics 37 to 42 3. Human Oral and Dental Anatomy, 43 to 50 Embryology, Physiology and Histology 4. Dental Materials 50 to 51 5. Pre-clinical Prosthodontics & Crown & 51 to 52 Bridge 6. Pre-clinical Conservative Dentistry 52 to 53 6. Evidence Based Dentistry II BDS 1. a) General Pathology and 1. b) Microbiology 2. General and Dental Pharmacology and Therapeutics 3. Dental Materials 4. Pre-clinical Conservative Dentistry 5. Pre-clinical Prosthodontics & Crown & Bridge 6. Evidence Based Dentistry 7. Oral Pathology & Oral Microbiology Page 6 53 to 54 56 to 59 59 to 65 66 to 70 71 to 73 73 to 75 76 to 80 81to 82 82 to 85 IIIrd BDS Table of Contents Page General Medicine. General Surgery. 85 to 89 89 to 92 Oral Pathology and Oral Microbiology. 92 to 94 Conservative Dentistry & Endodontics. Oral & Maxillofacial Surgery. Oral Medicine and Radiology Orthodontics & Dentofacial Orthopaedics. Paediatric & Preventive Dentistry. Periodontology. IVth BDS Vth BDS Prosthodontics and Crown & Bridge. Evidence Based Dentistry . Oral Medicine and Radiology. 95 Orthodontics & Dentofacial Orthopaedics 102 to 106 Paediatric & Preventive Dentistry. 107 to 110 Periodontology. 111 to 118 Oral & Maxillofacial Surgery. Prosthodontics and Crown and Bridge. Conservative Dentistry & Endodontics. Public Health Dentistry. Evidence Based Dentistry Conservative Dentistry and Endodontics Oral & Maxillofacial Surgery.. Public Health Dentistry Prosthodontics and Crown & Bridge Aesthetic Dentistry Oral Implantology Ethics Scheme of examinaton Schedule for Internal Assessment marks University Examinations University Enrollment Form Appendix Page 7 96 to 101 117-117 118-122 122 to 128 187 to 132 132 to 137 137 to 139 139 to 142 142 142 144 147 148 151 Section I Goals of Education and Training in Dental Science of Sumandeep Vidyapeeth University, Gujarat The Dental curriculum shall be oriented towards educating students of B.D.S. Course to: 1. Take up the responsibilities of dental surgeon of first contact and be capable of functioning independently in both urban and rural environment. 2. Provide educational experience that allows hands-on-experience both in hospital as well as in community setting. 3. Make maximum efforts to encourage integrated teaching and de-emphasize compartmentalization of disciplines so as to achieve horizontal and vertical integration in different phases. 4. Offer educational experience that emphasizes health rather than only disease. 5. Teach common problems of health and disease and to the national programmes. 6. Use learner oriented methods, which would encourage clarity of expression, independence of judgement, scientific habits, problem solving abilities, self initiated and self-directed learning. 7. Use of active methods of learning such as group discussions, seminars, role play, field visits, demonstrations, peer interactions etc., which would enable students to develop personality, communication skills and other qualities which are necessary may be done. Regular periodic assessment be done throughout the course. Examinations be designed with a view to assess not merely the knowledge but also practical and clinical skills, habits and values which are necessary for a graduate to carry out professional day to day work competently. Towards achieving these goals every Dental College should: • Evolve institutional objectives, which would be in consonance with the national goals and health policy. The institutional objectives should describe the attributes of their product. • Shift the role of Dental teachers from merely imparting knowledge to that of a facilitator and motivator of student learning. • Establish a Dental Education Unit for faculty development, preparation of learning resource materials and for improving evaluation methods. Page 8 Section II Aims and Objectives of BDS Course Aims The dental graduates during training in the institutions should acquire adequate knowledge, necessary skills and such attitudes which are required for carrying out all the activities appropriate to general dental practice involving the prevention, diagnosis and treatment of anomalies and diseases of the teeth, mouth, jaws and associated tissues. The graduate should also understand the concept of community oral heath education and be able to participate in the rural health care delivery programmes existing in the country. Objectives The objectives are dealt under three headings namely (a) knowledge and understanding (b) skills and (c) attitudes. (a) Knowledge and understanding The graduate should acquire the following during the period of training. 1. Adequate knowledge of the scientific foundations on which dentistry is based and good understanding of various relevant scientific methods, principles of biological functions and should be able to evaluate and analyse scientifically various established facts and data. 2. Adequate knowledge of the development, structure and function of the teeth, mouth and jaws and associated tissues both in health and disease and their relationship and effect on general-state of health and also the bearing on physical and social well-being of the patient. 3. Adequate knowledge of clinical disciplines and methods, which provide a coherent picture of anomalies, lesions and diseases of the teeth, mouth and jaws and preventive, diagnostic and therapeutic aspects of dentistry. 4. Adequate clinical experience required for general dental practice. 5. Adequate knowledge of biological function and behaviour of persons in health and sickness as well as the influence of the natural and social environment on the state of health so far as it affects dentistry. (b) Skills A graduate should be able to demonstrate the following skills necessary for practice of dentistry. 1. Able to diagnose and manage various common dental problems encountered in general dental practice, keeping in mind the expectations and the right of the society to receive the best possible treatment available wherever possible. 2. Acquire skill to prevent and manage complications if encountered while carrying out various dental surgical and other procedures. Page 9 3. Possess skill to carry out required investigative procedures and ability to interpret laboratory findings. 4. Promote oral health and help to prevent oral diseases wherever possible. 5. Competent in control of pain and anxiety during dental treatment. (c) Attitudes A graduate should develop during the training period the following attitudes. 1. Willing to apply current knowledge of dentistry in the best interest of the patients and the community. 2. Maintain a high standard of professional ethics and conduct and apply these in all aspects of professional life. 3. Seek to improve awareness and provide possible solutions for oral health problems and needs throughout the community. 4. Willingness to participate in the continuing education programmes to update knowledge and professional skills from time to time. 5. To help and to participate in the implementation of national health programmes. Page 10 Section III Regulations relating to B.D.S. Course I. ELIGIBILITY: 1.1 Qualifying Examination: A candidate seeking admission to first BDS course: (a) Shall have passed the two years Pre-University Examination with English and Physics Chemistry and Biology as optional subjects. The candidate shall have passed subjects of English, Physics, Chemistry and Biology individually also OR (b) Shall have passed any other examination conducted by Boards/Councils/Intermediate Education established by State Governments/ Central Government and recognised as equivalent to two year Pre University examination by the Sumandeep University/Association of Indian Universities (AIU), with English as one of the subjects and Physics, Chemistry and Biology as optional subjects and the candidate shall have passed subjects of English, Physics, Chemistry and Biology individually. OR (c) Shall have passed Intermediate examination in Science of an Indian University/Board/Council or other recognised examining bodies with Physics, Chemistry and Biology, which shall include a practical test in these subjects and also English as compulsory subject. The candidate shall have passed subjects of English, Physics, Chemistry and Biology individually. OR (d) Shall have passed pre- professional/ pre- medical examination with Physics, Chemistry and Biology, after passing either the higher secondary school examination. The pre-professional/ pre- medical examination, shall include a practical test in Physics, Chemistry and Biology and also English as compulsory subject. OR (e) Shall have passed first year of the three year degree course of a recognised University with Physics, Chemistry and Biology including a practical test in these subjects provided the examination is an 'University Examination' provided that the candidate shall have passed subjects of English, Physics, Chemistry and Biology individually in the pre university or other examinations mentioned in the clauses above. OR (f) Shall have passed B.Sc. Examination of an Indian University, provided that he/she has passed the B.Sc. examination with not less than two of the following subjects: Physics, Chemistry, Biology (Botany, Zoology) provided the candidate has passed subjects of English, Physics, Chemistry and Biology individually in the qualifying examinations mentioned in clauses (a), (b) and (c). 1.2 Marks: Page 11 The selection of students to dental colleges shall be based on merit provided that: a)In case of admission on the basis of qualifying examination, a candidate for admission to BDS course must have passed individually in the subjects of Physics, Chemistry, Biology and English and must have obtained a minimum of 50% marks taken together in Physics, Chemistry and Biology in the qualifying examination. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes, the marks obtained in Physics, Chemistry and Biology taken together in qualifying examination be 40% instead of 50% as above and must have passing marks in English. b)In case of admission on the basis of competitive entrance examination, a candidate must have passed individually in the subjects of Physics, Chemistry, Biology and English and must have obtained a minimum of 50% marks in Physics, Chemistry and Biology taken together at the qualifying examination and in addition must have come in the merit list prepared as a result of such competitive entrance examination by securing not less than 50% marks in Physics, Chemistry and Biology taken together in the competitive examination. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes notified by the Government, the marks obtained in Physics, Chemistry and Biology taken together in qualifying examination and competitive entrance examination be 40% instead of 50% as stated above. (Vide Amendment to DCI Regulations, 2007, notified in Gazette of Government of India dated 10.09.2007). II. Age Requirement: The candidate shall have completed the age of 17 years at the time of admission or will complete this age on 31st December of the year in which he/she seeks admission. III. Duration of the Course: Five academic years with 240 teaching days in each academic year. IV. Attendance requirement, Progress and Conduct: Attendance requirement shall be as follows: a) 75% in Theory and 75% in Practical/Clinicals in each subject in each b) year. In case of subject in which the instructional programme extends through more than one academic year and hence there is no University Examination in the subject (i.e. non- exam going subjects), the attendance requirement shall not be less than 70% in Theory and Practical/ Clinical. However, at the time of appearing for the professional examination in the subject the candidate should satisfy the condition (a) above. V. Titles of subjects of study: First Year i) General Human Anatomy including Embryology and Histology. ii) General Human Physiology and Biochemistry, Nutrition and Dietics. iii) Dental Anatomy, Embryology and Oral Histology. iv) Dental Materials. v) Preclinical Prosthodontics and Crown & Bridge. VI) Conservative Pre-clinical vii) Evidence Based Dentistry Page 12 Second Year i) General Pathology and Microbiology. ii) General and Dental Pharmacology and Therapeutics iii) Dental Materials. iv) Preclinical Conservative Dentistry. v) Preclinical Prosthodontics and Crown & Bridge. vi) Oral Pathology & Oral Microbiology vii) Evidence Based Dentistry Third Year i) General Medicine. ii) General Surgery. iii) Oral Pathology and Oral Microbiology. iv) Conservative Dentistry & Endodontics. v) Oral & Maxillofacial Surgery. vi) Oral Medicine and Radiology vii) Orthodontics & Dentofacial Orthopaedics. viii) Paediatric & Preventive Dentistry. ix) Periodontology. x) Prosthodontics and Crown & Bridge. xi) Evidence Based Dentistry Fourth Year i) Orthodontics & Dentofacial Orthopaedics. ii) Oral Medicine and Radiology. iii) Paediatric & Preventive Dentistry. iv) Periodontology. v) Oral & Maxillofacial Surgery. vi) Prosthodontics and Crown and Bridge. vii) Conservative Dentistry & Endodontics. viii) Public Health Dentistry. ix) Evidence Based Dentistry Fifth Year i) Oral & Maxillofacial Surgery. ii) Prosthodontics and Crown & Bridge. iii) Conservative Dentistry and Endodontics. iv) Public Health Dentistry VI. Teaching Hours Teaching hours for each subject from first to final year – Theory and Practical are shown in the Tables –I to VI Page 13 TABLE - I Subjects and Hours of Instruction (B.D.S Course) Sl. Subject N o. 1. General Human Anatomy including Embryology, Osteology and Histology 2. General Human Physiology, Biochemistry, Nutrition and Dietics 3. Dental Materials 4. 5. 6. 7. 8. 9. Dental Anatomy, Embryology, and Oral Histology Dental Pharmacology and Therapeutics e General Pathology & Microbiology General Medicine General Surgery Oral Pathology and Microbiology Oral Medicine and Radiology Paediatric & Preventive Dentistry Orthodontics & Dental Orthopaedics Periodontology 10 . 11 . 12 . 13 . 14 Oral & Maxillofacial Surgery . 15 Conservative Dentistry and . Endodontics 16 Prosthodontics & Crown & . Bridge 17 Public Health Dentistry . 18 Evidence Based Dentistry Total Lecture Hours 100 Practic al Hours 175 Clinica l Hours - Total Hour s 275 120 70 60 60 - 180 130 80 240 - 320 105 250 - 355 70 20 - 90 55 65 55 50 - 60 60 - 90 90 110 115 150 150 - 275 145 130 65 - 200 265 65 - 200 265 50 - 200 250 80 - 200 280 70 - 360 430 135 200 460 795 135 300 460 895 60 - 290 350 2550 58 5738 58 1648 Page 14 1540 TABLE -II Subjects and Hours B.D.S Sl. Subject Lectur N e o. Hours 01 General Human Anatomy 100 including Embryology, Osteology and Histology 02 General Human Physiology, 120 of Instruction for First Year 03 175 Clinical Total Hours Hour s 275 60 - 180 Biochemistry, Nutrition and 70 Die tics Dental Anatomy, Embryology, 105 and Oral Histology 60 - 130 250 - 355 05 06 Dental Materials 20 Preclinical Prosthodontics and Crown & Bridge 40 100 - 60 100 07 Evidence Based Dentistry Total - 16 1116 04 16 431 Practical Hours 685 TABLE -III Subjects and Hours of Instruction forSecond year B.D.S Sl. N Subject o. 01 General and Pharmacology Therapeutics Lecture Hours Dental 70 and Practic al Hours 20 Clinica l Hours - Total Hour s 90 02 General Pathology, 55 55 - 110 03 Microbiology 65 50 - 115 04 Dental Materials 60 200 - 260 05 Oral Pathology and Oral 25 Microbilogy Priclinical Prosthodontics 25 and Crown & Bridge g 50 - 75 200 - 225 07 Priclinical Dentistry 200 - 225 07 Evidence Based Dentistry Total - 16 1116 06 Conservative 25 16 331 775 Page 15 TABLE - IV Subjects and Hours of Instruction for Third year B.D.S Sl. Subject N o. 01 General Medicine. Lecture Hours 02 General Surgery. 03 04 05 06 07 08 09 10 11 60 Practic al Hours - Clinica l Hours 90 Total Hour s 150 60 - 90 150 Oral Pathology and Oral 120 Microbiology. Conservative Dentistry & 30 Endodontics. Oral & Maxillofacial Surgery. 20 80 - 200 - 70 100 - 70 90 Oral Medicine and Radiology Orthodontics & Dentofacial Orthopaedics. Paediatric & Preventive Dentistry. Periodontology. 20 - 70 90 20 - 70 90 20 - 70 90 30 - 70 100 - 70 100 670 12 1172 Prosthodontics and Crown & 30 Bridge. Evidence Based Dentistry 12 Total 422 80 TABLE -V Subjects and Hours of Instruction for Fourth year B.D.S Sl. Lecture N Subject Hours o. 01 Orthodontics & Dentofacial 30 Orthopaedics. Practic al Hours - Clinica l Hours 130 Total Hour s 160 02 03 04 05 06 07 08 09 Oral Medicine and Radiology. Paediatric & Preventive Dentistry. Periodontology. Oral & Maxillofacial Surgery. Prosthodontics and Crown and Bridge. Conservative Dentistry & Endodontics. Public Health Dentistry. 45 - 130 175 45 - 130 175 50 20 30 - 130 90 90 180 110 120 30 - 90 120 30 - 90 120 Evidence Based Dentistry Total 12 292 880 12 1172 Page 16 - TABLE -VI Subjects and Hours of Instruction for Fifth year B.D.S Sl. Subject N o. 01 Oral & Maxillofacial Surgery. Lecture Hours 02 Prosthodontics and Crown & Bridge. 03 Conservative Dentistry and Endodontics. 04 Public Health Dentistry. Total 30 Practic al Hours - Clinica l Hours 200 Total Hour s 230 50 - 300 350 50 - 300 350 30 - 200 230 160 - 1000 1160 VII Schedule of Examination The University shall conduct two examinations annually at an interval of not less than one months as notified by the University from time to time. A candidate who satisfies the requirement of attendance, progress, and conduct as stipulated by the university shall be eligible to appear in the University examination. Certificate to the above effect should be produced from the Head of the Institution along with the application for examination and the prescribed fee. VIII Scheme of Examination The scheme of examination of B.D.S. course shall be divided into 5 professional examinations, viz., I.B.D.S. Examination at the end of first academic year, II B.D.S. at the end of second academic year, III B.D.S. at the end of third academic year and IV B.D.S. examination at the end of fourth academic year and V B.D.S. examination at the end of fifth academic year. VIII. i. Internal Assessment The internal assessment need not be limited to written tests. It should relate to other items such as maintenance of records, participation in seminars and group discussions, clinical case study, proficiency in carrying out practical or clinical skill or participation in projects and assignments (even) during vacation. These be evaluated objectively and recorded. The weight age given to internal assessment is 10% out of total marks assigned for a subject separately for theory and practical/clinical examinations. A minimum of four internal assessments to be held in an academic year and the average of these tests shall be sent to the university. Page 17 VIII. ii. University Examination: There shall be two examinations annually conducted at an interval of not less than four to six months. The written examination in each subject shall consist of one paper of three hours duration and shall have maximum of 70 marks. IX. Year wise Distribution of subjects for Teaching Purpose: I B.D.S. Examination 1. General Anatomy including Embryology and Histology. 2. General Human Physiology and Biochemistry, Nutrition and Dietics. 3. Dental Anatomy, Embryology and Oral Histology. 4. Evidence Based Dentistry II B.D.S. Examination: 1. General Pathology and Microbiology 2. General and Dental Pharmacology and Therapeutics. 3 . Dental Materials. 4. Pre-clinical Conservative Dentistry – Only practical and Viva -voce. 5. Pre-clinical Prosthodontics -Only practical and Viva -voce. 6. 4. Evidence Based Dentistry III B.D.S. Examination 1. 2. 3. 4. General Medicine. General Surgery. Oral Pathology and Oral Microbiology. Evidence Based Dentistry IV B.D.S. Examination 1. Oral Medicine and Radiology 2. Paediatirc and Preventive Dentistry 3. Orthodontics and Dentofacial Orthopaedics 4. Periodontology 5. Evidence Based Dentistry V. B.D.S. Examination 1. Oral & Maxillofacial Surgery. 2. Prosthodontics and Crown & Bridge. 3. Conservative Dentistry and Endodontics. 4. Public Health Dentistry. Page 18 X. Type of questions and distribution of marks: Each question paper shall be of 3 hours duration, carrying maximum marks of 70. There shall be three types of questions with distribution of marks as shown in Table VII: Table – VII Type of Questions Long Essay Type Short Essay Type Short Answer Type No. Questions 2 of Marks question 10 per Total marks 20 8 5 40 5 2 10 Grand Total 70 Note: In case of Physiology & Biochemistry and Pathology &Microbiology The distribution of marks and types of questions will be as follows: 1 In the subject of General Human Physiology and Biochemistry, Section `A’ (Gen. Physiology) shall contain one Long essay type question carrying 10 marks and second question containing four short Essay type questions carrying five marks each, third question containing three Short Answer questions carrying two marks each. Section 'B' (Biochemistry) shall contain one Long essay type question of 10 marks and second question containing four short Essay type questions of five marks each, third question containing two Short Answer type questions carrying two marks each. As shown in TableVIII. 2 In the subject of Gen. Pathology, Section 'A' (Gen. Pathology) shall contain one Long essay type question carrying 10 marks and second question shall contain three Short Essay type question carrying five marks each, third question containing five Short Answer questions of two marks each. Section 'B' (Microbiology) shall contain one Long essay type question carrying 10 marks and second question shall contain four Short essay type questions carrying five marks each, third question containing two short answer questions of two marks each. As shown in Table-IX. Page 19 Table – VIII : Distribution of marks when Subject Composed of two parts of No. of questio n Essay 01 Marks per question 10 Total Marks Essay 04 05 20 Answer 03 02 6 Type Questions PHYSIOLOGY Long Type Short Type Short Type Biochemistry Long Nutrition and Type Dietics Short Type Short Type 10 Gross Total Essay 01 10 36 10 Essay 04 05 20 Answer 02 02 4 Gross Total 34 No. of questio n 01 Marks per question 10 Total Mark s 10 04 05 20 03 02 6 36 01 Gross Total 10 04 05 20 02 02 04 Gross Total 34 TABLE – IX Type of Questions PATHOLOGY MICROBIOLOGY Long Essay Type Short Essay Type Short Answer Type Long Essay Type Short Essay Type Short Answer Type XI. Distribution of Marks in University Examination and Internal Assessment for various subjects from First year to Fifth year is shown in Table X: Page 20 10 TABLE –X Distribution of Marks in University Examination and Internal Assessment for various subjects from First year to Fifth year: THEORY Subjects 1STBDS 1. Gen. Human Anat.& Embryo.&Histo 2 Section A:-.Gen. Physio. &Nutrition and dietics Section B:- PRACTICALS / GRAND CLINICS TOTAL Univ. Viva Int. Total UNIV. INT. TOTAL Paper Voce Ass. EXAM. ASS 70 20 10 100 90 10 100 200 35 10 5 50 45 5 50 200 35 10 5 50 45 5 50 3. Dent. Anat., 70 20 10 100 Embryology and Histology 4, Evidence 30 20 50 Based Dentistry 35 10 5 50 II BDS 1. Section 1:Gen Pathology 35 10 5 50 2.Section 2:Gen. Microbio. 2.Gen & Dental 70 20 10 100 Pharmacolgy and therapeutics 3. Dental 70 20 10 100 Materials 4.Preclinical --20 20 Conservative * 5. Preclinical --20 20 Prosthetics * 6. Evidence 30 20 50 Based Dentistry • No Theory Paper only Viva Voce 90 10 100 Biochemistry Nutrition& Dietics Page 21 200 GRADE 200 45 5 50 45 5 50 90 10 100 200 90 10 100 200 60 20 80 100 60 20 80 100 GRADE III BDS 1. General Medicine 70 20 10 100 90 10 100 200 70 20 10 100 90 10 100 200 70 20 10 100 90 10 100 200 2. General Surgery 3. Oral Pathology and Oral Microbiology 4, Evidence Based Dentistry 30 IV BDS 1. Oral Medicine and Radiology 70 2. Paediatric & preventive dentistry 70 3. Orthodontics & Dento-facial orthopaedics 70 4. Periodontology 70 4, Evidence Based Dentistry 30 V BDS 1 Prosthodontics and 70 Crown and Bridge 2. Conservative Dentistry and Endodontics 70 3. Oral and maxillofacial Surgery. 70 4. Public Health Dentistry 70 20 50 50 20 10 100 90 10 100 200 20 10 100 90 10 100 200 20 10 100 90 10 100 200 20 10 100 90 10 100 200 20 50 GRADE 20 10 100 90 10 100 200 20 10 100 90 10 100 200 20 10 100 90 10 100 200 20 10 100 90 10 100 200 Page 22 XII. Elligibility to appear in an examination:-A candidate who has failed in any one subject only in either I year B.D.S or II year B.D.S or III year BDS or IV year BDS university examination shall be permitted to study next higher B.D.S. class provided that in order to avail the carry over facility such a candidate fulfills the following requirements: student shall have not less than 75% of attendance in Theory and Practical separately in all the examination subjects prescribed for that year. should have appeared in all the examination subjects prescribed for that year in the University examination simultaneously. A Candidate has to pass the carry over subject before being eligible to appear for higher B.D.S Examination. A candidate has to clear his second year fully to be permitted in third year. Candidate failing in one subject in first BDS, third BDS and fourth BDS can be allowed to attend next year, but will be allowed to appear to higher BDS examination only one term after passing the failed examination. Students failing in more than one subject will not be allowed to the higher BDS class and will have to pass the subjects before being promoted to the next class. However they can claim exemption in the subject they have got 50% marks individuall in theory and practical. XIII. Criteria for Pass in the University Examination 1. For declaration of pass in a subject, a candidate shall secure 50% marks in the University examination both in Theory and Practical/Clinical examinations separately, as stipulated below : For pass in Theory, a candidate shall secure 50% marks in aggregate in University theory examination i.e. marks obtained in University written examination, viva voce examination and internal assessment (theory) combined together i.e. fifty out of One hundred marks. In the University Practical/clinical examination, a candidate shall secure 50% marks in aggregate i.e. Practical /Clinical and Internal Assessment combined together i.e. 50/100 marks. In case of pre-clinical Prosthetic Dentistry and Pre-clinical Conservative Dentistry in II BDS, where there is no written examination, minimum for pass is 50% of marks in Practical and Viva voce combined together in University Examination including Internal Assessment i.e. 50/100 marks. Successful candidates who obtain 65% of the total marks or more shall be declared to have passed the examination in First Class. Other successful candidates will be placed in Second Class. A candidate who obtains 75% and above is eligible for Distinction. Only those candidates who pass the whole examination in the first attempt will be eligible for distinction or class & awards. Page 23 XIV. Field Programe in Community Dentistry: As a part of community dentistry program, students in the Clinical years will have to attend the various dental camps/ field programmes as part fulfillment of requirements of BDS examination to the satisfaction of the head of the Institution. XV. Miscellaneous: A) Migration/ Transfer of Students (1) Migration from one dental college to other is not a right of a student. However, migration of students from one dental college to another dental college in India may be considered by the Dental Council of India only in exceptional cases on extreme compassionate grounds*, provided the following criteria are fulfilled. Routine migrations on other grounds shall not be allowed. (2) Both the colleges, i.e. one at which the student is studying at present and one to which migration is sought, are recognised by the Dental Council of 1. For declaration of pass in a subject, a candidate shall secure 50% marks in the University examination both in Theory and Practical/Clinical examinations separately, as stipulated below : (iii) Council reserves the right, not to entertain any application which is not under the prescribed compassionate grounds and also to take independent decisions where applicant has been allowed to migrate without referring the same to the Council. India. (3) The applicant candidate should have passed first professional BDS examination. (4) The applicant candidate submits his application for migration, complete in all respects, to all authorities concerned within a period of one month of passing (declaration of results) the first professional Bachelor of Dental Surgery(BDS) examination. (5) The applicant candidate must submit an affidavit stating he/she will pursue 240 days of prescribed study before appearing at II nd Professional Bachelor of Dental Surgery(BDS) examination at the transferee dental college, which should be duly certified by the Registrar of the concerned University in which he/she is seeking transfer. The transfer will be applicable only after receipt of the affidavit. Note 1: (i) Migration is permitted only in the beginning of second year BDS course in recognized institutions. (ii) All applications for migration shall be referred to Dental Council of India by August college authorities. No institution/University shall allow migrations directly Page 24 without the prior approval of the council. Note 2: Compassionate Ground Criteria:-(i) Death of a supporting guardian. (ii) Disturbed conditions as declared by Government in the Dental College area. B. Re-admission of candidates who discontinued the course: A candidate who discontinues the course is eligible for re-admission subject to the following conditions: 1. Provision for re-admission is only once during the entire course. 2. He/she should seek readmission within three years from the date of discontinuation of the course. 3. He/she should pay the prescribed fees for the year for which he/she seeks admission and cannot claim readmission on the strength of fees paid earlier. 