B.D.S Course Regulations/Syllabus: (With Effect From 2010-11 Onwards)
B.D.S Course Regulations/Syllabus: (With Effect From 2010-11 Onwards)
B.D.S Course Regulations/Syllabus: (With Effect From 2010-11 Onwards)
S COURSE
REGULATIONS/SYLLABUS
(With effect from 2010-11 onwards)
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CONTENTS
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SECTION I
Aims:
To create a graduate in Dental Science who has 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 health 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.
The student should acquire the following during the period of training.
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.
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.
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2. Acquire skill to prevent and manage complications if encountered while carrying out
various dental surgical and other procedures.
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.
(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.
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SECTION II
General Outline of BDS Degree Course
2) The undergraduate dental course consists of three main components. The first
component consists subjects common to medicine and dentistry like anatomy,
physiology, biochemistry and behavioral science, leading to pharmacology,
pathology, microbiology and then on to general medicine and general surgery. The
second component runs concurrently with the first and deals with special aspects of
oral and dental tissues, oral biology and oral pathology. Finally, the third component
based on the foundations of the first two, deals with the clinical and technical
aspects of dentistry as is required for general dental practice.
5) The third component of the course comprising the clinical and technical aspects of
dentistry actually prepares the student to undertake total oral and dental health
care of the patients of all ages. The emphasis at this stage should be on the
prevention of the various dental diseases and how to preserve natural teeth with
their supporting structures. The importance of the various preventive methods
needs to be stressed. The significance of diagnosis of various dental and oral
problems needs to be emphasized along with treatment planning before actual
treatment procedures are undertaken. In addition to acquiring the knowledge, the
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students need to gain adequate clinical hands-on-experience in extractions and
other minor oral surgical procedures, all aspects of Conservative Dentistry,
Endodontics, Crown and Bridge, provision of partial and complete dentures, various
periodontal therapeutic procedures and use of removable orthodontic appliances.
Familiarity with various radiological techniques, particularly intra-oral methods and
proper interpretation of the radiographs, is an essential part of this component of
training and has application in clinical diagnosis, forensic identification and age
estimation. Towards the final stage of the clinical training, each student should be
involved in comprehensive oral health care or holistic approach to enable him or her
to plan and treat patients as a whole, instead of piece-meal treatment provided in
each specialty. The aim of the undergraduate program should undoubtedly be to
produce a graduate, competent in general dental practice.
6) The commitment towards the society as a whole needs to be stressed along with the
knowledge and treatment skills gained. Instruction in public health dentistry should
emphasise the sociological aspects of health care particularly; oral health care,
including the reasons for the variation in oral and dental needs of different sections
of the society. It is important to know the influence of the social, behavioral,
environmental and economic factors on oral and dental health. Students should be
made aware of the National oral health Policy and the importance of being a
member of the Health care team delivering medical and oral health care particularly
among rural population. Students should also be encouraged to participate in simple
research project work
7) The undergraduate curriculum stresses the significance of infection and cross
infection control in dental practice. Aspects like sources of infection, measures to be
adopted both general and specific for control, particularly the HIV and hepatitis is
incorporated in the curriculum so that the graduates are aware of its significance
and follow it in their practice.
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SECTION III
BDS Degree - course of study
3) The instruction in basic dental sciences should include theoretical and practical
aspects of oral anatomy and physiology, to provide a detailed knowledge of the form
and structure of teeth associated tissues and occlusal relationships. The study
should also aim at development of a concept regarding physiological and
biochemical processes relevant to oral cavity for better understanding of the
changes that occur with the onset of disease in the oral cavity. The student should be
made aware of the importance of various dental tissues in forensic investigation.
5) The general medicine and surgery training should provide sufficient knowledge on
human disease to enable the student to understand its manifestations as relevant to
the practice of dentistry. This requires clinical teaching on patients and shall be
carried out in in-patient and outpatient medical departments and specialist clinics.
This clinical instruction should enable the student to understand and perhaps
diagnose common systemic diseases, which have relevance to dental practice, by
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adopting a systematic approach of history taking and clinical examination. The
student should also realize the significance of various general and special
investigations in the diagnosis of diseases. The ability to recognize physical and
mental illness, dealing with emergencies, effective communication with patients, and
interaction with professional colleagues also become important aspects of this
training.
6) All dental students should receive instruction in first-aid and principles of cardio-
pulmonary resuscitation. The students should also spend time in an accident and
emergency department of a Medical hospital.
7) The purpose of the clinical training is to provide sufficient practical skill in all
aspects of clinical dentistry. The instruction should also include patient management
skills, treatment of patients of all ages with special reference to children (pediatric),
very elderly (geriatric), medically compromised and disabled patients.
8) During the two and a half years of clinical course, the students should receive
thorough instruction which involves history taking, diagnosis and treatment
planning in all aspects of dentistry and should be competent on graduation to carry
out all routine general procedures. In Oral & Maxillofacial Surgery, instruction
should include the knowledge of various maxillofacial problems like injuries,
infections and deformities of the jaws and associated structures. The clinical
experience should include those procedures commonly undertaken in general
practice like extraction of teeth, minor oral surgical procedure etc. In Conservative
dentistry and Endodontics, Prosthodontics and Crown & Bridge and Periodontology
students should be competent on graduation to carry out routine treatments like
restorations of various kinds, endodontic procedures, removable Prosthodontics,
and finally various kinds of periodontal therapy. In Orthodontics & Dentofacial
Orthopaedics, students should carry out simple appliance therapy including
myofacial appliances for patients. Students should also be able to appreciate the role
of Dentofacial growth in the development and treatment of malocclusion. In
addition, students should be aware of their limitations on graduation, need to refer
patients for consultant opinion and/or treatment and also the need for postgraduate
and continuous education programmes.
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10)The successful control and management of pain is an integral part of dental practice.
Upon graduation the students should be competent to administer all forms of local
anesthesia. The value of behavioral methods of anxiety management should be
emphasized. The students should also have the practical experience in the
administration of intra-muscular and intra-venous injections. Knowledge of pain
mechanisms and strategies to control post-operative pain is essential for practice of
dentistry.
12)Infection and cross infection control assume significance in dental practice. The
students should be made aware of the potential risk of transmission in the dental
surgery, various infectious diseases particularly HIV and hepatitis. The students
should be aware of their professional responsibility for the protection of the
patients, themselves and their staff and the requirements of the health and safety
regulations.
13)The subjects of Aesthetic dentistry, Oral Implantology, Behavioral sciences and
Forensic Odontology have assumed great significance. Hence, these four specialties
are incorporated into the undergraduate curriculum. The instruction and clinical
training in aesthetic dentistry shall be carried out by the departments of
Prosthodontics and Crown & Bridge and Conservative Dentistry & Endodontics.
Similarly, the instruction and clinical training in Oral Implantology shall be done by
the departments of Oral & Maxillofacial Surgery, Prosthodontics and Crown & Bridge
and Periodontology. The instruction in behavioral sciences should ideally commence
before the students come in contact with the patients and shall be carried out by the
departments of Public Health Dentistry and Paediatric and Preventive Dentistry.
Forensic Odontology will be a part of Oral Pathology & Oral Microbiology and Oral
Medicine and Radiology.
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SECTION IV
A. General Skills
B. Practice Management
• Evaluate practice location, population dynamics & reimbursement
mechanism.
• Able to communicate freely, orally and in writing with all concerned.
• Maintain records.
• Implement & monitor infection control and environmental safety programs.
• Practice within the scope of one's competence Communication & Community
Resources.
• Assess patient’s goals, values and concerns to establish rapport and guide
patient care.
• Co-ordinate & supervise the activities of allied dental health personnel.
• Participate in improving the oral health of the individuals through
community activities.
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D. Patient Care - Treatment Planning
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SECTION V
Competencies expected- Specialty wise
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PERIODONTOLOGY
Be able to diagnose the patient’s periodontal problem, plan and perform appropriate
periodontal treatment.
Be Competent to educate and motivate the patient.
Be Competent to perform thorough oral prophylaxis, subgingival scaling, root
planning and minor periodontal surgical procedures.
Give proper post treatment instructions and do periodic recall and evaluation.
Be Familiar with concepts of osteointegration and basic surgical aspects of
implantology.
Understand about normal growth and development of facial skeleton and dentition.
Be able to pinpoint aberrations in growth process both dental and skeletal and plan
necessary treatment
Be able to diagnose the various malocclusion categories
Be able to motivate and explain to the patient and parent/guardian about the
necessity of treatment
Be able to plan and execute preventive orthodontics (space maintainers or space
regainers)
Be able to plan and execute interceptive orthodontics (habit breaking appliances)
Be able to manage treatment of simple malocclusion such as anterior spacing using
removable appliances
Be able to handle delivery and activation of removable orthodontic/myofacial
appliances.
Be able to diagnose and appropriately refer patients with complex malocclusion to the
specialist.
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PUBLIC HEALTH DENTISTRY
Be able to instill a positive attitude and behaviour in children towards oral health
and understand the principles of prevention and preventive dentistry right from
birth to adolescence.
Be able to guide and counsel the parents/guardian in regards to various treatment
modalities including different facets of preventive dentistry.
Be able to treat dental diseases occurring in child patient.
Be able to manage the physically and mentally challenged / disabled children
effectively and efficiently, tailored to the needs of individual requirement and
conditions.
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SECTION VI
REGULATIONS FOR ADMISSION TO THE DEGREE OF
BACHELOR OF DENTAL SURGERY
a. He/She has completed the age of 17 years on or before the 31st of December of the year
commencing the prescribed academic session of the said course.
The higher Secondary Examination or the Indian School Certificate Examination which
is equivalent to 10+2 Higher Secondary Examination after a period of 12 years study,
the last two years of study comprising of Physics, Chemistry, Biology and English with
50% marks for physics, chemistry and biology together and 50% in biology separately.
In respect of candidates belong to Scheduled Castes, Schedules 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. The eligibility criteria for
admission to persons with locomotory disability of lower limbs – will be a minimum of
45% marks instead of 50% taken together in qualifying examination and competitive
entrance examination for admission in BDS course or any other examination which, in
scope and standard is found to be equivalent to the intermediate science examination of
an Indian University/ Board, taking Physics, Chemistry and Biology including practical
test in each of these subjects and English
2. Selection of students
The selection of students for the Under Graduate course shall be made based strictly on
merit as decided by the Entrance Examination conducted by the competent authority approved
by the Government of Kerala/Kerala University of Health Sciences and as per guidelines of the
Dental Council of India (DCI).
The Universities and other authorities concerned shall organize admission process in
such a way that teaching in first semester starts by 1st of August each year.
There shall be no admission of students in respect of any academic session beyond 30th
September under any circumstance. The university shall not register any students
admitted beyond the said date.
The Dental Council of India may direct, that any student identified as having on
obtained admission after the last date of closure of admission be discharged from the
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course of study, or any Medical qualification granted to such a student shall not be a
recognized qualification for the purpose of the Indian Dental Council Act. The Institution
which grants admission to any students after the last date specified from the same shall
also be liable to face such action as may be prescribed by DCI including surrender of
seats equivalent to the extent of such admission made from its sanctioned intake
capacity for the succeeding academic year.
3. Registration
A candidate on admission to the BDS course shall apply to the University for Registration
5. Medium of Instruction
a) 80% in theory and 80% in Practical/ clinical, in each subject separately in each year.
b) In case of subjects in which the instructional programme extend through
more than one academic year and when there is no University examination in
the subject for a particular year (i.e. non-exam going subjects), the
attendance requirement shall not be less than 70% in Lectures and Practical/
Clinical in the non-exam year.
c) Condonation for 10% in the attendance once in the entire course period can be
granted by the Head of the Institution/College management committee.
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7. Subjects of Study:
First Year
Second Year
Third Year
a) General Medicine
b) General Surgery
c) Oral Pathology and Oral Microbiology
d) Conservative Dentistry and Endodontics
e) Oral & Maxillofacial Surgery
f) Oral Medicine and Radiology
g) Orthodontics & Dentofacial Orthopaedics
h) Paediatric & Preventive Dentistry
i) Prosthodontics and Crown & Bridge
j) Periodontology
k) Public Health Dentistry
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Final Year- part II (Six months programme)
a)
Prosthodontics and Crown & Bridge
b)
Conservative Dentistry and Endodontics
c)
Oral & Maxillofacial Surgery
d)
Paediatric & Preventive Dentistry
Emphasis on Comprehensive Dental Care / Electives/ Research
8. MIGRATION AND TRANSFER
No migration and transfer is permitted during the course of the study/ internship.
9. READMISSION
A Candidate who discontinues the course is eligible for readmission as per the
norms of the university.
10. EXAMINATIONS
b) METHODS OF EVALUATION:
The internal assessment examinations in theory and practical/ clinical may be held
at least twice in a particular year followed by a model examination in the pattern
of university examination to be held at the end of the year of study. Internal
assessment marks for a candidate in a subject will be calculated as the average of,
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the marks obtained in the model examination and the highest among all other
internal examinations, in the subject. This average mark will be reported to the
University. The Heads of the Department and College Principal should ensure that
the class average of internal assessment marks reported to the University in each
subject/paper is not more than 75% in both theory and practical/clinical
separately. For a student to be eligible to appear for the University examination
he/she should have secured at least 40% of the maximum marks in internal
assessment for both theory and practical/clinical in all subjects/papers, separately
(i.e. minimum 10/25 in theory and 8/20 in practical/clinical). (For calculating
internal assessment mark in papers where subjects are combined viz. General Human
Physiology & Biochemistry, General Pathology & Microbiology and Dental Materials,
marks obtained in the two subjects will be counted together for reporting to
University and for applying all other stipulations mentioned above).
For a candidate to be eligible to write the I BDS university examination the first
time he/she should have minimum 80% attendance and 40% of the maximum
marks in internal assessment for both theory and practical/clinical in all the
subjects in which examination is being held for the year, to be eligible to appear for
the University Examination. From II BDS onwards if a candidate has 80%
attendance in all the subjects of study for which university examination is held in a
particular year he/she will be eligible to appear in the university examination in
those subjects in which he/she has secured the minimum requirement of 40% of
internal assessment marks. A student can appear for I BDS supplementary in
those subjects in which he/she has scored minimum 40% internal assessment
provided he/she satisfies attendance eligibility as per sec 6.
d) UNIVERSITY EXAMINATION-SCHEME :
The scheme of examination for B.D.S. Course shall be divided into 1st B.D.S.
examination at the end of the first, 2nd B.D.S. examination at the end of second, 3rd
B.D.S. examination at the end of third and Final BDS Part I examination at the end
of fourth academic year. The Final B.D.S part II examination will be held on
completing six months of the fifth academic year.
The examination shall be open to a candidate who satisfies the
requirements of attendance, progress and other rules governing the
institution/University.
The University examination for a subject shall be conducted twice in a year
at an interval of not less than four to six months as notified by the university from
time to time. Any candidate who does not clear the I BDS examination completely
in four attempts will not be permitted to continue the course and shall be
discharged from the institution. The entire BDS course should be completed
within a period of maximum 9 (double the course duration) academic years from
the date of joining.
I B.D.S. Examination:
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ii. General Human Physiology and Biochemistry
iii. Dental Anatomy, Embryology and Oral Histology
II B.D.S. Examination:
Only a candidate who has successfully completed and passed the 1st B.D.S.
examination can appear.
Only a candidate who has successfully completed and passed the 2nd B.D.S.
examination can appear.
i. General Medicine
ii. General Surgery
iii. Oral Pathology & Oral Microbiology
Only a candidate who has successfully completed and passed the 3rd BDS
examination can appear.
Only a candidate who has appeared for the Final BDS Part I examination can
appear.
f) Written Examination:
i. The written examination in each subject shall consist of one paper of three
hours duration and shall have maximum marks of 100. Type of Questions
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and Distribution of marks for written examination should be as given in
table I given below.
ii. In the subject of Physiology & Biochemistry each paper will be divided into
two Sections, Section A (Gen. Physiology) and Section B (Biochemistry) of
equal marks. Type of Questions and Distribution of marks for written
examination should be as given in table II below.
iii. In the subject of Pathology & Microbiology each paper will be divided into
two Sections, Section A (Gen. Pathology) and Section B (Microbiology) of
equal marks. Type of Questions and Distribution of marks for written
examination should be as given in table III below.
iv. In the subject of Dental Materials each paper will be divided into two
Sections, Section A (Prosthodontics) and Section B (Conservative Dentistry)
of equal marks. Type of Questions and Distribution of marks for written
examination should be as given in table IV below.
v. The question paper should contain different types of questions like essay,
short essay and short answer.
vi. The nature of questions should be aimed to evaluate students of different
standards ranging from average to excellent.
vii. The questions should cover as broad an area of the content of the course.
The essay & short essay questions should be properly structured and the
marks specifically allotted.
Table I.
Table II.
Physiology and Biochemistry
Type of No. of Marks of Total
Subject
Questions Questions Questions Marks
Structured Essay 1 14 14
Section A Brief structured Essay 2 8 16
Physiology Short Answer Type 5 4 20
Grand Total 50
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Table III.