4. If the candidate discontinues after University Examination, he/she should reappear for the subjects in which he/she failed before seeking admission to the next higher class by paying examination fee etc. 5. He/she should put in two terms of attendance in the class for which he/she seeks readmission before appearing for the University Examination. SECTION – IV Course Contents I BDS General Human Anatomy including Embryology, Osteology and Histology Theory -100 Hrs. I. Introduction: 10 hrs. Scope, subdivisions, definitions and interpretation of anatomical terms, planes, anatomical positions, elements of anatomy including fascia muscles, blood vessels, nerves, joints and lymph vessels. II. Osteology of Head & Neck: 20 hrs. Skull - exterior - Norma and vault : Interior - Cranial fosse. Individual bones mandible, maxilla, frontal, parietal, occipital, temporal, zygomatic, ethmoid, sphenoid, vomer, palatine, nasal bones. Cervical vertebrae in general; C 1, C 2 & C 7 in particular Hyoid bone. III. Gross Anatomy of Head and Neck: 30 hrs. a. Scalp - layers, blood supply, nerve supply, lymphatic drainage. b. Face - Muscles, blood supply, nerve supply, lymphatic drainage, lacrimal apparatus. c. Neck - i. Cervical fascia ii. Posterior triangle iii. Anterior triangle - submental, digastric, carotid & muscular iv. Midline structures of neck d. Cranial cavity - meninges; dural folds and sinuses; Hypophysis cerebrae. e. Orbit - nerves, vessels, extrinsic muscles of eyeball. f. Parotid region - parotid gland. Page 25 g. Temporal and infra-temporal fossae - muscles of mastication, Maxillary artery, maxillary nerve and mandibular nerve. h. Temporo-mandibular joint. i. Submandibular region - submandibular salivary gland. j. Thyroid and parathyroid glands. k. Vessels of head & neck - Carotid, subclavian arteries, Internal jugular vein. l. Mouth, tongue and palate. m. Pharynx. n. Larynx. o. Cervical part of trachea and oesophagus. p. Nasal cavity and para nasal air sinuses. q. Lymphatic drainage of head & neck. r. Joints of neck - atlanto - occipital, atlanto-axial.. IV. Neuroanatomy: 12 hrs. • Detailed description of cranial nerves - V, VII, IX, X (in the region of head and neck) XI, XII including their nuclei of origin, intra and extra cranial courses. • Cervical spinal nerves and cervical plexus. • Autonomic nervous system of head and neck. V. Embryology: 12 hrs. o Gametogenesis - spermatogenesis and coogenesis, fertilisation implantation, germ layer formation, fetal membranes and placenta. o Development of branchial apparatus, pharyngeal arches, pouches and clefts. o Development of face, jaws, oral cavity, tongue, palate, nasal cavity, paranasal air sinuses, salivary glands, thyroid gland, hypophysis cerebrae, temporo-mandibular joint. VI. Histology: 16 hrs. o Introduction of cytology and histology. o Basic tissues - epithelial - simple; compound o Connective tissue - cells, fibres - collagen, elastic, reticular o Cartilage - hyaline, elastic, white fibro cartilages, o Spongy and compact bones - TS, LS o Muscular tissue - skeletal, cardiac and smooth, o Nervous tissue - peripheral nerve and ganglia. o Blood vessels - artery & vein. o Glands - serous, mucous, mixed salivary glands. o Lymph node tissue - lymph node, palatine tonsil, thymus & Spleen. o Skin - hairy and non hairy Page 26 o Endocrine gland - pituitary, thyroid, parathyroid, suprarenal & pancreas. o Lip, tongue & oesophagus o Trachea and lung. PRACTICALS 70 Classes of (2 1/2 hrs. each) (175 hrs ) - The following topics are included for examination - MUST KNOW. Dissection Topics: 1. Scalp 2. Face including deeper dissection 3. Posterior triangle of neck. 4. Anterior triangles of neck o median region o digastric o Carotid triangles. 5. Deep dissection of neck o Thyroid gland o Great vessels of neck. 6. Parotid region. 7. Infra temporal fossa – o Muscles of mastication o Mandibular nerve and its branches o Maxillary artery o Temporo mandibular joint 08. Sub mandibular region - gland, hyoglossus and its relations 9. Mouth, palate and pharynx. 10. Nasal cavity and paranasal air sinuses 11. Tongue 12. Larynx Surface Anatomy: (to be included in practicals only) MUST KNOW Superior sagittal sinus; middle meningeal artery; pterion; facial artery; parotid gland and duct; facial nerve on face; common, external, internal carotid arteries; palatine tonsil; vocal cards; thyroid gland, spinal accessory nerve. Radiological Anatomy: (Practicals only) AP & Lateral views of head and neck. MUST KNOW Interpretation of normal radiological anatomy. Histology Slides: - for Practical exam as Spotters & for Discussion. 1. Epithelium - simple squamous (mesentry) 2. Epithelium - simple Cuboidal (thyroid) 3. Epithelium - simple Columnar (Gallbladder) Page 27 4. Epithelium - simple Ciliated columnar 5. Epithelium - simple Pseudo-stratified ciliated columnar (Trachea) 6. Epithelium - simple Compound stratified squamous kertinised (skin) 7. Epithelium - simple - do - non-keratinised (oesophagus) 8. Compound - transitional (urinary bladder) 9. Areolar tissue. 10. Collagen fibres. 11. Elastic fibres. 12. Tendon. 13. Cartilage - hyaline - Elastic - White fibro. 14. Bone - T.S. - L.S. 15. Muscle - Skeletal (LS/TS) - cardiac - smooth. 16. Blood vessels - large sized artery - Medium sized artery - large vein - Medium vein 17. Peripheral nerve & ganglia 18. Serous salivary gland. 19. Mucous Salivary Gland. 20. Mixed Salivary Gland. 21. Lymph node. 22. Palatine tonsil. 23. Thymus 24. Spleen 25. Skin - hairy 26. Skin - non hairy 27. Lip 28. Tooth 29. Tongue 30. Trachea 31. Oesophagus 32. Lung 33. Thyroid & parathyroid 34. Pituitary 35. Suprarenal gland. 36. Pancreas. Page 28 Desirable to Know (to the Demonstrated) 1. Ear - external, middle & internal. 2. Spinal cord; 3. Brain Stem 4. Cerebellum 5. Cerebral hemispheres - important gyri & sulci of superolateral, medial and inferior surfaces; functional areas - sensory, motor, auditory, visual, gustatory speech & splanchnic areas; blood supply of brain; 6. Cranial nerves in general with functions other than V, VII, IX, XII. 7. Genetics - definitions, chromosomes, chromosomal aberrations; 8. Anthropology 9. Organs of thorax and abdomen. 10. Extremities - upper & lower limbs 11. Histology of o Stomach - fundus and pylorus; o Small intestine - duodenum, jejunum & ileum; o Large intestine - colon and appendix o Liver and gall bladder Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions: Contents Type of Marks Questions and Marks Gross Anatomy of Head and Neck – Scalp, Face, Long Essays 2 x 20 Triangles of Neck, Dural folds and Venous sinuses, 10 marks contents of the Orbit excluding Eyeball, Parotid Gland, Infratemporal fossa, Temporo mandibular joint, Submandibular region, Thyroid gland, Pharynx, Tongue, Nasal Cavity and paranasal air sinuses, Cranial nerves V, VII, IX and XII Development of Branchial apparatus, Face, Systemic Embryology and Systemic Histology. Gross Anatomy of Head and Neck – Scalp, Face, Cervical fascia, Midline structures of the neck, Vertebral Joints of Neck, Contents of the Orbit excluding Eyeball, Vessels of Head and Neck, Infratemporal fossa, Mouth, Palate, Pharynx, Nasal Cavity, Cervical Part of Trachea and Oesophagus, Lymphatic drainage of Head and Neck Cranial nerves -V, VII, IX, XI and XII and Cervical Plexus General and Systemic embryology and Histology, Osteology of Head and Neck Short Essays 08 x 40 5 marks + Short Answers 05 10 x 2 marks Total B. Viva Voce : 20 Marks Page 29 70 Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. General Human anatomy, Histology e.t.c. : 20 marks to be divided equally amongst the available examiners. a) Osteology of Head and Neck b) Soft part from Head and Neck c) Embryology Models d) Radiological Anatomy - 05 marks 05 marks 05 marks 05 marks C. Internal Assessment - Theory : 10 Marks, Practical: 10 Marks D. Practicals : 90 Marks Gross Anatomy a) Spotters carrying 2 marks each 2 x 15 = 30 marks b) Discussion on ONE given dissected specimen 10 x 1 = 10 marks c) Surface Anatomy 10 x 1 = 10 marks Histology a) Identification of 10 Slides of 02 mark each 02 x 10 = 20 marks b) Discussion on TWO given slides 10 x 2 = 20 marks (One General and one Systemic) Text Books Recommended : Name of the Book & Title 1. Cunningham's manual of G.J. practical Anatomy (Vol-I) Romanes 15th Yr. of Publ.'s Name Place Price Publ. of Publ. 1998 ELBS Oxford £ 3.95 2. Cunningham's manual of G.J. practical Anatomy (Vol-3) Romanes 15th 1998 ELBS Oxford 3. Essentials of Anatomy (Vol.2) -- 1999 6th 1996 Rs. Current Books 200/International Mc Milan India Ltd. Rs. Delhi 242/- 5th Nov 1994 William & Wilkins Rs. Pub. Baltimore, USA 899/- 3rd 1997 J.P. Brothers Medical Rs. Publishers Delhi 200/- Human A.K. Dutta 4. Human Embryology 5. Langman’s Embryology Author Inderbir Singh Medical Jan Langman 6. Text Book of Human Inderbir Histology Singh Edn Reference Books 7. Gray’s Anatomy £ 3.95 Peter L. 38th Williams 8. Last’s Anatomy Regional Mc Minn 10th and Applied RMH 1995 £ 40.00 1999 ELBS Churchill Livingston, £ 35.00 Edinburgh 9. Grant’s Method Anatomy 1997 D.I. Publishers 10. Lee. Synopsis Anatomy -- K.M.Varghese Bombay Mc of John V. 11th Basmajian (Ind) Gregor’s G.A.G. 12th Surgical Decker Page 30 Rs. 725/Rs. 350/- General Human Physiology Theory : 120 Hrs MUST KNOW Hours I. General Physiology: 4 1. Cell-Morphology -Functions of organelles: Cell membrane, nucleus, mitochondria, ribosomes, Lysosomes. 2. Muscle nerve physiology: Neurons: Morphology, classification Nerve fibres 8 classification, resting membrane potential, action potential, properties, conduction of impulses in myelinated & nonmyelinated fibres. 3. Neuroglia : Types & functions. Muscles: Types, structure of skeletal & smooth muscles, Sarcomere, mechanism of contraction, strength-duration curves, utilization time, rheobase & chronaxie. 4. Blood : Composition, properties, functions. RBC; Morphology, functions, 15 count, physiological variations and life span Erythropoiesis -stages, essential factors, regulation. 5. Haemoglobin: Function, concentration, physiological variations Fate of Hb Jaundice, types. Determination of color index, MCH, MCV, MCHC, PCV -normal values M = Mean, C = Corpuscular, H = Haemoglobin concentration. 6. WBCs Morphology, functions of all types including T & B lymphocytes, total and differential counts, physiological variations, leukocytosis & Leukopenia. 7. Platelets: Morphology, count, functions, thrombocytopenia & bleeding time. Plasma proteins : Concentrations and functions. Blood groups " Basis of blood grouping, Landsteiner's laws, ABO system, determination of blood groups, blood transfusion, complications of incompatible blood transfusion, RH group, erythroblastosis foetalis, prevention and treatment. 8. Haemostasis : mechanisms. Clotting mechanism: factors, intrinsic and extrinsic pathways, Disorders of clotting -haemophilia, vitamin K deficiency. Anti-clotting mechanisms: Antithrombin III, heparin, thrombomodulin & plasminogen, anticoagulants. 9. Anaemias: nutritional, aplastic, megaloblastic, iron deficiency. Effects of anaemia. 10. Blood volume : Normal values, determination, regulation. 11. Lymph : formation, circulation, composition, functions. II. Gastrointestinal System: 10 1. Salivary secretion : composition, functions, regulation (Deglutition DESIRABLE TO KNOW). 2. Stomach : functions. Gastric juice : composition, functions, regulation, gastrin, gastric emptying time. 3. Pancreas : composition, function, regulation of pancreatic juice secretion. Secretion, cholecystokinin - pacreozymin. 4. Liver : functions. Bile : composition, functions, Gall bladder: functions, regulation of emptying 5. Succus entericus : composition, function, regulation of secretion. 6. Movements of small and large intestines. Defaecation. III. Respiratory System : 12 Page 31 1. Physiological anatomy of the lungs. 2. Definitions of terms used in respiratory physiology : Eupnoea, Hyperpnoea, tachypnoea, apnoea, dyspnoea. 3. Mechanics of breathing -intrapulmonary and intrapleural pressure changes during a respiratory cycle. 4. Spirometry-lung volumes and capacities. Vital capacity, times vital capacity, maximal voluntary ventilation. 5. Dead space : types, measurement of anatomical dead space. Pulmonary & alveolar ventilation. 6. Surfactant : production, functions, respiratory distress syndrome. (Ventilation perfusion ration: DESIRABLE TO KNOW) 7. Oxygen transport : Oxy Hb dissociation curves, factors affecting it. 8. Carbon dioxide transport : forms, chloride shift (Hamburgers phenomenon) 9. Regulation of respiration : Neural regulation : centers -Dorsal Group of Respiratory Neurons (DRG), Ventral group of respiratory neurons (VRG), Nuclear Para Brachialis medialis (NPBL), Hering-breuer reflex. 10. Chemical regulation : peripheral and central chemoreceptors, ventilatory responses to oxygen lack, carbon-di-oxide and H -ions, effect of voluntary hyper ventilation. 11. Hypoxia : Types and effects, acclimatization to high attitudes. Cyanosis, asphyxia, Artificial respiration. IV. Cardiovascular System: 15 1. Plan of CVS Greater and Lesser Circulation. Physiological anatomy of the heart, nerve supply. Structure and properties of cardiac muscle. Origin and spread of cardiac impulse. Cardiac cycle : Intraventricular pressure and volume curves Heart sounds, causes, characteristics and significance Normal ECG, leads causes of waves, P-R interval 2. Cardiac output : Definitions, normal values, physiological variations, determination, (Principles underlying the methods only), regulation. 3. Arterial blood pressure : Definitions, normal values, physiological variations, factors maintaining blood pressure, Regulation -Vasomotor control, role of afferents to Vasomotorceutee (VMC)-barp receptors, Bainbridge reflex, chemoreceptros, hypertension. Heart rate-physiological variations, sinus arrhythmia, Marey law, Bainbridge reflex, chemo receptors, radial pulse. 5. Hypovolaemic (Haemorrhagic) shock, physiological basis of signs and symptoms 6. Coronary circulation. V. Renal System: 8 1. Functions of kidneys. Nephrons -cortical & juxtamedullary. Juxta glomerular apparatus - functions. 2. Mechanism of urine formation : ultra filtration, GFR -Factors affecting, selective reabsorption-sodium, urea, water, glucose. 3. Tubular secretion 4. Water excretion, mechanism of urine concentration. Concept of clearanceinsulin, PAH & urea clearances. Micturition, Innervation of bladder, cystometrogram, diuriesis. Page 32 VI. Endocrinology: 1. Major endocrine glands. Hormone: definition, properties, mechanisms of action. Anterior pituitary : Hormones and their functions, regulation of each hormone, disorders - Gigantism, acromegaly, dwarfism. 2. Posterior pituitary : hormones -site of synthesis, regulation, diabetes insipidus. 3. Thyroid : synthesis of hormones, actions and functions, regulation, disorders : simple goitre, myxoedema, cretinism, Graves disease. 4. Adrenal cartex : classification of hormones, actions, functions, regulation of secretion of cortisol and aldosterone. 5. Adrenal medulla : actions of adrenaline and noradrenaline, regulation of secretion. 6. Endocrine pancreas : hormones, actions, functions, regulation of secretion. Regulation of blood glucose level, diabetes mellitus. 7. Parathyroids : hormones, actions of hormones, regulation of secretion. Hypo& hyper parathyroid conditions, tetany – signs. Calcitonin -source, actions. 8. Regulation of blood calcium level – Calcitriol. VII. Reproductive Physiology: 1. Male reproductive system : functions of testes, puberty, spermatogenesis actions of testosterone, regulation of secretion, semen. 2. Female reproductive system : Structure of ovary & Uterus, hormones, actions, regulation. Menstrual cycle, Hormonal basis of changes in menstrual cycle physiological changes during pregnancy. Action of oestrogen and progesterone, Functions of placenta, Lactation, milk ejection reflex. 3. Family Planning Methods : In the males : Coitus interruptus, condoms, vasectomy. 4. In females: Rhythm method, Intra Uterine Contraceptive Devise (IUCD), oral contraceptives, tubectomy. VIII. Nervous System: 1. Synapse : Types, properties Sensory receptors : definition, classification, properties. Reflex action : Definition reflex arc, classification, general properties. Pathways for fine touch, pressure, proprioception, crude touch, thermal and pain sensations, referred pain. 14 06 10 2. Spino-cerebellar tracts : pathway and function. Pyramidal tracts: origin, course, termination and functions. Sings of upper & lower motor neurone lesions. Functions of Cerebellum, Basal ganglia, Thalamus, Hypothalamus. Signs of Cerebellar disorders & Parkinson’s disease. (Reticular formation, EEG, Sleep (NREM, REM)) Functions of Limbic system, Higher function of Brain Memory, Learning & Motivation. (DESIRABLE TO KNOW) 3. Cerebral cortex : lobes & functions. 4. Autonomic nervous system : Organization & functions. 5. Cerebrospinal fluid : formation, circulation, composition and function, Lumbar puncture. 6. Regulation of body temperature. IX. Special Senses: 1. Vision : physiological anatomy of eye ball, functions of iris, aqueous humor, lens, rods & cones. Accommodation to near vision. Page 33 18 2. Refractive errors : Myopia, hypermetropia, presbyopia & astigmatism. Visual acuity, pupillary reflexes. 3. Visual pathways. 4. Audition : Anatomic consideration, functions of outer, middle & inner ear, cochlea, organ of corti, mechanism of hearing. 5. Auditory pathways, deafness -types & tests 6. Taste : taste buds, primary taste sensation, pathway for Taste sensation, 7. Smell : receptors, olfactory pathways. Practicals : 60 Hours To be done by Students : 1. Study of Microscope and its uses 2. Collection of blood and study of haemocytometer 3. Haemoglobinometry 4. Determination of RBC count 5. Determination of WBC count 6. Determination of blood groups 7. Leishman's staining and differential leucocyte count 8. Calculation of blood indices 9. Determination of bleeding time 10. Determination of clotting time 11. Blood pressure recording 12. Auscultation of Heart sounds Hours 02 02 02 08 04 02 10 02 01 01 04 04 Demonstrations (only) DESIRABLE TO KNOW Transport mechanisms Neuromuscular junction, excitation contraction coupling, Myasthenia gravis, Rigor Mortis Body fluid compartments Principles of measurement, normal values Blood: Development of WBC's & platelets Electrophoresis, Plasma phoresis Blood bank. Respiratory system: Compliance of the lungs P 50 value, Co-efficient of oxygen utilization Page 34 Dysbarism, Dyspnoea - Dyspnoeic index Non-respiratory function of respiratory system. Cardio vascular system : Cardiovascular changes in muscular exercise. Renal system: TmG, rental threshold for glucose, tubular load for glucose. Counter current mechanism Endocrinology: Synthesis of thyroid hormone. Disorders - Addison's disease, Cushings syndrome, Conn's Syndrome, Adrenogenital syndrome, Pheochromocytoma Methods of study of endocrine glands. Central nervous system. Reflexes - Flexion reflex, stretch reflex, reverse stretch reflex. Connections of cerebellum, basal ganglia, Thalamus & hypothalamus Functions of Vestibular apparatus - Reticular formation EEG - sleep, Wakefulness. Methods of study of functions of nervous system special senses, Effects of lesions of visual pathways. Field of vision, colour vision, colour blindness. Structure of thyroid, pituitary, pancreas, parathyroid, Adrenal cortex and medulla. Gastrointestinal function : Deglutition. Respiratory System: Ventilation perfusion ration. Nervous system: Reticular formation, EEG, Sleep (NREM, REM), functions of Limbic system, Higher functions of brain - Memory, Learning & Motivation. Scheme of Examination:- Human Physiology A. Theory : 35 Marks Distribution of Topics and Types of Questions Contents Long Essay Questions preferably from Type of Questions and Marks Long Essays 01 x 10 marks Marks 10 1. Blood 2. Gastro intestinal tract 3. Cardio Vascular System 4. Respiratory System 5. Endocrines 6. Reproductive System Short Essay Questions should be set from all the chapters. (Except the chapter on which a Long Essay Question has been set) Short Essay 03 X 5 marks Short Answer Questions should be set from all the chapters. (Except the chapter on which a Long Essay Question has been set) Short Answers 05 x 2 marks Page 35 15 10 Total 35 marks B. Viva Voce : . 10 Mark Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. General Human Physiology and Biochemistry i) Oral on physiology Syllabus 20 Marks 12 Marks ii) Oral on Biochemistry syllabus 08 Marks C. Internal Assessment - Theory : 05 marks, Practicals : 05 marks D. Practicals : 45 Marks Major Experiments30 Marks Any one of the Major Experiments 1.R.B.C. Count 2. W.B.C. Count 3. Differential Count 4. Blood Pressure Recording Minor Experiments15 Marks Any one of the minor Experiments 1.Determination of Blood Groups 2.Determination of Bleeding & Clotting time 3.Haemoglobin Estimation 4.Calculation of absolute Haematological Indices – MCH , MCV, MCHC Page 36 Biochemistry, Nutrition and Dietics Theory : 70 hours Page 37 Page 38 Practicals: 60 hrs 1. Reactions of monosaccharides – glucose & fructose 2. Reactions of disaccharides – lactose, maltose and sucrose. 3. Preparation of osazones from glucose, fructose, lactose & maltose 4. Reactions of polysaccharides – starch 5. Identification of unknown carbohydrate 6. Colour reactions of proteins – albumin. 7. Colour reactions of proteins – gelatin & peptone. 8. Colour reactions of proteins – casein. 9. Precipitation reactions of albumin 10. Precipitation reactions of gelatin and peptone 11. Precipitation reactions of – casein 12. Identification of unknown protein 13. Reactions of urea, uric acid and creatinine 14. Identification of physiologically important constituents. 15. Composition of saliva and starch digestion by salivary amylase. 16. Qualitative analysis of gastric juice – normal and abnormal contents Page 39 17. Urine analysis – normal constituents. 18. Urine analysis – abnormal or pathological constituents. 19. Determination of titrable acidity and ammonia content in urine. 20. Determination of creatinine content in urine, calculation of creatinine clearance. 21. Estimation of Blood glucose. Demonstration Sessions : (Desirable to know) 1. Colorimeter 2. Electrophoresis & Chromatography 3. Estimation of Serum calcium and phosphorus 4. Estimation of Bilirubin 5. Estimation of Urea in blood 6. Estimation of total protein in blood serum 7. Preparation of haemin crystals 8. Discussion of clinical charts – Glucose Tolerance Test (GTT) 9. Spotting of specimens – Haemin, Osazone – Microscopy, Ryle’s tube, Folin –wu tube, Urinometer, Tests – Biuret reaction, Millon’s reaction, Jaffe’s reaction, Barfoed’s reaction. Scheme of Examination:- Bio-Chemistry A. Theory: 35 Marks Distribution of Topics and Page 40 Types of Questions Preferably, 75% of questions can come from the ‘must know’ category which helps the candidate to pass, remaining may come from ‘desirable to know’ category, which places him/her in the merit category. B. Viva – Voce: 10 Marks . Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. General Human Physiology and Biochemistry 20 Marks i) Oral on physiology Syllabus 12 Marks ii) Oral on Biochemistry syllabus 08 Marks C. Internal Assessment – Theory : 05 Marks, Practicals : 05 Marks Internal Assessment (for theory): 75% - Questions from MUST KNOW Category 25% - Questions from DESIRABLE TO KNOW Category D. Practicals: 45 Marks 1. One procedure for quantitative estimation = 20 marks 2. One procedure for qualitative analysis = 15 marks 3. Interpretation of Laboratory results in a given chart = 10 marks Total 45 marks The following are suggested: Quantitative Estimation (Any ONE estimation to be done) 1. Estimation of Blood Glucose – using Folin-wu method, using deproteinized blood. 2. Determination of Creatinine in Urine – using Jaffes’s method 3. Determination of Titrable acidity and Ammonia content of Urine – using Malfatti’s Method Qualitative Analysis (Any ONE analysis to be done) 1. Identification of Carbohydrates – glucose, fructose, sucrose, lactose, maltose, starch. 2. Colour Reactions – albumin 3. Precipitation Reactions – albumin 4. Identification of Proteins – albumin, gelatin, casein, peptone 5. Urine Analysis – normal constituents 6. Urine Analysis – pathological constituents Chart Interpretation (Interpretation of ONE Clinical chart) 1. Glucose Tolerance Test 2. Values of Blood Constituents and their clinical variation: - urea, cholesterol, calcium, phosphorus, bilirubin. Recommended Books: Page 41 Text Books Recommended: Name of the Book & Title Author Edn Yr. Of Publ.'s Name Place . Price Publ of Publ 1. Text book of Medical Physiology. Guyton Arthur 09 1999 Prism & Sounder'Bang. Rs.515/2. Concise medical Physiology ChaudhuriSujit. K 02 1998 Central Book Agency Calcutta Rs.495/3.Human Physiology Vol – I & II Chatterjee C. 11 1998 Medical Allied Agency Calcutta Rs.250/- Reference Books: 5. Review of Medical PhysiologY Ganong. W. F 18 1989 Appleton & Lang 6. Physiological basis of Medical practice Best & Taylor 10 Page 42 $18.00 3. D ENTAL ANATOMY, EMBRYOLOGY AND ORAL HISTOLOGY Topics To Be Covered:-INTRODUCTION Dental Anatomy including Embryology and Oral Histology - a composite of basic Dental Sciences and their clinical applications. SKILLS The student should acquire basic skills in : 1. Carving of crowns of permanent teeth in wax. 2. Microscopic study of Oral tissues. 3. Identification of Deciduous & Permanent teeth 4. Age estimation by patterns of teeth eruption from plaster casts of different age groups. OBJECTIVES : After a course on Dental Anatomy including Embryology and Oral Histology, 1. The student is expected to appreciate the normal development, morphology, structure and functions of oral tissues and variations in different pathological / non pathological states 2. The student should understand the histological basis of various dental treatment procedures and physiologic ageing process in the dental tissues. 3. The students must know the basic knowledge of various research methodologies. I. TOOTH MORPHOLOGY 1. Introduction to tooth morphology : ♦ Human dentition, types of teeth & functions, Palmer’s & Binomial notation systems, tooth surfaces, their junctions - line angles & point angles, definition of terms used in dental morphology, geometric concepts in tooth morphology, contact areas & embrasures - clinical significance. 2. Morphology of permanent teeth : ♦ Description of individual teeth, alongwith their endodontic anatomy and including a note on their chronology of development differences between similar class of teeth and identification of individual teeth. ♦ Variations and Anomalies commonly seen in individual teeth Morphology of Deciduous teeth : ♦ Generalized differences between Deciduous & Permanent teeth ♦ Description of individual deciduous teeth, including their chronology of development endodontic anatomy, differences between similar class of teeth & identification of individual teeth 4. Occlusion : ♦ Definition, factors influencing occlusion - basal bone, arch, individual teeth, external and internal forces and sequence of eruption. ♦ Inclination of individual teeth - compensatory curves. ♦ Centric relation and centric occlusion - protrusive, retrusive and lateral occlusion. ♦ Clinical significance of normal occlusion. ♦ Introduction to and classification of Malocclusion. II. ORAL EMBRYOLOGY : 1. Brief review of development of face, jaws, lip, palate & tongue, with applied aspects. 2. Development of teeth : ♦ Epithelial mesenchymal interaction, detailed study of different stages of development of crown, root & supporting tissues of tooth & detailed study of formation of calcified tissues. ♦ Applied aspects of disorders in development of teeth. 3. Eruption of deciduous and permanent teeth. ♦ Mechanisms in tooth eruption, different theories & histology of eruption, formation of dentogingival junction, role of gubernacular cord in eruption of permanent teeth. ♦ Clinical or applied aspects of disorders of eruption. 4. Shedding of teeth. Page 43 ♦ Factors & Mechanisms of shedding of deciduous teeth. ♦ Complications of shedding. III ORAL HISTOLOGY 1. Detailed microscopic study of Enamel, Dentine, Cementum and Pulp tissue. Age changes and Applied aspects (clinical and forensic significance) of histological consideration – Fluoride applications, transparent dentine; dentine hypersensitivity, reaction of pulp tissue to varying insults to exposed dentine ; Pulp calcifications & Hypercementosis. 2. Detailed microscopic study of Periodontal ligament and alveolar bone, age changes, histological changes in periodontal ligament and bone in normal and orthodontic tooth movement, applied aspects of alveolar bone resorption. 3. Detailed microscopic study of Oral Mucosa, variation in structure in relation to functional requirements, mechanisms of keratinization, clinical parts of gingiva, Dentogingval and Mucocutaneous junctions and lingual papillae. Age changes and clinical considerations. 4. Salivary Glands : ♦ Detailed microscopic study of acini and ductal system. ♦ Age changes and clinical considerations. 5. T.M. Joint : ♦ Review of basic anatomical aspects and microscopic study and clinical considerations. 6. Maxillary sinus : ♦ Microscopic study, anatomical variations, functions and clinical relevance of maxillary sinus in dental practice. 7. Processing of Hard and soft tissues for microscopic study : ♦ Ground sections, decalcified sections and routine staining procedures 8. Basic histochemical staining patterns of oral tissues. IV. ORAL PHYSIOLOGY 1. Saliva : ♦ Composition of saliva - variations, formation of saliva and mechanisms of secretion, salivary reflexes, brief review of secretomotor pathway, functions, role of saliva in dental caries and applied aspects of hyper and hypo salivation. 2. Mastication : ♦ Masticatory force and its measurement - need for mastication, peculiarities of masticatory muscles, masticatory cycle, masticatory reflexes and neural control of mastication. 3. Deglutition : ♦ Review of the steps in deglutition, swallowing in infants, neural control of deglutition and dysphagia. 4. Calcium Phosphorous and fluoride metabolism : ♦ Source, requirements, absorption, distribution, functions and excretion, clinical considerations, hypo & hypercalcemia & hyper & hypo phosphatemia & fluorosis. 5. Theories of Mineralization : ♦ Definition, mechanisms, theories & their drawbacks. ♦ Applied aspects of physiology of mineralization, pathological considerations - calculus formation. 6. Physiology of Taste : ♦ Innervations of taste buds and taste pathway, physiologic basis of taste sensation, age changes and applied aspects - taste disorders. 7. Physiology of speech ♦ Review of basic anatomy of larynx and vocal cords. ♦ Voice production, resonators, production of vowels and different consonants - Role of palate, teeth and tongue. ♦ Effects of dental prosthesis and appliances on speech and basic speech disorders. RECOMMENDED TEXT BOOKS : 1. Orban’s Oral Histology & Embryology - S. N. Bhaskar. 2. Oral Development & Histology - James & Avery Page 44 3. Wheeler’s Dental Anatomy, Physiology & Occlusion - Major M, Ash 4. Dental Anatomy - its relevance to dentistry - Woelfel & Scheid 5. Applied Physiology of the mouth - Lavelle 6. Physiology & Biochemistry of the mouth – Jenk Hour wise Distribution:-I. DENTAL ANATOMY: 1. Introduction, Dental Anthropology & Comparative Dental Anatomy 2. Function of teeth. 3. Nomenclature. 4. Tooth numbering systems (Different system) (Dental formula). Sl.No. 1 To 4 – 3 HRS. 5. Chronology of deciduous and permanent teeth. (First evidence of calcification, crown completion, eruption and root completion). 2 Hrs 6. Deciduous teeth - a) Nomenclature. b) Importance of deciduous teeth. c) Form & function, comparative dental, Anatomy, fundamental curvature. 4 Hrs. 7. Gross morphology of deciduous teeth. 8. General differences between deciduous and permanent teeth. 9. Morphology of permanent teeth. - Chronology, measurements, description of individual surface and variations of each tooth. 5 Hrs. 10. Morphological differences between incisors, premolars and molars of same arch. 11. Morphological differences between maxillary and mandibular. incisors, canines, premolars and molars of the opposite arch. 12. Internal Anatomy of Pulp. 13. Occlusion: a. Development of occlusion. b. Dental arch form. c. Compensating curves of dental arches. d. Angulations of individual teeth in relation to various planes. e. Functional form of the teeth at their incisal and occlusal thirds. f. Facial relations of each tooth in one arch to its antagonist or antagonists in the opposing arch in centric occlusion. g. Occlusal contact and interscusp relations of all the teeth of one arch with those in the opposing arch in centric occlusion. h. Occlusal contact and intercusp relations of all the teeth during the various functional mandibular movements. i. Neurobehavioural aspect of occlusion. 10 Hrs. ORAL PHYSIOLOGY: Page 45 3 Hrs. 5 Hrs. 1 Hr. 8 Hrs. 1. Theories of calcification. 