Pathology and Microbiology
Type of No. of Marks of Total
Subject
Questions Questions Questions Marks
Structured Essay 1 14 14
Section A Brief structured Essay 2 8 16
Pathology Short Answer Type 5 4 20
Grand Total 50
Table IV.
Dental Materials
Type of No. of Marks of Total
Subject
Questions Questions Questions Marks
Structured Essay 1 14 14
Section A Brief structured Essay 2 8 16
Prosthodontics Short Answer Type 5 4 20
Grand Total 50
g) Practical/Clinical Examination:
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iii. Scheme of clinical and practical examinations:
The specific scheme of clinical/practical examinations, the type of clinical
procedures/experiments to be performed and marks allotted for each are to be
discussed and finalized by the Chairman and members of the board of examiners
and it is to be published prior to the conduct of the examinations along with the
publication of the time table for the practical examination. This scheme should
be brought to the notice of the external examiner as and when the examiner
reports. The practical/clinical examinations should be evaluated by two
examiners of which one shall be an external examiner appointed from other
zones of the university or outside University. Each candidate should be evaluated
by each examiner independently and marks computed at the end of the
examination.
iv. Viva Voce:
Viva voce is an excellent mode of assessment because it permits a fairly broad
coverage and it can assess the problem solving capacity of the student. An
assessment related to the affective domain is also possible through viva voce. It
is desirable to conduct the viva voce independently by each examiner. In order to
avoid vagueness and to maintain uniformity of standard and coverage, questions
can be pre-formulated before administering them to each student. Twenty five
marks are exclusively allotted for viva voce and that can be divided amongst the
two examiners.
h) Distribution of Marks
i. For each paper in which written examination is held:
Theory
University written examination 100
University Viva Voce 25
Internal assessment 25
Total 150
Practical/ clinical
University Practical/ Clinical examination 80
Internal assessment 20
Total 100
Aggregate marks for each paper 250
Detailed mark distribution of each paper for each subject is given in Table V
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Table V. Distribution of marks in University examination and internal assessment for
various subjects from first year to fifth year.
General
Section A
Human 50 10 15 75 40 10 50
Physiology
Physiology
I 250
and
BDS Section B
Biochemist 50 15 10 75 40 10 50
Biochemistry
ry
Dental Anatomy,
100 25 25 150 80 20 100 250
Embryology and Oral
Histology
General Section A
50 10 15 75 40 10 50
Pathology Pathology
and 250
Section B
Microbiolo 50 15 10 75 40 10 50
Microbiology
gy
General and Dental
Pharmacology and 100 25 25 150 80 20 100 250
Therapeutics
Section A
II
Prosthodonti
BDS 50 10 15 75 40 10 50
cs
DentalMateri
250
als
Section B
Conservative 50 15 10 75 40 10 50
dentistry
Pre Clinical Conservative
- 20 - 20 60 20 80 100
Dentistry
Pre Clinical Prosthodontics - 20 - 20 60 20 80 100
Pre Clinical Orthodontics - 20 - 20 60 20 80 100
General Medicine 100 25 25 150 80 20 100 250
III General Surgery 100 25 25 150 80 20 100 250
BDS Oral Pathology & Oral
100 25 25 150 80 20 100 250
Microbiology
Oral Medicine and Radiology 100 25 25 150 80 20 100 250
Final
Periodontology 100 25 25 150 80 20 100 250
BDS
Orthodontics & Dentofacial
part 100 25 25 150 80 20 100 250
Orthopaedics
I
Public Health Dentistry 100 25 25 150 80 20 100 250
Prosthodontics & Crown and
100 25 25 150 80 20 100 250
Bridge
Final
Conservative Dentistry and
BDS 100 25 25 150 80 20 100 250
Endodontics
part
Paediatric & Preventive
II 100 25 25 150 80 20 100 250
Dentistry
Oral & Maxillofacial Surgery 100 25 25 150 80 20 100 250
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i) Criteria for a pass:
For declaration of pass in a subject, a candidate shall fulfill the following criteria:
i. Fifty percent of the total marks in any subject computed as aggregate for a)
theory, i.e., written, viva voce and internal assessment and b) practicals
including internal assessment (125 marks out of 250).
ii. A candidate shall secure a minimum aggregate of 50% marks in the theory
section, which includes University theory examination, viva voce
examination and internal assessment (i.e. a minimum of 75 marks out of 150).
Besides this there should be a separate minimum of 50% for the university
theory (i.e. 50 marks out of 100).
iii. In the University Practical/ clinical examination, a candidate shall secure
50% of University practical marks and Internal Assessment combined
together (i.e. a minimum of 50 out of 100 marks). Besides this there should
be a separate minimum of 50% for the University Practical/clinical exam (i.e.
40 marks out of 80).
iv. In case of Pre clinical Orthodontics, Pre clinical Prosthodontics and Pre
clinical Conservative Dentistry in 2nd BDS examination, where there is no
written examination, minimum for pass is 50% of combined total marks of
the University Practical, viva voce and the internal assessment (i.e. a
minimum of 50 out of 100 marks) for each subject. Besides this there should
be a separate minimum of 50% for the University Practical examination (i.e.
30 marks out of 60).
v. A candidate who obtains 75% and above of grand total marks is eligible
for Distinction. Successful candidates-who obtain 60% to 74% of grand total
marks i.e. total of all subjects, shall be declared to have passed the
examination in First class. Other successful candidates will be placed in
Second Class. Only those candidates who pass the whole examination in the
first attempt will be eligible for distinction or first class.
j) Ranking:
i. Only candidates who have passed all the subjects of the examination in first
attempt will be considered for ranking.
ii. Marks obtained in supplementary examinations will not be considered for
ranking.
iii. Rank will be awarded only after the Final BDS examination.
iv. For ranking in the Final BDS, aggregate marks secured in all the subjects
from I to V BDS will be counted.
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He/she can appear for the failed subjects (if any in part I) along with the final
year Part II examination.
l) Revaluation:
m) Grace Marks:
i. Grace Mark may be awarded for examinations limiting to a maximum of five.
ii. Grace Mark may be awarded to either theory or practical or both.
iii. Grace marks will be awarded at the discretion of the Pass Board and will not be
the right of the student.
Note:
1) In case of Public Health Dentistry, as there is acute shortage of teachers, examiners
could be from either Public Health Dentistry or Periodontics Department.
2) Faculty members with MDS in Periodontics and 4 yr. teaching experience in it will
be eligible to be considered as examiners in Public health Dentistry.
o) Number and subject of examiners for practical/Clinical and Viva voce examination
There shall be two examiners for each paper, one internal and one external, from
Medical/ Dental Institutions approved/recognised by the Dental Council of India for
B.D.S. Course. The internal examiner will be from within the institution. The external
examiner can be from a different zone of the University or from outside University.
No person shall be an External Examiner to the same college for more than 3
consecutive years. However, if there is a break of one year the person can be
reappointed.
Note:
1) In case of Physiology and Biochemistry if Internal examiner is from Physiology,
External examiner should be from Biochemistry and vice versa
2) In case of Pathology and Microbiology if Internal examiner is from Pathology,
External examiner should be from Microbiology and vice versa
3) In case of Dental Materials, if Internal examiner is from Prosthodontics, External
examiner should be from Conservative Dentistry and vice versa
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11. MINIMUM WORKING HOURS FOR EACH SUBJECT OF STUDY
Note:
There should be a minimum of 240 teaching days every academic year consisting of 40 working hours a
week including one hour of lunch break each day.
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I BDS
5. Dental Materials 20 40 — 60
II B.D.S.
SI. Lecture Practical Clinical Total
Subjects
No. (hrs) (hrs) (hrs) (hrs)
1.
General Pathology 55 55 — 110
2.
General Microbiology 65 50 — 115
3. General and Dental Pharmacology &
70 20 — 90
Therapeutics
4.
Dental Materials 60 200 — 260
5. Pre clinical Prosthodontics and Crown &
25 200 — 225
Bridge
6.
Pre clinical Conservative Dentistry 25 100 — 125
7.
Pre clinical Orthodontics — 160 — 160
8.
Oral Pathology &Oral Microbiology 25 50 — 75
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III B.D.S.
SI. Lecture Practical Clinical Total
Subjects
No. (hrs) (hrs) (hrs) (hrs)
1.
General Medicine 60 — 90 150
2.
General Surgery 60 — 90 150
3.
Oral Pathology and Oral Microbiology 120 80 200
4.
Oral Medicine and Radiology 15 — 60 75
5.
Public Health Dentistry 10 — 60 70
6.
Orthodontics & Dentofacial Orthopaedics 20 — 60 80
7.
Periodontology 30 60 90
8.
Oral & Maxillofacial Surgery 20 — 110 130
9.
Paediatric and Preventive Dentistry 15 — 60 75
10.
Conservative Dentistry and Endodontics 65 — 110 175
11.
Prosthodontics and Crown & Bridge 65 80 110 255
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Final B.D.S. Part II
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SECTION VII
RECOMMENDED BOOKS
Subject: Physiology
1) Text book of Physiology, Guyton
2) Review of Medical Physiology, Ganong
3) Human physiology, Vander
4) Concise Medical Physiology, Choudhari
5) Human Physiology, Chaterjee
6) Human Physiology for BDS students, A.K. Jain
Reference books;
1) Physiology, Berne & Levey
2) Physiological basis of Medical Practice, West-Best & Taylor's
Experimental Physiology:
1) Practical Physiology, Rannade
2) A text book of practical physiology, Ghai
3) Clinical Methods, Hutchison's
Subject: Biochemistry
1) Textbook of Biochemistry for Dental Students, DM Vasudevan,
Sreekumari S
2) Text book of Biochemistry-U Satyanarayana
Reference books;
1) Harper’s Biochemistry, R.K. Murray et.al.
2) Text book of Biochemistry with clinical correlations T.N. Devlin
3) Basic and applied Dental Biochemistry, R.A.D. Williams & J.C. Elliot
4) Nutritional Biochemistry S. Ramakrishnan and S.V. Rao
Page 32 of 127
Subject: General Pathology
1) Robbins - Pathologic Basis of Disease Cotran, Kumar, Robbins
2) Anderson's Pathology Vol 1 & 2 Editors - Ivan Damjanov & James Linder
3) Wintrobe's clinical Haematology Lee, Bithell, Foerster, Athens, Lukens
Subject: Microbiology
1) Text book of Microbiology - R. Ananthanarayan & C.K. Jayaram Paniker.
2) Medical Microbiology - David Greenwood et al.
Reference books;
1) Microbiology - Prescott, et al.
2) Microbiology - Bernard D. Davis, et al.
3) Clinical & Pathogenic Microbiology - Barbara J Howard, et al.
4) Mechanisms of Microbial diseases - Moselio Schaechter, et al.
5) Immunology an Introduction – Tizard
6) Immunology - Evan Roitt, et al.
Page 33 of 127
Subject: Public Health Dentistry
1) Dentistry Dental Practice and Community by David F. Striffler and Brain
A. Burt, W. B. Saunders Company
2) Principles of Dental Public Health by James Morse Dunning, Harward
University Press.
3) Dental Public Health and Community Dentistry Ed by Anthony Jong
Publication by The C. V. Mosby Company
4) Community Oral Health-A system approach by Patricia P. Cormier and
Joyce I. Levy published by Apple ton-Century-Crofts/ New York,
5) Community Dentistry-A problem oriented approach by P. C.
6) Dental Hand book series Vol.8 by Stephen L. Silverman and Ames F.
Tryon, Series editor-Alvin F. Gardner, PSG Publishing company Inc.
Littleton Massachusetts,
7) Dental Public Health- An Introduction to Community Dentistry. Edition by
Geoffrey L. Slack and Brain Burt, Published by John Wright and sons
Bristol.
8) Oral Health Surveys- Basic Methods, 1997, published by W. H. O Geneva
available at the regional office New Delhi.
9) Preventive Medicine and Hygiene-By Maxcy and Rosenau, published by
Appleton Century Crofts,
10) Preventive Dentistry-by J. O. Forrest published by John Wright and sons
Bristoli,
11) Preventive Dentistry by Murray,.
12) Text Book of Preventive and Social Medicine by Park and park,
13) Community Dentistry by Dr. Soben Peter.
14) Public Health dentistry, Sikri. CBS Publishing
Page 34 of 127
16) Pediatric Dentistry – Scientific Foundations and Clinical Practice –
Stewart and Barber.
17) Clinical Use of Fluorides - Stephen H. Wei.
18) Understanding of Dental Caries - Niki Foruk.
19) Essentials of Community & Preventive Dentistry - Soben Peters.
20) Behaviour Management – Wright
21) Traumatic Injuries - Andreason.
22) Occlusal Guidance in Pediatric Dentistry - Stephen H. Wei / Nakata
23) Pediatric Oral & Maxillofacial Surgery - Kaban.
24) Pediatric Medical Emergencies - P. S. Whatt.
25) An Atlas of Glass Ionomer Cements - G. J. Mount..
26) Textbook of Pediatric Dentistry - Braham Morris.
27) Primary Preventive Dentistry - Norman O. Harris.
28) Preventive Dentistry - Forrester.
29) Contemporary Orthodontics - Profitt..
30) Preventive Dentistry - Depaola.
31) Endodontics - Ingle.
32) Pathways of Pulp - Cohen.
33) Management of Traumatized anterior Teeth - Hargreaves.
Subject: Oral Medicine and Radiology
Oral Diagnosis, Oral Medicine & Oral Pathology
1) Oral Medicine, Burkit, J.B. Lippincott Company
2) Principles of Oral Diagnosis, Coleman, Mosby Year Book
3) Oral Manifestations of Systemic Diseases, Jones, W.B. Saunders company
4) Oral Diagnosis & Oral Medicine, Mitchell
5) Oral Diagnosis, Kerr
6) Oral Diagnosis & Treatment ,Miller
7) Clinical Methods, Hutchinson
8) Shafers, Oral Pathology
9) Principles and practice of Oral Medicine, Sonis.S.T., Fazio.R.C. and Fang.L
Oral Radiology
1) Oral Radiology White & Goaz, Mosby year Book
2) Dental Radiology, Weahrman,C.V. Mosby Company
3) Oral Roentgenographs Diagnosis, Stafne ,W.B. Saunders Co
4) Fundementals of Dental radiology, Sikri, CBS Publishing.
Forensic Odontology
1) Practical Forensic Odontology, Derek H. Clark ,Butterworth-Heinemann
2) Manual of Forensic Odontology, C Michael Bowers, Gary Bell
Page 35 of 127
6) Clinical Orthodontics: Vol 1 & 2- Salzmann
Subject: Periodontology
1) Glickman's Clinical Periodontology-Carranza
Reference books
1) Essentials of Periodontology and periodontics- Torquil MacPhee
2) Contemporary periodontics- Cohen
Page 36 of 127
3) Periodontal therapy- Goldman
4) Orbans' periodontics- Orban
5) Oral Health Survey- W.H.O.
6) Preventive Periodontics- Young and Stiffler
7) Advanced Periodontal Disease- John Prichard
8) Clinical Periodontology- Jan Lindhe
9) Periodontics- Baer & Morris.
Subject: Ethics
1) Medical Ethics, Francis C M, Jaypee Brothers, New Delhi
Subject: Implantology
1) Contemporary Implant Dentistry, Carl. E. Misch, Mosby
2) Osseointegration and Occlusal Rehabilitation, Hobo S., Ichida. E. and
Garcia L.T. Quintessence Publishing Company,
Note: 1. Book titles will keep on adding in view of the latest advances in the Dental Sciences.
2. Standard books from Indian authors are also recommended
List of Journals
1) Journal of Dentistry
2) British Dental Journal
3) International Dental Journal
4) Dental Abstracts
5) Journal of American Dental Association
6) British Journal of Oral and Maxillofacial Surgery
Page 37 of 127
7) Oral Surgery, Oral Pathology and Oral Medicine
8) Journal of Periodontology
9) Journal of Endodontics
10) American journal of Orthodontics and Dentofacial Orthopedics
11) Journal of Prosthetic Dentistry
12) International Journal of Prosthodontics
13) Journal of Public Health Dentistry
14) Endodontics and Dental Traumatology
15) Journal of Dental Education
16) Dental Update
17) Journal of Dental Material
18) International Journal of Pediatric Dentistry
19) International Journal of Clinical Pediatric dentistry
Note: This is the minimum requirement. More journals both Indian and Foreign are recommended for
imparting research oriented education.
Page 38 of 127
SECTION VIII
SYLLABUS OF STUDY
(The syllabus given below is a guideline and is not intended to restrict the student from learning
relevant topics not mentioned herein and is not intended to restrict the examiner in assessing the
extent of knowledge of the student in the subject)
a) GOAL
The students should gain the knowledge and insight into, the functional anatomy of
the normal human head and neck, functional histology and an appreciation of the
genetic basis of inheritance and disease, and the embryological development of
clinically important structures. So that relevant anatomical & scientific foundations
are laid down for the clinical years of the BDS course.
b) OBJECTIVES:
i. Knowledge & understanding:
At the end of the 1st year BDS course in Anatomical Sciences the undergraduate
student is expected to:
(1) Know the normal disposition of the structures in the body while clinically
examining a patient and while conducting clinical procedures.
(2) Know the anatomical basis of disease and injury.
(3) Know the microscopic structure of the various tissues, a pre-requisite for
understanding of the disease processes.
(4) Know the nervous system to locate the site of lesions according to the
sensory and or motor deficits encountered.
(5) Have an idea about the basis of abnormal development, critical stages of
development, effects of teratogens, genetic mutations and environmental
hazards.
(6) Know the sectional anatomy of head neck and brain to read the features in
radiographs and pictures taken by modern imaging techniques.
(7) Know the anatomy of cardio-pulmonary resuscitation.
ii. Skills
1) To locate various structures of the body and to mark the topography of the
living anatomy.
2) To identify various tissues under microscope.
3) To identify the features in radiographs and modern imaging techniques.
4) To detect various congenital abnormalities.
c) INTEGRATION
By emphasizing on the relevant information and avoiding unwanted details, the
anatomy taught integrally with other basic sciences & clinical subjects not only
keeps the curiosity alive in the learner but also lays down the scientific
foundation for making a better doctor, a benefit to the society.
This insight is gained in a variety of ways:
Page 39 of 127
i. Lectures & small group teaching
ii. Demonstrations
iii. Dissection of the human cadaver
iv. Study of dissected specimens
v. Osteology
vi. Surface anatomy on living individual
vii. Study of radiographs & other modern imaging techniques.
viii. Study of Histology slides.
ix. Study of embryology models
x. Audio-visual aids
Throughout the course, particular emphasis is placed on the functional correlation,
clinical application & on integration with teaching in other bio dental disciplines.
Page 40 of 127
25 Skin and its appendages – hair follicle – Sebaceous gland – sweat gland – nail 1
26 Anteriour cranial fossa 1
27 Middle cranial fossa 1
28 Posterior cranial fossa 1
29 Parietal bone 1
30 Occipital bone 1
31 Frontal bone 1
32 Temporal bone 2
33 Norma basalis 2
34 General embryology – oogenesis 1
35 General embryology – spermalogenesis 1
36 General embryology – fertilization 1
37 General embryology – implantation bilminar 1
38 General embryology – bilaminar germ disc 1
39 General embryology - Neural tube formation trilaminar germ disc neural crest 2
Intraembryonic mesoderm & its fate, Notochord
40 General embryology - Folding of embryo 1
41 General embryology - Placenta & foetal membranes 2
42 Pharyngeal pouches & cleft 1
43 Bony orbit 1
44 Muscles of mastication 1
45 Temporomandibular joint 1
46 Hyoglossus muscle and its relations 1
47 Mandible 2
48 Maxilla 2
49 Zygomatic & hyoid bones 1
50 Pharynx 2
51 Nasal cavity & its lateral wall 1
52 Larynx 2
53 Tongue and its development & developmental anomalies 1
54 Middle ear & development 1
55 Coats of the eye – uveal tract in detail 1
56 External features of spinal cord 1
57 Leptomeninges 1
58 Blood supply of brain 1
59 Medulla oblongata– external features 1
60 Pons – external features 1
61 Cerebellum 1
62 4th ventricle 1
63 Mid brain – external features 1
64 3rd ventricle 1
65 Cerebrum – Sulci, gyri and functional area 1
66 Lateral ventricle 1
67 Optic pathway 1
68 White matter of cerebrum and internal capsule 2
69 Basal ganglia 1
70 III Cranial Nerve & IV Cranial nerves 1
71 V Cranial nerve & VI cranial nerves 1
72 VII cranial nerve 1
73 VIII, IX cranial nerves 1
74 X, XI, XII cranial nerves 1
75 Gastrointestinal system 2
76 Respiratory system 2
77 Cardiovascular system 2
78 Excretory system 2
79 Reproductive system – male (1 hr), female (1 hr) 2
80 Medical genetics – Mitosis, Meiosis, Chromosomes and anomalies 1
81 Medical Genetics - Gene structure and genetic disorders 1
82 Medical Genetics - Mode of inheritance 1
Page 41 of 127
Sl. No. SEMINARS
1. Submandibular gland
2. Nasal septum
3. Soft palate
4. Auditory tube
5. Otic ganglion
6. Pterygopalatine ganglion
7. Submandibular ganglion
8. Ciliary ganglion
9. Ansa cervicalis
10. Internal and external jugular veins
11. Subclavian artery
12. Autonomic nervous system
13. Paranasal air sinuses
14. Lingual artery
15. Circle of Willis
16. Choroid plexuses of the ventricles
Page 42 of 127
38. Anterior cranial fossa
39. Middle cranial fossa – Pituitary gland
40. Posterior cranial fossa
41. Orbit – structures in the orbit
42. Temporal and infratemporal regions
43. Submandibular region
44. Mouth and pharynx
45. Soft palate and Auditory tube
46. Cavity of the nose
47. Larynx
48. Tongue
49. Organs of hearing & equilibrium – External ear – Middle ear – Internal
ear
50. Eye ball
51. Joints of the neck
52. Spinal Cord
53. Introduction to brain
54. Meninges of brain
55. Blood vessels of brain
56. Base of brain
57. Hind brain –Medulla
58. Hind brain – Pons
59. Hind brain – Cerebellum
60. 4th ventricle
61. Midbrain
62. Cerebral hemispheres
63. White matter of cerebrum
64. 3rd ventricle
65. Lateral ventricle
66. Thalami – Optic tract
67. Deep dissection of cerebral hemisphere & Internal capsule
68. Deep nuclei and connections of thalamus
DEMONSTRATION OF SPECIMENS
69. Thoracic wall
Chambers of heart
Coronary arteries
Pericardium
70. Lungs
Pleural cavity
Diaphragm
71. Abdomen –
Peritoneal cavity
Organs in abdominal & pelvic cavities
CLINICAL PROCEDURES
72. Intramuscular injections
Deltoid muscle
Gluteal region
Quadriceps femoris
73. Intravenous injection
Median cubital vein
Cephalic vein
Basilic vein
Long saplenous vein
Short saplenous vein
74. Arterial pulsations
Superficial temporal
Facial
Carotid
Brachial
Radial
Femoral
Dorsalis pedis
Lumbar puncture
Page 43 of 127
g) SCHEME OF EXAMINATION
Distribution of Topics and Type of Questions for University Written examination:
Types of Questions
Contents Marks
and Marks
Questions from any topic included in the theory syllabus Structured Essays
28
2x 14marks
Questions from any topic included in the theory syllabus Except from the Brief structured Essays
32
topics from which the long essays have been set 4 x 8marks
Short Answers
10x4marks 40
Total 100
i. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: Examiner 1-Gross Anatomy-
Examiner 2-Osteology, Surface Marking & embryology 25 Marks
ii. Practicals:
University Practical Examination: 80 Marks
Gross Anatomy including osteology Spotters (2 mark each) 2x 15 30 Marks
Discussion on Dissected parts (2 Specimens) 2x15 30 Marks
Histology –spotters (10 slides) 2x10 20 Marks
Page 44 of 127
2. GENERAL HUMAN PHYSIOLOGY
a) GOAL
The broad goal of the teaching undergraduate students in Physiology aims at
providing the student comprehensive knowledge of the normal functions of the
organ systems of the body to facilitate an understanding of the physiological basis of
health and disease.
b) OBJECTIVES
i. Knowledge
At the end of the course, the student will be able to:
(1) Explain the normal functioning of all the organ systems and their interactions
for well co-ordinated total body function.
(2) Assess the relative contribution of each organ system towards the
maintenance of the milieu interior.
(3) List the physiological principles underlying the pathogenesis and treatment
of disease.
ii. Skills
At the end of the course, the student shall be able to:
(1) Conduct experiments designed for the study of physiological phenomena.
(2) Interpret experimental and investigative data
(3) Distinguish between normal and abnormal data derived as a result of tests
which he/she has performed and observed in the laboratory.
iii. Integration
At the end of the integrated teaching the student shall acquire an integrated
knowledge of organ structure and function and its regulatory mechanisms.
Page 45 of 127
Functions of reticulo-endothelial system.
Specific gravity,
Packed cell volume,
Methods of estimation [in practicals]
Blood Indices - MCV, MCH, MCHC - definition, normal values, variation.
Leucopoiesis
Thrombopoiesis
.
3.MUSCLE AND NERVE
Classification of nerves,
Structure of skeletal muscle - Molecular mechanism of muscle contraction,
8
Neuromuscular junction and NM transmission.
Properties of skeletal muscle.
Structure and properties of cardiac muscle & smooth muscle.
4. DIGESTIVE SYSTEM :
Introduction to digestion: General structure of G.I. tract, Innervation.
Salivary glands: Saliva: composition, regulation of secretion & functions of saliva.
Stomach: Composition and functions of gastric juice, mechanism and regulation of gastric secretion.
HCl secretion. Physiological basis of Peptic ulcer management [briefly]
Exocrine Pancreas - Structure, composition of pancreatic juice, functions of each component,
regulation of pancreatic secretion. 10
Liver : structure , composition of bile, functions of bile
Gall bladder: structure, functions.
Small intestine - Composition, functions
Large intestine - Functions.
Motor functions of GIT: Mastication, deglutition, gastric filling & emptying, movements of small and
large intestine, defecation.
5. EXCRETORY SYSTEM :
Structure & functions of kidney, functional unit of kidney & functions of different parts. Juxta
Glomerular apparatus. Special functional features of renal circulation.
Formation of Urine: Glomerular filtration rate - definition, normal values, factors influencing G.F.R.
Tubular reabsorption - Reabsorption of sodium, glucose, water & other substances. Tubular secretion
- secretion of urea, hydrogen and other substances. Countercurrent mechanisms. 8
Micturition: anatomy & innervation of Urinary bladder, mechanism of micturition.
Determination of GFR.
Role of kidney in the regulation of pH of the blood.
Urinary bladder: abnormalities.
7. ENDOCRINOLOGY
General endocrinology- endocrine glands & hormones. Second messengers.
Endocrine function of hypothalamus.
Hormones of anterior pituitary & their actions, Disorders of secretion of anterior pituitary hormones.
Posterior pituitary hormones: actions
Thyroid: secretion & transport of hormones, actions of hormones, regulation. 14
Adrenal cortex & Medulla- action,
Other hormones - Angiotensin, local hormones
Pancreatic Hormone
PTH
Endocrine Disorders to be taught with each gland.
8. REPRODUCTION
Physiological anatomy of male and female sex organs,
Gonadotrophic hormones. Sex chromatin.
Female reproductive system: Menstrual cycle, functions and hormones of ovary. Ovarian and uterine
changes during menstrual cycle. Actions of oestrogen & Progesterone, control of secretion of ovarian
hormones, fertilization, implantation, maternal changes during pregnancy, parturition.
6
Lactation, milk ejection reflex.
Male reproductive system, spermatogenesis, hormones-testosterone. Semen.
Contraception.
Page 46 of 127
cardiac impulse and Pacemaker potential. Action potential.
Cardiac cycle - Phases, Pressure changes in atria, ventricles & aorta. Volume changes in ventricles.
Heart sounds.
Jugular venous pulse
Arterial pulse.
Electrocardiogram- Basic principles only. Normal electrocardiogram.
Heart rate: Normal value, variation.
Stroke volume and Cardiac output: definition, normal values, variations, factors affecting.
Arterial blood pressure: Definition, normal values, variations, determinants. Regulation of heart rate,
stroke volume, blood pressure: integrated concept.
Coronary circulation: special features.
Cardiac murmurs
Cardiac output: one method of determination
Cardio vascular homeostasis in exercise & posture.
d) PRACTICALS
The following list of practical is minimum and essential. The entire practical have
been categorized as procedures and demonstrations. The procedures are to be
performed by the students during practical classes to acquire skills. All the
procedures are to be included in the University practical examination. Those
categorized as demonstrations are to be shown to the students during practical
classes. However these demonstrations would not be included in the University
examinations but question based on this would be given in the form of charts,
graphs and calculations for interpretation by the students.
Page 47 of 127
Practicals & demonstrations: 60 hours
Practicals Hours
Study of Microscope and its uses 02
Collection of blood and study of haemocytometer 02
Haemoglobinometry 02
Determination of RBC count 08
Determination of WBC count 04
Determination of blood groups 02
Leishman's staining and differential leucocyte count 10
Calculation of blood indices 02
Determination of bleeding time 01
Determination of clotting time 01
Blood pressure recording 03
Auscultation of Heart sounds 02
Demonstrations
Determination of Erythrocyte Sedimentation rate(ESR) 02
Determination of packed cell volume(PCV) 02
Determination of specific gravity of blood 02
Fragility test for RBC 02
Clinical examination of Cardiovascular and Respiratory System 03
Determination of vital capacity 02
Artificial respiration 02
Demonstration of deep and superficial reflexes 02
Activity of frog's heart and effects of Acetyl Choline, Atropine and Adrenaline. 02
Electrocardiography: Demonstration of recording of normal Electro cardiogram 02
Total 60
e) SCHEME OF EXAMINATION
Types of Questions for written examination
Type of Questions Marks
Structured Essays
14
1x 14marks
Short Answers
20
5x4marks
Total 50
i. Theory:
University written Examination: 50Marks
University Viva: 10Marks
Internal Assessment: 15 Marks
ii. Practicals:
Internal Assessment: 10 Marks
University Practicals : 40Marks
Mark distribution for University practical examination
Major Experiments: 20Marks
Any one of the Major Experiments: R.B.C. Count, W.B.C. Count, Differential Count, Blood Pressure
Page 48 of 127
Recording
Minor Experiments: 15Marks
Anyone of the minor Experiments: Determination of Blood Groups, Determination of Bleeding &
Clotting time, Haemoglobin Estimation, Calculation of absolute Haematological Indices–MCH,MCV,
MCHC
Practical Work record: 5 Marks
Page 49 of 127
3. BIOCHEMISTRY, NUTRITION AND DIETETICS
a) AIMS AND SCOPE
The major aim is to provide a sound but crisp knowledge on the biochemical basis of
the life processes relevant to the human system and to dental/medical practice. The
contents should be organized to build on the already existing information available
to the students in the pre-university stage and reorienting. A mere rehash should be
avoided.
The chemistry portion should strive towards providing information on the
functional groups, hydrophobic and hydrophilic moieties and weak valence forces
that organise macromolecules. Details on structure need not be emphasised.
Discussion on metabolic processes should put emphasis on the overall change,
interdependence and molecular turnover. While details of the steps may be given,
the student should not be expected to memorise them. An introduction to
biochemical genetics and molecular biology is a must but details should be avoided.
The exposure to antivitamins, antimetabolites and enzyme inhibitors at this stage,
will provide a basis for the future study of medical subjects. An overview of
metabolic regulation is to be taught by covering hormonal action, second
messengers and regulation of enzyme activities. Medical aspects of biochemistry
should avoid describing innumerable functional tests, most of which are not in
vogue. Cataloguing genetic disorders under each head of metabolism is unnecessary.
A few examples which correlate genotype change to functional changes should be
adequate.
At the end of the course the student would be able to acquire a useful core of
information, which can be retained for a long time.
b) THEORY: 70 HOURS
Sl. HOURS
TOPIC
No. ALLOTTED
CARBOHYDRATES 12 hours
Definition, biological importance and classification. Monosaccharides –Glucose,
1
fructose, Galactose, mannose
Reactions reducing property, oxidation osazone, Molisch test, isomers, anomers
1
epimers
Disaccharides-lactose, maltose, sucrose
1
Glycosidic bond, amino sugars, deoxy sugars
Polysaccharides. Structures of starch and glycogen, Mucopolysaccharides Dietary
1
1 fibres.
Enzymatic hydrolysis of dietary carbohydrates. Mechanism of uptake of
1
monosaccharides, associated disorders(in brief)
Outlines of glycolysis, fates of pyruvate Gluconeogenesis. 2
Introduction to glycogenesis, glycogenolysis, regulation 2
Significance of pentose phosphate pathway. Formation and importance of
1
glucuronic acid.
Regulation of blood glucose. Diabetes mellitus and related disorders. Evaluation of
2
glycemic status.
LIPIDS 9 hours
Definition, biological importance and classification. Fats and fatty acids. Essential
2
fatty acids. Introduction to compound lipids. Cholesterol.
Digestion and absorption of lipids 1
2 Beta oxidation of fatty acids. 1
Fatty acid synthesis, (in brief) 1
Ketone body formation and utilization 1
Outlines of cholesterol synthesis and compounds formed from cholesterol 1
Plasma lipoproteins: Formation, function and dyslipidemia, Atherosclerosis. 2
ENZYMES 6 hours
3
Definition, classification, specificity and active site. Cofactors. 1
Page 50 of 127
Factors affecting enzyme action 2
Enzyme inhibition 2
Clinical important enzymes-AST,ALT,ALP,ACP,LDH,CK,ENOLASE,GGT 1
PROTEINS 9hours
Amino acids: Classification.