1. Theories of calcification. 2. Mastication and deglutition. Oral Embryology, Anatomy and Histology: 1. Development and growth of face and jaws. 2. Development of tooth. 3. Cranial nerves with more emphasis on V.VII and IX. 4. Blood supply, nerve supply and lymphatic drainage of teeth and surrounding structures. 5. Cell -structure and function. 6. Maxillary sinus -Structure, Variations, Histology function and clinical considerations. 7. Salivary Glands - Classification, structure, function, Histology, Clinical Considerations and age changes. 8. Oral Mucous membrane: Definitions, General consideration. - Functions and classifications. - Structure and microscopic appearance of gingiva, palate, lips, alveolar mucosa, tongue, floor of mouth. - Gingival sulcus and dento gingival junction. - Clinical considerations and age changes. ENAMEL: Physical characteristics, chemical properties structure. -Development - Life cycle of ameloblasts Amelogenesis and Mineralisation. -Clinical considerations. -Age changes. DENTIN: Physical characteristics, chemical properties, structure. -Types of dentin . -Dentin innervation and hypersensitivity . -Development - Dentinogenesis and mineralisation. -Clinical considerations. -Age Changes. PULP: Anatomy, structural features, functions, pulp organs. -Developments. -Clinical consideration -Age changes. CEMENIUM: -Physical characteristics, chemical properties, structure. -Cementogenesis. -Clinical consideration -Age changes. PERIODONTAL LIGAMENT: -Cells and fibers -Functions -Development – Clinical Considerations. – Age Changes Page 46 01 hr. 01 hr. 1 hr. 6 hrs. 1 hr. 1 hr. 1 hr. 3 hrs. 4 hrs. 8 hrs. 8 hrs. 6 hrs. 5 hrs. 5 hrs. 5 hrs. ALVEOLAR BONE: -Physical characteristics, chemical properties structure. -Structure -Development. -Internal reconstruction. -Clinical consideration. HISTOCHEMISTRY OF ORAL TISSUES. (Tissue processing) THEORIES OF ERUPTION AND SHEDDING. (Physiological tooth 5 hrs. 4 Hrs. 4 Hrs PRACTICAL : 250 Hours Preparation of Ground sections, haematoxylin & Eosin sections & decalcified section (Desirable to know). Page 47 LECTURE DEMONSTRATION : 01. Identification of Individual teeth. - Deciduous. - Permanent. 02. Mixed dentition using study models. 03. Cross - Section & T.S. of mandible and maxilla with teeth present using study models. Demonstration of preparation of ground section, Decalcification, Paraffin section and H & E Staining. Scheme of Examination Page 48 A. Theory : 70 Marks Distribution of Topics and Type of Questions B. Viva Voce : 20 Marks . Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. Dental Anatomy & Histology - 20 Marks divided as 12 for Dental Anatomy and 8 for Dental Histology C. Internal Assessment – Theory : 10 marks, D. Practicals : 90 Marks Practicals : 10 marks 1. Carving 30 marks 1 hour 15 min 2. Spotters 60 marks (20 spotter x 3 marks) 1 hour 15 min - 13 histology and ground section slides - 4 tooth identification - 3 casts for identifications of teeth, numbering system and age assessment. Text Books Recommended : REFERENCE BOOK: - Dental anatomy by Scoot & Simon. Page 49 - Oral Physiology by Lavelle. - Oral Physiology by Jenkins. - Dental Anatomy by Krauss. 4. Dental Material Practical Exercises : 40 Hours I) . Manipulation of Plaster of Paris:-A) Making a Square solid block of Plaster i) Preparing the block to specified dimension. ii) Smoothening and finishing the block. iii) Polishing the block iv) Lacquering, varnishing or Soaping the block. B) Making a solid sphere from Plaster of Paris i) Preparing the sphere to specified dimension. ii) Smoothening and finishing the sphere. iii) Polishing the Sphere iv) Lacquering, varnishing or Soaping the block Page 50 II) III) C) Making a solid triangle of Plaster i) Preparing the triangle to specified dimension. ii) Smoothening and finishing the triangle iii) Polishing the triangle iv) Lacquering, varnishing or Soaping the block Manipulation of Physical Properties of Plaster of Paris. i) Demonstration of increasing and decreasing setting time using chemical modifiers. ii) Demonstration of Hygroscopic expansion iii) Demonstration of exothermic reaction and measuring the temperature differences over time. iv) Demonstration of setting expansion of a plaster cube. v) Demonstrate the hardness of plaster during different stages of setting vi) Demonstrate joining two blocks of plaster by using undercuts. vii) Demonstrating separating two blocks of plaster by separating medium. Manipulation of Impression Compound i) Making an impression of students own finger by Impression Compound ii) Demonstrating plasticity at different temperatures. Subject 5 : PRECLINICAL PROSTHODONTICS (PRACTICALS) Duration of syllabus: First and Second Year B.D.S. (360 Hours in Two Years period) Practical Exercises: To be Completed in First Year A) Fabrication of complete Denture Prosthesis using edentulous Models (Cast) 1) Introduction, Aims, Objective and Scope. 2) Masticatory apparatus- Applied anatomy of the components 3) Anatomical landmarks and Physiological considerations of the Edentulous maxillary and mandibular arches. 4) Preliminary impression, (Demonstration only) and cast preparatio. 5) Construction of special trays in shellac base and self cured acrylic resin. a) Close-fit type b) Tray with full spacer and tissue stop. 6) Final impression & Master cast preparation by box-in technique (only Demonstration) 7) Preparation of Record bases.. a) Temporary denture bases (shellac/ selfaired acrylic resin) b) Occlusion Rims of standard dimensions. 8) Brief introduction and Demonstration of J aw Relation recording 9) Brief introductions of articulators- Detail about Mean value articulator. 10) Transfer of Jaw Relation record on articulator. Page 51 11) Brief information about the selection of teeth. 12) Arrangement of teeth -Anteriors and posterior. 13) Reproducing gingival tissue morphology (Waxing and carving) 14) Laboratory Procedures: i) Flasking -Various techniques in brief ii) Wax elimination from mould (Dewaxing) iii) Preparation and packing the mould with Denture base resin. iv) Acrylization -Brief introduction about curing cycles v) Deflasking -Denture recovery from flask. vi) Laboratory Remount Procedure and selective grinding. vii) Face bow preservation Record (optional) viii) Finishing and polishing of Dentures ix) Making Remount cast for Clinical remount procedure x) Rebasing and relining. Subject 6: PRECLINICAL CONSERVATIVE DENTISTRY (PRACTICALS) Duration of Syllabus: First & Second Year B.D.S. (240 Hrs minimum) Syllabus : Practical Exercises : To be Completed in First Year A. Exercises to improve the dexterity: i) Preparation of plaster models of teeth ii) Finishing and polishing of plaster models iii) Marking of cavity as per Black's classification on these plaster models for Dental Amalgum fillings and inlays. iv) Preparation of cavities for Amalgum fillings and Inlays on plaster model v) Restoration of the prepared cavities with modelling wax. B. Exercises for cavity preparation of Dental Amalgam Restoration on Ivorine teeth. 1) Mounting of the Ivorine teeth on phantom head. 2) Preparation of Cl. I/Cl.I Comp./Cl.II/Cl. V /M.O./D. cavities of posterior Page 52 teeth with special emphasis on Cl. II cavities. 20 IN EACH CLASS 3) Cavity lining on all the prepared cavities 4) Restoration &.polishing of all teeth restored with dental amalgam. C. Exercises for anterior teeth restoration. 1) Preparation of CI. III/Cl. IV cavities in anterior teeth. 2} GI Fillings in all teeth Subject 7:--SYLLABUS FOR EVIDENCE BASED DENTISTRY First BDS COURSE CONTENTS:-WHAT IS THE AIM OF THE COURSE? The aim is to facilitate a learning experience that will provide the skills to develop, implement and disseminate an evidence-based care approach for effective clinical practice. HOW WILL THE AIM BE ACHIEVED? A team of experienced tutors will facilitate learning through a variety of methods. The teaching will be structured to cater for specialist interests. The core objectives will answer the following questions: • What is evidence-based dentistry, and where is the evidence? • How can evidence be evaluated, synthesized, and interpreted? • What strategies are required to implement evidence-based practice in the dental specialties? • How can we disseminate the skills of evidence-based practice to others? • Can we use evidence-based practice to develop cohesive research strategies? WHAT ARE THE OBJECTIVES? By the end of the course the student will be able to: • Understand the ideas and principles of evidence-based practice • Identify clinical issues where assessment of the evidence would be helpful • Search out and critically appraise relevant dental literature • Interpret your findings and develop an implementation strategy • Concisely present the evidence on a clinical issue Aims for the First Year:-1) Understand concept of Evidence Based Dentistry 2) Able to formulate a question on aspirations of patients (mock clinical situations) 3) Understand the concept and manner of library & internet search. THEORY:-16 Hrs. 1) Introduction to EBD:- Concept of EBD, what is evidence, requirements for EBD practice, need for evaluation of evidence, concept of peer review, need for standardization, needs of consumer protection act. 2 Hrs. 2) Need / Benefits of EBD Practice:-- Consumer Protection Act, standardization protocols, support to Doctors action, Patient Centric Treatment 2 Hrs 3) Why EBD:- Gap between Research and Practice, concept of context, peer reviewing against Google search, elimination of ego clashes and personalized opinion, accountability, removal of geographic and demographic variation 2 Hrs 4) The process of EBD an introduction. 1 Hr. 5) Concept of formulating a question—an introduction 1 Hr. 6) PICO Method, examples for understanding 2 Hr. 7) Searching for Evidence—Computer Search 1 Hr. 8) Computer Skills required for searching 1 Hr. 9) Case Studies 2 Hr. Page 53 10) Evaluation of the Evidence—an introduction 11) Future Scope and research methodology modifications 1 Hr. 1 Hr Home Assignments :1) Chart on EBD 2) Survey of Patients expectations of Dental Treatment. 3) Formulating the questions—10 topics. 4) Library search on 10 topics—submitting the Bibliography SCHEME OF EXAMINATIONS:-Total Marks:-50 Theory:30 Marks Guidelines:-1) To be taken along with University Examination for the First Year 2) 1( One ) hour question paper containing 30 MCQs and 30 one line answers. 3) Question paper will be taken away at the end of the hour. The answers are to be entered in the question paper itself. 4) The options of the MCQs should have an empty circle next to the option number. Candidates need to darken the correct option by an HB dark pencil. Ball point or pen will not be allowed. 5) Questions should be selected from a question bank at random. Assignments:-20 Marks Guidelines:-1) Marks will be given for each assignments. Each assignment will carry 10 marks. 2) Marking will be done as per Check list which will be preserved for one year in the department. 3) Marks achieved by the student for each assignments will then be totaled. Percentage will then be calculated and as per the percentage marks out of 20 will be awarded. Passing Grade:-- A student is declared pass if he gets 50% i.e. 25 marks out of total 50 marks allotted to the subject. SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : General Human Anatomy , Histology , Embryology etc. Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics related to Head, Neck, Face,) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Superior Extremity, Thorax and abdomen.) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics related to Gen. Anatomy, Brain,) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Embryology, Genetics, Histology,.) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) Page 54 ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks Subject : 2 : General Human Physiology and Biochemistry Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics related to CVS, Blood & Lymph, Respiratory) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Digestive, Excretion, Reproductive, Nervous, Endocrines.Temp. control) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Protein, Lipids and Carbohydrate Metabolism) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Vitamins, Nutrition, Food and Digestion, Harmones, Clinical Physiology) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks Subject 3 : Dental Anatomy & Histology Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics related to Development of Oral and Facial tissues, Eruption) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Saliva, Bio-Chemistry & Composition of Oral Structures) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics related to Anatomy of teeth & Occlusion) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Applied Anatomy, Sectioning & Histology, Histo-Chemistry.) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) Page 55 34 marks SYLLABUS SECOND B.D.S. Candidate will be examine in the following subjects : 1. General Pathology, Microbiology and Parasitology 2. General and Dental Pharmacology 3. Dental Materials 4. Preclinical Prosthodontics (Practicals) 5. Preclinical Conservative Dentistry (Practicals) 6. Evidence Based Dentistry A. Subject 1: General Pathology, Microbiology and Parasitology General Pathology Lectures 45 Hours Practicals and demonstration Total Duration Theory: 55 Hours 60 Hours 105 Hours (Minimum) Hours 1. Introduction to pathology as scientific study of disease, evolution of modern pathology, subdivisions in pathology, techniques used in the study of pathology and terms used in pathology 01 2. Cellular structure and metabolism. 01 3. Disturbances of metabolism of cells-Intra cellular accumulations (Degenerations) Fatty change, accumulation of lipids, proteins and glycogen. cellular swelling, hydropic change, Hyaline change and mucoid degeneration. Disorders of pigmentation and pathologic calcification 02 4. Cell injury- Types, mechanism, intracellular changes, morphology with examples, Cell death. Necrosis - definitions, types of necrosis with examples and cellular changes (morphology), mechanism. Apoptosis - definition, examples, morphology Gangrene- definition, types with examples, differences between dry and wet gangrene, stressing mainly on cancrum oris. 04 5. Amyloidosis - definition, pathogenesis and emphasis on localized amyloidosis, special stains for amyloidosis. 02 6. Inflammation and Repair-Acute and chronic inflammation. Chemical mediators of acute inflammation, Outcome of acute inflammation. Granulomatous inflammation definition of granuloma, Types of granuloma, with examples. Patterns and systemic effects of inflammation. 04 7. Healing of a wound in general with special emphasis on healing of a fracture. Factors affecting wound healing. 02 8. Immunity and hypersensitivity, definition, types mechanisms of immunology tissue injury with examples. 01 9. Infection and infestation - Bacterial- like pyogenic infections, typhoid fever, viral like AIDS, Hepatotropic viruses. 04 10. Circulatory disturbances - Hyperaemia, congestion, haemorrhage, shock, oedema, thrombosis, embolism and infarction. Hypertension. 05 11. Disturbances of Nutrition; Pathogenesis of deficiency diseases with special reference to disorders of vitamins like C, D, K and Vitamin B complex 03 12. Diabetes mellitus types, Aetio Pathogenesis, morphological changes in different Page 56 organs, complications and lab investigations. 13. Cellular growth and differentiation, Regulation. Adoptive disorders of growthAtrophy, Hypertrophy Hyperplasia, metaplasia. Types and pathologic changes of dysplasia and premalignant lesions. 14. Neoplasia : Definition, classification, characteristics of benign and Malignant tumours. Routes of spread of malignant tumours, Aetiology and Pathogenesis of neoplasia, clinical aspects and laboratory diagnosis of cancer. 15. Common diseases of bone – osteomyelitis, tumours and tumours like lesions of bone. Haematology and Clinical Pathology 1. Anaemias - Iron deficiency anemia, Vit.B12 or Folic acid deficiency anaemia and haemolytic anaemias and their lab investigations. 2. Pathogic variations in white cell counts and leukemoid reactions. 3. Neoplastic Proliferation of Leucocytes – Leukaemias and Lymphomas with investigations. 4. Haemorrhagic disorders with their lab investigations. 5. Blood grouping and cross matching-Blood transfusion and transfusion reactions. 6. Urine analysis - physical, chemical and microscopy. 7. Introduction to diseases of oral Cavity & Salivary glands-inflammatory conditions, infections, premalignant conditions and squamous cell carcinoma of oral cavity sialadenitis, pleomorphic adenoma and Warthin’s tumour. PRACTICALS AND LECTURE DEMONSTRATIONS : 02 03 04 03 03 01 04 02 01 01 02 55 hours Anti coagulants, packed cell volume and calculation of blood indices with their clinical importance. - Bleeding time, coagulation time and erythrocyte sedimentation rate with their significance. - Instruments, Identification and their uses : a. Neubauer’s counting chamber. b. Haemoglobinometer c. W.B.C.Pipette d. Wintrobe tube e. Urinometer. - Cytologic techniques - FNAC and Buccal smear - Desirable to know. - Study of Anaemias - Iron deficiency anaemia, Megaloblastic anaemia and dimorphic anaemia. - Study of acute leukemias - Study of chronic leukemias. SLIDES : - Acute appendicitis, granulation tissue. - Actinomycosis, Rhinosporidiosis, Rhinoscleroma - Tubercular Lymphadenitis, Fatty liver. - Chronic Venous congestion (CVC) liver, spleen and lung. - Squamous papilloma, transitional cell papilloma, pleomorphic adenoma - Capillary and cavernous haemangioma, warthins tumour. - Fibroma, Neurofibroma, lipoma - Osteoma, chondroma - Squamous cell carcinoma, basal cell carcinoma - Adenocarcinoma, Malignant melanoma. - Osteosarcoma, osteoclastoma. SPECIMENS: 1. Acute Appendicitis. 2. Tuberculosis Lymph node. 3. Fatty liver. 4. Infarction spleen. 5. Chronic Venous Congestion (C.V.C.) Liver 6. Squamous papilloma 7. Basal cell carcinoma 8. Lipoma Page 57 9. Squamous cell carcinoma 10. Malignant Melanoma 11. Adenocarcinoma 12. Osteosarcoma 13. Osteoclastoma. 14. Gangrene. PRACTICALS THAT MUST BE DONE BY THE STUDENTS : - Determination of Haemoglobin percentage and Blood grouping. - Total Leukocyte count - Peripheral blood smear staining, differential leukocyte count. - Urine examination - for sugar, ketone bodies, protein, blood, bile pigments and bile salts. Scheme of Examination A. Theory : 35 Marks Distribution of Topics and Type of Questions: B. Viva Voce : 10 Marks C. Internal Assessment - Theory : 05 Marks, Practical : 05 Marks D. Practicals : 45 Marks ( Combined with Microbiology) Page 58 Text Books Recommended : Microbiology Theory: 65 Hrs. Teaching Hours I. GENERAL BACTERIOLOGY 1. Introduction, History and classification. 2. Morphology, Physiology of Bacterial cell. 3. Bacterial Genetics 4. Infection II. IMMUNOLOGY 1. Immunity 2. Antigen 3. Antibodies 4. Structures and functions of Immune system 5. Immune response 6. Antigen and antigen reactions & compliment 7. Hypersensitivity 8. Auto immunity 9. Immunology of transplantation Page 59 02 02 02 02 02 01 01 01 01 04 02 01 01 III. SYSTEMATIC BACTERIOLOGY 1. Staphylococci 01 2. Streptococci (Dental Caries) 02 3. Pneumococci 01 4. Meningococci & Gonococci 01 5. Coryne bacterium diphtheriae 02 6. Bacillus 01 7. Clostridia 02 8. Non sporing Anaerobes 02 9. Mycobacteria 03 10. Coliforms proteus, Salmonella, Shigella, Vibrio,Pseudomonas 02 11. Spirochaetes (Treponema, Leptospira and Borrelia) 03 12. Normal Bacterial flora of the oral cavity 01 IV. VIROLOGY 1. General properties of viruses 03 2. Herpes viruses 02 3. Measles and Mumps 01 4. Rabies virus. 01 5. Hepatitis viruses 02 6. Human Immuno deficiency Virus (HIV) 01 7. Adeno oncogenic viruses & Poliomyelitis 02 V. PARASITOLOGY 1. Introduction to parasitic diseases 01 2. Entamoeba histolytica, Malaria, Leishmania 03 VI . MYCOLOGY 1. Candidiasis (in detail) 02 2. Rhinosporidiosis 02 VII. APPLIED MICROBIOLOGY Immunisation schedule, Collection of materials,Experimental animals & hospital infections. 02 MUST KNOW - MANDATORY TO KNOW I GENERAL BACTERIOLOGY 1. Morphology - Structure, appendages, demonstration. 2. Physiology - Nutritional requirement, growth curve. 3. Bacterial genetics - Mechanism of genetic transfer, drug resistance. 4. Infection- definition, bacterial factors, Host factors, types of infection, carrier, septecaemia, bacteraemia, pyemia, toxemia, epidemic, endemic, pandemic, nosocomial infection. II. IMMUNOLOGY 1. Immunity - Definition, classification, factors, mechanisms examples 2. Antigens - definition, types and properties. 3. Antibodies - structure, functions of diff. types of Immuno globulins. 4. Immune system - structure, function of T cells, B cells, differences. 5. Immune response - factors responsible for immune variations, adjuvants, mechanism. 6. Antigen - Antibody reactions - definition, mechanism, examples, clinical applications of Ag-Ab reactions like agglutination, precipitation, Complement Fixation Test (CFT), Neutralisation, Fluorescent Immune test, Opsonisation , ELISA test etc. 7. Hypersensitivity - definition, classification, mechanisms. 8. Autoimmunity - Theories, definition, classification, mechanisms. III. SYSTEMATIC BACTERIOLOGY 1. Staphylococci - Classification, morphology, pathogenesis, pathogenecity tests, lesions, lab diagnosis and treatment. Page 60 2. Streptococci - Classification, morphology, cultural characters, Pathogenesis, lab diagnosis, sequelae, Dental plaque, Dental caries & its diagnosis. 3. Pneumococci - Morphology, cultural characters, diff. between pneumococci and streptococci, pathogenecity and lab diagnosis. 4. Meningococci - Causes of bacterial meningitis, Morphology, lab diagnosis of bacterial meningitis including meningococcal meningitis. 5. Corynebacterium - diphtheriae - Morphology, cultural characters toxigenecity, its occurrence, spread, lab diagnosis, prophylaxis. 6. Bacillus species - Morphology, lesions and lab diagnosis. 7. Clostridia - Classification, pathogenesis, lab diagnosis of gas gangrene tetanus, prophylaxis and clinical features. 8. Nansporing anaerobes - Classification, pathogenesis, lesions, Lab diagnosis in respect to dental infections. 9. Mycobacteria - Mycobacterium leprae, Mycobacterium tuberculosis, Atypical mycobacteria, Morphology, classification, cultural characters, pathogenesis, lab diagnosis, susceptibility test and prophylaxis. 10. Actinomycosis - Morphology, lesions in respect to orofacial lesions, lab diagnosis 11. Spirochaets - classification, morphology, pathogenesis & lab diagnosis of Treponema, Borrelia, Leptospira. 12. Normal Bacterial flora of the oral cavity - Enumerating the organisms opportunistic importance in dental practice. IV. VIROLOGY 1. General virology - general properties, definition, classification, structure, pathogenesis, cultivation, lab diagnosis, antiviral agents immunology. 2. Herpes viruses - structure, classifications, lesions and lab diagnosis HSV 1, 2, EBV CMV, Virus Zoster (VZ) virus 3. Measles & Mumps viruses - structure, lesions, prophylaxis and lab diagnosis. 4. Hepatitis viruses - ABCDE; structure, route of entry, lesions, lab diagnosis and prophylaxis. 5. HIV - classification, structure, pathogenesis, route of entry opportunistic infection in AIDS, lab diagnosis - prophylaxis V. MYCOLOGY 1. Candida - Morphology, lesions, lab diagnosis, diff. Species in relation to oral candidiasis 2. Rhinosporidiosis VI. PARASITOLOGY Introduction to parasitology - classification, general diseases caused by them. Entamoeba, Malaria, Leishmania - Morphology, Clinical features, pathogenesis and lab diagnosis. DESIRABLE TO KNOW (Theory questions need not be asked from this list) I. GENERAL BACTERIOLOGY : 1. Introduction 2. Historical aspects 3. Calcification. II. IMMUNOLOGY : 1. Complement - properties and functions. 2. Immuno deficiency diseases, enumerating the diseases 3. Immunology of transplantation, classification and brief description of transplantation. III. BACTERIOLOGY : 1. Gonococci - Morphology, lesions, lab diagnosis. 2. Coliforms - Classification, pathogenesis, infections caused by them and lab diagnosis. 3. Proteus - Classification, pathogenesis, infections caused by them and lab diagnosis. Page 61 4. Salmonella - pathogenesis, lab diagnosis, prophylaxis. 5. Shigella - classification, pathogenesis, lab diagnosis 6. Vibrio - pathogenesis & lab diagnosis 7. Pseudomonas - Importance in hospital infection and drug resistance. IV. VIROLOGY : 1. Adeno & oncogenic viruses. 2. Rabies viruses- structure, pathogenesis, clinical feature, lab diagnosis, prophylaxis. 3. Poliomyelitis - Pathogenesis, clinical feature, lab diagnosis, prophylaxis. V. PARASITOLOGY: 1. Important Helminthic parasites. VI . APPLIED MICROBIOLOGY : 1. Immunisation schedule – prophylaxis 2. Collection of materials - for lab diagnosis 3. Experimental animals - Uses of animals in dentistry NICE TO KNOW : „X Opportunistic fungal infections „X Cryptococcosis „X Enteric fever in detail „X Malaria in detail „X Acute respiratory infections „X Organisms causing diarrhoeas PRACTICALS & PRACTICAL DEMONSTRATIONS : 50 Hours MUST KNOW : PRACTICAL DEMONSTRATIONS 1. Sterilisation and disinfection in detail 06x02 = 12 2. Culture media 03x02 = 06 3. Cultural methods & Anaerobic methods 02x02 = 04 4. Identification of bacteria & demonstration 02x02 = 04 5. Microscopy 02x02 = 04 PRACTICALS 6. Simple stain and hanging drop 01x02 = 02 (Not form exams) 7. Grams stain 03x02 = 06 8. Alberts stain 03x02 = 06 9. Ziehl Neilsen's stain 03x02 = 06 ------------Total Hrs. 50 ------------Sterilization - definition, classification, methods, physical, filteration, radiation, chemicals used in dental practice, hospital practice. Culture media - Classification, uses. Culture methods - Inoculation methods, antibiotic sensitivity, Anaerobic culture techniques. Microscopy - maintenance, uses, different parts, different types. LIST OF PRACTICAL MATERIALS SLIDES FOR DEMONSTRATION : 1. Staphylococcus 2. Streptococcus 3. Gonococcus 4. Pneumococcus 5. M tuberculosis 6. M leprae 7. Anthrax 8. Cl. tetani Page 62 9. Spirochaetes 10. Gram Negative Bacilli 11. Candida 12. (Actinomyces) SLIDES FOR PRACTICAL EXERCISES : Grams stain - Staphylococci - Gram negative bacilli - Mixture of any two organisms - Gram stain of the oral cavity. Alberts stain – Kleb’s Loffeler’s Bacilli (KLB) culture slide Ziehl-Neelson’s stain - Sputum positive for AFB MEDIA FOR DEMONSTRATION : UNINOCULATED MEDIA : 1. Nutrient agar plate 2. Blood agar plate 3. Chocolate agar plate 4. Macconkey agar plate 5. Glucose citrate broth (Blood culture bottle) 6. Lowenstein Johnson’s Media slope 7. Loefflers serum slope 8. Sabourauds slope 9. Milk agar plate 10. Robert Cooked Meat broth INOCULATED MEDIA: 1. Nutrient agar with staphylococci 2. Blood Agar with Alpha Haemolytic Streptococci. 3. Blood Agar with Beta Haemolytic Streptococci. 4. Potassium Tealurite with growth of C.diphtheriae 5. Milk agar with staphylococci 6. Antibiotics sensitivity plate ANIMALS: 1. Guinea pig 2. Rabbit 3. Mice INSTRUMENTS: 1. VDRL slide 2. Tuberculin syringe 3. Sterile swab 4. Seitz filter 5. Macintosh filds jar 6. Widal rack with tubes 7. Microtitre plate 8. Disposable syringe 9. Surgical gloves THEORY First Term General Bacteriology Immunology Mycology Parasitology - 08 14 04 04 ------TOTAL: 30 ------Page 63 Second Term Systematic Bacteriology - 21 Virology 12 Applied Microbiology 02 -------35 -------- Scheme of Examination A. Theory : 35 Marks Distribution of Topics and Type of Questions: B. Viva Voce : 10 Marks C. Internal Assessment – Theory : 05 marks, Practicals : 05 marks D. Practicals : 45 Marks Pathology + 45 Marks Microbiology ______________________________________________________________________ : Practicals MAXIMUM : 90 Marks ______________________________________________________________________ Clinical pathology 25 Marks ______________________________________________________________________ Histopathology(2 slides X 5) 10 Marks ______________________________________________________________________ Microbiology Staining (any One) 20 Marks ______________________________________________________________________ Spotting (10 spot X 2) 25 Marks ______________________________________________________________________ Journal (Micro & Patho) 10 Marks ______________________________________________________________________ Oral (Marks to be added to Theory) 20 Marks ______________________________________________________________________ Text Books Recommended : Page 64 Page 65 II - BDS General and Dental Pharmacology and Therapeutics Theory : 70 Hrs. Page 66 Page 67 PRACTICALS : 20 Hrs. Scheme of Examination Page 68 A. Theory (Written) Examination : 70 Marks Type of questions, topics and marks distribution B. Viva Voce : 20 Marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals : 90 Marks Page 69 1. Spotters 10 nos. x 1 = 10 marks 2. Prescriptions 2 nos. (2* 5 marks) = 20 marks (one medical plus one dental prescription) a) Correction of wrong prescription - 10 marks b) Drug of choice & Dose (5 Drugs x 2) - 10 marks. 3. Preparations 2 nos.x 15marks = 30 marks (one medical plus one dental preparation) 4 Journal / reord book 10 marks TEXT BOOKS RECOMMENDED : Page 70 II Year BDS Dental Material Theory - 60 Hrs. Practical – 200 Hrs. Practical Exercises : 200 Hours I Demonstration of manipulation of all materials for a batch not more than 8 students. II Exercises to be done by each student: a. Manipulation and pouring impressions - identify setting time and working time and working time with reference to proportion, water temp, and spatulation time. b. Self-cure and heat cure acrylic resin manipulation and curing. Page 71 c. Cements - manipulation and studying setting time and working time for luting, base and restoration. d. Silver Amalgam - manipulation, trituaration, condensation and studying setting and working time. - Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions : B. Viva Voce : i) Table Viva Voce:-- 20 Marks 12 Marks 1) Table Viva Voce :-a) Instruments…………………………….2 marks b) Resins & Art. Teeth …………………..2 marks c) Gypsum manipulation & modifiers…..2 marks d) Amalgam, Composite, GI …………..2 marks e) Metals & Metallurgy …………………2 marks f) Abrasives, polishers, wires ………….2 marks 2) Poster Presentation ( 3 minutes )………………………… 8 marks C. Internal Assessment – Theory : 10 marks, Practicals: 10 marks D. Practicals : 90 Marks 1. Spotters: Identify and write the composition and two important uses: Spotters-10 Nos. Marks - 02 Each Time - 02 Minutes each - 20 Marks 2. Exercise No. 1 25 Marks Any one exercise of the following: a. Manipulation of impression compound and preparation of a plaster cast of U/L arch. b. Manipulation of alginate impression material and preparation of plaster cast of U/L arch. c. Manipulation of Zinc Oxide Eugenol impression paste, and preparation of cast of U/L arch. d. Manipulation of Rubber Base impression material and preparation of Stone cast 3. Exercise No. 2 10 marks Manipulation of any one of the following Dental Cements. a. ZOE (Luting and Filling consistency) b. Zinc Phosphate Cement (Luting and Base consistency) c. Silicate Cement (Filing consistency) d. Glass lonomer Cement Type I/II (Luting/Filling consistency) e. Polycarboxylate Cement (Luting consistency). (Cements which are mixed for filling consistency should be filled in the cavity prepared in the extracted natural tooth / typhodont.) 