Introduction to peptides, peptide bond
3
Proteins: Classification. Charge properties. Buffer action.
Levels of protein organization Denaturation.
Digestion and absorption of proteins.
Nitrogen balance. Essential amino acids. Protein quality and requirement (methods
2
4 for evaluation of protein quality to be excluded).
Protein-calorie malnutrition. BMR, Balanced diet.
Ammonia metabolism. Urea formation. 1
Reactions of amino acids-transamination, trans methylation, trans sulfuration 1
Compounds formed from glycine 1
Biologic importance of aromatic amino acids, sulphur containing amino acids, Amino
1
acidurias (in brief)
INTEGRATION OF METABOLISM
5 2 hours
High energy compounds, Electron transport chain and oxidative phosphorylation.
VITAMINS 5 hours
Fat soluble vitamins A,D,E,K, sources, functions, daily requirements, deficiency,
2
6 toxicity
Water soluble vitamins B, C, sources, functions, daily requirements, deficiency,
3
toxicity
ACID BASE BALANCE
7 4 hours
Buffers, respiratory and renal regulation, disorders, analysis
MINERALS 4 hours
Classification, daily requirement. Calcium and phosphorous: sources, uptake,
1
excretion, function. Serum calcium regulation
8 Iron: sources, uptake and transport. Heme and nonheme iron functions; deficiency 1
Iodine: Brief introduction to thyroxine synthesis. General functions of thyroxine.
1
Fluoride: function, deficiency and excess
Indications of role of other minerals 1
HAEMOGLOBIN 3 hours
Structure, synthesis, degradation 1
9
Hemoglobinopathies 1
Jaundice 1
PLASMA PROTEINS
10 Classification and separation. Functions of albumin. A brief account of 2 hours
immunoglobulins. Biochemistry of AIDS.
11 LIVER FUNCTION TESTS 1 hour
12 KIDNEY FUNCTION TESTS 1 hour
MOLECULAR BIOLOGY 8 hours
Nucleic acids: Building units. Nucleotides. Outline structure of DNA and RNA. 2
Formation and degradation of nucleotides. Gout. Examples of associated genetic
2
disorders
13
Introduction to replication and transcription Antimetabolites and antibiotics
2
interfering in replication, transcription
Outline of translation process. 2
Page 51 of 127
7. Estimation of serum creatinine 2
ii. Seminars: 15 hours
d) SCHEME OF EXAMINATION
Type of Questions for written examination
Type of Questions Marks
Structured Essays
14
1x 14marks
Brief structured Essays
16
2 x 8marks
Short Answers
20
5x4marks
Total 50
i. Theory
University written Examination: 50Marks
University Viva: 15Marks
Internal Assessment: 10 Marks
ii. Practicals:
Internal Assessment: 10 Marks
University Practicals
: 40Marks
Mark distribution for University practical examination;
One procedure for quantitative estimation 15 marks
One procedure for qualitative analysis 20 marks
Practical Work record: 5 Marks
a) INTRODUCTION:
The course includes instructions in the subject of Dental Morphology, Oral
Embryology, Oral Histology and Oral Physiology. A composite of basic Dental
Sciences & their clinical applications.
b) SKILLS
The student should acquire basic skills in:
i. Carving of crowns of permanent teeth in wax.
ii. Microscopic study of Oral tissues.
iii. Identification of Deciduous & Permanent teeth
iv. Age estimation by patterns of teeth eruption from plaster casts of different
age groups.
c) OBJECTIVES
After a course on Oral Biology,
i. The student is expected to appreciate the normal development, morphology,
structure & functions of oral tissues & variations in different
pathological/non-pathological states.
ii. The student should understand the histological basis of various dental
treatment procedures and physiologic ageing process in the dental tissues.
Page 52 of 127
iii.
The students must know the basic knowledge of various research
methodologies
d) COURSE CONTENT
i. Theory: 105 hours
DENTAL ANATOMY HOURS
1. Introduction, Dental Anthropology & Comparative Dental Anatomy
2. Function of teeth.
3
3. Nomenclature.
4. Tooth numbering systems (Different system)(Dental formula).
5. Chronology of deciduous and permanent teeth.
2
(First evidence of calcification, crown completion, eruption and root completion).
6. Deciduous teeth - a) Nomenclature. b) Importance of deciduous teeth. c) Form &
4
function, comparative dental anatomy, fundamental curvature
7. Gross morphology of deciduous teeth. 5
8. General differences between deciduous and permanent teeth. 1
9. Morphology of permanent teeth.
Chronology, measurements, description of individual surface and variations of each 12
tooth.
10. Morphological differences between incisors, premolars and molars of same arch. 1
11. Morphological differences between maxillary and mandibular. incisors, canines,
1
premolars and molars of the opposite arch
12. Internal Anatomy of Pulp. 1
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.
8
h. Occlusal contact and intercusp relations of all the teeth during the various
functional mandibular movements.
i. Neurobehavioural aspect of occlusion
14. Tempero Mandibular Joint (T.M.J.):
Gross Anatomy and articulation.
Muscles (Muscles of mastication).
Mandibular position and movements.
Histology. 2
Clinical considerations with special emphasis on Myofacial Pain
Dysfunction Syndrome (MPDS) - (Desirable to Know)
ORAL PHYSIOLOGY
1. Theories of calcification 1
2. Mastication and deglutition 1
Oral Embryology, Anatomy and Histology:
1. Development and growth of face and jaws. 1
2. Development of tooth. 3
3. Cranial nerves with more emphasis on V.VII and IX. 1
4. Blood supply, nerve supply and lymphatic drainage of teeth
1
and surrounding structures
5. Cell - structure and function 1
6. Maxillary sinus - Structure, Variations, Histology
2
function and clinical considerations
7. Salivary Glands - Classification, structure, function,
4
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, 8
tongue, floor of mouth.
Gingival sulcus and dento gingival junction.
Clinical considerations and age changes.
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9.ENAMEL:
Physical characteristics, chemical properties structure.
Development - Life cycle of ameloblasts Amelogenesis and Mineralisation. 8
Clinical considerations.
Age changes.
10.DENTIN:
Physical characteristics, chemical properties, structure.
Types of dentin.
Dentin innervation and hypersensitivity. 6
Development - Dentinogenesis and mineralisation.
Clinical considerations.
Age Changes.
11.PULP:
Anatomy, structural features, functions, pulp organs.
Developments. 6
Clinical consideration
Age changes.
12.CEMENIUM:
Physical characteristics, chemical properties, structure.
Cementogenesis. 4
Clinical consideration
Age changes.
13.PERIODONTAL LIGAMENT:
Cells and fibers
Functions
5
Development
Clinical Considerations.
Age Changes
14.ALVEOLAR BONE:
Physical characteristics, chemical properties structure.
Structure
Development. 5
Internal reconstruction.
Clinical consideration.
Page 54 of 127
05. Neonatel line.
06. Tomes granular layer.
07. Interglobular Dentin.
08. Secondary Dentin.
09. Intratubular Dentin.
10. Intertubular Dentin.
CEMENTUM:
01. Cellular cementum.
02. Acellular cementum.
03. Cemento enamel junction
- Type 1 - 60% type - Overlapping.
- Type 2 - 30% type - Butt
- Type 3 - 10% type - Cementum & Enamel do not meet.
04. Sharpey's fibers.
05. Hypercemntosis.
PULP:
01. Zones of Pulp.
02. Pulp stones.
PERIODONTAL LIGAMENT:
01. Principle fibers of Periodontal ligament
- Apical, Horizontal, Oblique, Aveolar crest, Interradicular, Transeptal
ALVEOLAR BONE:
01. Haversian system.
02. Trabeculated bone.
03. Mature and immature bone.
SALIVARY GLANDS:
01. Mucous gland.
02. Serous gland.
03. Mixed gland.
MAXILLARY SINUS:
Sinus lining (Pseudostratified ciliated columnar)
(Desirable to know)
ORAL MUCOUS MEMBRAIN:
01. Parakeratinised epithelium.
02. Orthokeratinised epithelium.
03. Palate - Anterolateral zone.
04. Palate - Posterolateral zone.
05. Alveolar mucosa.
06. Vermilion border of lip.
07. Tongue - Circumvallate Papillae.
- Fungiform Papillae
- Filiform Papillae
Preparation of Ground sections, haematoxylin & Eosin sections & decalcified section
e) SCHEME OF EXAMINATION
Distribution of Topics and Type of Questions for University written examination
Contents Type of Questions
Marks
and Marks
Dental anatomy - one question - 14 marks
Detailed morphology of Permanent teeth, Differences between
Primary & Permanent teeth, Occlusion and Arrangement of teeth.
Structured Essays
B. Oral histology - one question - 14 marks 28
Development of tooth, Enamel-structure & development, Dentin- 2x 14marks
structure& development, Cementum, Dental pulp-structure &
histology, Periodontal ligament, Alveolar bone-structure & histology,
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Oral mucosa-structure & histology, Eruption of teeth
A. Oral histology - two questions - 16 marks Brief structured
B. Dental anatomy - one question - 08 marks Essays 32
C. Oral physiology - one question - 08 marks 4 x 8marks
A. Oral histology - five questions - 20 marks
B. Dental anatomy - three question - 12 marks Short Answers
C. Oral physiology - one question - 04 marks
40
10x4marks
D. Oral embryology - one question - 04 marks
Total 100
i. Theory
University written Examination: 100Marks
University Viva: 25Marks
Internal Assessment: 25 Marks
ii. Practicals:
Internal Assessment: 20 Marks
University Practicals: 80Marks
Grand Total 250 Marks
Page 56 of 127
5 GENERAL PATHOLOGY
a) AIM:
At the end of the course the student should be competent to: Apply the scientific
study of disease processes, which result in morphological and functional alterations
in cells, tissues and organs to the study of pathology and the practice of dentistry.
b) OBJECTIVES:
Enabling the student
i. To demonstrate and analyze pathological changes macroscopically explain their
observations in terms of disease processes.
ii. To integrate knowledge from the basic sciences, clinical medicine and dentistry
in the study of Pathology.
iii. To demonstrate understanding of the capabilities and limitations of
morphological Pathology in its contribution to medicine, dentistry and biological
research.
iv. To demonstrate ability to consult resource materials outside lectures, laboratory
and tutorial classes.
c) COURSE CONTENT:
i. Theory: 55Hours
Sl. HOURS
TOPIC
No. ALLOTTED
Introduction , Terminologies, The cell in health, The normal cell structure, The cellular
1 1
functions
Etiology and Pathogenesis of disease, Cell Injury
Types - congenital, Acquired
2 Mainly Acquired causes (Hypoxic injury, chemical injury, physical injury, immunological 3
injury) Cell death& Necrosis Apoptosis, definition, causes, features and types of necrosis
Gangrene - Dry, wet, gas Pathological Calcifications (Dystrophic and metastatic)
Degenerations, Amyloidosis, Fatty change, Cloudy swelling, Hyaline change, mucoid
3 2
degeneration
Inflammation, Definition, causes types, and features, Acute inflammation, The vascular
4 response, The cellular response, Chemical mediators, The inflammatory cells Fate, 3
Chronic inflammation, Granulomatous inflammation
Healing Regeneration, Repair Mechanisms, Healing by primary intention, Healing by
5 3
secondary intention, Fracture healing, Factors influencing healing process, Complications
Immunological mechanisms in disease Humoral & cellular immunity Hypersensitivity &
6 2
autoimmunity
Infections & infestations
(1) Syphilis: Epidemiology, Types and stages of syphilis, Pathological, features,
Diagnostic criteria, Oral lesions
(2) Typhoid, Epidemiology, Pathogenesis, Pathological features, Diagnostic criteria,
Thrombosis
(3) Tuberculosis, Epidemiology, Pathogenesis, (Formation of tubercle), Pathological,
7 6
features of Primary and secondary TB, Complications and Fate
(4) AIDS & Hepatitis
(5) Actinomycosis
(6) Candidiasis
(7) Mucormycosis
(8) Pyogenic infections
(1) Disorders of circulation, Hyperemia, Shock
(2) Definition, Pathophysiology, Formation, complications & Fate of a thrombus
8 (3) Embolism, Definition, Types, Effects 4
(4) Ischemia and Infarction, Definition, etiology, types, Infraction of various organs
(5) Derangements of body fluids, Oedema - Pathogenesis, Different types
Nutritional Disorders, starvation, obesity, malnutrition, pathogenesis of deficiency
9 3
diseases with special reference to disorders of vitamins & minerals
10 Diabetes Mellitus, Definition, Classification, Pathogenesis, Pathology in different organs 2
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11 Hypertension, Definition, classification, Pathophysiology, Effects in various organs 2
Brief introduction to growth & differentiation Adaptive disorders of growth, Atrophy &
12 1
Hypertrophy, Hyperplasia, Metaplasia and Dysplasia
General Aspects of neoplasia, Definition, terminology, classification, Differences between
benign and malignant neoplasms, The neoplastic cell, Metastasis, Etiology and
pathogenesis of neoplasia, Carcinogenesis, Tumour biology, Oncogene and anti-
13 4
oncogenes, Diagnosis, Precancerous lesions, Common specific tumours, Sq papilloma &
Ca, Basal cell Ca, Adenoma & Adenocarcinoma, Fibroma & Fibrosarcoma, Lipoma and
liposarcoma
Common diseases of Bones, Osteomyelitis, Metabolic bone diseases, Bone Tumours,
14 Osteosarcoma, Osteocalstoma, Giant cell Tumour, Ewing's sarcoma, Fibrous dysplasia, 3
Aneurysmal bone cyst
Diseases of oral cavity, Lichen planus, Stomatitis, Leukoplakia, Squamous cell Ca,Dental
15 caries, Dentigerious cyst, Ameloblastoma Diseases of salivary glands, Normal structure, 4
Sialadenitis & Tumours
Diseases of Cardiovascular system Cardiac failuare, Congenital heart disease ASD, VSD,
16 2
PDA, Fallot’s Tetrology, Infective Endocarditis, Atherosclerosis, Ischaemic heart Disease
Introduction to haematology , haemopoiesis, bone marrow aspiration & biopsy, Anaemias,
17 classification, Iron Deficiency anaemia, Megaloblastic anaemia, hemolytic anaemeas and 3
their lab investigations, Polycythemea.
Haemorrhagic Disorders, Coagulation cascade Coagulation disorders Platelet function,
18 3
Platelet disorders
Diseases of WBC’s pathologic variations in white blood cell counts and leukemoid
reactions, Leukaemias, Acute and chronic leukaemias, Diagnosis and clinical features
19 4
Diseases of Lymph nodes, Hodgkin's disease, Non Hodgkins lymphoma, Metastatic
carcinoma
Page 58 of 127
(ix) Squamous cell papilloma,
(x) Transitional cell papilloma,
(xi) Pleomorphic adenoma
(xii) Basal cell carcinoms
(xiii) Sqamous cell carcinoma
(xiv) Osteosarcoma,
(xv) osteoclastoma,
(xvi) fibrosarcoma
(xvii) Malignant melanoma,
(xviii) Ameloblastoma,
(xix) Adenocarcinoma
(xx) Pleamorphic adenoma
(xxi) Metatsatic carcinoma in lymph node
(xxii) Capillary and cavernous haemangioma
(xxiii) Fibroma
(xxiv) Neurofibroma
(xxv) Lipoma
(xxvi) Osteoma, chondroma
c) Specimens
(i) Acute Appendicitis.
(ii) Tuberculosis Lymphnode.
(iii) Fatty liver.
(iv) Infarction spleen.
(v) Chronic Venous Congestion (C.V.C.) Liver
(vi) Squamous papilloma
(vii) Basal cell carcinoma
(viii) Lipoma
(ix) Squamous cell carcinoma
(x) Malignant Melanoma
(xi) Adenocarcinoma
(xii) Osteosarcoma
(xiii) Osteoclastoma.
(xiv) Gangrene.
Page 59 of 127
d) Scheme of examination
i. Theory:
Distribution of Topics and Type of Questions for written examination
Types of Questions
Contents Marks
and Marks
Question from General Pathology
Inflammation, Healing and Repair, Tuberculosis, Leprosy, Syphilis, Thrombosis, Structured Essays
Diabetes Mellitus, Neoplasia, Diseases of bone, Cell injury, metabolic
14
1x 14marks
disturbances, Circulatory disturbances, Hypertension, diseases of oral cavity
Two questions from General Pathology
Intracellular accumulations, Necrosis, Gangrene, Apoptosis, Amyloidosis, Brief structured
Pathologic calcification, hypersensitivity reactions, Infections, Shock, Oedema, Essays 16
Infarction, Congestion, Hypertension, Diabetes Mellitus, Premalignant Conditions,
2 x 8marks
Neoplasia, Osteomyelitis, Anaemias, Neoplastic Proliferation of WBCs–
Leukaemias and Lymphomas, Haemorrhagic disorders, Erythrocyte
Sedimentations Rate(ESR),Urine sediment. Short notes 20
Two from Haematology 5x4
One from Clinical Pathology
Total 50
(1) University written Examination: 50Marks
(2) University Viva: 10Marks
(3) Internal Assessment: 15 Marks
iii. Practicals:
(1) Internal Assessment: 10 Marks
(2) University Practicals : 40Marks
Mark distribution for University practical examination
Spotters
Haematology slide 2x 2marks
Histopathology slides 5x2marks
Specimens 2x2marks
Instruments 1x2marks
To examine given sample of urine for abnormal constituents 5marks
To do differential count on the given peripheral blood smear 5marks
To estimate haemoglobin percentage in the given sample of blood 5marks
or
To determine blood groups(ABO and Rh) in the given sample of blood
Practical work record 5marks
TOTAL 40 Marks
Grand Total 125Marks
Page 60 of 127
6 GENERAL MICROBIOLOGY
a) AIMS:
To introduce the students to the exciting world of microbes. To make the students
aware of various branches of microbiology and the role of microbes in human
diseases. The objectives of teaching microbiology can be achieved by various
teaching techniques such as:
Lectures
Lecture Demonstrations
Practical exercises
Audio visual aids
Small group discussions with regular feedback from the students.
b) OBJECTIVES:
i. Knowledge and Understanding
At the end of the Microbiology course the student is expected to:
(1) Understand the basics of various branches of microbiology and able to apply
the knowledge relevantly.
(2) Apply the knowledge gained in related medical subjects like General
Medicine and General Surgery and Dental subjects like Oral Pathology, Public
Health Dentistry, Periodontics, Oral Surgery, Pedodontics, Conservative
Dentistry and Oral medicine in higher classes.
(3) Understand and practice various methods of Sterilisation and disinfection in
dental clinics.
(4) Have a sound understanding of various infectious diseases and lesions in the
oral cavity.
ii. Skills
(1) Student should have acquired the skill to diagnose, differentiate various oral
lesions.
(2) Should be able to select, collect and transport clinical specimens to the
laboratory.
(3) Should be able to carry out proper aseptic procedures in the dental clinic.
c) COURSE CONTENT:
A brief syllabus of Microbiology is given as follows:
i. General microbiology:
(1) History, Introduction, Scope, Aims and Objectives.
(2) Morphology and Physiology of bacteria.
(3) Detail account of Sterlisation and Disinfection.
(4) Brief account of Culture media and Culture techniques.
(5) Basic knowledge of selection, collection, transport, processing of clinical
specimens and identification of bacteria.
(6) Bacterial Genetics and Drug Resistance in bacteria.
ii. Immunology:
(1) Infection - Definition, Classification, Source, Mode of transmission and types
of Infectious disease.
(2) Immunity
(3) Structure and functions of Immune system
(4) The Complement System
(5) Antigen
Page 61 of 127
(6) Immunoglobulins - Antibodies - General structure and the role played in
defense mechanism of the body.
(7) Immune response
(8) Antigen - Antibody reactions - with reference to clinical utility.
(9) Immuno deficiency disorders - a brief knowledge of various types of
immuno deficiency disorders - A sound knowledge of immuno deficiency
disorders relevant to dentistry.
(10) Hypersensitivity reactions
(11) Autoimmune disorders - Basic knowledge of various types - sound
knowledge of autoimmune disorders of oral cavity and related structures.
(12) Immunology of Transplantation and Malignancy
(13) Immune haematology
iii. Systematic bacteriology:
(1) Pyogenic cocci - Staphylococcus, Streptococcus, Pneumococcus, Gonococcus
Meningococcus - brief account of each coccus - detailed account of mode of
spread laboratory diagnosis, Chemo therapy and prevention.
(2) Detailed account of Cariogenic Streptococci
(3) Corynebacterium diphtheriae - mode of spread, important clinical feature,
Laboratory diagnosis, Chemotherapy and Active immunisation.
(4) Mycobacteria - Tuberculosis and Leprosy
(5) Clostridium - Gas gangrene, food poisoning and tetanus.
(6) Non-sporing Anaerobes - in brief about classification and morphology, in
detail about dental pathogens - mechanism of disease production and
prevention.
(7) Spirochaetes - Treponema pallidum - detailed account of Oral Lesions of
syphilis, Borrelia vincentii, Actinomycetes.
iv. Virology:
(1) Introduction
(2) General properties, cultivation, host - virus interaction with special
reference to Interferon.
(3) Brief account of Laboratory diagnosis, Chemotherapy and immuno
prophylaxis in general.
(4) A few viruses of relevance to dentistry.
a) Herpes Virus
b) Hepatitis B Virus - brief about other types
c) Human Immunodeficiency Virus (HIV)
d) Mumps Virus
e) Brief- Measles and Rubella Virus
(5) Bacteriophage - structure and Significance
v. Mycology:
(1) Brief Introduction
(2) Candidosis - in detail
(3) Briefly on oral lesions of systemic mycoses.
vi. Parasitology:
(1) Brief introduction - protozoans and helminths
(2) Brief knowledge about the mode of transmission and prevention of
commonly seen parasitic infection in the region.
Page 62 of 127
f) Theory: 65 Hours
Topics Hours
I.GENERALBACTERIOLOGY
1. Introduction, History and classification. 02
2. Morphology, Physiology of Bacterial cell. 02
3. Bacterial Genetics 02
4. Infection 02
II.IMMUNOLOGY
1. Immunity 02
2. Antigen 01
3. Antibodies 01
4. Structures and functions of Immune system 01
5. Immune response 01
6. Antigen and antigen reactions &compliment 04
7. Hypersensitivity 02
8. Autoimmunity 01
9. Immunology of transplantation 01
III.SYSTEMATICBACTERIOLOGY
1. Staphylococci 01
2. Streptococci (DentalCaries) 02
3. Pneumococci 01
4. Meningococci &Gonococci 01
5. Corynebacterium diphtheria 02
6. Bacillus 01
7. Clostridia 02
8. Non sporing Anaerobes 02
9. Mycobacteria 03
10. Spirochaetes ( Treponema, leptospira and Borrelia) 03
11. Normal bacterial flora of the Oral Cavity 01
IV.VIROLOGY
1. General properties of viruses 03
2. Herpesviruses 02
3. Measles and Mumps 01
4. Rabiesvirus. 01
5. Hepatitisviruses 02
6. Human Immunodeficiency Virus(HIV) 01
7. Oncogenic viruses &Poliomyelitis 02
V. PARASITOLOGY
1. Introduction to parasitic diseases 01
2. Entamoeba histolytica, Malaria, Leishmania 03
VI. MYCOLOGY
1. Candidiasis (indetail) 02
2. Rhinosporidiosis 02
VII.APPLIEDMICROBIOLOGY
1. Immunisations chedule, Collection of materials, 02
Experimental animals & hospital infections – in brief
vii. Practicals/Demonstrations: 50 Hours
(1) Demonstrations:
a) Morphological forms of microbes
b) Different morphological forms of bacteria, viruses, fungi, parasites.
Page 63 of 127
c) Sterilization Methods – Specified techniques – their uses.
d) Culture Media – transport media
e) Special staining techniques, stained preparations – dark ground
microscopy.
f) Demonstration of bacteria in stained clinical material.
g) Demonstration of viruses – Permanent preparations morphology,
inclusion bodies.
h) Demonstration of parasite – in blood smear – in stool – in urine.
i) Demonstration of common fungi – candida – Dermatophytes.
(2) Practicals:
a) Simple staining of bacteria
b) Gram’s staining – isolated bacteria – Clinical materials.
c) Ziehl-Neelsen staining – prepared and fixed smears.
d) Collection of materials for culture – pus, blood.
(3) List of practical materials slides for demonstration:
a) Staphylococcus
b) Streptococcus
c) Gonococcus
d) Pneumococcus
e) Mycobacterium Tuberculosis
f) Mycobacterium leprae
g) Anthrax
h) Cl. Tetani
i) Spirochaetes
j) Gram Negative Bacilli
k) Candida
l) Actinomyces
(4) Slides for practical exercises:
a) Grams stains
(i) Staphylococci
(ii) Gram negative bacilli
(iii) Mixture of any two organisms
(iv) Gram stain of the oral cavity
b) Alberts stain–Kleb’s Loffeler’s Bacilli(KLB) culture, slide
c) Ziehl-Neelson’s stain - Sputum positive for AFB
(5) Media for demonstration:
i. Un-inoculated media:
(i) Nutrient agar plate
(ii) Blood agar plate
(iii) Chocolate agar plate
(iv) Macconkey agar plate
(v) Glucose citrate broth(Blood culture bottle)
(vi) Lowenstein Johnson’s Mediaslope
(vii) Loefflers serum slope
(viii) Sabourauds slope
(ix) Milk agar plate
(x) Robert Cooked Meat broth
ii. Inoculated media:
(i) Nutrient agar with staphylococci
Page 64 of 127
(ii) Blood Agar with Alpha Haemolytic Streptococci
(iii) Blood Agar with Beta Haemolytic Streptococci
(iv) Potassium Tellurite with growth of C. diphtheriae
(v) Milk agar with staphylococci
(vi) Antibiotics sensitivity plate
iii. Animals:
(i) Guinea pig
(ii) Rabbit
(iii) Mice
iv. Instruments:
(i) VDRL slide
(ii) Tuberculin syringe
(iii) Sterile swab
(iv) Seitz filter
(v) MacIntosh Fildes jar
(vi) Widal rack with tubes
(vii) Micro titre plate
(viii) Disposable syringe
(ix) Surgical gloves
d) Scheme of Examination
i. Theory
Distribution of Topics and Type of Questions for University written examination:
Contents Type of Questions and Marks Marks
One Long Essay question from Systematic Bacteriology Structured Essays
14
1 x 14marks
One question from General bacteriology
One question from Immunology Brief structured Essays
One question from Mycology 16
2 x 8marks
One question from Parasitology / Oral Microbiology
One question from Systematic Bacteriology
One question from General bacteriology
One question from Immunology Short Answers
20
One question from Systematic Bacteriology 5x4marks
Two questions from Virology
Total 50
(1) University written Examination: 50Marks
(2) University Viva: 15Marks
(3) Internal Assessment: 10 Marks
iv. Practicals:
(1) Internal Assessment: 10 Marks
(2) University Practicals : 40Marks
Grand Total 125Marks
Mark distribution for University practical examination
Spotters
Slides 5x 2 Marks
Media 3x2 Marks
Instruments 2x2 Marks
Gram's Stain 7 Marks
Ziehl-Neelsen's Stain 8 Marks
Practical work record 5 Marks
Page 65 of 127
7 DENTAL MATERIALS
a) INTRODUCTION:
The science of Dental Material has undergone tremendous changes over the years.
Continued research has led to new material systems and changing concepts in the
dental field. Interlinked with various specialized branches of chemistry, practically
all engineering applied sciences and biological characteristics, the science of dental
material emerged as basic sciences in itself with its own values and principles.
b) AIMS:
Aim of the course is to present basic chemical and physical properties of Dental
materials as they are related to its manipulation to give a sound educational
background so that the practice of the dentistry emerged from art to empirical
status of science as more information through further research becomes available. It
is also the aim of the course of Dental materials to provide with certain criteria of
selection and which will enable to discriminate between facts and propaganda with
regards to claims of manufactures.
c) OBJECTIVES:
To understand the evolution and development of science of dental material.
Knowledge of physical and chemical properties and advantages and disadvantages
of the material used in dentistry. Knowledge of biomechanical requirements of
particular restorative material and its application & limitations. Laying down
standards or specifications of various materials to guide to manufacturers as well as
to help professionals. Search for newer and better materials which may answer our
requirements with greater satisfaction. To understand and evaluate the claims made
by manufactures of dental materials.
At the end of the course the student should have the knowledge about the
composition, properties, manipulative techniques and their various commercial
names. The student should also acquire skills to select and use the materials
appropriately for laboratory and clinical use.
Page 66 of 127
are important in these fields. The toxic and tissue reaction of dental materials and
their durability in the oral cavity where the temperature is between 32 & 37 degree
centigrade, and the ingestion of hot or cold food ranges from 0-70 degree centigrade.
The acid an alkalinity of fluids shown pH varies from 4 to 8.5. The load on 1 sq. mm
of tooth or restorative materials can reach to a level as high as many kilograms. Thus
the biological properties of dental materials cannot be separated from their physical
and chemical properties.
f) THEORY: 80 HOURS (20 hours in First BDS & 60 hours in second BDS)
Page 67 of 127
Synthetic resins used in dentistry - Section A
Historical background and development of material, Denture base materials and their classification and
requirement. Classification of resins, Dental resins - requirements of dental resins, applications,
3
polymerisation, polymerisation mechanism stages in addition polymerisation, inhibition of polymerisation, co-
polymerization, molecular weight, crosslinking, plasticizers, Physical properties of polymers, polymer
structures types of resins.
Acrylic resins: - Section A
Mode of polymerisation: Heat activated, Chemically activated, Light activated Mode of supply, application,
composition, polymerisation reaction of each. Technical considerations: Methods of manipulation for each type
of resin. Physical properties of denture base resin. Miscellaneous resins & techniques: Repair resins, Relining 3
and rebasing. Short term and long-term soft-liners, temporary crown and bridge resins, Resin impression trays,
Tray materials, Resin teeth, materials in maxillofacial prosthesis, Denture cleansers, Infection control in detail,
7.
Biological properties and allergic reactions.
Restorative resins: - Section B
Historical background, Resin based restorative materials, unfilled & filled, Composite restorative materials,
Mode of supply, Composition, Polymerisation mechanisms: Chemically activated, Light activated, Dual cure:
Degree of conversion, Polymerisation shrinkage. Classification of Composites: Application, composition and
properties of each, Composites of posterior teeth, Prosthodontics resins for veneering. Biocompatibility -
microleakage, pulpal reaction, pulpal protection Manipulation of composites: Techniques of insertion of 4
Chemically activated, light activated, dual cure Polymerisation, Finishing and polishing of restoration, Repair of
composites. Direct bonding, Need for bonding, Acid - etch technique, Enamel bonding, Dentin bonding agents.
Mode of bonding, Bond strength, Sandwich technique its indication and procedure Extended application for
composites: Resins for restoring eroded teeth, Pit and fissure sealing, Resin inlays system - Indirect & direct,
Core build up, Orthodontic applications.
Metal and alloys - Section B
Structure and behaviour of metals, Solidification of metals, mechanism of crystallisation amorphous &
crystalline. Classification of alloys, Solid solutions, and Constitutes or equilibrium phase diagrams: Electric
alloys, Physical properties, Peritectic alloys, Solid state reaction other binary systems: Metallography & Heat
treatment Tarnish and corrosion Definition, causes of corrosion, protection against corrosion, Corrosion of
dental restorations, clinical significance of galvanic current.
Dental amalgam- Section B
History, Definition of dental amalgam, application, Alloy classification, manufacture of alloy powder
8. 10
composition - available as. Amalgamation: setting reaction & resulting structure, properties, Micro leakage
Dimensional stability, Strength, Creep, Clinical performance Manipulation: Selection of alloy, proportioning,
mechanism of trituration, condensation, carving & finishing. Effect of dimensional changes, Marginal
deterioration. Repair of amalgam, mercury toxicity, mercury hygiene.
Direct filling gold- Section B
Properties of pure gold, mode of adhesion of gold for restoration forms of direct filling gold for using as
restorative material. Classification: Gold Foil, Electrolytic precipitate, powdered gold Manipulation: Removal of
surface impurities and compaction of direct filling gold. Physical properties of compacted
Dental casting alloys - Section B
Historical background, desirable properties of casting alloys. Alternatives to cast metal technology: direct filling
gold, amalgam, mercury free condensable intermetallic compound - an alternative to metal casting process.
CAD-CAM process for metal & ceramic inlays - without need of impression of teeth or casting procedure, pure
titanium, most bio compatible metal which are difficult to cast can be made into crowns with the aid of CAD-
CAM technology . Another method of making copings - by copy milling (without casting procedures).
Classification of casting alloys: By function & description. Recent classification, High noble (HN), Noble (N) and
9. 6
predominantly base metal (PB) Alloys for crown & bridge, metal ceramic & removable partial denture.
Composition, function, constituents and application, each alloy both noble and base metal, Properties of
alloys: Melting range, mechanical properties, hardness, elongation, modulus of elasticity, tarnish and corrosion.
Casting shrinkage and compensation of casting shrinkage. Biocompatibility - Handling hazards & precautions of
base metal alloys, casting investments used. Heat treatment: Softening & hardening heat treatment. Recycling of
metals. Titanium alloys & their application, properties & advantages. Technical considerations in casting. Heat
source, furnaces, gold, Clinical performance.
Dental waxes including inlay casting wax - Section B
Introduction and importance of waxes: Sources of natural waxes and their chemical nature. Classification of
Waxes: Properties: melting range, thermal expansion, mechanical properties, flow & residual stresses, ductility.