4. Exercise No. 3 25 marks a. Triturating of Silver Amalgam and Condensation into the cavity prepared in extracted natural tooth/ typhodont. b. Mixing to heat cure acrylic resin and recording of time taken for all stages. 5 Journal / reord book 10 marks Page 72 Recommended Text Books Pre-Clinical Conservative Dentistry Theory : 25 Hours Page 73 PRACTICAL EXCERCISES – 200 Hours on Natural Extracted teeth I. CAVITIES PREPARATION RESTORATION Class I Class II 6 with 2 extensions 4 25 Hours 5 DO | | Conventional 8 25 Hours 5 MO | 5 Conservative 4 15 Hours 2 MOD (1 Upper molar) 1 15 Hours (1 Lower Molar) Class III 3 All 15 Hours Class V 3 on Anteriors All 15 Hours 2 on Posteriors All 15 Hours II. INLAY PREPARATION : Class I 1 To prepare Wax patterns Class II 2+1 MOD To prepare wax patterns and one to be casted Class V 1 (posterior) 15 Hours III. CUSPAL PREPARATION : (Demonstration) IV. a. Pulp capping : Direct/ Indirect on extracted teeth b. Pulpotomy on extracted posterior teeth c. Root canal access cavity opening on Upper Central incisor. (Extracted Tooth) V. Demonstration of Light cure composite and Glass Ionomer Restorations. VI. Demonstration of Instrumentation and Obturation of root canal. VII. Demonstration - Wax pattern, investing, casting, polishing and cementation of cast restoration. 30 Hours NOTE: The II year student should complete the prescribed quota of work before appearing for final internal assessment for the subject. This should be certified by the Head of the department before the candidate takes up final internal assessment exam. Scheme of Examination A. University Practicals : 60 Marks Practical Exercise No.1 : Spotters : 10 Nos., Marks : 01 Each, Time : 02 Minutes Each Spotters a. Hand instruments used to prepare cavity and restoration b. Identification of Root Canal Instruments Practical Exercise No.2 : Exercise A : 2 Hours duretion. i) Class II cavity preparation on ivorine/Extracted 10 Marks tooth (for Amalgum fillings) ii) Lining 05 Marks iii) Filling of the cavity with amalgum 10 Marks and carving Exercise. B : 1 Hours duretion. i) Class I Inlay cavity preparation on ivorine/ natural tooth ii) Wax pattern for inlay iii) Records/ Journals 10 Marks 50 Marks 10 Marks 05 Marks 10 Marks B. University Viva-Voce : 20 Marks Page 74 University Viva-Voce : 20 Marks 1) Table Viva Voce :-12 marks a) Instruments and its care..…………….2 marks b) Materials………………………………..2 marks c) Amalgum Filling ……………………..2 marks d) Inlay Preparation …………..2 marks e) Root Canal Filling …………………2 marks f) Fillinf Accessories ……………….2 marks 2) Poster Presentation ( 3 minutes )………………………… 8 marks C. Internal Assessment : 20 Marks a) First Test of 5 Marks. ..Cavity Preparation & filling on plaster models b) Second Test of 5 Marks . .Cavity preparation class II on ivorine/Extracted (Natural) tooth & filling in Amalgum. c) Third Test of 5 Marks ...Restoration of prepared cavity by using /GIC/ Composite resin or any other suitable material. d) Fourth test of 5 Marks ...Class I inlay preparation of wax pattern on ivorine/extracted tooth. First two test in First Term & Last two test in second term to be conducted. The marks in proforma to be submitted along with other subjects. . Total : 100 Marks TEXT BOOKS RECOMMENDED : Page 75 Pre-Clinical Prosthodontics THEORY : 25 hrs, PRACTICALS -200 hrs Page 76 10 hrs/week] Page 77 Clinical Steps in brief and II BDS PRACTICAL EXCERCISES 200 hours A) Complete Dentures Page 78 laboratory steps in detail 1) Arrangement of teeth - Must Know ---10 B) Fabrication of 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 (posterior) removable partial denture with 'C' clasp adaptation. 6. Surveying procedure (Demonstration only) Surveying of partially edentulous models and preparing modified master cast----Desirable to Know 7. Brief introduction of various components of partial Denture. 8. Designing partial denture framework on partially edentulous cast (Drawing as Diagnostic model and in journal) 9. Brief introduction to various laboratory steps in fabrication of cast partial denture framework by using audio-visual aids. C) Fixed partial Denture Prosthesis : 1. Brief introduction to crown and Bridge prosthesis 2. Principles of tooth reduction (Preparing abutment) to receive a) Full crown for anteriors and posterior teeth . b) partial veneer crown for anteriors and posterior teeth c) Dowel crown/post and core crown (Demonstration only) 3) Prepare wax patterns for minimum of 3 unit FPD and investing, casting and porcelain facing (for Batch of 8 students) - Desirable to Know 4) Casting procedure to fabricate 3 unit bridge (Demonstrition only) with special consideration to making of dyes and working models. Preparing of wax patterns spruing, casting and finishing ( in batches of students not more than 8 - Desirable to Know 5) Brief introduction of pontic designs. D) Special Prosthesis : 1. Making of cap spints & gunning splint (only Demonstrations.) 2. Fabrication of obturators (only demonstration) 3. Introduction (with models/charts/photographs) of various maxillofacial prosthesis & Dental Implant. Note: 1. Students shall submit one processed denture mounted on an articulator to present on university practical exam along with record book. 2. Exercises of RPD and FPD to be submitted in groups along with the record book. Scheme of Examination Page 79 A. Practical Exercise: (Duration- 3 hrs) : 60 Marks EXAMINATION PATTERN : I) Internal assessment. a) First test of 5 Marks 20 Marks -- Making of special tray/Occlusion rims b) Second test of 5 Marks -- Arrangement of teeth c) Third test of 5 Marks -- Designing a removable partial denture for (cast partial framework) given model (Drawing on Cast and Lab. prescription slip) d) Fourth test of 5 Marks -- Preparation of tooth to receive Full/P.V. Crown with wax pattern First two tests to be conducted in first Year B.D.S. and third & fourth test to be con- ducted in Second Year B.D.S. Marks of First two tests must be submitted to university along with the marks of other First year subjects. II Practical Examination: 60 Marks To be conducted at the end of Second Year B.D.S. along with university practical programme of other subjects. Break-up is as under: Exercise I a) Teeth arrangement for complete denture 15 Marks b) Waxing and carving (Gingival tissue morphology)..05 Marks Exercise II c) Abutment preparation to receive crown Duration 1 1/2 Hrs. .15 Marks. Duration d) Wax pattern for that preparation ..05 Marks. 1 Hrs. e) Journals/Record of the-two Year work ..10 Marks. Exercise III Spotters 10 Marks B. University Viva-Voce : 20 Marks 1) Table Viva Voce :-12 marks a) Instruments…………………………….2 marks b) Materials………………………………..2 marks c) Complete Denture……………………..2 marks d) Removable Partial Denture…………..2 marks e) Fixed Partial Denture…………………2 marks f) Laboratory Procedures……………….2 marks 2) Poster Presentation ( 3 minutes )………………………… 8 marks RECOMMENDED TEXT BOOKS Page 80 EVIDENCE BASED DENTISTRY 2nd BDS COURSE CONTENT:Aims for the 2nd year:-1) Summarize past knowledge. Recapitulate formulating question. 2) Learn to use internet. 3) Learn advanced search options and focus on peer reviewed articles. 4) Learn to research on basis of question formulated. 5) Understand the importance of controlled and standard trial basis. 6) Use case studies to learn searching methodology. Theory 1 Hr. 1) Summarise 1st year Knowledge. 2) Internet use protocol. 1 Hr. 3) Search Engines—peer reviewed. 2 Hrs 4) Search Filters 3 Hrs. 5) Traditional Evidence and Knowledge generating evidence 2 Hrs 6) Evidence Pyramid of Knowledge. 1 Hr 7) Levels of Evidence 2 Hrs. 8) NIH and RAND principles introduction. 1 Hr. 9) Case Studies 3 Hrs. 16 Hrs. Assignments:-1) Chart on Internet use . Search Engines and Search Filters 2) Formulating questions and searching the net for relevant articles.—compiling library reference. SCHEME OF EXAMINATIONS:-Total Marks:-50 Theory:30 Marks Guidelines:-1) To be taken along with University Examination for the First Year 2) 1( One ) hour question paper containing 30 MCQs and 30 one line answers. 3) Question paper will be taken away at the end of the hour. The answers are to be entered in the question paper itself. Page 81 4) The options of the MCQs should have an empty circle next to the option number. Candidates need to darken the correct option by an HB dark pencil. Ball point or pen will not be allowed. 5) Questions should be selected from a question bank at random. Assignments:-20 Marks Guidelines:-1) Marks will be given for each assignments. Each assignment will carry 10 marks. 2) Marking will be done as per Check list which will be preserved for one year in the department. 3) Marks achieved by the student for each assignments will then be totaled. Percentage will then be calculated and as per the percentage marks out of 20 will be awarded. Passing Grade:-- A student is declared pass if he gets 50% i.e. 25 marks out of total 50 marks allotted to the subject. II BDS Oral Pathology and Microbiology Theory : 25 Hours Practical : 50 Hours MUST KNOW 1) Developmental Disturbances of oral and para oral structures : (15 hrs) Developmental disturbances of Jaws a. Agnathia, Micrognathia, Macrognathia, Facial Hemihypertrophy, Facial 2. Hemiatropy a. Developmental Disturbances of lips and palate a. Congenital Lip pits and Commissural pits and fistulas b. Double lip, Cleft lip, cleft Palate, Chelitis Glandularis, Chelitis 3. Granulomatosa, Hereditary Intestinal Polyposis, Hereditary Melanotid 4. Macule b. Developmental disturbances of Oral Mucosa a. Fordyce's Granules b. Focal epithelial Hyperplasia c. Developmental disturbances of gingiva c. Fibromatosis Gingiva, Retrocuspid Papilla d. Developmental Disturbances of Tongue d. Macroglossia, Microglossia, Ankyloglossia, Cleft Tongue, Fissured 5. Tongue, Median Rhomboid Glossitis, Benign Migratory Glossitis, Hairy 6. Tongue. e. Development disturbances of oral lymphoid tissue: a. Reactive lymphoid aggregates b. Lymphoid hamartoma c. Angiolymphoid Hyperplasia d. Lympho-epithelial cyst f. Developmental disturbances of salivary glands: e. Aplasia, Xerostomia, Hyperplasia of the palatal glands, Atresia, 7. Abberrancy, Stafine's cyst g. Developmental disturbances in size of teeth: a. Microdontia, Macrodontia h. Developmental disturbances in the shape of the teeth: b. Fusion, Germination, Concrescence, Dilacerations, Talon's Cusp, Dens 8. in Dente, Dens Evaginatus, Taurodontism, Supernumerary Roots, 9. Enameloma i. Developmental Disturbances in number of teeth a. Anodontia, Supernumerary teeth, Predecidious and Post Permanent 10. dentition j. Developmental Disturbances in Structure of Teeth: Page 82 a. Amelogenesis Imperfecta, Enamel Hypoplasia, Dentinogenesis 11. Imperfecta, Dentinal dysplasia, Regional Odontodysplasia, Shell Teeth. k. Developmental Disturbances in eruption of teeth: a. Premature Eruptions, Eruption Sequestrum, Delayed Eruption, Multiple 12. Unerupted teeth, Submerged Teeth. l. Developmental / Fissural cysts of the Oral cavity a. Median palatal cyst, Globulomaxillary cyst, Median Mandibular cyst, 13. Naso-alveolar cyst, Palatal cyst of neonates, Thyroglossal duct cyst, 14. Epidermoid, and Dermoid cyst, Nasopalatine cyst. 2) Dental Caries (5 hrs) - Theories - Clinical features - Classification - Histopathology - Immunology - Caries activity Tests - Factors Influencing Caries 3) Diseases of the pulp and Periapical tissues (5 hrs) a) Diseases of the Dental Pulp - Pulpitis, Focal Reversible Pulpitis, Chronic Pulpitis, Pulp Polyp. b) Diseases of the Periapical Tissues - Periapical Granuloma, Periapical Abscess, Periapical Cyst c) Osteomyelitis - Acute Suppurative Osteomyelitis, Chronic Focal and Diffuse Sclerosing Osteomyelitis, Garre's Ostemyelitis Practicals : 50 hours Identification of Hard and Soft Tissue Specimens Text Books Recommended : Other suggested reading 1. Pathology of Tumors-Lucas 2. Oral Immunology - Lehner SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : General Pathology Microbiology. Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics related to Degeneration, Inflammation, Infrction Page 83 Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- AIDS, Nutrition, Anaemias,aTumours Cysts, Bone Diseases Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:- Infection its control, Bacteraemia, septecaemia, AIDS, Specific Organisms, their characteristics) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Virology, Mycology Parasitology, Immunity, Dental Infections and their micrology.) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks Subject : 2 : General Pharmacology and Pharmacotherapeutics Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics CNS, ANS, CVS blood related drugs) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- GIT, Endocrines, Chemotherapeutic drugs) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Anti-inflammatory, Drugs used in Dental Diseases, Anaesthetics ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Vitamins, Nutrition, Food and Digestion, Local and Intra-Oral medicaments, drug delivery systems) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks Subject 3 : Dental Materials Max. Marks - 70 Page 84 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics :-Gypsum, Impression Materials, Denture base and artificial teeth ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Waxes ,Casting alloys, casting procedures and faults, porcelain) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics :- Cements, Root canal materials, Orthodontic Materials ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics:-Amalgum, Composites, Abrasives and polishers Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks III RD BDS SUMANDEEP VIDYAPEETH UNIVERSITY, SYLLABUS : THIRD B.D.S. Candidate will be examined in the following subjects: 1) General Medicine 2) General Surgery 3) Oral Pathology & Microbiology. 4 EVIDENCE BASED DENTISTRY Subject 1 : GENERAL MEDICINE Lectures Clinicals - 40 Hours. 90 Hours. Page 85 PIPARIA Total Duration 130 Hours. LECTURES : 1. Aims of Medicine. 2. Definition of diagnosis, prognosis and treatment. 3. History taking and physical examination of a medical case. 4. Medical emergencies in dental practice, Anaphylactic shock, Hemophillia, Syncope etc. Cardiac arrest etc. 5. G.I. Disorders: Stomatitis, Glossitis, Gastritis, Diarrhoea, Amoebiasis, Ascites, Malabsorption syndrome, Peptic ulcer. 6. Liver.- Jaundice, Viral hepatitis, Cirrhosis of liver. Tender hepatomegaly. 7. Cardiovascular System: Congenital heart diseases, classification, Rheumatic heart diseases, subacute bacterial endocarditis. Congestive heart failures, left ventricular failure. Hypertension. . Coronary artery disease 8. Respiratory System: Pneumonia, Bronchitis, Emphysema, Lung Abscess. Eosinophilia, Pulmonary Embolism, Pulmonary Tuberculosis, Respiratory failure, Chronic obstructive Pulmonary diseases. 9. Renal Diseases : 10. Hematology: Anaemia, Nephritis, Nephrotic Syndrome. Coagulation defects, Bleeding disorders. Page 86 Agranulocytosis, Leukaemia Oral manifestations of Hematological disorders, Lymphadenopathy and splenomegaly. 11. Central Nervous System: Meningitis, Facial Palsy, Facial pain, Epilepsy, Headache, Vertigo, Nervousness, Anxieties & Depression. 12. Nutritional and Metabolic disorders : Balanced diet, Normal daily requirements. Protein Calorie Malnutrition. Avitaminosis., Diabetes Mellitus. Calcium homeostasis, Flouride & Phosphorous metabolism. 13. Endocrine Disorders: Thyroid-Hypo and hyper, Pituitary - Hypo and hyper, Parathyroid - Hypo & Hyper, Adrenal - Hypo & Hyper. 14. Infection: Enteric fever, Mumps, Leprosy, Diphtheria, Syphilis, Gonorrhoaea, Herpes, AIDS., Hepatitis, Maleria fever. 15. Miscellaneous : Allergy, Anaphylaxis, Drug reactions, Drug interactions, Poisoning. Evaluation of a case for general anaesthesia. Case history and Examination of patient. Diagnosis, Prognosis 15. Recent advances in general medicine. Page 87 & Treatment planning. EXAMINATION PATTERN : I, THEORY Three Hours Paper having two sections of 36 and 34 respectively as per pattern given at of the IIIrd Year Syllabus THEORY EXAMINATION:-SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : General Medicine . Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics :-GI Tract, Liver, Hepato-Splenomegaly, Ascitis, Jaundice, Excretory System Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- CVS Respiratory System, Reproductive System,) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics :--Haematology, Nutrition, Endocrines metabolic,,) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Lab Investigations, CNS, Infections Allergy.) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks II. CLINICALS A) Practical Maximum i] Long Case ...... 40 Marks. ii] Short Case ..... 20 Marks. iii] X-Rays & Drugs Spotters 20 Marks. iv] Journal 10 Marks. ..... Page 88 90 Marks. Total III) 90 Marks. Oral (Viva Voce) ... 20 Marks III. Internal Assessment (Theory 10 + Practical 10 ) ........20 marks Subject 2 :GENERAL SURGERY Lectures - 40 Hours. Clinicals Total Duration 90 Hours. 130 Hours. LECTURES : 1. Introduction to surgery, especially related to Oro-dental surgery, classification of diseases. 2. Inflammation of soft-tissue & hard tissue-Causes, Varieties, sequelae and treatment. 3. Infection-Acute and Chronic, Abscess, Carbuncles, Sinus, Fistula, Ulceration, Gangrene, Cellulitis, Erysipelas, Septicaemia, Pyaemia, Toxaemia, Cancrum Oris, Tuberculosis, Syphilis, Gonorrhoea, Actinomycosis, Anthrax, Tetanus. 4. Wounds-complications, Treatment, Repairs, Suturing technique, Asepsis and antiseptic measures and procedure with particular reference to the Oral cavity. Haemorrhage and its treatment, Haemophillia, Syncope, Collapse, Head injury and its management. Page 89 Shock, 5. Cysts and new growths- Their general consideration with special reference to those occurring in the Oral Cavity. 6. Diseases of the Lymphatic glands, especially of the neck. 7. Outline of diseases of the mouth, lips, tongue, palate, tonsils and salivary glands. 8. Infections and diseases of the Larynx, Tracheostomy. 9. Nervous system, Facial palsy, Trigeminal Neuralgia. 10. Principles of surgical treatment, diathermy and radition Therapy. 11. Fracture-General principles of treatment, and healing. 12. Cleft lip and cleft palate. 13. Thyroid and parathyroid. 14. Swellings of jaws. 15. Burns:-outline & treatment in brief. 16. Diseases of arteries & Veins. 17. Blood grouping & transfusion. 18. Methods of administration of general anaesthesia, Precautions, Management, Resuscitation in Dentistry. 19. Operation theatre techniques. 20. Recent advances in general surgery. EAMINATION PATTERN : Page 90 I. Theory -------------------------------------------------------max 70 Marks Three Hours Paper having two sections of 36 and 34 respectively as per pattern given at of the IIIrd Year Syllabus SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 2 : General Surgery Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics :-Inflammation, Infection, Wound healing Shock Infection Control, CNS) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Cysta and Tumours, Lympadenitis, Osteomyelitis) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Dental Infections, Jaw Swellings, Salivary Diseases, Jaw Fractures , Facial Clefts ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Emergencies, CPR, Specialised Investigations, Modern Surgical Intervention, Invasive Diagnostics, Surgical Protocol) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks II. CLINICALS A) Clinical/Practical i] Long Case ..... 40 Marks. ii] Short Case ..... 20 Marks. iii] X-Rays, Instruments Spotters ... iv] Journal ..... 10 Marks. 20 Marks. Page 91 Total III IV ------- 90 Marks. Oral (Viva Voce) ... Internal Assessment (Theory 10 +Practical 10) .... 20 Marks. 20 Marks. Subject 3 : ORAL PATHOLOGY AND MICROBIOLOGY. Lectures .. 50 Hours. Practical .... ... 90 Hours. Total Duration . .140 Hours. LECTURES : 1. Aims & Objectives. 2. Developmental disturbances of dental, oral and paraoral structures, including hereditary disorders. 3. Dental caries. 4. Pulpal and periapical pathosis and their sequelae. 5. Environmental lesions of the oral and para-oral structures. 6. Defense mechanism of oral tissues and healing following injuries. 7. Diseases of periodontal ligament, gingiva and cementum. 8. Effects of nutritional disturbances and normal disorders on the oral and para-oral structures. 9. Infections & Diseases of oral mucosa. 10. Bone disorders affecting jaws. 11. Traumatic injuries of teeth, Gums & soft tissues, their Page 92 sequelae and healing. 12. Cysts of oral cavity. 13. Pre-cancerous lesions-etiology and pathology. 14. Neoplasms of Oral Cavity. 15. Diseases of salivary and lymph glands. 16. Diseases of Tempero-Mandibular joint. 17. Diseases of nerves, skin, blood and their implications to oral tissues. 18. Concept of immunology as related to oral lesions. HIV Infection, Hepatitis. 19. Effects of radiation on oral and para-oral tissues. 20. Outline of forensic odontology. 21. Oral Microbiology - Oral Flora, Diagnostic procedures in oral microbiology & Histopathology. 22. Recent advances. PRACTICAL: 1. Identifications of hard and soft tissue specimens. 2. Identification of Histopathological & Microbiological slides. 3. Biopsy and exfoliative cytology techniques. I. Theory ----------------------------------------------------Max 70 Marks. Three Hours Paper having two sections of 36 and 34 respectively as per pattern given at of the IIIrd Year Syllabus SPECIFIC DIVISION OF WRITTEN PAPERS Subject 3 : Oral Pathology Max. Marks - 70 Page 93 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics related to Development of Oral and Facial tissues, Eruption, Dental Caries , pulpitis and periapical, ,space infections, trauma and role of saliva ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Periodontal diseases, nutritional, endocrine, environmental oral microbiology and systemic- oral manifestations, vesiculo-bullous, ) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics :--Cysts, tumours, Pre-Cancerous, bone disorders, white lesions ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Salivary Glands, TMJ, Forensic Odontology, Sexually, transmitted, II. PRACTICAL 1] Spotting of 10 slides .... 30 Marks. 2] Spotting of 5 specimens ... 20 Marks. 3} Details 2 slides + 15 …. 30 Marks 4 }Journals ... 10 Marks, Total --------- 90 Marks. III) Oral (Viva Voce) (Under Theory)... 20 Marks i) Table Viva Voce:-a) Aetio-Pathology 12 marks :-------…………2 Marks a) Biopsy Techniques…………… ………… 2 Marks b) Macro & Microscopic Appearances………2 Marks c) Virology & Immunology ……. 2 Marks d) Histo-Chemistry……………… .2 Marks e) Current Concepts………………………….2 Marks ii) Poster Presentation:-- 8 marks Page 94 IV. Internal Assessment (Theory 10+Practical 10) ------ 20 Marks. 3rd BDS EVIDENCE BASED DENTISTRY COURSE CONTENT:-Aims for Third Year:-1) To consolidate searching methodology. 2) Statistical needs for standard EBD approved study. 3) Cohort studies, RCT trials, Regress ional analysis, ROC curves etc. 4) Baynesian Systems understanding. Theory 13 Hours Topics:1) Review searching methodology 1 Hr. 2) Statistical needs for EBD studies. 2 Hr. 3) Trial Design for EBD based study. 1 Hr. 4) Cohort Study, RCT trials, ROC curves, 4 Hrs. 5) Regress ional Analysis. 6) Amalgamate the correct study design with 4 Hrs. statistical analysis. 7) Inclusion criteria. 1 Hr. Assignments:-1) Chart on Statistical Methods. 2) Case Studies and creating Library Bibliography. 3) Design mock studies on EBD Pattern. SCHEME OF EXAMINATIONS:-Total Marks:-50 Theory:30 Marks Guidelines:-1) To be taken along with University Examination for the First Year 2) 1( One ) hour question paper containing 30 MCQs and 30 one line answers. 3) Question paper will be taken away at the end of the hour. The answers are to be entered in the question paper itself. 4) The options of the MCQs should have an empty circle next to the option number. Candidates need to darken the correct option by an HB dark pencil. Ball point or pen will not be allowed. 5) Questions should be selected from a question bank at random. Assignments:-20 Marks Guidelines:-1) Marks will be given for each assignments. Each assignment will carry 10 marks. 2) Marking will be done as per Check list which will be preserved for one year in the department. 3) Marks achieved by the student for each assignments will then be totaled. Percentage will then be calculated and as per the percentage marks out of 20 will be awarded. Passing Grade:-- A student is declared pass if he gets 50% i.e. 25 marks out of total 50 marks allotted to the subject. ……………………………………………. Page 95 IV th BDS SYLLABUS 1 3. O RAL MEDICINE AND RADIOLOGY AIMS : (1) To train the students to diagnose the common disorders of Orofacial region by clinical examination and with the help of such investigations as may be required and medical management of oro-facial disorders with drugs and physical agents. (2) To train the students about the importance, role, use and techniques radiographs / digital radiograph and other imaging methods in diagnosis. (3) The principles of the clinical and radiographic aspects of Forensic Odontology. The syllabus in ORAL MEDICINE & RADIOLOGY is divided into two main parts (I) Diagnosis, Diagnostic methods and Oral Medicine (A) Diagnostic methods (B) Diagnosis and differential diagnosis (C) Oral Medicine & Therapeutics. ii)Oral Radiology, Again the part COURSE CONTENT (1) Emphasis should be laid on oral manifestations of systemic diseases and ill-effects oral sepsis on general health. (2) To avoid confusion regarding which lesion and to what extend the student should learn and know, this elaborate syllabus is prepared. As certain lesions come under more than one group, there is repetition. Part - I ORAL MEDICINE AND DIAGNOSTIC AIDS SECTION (A) - DIAGNOSTIC METHODS (1) Definition and importance of Diagnosis and various types of diagnosis. (2) Method of clinical examinations. (a) General Physical examination by inspection. (b) Oro-facial region by inspection, palpation and other means. (c) To train the students about the importance, role, use of saliva and techniques diagnosis of saliva as part of oral disease (d) Examination of lesions like swellings, ulcers, erosions, sinus, fistula, growth pigmented lesions, white and red patches. (e) Examination of lymph nodes (f) Forensic examination - Procedures for post-mortem dental examination; maintaining dental records and their use in dental practice and post-mortem identification; jurisprudence and ethics. (3) Investigations (a) Biopsy and exfoliative cytology (b) Hematological, Mecrobiological and other tests and investigations necessary for diagnosis and prognosis. SECTION (B) - DIAGNOSIS, DIFFERENTIAL DIGNOSIS While learning the following chapters, emphasis shall be given only on diagnostic aspects including differential diagnosis (1) Teeth : Developmental abnormalities, causes of destruction of teeth and their sequelae and discoloration of teeth (2) Diseases of bone and Osteodystrophies : Development disorders: Anomalies, Exostosis and tori, infantile cortical hyperostosis, osteogenisis imperfecta. Marfans syndrome, osteopetrosis. Inflamation - Injury, infection and spread of infection fascial space infections osteoradionecrosis. metabolic disorders - Histiocytosis Endocrine - Acro - megaly and hyperparathyroidism Miscellaneous - Paget’s disease, Mono and polyostotic fibrous dysplasia, Cherubism. (3) Temparomandibular joint : Developmental abnormalities of the condyle. Rheumatoid Page 96 arthritis, Osteoarthritis, Sub-luxation and luxation. (4) Common cysts and Tumours: CYSTS: Cysts of soft tissue : Mucocele and Ranula Cysts of bone : Odontogenic and nonodontogenic TUMORS : Soft Tissue: Epithelial: Papilloma, Carcinoma, Melanoma Connective tissue : Fibroma, Lipoma, Fibrosarcoma Vascular : Haemangioma, Lymphangioma Nerve Tissue : Neurofibroma, Traumatic Nueroma, Neurofibromatosis Salivary Glands ; Pleomorphic adenoma, Adenocarcinoma, Warthin’s Tumour, Adenoid Cystic carcinoma. Hard Tissue : Non Odontogenic : Osteoma, Osteosarcoma, Osteoclastoma, Chondroma, Chandrosacroma, Central giant cell rumor, and Central haemangioma Odontogenic : Enameloma, Ameloblastoma, Calcifying Epithlial Odontogenic tumor, Adenomatoid Odontogenic tumor, Periapical cemental dysphasia and odontomas (5) Periodontal diseases: Gingival hyperplasia, gingivitis, periodontitis, pyofenic granuloma (6) Granulomatous diseases : Tuberculosis, Sarcoidosis, Midline lethal granuloma crohn’s Disease and Histiocytosis X (7) Miscellaneous Disorders : Burkitt lymphoma, sturge - Weber syndrome, CREST syndrome, rendu-osler-weber disease. SECTION (C) : ORAL MEDICINE AND THERAPEUTICS. The following chapters shall be studied in detail including the eiology, pathogenerals, clinical features, investigations, differential diagnosis, management and prevention. (1) Infections of oral and paraoral structures: Bacterial : Streptococcal, tuberculosis, syphills, vincents, leprosy, actinomycosis, diphtheria and tetanus Fungal : Candida albicans Virus : Herpes simplex, herpes zoster, ramsay hunt syndrome measles, herpangina mumps, infectious mononucleosis, AIDS and hepatitis B (2) Important common mucosal lesions : White lesions : Chemical burns, leukodema, leukoplakia, Fordyce spots, stomatitis nicotina palatinus, white sponge nevus, candidiasis, licherplanus, discoid lupus erythematosis Veiculo-bullous lesions : Herpes simplex herpes zoster herpangina, bullous lichen planus, pemphigus, cicatricial pemphigoid erythema multiforme. Ulcers : Acute and chronic ulcers Pigmented lesions : Exogenous and endogenous Red lesions : Eruthroplakia, Stomatitis venenata and medicamentosa, erosive, lesions and denture sore mouth Cervico-facial lymphadenopathy Facial Pain : (i) Organic pain : plain arising from the diseases of orofacial tissues like teeth, pulp, gingival, periodontal tissue, mucosa, tongue, muscles, blood vessels, lymph tissue, bone, paranasal sinus, salivary glands etc. (ii) Pain arising due to C.N.S. diseases: (a) Pain due to intracranial and extracranial involvement of cranial nerves (Multiple sclerosis, cerebrovascular disease trotter’s syndrome etc.) (b) Neuralgic pain due to unknown causes : Trigeminal neuralgia, glossopharyngeal neuralgia, sphenopalatine ganglion neuralgia, periodic migrainous neuralgia and atypical facial pain. (iii) Referred pain : Pain arising from distant tissues like heart, spine etc., Page 97 (3) Altered sensations : Cacogeusia halitosis. (4) Tongue in local and systemic disorders : (Aglossia, ankyloglossia, bifid tongue, fissured tongue, scrotal tongue, macroglossia, microglossia, geographic tongue, median rhomboid glossitis, depapillation of tongue, hairy tongue, atrophic tongue, reactive lymphoid hyperplasia, glossodynia, glossopyrosis, ulcers, white and red patches etc.) (5) Oral manifestations of : (i) Metabolic disorders : (a) Porphyria (b) Haemochromatosis (c) Histocytosis X diseases (ii) Endocrine disorders: (a) Pituitary : Gigantism, acromegaly, hypopituatism (b) Adrenal cortex : Addison’s disease (Hypofunction) Cushing’s syndrome ) (c) Parathyroid glands : Hyperparathyroidism. (d) Thyroid gland : (Hypothyroidism) Cretinism, myxedema (e) Pancreas : diabetes (iii) Nutritional deficiency : vitamins : riboflavin, nicotinic acid, folic acid vitamin B12, vitamin C (Scurvy) (iv) Blood disorders : (a) Red blood cell diseases Deficiency anemias : (Iron deficiency, plummer – Vinson syndrome, pernicious anemia) Haemolytic anemias : (Thalassemia, sickle cell anemia, erythroblastosis fetails) Aplastic anemia Polycythemia (b) White blood cell diseases Neutropenia, cyclic neutropenia, agranulocytosis, infectious mononeucleosis and lukemias (c) Haemorrhagic disorders : Thrombocytopenia, purpura, hemophilia, chrismas (d) disease and von willebrand’s disease (6) Disease of salivary glands : (i) Development disturbances : Aplasia, atresia and aberration (ii) Functional disturbances : Xerostomia, ptyalism (iii) Inflammatory conditions : Nonspecific sialadenitis, mumps, sarcoidosis heerdfort’s syndrome (Uveoparotid fever), Necrotising sialometaplasia (iv) Cysts and tumors : Mucocele, ranula, pleomorphic adenoma, mucoepidermoid carcinoma (v) Miscellaneous : sialolithiasis, sjogren’s syndrome, mikuliez’s disease and sialosis (7) Dermatological diseases with oral manifestations : (a) Ectodermal dysplasia (b) Hyperkerotosis palmarplantaris with periodontopathy (c) Scleroderma (d) Lichen planus including ginspan’s syndrome (e) Luplus erythematosus (f) Pemphigus (g) Erythema multiforme (h) Psoriasis (8) Immunological diseases with oral manifestations (a) Leukemia (b) Lymphomas (c) Multiple mycloma (d) AIDS clinical manifestations, opportunistic infections, neoplasms (e) Thrombcytopenia f) Lupus erythematosus ( g) Scleroderma (h) dermatomyositis (I) Submucous firbrosis Page 98 (j) Rhemtoid arthritis (k) Recurrent oral ulcerations including behcet’s syndrome and reiter’s syndrome (9) Allergy : Local allergic reactions’ anaphylaxis, serum sickness (local and systemic allergic manifestations to food drugs and chemicals) (10) Foci of oral infection and their ill effects on general health (11) Management of dental problems in medically compromised persons : (i) Physiological changes : Puberty, Pregnancy and menopause (ii) The patients suffering with cardiac, respiratory, liver, kidney and bleeding disorders, hypertension, diabetes and AIDS. Post-irradiated patients. (12) Precancerous lesions and conditions (13) Nerve and muscle diseases : (i) Nerves : (a) Neuropraxia (b) Neurotemesis (c) Neuritis (d) Facial nerve paralysis including Bell’s palsy, Heerfordt’s syndrome, Melkerson Rosenthel syndrome and ramsay hunt syndrome (e) Neuroma (f) Neurofibromatosis (g) Frey’syndrome (ii) Muscles : (a) Myositis ossificans (b) Myofascial pain dysfunction syndrome (c) Trismus (14) Forensic Odontology: (a) Medicolegal aspects of orofacial injuries (b) Identification of bite marks (c) Determination of age and sex (d) Identification of cadavers by dental appliances, Restorations and tissue remanants viz., antibiotics, chemotherapeutic agents, anti-inflammatory and analgesic drugs, astringents, mouth washes, styptics, demelucents, local surface anaesthetic, sialogogues, antisialogogues and drugs used in the treatment of malignancy. Part - II BEHAVIOURAL SCIENCES AND ETHICS. Part - III ORAL RADIOLOGY (1) Scope of the subject and history of origin (2) Physics of radiation : (a) Nature and types of radiations (b) source of radiations (c) Production of X-rays (d) Properties of X-rays (e) Compton effect (f) Photoelectric effect (g) Radiation measuring units (3) Biological effects of radiation (4) Radiation safety and protection measures (5) Principles of image production (6) Radiographic techniques: (i) Intra-Oral : (a) Periapical radiographs (Bisecting and parallel techniques) (b) Bite wing radiographs (c) Occlsal radiographs (ii) Extra - Oral : (a) Laternal projections of skull and jaw bones and paranasal sinuses (c) Cephalograms (d) Orthopantomograph (e) Projections of temperomandibular joint and condyle of mandible (f) Projections for Zygomatic arches (iii) Specilised techniques : (a) Sialography (b) Xeroradiography (c) Tomography (7) Factors in production of good radiographs : (a) K.V.P. and MA of X-ray machine (b) Filters (c) Collimations (d) Intensifying screens (e) Grids (f) X-ray films (g) Exposure time (h) Techniques (i) Dark room (j) Developer and fixer solutions (k) Film processing (8) Radiographic normal anatomical landmarks (9) Faculty radiographs and artefacts in radiographs (10) Interpretation of radiographs in various abnormalities of teeth, bones and other orofacial tissues (11) Principles of radiotherapy of oro-facial malignancies and complications of radiotherapy (12) Cantrast radiography and basic knowledge of radio-active isotopes (13) Radiography in Forensic Odontology - Radiographic age estimation and post-mortem radiographic methods. Page 99 PRACTICALS / CLINICALS 1. Student is trained to arrive at proper diagnosis by following a scientific and systematic procedure of history taking and examination of the orofacial region. Training is also imparted in management wherever possible. Training also shall be imparted on saliva diagnostic procedures. Training also shall be imparted in various radiographic procedures and interpretation of radiographs. 2. In view of the above each student shall maintain a record of work done, which shall be evaluated for marks at the time of University examination. 3. The following is the minimum of prescribed work for recording In the Third Year B.D.S.:-A) Routine OPD diagnosis………………………………………………150 B) IOPA Radiographs to be taken………………………………………. 75 In the IV B.D.S. :(a) Recording of detailed case histories of interesting cases………………10 (b) Intra-oral radiographs Interpretation (Periapical, bitewing, occlusal)…..25 (c) Seminars and Tutorials (d) Saliva diagnostic check as routine procedure. Examination Pattern:-Theory Pattern:-- Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions A) SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Oral Medicine, Diagnosis and Radiology Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics:-- Vesiculo-Bullous, Ulcerative, Red & White Lesions, STDs, Pigmentations, Pain Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Pre-Cancer & Cancer, Metabolic & blood dyscrasias, Tongue, Saliva & Salivary Glands, Allergy, Systemic disease—Oral Lesions, Dental R X in Medically Compromised, Physically & Mentally challenged., Differential Diagnosis) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:--Radiological Physics and Radiobiology, IOPA—landmarks, faults Accessories, Interpretation—Caries, Periodontal, trauma, Periapical Developmental Disturbances of jaw and teeth, cysts and tumors and TMJ disturbances,) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Extra-oral radiography, Salivary glands, Radiological DD, Implant Radiography, Forensic, Behavior, attitude and Ethics, Communication, Current Page 100 Trends and advances in radiography and computers) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : 20 Marks . Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. Oral Medicine and Radiology 20 Marks i) Oral Medicine:-- 12 Marks 1) Aetiology of Disease, Lesions 2 Marks 2) Diagnostic Criteria of Disease 2 Marks 3) Disease specific Lab. Investigation 2 Marks And Radiographic Investigation 4) Specific Treatment Modality 2 Marks 5) Clinical Diagnostic test 2 Marks 6) Current Trends 2 Marks ii) Poster Presentation ( 3 minutes) 08 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals / Clinicals: 90 Marks a) Spotters 10 * 2 marks( 5 clinical+5 radiology) …. 20 marks b) Case History…………………………………………………. 25 marks c) IOPA radiographic Technique (same as case history) … 05 marks d) Radiographic Interpretation IOPA………………………… 15 marks e) Radiographic Interpretation Extra-Oral/ OPG……………..15 marks f) Journal…………………………………………………………10 marks BOOKS RECOMMENDED: a) Oral Diagnosis, Oral Medicine & Oral Pathology 1. Burkit - Oral Medicine _ J.B. Lippincott Company 2. Coleman - Principles of Oral Diagnosis - Mosby Year Book 3. Jones - Oral Manifestations of Systemic Diseases - W.B. Saunders Company 4. Mitchell - Oral Diagnosis & Oral Medicine 5. Kerr - Oral Diagnosis 6. Miller - Oral Diagnosis & Treatment 7. Hutchinson - Clinical Methods 8. Oral Pathology - Shafers Page 101 9. Sonis. S.T., Fazio. R.C. and Fang. L. - Principles and practice of Oral Medicine b) Oral Radiology 1. White & Goaz - Oral Radiology - Mosby year Book 2. Weahrman - Dental Radiology - C.V. Mosby Company 3. Stafne - Oral Roentgenographic Diagnosis - W. B. Saunders Co., c) Forensic Odontology 1. Derek H. Clark - Practical Forensic Odontology - Butterworth - Heinemann (1992) 2. C. Michael Bowers, Gary Bell - Manual of forensic Odontology - Forensic Pr (1995) 1 4. 1 4. ORTHODONTICS & DENTAL ORTHOPAEDICS COURSE OBJECTIVE : Undergraduate programme in orthodontics is designed to enable the qualifying dental surgeon to diagnose, analyse and treat common orthodontic problems by preventive, interceptive and corrective orthodontic procedures. The following basic instructional procedures will be adapted to achieve the above objectives. 1. Introduction, Definition, Historical Background, aims and Objectives of Orthodontics and Need for Orthodontics care 2. Growth and Development : In General a. Definition b. Growth spurts and Differential growth c. Factors influencing growth and Development d. Methods of measuring growth e. Growth theories (Genetic, Sicher’s, Scott’s, Moss’s, Petrovics, Multifactorial) f. Genetic and epigenetic factors in growth g. Cephalocaudal gradient in growth 3. Morphologic Development of Craniofacial structures a. Methods of bone growth b. Prenatal growth of craniofacial structures c. Postnatal growth and development of : cranial base, maxilla, mandible, dental arches and occlusion. 4. Functional Development of Dental Arches and Occlusion a. Factors influencing functional development of dental arches and occlusion b. Forces of Occlusion c. Wolf’s law of transformation of bone d. Trajectories of forces 5. Clinical Application of Growth and development 6. Malocclusion - In General a. Concept of normal occlusion b. Definition of malocclusion c. Description of different types of dental, skeletal and functional malocclusion. 7. Classification of Malocclusion Principle, description, advantages and disadvantages of classification of malocclusion by Angle’s simon’s, Licher’s and Ackerman and Proffitt’s 8. Normal and Abnormal Function of Stomatognathic system 9. Etiology of Malocclusion a. Definition, importance, classification, local and general etiological factors. b. Etiology of following different types of malocclusion: 1) Midline diastema 2) Spacing 3) Crowding 4) Cross - Bite: Anterior / Posterior 5) Class III Malocclusion 6) Class II Malocclusion 7)Deep Bite Page 102 8) Open Bite 10. Diagnosis And Diagnostic Aids a. Definition, Importance and classification of diagnostic aids b. Importance of case history and clinical examination in orthodontics c. Study Models: - Importance and uses - Preparation and preservation of study models d. Importance of intraoral X-rays in orthodontics e. Panoramic radiographs:- Principles, Advantages, disadvantages and uses f. Cephalometrics: Its advantages, disadvantages 1. Definition 2. Description and use of cephalostat 3. Description and uses of anatomical landmarks lines and angels used in cephalometric analysis 4. Analysis - Steiner’s, Down’s, Tweed’s, Ricket’s-E- line g. Electromyography and its uses in orthodontics h. Wrist X-rays and its importance in orthodontics 11. General Principles in Orthodontic Treatment Planning Of Dental And Skeletal Malocclusions 12. Anchorage In Orthodontics - Definition, Classification, Types and Stability Of Anchorage 13. Biomechanical Principles In Orthodontics Tooth movement a. Different types of tooth movements b. Tissue response to orthodontic force application c. Age factor in orthodontic tooth movement 14. Preventive Orthodontics a. Definition b. Different procedures undertaken in preventive orthodontics and their limitations. 15. Interceptive Orthodontics a. Definition b. Different procedures undertaken in interceptive orthodontics c. Serial extractions: Definition, indications, contra-indication, technique, advantages and disadvantages. d. Role of muscle exercises as an interceptive procedure 16. Corrective Orthodontics a. Definition, factors to be considered during treatment planning. b. Model analysis: Pont’s, Ashley Howe’s, Bolton, Careys, Moyer’s Mixed Dentition Analysis c. Methods of gaining space in the arch:- Indications, relative merits and demerits of proximal stripping, arch expansion and extractions d. Extractions in Orthodontics - indications and selection of teeth for extraction. 17. Orthodontic Appliances: General a. Requisites for orthodontics appliances b. Classification, indications of Removable and Functional Appliances c. Methods of force application d. Materials used in construction of various orthodontic appliances - uses of stainless steel, technical considerations in curing of acrylic, Principles of welding and soldering, fluxes and antifluxes. e. Preliminary knowledge of acid etching and direct bonding, 18. Ethics REMOVABLE ORTHODONTIC APPLIANCES 1) Components of removable appliances 2) Different types of clasps and their uses 3) Different types of labial bows and their uses 4) Different types of springs and their uses 5) Expansion appliances in orthodontics: i) Principles ii) Indications for arch expansion Page 103 iii) Description of expansion appliances and different types of expansion devices and their uses. iv) Rapid maxillary expansion FIXED ORTHODONTIC APPLIANCES 1. Definition, Indications & Contraindications 2. Component parts and their uses 3. Basic principles of different techniques: Edgewise, Begg’s, straight wire. EXTRAORAL APPLIANCES 1. Headgears 2. chincup 3. reverse pull headgears MYOFUNCTIONAL APPLIANCES 1. Definition and principles 2. Muscle exercise and their uses in orthodontics 3. Functional appliances: i) Activator, Oral screens, Frankels function regulator, bionatar twin blocks, lip bumper ii) Inclined planes - upper and lower 18. Orthodontic Management of Cleft Lip And Palate 19. Principles of Surgical orthodontics Brief Knowledge of correction of : a. Mandibular Prognathism and Retrognathism b. Maxillary Prognathism and Retrognathism c. Anterior open bite and deep bite d. Cross bite 20. Principle, Differential diagnosis and methods of Treatment of : 1. Midline diastema 2. Cross bite 3. Open bite 4. Deep bite 5. Spacing 6. Crowding 7. Class II -Division 1, Division 2 8. Class III Malocclusion - True and Psuedo Class III 21. Retention And Relapse Definition, Need for retention, causes of relapse, Methods of retention, Different types of retention devices, Duration of retention, Theories of retention. CLINICALS AND PRACTICALS IN ORTHODONTICS PRACTICAL TRAINING DURING II YEAR B.D.S. I. Basic wire bending exercises gauge 22 or 0.7 mm 1. Straightening of wires (4 Nos.) 2. Bending of a equilateral triangle 3. Bending of a rectangle 4. Bending of a square 5. Bending of a circle 6. Bending of U.V. II. Construction of Clasps (Both sides upper / lower) Gauge 22 or 0.7 mm 1. ¾ clasp (C-clasp) 2. Full clasp (Jackson’s Crib) 3. Adam’s Clasp 4. Triangular clasp III. Construction of Springs (on upper bother sides) Gauge 24 or 0.5mm 1. Finger Spring 2. Single Cantelever Spring 3. Double Cantelever Spring (Z-spring) Page 104 4. T-Springs on premolars IV. Construction of Canine retractors Gauge 23 or 0.6mm 1. U-Loop Canine retractor (Both sides on upper & lower) 2. Helical canine retractor (Both sides on upper & lower) 3. Buccal canine retractor -self supported buccal canine retractor with a) Sleeve - 5mm wire or 24 gauge b) Sleeve - 19 gauge needle on any one side. 4. Palatal canine retractor on upper both sides Gauge 23 or 0.6mm V. Labial Bow Gauge 22 or 0.7 mm One on both upper and lower CLINICAL TRAINING DURING III YEAR B.D.S. NO. EXERCISE 1. Making upper Alignate impression 2. Making lower Alignate impression 3. Study model preparation 4. Model Analysis a) Pont’s analysis b) Ashley Howe’s Analysis c) Carey’s Analysis d) Bolton’s Analysis e) Moyer’s Mixed Dentition Analysis CLINICAL TRAINING DURING FINAL YEAR B.D.S. No. EXERCISE 1. Case History taking 2. Case discussion 3. Discussion on the given topic 4. Cephalometric tracings a. Down’s Analysis b. Steiner’s Analysis c. Tweed’s Analysis PRACTICAL TRAINING DURING FINAL YEAR B.D.S 1. Adam’s Clasp on Anterior teeth Gauge 0.7 mm 2. Modified Adam’s Clasp on upper arch Gauge 0.7 mm 3. High Labial bow with Apron spring on upper arch (Gauge of Labial bow - 0.9 mm, Apron spring - 0.3 mm) 4. Coffin spring on upper arch Gauge 1 mm Appliance construction in Acrylic 1. Upper and Lower Hawley’s Appliance 2. Upper Hawley’s with Anterior bite plane 3. Upper Habit breaking Appliance 4. Upper Hawley’s with Posterior bite plane with ‘Z’ Spring 5. Construction of Activator 6. Lower inclined plane / Catalan’s Appliance 7. Upper Expansion plate with Expansion screw Examination Pattern:-Theory Pattern:-- Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : ORTHODONTICS Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) Page 105 Part A:--Topics:-- Growth & Development, Aetiology –malocclusion, Objectives of Orthodontia, Diagnostic aids, Model Analysis ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) Part B:--Topics :--(Head Gear, Anchorage, Components & Functions of Removable Orthodontic appliances, Requirement of appliances, types of treatment) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:--Myofunctional appliances, fixed orthodontics, cephalometrics, Wires & their action Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Treatment for different malocclusion cases, Current trends & Invisible Orthodontics, mechanism of orthodontic movement) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : 20 Marks . Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. ORTHODONTICS 20 Marks i) Orthodontics:-- 12 Marks 1) Aetiology of Disease, Growth 2 Marks 2) Diagnostic Aids & model analysis.. 2 Marks 3) Identification & use—appliances 2 marks 4) Identification& use---Springs … 2 marks 5) Current trends ……………………2 marks 6) Myo-functional and head gear……..2 marks ii) Poster Presentation ( 3 minutes) 08 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals / Clinicals: 90 Marks Page 106 a) Spotters 10 * 2 marks(Identification of appliances, cephalometric landmarks, springs and materials ) …. 20 marks b) Wire bending and Preparation of an appliance in wax …………. 40 marks c) Model Analysis (any two indices with brief treatment plan) … 20 marks d) Journal………………………………………………… …10 marks RECOMMENDED AND REFERENCE BOOKS 1. CONTEMPORARY ORTHODOTICS WILLIAM R. PROFIT 2. ORTHODONTICS FOR DENTAL STUDENTS WHITE AND GARDINER 3. HANDBOOK OF ORTHODONTICS MOYERS 4. ORTHODONTICS - PRINCIPLES AND PRACTICE GRABER 5. DESIGN, CONSTRUCTION AND USE OF REMOVABLE 6. CLINICAL ORTHODONTICS: VOL 1 & 2 SALZMANN 15. PAEDIATRIC & PREVENTIVE DENTISTRY THEORY : 1. INTRODUCTION TO PEDODONTICS & PREVENTIVE DENTISTRY - Definition, Scope, Objectives and Importance. 2. GROWTH & DEVELOPMENT - Importance of study of growth and development in pedodontics - Prenatal and Postnatal factors in growth & development - Theories of growth & development - Development of maxilla and mandible and related age changes 3. DEVELOPMENT OF OCCLUSION FROM BIRTH THROUGH ADELOSCENCE - Study of variations and abnormalities 4. DENTAL ANATOMY AND HISTOLOGY - Development of teeth and associated structures. - Eruption and shedding of teeth - Teething disorders and their management - Chronology of eruption of teeth - Differences between deciduous and permanent teeth - Development of dentition from birth to adolescence. - Importance of first permanent molar. 5. DENTAL RADIOLOGY RELATED TO PEDODONTICS 6. ORAL SURGICAL PROCEDURES IN CHILDREN - Indication and contraindications of extractions of primary and permanent teeth in children - Knowledge of Local and General Anesthesia - Minor surgical procedures in children 7. DENTAL CARIES: - Historical background - Definition, aetiology and pathogenesis - Caries pattern in primary, young permanent and permanent teeth in children - Rampant caries, early childhood caries and extensive caries * Definition, aetiology, pathogenesis, Clinical features, Complications & Management - Role of diet and nutrition in Dental Caries Page 107 - Dietary modifications and diet counseling - Caries activity, tests, caries prediction, caries susceptibility & their clinical application. 8. GINGIVAL & PERIODONTAL DISEASES IN CHILDREN - Normal gingiva & periodontium in children - Definition, aetiology and Pathogenesis - Prevention & Management of gingival & Periodontal diseases 9. CHILD PSYCHOLOGY - Definition - Theories of child psychology - Psychological development of children with age - Principles of psychological growth & development while managing child patient. - Dental fear and its management - Factors affecting child’s reaction to dental treatment 10. BEHAVIOUR MANAGEMENT - Definitions. - Types of behaviour encountered in the dental clinic - Non - pharmacological & pharmacological methods of Behaviour Management. 11. PEDIATRIC OPERATIVE DENTISTRY: - Principles of Pediatric Operative Dentistry - Modifications required for cavity preparation in primary and young permanent teeth - Various Isolation Techniques - Restorations of decayed primary, young permanent and permanent teeth in children using various restrorative materials like Glass Ionomer, Composites and Silver Amalgam. Stainless steel, Polycarbonate & Resin Crowns. 12. PEDIATRIC ENDODONTICS - Principles & Diagnosis. - Classification of Pulpal Pathology in primary, young permanent & permanent teeth - Management of Pulpally involved primary, young permanent & permanent teeth • Pulp capping - direct & indirect • Pulpotomy • Pulpectomy • Apexogenesis • Apexification - Obturation Techniques & material used for primary, young permanent & permanent teeth in children 13. TRAUMATIC INJURIES IN CHILDREN - Classifications & Importance - Sequel & reaction of teeth of trauma - Management of Traumatized teeth. 14. PREVENTIVE & INTERCEPTIVE ORTHODONTICS: - Definitions. - Problems encountered during primary and mixed dentition phases and their management - Serial extractions. - Space management 15. ORAL HABITS IN CHILDREN - Definition, Aetiology & Classification. - Clinical features of digit sucking, tongue thrusting, mouth breathing & various other secondary habits - Management of oral habits in children 16. DENTAL CARE OF CHILDREN WITH SPECIAL NEEDS : -Definition, Aetiology, Classification, Behavioural and Clinical features & Management of children with : • Physically handicapping conditions: Page 108 • Mentally Compromising conditions: • Medically compromising conditions • Genetic disorders 17. CONGENITAL ABNORMALITIES IN CHILDREN: - Definition, Classification, Clinical features & Management 18. DENTAL IMERGENCIES IN CHILDREN & THEIR MANAGEMENT 19. DENTAL MATERIAL USED IN PEDIATRIC DENTISTRY 20. PREVENTIVE DENTISTRY : - Definition - Principles & Scope - Types of prevention - Different preventive measures in Pediatric Dentistry including pit and fissure sealants and caries vaccine. 21. DENTAL HEALTH EDUCATION & SCHOOL DENTAL HEALTH PROGRAMMES. 22. FLUORIDES : - Historical background - Systemic & Topical fluorides - Mechanism of action. - Toxicity & Management - Defluoridation techniques. 23. CASE HISTORY RECORDING : - Outline of principles of examination, diagnosis & treatment planning. 24. SETTING UP OF PEDODONTIC CLINIC 25. ETHICS B. PRACTICALS: Following is the recommended clinical quota for under graduate students in the subject of pediatric & preventive dentistry. 1. Restorations - Class I & II only : 45 2. Preventive measures e.g. Oral Prophylaxis - 20 3. Fluoride applications - 10 4. Extractions - 25 5. Case History Recording & Treatment Planning - 10 6. Education & motivation of the patients using disclosing agents. Educating patients about oral hygiene measures like tooth brushing, flossing etc. BOOKS RECOMMENDED & REFERENCE: 1. Pediatric Dentistry (Infancy through Adolescences) - Pinkham. 2. Kennedy’s Pediatric Operative Dentistry – Kennedy & Curzon. 3. Occlusal guidance in Pediatric Dentistry – Stephen H. Wei. 4. Clinical use of Fluorides - Stephen H. Wei 5. Pediatric Oral & Maxillofacial Surgery - Kaban 6. Pediatric Medical Emergencies - P.S. Whatt 7. Understanding of Dental Caries - Niki Foruk 8. An Atlas of Glass Ionomer cements - G. J. Mount 9. Clinical Pedodontics - Finn 10. Textbook of Pediatric Dentistry - Braham Morris 11. Primary Preventive Dentistry - Norman O. Harris 12. Handbook of Clinical Pedodontics - Kenneth D. 13. Preventive Dentistry - Forrester. 14. The Metobolism and Toxicity of Fluoride - Garry M. Whitford 15. Dentistry for the Child and Adolescence - Mc Donald. 16. Pediatric Dentistry - Damle S.G. 17. Behaviour Management - Wright 18 Pediatric Dentistry _ Mathewson 19. Traumatic Injuries - andreason Page 109 20. Occlusal guidance in Pediatric Dentistry - Nakata 21. Pediatric Drug Therapy - Tomare 22. Contemporary Orthodontics - Profitt. 23. Preventive Dentistry - Depaola 24. Metabolism & Toxicity of Fluoride - whitford G.M. 25. Endodontic Practice - Grossman 26. Principles of Endodontics - Munford 27. Endodontics - Ingle 28. Pathways of Pulp - Cohen 29. Management of Traumatized anterior Teeth - Hargreaves. Examination Pattern:-Theory Pattern:-- Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Pedodontics & Preventive Dentistry Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) Part A:--Topics:-- Development of Occlusion, Dental Caries, Restorative Dentistry, Paediatric Endodontics, Space Maintainers, Traumatic Injuries, Interceptive Orthodontics and oral habits.) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) Part B:--Topics :--(Introduction& Scope, Paediatric clinc set-up, case history, growth & Development—dentition, deciduous & permanent teeth,, oral surgery Procedures, dental materials ) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:--Child abuse & neglect, psychology, behavior management, Management of physically and mentally challenged child& medically compromised) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Pit & fissure sealants, infant oral health, gingival & periodontal Diseases, congenital abnormalities, health education and school health project) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks Page 110 B. Viva Voce : 20 Marks . Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. Pedodontics & Preventive Dentistry 20 Marks i) Pedodontics & Preventive Dentistry 12 Marks 1) Development of occlusion and dentition 2 Marks 2) Deciduous and Permanent dentition 2 Marks 3) Interception & prevention 2 marks 4) Developmental & congenital abnormalities … 2 marks 5) Compromised child management ………………2 marks 6) Current concepts ……..2 marks ii) Poster Presentation ( 3 minutes) 08 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals / Clinicals: 90 Marks a) Spotters 10 * 2 marks …. 20 marks b) Case History, Diagnosis & Treatment Planning …………. 40 marks c) Preparing Space Maintainer in wax with wire bending on a cast… 20 marks d) Journal………………………………………………… …10 marks 1 7. P ERIODONTOLOGY OBJECTIVES : The student shall acquire the skill to perform dental scaling, diagnostic tests of periodontal diseases; to use the instruments for periodontal therapy and maintenance of the same. The student shall develop attitude to impart the preventive measures namely, the prevention of periodontal diseases and prevention of the progress of the disease. The student shall also develop an attitude to perform the treatment with full aseptic precautions; shall develop an attitude to prevent iatrogenic diseases; to conserve the tooth to the maximum possible time by maintaining periodontal health and to refer the patients who require specialist’s care 1. Introduction : Definition of Periodontology, Periodontics, Periodontia, Brief historical background, Scope of Periodontics 2. Development of perio-dental tissues, micro structural anatomy and biology of periodontal tissues in detail Gingiva . Junctional epithelium in detail, Epithelial Mesenchymal Interaction, Periodontal, ligament Cementum, Alveolar bone. 3. Defensive mechanisms in the oral cavity : Role of Epithelium, Gingival fluid, Saliva and other defensive mechanisms in the oral environment. 4. Age changes in periodontal structures and their significance in Geriatric dentistry ,Age changes in teeth and periodontal structures and 1 their association with periodontal diseases. Page 111 5. Classification of periodontal diseases Need for classification, scientific basis of 1 classification. Classification of gingival and periodontal disease as described in world workshop 1989 Gingivitis : Plaque associated, ANUG, steroid hormone influenced Medication influenced, Desquamative gingivitis, other forms of gingivitis as in nutritional deficiency, bacterial and viral infections etc. Periodontitis : Adult periodontitis, Rapidly progressive periodontitis A & B, Juvenile periodontitis (localized, generalized, and post juvenile), Pre-pubertal periodontitis Refractory periodontits 6 Gingival diseases Localized and generalized gingivitis, papillary, 6 marginal and diffuse gingivitis Etiology, Pathogenesis, clinical signs, symptoms and management of i) Plaque associated gingivitis ii) Systemically aggravated gingivitis (sex hormones, drugs and systemic diseases ) iii) ANUG iv) Desquamative gingivitis-Gingivitis associated with lichen planus, pemphigoid, pemphigus and other vesiculobullous lesions v) Allergic gingivitis vi) Infective gingivitis-Herpetic, bacterial and candidial vii) Pericoronitis viii) Gingival enlargement (classification and differential diagnosis) 7 Epidemiology of periodontal diseases - Definition of index, incidence, prevalence, epidemiology, endemic, epidemic and pandemic Classification of indices (Irreversible and reversible ) Deficiencies of earlier indices used in Perodontics Detailed understanding of Silness & Loe Plaque Index, Loe & Silness Gingival Index, CPITN & CPI Prevalence of periodontal diseases in India and other countries Public health significance (all these topics are covered at length under community dentistry. Hence, the topics may be discussed briefly. However, questions may be asked from the topics for examination. 8 Extension of inflammation from gingiva Mechanism of spread of inflammation from gingival area to deeper periodontal structures factors that modify the spread 9. Pocket Definition, signs and symptoms, classification, pathogenesis, histopathology, root surface changes and contents of the pocket. 