Dental Wax: Inlay wax: Mode of supply: Classification & composition, Ideal requirements: Properties of inlay
10 2
wax: Flow, thermal properties Wax distortion & its causes. Manipulation of inlay wax: Instruments &
equipment required, including electrically heated instruments metal tips and thermostatically controlled wax
baths. Other waxes: Applications, mode of supply & properties. Casting Wax, Base plate wax, Processing wax,
Boxing wax, Utility wax, Sticky wax, Impression wax for corrective impressions Bite registration wax.
Dental casting investments - Section A
11 Definition, requirements, classification Gypsum bonded - classification. Phosphate bonded, Silica bonded Mode 2
of Supply: Composition, application , setting mechanism, setting time & factors controlling. Expansions: Setting
Page 68 of 127
expansion, Hygroscopic Setting expansion, & thermal expansion: factors affecting. Properties: Strength,
porosity, and fineness & storage. Technical considerations: For Casting procedure Preparation of die, Wax
pattern, spruing, investing, control of shrinkage compensation, wax burnout, and heating the invested ring,
casting. Casting machines, source of heat for melting the alloy. Defects in casting.
Soldering, brazing and welding - Section B(Classes to be handled by orthodontics department)
Need of joining dental appliances, Terms & Definition, Solders: Definition, ideal requirement, types of solders -
Soft & hard and their fusion temperature, application. Mode of supply of solders, Composition and selection,
12. Properties. Tarnish & corrosion resistance mechanical properties, microstructure of soldered joint. Fluxes & 2
Anti fluxes: Definition, Function, Types, commonly used fluxes & their selection Technique of Soldering &
Brazing: free hand soldering and investment, steps and procedure. Welding,: Definition, application,
requirements, procedure, weld decay - causes and how to avoid it. Laser welding.
Wrought base metal alloys - Section A (Classes to be handled by orthodontics department)
Applications and different alloys used mainly for orthodontics purpose
1. Stainless steel
2. Cobalt chromium nickel
3. Nickel titanium
4. Beta titanium
13. Properties required for orthodontic wires, working range, springiness, stiffness, resilience, Formability, 3
ductility, ease of joining, corrosion resistance, stability in oral environment, bio compatibility
Stainless steels: Description, type, composition & properties of each type. Sensitisation & stabilisation,
Mechanical properties - strength, tensile, yield strength, KHN. Braided & twisted wires their need, Solders for
stainless steel, Fluxes, Welding. Wrought cobalt chromium nickel alloys, composition, allocation, properties,
heat treatment, physical properties. Nickel - Titanium alloys, shape, memory & super elastic Titanium alloys,
application, composition, properties, welding, Corrosion resistance
Dental cements- Section B
Definition & Ideal requirements of Dental Cements: Silicate, Glass ionomer, metal modified glass ionomer, resin
modified glass ionomer, zinc oxide Euginol, modified zinc oxide Euginol, zinc phosphate, zinc silico phosphate,
zinc poly carboxylate Cavity liners and cement bases Varnishes Calcium hydroxide. Gutta percha
14. 5
Application, classification (general and individual), setting mechanism, mode of supply, Properties, factors
affecting setting, special emphasis on critical procedures of manipulation and protection of cement, mode of
adhesion, biomechansim of caries inhibition. Agents for pulpal protection, Modifications and recent advances,
Principles of cementation. Special emphasis on cavity liners and cement bases and luting agents.
Dental ceramics - Section B
Historical background & General applications of Dental ceramics: definition, classification, application, mode of
supply, manufacturing procedure, methods of strengthening. Properties of fused ceramic: Strength and factors
affecting, modulus of elasticity, surface hardness, wear resistance, thermal properties, specific gravity, chemical
stability, esthetic properties, biocompatibility, technical considerations. Metal Ceramics (PFM): Alloys - Types
15. 8
and composition of alloys Ceramic - Type and Composition. Metal Ceramic Bond, Nature of bond. Bonding using
electro deposition, foil copings, bonded platinum foil, swaged gold alloy foil coping. Technical considerations for
porcelain and porcelain fused metal restorations. Recent advances - all porcelain restorations, Manganese core,
injection moulded, castable ceramics, glass infiltrated alumina core ceramic (In ceram), ceramic veneers, inlays
and onlays, and CAD - CAM ceramic. Chemical attack of ceramic by fluoride. Porcelain furnaces.
Abrasion & polishing agents - Section A
Definition of abrasion and polishing. Need of abrasion and polishing. Types of abrasives: Finishing, polishing &
cleaning. Types of abrasives: Diamond, Emery, aluminum oxides garnet, pumice, Kieselgurh, tripoli, rouge, tin
16. oxide, chalk, chromic oxide, sand, carbides, diamond, zirconium silicate Zinc oxide. Abrasive action. Desirable 1
characteristics of an abrasive, Rate of abrasion, Size of particle, pressure and speed. Grading of abrasive &
polishing agents. Binder, Polishing materials & procedures used. Technical consideration, Material and
procedure used for abrasion and polishing Electrolytic polishing and burnishing.
Die and counter die materials including electroforming and electro polishing - Section A
17. 1
Types - Gypsum products, Electroforming, Epoxy resin, Amalgam
Dental implants - Section A
18. 2
Evolution of dental implants, types and materials.
Mechanics of cutting - Section B
19. 1
Burs and points.
Waste disposal - Section B
At the end of the course the student should have the knowledge about the composition, properties,
manipulative techniques and their various commercial names. The student should also acquire skills to select
20 1
and use the materials appropriately for laboratory and clinical use.
(1) Qualitative observation of restorative dental resins.
(2) Determination of setting time of chemically activated composite resins.
Page 69 of 127
g) PRACTICALS: 240 Hours (40 hours in First BDS & 200 Hours in second BDS)
Demonstration of manipulation of all materials (for a batch not more than 8
students).
Exercises to be done by each student:
Impression material
Manipulation and taking of impressions and the identifying setting time and
defects. (Comparative studies included)
Gypsum products
Manipulation and pouring impressions-identify setting time and working time
and working time with reference to proportion, water temperature and
spatulation time.
Self-cure and heat cure acrylic resin manipulation and curing.
Cements-manipulation and studying setting time and working time for luting,
base and restoration.
Silver Amalgam-manipulation, trituration, condensation and studying setting and
working time.
h) SCHEME OF EXAMINATION:
The University Theory examination will have two sections of 50 marks each
Section A Prosthodontics & Section B Conservative Dentistry
For Dental Materials University Practical Examination, if internal examiner is
from Prosthodontics, External examiner should be from Conservative Dentistry and
vice versa
Distribution of Topics and Type of Questions for written examination Section A:
Prosthodontics
Types of Questions and
Contents Marks
Marks
Structured Essays
Question from any Prosthodontic topic included in Section A 14
1x 14marks
Questions from any Section A topic including orthodontics. Brief structured Essays
16
Avoid questions in the topic from which long essay question is 2 x 8marks
set Short Answers
20
5x4marks
Total 50
i. Theory
University Written 50Marks
Internal Assessment 15 Marks
Viva Voce: 10 Marks
ii. Practicals:
University Practical Examination: 40 Marks
Spotters (5x 2Marks) 10 Marks
Manipulation of Any one of the following Dental materials: 25 Marks
Gypsum products
Irreversible Hydrocolloid
Impression Compound
Rubber base impression Material
Zinc Oxide Impression Material
Practical Work Record 5 Marks
Internal Assessment: 10 Marks
Page 70 of 127
Distribution of Topics and Type of Questions for University Written examination:
Section B: Conservative Dentistry
Types of Questions and
Contents Marks
Marks
Structured Essays
Question from Any Conservative Dentistry topic in Section B 14
1x 14marks
Questions from any Section B topic including orthodontics. Brief structured Essays
16
Avoid questions in the topic from which long essay question is 2 x 8marks
set Short Answers
20
5x4marks
Total 50
i. Theory
University Written 50Marks
Internal Assessment 10 Marks
Viva Voce: 15Marks
ii. Practicals:
University Practical Examination: 40 Marks
Spotters (5x 2Marks) 10 Marks
Manipulation of Any one of the following Dental Cements: 25 Marks
ZnO Euginol (Luting/Filing Consistency)
Zinc Phosphate Cement (Luting/base Consistency)
Glass Ionomer Cement Type I/II (Luting/Filling Consistency)
Polycarboxylate Cement (Luting Consistency)
Amalgam Trituration
Practical Work Record 5 Marks
Internal Assessment: 10 Marks
Page 71 of 127
8. GENERAL AND DENTAL PHARMACOLOGY AND THERAPEUTICS
a) GOAL:
The broad goal of teaching under graduate students in pharmacology is to inculcate
rational and scientific basis of therapeutics keeping in view of dental curriculum and
Profession.
b) OBJECTIVES:
At the end of the course the student shall be able to:
i. Describe the pharmacokinetics and pharmacodynamics of essential and
commonly used drugs in general and in dentistry in particular,
ii. List the indications, contraindications; interactions, and adverse reactions of
commonly used drugs with reason,
iii. Tailor the use of appropriate drugs in disease with consideration to its cost,
efficacy, safety for individual and mass therapy needs,
iv. Indicate special care in prescribing common and essential drugs in special
medical situations such as pregnancy, lactation, old age, renal, hepatic
damage and immuno compromised patients,
v. Integrate the rational drug therapy in clinical pharmacology,
vi. Indicate the principles underlying the concepts of "Essential drugs".
c) SKILLS:
At the end of the course the student shall be able to:
i. Prescribe drugs for common dental and medical ailments.
ii. To appreciate adverse reactions and drug interactions of commonly used
drugs.
iii. Observe experiments designed for study of effects of drugs.
iv. Critically evaluate drug formulations and be able to interpret the clinical
pharmacology of marketed preparations commonly used in dentistry.
d) INTEGRATION:
Practical knowledge of use of drugs in clinical practice will be acquired through
integrated teaching with clinical departments.
e) THEORY: 70 HOURS
1. General Pharmacology :
a. Definitions: Pharmacology, drug, Pharmacy, sources of drugs with examples. 1
b. Pharmacokinetics with clinical implications. 2
c. Routes of administration: oral, inhalation, intradermal, Subcutaneous, intramuscular, intravenous
intrathecal, perineural & Newer drug regimes. (Advantages and disadvantages with the examples 1
of drugs administered).
d. Pharmacodynamics: mechanism of action, factors modifying drug actions with emphasis on
factors like - age, sex, dose, frequency & route of administration, presence of other drugs, 2
Pharmacogenetics and Pathological conditions.
e. Therapeutics: Principles of drug therapy, Adverse drug reactions and drug interactions. 3
2.ANS drugs:
Clinically used examples, their important pharmacological actions (which form the basis for the uses), clinical uses
along with dental uses if any and specific adverse effects of-
a. Sympathomimetics 1
b. Sympatholytics-alphablockers, Beta -blockers. 2
c. Cholinomimetics. 2
d. Anticholinergics: 2
3. Detailed pharmacology of:
a. Clinically used opiod and non-opiod analgesics. 2
b. Clinically used local anesthetics. 2
Detailed Pharmacology & Enumeration of clinically used agents, their brief Pharmacology,
clinical uses along with dental uses if any, and specific adverse effects of:
a. Ethyl alcohol - actions, uses and drug interactions. 1
b. General anesthetics & Pre-anaesthetic medication 2
c. Antipsychotics, antidepressants, anxiolytics 2
Page 72 of 127
d. Sedative hypnotics 2
e. Antiepileptics 1
CVS drugs:
Enumeration/Classification of clinically used agents their important pharmacological actions(that
form the basis of their uses)Clinical uses along with dental uses if any, and specific adverse effects of
a. Cardiacglycosides 1
b. Antianginaldrugs 1
c. Antihypertensives. 1
d. Diuretics 1
e. Pharmacotherapy of shocks-anaphylactic, cardiogenic hypovolemic &Septic. 1
Drugs acting on blood: Detailed pharmacology of:
a. Coagulants, anticoagulants, fibrinolytics, antiplatelet drugs and styptics 3
b. Hematinics: Iron preparationVit.B12,FolicacidVit.C 3
c. Vit. D and calcium preparations 1
Endocrines:
Enumeration/Classification of clinically used agents and their preparations, Mechanism of action,
clinical uses along with dental uses if any and specific adverse effects of:
a. Drugs used in diabetes mellitus 2
b. Corticosteroids 2
Chemotherapy:
Enumeration/Classification of clinically used Agents, their mechanism of action clinical uses along
with dental uses if any and specific adverse effects of:
a. Sulfonamides 1
b. Beta-lactum antibiotics 2
c. Macrolides and aminoglycosides 1
d. Broad spectrum antibiotics 1
e. Antifungal and antiviral(acyclovir) agents 2
f. Metronidazole and fluoroquinolones 1
g. Antineoplastic Drugs: Alkylating agents, Anti metabolities, Radioactive Isotopes, Vinka Alkaloids,
2
Anticancer antibiotics.
h. Drug Therapy of Tuberculosis, Leprosy& Malaria 3
Other drugs:
Enumeration of clinically used agents, general uses along with dental uses if any and specific
adverse effects of:
a. Antihistamines and antiemetics 2
b. Drugs used in bronchial asthma and cough 1
c. Drugs used in peptic ulcer 2
d. Chelating agents-BAL, EDTA & Penicillamine 1
e. Antihelmenthics 2
Dental Pharmacology
a. Fluoride pharmacology 1
b. Antiseptics, astringents & Sialogogues 1
c. Obtundents, Mummifying agents and disclosing agents 1
d. Prevention and drug therapy of emergencies in dental practice
1. Seizures
2. Anaphylaxis
3. Severe bleeding
4. Shock 2
5. Tetany
6. Status asthmaticus
7. Acute addisonian crisis
8. Diabetic Ketoacidosis
Page 73 of 127
6 Mandl's paint/Gum paint percentage dilution-concept and calculations with suitable examples. 2
7 Mouthwashes-Alkaline, antiseptic, astringent 2
8 Toothpastes 2
9 Prescription writing for15 general conditions commonly encountered in clinical practice. eg. Bronchial 2
asthma, hypertension congestive heart failure, angina pectoris, peptic ulcer, bacillary dysentery,
pseudomembranous colitis, diabetes mellitus, diabetic coma, osteoarthritis, anaphylaxis, status
asthmaticus, Status epilepticus, iron deficiency & pernicious anaemia
10 Dental prescriptions for about fifteen dental conditions commonly encountered in practice eg. Acute 2
necrotising ulcerative gingivitis, acute herpetic gingivitis/stomatitis, acute gingival abscess, pericoronal
abscess (impacted teeth), dental caries, aphthous ulcers, hypersensitive dentine, dentoalveolar
abscess, xerostomia, acute toothache, post-operative pain, post extraction pain with swelling, oral
candidiasis, scurvy etc.
g) SCHEME OF EXAMINATION
Distribution of Topics and Type of Questions for University Written examination:
Types of Questions and
Contents Marks
Marks
Questions from Pharmacokinetics, pharmacodynamics, antibiotics, NSAID’s,
Local Anaesthetics, Anticoagulants, Beta blockers, Glucocorticoids, Calcium Structured Essays
Channel blockers, ACE inhibitors, Opioid analgesics, Sympathomimetics, Anti-
28
2x 14marks
Cholinergics, Cardiac Glycosides, Dental Pharmacology.
Questions should Preferably be setfrom all other chapters excluding the one Brief structured Essays
from which a Long Essay Question has been set 32
4 x 8marks
Short Answers
40
10x4marks
Total 100
iii. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
iv. Practicals:
University Practical Examination: 80 Marks
Spotters 10x 1Mark 10 Marks
Prescriptions (1 Medical & 1 Dental) 2x10Marks 20 Marks
Preparations (1 Medical & 1 Dental) 2x20Marks 40 Marks
Practical Work Record 10 Marks
Internal Assessment: 20 Marks
Page 74 of 127
9. PRE CLINICAL CONSERVATIVE DENTISTRY
a) LABORATORY EXERCISES
Sl.No. Practical exercise Hours
Identification and study of hand cutting instruments chisels, gingival margin trimmers, excavators and
1 3
hatchet.
2 Identification and use of rotary cutting instruments in contra angle hand pieces burs (Micromotor) 2
Preparation of class I and extended class I and class II and MOD's and class V amounting to 10 exercises in
3 30
plaster models
Exercises on phantom head models(Typhodonts) which includes tooth preparation, base and varnish
application, matrix and wedge placement followed by amalgam restoration
Class I 5
4 Class I with extension 2
95
Class II 10
Class II MODS 2
Class V and III for glass ionomer 4
Class V for amalgam 2
10 exercises on mounted extracted teeth .Tooth preparation, base application, matrix and wedge
placement, and restoration with amalgam.
Class I 2
5 Class I with extension 2 20
Class II 4
Class V 2
Polishing of above restorations
Cast Restoration –Inlay preparation:
Class I 1 To prepare Wax patterns
6 20
Class II 2+1 MOD To prepare wax patterns and one to be casted
Class V 1 (posterior)
Management of deep caries
7
a. Pulp capping : Direct/ Indirect on extracted teeth
8 b. Pulpotomy on extracted posterior teeth
Demonstration of Light cure composite and Glass Ionomer
9 30
Restorations.
Endodontic exercises.
Root canal access preparation on Upper Extracted Central incisor. Determination of working length
10
Demonstration of Instrumentation and Obturation of root canal space.
Restoration of access preparation
b) SCHEME OF EXAMINATION
i. Practicals
Internal Assessment 20
Page 75 of 127
Base and Matrix 15 Minutes 10 Marks
Amalgam restoration and carving 30 Minutes 10 Marks
Practical Exercise No.(2): 10 Marks
Spotters: Time: 02 minutes each
Type of Spotters:
Hand instruments used for tooth preparation and restoration
Identification of Root Canal Instruments
a) SCHEME OF STUDY
The undergraduate study of orthodontics spans over second year, third year and
fourth year. In second year the emphasis is given for basic and preclinical wire
bending exercises and appliance fabrication.
3 Appliance fabrication
• Hawleys appliance
• Hawleys appliance with ABP
• Hawleys appliance with PBP and Z spring
• Tongue guard appliance 60
• Oral screen
• Catalan’s appliance
• Expansion appliance
Page 76 of 127
Theory topics to be covered in second BDS should be adjusted with the practical classes
d) SCHEME OF EXAMINATION
i. Practicals
Internal Assessment 20
Note: Preclinical viva should be limited to, Orthodontic material science (orthodontic wire alloys,
impression materials, acrylic, Gypsum products), removable appliances, study models, soldering and
welding
Page 77 of 127
11 PRECLINICAL PROSTHODONTICS AND CROWN & BRIDGE
a) LABORATORY EXERCISES: Total 380 Hours ( I yr. 100, II yr. 200, IIIyr.80)
Sl.No. Practical Exercise Hours
13 Preparation RPD wax pattern on casts (class I, class II, class III & class IV)
Maxillofacial Prosthesis
14 Preparation of Obturators
Fixed Prosthodontics
17 Preparation of individual crowns on large sized teeth – jacket crown, anterior. Full crown, posterior. Partial
veneer crown – anterior. Partial veneer crown – posterior 80
18 Preparation of individual crowns on phantom head. Jacket crown – central incisor
A work record should be maintained by all students and should be submitted at the time of examination after due
certification from the Head of the Department.
To appear for IIBDS preclinical Prosthodontics examination it is Mandatory that Laboratory exercises
from No. 1 to No. 11 mentioned in the table above is completed.
Page 78 of 127
b) SCHEME OF EXAMINATION
i. Practicals
Internal Assessment 20
Note: Preclinical viva should be limited to, Laboratory Procedures related to Complete Denture
Fabrication, Articulators, Anatomical landmarks, Impression Procedures, Introduction to jaw
relation recording, Selection & arrangement of teeth, Complete Denture Occlusion, Try in
Procedures and Components of RPD & FPD.
Page 79 of 127
12 GENERAL MEDICINE
a) GUIDELINES:
Special emphasis should be given throughout on the importance of various diseases
as applicable to dentistry.
i. Special precautions/ contraindication for anaesthesia in oral and dental
procedures in different systemic diseases.
ii. Oral manifestations of systemic diseases.
iii. Medical emergencies in dental practice.
A dental student should be taught in such a manner that he/she is able to record the
arterial pulse, blood pressure and be capable of suspecting by sight and superficial
examination of the body, diseases of the heart, lungs, kidneys, blood etc. He should
be capable of handling medical emergencies encountered in dental practice.
b) THEORY: 60 HOURS
CORE TOPICS Hours
1. Aims of medicine, definitions of diagnosis, treatment & prognosis. History taking ,Physical
examination of the patient, diagnosis and management of disease. Genetics and disease, Medical 2
Ethics.
2.Infections: Enteric fever, HIV, Herpes simplex, Herpes zoster, Syphilis ,Diphtheria, Malaria,
Actinomycosis, Viral hepatitis, Tuberculosis. Infectious mononucleosis Mumps, Measles, Rubella, 5
Leprosy, Organisation and functions of the immune systems.
3. G.I.T: Stomatitis, Gingival hyperplasia, Dysphagia, Acid peptic disease, Jaundice, Acute and
chronic hepatitis, Cirrhosis of liver, Ascitis, Amoebiasis, Tender hepatomegaly , Hepatotoxic drugs,
5
Portal hyper tension. Diarrhoea and Dysentery including Malabsorbtion syndromes ,Helicobacter
pylori.
4. CVS :Acute rheumatic fever Valvular heart disease, Hypertension, Ischemic heart disease
(myocardial infarction), Infective endocarditis, Common arrhythmias, Classification of congenital 7
heart disease, Congestive cardiac failure. Heart failure, Fallot’s tetralogy, ASD, VSD.
5.Respiratory System:
Applied Anatomy and physiology of RS, Pneumonia, COPD ,Pulmonary tuberculosis, Bronchial
asthma, Pleural effusion, Acute respiratory tract infections, Pulmonary embolism , Suppurative 6
lung diseases, Lung abscess. Pneumothorax , Bronchiectasis Lung Cancer, Empyema, Sleep apnea,
ARDS, Respiratory failure.
6.Hematology
Hematopoiesis, Anaemias, Bleeding & Clotting disorders, Acute and chronic myeloid leukemias,
Agranulocytosis and Neutropenia, Thrombocytopenia , Splenomegaly Lymphomas, Oral
7
manifestations of haematological disorders, Generalized Lymphadenopathy. Principles of blood
and blood products transfusion, Thromboembolic disease, Oncogenesis, Haemolytic anemia, DIC
(Disseminated Intravascular Coagulation).
7.Renal System :Acute nephritis and Nephrotic syndrome, U.T.I Renal function tests ,CRF 5
8. Nutrition: Balanced diet, PEM, Vitamin deficiency disease, Calcium and phosphate metabolism,
4
Flurosis. Osteomalacia, Osteoporosis.
9. CNS: Facial palsy, Facial pain Trigeminal neuralgia, Epilepsy, Headache including migraine.
Meningitis (Acute and Chronic) Anticonvulsants, Examination of comatose patient, Examination of 7
cranial nerves.
10.Endocrine : Diabetes mellitus Acromegaly, Hypothyroidism, Thyrotoxicosis, Calcium
metabolism and parathyroids. Addison's disease, Cushing's syndrome, Parathyroid disease and 6
calcium metabolism, Preoperative assessment of diabetic patients, Acute adrenal deficiency.
11. Critical care :Syncope, Cardiac arrest, Cardio Pulmonary Resuscitation (CPR), Cardiogenic 4
shock, Anaphylaxis ,Allergy, Angio -neurotic edema. Acute LVF, ARDS, Coma.
Miscellaneous : Adverse drug reactions, Drug interactions. Rheumatoid disease, Osteoarthritis,
Scleroderma.
Page 80 of 127
clubbing, cyanosis, jaundice, lymphadenopathy, oral cavity) and be able to
examine CVS, RS , abdomen and facial nerve and signs of meningeal irritation.
d) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examnination:
Types of Questions and
Total Marks
Distribution of Marks
Structured Essays
28
2x 14marks
Brief structured Essays
32
4 x 8marks
Short Answers
40
10x4marks
Total 100
i. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
ii. Clinicals:
University Clinical Examination: 80 Marks
Case History 15 Marks
Clinical Examination 30 Marks
Investigation 10Marks
Diagnosis & D.D 15 Marks
Management 10 Marks
Internal Assessment: 20 Marks
Page 81 of 127
13 GENERAL SURGERY
a) AIMS:
To acquaint the student with various diseases which may require surgical
intervention. And to train the student to analyze the disease history and be able to
do a thorough physical examination of the patient. The diseases as related to head
and neck region are to be given due importance, at the same time other relevant
surgical problems are also to be addressed. At the end of one year of study the
student should have a good theoretical knowledge of various ailments, and be
practically trained to differentiate benign and malignant diseases and be able to
decide which patient requires further evaluation.
b) OBJECTIVES:
Skills to be developed by the end of teaching are to examine a routine swelling, ulcer
and other related diseases and to perform minor surgical procedures such as
draining an abscess, taking a biopsy etc.
c) THEORY: 60 HOURS
Sl.
Topic Hours
No.
HISTORY OF SURGERY: The development of surgery as a specialty over the years, will give the
students an opportunity to know the contributions made by various scientists, teachers and
1 1
investigators. It will also enable the student to understand the relations of various specialties
in the practice of modern surgery.
GENERAL PRINCIPLES OF SURGERY: Introduction to various aspects of surgical principles as
2 related to orodental diseases. Classification of diseases in general. This will help the student to 2
understand the various diseases, their relevance to routine dental practice.
PRINCIPLES OF OPERATIVE SURGERY: Principles as applicable to minor surgical procedures
including detailed description of asepsis, antiseptics, sterilisation, principles of anaesthesia
3 1
and principles of tissue replacement. Knowledge of sutures, drains, diathermy, cryosurgery
and use of Laser in surgery.
WOUNDS: Their classification, wound healing, repair, treatment of wounds, skin grafting,
4 3
medicolegal aspects of accidental wounds and complications of wounds.
INFLAMMATION: Of soft and hard tissues. Causes of inflammation, varieties, treatment and
5 1
sequelae.
INFECTIONS: Acute and chronic abscess skin infections, cellulitis, carbuncle, and erysepelas.
6 Specific infections such as tetanus, gangrene, syphilis, gonorrhoea, tuberculosis, 5
Actinomycosis, Vincents angina, cancrum oris. Pyaemia, toxaemia and septicaemia.
TRANSMISSABLE VIRAL INFECTIONS: HIV and Hepatitis B with special reference to their
7 2
prevention and precautions to be taken in treating patients in a carrier state.
SHOCK AND HAEMORRHAGE: Classification, causes, clinical features and management of
various types of shock. Syncope, Circulatory collapse. Haemorrhage -different types, causes,
8 clinical features and management. Blood groups, blood transfusion, precautions and 5
complications of blood and their products. Hemophilia's, their transmission, clinical features
and management especially in relation to minor dental procedures.
TUMOURS, ULCERS, CYSTS, GANGRENE, SINUS, AND FISTULAE: Classification, clinical
9 examination and treatment principles in various types of benign and malignant tumours, 9
ulcers, cysts, gangrene, sinus and fistulae.
DISEASES OF LYMPHATIC SYSTEM: Especially those occurring in head and neck region.
10 Special emphasis on identifying diseases such as tubercular infection, lymphomas, 1
leukaemias, metastatic lymph node diseases.
DISEASES OF THE ORAL CAVITY: Infective and malignant diseases of the oral cavity and
11 oropharynx including salivary glands with special emphasis on preventive aspects of 2
premalignant and malignant diseases of the oral cavity.
NECK SWELLINGS – Midline and Lateral swellings, Cystic and Solid swellings –Classification,
12 1
Differential diagnosis, Treatment
DISEASES OF LARYNX, NASOPHARYNX: Infections and tumours affecting these sites.
13 2
Indications, procedure and complications of tracheostomy.
NERVOUS SYSTEM: Surgical problems associated with nervous system with special reference
14 1
to the principles of peripheral nerve injuries, their regeneration and principles of treatment.
Page 82 of 127
Detailed description of afflictions of facial nerve And its management. Trigeminal neuralgia, its
presentation and treatment.
FRACTURES: General principles of fractures, clinical presentation and treatment with
15 additional reference to newer methods of fracture treatment. Special emphasis on fracture 1
healing and rehabilitation.
16 HEAD INJURY MANAGEMENT 1
17 MANAGEMENT OF SEVERELY INJURED PATIENT – RESUSCITATION 1
DISEASES OF ARTERIES AND VEINS IN GENERAL –Varicose veins, Atherosclerosis, Aneurysm,
18 1
Carotid Body tumours
ANOMALIES OF DEVELOPMENT OF FACE: Surgical anatomy and development of face. Cleft lip
19 1
and cleft palate—principles of management.
DISEASES OF THYROID AND PARATHYROID: Surgical anatomy, pathogenesis, clinical features
20 and management of dysfunction of thyroid and parathyroid glands. Malignant diseases of the 2
thyroid—classification, clinical features and management.
SWELLINGS OF THE JAW: Differential diagnosis and management of different types of
21 2
swellings of the jaw, Osteomyelitis of mandible
22 BIOPSY: Different types of biopsies routinely used in surgical practice. 1
23 BURNS AND SCALDS 1
Desirable to know: Introduction to oncology, radiotherapy, surgery and genetic engineering
E.N.T: Ear: Middle ear infection; Nose: Para nasal sinuses; Throat: Tonsilitis & Peritonsillar Abscess
d) CLINICALS: 90 HOURS (posting in a general hospital)
e) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written examination:
Types of Questions and
Total Marks
Distribution of Marks
StructuredEssays
28
2x 14marks
Brief structuredEssays
32
4 x 8marks
Short Answers
40
10x4marks
Total 100
i. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
ii. Clinicals:
University Clinical Examination: 80 Marks
Long Case
Case History 15 Marks
Clinical Examination 30 Marks
Suggested Investigations 10Marks
Diagnosis & D.D 15 Marks
Management 10 Marks
Internal Assessment: 20 Marks
Page 83 of 127
14 ORAL PATHOLOGY & ORAL MICROBIOLOGY
a) OBJECTIVES:
At the end of Oral Pathology & Microbiology course, the student should be able to:
i. Comprehend the different types of pathological processes that involve the
Orofacial tissues.
ii. Comprehend the manifestations of common diseases, their diagnosis &
correlation with clinical pathological processes.
iii. Understand the oral manifestations of systemic diseases and correlate with the
systemic physical signs & laboratory findings.
iv. Understand the underlying biological principles governing treatment of
oral diseases.
v. Understand the principles of certain basic aspects of Forensic Odontology.
b) SKILLS
The Following skills are to be developed:
i. Microscopic study of common lesions affecting oral tissues through
microscopic slides & projection slides
ii. Study of the disease process by surgical specimens
iii. Study of teeth anomalies/polymorphisms through tooth specimens & plaster
casts.
iv. Microscopic study of plaque pathogens
v. Study of haematological preparations (blood films) of anaemias & leukemias
vi. Basic exercises in Forensic Odontology such as histological methods of age
estimation and appearance of teeth in injuries.
Page 84 of 127
h) Developmental disturbances in size of teeth:
- Microdontia, Macrodontia
i) Developmental disturbances in the shape of the teeth:
79 14
- Fusion, Germination, Concrescence, Dilacerations, Talon's Cusp, Dens
in Dente, Dens Evaginatus, Taurodontism, Supernumerary Roots,
Enameloma
j) Developmental Disturbances in number of teeth
- Anodontia, Supernumerary teeth, Predecidious and Post Permanent
dentition
k) Developmental Disturbances in Structure of Teeth:
- Amelogenesis Imperfecta, Enamel Hypoplasia, Dentinogenesis
Imperfecta, Dentinal dysplasia, Regional Odontodysplasia, Shell Teeth.
l) Developmental Disturbances in eruption of teeth:
- Premature Eruptions, Eruption Sequestrum, Delayed Eruption, Multiple
Unerupted teeth, Submerged Teeth.
m) Developmental / Fissural cysts of the Oral cavity
- Median palatal cyst, Globulomaxillary cyst, Median Mandibular cyst,
Naso-alveolar cyst, Palatal cyst of neonates, Thyroglossal duct cyst,
Epidermoid, and Dermoid cyst, Nasopalatine cyst.