10. Etiology - Dental plaque (Biofilm) - Definition, New concept of biofilm - Types composition, bacterial colonization, growth, maturation and disclosing agents - Role of dental plaque in periodontal diseases - Plaque microorganism in detail and bacteria associated with periodontal diseases - Plaque retentive factors - Materia alba - Food debris - Calculus - Definition - Types, composition, attachment, theories of formation - Role of calculus in disease Food impaction - Definition - Types, Etiology - Hirschfelds’ classification - Signs, symptoms & sequelae of treatment Trauma from Occlusion - Definition, Types - Histopathological changes Page 112 - Role in periodontal disease - Measures of management in brief Habits - Their periodontal significance - Bruxism & parafunctional habits, tongue Thrusting, lip biting, occupational habits. IATROGENIC FACTORS Conservative Dentistry - Restorations - Contact point, marginal ridge, surface roughness, overhanging restorations, interface between restoration and teeth Prosthodontics - Interrelationship - Bridges and other prosthesis pontics (types) surface contour, relationships of margins to the perodontium, Gingival protection theory, muscle action theory and theory of access To oral hygiene. Orthodontics - Interrelationship, removable appliances & fixed appliances - Retention of plaque, bacterial changes Systemic diseases - Diabetes, sex hormones, nutrition (Vit.C & proteins) - AIDS & periodontium - Hemorrhagic disease, Leukemia, clotting factor disorders, PMN disorders 11. Risk factors - Definition, Risk factors for periodontal diseases 12. Host response - Mechanism of initiation and progression of periodontal diseases - Basic concepts about cells, Mast cells, neutrophils, macrophages, lymphocytes, immunoglobulin, complement system, immune mechanisms & cytokines in brief - Stages in gingivitis - initial, early , established and advanced - Periodontal disease activity, continuous paradigm, random burst & asynchronous multiple burst hypothesis 13. Periodontitis - Etiology, histopathology, clinical signs & symptoms, diagnosis and treatment of Adult periodontitis - Periodontal abscess; definition, classification, pathogenesis, differential diagnosis and treatment - Furcation involvement, Glickman’s classification, prognosis and management - Rapidly progressive periodontitis - Juvenile periodontitis : Localised and generalized - Post juvenile periodontitis - Periodontitis associated with systemic diseases - Refractory periodontitis 14. Diagnosis - Routine procedures, methods of probing, types of probes (According case history) - Halitosis: Etiology and treatment. Mention advanced diagnostic aids and their role in brief. 15. Prognosis - Definition, types, purpose and factors to be taken into consideration 16. Treatment plan - Factors to be considered 17. Periodontal Therapy A. General principles of periodontal therapy. Phase I, II, III, IV therapy Definition of periodontal regeneration, repair, new attachment and reattachment B. Plaque control i. Mechanical tooth brushes, interdental cleaning aids, dentifrices ii. Chemical ; classification and mechanism of action of each & Pocket irrigation 18. Pocket eradication procedures - Scaling & root planning - indications - Aims & objectives Page 113 - Healing following root planning - Hand instruments, sonic, ultrasonic & peizo electric scalers - curettage & present concepts - definition - indications - Aims & objectives - procedures & healing response - Flap surgery - Definition - Types of flaps, Design of flaps, papilla preservation - Indications & contraindications - Armamentarium - Surgical procedure & healing response 19. Osseous Surgery Osseous defects in periodontal disease - Definition - Classification - Surgery : resective, addictive osseous surgery (osseous grafts with classification of grafts) - Healing responses - Other regenerative procedures ; root conditioning - Guided tissue regeneration 20. Mucogingival surgery & periodontal plastic surgeries Definition Muscogingival problems : etiology, classification of gingival recession (P.D. Miller Jr. and Sulivan and atkins) Indications & objectives Gingival extension procedures : laternal predicle graft, frenectomy, frenotomy Crown lengthening procedures Periodontal microsurgery in brief 21. Splints - Periodontal splints - Purpose & Classification - Principles & splinting 22. Hypersensitivity Causes, Theories & Management 23. Implants Definition, types, scope & biomaterials uses Periodontal consideration : Such as implant-bone interface, implant - gingival interface, implant failure, peri- implantitis & management 24. Maintenance phase (SPT) - Aims, objective and principles - Importance - Procedures - Maintenance of implants 25. Pharmaco - therapy - Periodontal dressings - antibiotics & anti-inflammatory drugs - Local drug delivery systems 26. Periodontal management of medically Topics concerning periodontal management of Compromised patients medically compromised patients 27. Inter-disciplinary care - Pulpo-periodontal involvement - Routes of spread of infection - Simons’ classification - Management 28. Systemic effects of periodontal diseases in brief - Cardiovascular diseases Low birth weight babies etc. 29. Infection control protocol Sterilization and various aseptic procedures 30. Ethics Page 114 TUTORIALS DURING CLINICAL POSTING ; 1. Infection control 2. Periodontal instruments 3. Chair position and principles of instrumentation 4. Maintenance of instruments (sharpening) 5. Ultrasonic, Peizoelectric and sonic scaling - demonstration of technique 6. Diagnosis of periodontal disease and determination of prognosis 7. Radiographic interpretation and lab investigations 8. Motivation of patients - oral hygiene instructions Students should be able to record a detailed periodontal case history, determine diagnosis, prognosis and plan treatment. Student should perform scaling, root planning local drug delivery and SPT. Shall be given demonstration of all periodontal surgical procedures. DEMONSTRATIONS : 1. History taking and clinical examination of the patients 2. Recording different indices 3. Methods of using various scaling and surgical instruments 4. Polishing the teeth 5. Bacterial smear taking 6. Demonstration to patients about different oral hygiene aids 7. Surgical procedures - gingivectomy, gingivoplasty and flap operations 8. Follow up procedures, post operative care and supervision REQUIREMENTS: 1. Diagnosis, treatment planning and discussion and total periodontal treatment - 25 cases 2. Dental scaling, oral hygiene instructions - 50 complete cases / equivalent 3. Assistance in periodontal surgery - 5 cases 4. A work record should be maintained by all the students and should be submitted at the time of examination after due certification from the heal of the department. Students should have to complete the work prescribed by the concerned department from time to time and submit a certified record for evaluation. Examination Pattern:-Theory Pattern:-- Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Periodontology Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) Part A:--Topics:-- Gingiva, Tooth Supporting Tissues, Aging, Microbiology—Plaque, Calculus, interaction and disease related microbiology, immunity& Inflammation, systemic disorders, smoking and defense mechanism) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) Part B:--Topics :--(Gingival Inflammation, enlargements, acute infections, diseases Of gingiva in childhood, desquamative gingivitis, pockets, bone loss patterns, Response to external forces, chronic periodontitis, ANUG, CNUG, Aggressive) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) Page 115 (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:--Diagnostic criteria, radiographic aid, advanced diagnostics, risk Assessment, prognosis, treatment planning, phase-I Periodontal therapy, Endo-Perio involvement, Furcation involvement, HIV managemnt) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Periodontal treatment, Aggressive and atypical periodontotis, Acute gingival disease, abscesses, rationale of treatment, surgical techniques Flap surgical, osseous surgeries, mucogingival & regenerative, implant treatment) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : 20 Marks . Oral (Grand Viva) : : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. Periodontics i) 20 Marks Periodontics 12 Marks 1) Gingival disease and management 2 Marks 2) Periodontitis and management 2 Marks 3) Interception & prevention 2 marks 4) Surgeries … 2 marks 5) Instrumentations and materials ………………2 marks 6) Current concepts ……..2 marks ii) Poster Presentation ( 3 minutes) 08 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals / Clinicals: 90 Marks a) Spotters 10 * 2 marks …. 20 marks b) Case History, Diagnosis and Treatment Planning …………. 40 marks c) Segmental Scaling –Ultrasonic and Hand Scaling … 20 marks d) Journal………………………………………………… … 10 marks PRESCRIBED BOOK : Page 116 1. Glickman’s Clinical Periodontology – Carranza REFERENCE BOOKS 1. Essentials of Periodontology and periodontics - Torquil MacPhee 2. Contemporary periodontics - Cohen 3. Periodontal therapy - Goldman 4. Orbans’ periodontics - Orban 5. Oral Health Survey - W.H.O. 6. Preventive Periodontics - Young and Stiffler 7. Public Health Dentistry - Slack 8. Advanced Periodontal Disease - John Prichard 9. Preventive Dentistry - Forrest 10. Clinical Periodontology - Jan Lindhe 11. Periodontics – Baer & Morris. 4th BDS Evidence Based Dentistry COURSE CONTENT Aims For Fourth Year:-1) Review past knowledge. 2) Understand validity of Research material. 3) Creating cohort studies from researched data. THEORY Topics:1) Review EBD. 2) Inclusion Criteria for Research design. 3) Evaluation of the research design. 4) Evaluation of stated aim and research methods. 5) Evaluating Testing methods. 6) Verifying Statistical data. 7) Verifying the conclusions. 8) Future trends 12 Hrs. 1 Hr. 2 Hr. 1 Hr. 2 Hrs. 2 Hrs. 1 Hr. 1 Hr. 2 Hr Assignments:1) Chart on Evaluation. 2) Case Studies for evaluation. 3) Creating cohort studies—at least one. SCHEME OF EXAMINATIONS:-Total Marks:-50 Theory:30 Marks Guidelines:-1) To be taken along with University Examination for the First Year 2) 1( One ) hour question paper containing 30 MCQs and 30 one line answers. 3) Question paper will be taken away at the end of the hour. The answers are to be entered in the question paper itself. 4) The options of the MCQs should have an empty circle next to the option number. Candidates need to darken the correct option by an HB dark pencil. Ball point or pen will not be allowed. 5) Questions should be selected from a question bank at random. Assignments:-20 Marks Guidelines:-1) Marks will be given for each assignments. Each assignment will carry 10 marks. Page 117 2) Marking will be done as per Check list which will be preserved for one year in the department. 3) Marks achieved by the student for each assignments will then be totaled. Percentage will then be calculated and as per the percentage marks out of 20 will be awarded. Passing Grade:-- A student is declared pass if he gets 50% i.e. 25 marks out of total 50 marks allotted to the subject. V TH BDS CONSERVATIVE DENTISTRY AND ENDODONTICS OBJECTIVES : A. Knowledge and understanding B. Skills and C. Attitudes A. Knowledge and understanding : The graduate should acquire the following knowledge during the period of training. i. To diagnose and treat simple restorative work for teeth. ii. To gain knowledge about aesthetic restorative material and to translate the same to patients needs.g. iii. To gain the knowledge about endodontic treatment on the basis of scientific foundations. iv. To carry out simple endodontic treatment. v. To carry out simple luexation of tooth and its treatment and to provide emergency endodontic treatment. SKILLS : He should attain following skills necessary for practice of dentistry. i) To use medium and high speed hand pieces to carry out restorative work. ii) Poses the skills to use and familiarize endodontics instruments and materials needed for carrying out simple endodontic treatment. iii) To achieve the skills to translate patients esthetic needs along with function. ATTITUDES : i) Maintain a high standard of professional ethics and conduct and apply theses in all aspects of professional life. ii) Willingness to participate in CDE programme to update the knowledge and professional skill from time to time. iii) To help and participate in the implementation of the national oral health policy. iv) He should be able to motivate the patient for proper dental treatment at the same time proper maintenance of oral hygiene should be emphasise which will help to maintain the restorative work and prevent future damage. INTRODUCTION : Definition aims objectives of Conservative Dentistry scope and future of Conservative Dentistry. 1. Nomenclature of Dentition : Tooth numbering systems A.D.A. Zsigmondy palmer and F.D.I. systems. 2. Principles of Cavity Preparation : Steps and nomenclature of cavity preparation classification of cavities, nomenclature of floors angles of cavities. 3. Dental caries : Aetiology classification clinical features, morphological features, microscopic features, clinical diagnosis and sequel of dental caries. 4.Treatment Planning For Operative Dentistry : Detailed clinical examination, radiographic . examination. vitality tests, diagnosis and treatment planning, preparation of the case sheet Page 118 5. Gnathological Concepts of Restoration. Physiology of occlusion, normal occlusion, Ideal occlusion, mandibular movements and occlusal analysis. Occlusal rehabilitation and restoration. 6. Aramamentarium For Cavity Preparation : General classification of operative instruments, Hand cutting instruments design formula and sharpening of instruments. Rotary cutting instruments dental bur, mechanism of cutting, evaluation of hand piece and speed current concepts of rotary cutting procedures. Sterilization and maintenance of instruments. Basic instrument tray set up. 7. Control of Operating Filed Light source sterilization field of operation control of moisture, rubber dam in detail, cotton rolls and anti sialogagues. 8. Amalgam Restoration : Indication contraindication, physical and mechanical properties, clinical behaviour, cavity preparation for Class I, II, V and III. Step wise procedure for cavity preparation and restoration. Failure of amalgam restoration. 9. Pulp protection : Liners, varnishes and bases, Zinc phosphate, zinc polycarboxylate, zinc oxide eugenol and glass ionomer cements. 10. Anterior Restorations : Selection of cases, selection of material, step wise procedures for using restorations, silicate (theory only) glass inomers, composites, including sand witch restorations and bevels of the same with a note on status of the dentine bonding agents. 11. Direct filling Gold restoration : Types of direct filling gold indications and limitations of cohesive gold. Annealing of gold foil cavity preparation and condensation of gold foils. 12. Preventive Measures In Restorative Practice : Plaque Control, Pitand fissure sealants dietary measures restorative procedure and periodontal health. Contact and contour of teeth and restorations matrices tooth separation and wedges. 13. Temporisation or Interim Restoration. 14. Pin Amalgam Restoration Indication Contra Indication : Advantages disadvantages of each types of pin methods of placement use of auto matrix. Failure of pin amalgam restoration. 15. Management of Deep Carious Lesions Indirect And Direct Pulp Capping. 16. Non carious destruction’s Tooth Structures Diagnosis and Clinical Management. 17. Hyper Sensitive Dentine And Its Management. 18. Cast Restorations Indications, contra indications, advantages and disadvantages and materials used for same class II and class I cavity preparation for inlays fabrication of wax pattern spurring inverting and casting procedures and casting defects. 19. Die Materials And Preparation of Dies 20. Gingival Tissue Management For Cast Restoration And Impression Procedures. 21. Recent Cavity Modification Amalgam Restoration. 22. Differences between amalgam and Inlay Cavity preparation with note on all the types of Bevels used for Cast Restoration. 23. Control of Pain During Operative Procedures. 24. Treatment Planning for Operative Dentistry Detailed Clinical Examination Radiographic Examination. 25. Vitality Tests, Diagnosis And Treatment Planning And Preparation Of Case Sheet. 26. Applied Dental Materials : 1. Biological Considerations. Evaluation, clinical application and adverse effects of the following materials. Dental cements, Zinc oxide euginol cements zinc phosphate cements, polycarboxylates glass ionomer cements, silicate cement calcium hydroxides Page 119 varnishes. 2. Dental amalgam, technical considerations mercury toxicity mercury hygiene. 3. Composite, Dentine bonding agents, chemical and light curing composites. 4. Rubber base Imp. Materials. 5. Nobel metal alloys & non noble metal alloys. 6. Investment and die materials 7. Inlay casting waxes. 8. Dental porcelain 9. Aesthetic Dentistry 27. Endodontics : introduction definition scope and future of endodontics. 28. Clinical Diagnostic methods 29. Emergency endodontics procedures 30. Pulpal diseases causes, types and treatment. 31. Periapical diseases: acute periapical abscess, acute periodontal abscess phoeix abscess, chronic alveolar abscess granuloma cysts condensing osteits, external resorption. 32. Vital pulp therapy : indirect and direct pulp capping pulpotony different types and medicaments used. 33. Apexogenisis and apexification or problems of open apex. 34. Rationale of endodntic treatment case selection indication and contraindications for root canal treatments. 35. Principles of root canal treatment mouth preparation root canal instruments, hand instruments, power driven instruments, standardization color coding principle of using endodotic instruments. Sterilisation of root canal instruments and materials rubber dam application. 36. Anatomy of the pulp cavity : root canals apical foramen. Anomalies of pulp cavities access cavity preparation of anterior and premolar teeth. 37. Preparation of root canal space. Determination of working length, cleaning and shaping of root canals, irrigating solution chemical aids to instrumentation. 38. Disinfection of root canal space intra-canal medicaments, poly antibiotic paste roos mans paste, mummifying agents. Out line of root canal treatment, bacteriological examinations, culture methods. 39. Problems during cleaning and shaping of root canal spaces. Perforation and its management. Broken instruments and its management, management of single and double curved root canals. 40. Methods of cleaning and shaping like step back crown down and conventional methods. 41. Obturation of the root canal system. Requirements of an ideal root canal filling material obturation methods using guttaa percha healing after endodontic treatment. Failures in endodontics. 42. Root canal sealers. Ideal properties classification. Manipulation of root canal sealers. 43. Post endodontic restoration fabrication and components of post core preparation. 44. Smear layer and its importance in endodontics and conservative treatment. 45. Discoloured teeth and its management. Bleaching agents, vital and non vital bleaching methods. 46. Traumatized teeth classification of fractured teeth. Management of fractured tooth and root. Luxated teeth and its management. 47. Endodontic surgeries indication contraindications, pre operative preparation. Pre medication surgical instruments and techniques apicectomy, retrograde filling, post operative sequale trephination hemisection, radiscetomy techniques of tooth reimplantation (both intentional and accidental) endodontic implants. 48. root resorption. 49. emergency endodontic procedures. 50. lasers in conservative endodontics (introduction only) practice management. 51. professional association dentist act 1948 and its amendment 1993. Page 120 52. duties towards the govt. Like payments of professional tax, income tax. 53. financial management of practice. 54. dental material and basic equipment management. 55. Ethics. Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Conservative Dentistry & Endodontics Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics:-Caries Patho-Physiology, Classification, Cavity Preparation, Older & Modern Design, Instrumentation of Cavity Prep., Amalgum Restoration, Failures, Base and Lining Material, modern trends. Indirect & Direct Pulp Capping) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics-Inlay, Onlay Preparation, , Composites—Material & Technique GI- Materials and Technique, Aesthetic Dentistry—Diastema Closures, Fracture Build-up Laminates, Smile Designing, Bleaching—Material & Techniques, Hypersensitivity) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics :--Pulpitis, Endodontic Evaluation, Endodontic Procedure, Insstruments, Chemicals and Sterilization, medicaments and filling techniques and equipments ,) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Fractured Teeth, Management of Endodontically Treated Teeth, Post & Core Restorations, Pin restorations, Types of Posts, Core build-up procedures and materials, endontic and post failures and retreatment.) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : 20 Marks Marks Distribution:-a) Table Viva Voce 12 marks 1)Instrumentations: Clinical detection and tests… 2 marks 2)Materials & Cavity designs & preparation …… .2 marks 3)Pulp Pathosis and sequaelae ………………….. 2 marks 4) Restorations…………………. ……….2 marks Page 121 5) Endodontic treatment …………………………… .2 marks 6) Aesthetic and endo, treated teeth………………. 2 marks b) Table Clinic Presentation:-- 8 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals : 90 Marks E. CLINICALS 90 Marks i) Clinical for Amalgum Restorations OR i) Clinical for Composite Restoration OR i) Class I Inlay Preparation ii) Chairside Orals .... iii) Journal (work reacord) iv) .... 45 Marks. (breakup as per proforma) 15 Marks. .... Spotters 10 Marks. 20 Marks Total .... 90 Marks …………………………………………. ORAL & MAXILLOFACIAL SURGERY AIMS : To produce a graduate who is competent in performing extraction of teeth under both local and general anaesthesia, prevent and manage related complications, acquire a reasonable knowledge and understanding of the various diseases, injuries, infections occurring in the Oral & Maxillofacial region and offer solutions to such of those common conditions and has an exposure in to the in patient management of maxillofacial problems. OBJECTIVES : a) Knowledge & Understanding : At the end of the course and the clinical training the graduate is expected to 1. Able to apply the knowledge gained in the related medical subjects like pathology, microbiology and general medicine in the management of patients with oral surgical problem. 2. Able to diagnose, manage and treat (understand the principles of treatment of) patients with oral surgical problems. 3. Knowledge of range of surgical treatments. 4. Ability to decide the requirement of a patient to have oral surgical specialist opinion or treatment. 5. Understand the principles of in patient management. 6. Understanding of the management of major oral surgical procedures and principles involved in patient management. 7.Should know ethical issues and communication ability. Page 122 b) Skills : 1. A graduate should have acquired the skill to examine any patient with an oral surgical problem in an orderly manner. Be able to understand requisition of various clinical and laboratory investigations and is capable of formulating differential diagnosis. 2. Should be competent in the extraction of teeth under both local and general anesthesia. 3. Should be able to carry out certain minor oral surgical procedures under L.A. like frenectomy, alveolar procedures and biopsy etc. 4. Ability to assess, prevent and manage various complications during and after surgery. 5. Able to provide primary care and manage medical emergencies in the dental office. 6. Understanding of the management of major oral surgical problems and principles involved in inpatient management. DETAILED SYLLABUS 1. Introduction, definition, scope, aims and objectives. 2. Diagnosis in oral surgery : (A) History taking (B) Clinical examination (C) Investigations 3. Principles of infection control and cross-infection control with particular reference to HIV / AIDS and Hepatitis. 4. Principles of Oral Surgery a) Asepsis: Definition, measures to prevent introduction of infection during surgery. 1. Preparation of the patient 2. Measures to be taken by operator 3. Sterilization of instruments - various methods of sterilization etc. 4. Surgery set up. b) Painless Surgery: 1. Pre-anaesthetic considerations. Pre-medication: Purpose, drugs used 2. Anaesthetic considerations a) Local b) Local with sedations 3. Use of general anaesthetic c) Access: Intra-oral: Mucoperiosteal flaps, principles, commonly used intra oral incisions. Bone removal : Methods of bone removal Use of Burs : Advantages & precautions Bone cutting instruments : Principles of using chisel & osteotome. Extra - oral : Skin incisions - principles, various extra oral incision to expose facial skeleton. a) Submandibular b) pre auricular c) Incision to expose maxilla & orbit d) Bicoronal incision d) Control of haemorrhage during surgery Normal Haemostasis Local measures available to control bleeding Hypotensive anaesthesia etc. e) Drainage & Debridement Purpose of drainage in surgical wounds Types of drains used Debridement : Purpose, soft tissue & bone debridement f) Closure of wounds Suturing : Principles, suture material, classification, body response to various materials g) Post operative care Page 123 Post operative instructions Physiology of cold and heat Control of pain - analgesics Control of infection - antibiotics Control of swelling - anti-inflammatory drugs Long term post operative follow up - significance. 5. Exodontia : General considerations Ideal Extraction. Indications for extraction of teeth Extractions in medically compromised patients. Methods of extraction (a) Fo rceps or intra-alveolar or closed method Principles, types of movement, force etc. (b) Trans-alveolar, Surgical or open method, indications, surgical procedure Dental elevators : uses, classification, principles in the use of elevators, commonly used elevators. Complications of Exodontia Complications during Exodontia Common to both maxilla and mandible. Post-operative complications Prevention and management of complications 6. Impacted teeth: Incidence, definition, aetiology. (a) Impacted mandibular third molar. Classification, reasons for removal, Assessment - both clinical & radiological Surgical procedures for removal Complications during and after removal Prevention and management (b) Maxilary third molar, Indications for removal, classification, surgical procedure for removal (c) Impacted maxillary canine Reasons for canine impaction Localisation, Indications for removal Methods of management, labial and palatal approach, Surgical exposure, transplantation, removal etc. 7. Pre- prosthetic surgery Definition, classification of procedures (a) Corrective procedures : Alveoloplasty Reduction of maxillary tuberosities, Frenoctemies and removal of tori (b) Ridge extension or Sulcus extension procedures Indications and various surgical procedures (c) Ridge augmentation and reconstruction Indications, use of bone grafts, Hydroxyapatite Implants - concept of osseo integration Knowledge of various types of implants and surgical procedure to place implants 6. Disease of the maxillary sinus .Surgical anatomy of the sinus Sinusitis both acute and chronic Surgical approach of sinus - Caldwell - Luc procedure Removal of root from the sinus Oro-antral fistula - aetiology, clinical features and various surgical methods for closure 9. Disorders of T.M. joint Applied surgical anatomy of the joint Dislocation - types, aetiology, clinical features and management ankylosis - Definition, aetiology, clinical features and management Page 124 Myo-facial pain dysfunction syndrome, aetiology, clinical features management Non surgical and surgical Internal derangement of the joint Arthritis of T.M. Joint 10. Infections of the oral cavity Introduction, factors responsible for infection, course of odontogenic Infections, spread of odontogenic infections through various facial spaces Dento - alveolar abscess - aetiology, clinical features and management Osteomyelitis of the jaws - definition, aetiology, pre-disposing factors Classification, clinical features and management Ludwigs angina - definition, aetiology, clinical features, management and complications 11. Benign cystic lesions of the jaws Definition - classification, pathogenesis Diagnosis, Clinical features, radiological, aspiration biopsy, use of constrast media and histopathology Management - Types of surgical procedure, rationale of the techniques Indications, procedures, complications etc. 12. Tumours of the Oral cavity General considerations Non odontogenetic benign tumours occurring in oral cavity - fibroma, papilloma, lipoma, ossifying fibroma mynoma etc. Ameloblastoma - clinical features, radiological appearance and methods of management Carcinoma of the oral cavity Biopsy - types TNM classification outline of management of squamous Cell carcinoma : Surgery, radiation and chemotherapy Role of dental surgeons in the prevention and early detection of oral cancer 13. Fractures of the jaws General considerations, types of fractures, aetiology, clinical features and general principles of management Mandibular fractures - Applied anatomy, classification Diagnosis - clinical and radiological Management - Reduction closed and open Fixation and immobilization methods Outline of rigid and semi-rigid internal fixation Fractures of the condyle - aetiology, classification, clinical features, principles of management Fractures of the middle third of the face Definition of the mid face, applied surgical anatomy, classification, clinical features and outline of management Alveolar fracture - methods of management Fractures of the Zygomatic complex Classification, clinical features, indications for treatment, various methods of reduction and fixation Complications of fractures - delayed union, non-union and malunion 14. Salivery gland diseases Diagnosis of salivary gland diseases’ Sialography, contrast media, procedure. Infections of the salivary glands Sialolithiasis - sub mandibular duct and gland and parotid duct. Clinical features, management Salivary fistulae Common tumours of salivery glands like Pleomorphic adenoma including minor salivary glands Page 125 15. Jaw deformities Basic forms - Prognathism, Retrognathism and open bite Reasons for correction. Outline of surgical methods carried out on mandible and maxilla 16. Neurological disorders – Trigeminal neuralgia - definition, aetiology, clinical features and methods of management including surgical Facial paralysis - Aetiology, clinical features. Nerve injuries - Classification, neurorhaphy etc. 17. Cleft Lip and Palate Aetiology of the clefts, incidence, classification, role of dental surgeon in the management of cleft patients, Outline of the closure procedures. 18. Medical Emergencies in dental practice Primary care of medical emergencies in dental practice particularly (a) Cardio vascular (b) Respiratory (c) Endocrine (d) Anaphylactic reaction (e) Epilepsy (f) Epilepsy 19. Emergency drugs & Intra muscular I.V. Injections Applied anatomy, Ideal Location for giving these injection, techniques etc. 20. Oral Implantology 21. Ethics LOCAL ANAESTHESIA : Introduction, concept of L.A., classification of local anaesthetic agents, ideal requirements, mode of action, types of local anaesthesia, complications. Use of Vaso constrictors in local anaesthetic solution Advantages, contra-indications, various vaso constrictors used. Anaesthesia of the mandible Pterygomandibular space - boundaries, contents etc. Interior Dental Nerve Block - various techniques Complications Mental foramen nerve block Anaesthesia of MaxillaIntra - Orbital nerve block Anaesthesia of Maxilla Intra - orbital nerve block. Posterior superior alveolar nerve block Maxillary nerve block - techniques. GENERAL ANAESTHESIA Concept of general anaesthesia Indications of general anaesthesia in dentistry Pre-anaesthetic evaluation of the patient Pre-anaesthetic medication - advantages, drugs used Commonly used anaesthetic agents Complication during and after G.A. , I.V. sedation with Diazepam and Medozolam Indications, mode of action, technique etc. Cardiopulmonary resuscitation Use of oxygen and emergency drugs. Tracheostomy. Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Oral & Maxillo- Facial Surgery Max. Marks - 70 Page 126 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics:--Local& General Anaesthesia, LA Techniques, Complications, Pain Diagnosis & Control, Extraction Techniques, Space Infections) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- TMJ, Orthognathic, Pre-Prosthetic, Salivary Gland and Implant Surgeries. Impactions, Surgical Exposures, Apicoectomies Orthodontic Extractions) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:--Tumours and Cysts of Jaws, Malignancies and TNM classification Fractures of Jaws & Treatment, Neuralgia, Bells Palsy) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Oral Infections, Osteomyelitis, Pharmaco-therapeutics,Oro-Antral Fistula, Maxillary Sinus, Infection Control & Cross Infection, Instrumentation & Materials, Biopsy, Emergencies, Medically Compromised, Physically & Mentally Challenged patient care, CPR, ) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : 20 Marks Marks Distribution:-a) Table Viva Voce:-12 marks i) Instrumentations……………………...2 marks ii) Medical & Dental history………… ….2 marks iii) Extraction & Elevation Procedures…2 marks iv) Minor & Major Surgeries…………….2 marks v) Investigations & Current Concepts…2 marks b) Table Clinic Presentation:-- 3 minutes………….8 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals : 90 Marks Spottings 1*10……………………………..10 Marks Case History + Radiology………………….20 Marks Local Anaesthetic Technique………………15 Marks Extraction Technique……………………….20 Marks Page 127 Chairside Viva……………………………….15 Marks Journal………………………………………..10 Marks RECOMMENDED BOOKS : 1. Impacted teeth : Alling John F & etal 2. Principles of oral and maxillofacial surgery ; Vol.1,2 & 3 peterson LJ & etal 3. Text book of oral and maxillofacial surgery ; Srinivasan B. 4. Handbook of medical emergencies in the dental office, Malamed SF. 5. Killeys Fractures of the mandible ; Banks P. 6. Killeys fractures of the middle 3rd of the facial skeleton; Banks P. 7. The maxillary sinus and its dental implications ; McGovanda 8. Killey and kays outline of oral surgery - part -1 ; Seward GR & etal 9. Essentials of safe dentistry for the medically compromised patients; Mc Carthy FM 10. Oral & maxillofacial surgery, Vol 2; Laskin DM 11. Extraction of teeth; Howe, GL 12. Minor Oral Surgery ; Howe. GL 13. Contemporary oral and maxillofacial surgery; Peterson I.J. &EA 14. Oral and maxillofacial infections ; Topazian RG & Goldberg MH PUBLIC HEALTH DENTISTRY GOAL : To prevent and control oral diseases and promote oral health through organized community efforts. OBJECTIVES : Knowledge : At the conclusion of the course the student shall have a knowledge of the basis of public health, preventive dentistry, public health problems in India, Nutrition, Environment and their role in health, basics if dental statistics, epidemiological methods, National oral health policy with emphasis on oral health policy. Skill & Attitude : At the conclusion of the course the student shall have require at the skill of identifying health problems affecting the society, conducting health surveys, conducting health education classes and deciding health strategies. Students should develop a positive attitude towards the problems of the society and must take responsibilities in providing health. Communication abilities : At the conclusions of the course the student should be able to communicate the needs of the community efficiently, inform the society of all the recent methodologies in preventing oral disease. Syllabus : 1. Introduction to Dentistry : Definition of Dentistry, History of dentistry, Scope, aims and objective dentistry. 2. Public Health : i. Health & Disease : Concepts, Philosophy, Definition and Characteristics. ii. Public Health : Definition & Concepts, History of Public Health iii. General Epidemiology : Definition, objectives, methods iv. Environmental Health - Concepts, principles, protection, sources, purification environmental sanitation of water disposal of waste sanitation, then role in mass disorder. v. Health Education : Definition, concepts, principles, methods, and health education aids. vi. Public health administration : Priority, establishment, manpower, private practice management, hospital management. Page 128 vii. Ethics and Jurisprudence : Professional liabilities, negligence, malpractice, consents, evidence, contracts and methods of identification in forensic dentistry. viii. Nutrition in oral diseases ix. Behavioural science : Definition of sociology, anthropology and psychology and their in dental practice and community. x. Health care delivery system : Centre and state, oral health policy, primary health care, national programmes health organizations. Dental Public Health 1. Definition and difference between community and clinical health 2. Epidemiology of dental diseases dental caries, periodontal diseases, malocclusion, dental fluorosis and oral cancer. 3. Survey procedures : Planning, implementation and evaluation, WHO oral health survey methods 1997, indices for dental diseases. 4. Delivery of dental care : Dental auxiliaries, operational and non-operational, incremental and comprehensive health care, school dental health. 5. Payments of dental care : Methods of payments and dental insurance, government plans. 6. Preventive Dentistry - definition, Levels, role of individual, Community and profession, fluorides in dentistry, plaque control programmes. Research Methodology and Dental Statistics 1. Health Information : Basic Knowledge of Computers, MS Office, Window 2000, Statistical Programmes 2. Research Methodology : Definition, types of research, designing a written protocol 3. Bio-Statistics : Introduction, collection of data, presentation of data, Measures of Central tendency, measures of dispersion, Tests of significance, Sampling and sampling techniques types, errors, bias, blind trails and calibration. Practice Management 1. Place and locality 2. Premises & Layout 3. Selection of equipments 4. Maintenance of records / accounts / audit Dentist Act 1948 with amendment Dental Council of India and State Dental Councils , Composition and responsibilities Indian Dental Association , Head Office, State, Local and branches. PRACTICALS / CLINICALS / FIELD PROGRAMME IN COMMUNITY DENTISTRY These exercises designed to help the student in IV year students: 1. Understand the community aspects of dentistry. 2. To take up leadership role in solving community oral health programme. Exercises : a) Collection of statistical data (demographic) on population in India, birth rates, morbidity and mortality, literacy, per capita income b) Incidence and prevalence of common oral diseases like dental caries, periodontal disease, oral cancer, fluorosis at national and international levels. c) Preparation of oral health education material posters, models, slides, lecturers, play acting skits etc. d) Oral health status assessment of the community using indices and WHO basic oral health survey methods e) Exploring and planning setting of private dental clinics in rural, semi urban and urban locations, availment of finance for dental practices-preparing project report. f) Visit to primary health centre-to acquaint with activities and primary health care delivery g) Visit to water purification plant / public health laboratory / centre for treatment of western and sewage water. Page 129 h) Visit to schools-to assess the oral health status of school children, emergency treatment and health education including possible preventive care at school (tooth brushing technique demonstration and oral rinse programme etc.) i) Visit to institution for the care of handicapped, physically, mentally or medically compromised patients j) Preventive dentistry : in the department application of pit and fissure sealants, fluoride gel application procedure, A.R.T., Comprehensive health for 5 pts at least 2 patients. The colleges are encouraged to involve in the N.S.S. programme for college students for carrying out social work in rural areas. SUGGESTED INTERNSHIP PROGRAMME IN COMMUNITY DENTISTRY I. AT THE COLLEGE Students are posted t the department to get training in dental practice management a) Total oral health care approach - in order to prepare the new graduates in their approach to diagnosis, treatment planning, cost of treatment, prevention of treatment on schedule, recall maintenance of records etc. at least 10 patients (both children and adults of all types posting for at least one month). b) The practice of chair side preventive dentistry including oral health education II. AT THE COMMUNITY ORAL HEALTH CARE CENTRE (ADOPTED BY THE DENTAL COLLEGE IN RURAL AREAS) Graduates posted for at least on month to familiarize in : (a) Survey methods, analysis and presentation of oral health assessment of school children and community independently using WHO basic oral health survey methods. (b) Participation in rural oral health education programmes (c) Stay in the village to understand the problems and life in rural areas. III. DESIRABLE : Learning use of computers at least basic programme Examination Pattern I. Index : Case History a) Oral hygiene indices simplified - Green and vermilion b) Silness and Loe index for Plaque c) Loe and Silness index for gingival d) CPI e) DMF : T & S, df:t and s f) Deans fluoride index II. Health Education 1. Make on - Audio visual aid 2. Make a health talk III. Practical work 1. Pit and fissure sealant 2. Topical fluoride application Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Preventive & Community Dentistry. Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics:-- Epidemiology, Indices, Plaque Control, Child Psychology & Behaviour Management, Health Care Delivery Systems) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part B:--Topics- Caries Activity Tests, Pit & Fissure Sealants, Caries Vaccine, Page 130 ART, ACT, DCI& IDA, COPRA, Survey Methods.) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:- Flouride, Public Health, Biostatistics, Planning& Evaluation Social Science in Dentistry, Environment & Health) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Dental; Manpower,& Auxiliary Finance in Dental Care, Ethics, WHO., Dental Health Education. School Health Program, Occupational Hazard & Infection Control)) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : i) Table Viva Voce:-- 20 Marks 12 marks a) Epidemiology ……………………………………2 marks b) Infection Control, Cross-Infection, Environment………….2 marks c) Indices …………. 2 marks d) Health Education & Promotion……………………………..2 marks e) Preventive Measures and goals……………………………2 marks f) Community health planning, Statutory bodies…………….2 marks ii) Table Clinic…………………………………………………………….8 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals : 90 Marks 1) Spotters 2*10 = …………………………20 Marks 2) Health Education………………………..10 Marks 3) Health Program………………………… 10 Marks 4) Case History……………………………..20 Marks 5) Indices……………………………………30 Marks 4) Clinical Discussions………………………10 Marks BOOKS RECOMMENDED & REFERENCE : 1. Dentistry Dental Practice and Community by David F. Striffler and Brain A. Burt, Edn. 1983, W.B. Saunders Company 2. Principles of Dental public health by James Morse Dunning. IVth Edition, 1986, Harward University Press. 3. Dental Public Health and Community Dentistry Ed by Anthony Jong Publication by the Page 131 C. V. Mosby Company 1981 4. Community Oral Health - A system approach by Patricia P. Cormier and Jouce I. Levy published by Appleton Century -Crofts / New York - 1981 5. Community Dentistry - A problem oriented approach by P.C. Dental Hand book series Vol 8 by Stephen L. Silverman and Ames F. Tryon, Series editor Alvin F. Gardner, PSG publishing company Inc. Littleton Massachuseltts, 1980 6. Dental Public Health- An Introduction to Community Dentistry. Edition by Geoffrey L. Slack and Brain Burt, Published by John Wrigth and sons Bristol, 1980 7. Oral Health Surveys - Basic methods, 4th edition, 1997, published by W.H.O. Geneva available at the regional office, New Delhi. 8. Preventive Medicine and Hygiene - By Maxcy and Rosenau, published by Appleton Century Crofts, 1986. 9. Preventive Dentistry - by J.O. Forrest published by John Wright and sons Bristoli, 1980 10. Preventive Dentistry by Murray, 1997 11. Text Book of Preventive and Social Medicine by Park and Park, 14th Edition. 12. Community Dentistry by Dr. Soben Peter 13. Introduction to Bio-statistics by B.K. Mahajan 14. Research Methodology and Bio-statistics by 15. Introduction to statistical Method’s by Garewal. PROSTHODONTICS AND CROWN & BRIDGE Complete Dentures A. Applied Anatomy and Physiology 1. Introduction 2. Biomechanics of the edentulous state 3. Residual ridge resorption B. Communicating with patient 1. Understanding the patients Mental Attitude 2. Instructing the patient C. Diagnosis and treatment planning for patients 1. With some teeth remaining 2. With no teeth remaining a) Systemic status b) Local factor c) The geriatric patients d) Diagnostic procedures D. Articulators - discussion E. Improving the patient’s denture foundation and ridge relation - an overview. a) Pre-operative examination b) Initial hard tissue & soft tissue procedures c) Secondary hard and soft tissue procedure d) Implant procedure e) Congenital deformities f) Postoperative procedure. F. Principles of Retention, Support and Stability G. Impressions - detail a) Muscles of facial expression b) Biological considerations for maxillary and mandibular impression including anatomy landmark and their interpretation. c) Impression objectives Page 132 d) Impression materials e) Impression techniques f) Maxillary and mandibular impression procedures. i) Preliminary impressions ii) final Impressions g) Laboratory procedures involved with impression making (Beading & Boxing, and cast preparation) H. Record bases and occlusion rims - in detail a) Materials & techniques b) useful guidelines and ideal parameters c) recording and transferring bases and occlusal rims I. Biological consideration in jaw relation & jaw movements - craniomandibular relations. a) Mandibular movements b) Maxillo - mandibular relation including vertical and horizontal jaw relations. c) Concept of occlusion - discuss in brief J. Relating the patient to the articulator a) Face bow types and uses - discuss in brief b) Face bow transfer procedure - discuss in brief K. Recording maxillo mandibular relation a) Vertical relations b) Centric relation records c) Eccentric relation records. d) Lateral relation records L Tooth selection and arrangement a) Anterior teeth b) Posterior teeth c) Esthetic and functional harmony M. Relating inclination of teeth to concept of occlusion - in brief a) Neutrocentric concept b) Balanced occlusal concept N. Trial dentures O. Laboratory procedures a) Wax contouring b) Investing of dentures c) Preparing of mold d) Preparing & Packing acrylic resin e) Processing of dentures f) Recovery of dentures g) Lab remount procedures h) Recovering the complete denture from the cast i) Finishing and polishing the complete denture j) Plaster cast for clinical denture remount procedure P. Denture insertion a) Insertion procedures b) Clinical errors c) Correcting occlusal disharmony d) Selective grinding procedures. R. Treating problems with associated denture use - discuss in brief (tabulation / flow chart form) S. Treating abused tissues - discuss in brief T. Relining and rebasing of dentures - discuss in brief U. Immediate complete dentures construction procedure - discuss in brief V. The single complete denture - discuss in brief W. Overdentures denture - discuss in brief Page 133 X. Dental implants in complete denture - discuss in brief. Note : It is suggested that the above mentioned topics be dealt with wherever appropriate in the following order so as to cover 1. Definition 2. Diagnosis (of the particular situation / patient selection / treatment planning) 3. Types / classification 4. Materials 5. Methodology - Lab / Clinical 6. Advantages & disadvantages 7. Indication, contrindications 8. Maintenance phase 9. Oral Implantology 10. Ethics Removable Flexible Dentures 1. Introduction Terminologies and scope 2. Classification 3. Examination, Diagnosis & Treatment planning and evaluation of diagnostic data 4. Components of a removable parital Major connectors, Minor connectors Rest and rest seats 5. Components of a Removable Partial Denture Direct retainers Indirect retainers Tooth replacement 6. Principles of Removable Partial Denture Design 7. Survey and design - in brief Surveyors Surveying Designing 8. Mouth preparation and masters cast 9. Impression materials and procedures for removable partial dentures 10. Preliminary jaw relation and esthetic try in for some anterior replacement teeth 11. Laboratory procedures for framework construction - in brief. 12. Fitting the framework - in brief. 13. Try - in of the partial denture - in brief 14. Completion of the partial denture - in brief 15. Inserting the Removable Partial Denture - in brief 16. Postinsertion observations. 17. Temporary Acrylic Partial Dentures. 18. Immediate Removable Partial Denture. 19. Removable Partial Dentures opposing Complete denture. Note: It is suggested that the above mentioned topics be dealt with wherever appropriate in the following order so as to cover 1. Definition 2. Diagnosis (of the particular situation / patient selection / treatment planning) 3. Types / Classification 4. Materials 5. Methodology - Lab / Clinical 6. Advantages & disadvantages 7. Indications, contradictions 8. Maintenance Phase Fixed Partial Dentures Page 134 Topics To Be Covered In Detail 1. Introduction 2. Fundamentals of occlusion - in brief. 3. Articulators - in brief 4. Treatment planning for single tooth restorations. 5. Treatment planning for the replacement of missing teeth including selection and choice of abutment teeth. 6. Fixed partial denture configurations. 7. Principles of tooth preparations. 8. Preparations for full veneer crowns - in detail. 9. Preparations for partial veneer crowns - in brief 10. Provisional Restorations 11. Fluid Control and Soft Tissue Management 12. Impressions 13. Working Casts and Dies 14. Wax patterns 15. Pontics and Edentulous Ridges 16. Esthetic Considerations 17. Finishing and Cementation Topics To Be Covered In Brief 1. Solder Joints and Other Connectors 2. All - Ceramic Restorations 3. Metal - Ceramic Restorations 4. Preparations of intracoronal restorations. 5. Preparations for extensively damaged teeth. 6. Preparations for periodontally weakened teeth 7. The Functionally Generated Path Technique 8. Investing and Casting 9. Resin - Bonded Fixed Partials Denture Note : It is suggested that the above mentioned topics be dealt with wherever appropriate in the following order so as to cover 1. Definition 2. Diagnosis (of the particular situation / patient selection / treatment planning) 3. Types / Classification 4. Materials 5. Methodology - Lab / Clinical 6. Advantages & disadvantages 7. Indications, contradictions 8. Maintenance Phase Scheme of Examination A. Theory : 70 Marks Distribution of Topics and Type of Questions SPECIFIC DIVISION OF WRITTEN PAPERS Subject : 1 : Prosthodontics, Crown & Bridge & Oral Implantology Max. Marks - 70 Section I) : Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part A:--Topics ;--Treatment Planning, CD Impressions, Articulators, Jaw Relations Occlusion, Teeth Arrangement, CD Lab. Preparation, Over Dentures, PreProsthetic Surgery, Implant Dentistry in Complete Edentulous arch ) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) Page 135 (Part B:--Topics-RPD Components, Surveying, Mouth Preparation, Stress Breakers, Precision Attachments, Temporary Dentures, Casts & Duplication, Casting & Failures, Implant in Partially Edentulous arches.) Question 3) Short Answer Questions for 6 marks (3 questions * 2 marks) (Part A+ Part B Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 36 marks Section II) Question 1) One Long Answers questions ( Essay type) for 10 marks(1*10Marks) ( Part C:--Topics:-- FPD Treatment Planning, Tooth Preparation, Tissue Management, Impression Techniques ,Shade, Hue, Chroma, Illusions, PFM & All Ceramics, Resin Bonded Replacements, Facing Materials, Metals and Casting, Implants, Laminates) Question 2) Short Essay Questions for 20 marks (4 Questions * 5 marks) (Part D:--Topics- Maxillo-Facial Prosthesis, Aesthetic Dentistry, Dental Materials, Lab. Procedures concepts:-osseointegration, neutral zone. Etc.) Question 3) Short Answer Questions for 4 marks (2 questions * 2 marks) (Part C+ Part D Topics) ( Questions in this category should not overlap and repeat from Q1 + Q2) 34 marks B. Viva Voce : a) Table Viva:-i) Instrumentation…………………………2 marks ii) Complete Denture Prosthosis………...2 marks iii) Removable Partial Prosthosis………..2 marks iv) Fixed Partial Prosthosis………………2 marks v) Aesthetic Dentistry and Implants……2 marks 20 Marks 12 Marks vi) Maxillo-facial prosthesis……………2 marks b) Table Clinic……………………………………………..8 marks C. Internal Assessment – Theory : 10 marks, Practicals : 10 marks D. Practicals : 90 Marks CLINICALS i) Spotters 2*10……………………………… 20 marks ii) Clinical for C.D. .... 45 Marks. (breakup as per proforma) OR ii) Clinical for Single Crown iii) Chair side Orals …. 45 Marks (breakup as per proforma) .... Page 136 15 Marks. iii) Journal (work reacord) .... 10 Marks. Total .... 90 Marks RECOMMENDED BOOKS : 1. Syllabus of Complete denture by - Charles M. Heartwell Jr. and Arthur O. Rahn. 2. Boucher’s “Prosthodontic treatment for edentulous patients” 3. Essentials of complete denture prosthodontics by - Sheldon Winkler. 4. Maxillofacial prosthetics by - Willam R. Laney. 5. McCraken’s Removable partial Prosthodontics 6. Removable partial prosthodontics by - Ernest L. Miller and Joseph E. Grasso. A ESTHETIC DENTISTRY ( Concepts integrated in all subjects) Aesthetic Dentistry is gaining more popularity since last decade. It is better that undergraduate students should understand the philosophy and scientific knowledge of the esthetic dentistry. 1. Introduction and scope of esthetic dentistry 2. Anatomy & physiology of smile 3. Role of the color in esthetic dentistry 4. Simple procedures (rounding of central incisors to enhance esthetics appearance) 5. Bleaching of teeth 6. Veneers with various materials 7. Preventive and interceptive esthetics 8. Ceramics 9. Simple gingival contouring to enhance the appearance 10. Simple clinical procedures for BDS students Recommended books: 1. Esthetic guidelines for restorative dentistry; Scharer & others 2. Esthetics of anterior fixed prosthodontics; Chiche (GJ) & Pinault (Alain) 3. Esthetic & the treatment of facial form, Vol 28; Mc Namara (JA) FORENSIC ODONTOLOGY (30 HRS OF INSTRUCTION) ( Concepts integrated in all subjects) Definition Forensic is derived from the Latin word forum, which means ‘court if law,’ Odontology literally implies ‘the study of teeth.’ Forensic odontology, therefore, has been defined by the Federation Dentaire International (FDI) as “that branch of dentistry which, in the interest of justice, deals with the proper handling and examination of dental evidence, and with the proper evaluation and presentation of dental findings.” Objectives of the undergraduate curriculum At the end of the program me, the dental graduate should: 1. Have sound knowledge of the theoretical and practical aspects of forensic odontology. 2. Have an awareness of ethical obligations and legal responsibilities in routine practice and forensic casework. 3. Be competent to recognize forensic cases with dental applications when consulted by the police, forensic pathologists, lawyers and associated professionals. Page 137 6. Be competent in proper collection of dental evidence related to cases of identification, ethnic and sex differentiation, age estimation and bite marks 5. Be able to assist in analysis, evaluation, and presentation of dental facts within the realm of law. Curriculum for forensic odontology 1. Introduction to forensic dentistry Definition and history Recent developments and future trends 2. Overview of forensic medicine and toxicology Cause of death and postmortem changes Toxicological manifestations in teeth and oral tissues 3. Dental identification Definition Basis for dental identification Postmortem procedures Dental record compilation and interpretation Comparison of data, and principles of report writing Identification in disasters and handling incinerated remains Postmortem changes to oral structures 4. Maintaining dental records Basic aspects of good record - keeping Different types of dental records o Dental charts o Dental radiographs o Study casts o Denture marking o Photographs Dental notations Relevance of dental records in forensic investigation 5. Age estimation Age estimation in children and adolescents o Advantages of tooth calcification over ‘eruption’ in estimating age o Radiographic methods of Schour & Massler, Demirjian et al Age estimation in adults o Histological methods - Gustafson’s six variables and Johanson’s modification, Bang & Ramm’s dentine translucency o Radiographic method of Kvaal et al Principles of report writing 6. Sex differentiation Sexual dimorphism in tooth dimensions (Odontometrics) 7. Ethnic variations (‘racial’ differences) in tooth morphology Description of human population groups Genetic and environmental influences on tooth morphology Description of metric and non-metric dental features used in ethnic differentiation 8. Bite mark procedures Definition and classification Basis for bite mark investigation Bite mark appearance Macroscopic and microscopic ageing of bite marks Evidence collection from the victim and suspect of bite mark Analysis and comparison Principles of report writing Animal bite investigation 9. Dental DNA methods Page 138 Importance of dental DNA evidence in forensic investigations Types of DNA and dental DNA isolation procedures DNA analysis in personal identification Gene-linked sex dimorphism Population genetics 10. Jurisprudence and ethics Fundamentals of law and the constitution Medical legislation and statutes (Dental and /medical Council Acts, etc) Basics of civil law (including torts, contracts and consumer protection act) Criminal and civil procedure code (including expert witness requirement) Assessment and quantification of dental injuries in courts of law Medical negligence and liability Informed consent and confidentiality Rights and duties of doctors and patients Medical and dental ethics (as per Dentists’ Act) Theory session and practical exercises Total hours for the course Didactic - 10-12 hours Practical - 20-25 hours Detailed didactic sessions for the above components, either in the form of lectures or as structured student - teacher interactions, is essential. Specialists from multiple disciplines, particularly from legal and forensic sciences, can be encouraged to undertake teaching in their area of expertise. An interactive, navigable and non-linear (INN) model may also be utilized for education. Practical exercises (real-life casework and / or simulated cases) must complement didactic sessions to facilitate optimal student understanding of the subject. Mandatory practical training in dental identification methods, dental profiling (ethnic and sex differences, radiographic age estimation), and bite mark procedures, is of paramount importance. In addition, practical exercises / demonstrations in histological age estimation, comparative dental anatomy, DNA methods, medical autopsy, court visits, and other topics may be conducted depending on available expertise, equipment and feasibility. Approach to teaching forensic odontology Forensic odontology could be covered in two separate streams. The divisions include a preclinical stream and a clinical stream. Preclinical stream introduction to forensic odontology Sex differences in odontometrics Ethnic variations in tooth morphology Histological age estimation Dental DNA methods Bite marks procedures Overview of forensic medicine and toxicology It could prove useful to undertake the preclinical stream in II or III year under Oral Biology / Oral Pathology since these aspects of forensic odontology require grounding in dental morphology, dental histology and basic sciences,which, students would have obtained in I and / or II BDS. Clinical stream Dental identification Maintaining dental records Radiographic age estimation Medical jurisprudence and ethics It would be suitable to undertake these topics in the IV or V year as part of Oral Medicine and Radiology, since students require reasonable clinical exposure and acumen to interpret dental Page 139 records, perform dental postmortems and analyse dental radiographs for age estimation. ORAL IMPLANTOLOGY (30 hrs of instruction) ( Concepts integrated in all subjects) INTRODUCTION TO ORAL IMPLANTOLOGY Oral Implantology is now emerged as a new branch in dentistry world wide and it has been given a separate status in the universities abroad. In India day to day the practice of treating patients with implants are on rise. In this contest inclusion of this branch into under graduate curriculum has become very essential. The objective behind this is to impart basic knowledge of Oral Implantology to undergraduates and enable them to diagnose, plan the treatment and to carry out the needed pre surgical mouth preparations and treat or refer them to speciality centres. This teaching programme may be divided and carried out by the Dept. of Oral Surgery, Prosthodontics and Periodontics. 1. History of implants, their design & surface characteristics and osseo-integration 2. Scope of oral & maxillofacial implantology & terminologies 3. A brief introduction to various implant systems in practice 4. Bone biology, Morphology, Classification of bone and its relevance to implant treatment and bone augmentation materials. 5. Soft tissue considerations in implant dentistry 6. Diagnosis & treatment planning in implant dentistry Case history taking / Examination / Medical evaluation / Orofacial evaluation / Radiographic evaluation / Diagnostic evaluation / Diagnosis and treatment planning / treatment alternatives / Estimation of treatment costs / patient education and motivation 7. Pre surgical preparation of patient 8. Implant installation & armamentarium for the Branemark system as a role model 9. First stage surgery - Mandible - Maxilla 10.Healing period & second stage surgery 11.Management of surgical complications & failures 12.General considerations in prosthodontic reconstruction & Bio mechanics 13.Prosthodontic components of the Branemark system as a role model 14.Impression procedures & Preparation of master cast 15.Jaw relation records and construction of suprastructure with special emphasis on occlusion for osseointegrated prosthesis 16.Management of prosthodontic complications & failures 17.Recall & maintenance phase. Criteria for success of osseointegrated implant supported prosthesis SUGGESTED BOOKS FOR READING 1. Contemporary Implant Dentistry - Carl .E. Misch Mosby 1993 First Edition. 2. Osseointegration and Occlusal Rehabilitation Hobo S., Ichida. E. and Garcia L. T. Ouintessence Publishing Company, 1989 First Edition. 2 2. B EHAVIOURAL SCIENCES (20 hrs of instruction) GOAL: The aim of teaching behavioural sciences to undergraduate student is to impart such knowledge & skills that may enable him to apply principles of behaviour a) For all round development of his personality b) In various Therapeutic situations in dentistry. The student should be able to develop skills of assessing psychological factors in each patient, explaining stress, learning simple counseling techniques, and improving patients compliance behaviour. OBJECTIVES: Page 140 A) KNOWLEDGE & UNDERSTANDING: At the end of the course, the student shall be able to: 1) Comprehend different aspects of normal behaviour like learning, memory, motivation, personality & intelligence. 2) Recognise difference between normal and abnormal behaviour. 3) Classify psychiatric disorders in dentistry. 4) Recognise clinical manifestations of dental phobia, dental anxiety, facial pain orofacial manifestations of psychiatric disorders, and behavioural problems in children. Addictive disorders, psychological disorders in various dental departments. 5) Should have understanding of stress in dentistry and knowledge of simple counseling techniques. 6) Have some background knowledge of interpersonal, managerial and problem solving skills which are an integral part of modern dental practice. 7) Have knowledge of social context of dental care. B) SKILLS The student shall be able to: 1) Interview the patient and understand different methods of communication skills in dentist - patient relationship. 2) Improve patients compliance behaviour. 3) Develop better interpersonal, managerial and problem solving skills. 4) Diagnose and manage minor psychological problems while treating dental patients. INTEGRATION: The training in Behavioural sciences shall prepare the students to deliver preventive, promotive, curative and rehabilitative services to the care of the patients both in family and community and refer advanced cases to specialized psychiatric hospitals. Training should be integrated with all the departments of Dentistry, Medicine, Pharmacology, Physiology and Biochemistry. PSYCHOLOGY: 1) Definition & Need of Behavioral Science. Determinants of Behavior. Hrs 1 Scope of Behavioral Science. 2) Sensory process & perception perceptual process - clinical applications. 3) Attention - Definition - factors that determine attention. Clinical application. 4) Memory - Memory process - Types of memory, Forgetting: Methods to improve memory, Clinical assessment of memory & clinical applications. 5) Definition - Laws of learning Type of learning. Classical conditioning, operant conditioning, cognitive learning, Insight learning, social learning, observational learning, principles of learning - Clinical application. 6) Intelligence - Definition: Nature of intelligence stability of intelligence Determinants of intelligence, clinical application 7) Thinking - Definition: Types of thinking, delusions, problem solving 8) Motivation - Definition: Motive, drive, needs classification of motives 9) E motions - Definition differentiation from feelings - Role of hypothalamus, Cerebral cortex, adrenal glands ANS. Theories of emotion, Types of emotions. Personality. Assessment of personality: Questionaries, personality inventory, rating scales, Interview projective techniques - Rorshach ink blot test, RAT, CAT SOCIOLOGY: Social class, social groups - family, types of family, types of marriages, communities and Nations and institutions. REFERENCE BOOKS: 1) General psychology - S. K. Mangal 2) General psychology - Hans Raj, Bhatia 3) General psychology - Munn Page 141 4) Behavioural Sciences in Medical practice - Manju Mehta 5) Sciences basic to psychiatry - Basanth Puri & Peter J Tyrer ETHICS (20 hrs. of instruction) ( Concepts integrated in all subjects) Introduction: There is a definite shift now from the traditional patient and doctor relationship and delivery of dental care. With the advances in science and technology and the increasing needs of the patient, their families and community, there is a concern for the health of the community as a whole. There is a shift to greater accountability to the society. Dental specialists like the other health professionals are confronted with many ethical problems. It is therefore absolutely necessary for each and every one in the healthcare delivery to prepare themselves to deal with these problems. To accomplish this and develop human values Council desires that all the trainees undergo ethical sensitization by lectures or discussion on ethical issues, discussion of cases with an important ethical component. Course content: Introduction to ethics - what is ethics? - What are values and norms? - How to form a value system in ones personal and professional life? - Hippocratic oath. - Declaration of Helsinki, WHO declaration of Geneva, International code of ethics, DCI code of ethics. Ethics of the individual - The patient as a person, Right to be respected ,Truth and confidentiality Autonomy of decision Doctor Patient relationship Profession Ethics Code of conduct Contract and confidentiality Charging of fees, fee splitting Prescription of drugs Over - investigating the patient Malpractice and negligence Research Ethics Animal and experimental research / humanness Human experimentation Human volunteer research - informed consent Drug trials Ethical workshop of cases Gathering all scientific factors Gathering all value Identifying areas of value - conflict, setting of priorities Working our criteria towards decisions Recommended Reading: Medical Ethics, Francis C.M., I Ed. 1993, Jaypee Brothers, New Delhi p. 189 Maj Gen (Retd.) P. N. AWASTHI, Secy. Following name has recommended by Board of Studies & Faculty of Dentistry 1. Oral & Maxillofacial Pathology - 2nd edition, 2004 by Neville, Damm, Allen, Bonequot , Publication – Elsevier 2. Oral Medicine & Radiology : Oral Radiology - White and Pharogh 3. Essentials of Medical Microbiology & Dental Students - 4th edition – Bhatia R. B. & Ichhpujani R.L. Page 142 SCHEME OF EXAMINATION FOR B.D.S General Rules:-Examination are conducted to assess whether the candidate has acquired the necessary minimum skill and clear concepts of fundamentals essential to his day to day professional work. Examination shall be held twice in a year. 1. Maximum Marks for each subject shall be 200. Community and preventive Dentistry, Preclinical Prothodontics practical and Preclinical Conservative Dentistry practicals will be of 100 marks each. 2. It is essential to inculcate the habit of progressive learning everyday, there is a need to have frequent tests. Minimum of Four tests in each academic year i.e. two in each term, to be conducted by the college as per the schedule of Internal Assessment Examination mentioned in Appendix – C. 3 Attendance: i) Minimum 75% attendance in Theory and 80% in Practical / clinical in each subject in each academic year. ii) The Dean / Principal is authorized to relax condition (i) above, by granting exemption upto 6% for less attendance on valid ground. iii) The counting of attendance shall be from the start of the term to the end of the term. iv) The student, who fails in University examination or do not appear in that particular examination is required to have minimum attendance of 75% both in Theory & Practical / Clinical in the next academic term and also required to work upto the satisfaction of the head of the concerned department in that academic term prior to his appearance in University examination. v) The student will have to attend minimum 70% Theory / Practical classes in these subjects which are taught in that academic year, but having no examination at the end of that academic year. However, when he appears for University Examination in that subject the student will have to satisfy condition (i) above. 4) The Duration of Examination: As specified in Direction No._______, "Conduct of Examination" issued on ________ 5) The Theory Paper Pattern: As specified in Direction No. _________, "Conduct of Examination" (Theory paper pattern)" issued on ____________. Page 143 6) Notwithstanding any thing to contrary, in these rules, no person shall be admitted to an examination under these rules, if he /she has already passed that examination or an equivalent examination of any other statutory university. 7) If a candidate securing 50% marks in theory and Practical/Clinical+Oral and Internal Assessment separately and having minimum 50% marks in that subject as and aggregate shall be provided an exemption in that subject. 8) The gracing pattern to pass the examination will be according to direction No. ______" Conduct of Examination" issued on _____________ 9) Any complaint regarding use of "Unfair means" by candidate, paper setter, moderator, invigilator, examiner for practicals / clinicals or paper valuer should reach the office of Controller of Examinations within 48 hours of such incidence in Witting with valid proof. Such complaints must be delt with seriousness, on top priority to maintain sanctity of examination by setting an enquiry and judgement shall be given within 30 days after the incidence reported. The person (s) connected with such episodes and if found guilty shall be debarred from University examination work for a period of minimum 3 years. A person if lodging false complaint will be liable for legal action as per the provision of University act., 10) Valuation of Answer Books: Central spot valuation system shall be adopted whenever possible. Approved and experience teachers shall be invited for this job. Strictness and most confidential status has to be maintained. Answer book shall be coded. 11 ) There shall be one external examiner and one internal examiner. Internal examiner will be from colleges / university area (Regional) to conduct practical / clinical examination in each subject. The examiner shall have minimum experience of 5 years as a approved teachers of the University in that subject with post graduate qualification in that subject. 12) The Dean of the college will be the in charge of the practical / clinical examination center where it is not possible for the dean to discharge this duty, he shall appoint Vice-Dean or senior most Professor to work as Center In-charge with prior intimation. 13) The University shall pay the appropriate remunerations to the center in charge and all others connected with the work of examination. The Dean shall inform the names of those persons before the commencement of University examination at that center. Page 144 14) The charges for the materials University practical/clinical used for the smooth examination work shall be and proper conduction of paid by the University on submission of original receipts of the purchases and certificate from the Dean about such material requirement and consumption. Prior permission from the University shall be obtained by the Dean from University in regards to number of items, materials quantity and approximate cost of the material. Oral (Grand Viva) : 16. : Maximum 20 Marks allotted for each subject in Oral to be conducted separately examiners and the marks to be submitted in a separate sheet as per the Performa supplied by University (Appendix F.) Marks to be added to Theory Head. If a Subject has two headings then marks will be divided as per their relative importance for example:-a) General Human anatomy, Histology e.t.c. : 20 marks to be divided equally amongst the available examiners. b) General Human Physiology and Biochemistry 20 Marks i) Oral on physiology Syllabus 12 Marks ii) Oral on Biochemistry syllabus 08 Marks a) Dental Anatomy & Histology - 20 Marks divided as 12 for Dental Anatomy and 8 for Dental Histology b) Similarly for viva voce all subjects till final year the marks will be divided as per the subject subheadings according to their relative importance. SCHEDULE FOR INTERNAL ASSESSMENT MARKS To assess the overall progress of the students by evaluating the professional skills he/she has developed and the knowledge he has got it is necessary to assess the students periodically. The marks to be allotted should be real estimate of the students achievement of skills and subject knowledge without any prejudice. 1) Maximum marks allotted for internal assessment for each subject head i.e. Theory and Practical / Clinical will be 10 marks each. 2.A) In all four college tests shall be conducted in one academic year i.e. two tests in each term. Each test will have marks as under Theory First Term - First Internal 2.5 Marks Assessment Test Page 145 Practical / Clinical 2.5 Marks Second Internal 2.5 Marks 2.5 Marks 2.5 Marks 2.5 Marks 2.5Marks 2.5 Assessment Test Second Term - Third Internal Assessment Test Fourth Internal Assessment Test Marks --------------------------------------Total : 10 Marks 10 Marks a) First Internal Assessment Test should be conducted for the syllabus completed from the start of the term till the commencement of this examination. ( 1st Unit Test )—MCQ TYPE b) Second Internal Assessment Test should include entire syllabus completed in first term (Terminal Examination, to be conducted as per university Pattern) c) Third Internal Assessment Test should include the topics covered in First and the Second term till the commencement of this examination. (2nd Unit Test)----MCQ TYPE d) Fourth Internal Assessment Test should include entire syllabus prescribed by the University (Preliminary Examination to be conducted as per university Pattern) 2.B) For Final B.D.S. Subjects :- Four College test to be conducted theory as per above pattern in final year only. However, for Clinical Practical test -- 2 test to be conducted in third year teaching during clinical posting and 2 test to be conducted in IV year clinical posting. 3) The pattern of Internal Assessment Examination should be as under : a) Theory ... 50 Marks for 1st & 2nd Unit Test, 100 Marks for Terminal & Prelims b) Practical ... 100 Marks for Terminal & Prelims c) Exception : For community Dentistry the written Examination will be of 40 Marks & Oral will be of 10 Marks. Marks obtained by the candidate to be entered in Proforma 4) The marks obtained by the candidate in all four examinations, to be amalgamated even with fractions. The fraction, if any, is now to be converted into nearest round figure. Page 146 5) All the records of these examination theory paper/practical record except work will have to be maintained for one year by the Heads of Departments and will have to be produced to the University authority if required for verification. 6) a) The marks obtained by the students for First, Second internal assessment tests should be submitted in the prescribed proforma ( Appendix - D ) to the Principal within 15 days of completion of second Internal Assessment Examination. b) The marks of all four internal assessment tests shall be submitted to the controller of examination in the proforma as shown in Appendix - D , through the Dean / Principal of the college 20 days before of the commencement of the University Theory Examination by Hand delivery or Register post. The Mark sheet should be signed by the candidates, teacher in-charge /HOD & Principal. 7) In case the candidate fails in University Examination, he should be assessed afresh for internal assessment marks. 8) For repeater and detainee students, only two examinations in that term will be conducted. Each test will be of 10 marks each. Thus college authority should submit marks out of 20 by applying the same schedule. The best out of two of internal assessment marks (Previous Assessment/New Assessment) to be submitted to the University for the computation of marks 9) In case candidate remains absent on valid ground where his presence elsewhere is justified or when he is unable to attend the Examination on health ground and he has inform the HOD/Principal about the same before or during the Examination Schedule. Candidate should compensate for this absenty by attending fifth (Extra) Internal Assessment Test. Those students who wants to improve their performance, they may attend this test.(Entire Syllabus will be included for this 5th tests.) Marks obtained by the students will be entered in the following format in the department and will be available for scrutiny:-- A:- Tabulation Method (Separate for Theory & Practical) ENROLL. NO. NAME IST TERMINAL 2ND UNIT A PRELIMS UNIT B C Page 147 D Total OUT A+B+C+D OF 10 Out of Out of 50 2.5 100 2.5 Out of Out of OUT OF 50 2.5 100 2.5 300 10 (B) Calculation Method:Unit Tests :-- Marks Obtained A or C ---------------------- = ________ out of 2.5 20 Terminal / Prelims :-- Marks Obtained B OR D ----------------------- = ________ out of 2.5 40 Final Total :-:-- Marks Obtained A+B+C+D ----------------------- = ________ out of 10 30 UNIVERSITY EXAMINATION ( THEORY PAPER PATTERN ) i) Each paper shall be of three hours duration and each practical / clinical examination shall not exceed 5 hours duration. ii) Not more than 30 candidates in clinical / practicals should be examined in one day. iii) Written ( Theory ) paper shall have three parts : A) Long Essay Questions for 20 marks - 10 marks * 1 questions in each section shall be answered by students in a separate Answer sheet. B) Short Extended Essay Questions for 20 marks in each section. C) Short Answers questions( SAQ) for 10 marks. SAQ will be included in Section I & Section II UNIVERSITY EXAMINATION ( Practical Examination ) University Practical/Clinical Examination ... 90 Marks The Practical/Clinical examination shall be conducted at the centers where adequate facilities are available to conduct such examinations and the centre/college is approved/recognized by Dental Council of India. Not more than 30 students to be examined per day. The marks should be submitted in the proforma (Appendix - E & F) supplied by the University Authority. This proforma should be signed by the examiners. Over writing or scratching will not be permitted. Any corrections made, must have the counter-signature of external examiners .The sealed envelop containing this proforma shall be submitted on the same day to the Principal for onward transmission to the Controller of examinations, Sumandeep Vidyapeeth University, Piparia No examiner or any other person connected with the work of practical examination is permitted Page 148 to carry any paper or violate the rules of examination. The person found guilty will be debarred from such Confidential work for a minimum period of 5 Consecutive University examinations or the actions as suggested by the relevant Committee to investigate such matters. Appendix A:-- Enrollment Form SUMANDEEP VIDYAPEETH UNIVERSITY (Declared u/s 3 of UGC act of 1956) At & Po. Piparia , Ta. Waghodia, Dist. Vadodara – 391760 (Gujarat) India Phone : (D) +91- 2668-245069 Fax : +91-2668-245292 URL : www.sumandeepuniversity.org Application for the enrolment for the year 200 - 200 No. : Price : Rs. Enrolment No. : (A). To be filled by the College (1). Course:____________________________________________________(2). Course Code: (3). College Name:______________________________________________ ___ (5). (4). College Serial Code:___________________ No: Paste your Passport size photograp h here (B). To be filled by the student ( College must chech): (6), HSC Board Guja rat Centr al Othe r (7) HSC Exam. Seat No.: (9). Year (8). Month: (10). (A). Aggregate Marks Obtained: (B). Aggregate % age (12). No.of Trials (11). Out of : (13) Category: Ope n SEB C (15).Nationality India n S . C P . H S . T (14) Date : Blind N R I Othe r Page 149 Birth (As per school Leaving Cert.) D at e (16). Gender : 5 0 0 Mont h M al e Y e ar F emale (17). Name (In English CAPITAL letters only. Exactly as per HSC Marksheet): Surname : Name Father’s Name Initial of Grandfath er : : (19) Phone No. (O)…………………… ……………. ®……………………… …………… (M)…………………… ……………. (18). Permanent Address : ………………………………………………………… ……………………………. ………………………………………………………… ……………………………. ………………………………………………………… ……………………………. City:………………………………Pin:………………… …………………………. (20). Division: (22). Stream : (21). Roll No.: A – Stream B – Stream Not Applecabl e Candidate’s Signature Date :……………………………… Place :…………………………….. Received one Enrolment Form Shri………………………………………………………………………………………… Division………………………….Roll Rs……………………………… No………………………Fees Course Code……………………..College No………………………………… from Paid Code………………Serial Date………………………..Place……………………..Signature………………………… ……………… Address of the Student:_______________________________________________________________________ ______ (To be filled in by the student)____________________________ No.__________________M_________________ Page 150 T conti.of page.1 IMPORTANT INSTRUCTION FOR FILLING ENROLMENT FORM 1. Student must fill the form in his/her own hand – writing using Blue/Black ball pen. Do not use ink pen or pencil. 2. Write clearly and legibly in English CAPITAL LETTERSo 3. Avoid over writing 4. Do not write anything outside the box 5. Do not leave any information unfilled 6. Photograph should be neatly pasted with gum. 7. The information provided in this form will be used for final examination purpose. Exam hall full admit cards, Degree Certificate, etc., therefore student must provide correct and sheet full information. No change will be allowed at any later stage. 8. The mark sheet of Std.XII and other enxlosed required, should be stapled with the form. 9. It will be the responsibility of the student to submit completed form and information to the university. CODES COURSES FOR THE VARIOUS CODE First Year MBBS First Year BDS First Year Physiotherapy First Year Nursing First Year Pharmacy First Year M.D.S First Year Lib. Science 11 12 13 14 15 16 17 College Code: As allotted to the college under Sumandeep Vidyapeeth University Serial Nos.: To be given by the College Offices starting with 1 Page 151 and ending with the last number. College authorities must ensure that no duplicate no. is given or any no. is kept out in between. Appendix B SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA Theory Marks Section I FOR….BDS _______ EXAMINATION YEAR 200__ Subject: ________________________________ Enrol Theory Section I No. Question 1 Question 2 Question 3 TOTAL 10 20 6 36 Appendix C Theory Marks Section II FOR….BDS ______________EXAMINATION YEAR 200__ Subject: ________________________________ Enrol Theory Section II No. Question 10 4 Question 5 Question 6 TOTAL 20 6 34 Appendix – D SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA INTERNAL ASSESSMENT MARKS FOR ….B.D.S. _________EXAMINATION, Subject: ________________________________ Subhead – Theory / Practical College: ____________________________________________ Sr. Enroll. Name Aggregate Internal Assessment Test First Second Third Fourth No. No. Page 152 Net total In Words (after (Out of Sign. of Max 2.5 the Max Max Max Total rounding 2.5 2.5 2.5 Out of 10 the fraction, if any) ten) of Students Student Marks obtained out of 10 Certified that the marks entered in above Performa are as obtained by the candidates. The department will produce the necessary documents for verification University Authority if required. Date :____________________________ _______________________ Signature of Subject Teacher Signature of Head of the Depart Maintenance of Departmental Records:-- (Separate for Theory & Practicals) A:- Scoring Method ENROLL. NAME IST TERMINAL 2ND UNIT NO. UNIT A Out of PRELIMS Total Out of 50 2.5 100 A+B+C+D OF C B Out of 2.5 D (B) Calculation Method:Unit Tests :-- Marks Obtained A or C ---------------------- = ________ out of 2.5 20 Terminal / Prelims :-- Marks Obtained B OR D ----------------------- = ________ out of 2.5 40 Final Total :-:-- Marks Obtained A+B+C+D ----------------------- = ________ out of 10 Page 153 10 Out of 50 2.5 100 Appendix E OUT OUT OF 2.5 300 10 FORMAT FOR MARKS SUBMISSION TO THE UNIVERSITY OF THE PRACTICAL / CLINICAL & INTERNAL ASSESSMENT EXAMINATION MARKS SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA Chart showing marks obtained by the candidates in practical / clinical examination, to be submitted by the examiner in sealed cover through the Dean of the college to the Controller of Examination ,SVU, Piparia Name of Examination :____________________________Summer / Winter _________ Centre : __________________________________________________________________ Subject : ______________________________________________ Max. Marks 90 1st BDS Sub. 1: General Human Anotomy & Histology etc ROL SPOTING (30 MARKS) L HISTO BON ORG ES ANS NO. LOGY PRACTICAL VIVA-VOCE HISTOLOGY BON ES SLIDES (IDENTIFICATION SOFT PART S SLIDES EMB RY RA DIO OLO GY LO GY ( 05 ) ( 05 TOTA ORGA NS RECO ( 10 ) ( 10 ) L RDS WITH DIAGRAM AND LABELING) ( 10 Slides (5 X 1 ( 5X1 X 2 )=20 )=5 )=5 ( 2 Slides X 5 = 10 ) ( 10 ( 10 ) ) ( 90 ) ) Sub. 2: General Human Physiology & Bio-chemistry ROL L NO. Physiolog y Physio. BIOCHEMISTRY RECORDS BOOKS Minor MARKS 90 Major Exp. Exp. 15 marks 20 marks QTY QLTY LAB. EXP. EXP. INTERP. 20 15 10 PSYSIOLOGY BIOCHEMISTRY (5 MARKS) (5 MARKS) Subject 3 : ORAL DENTAL ANATOMY, HISTOLOGY ETC. Roll No. TOTAL Slides (6 Spots 5 Spotting & Specimen Marks (4 Spots x 5 Marks 30 20 Carving of tooth Journal Total 30 10 Page 154 90 Sub:-4 EVIDENCE BASED DENTISTRY ENROLLNO. THEORY ASSIGNMENTS TOTAL 30 20 50 External Examiners : Internal Examiners : Name: _________________________ Name Signature: ______________________ : ________________________ Signature : _______________________ (Common to All) Appendix E 2ND BDS Format of the Practical / Clinical Examination Marks SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA Chart showing marks obtained by the candidates in practical / clinical examination, to be submitted by the examiner in sealed cover though the Dean of the college to the Controller of Examination, SU Piparia Name of Examination :______________________JULY/ OCT ____________ Centre : ____________________________________________________________ Subject 1 : PHARMAOLOGY Roll No. Pharmacy Practical 2+15 = 30 30 Prisription 2+10 20 Correction of wrong Prescription 10 Spotters 1+10 Drug of Journal Choice & Dose 5 Drug 10 10 10 Total 90 Subject 2 : GENERAL PATHOLOGY AND MICROBIOLOGY Roll No. Clinical Histopathology Microbiology Pathology (2 Slices x 5 Staining Marks) 25 10 25 Subject 3 DENTAL MATERIAL Roll Spotters E 1 E 2 No. 25 20 10 Spotting Journal 10 x 2 Marks 20 10 E 3 25 Total 90 Journal Total 20 90 Subject 4 : PRE-CLINICAL PROSTHODONTICS PRACTICAL Roll No. Teeth Waxing Arrangement & Carving 15 05 Abutment Preparation For Crown 15 Spotters 10 Subject 5 : PRECLINICAL CONSERVATIVE DENTISTRY Page 155 20 Wax Journal Pattern Total 05 80 10 Roll No Cavity Amalgam Preparation 10 Lining Filling Inlay Wax 05 10 10 Spotters pattern 5 10 IA OE Journal Total 20 10 80 Sub:-6 EVIDENCE BASED DENTISTRY ENROLLNO. THEORY ASSIGNMENTS TOTAL 30 20 50 External Examiners : Internal Examiners : Name: _________________________ Name Signature: ______________________ Signature : _______________________ : ________________________ (Common to All) APPENDIX-E 3RD BDS FORMAT OF THE PRACTICAL / CLINICAL EXAMINATION MARKS SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA Chart showing marks obtained by the candidates in practical / clinical examination, to be submitted by the examiner in sealed cover through the Dean of the college to the Controller of Examination ,SU Piparia Name of Examination : Third B.D.S. July / October 200___ Centre : __________________________________________________________________ 1) SUBJECT : GENRAL MEDICINE Max. Marks:- 80 NOTE :- SCRATCHING OR OVERWRITING IN MARKS ARE NOT ALLOWED Roll Long Case No. (40Marks) Short Case (20 Marks) X-rays & Drugs (20 Marks) Journal (10 Marks) Total (90 Marks) 2) SUBJECT : GENRAL SURGERY Max. Marks:- 90 NOTE :- SCRATCHING OR OVERWRITING IN MARKS ARE NOT ALLOWED Roll Long Case No. (40Marks) Short Case (20 Marks) Xrays, Instrumentation (20 Marks) Journal (10 Marks) Total (90Marks) 3) SUBJECT : ORAL PATHOLOGY & MICROBIOLOGY Max. Marks:- 90 NOTE :- SCRATCHING OR OVERWRITING IN MARKS ARE NOT ALLOWED Page 156 Roll Spotting No. (10 X 3 = 30 Marks) Spotting of 6 Specimens (4 X 5 = 20 Marks) Detail Slides(2) (15 * 2 = 30) 30 Journal (10 Marks) Total (90Marks) Sub:-4 EVIDENCE BASED DENTISTRY ENROLLNO. THEORY ASSIGNMENTS TOTAL 30 20 50 External Examiners : Internal Examiners : Name: _________________________ Name Signature: ______________________ Signature : _______________________ : ________________________ (Common to All) APPENDIX-E 4 TH BDS FORMAT OF THE PRACTICAL / CLINICAL EXAMINATION MARKS SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA Chart showing marks obtained by the candidates in practical / clinical examination, to be submitted by the examiner in sealed cover through the Dean of the college to the Controller of Examination ,SU Piparia Name of Examination : 4th B.D.S. 200___ Centre : __________________________________________________________________ Sub:-- Oral Medicine & Radiology:-Enrol Spotters Case Radiographic Radiographic Radiographic No. 2*10= History Technique Interpretation IOPA Interpretation EO. 20 25 05 15 15 Sub:- Orthodontics and Dental Orthopaedics:-Enrol Spotters Wire No. 2*10= Bending Analysis 20 40 Model 20 Journal 10 TOTAL 90 Page 157 Journal 10 TOTAL 90 Sub:-- Periodontology:-Enrol Spotters Case No. 2*10= History 20 Segmebtal Scaling 40 Journal 20 TOTAL 10 90 Sub:-- Paediatric and Preventive Dentistry:-Enrol Spotters Case Space No. 2*10= History Maintainer 20 40 20 Journal 10 TOTAL 90 Sub:- EVIDENCE BASED DENTISTRY ENROLLNO. THEORY ASSIGNMENTS TOTAL 30 20 50 External Examiners : Internal Examiners : Name: _________________________ Name Signature: ______________________ Signature : _______________________ : ________________________ (Common to All) 5th BDS FORMAT OF THE PRACTICAL / CLINICAL EXAMINATION MARKS SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA Chart showing marks obtained by the candidates in practical / clinical examination, to be submitted by the examiner in sealed cover through the Dean of the college to the Controller of Examination ,SU Piparia Name of Examination : Vth B.D.S. 200___ Centre : __________________________________________________________________ Page 158 Sub:-- Conservative Dentistry and Endodontics Enrol Spotters Clinical Chair side No. 2*10= Exercise Orals 20 45 15 Journal TOTAL 10 90 Sub:--Oral & Maxillo-Facial Surgery Enrol Spotters Case Local Anaesthetic Extraction Chair side No. 1*10= History Technique Tecnique Orals 10 15 20 20 Journal 15 10 Clinical TOTAL TOTAL 90 Sub:--Public Health Dentistry Enrol Spotters Case Health Health No. 2*10= History Education Program 10 20 10 10 Indices Discussion 30 10 90 Sub:--Prosthodontics, Crown & Bridge & Implants Enrol Spotters Clinical Chair side No. 2*10= Exercise Orals 20 45 15 Journal 10 TOTAL 90 APPENDIX - F SUMANDEEP VIDYAPEETH UNIVERSITY, PIPARIA ORAL EXAMINATION MARKS ______B.D.S. July / Oct 200___ Examination Subject : _____________________________________________________________ Name ofthe Centre: ____________________________________________________ Date of Practical Conduction: ____________________________________________ Page 159 ____________________________________________________________________ (No Scratching or overwriting please) correction if any to be signed by External & Internal Examiners both. : ORAL EXAMINATION MARKS : Roll No. Enrollment No. Marks alloted out of 20 (Max) in figures External Examiners : in words Internal Examiners : Name: _________________________ Name: ________________________ Signature: ______________________ Signature: ______________________ Page 160 SUMANDEEP VIDYAPEETH UNIVERSITY Dr MANSUKHBHAI SHAH CHANCELLOR Dr. DIXIT M. SHAH PRO-CHANCELLOR Dr. JAYASHREEBEN SHAH VICE-CHANCELLOR Mr. N.N.SHAH REGISTRAR Dr. J.R.PATEL DEAN Dr. BHARAT. M. MODY PRINCIPAL Page 161