Theories,Clinicalfeatures,Classification, Histopathology,Microbiology of
3 Dental caries 4
Dental caries ,Immunology, Caries activity tests,Factors influencing caries
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
Diseases of the c) Osteomyelitis
4 Pulp & Periapical - Acute Suppurative Osteomyelitis, Chronic Focal and Diffuse 6
tissues Sclerosing Osteomyelitis, Garre's Ostemyelitis
Sequelae of periapical abscess - summary of space infections, systemic
complications & significance
Cellulitis,Ludwig’s angina,Intra cranial complication of dental
infection,Maxillary sinusitis,Focal infection and foci of infection
Topics for III Year Description
Classification of Odontogenic, Non-Odontogenic & Salivary Gland
Tumours. Etiopathogenesis, clinical features, histopathology, radiological
features & laboratory diagnosis (as appropriate) of the following common
tumours :- 1
1.Odontogenic tumours
-Classification
Benign
a.Odontogenic epithelium without odontogenic ectomesenchyme-
Ameloblastoma,Calcifying Epithelial Odontogenic Tumour,Adenomatoid
Odontogenic Tumour,Squamous Odontogenic tumour
b.Odontogenic epithelium with Odontogenic ectomesenchyme-
Ameloblastic fibroma,Ameloblastic fibro 9
odontoma,Odontoma,Dentinogenic Ghost cell Tumour
c.Odontogenic ectomesenchyme with or without included odontogenic
Benign and
epithelium-Peripheral and Central odontogenic fibroma,Odontogenic
malignant tumours
1 Myxoma,Benign cementoblastoma
of Oral cavity
Malignant
a.Odontogenic carcinomas: Metastasizing ameloblastoma,Ameloblastic
carcinoma
2. Non-odontogenic
a.Benign tumours of epithelial tissue origin
-Papilloma,Keratoacanthoma,Nevus
b.Premalignant lesions and conditions 30
-Definition,Classification
-Epithelial dysplasia
-Leukoplakia,Carcinoma in situ,Erythroplakia,,Oral submucous fibrosis
c.Malignant tumours of epithelial tissue origin
-Basal cell carcinoma,Epidermoid carcinoma (Epidemiology,etiology,clinical &
histological features,Grading and TNM staging),Verrucous carcinoma ,Malignant
melanoma,Recent advances in diagnosis , management and prevention of Oral
cancer
Page 85 of 127
d.Benign tmours of Connective tissue origin
-Fibroma,Giant cell fibroma,Peripheral and Central ossifying
fibroma,Lipoma,Haemangioma(different
types),Lymphangioma,Chondroma,Osteoma,Osteoid osteoma,Benign
osteoblastoma,Tori and Multiple exostoses
e.Tumour like lesions of Connective tissue origin-
-,Peripheral ossifying fibroma
f.Malignant tumours of Connective tissue origin
-Fibrosarcoma,Chondrosarcoma,Kaposi’s sarcoma,Ewing’s
sarcoma,Osteosarcoma,Hodgkin’s and Non Hodgkin’s lymphoma,Burkitt’s
lymphoma,Multiple myeloma,Solitary Plasma cell myeloma
g.Benign tumours of Muscle tissue origin
-Leiomyoma,Rhabdomyoma,Congenital Epulis of newborn,Granular cell tumour
h.Benign and Malignant tumours of Nerve tissue origin 8
-Neurofibroma and Neurofibromatosis ,Schwannoma,,Melanotic neuroectodermal
tumour of infancy,Malignant Schwannoma.
i.Metastatic tumours of Jaws and Soft tissues of Oral cavity
3. Salivary Gland
Benign neoplasms - Pleomorphic Adenoma, Warthin's tumour, &
Oncocytoma.
Malignant neoplasms –Malignant Pleomorphic adenoma Adenoid Cystic
Carcinoma, Mucoepidermoid Carcinoma, Acinic Cell Carcinoma &
Adenocarcinomas.
Classification, etiopathogenesis, clinical features, histopathology,
laboratory & radiological features (as appropriate) of
Odontogenic cysts- Odontogenic keratocyst,Dentigerous cyst,Primordial
Cysts of the Oral &
2 cyst,Dental lamina cyst of newborn,Gingival cyst of adults,Lateral 8
Paraoral region
periodontal cyst,Calcifying odontogenic cyst,Radicular cyst
Non-Odontogenic cysts- Pseudocysts of jaws,Aneurysmal bone
cyst,Traumatic bone cyst & soft tissue cysts of oral & paraoral region.
Non neoplastic Sialolithiasis,Sialosis, Sialadenitis, Xerostomia & Ptyalism. Sjogren’s
3. Salivary Gland syndrome ,Benign lymphoepithelial lesion,,Necrotizing sialometaplasia 2
Diseases :
Pyogenic granuloma,Peripheral& Central Giant cell granuloma, exostoses
Traumatic, Fibrous Hyperplasia, Traumatic Ulcer & Traumatic Neuroma.
Reactive & Attrition, Abrasion, Abfraction Erosion, Bruxism, Hypercementosis, 5
4. Regressive lesions Dentinal changes, Pulp calcifications & Resorption of teeth.
of Oral Cavity : Radiation effects of oral cavity,
Allergic reactions of the oral cavity.
-Angioedema,Stomatitis medicamentosa,Stomatitis venenata
Microbiology, defence mechanisms including immunological aspects, oral
manifestations, histopathogy and laboratory diagnosis of common
bacterial, viral & fungal infections namely :-
Bacterial : Scarlet fever,Diphtheria,Tuberculosis, Syphilis, Actinomycoses
Microbial
& its complications - Cancrum Oris, Tetanus,Noma .
5. infections of oral 10
Viral : Herpes Simplex, Varicella zoster, Measles, Mumps & HIV infection
soft tissues :
and Oral manifestation of AIDS.
Fungal : Candidiasis,Histoplasmosis
Immunological diseases: Reccurent Aphthous stomatitis,Bechet’s
syndrome,Reiter’s syndrome,Sarcoidosis.
Common non- Etiopathogenesis, clinical features, radiological & laboratory values in
inflammatory diagnosis of: Fibrous dysplasia, Cherubism, Osteogenesis Imperfecta,
6. 6
diseases involving Paget's bone disease, Cleidocranial dysplasia, Rickets, Achondroplasia,
the jaws Marfan's syndrome , Down's syndrome and Histiocytosis X disease.
Biopsy,Cytology Factors affecting healing of wounds
and Healing of Oral -healing of extraction wound and Dry socket 4
7.
wounds Biopsy-techniques,Healing of biopsy wound
-Exfoliative cytology-Indications,Staining and Interpretation
Brief review & oral manifestations, diagnosis & significance of common
Blood, Nutritional, Hormonal & Metabolic diseases of Oral cavity. 4
Systemic Diseases a.Blood dyscrasias-Clinico-pathological aspects and oral manifestations of
8. involving Oral Anemias,Polycythemia,Leukopenia,Neutropenia,Agranulocytosis,Chediak-
cavity Higashi syndrome,Leukocytosis,Infectious mononucleosis,Leukemias
,Purpura Haemophilia 5
b.Oral aspects of Disturbances in mineral metabolism
Page 86 of 127
c.Oral aspects of Avitaminosis and Hypervitaminoses
d.Oral Aspects of Endocrine dysfunction
Etiopathogenesis, clinical features & histopathology of the following
Mucocutaneous
common lesions. Lichen Planus, Lupus Erythematosus, Pemphigus &
9. Iesions :
Pemphigoid lesions, Erythema Multiforme, Psoriasis, Scleroderma, 10
Ectodermal Dysplasia, Epidermolysis bullosa & White sponge nevus.
Stains,Calculus,Dental plaque
Etiopathogenesis, microbiology, clinical features, histopathology &
Periodontal radiological features (as appropriate) of gingivitis, gingival enlargements
10.
Diseases : ,ANUG,,chronic desquamative gingivitis periodontitis and juvenile 4
periodontitis. Basic immunological mechanisms of periodontal disease to
be highlighted.
Ankylosis, luxation and subluxation, summary of different types of
Diseases of TM
11. arthritis & other developmental malformations, traumatic injuries &
Joint
myofascial pain dysfunction syndrome. 2
Diseases of the Facial neuralgias – Trigeminal ,Sphenopalatine & Glossopharyngeal
Nerves : neuralgias, VII nerve paralysis, Causalgia 2
12.
Psychogenic facial pain & Burning mouth syndrome.
Pigmentation of Pigmentation of Oral & Paraoral region & Discolouration of teeth :
2
13. Oral tissues Causes & clinical manifestations.
Diseases of Traumatic injuries to sinus, Sinusitis, Cysts & Tumours involving antrum
2
14. Maxillary Sinus
Introduction, definition, aims & scope.
Sex and ethnic (racial) differences in tooth morphology and histological
age estimation
Principles of Basic Determination of sex & blood groups from buccal mucosa / saliva. 6
Forensic Dental DNA methods
15. Odontology Bite marks, rugae patterns & l i p prints
Dental importance of poisons and corrosives
Overview of forensic medicine and toxicology
d) LABORATORY/PRACTICAL REQUIREMENTS
Students have to maintain records of laboratory procedures/work done/report of
practical:
i. Oral Pathology and Microbiology
Identification of the pathologic features of:
Microdontic tooth
Macrodontic tooth
Gemination of tooth
Fused teeth
Concrescence of tooth
Dilaceration
Dens in dente
Dens evaginatus
Supernumerary root
Hypoplastic enamel
Fluorosis
Abrasion
Attrition
Fracture tooth
Stained tooth
Hypercementosis
Histopathologic Examination of the following gross specimens:
Papilloma
Fibroma
Torus
Page 87 of 127
Carcinoma of oral structures
Salivary Gland Tumours
Ameloblastoma
Periapical Granuloma
Dentigerous Cyst
Pulp Polyp
Microbiologic Examination of:
Tuberculosis
Actinomycosis
Syphilis
Candidiasis
Histopathologic review of:
Amelogenesis Imperfecta
Dentinogenesis Imperfecta
Peripheral Giant Cell Granuloma
Leukoplakia
Carcinoma in situ
Oral Submucous Fibrosis
Carcinoma of Oral Mucosa
Pleomorphic Adenoma
Malignant Pleomorphic Adenoma
Dentigerous Cyst
Odontogenic Keratocyst
Ameloblastoma
Gingival Hyperplasia
ANG
Lichen Planus
Pemphigus
Dental Caries
Haematology Procedures:
Preparation of peripheral smear
Determination of TC, DC, ESR, Hb , Bleeding Time, Clotting Time ,Blood
Picture.
Urochemistry
Analysis for jaundice, Diabetes Mellitus.Urine deposits.
Preparation of oral swab for Microbiology.
ii. Forensic Pathology
Age determination from skull.
Gustafson’s method of age determination
- using incisors
- based on Pillai and Bhaskar’s Formula
e) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examination:
Types of Questions and
Contents Total Marks
Distribution of Marks
One or both questions can be from Oral Long Essays
pathology. 28
2 x 14 marks
A. Oral Pathology - three questions Short Essays
B. Oral Microbiology - one question 32
4x 8 marks
A. Oral Pathology - eight questions
B. Forensic Odontology - two questions
Short Answers 40
Page 88 of 127
10 x 4marks
Total 100
i. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
ii. Clinicals:
University Clinical Examination: 80 Marks
Spotters (Specimen -identification & points in support-10x 2 Marks) 20 Marks
Histopathology slides & one blood slide( Diagram,Labelling and salient features) 40Marks
Forensic Odontology (Estimation of age from ground sections ) 10 Marks
Page 89 of 127
15 PUBLIC HEALTH DENTISTRY
a) GOAL:
To prevent and control oral diseases and promote oral health through organized
community efforts
b) OBJECTIVES:
i. 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 of dental statistics, epidemiological
methods, National oral health policy with emphasis on oral health policy.
ii. Skill and Attitude:
At the conclusion of the course the students shall have acquire 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.
iii. 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
Page 90 of 127
4. Research Methodology and Dental Statistics
i. Health Information: - Basic knowledge of Computers, MS Office, Window
1
2000, Statistical Programmes
ii. Research Methodology: -Definition, types of research, designing a written
1
protocol
iii. Bio-Statistics: - Introduction, collection of data, presentation of data, Measures
of Central tendency, measures of dispersion, Tests of significance, Sampling 6
and sampling techniques-types, errors, bias, blind trails and calibration.
5. Practice Management
i. Place and locality
ii. Premises & layout 4
iii. Selection of equipments
iv. Maintenance of records/accounts/audit.
v. Dentist Act 1948 with amendment.
Dental Council of India and State Dental Councils Composition and 1
responsibilities.
vi. Indian Dental Association Head Office, State, local and branches. 1
Page 91 of 127
f) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examination:
Types of Questions and
Contents Total Marks
Distribution of Marks
StructuredEssays
28
2x 14marks
Any topic within the syllabus of Public Brief structuredEssays
Health Dentistry
32
4 x 8marks
Short Answers
40
10x4marks
Total 100
iii. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
iv. Clinicals:
University Clinical Examination: 80 Marks
Case history taking 10 Marks
Assessment of oral health status using any 2 relevant indices 30Marks
Preventive clinical procedures (Any one)
[ Topical fluoride application, Pit and fissure sealants and ART ] 30 Marks
Oral Health Education Talk/ Presentation of oral health
education material/Short term student research project presentation 10 Marks
Internal Assessment: 20 Marks
Page 92 of 127
16 PERIODONTOLOGY
a) OBJECTIVES:
The student shall acquire the skill to:-
i. Perform dental scaling diagnostic tests of periodontal diseases
ii. To use the instruments for periodontal therapy and maintenance of the same.
The student shall develop attitude to:-
i. Impart the preventive measures namely, the prevention of periodontal
diseases and prevention of the progress of the disease
ii. Perform the treatment with full aseptic precautions
iii. Shall develop an attitude to prevent iatrogenic diseases
iv. To conserve the tooth to the maximum possible time by maintaining
periodontal health
v. To refer the patients who require specialist's care.
b) THEORY: 80 HOURS (III yr.30hrs,Final yr. Part I . 50 hrs)
Topic Hours
1. Introduction, Definition of Periodontology,Periodontics, Periodontia,Brief historical
1
background, Scope of Periodontics
2. Development of periodontal tissues, Micro-structural anatomy and biology of periodontal
tissues in detail Gingiva. Junctional epithelium in detail, Epithelial-Mesenchymal interaction, 1
periodontal ligament, Cementum, Alveolar bone
3. Defensive mechanisms in the oral cavity: Role of Epithelium, Gingival fluid, Saliva and other
1
defensive mechanisms in the oral environment
4. Age changes in teeth and periodontal structures and their association with periodontal
1
diseases and their significance in Geriatric dentistry
5. Classification of periodontal diseases: need for classification, Scientific basis of classification,
1
Classification of gingival and periodontal diseases as described in World Workshopl989
6. Gingivitis: Plaque associated, ANUG, steroid hormone influenced, Medication influenced,
Desquamative gingivitis, other forms of gingivitis as in nutritional deficiency, bacterial and 1
viral infections etc.
7. Periodontitis: Adult Periodontitis, rapidly progressive Periodontitis A &B, Juvenile
Periodontitis (localized, generalized, and post-juvenile), Prepubertal Periodontitis, 1
Refractory Periodontitis
8. Gingival diseases: Localized and generalized gingivitis, Papillary, marginal and diffuse
gingivitis aetiology, pathogenesis, clinical signs, symptoms and management of
a) Plaque associated gingivitis
b) Systemically aggravated gingivitis (sex hormones, drugs and systemic diseases)
c) ANUG
d) Desquamative gingivitis-Gingivitis associated with Lichen Planus, Pemphigoid, 7
Pemphigus, and other Vesiculobullous lesions
e) Allergic gingivitis
f) Infective gingivitis-Herpetic, Bacterial and Candidial
g) Pericoronitis
h) Gingival enlargement (classification and differential diagnosis)
9. 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 Periodontics, Detailed understanding of
Silness & Loe Plaque Index, Loe & Silness Gingival Index, CPITN &CPL, Prevalence of 3
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.)
10. Extension of inflammation from Gingiva, mechanism of spread of inflammation from gingival
1
area to deeper periodontal structures, Factors that modify the spread
11. Pocket ,Definition, signs and symptoms, classification, pathogenesis, histopathology, root
1
surface changes and contents of the pocket
12. Etiology
a) Dental Plaque (Biofilm), Definition, New concept of Biofilm , Types, composition,
bacterial colonization, growth, maturation &disclosing agents, Role of dental plaque in
5
periodontal diseases, Plaque microorganisms in detail and bacteria associated with
periodontal diseases, Plaque retentive factors,Materia alba, Food debris
b) Calculus,Definition, Types, composition, attachment, theories of formation, Role of
Page 93 of 127
calculus in disease
c) Food Impaction, Definition Types, Etiology,Hirschfield’s classification,Signs, symptoms
& sequelae of treatment
d) Trauma from occlusion, Definition, Types,Histopathological changes, Role in
periodontal disease, Measures of management in brief
e) Habits, Their periodontal significance, Bruxism & Parafunctional habits, tongue
thrusting, lip biting, occupational habits
f) Iatrogenic factors,
(i) Conservative Dentistry:-Restorations, Contact point, marginal ridge,
surface roughness, overhanging restorations, interface between
restoration and teeth
(ii) Prosthodontics,Interrelationship, Bridges and other prosthesis, Pontics
4
(types), surface contour, relationships of margins to the periodontium,
Gingival protection theory, muscle action theory& theory of access to oral
hygiene.
(iii) Orthodontics,Interrelationship, removable appliances & fixed appliances,
Retention of plaque, bacterial changes
g) Systemic diseases,Diabetes, Sex hormones, nutrition (Vit.C& proteins),AIDS &
periodontium, Hemorrhagic diseases, Leukemia, clotting factor disorders, PMN 1
1disorder
13. Risk factors, Definition, Risk factors for periodontal diseases 1
14. Host response: Mechanism of initiation and progression of periodontal diseases, Basic
concepts about cells, Mast cells, neutrophils, macrophages, lymphocytes, immunoglobulins,
complement system, immune mechanisms & cytokines in brief, Stages in gingivitis-Initial, 2
early, established & advanced, Periodontal disease activity, continuous paradigm, random
burst & asynchronous multiple burst hypothesis
15. Periodontitis:
a) Etiology, histopathology, clinical signs & symptoms, diagnosis and treatment of adult
Periodontitis
b) Periodontal abscess; definition, classification, pathogenesis, differential diagnosis and
treatment 5
c) Furcation involvement, Glickman’s classification, prognosis and management
d) Rapidly progressive Periodontitis Juvenile Periodontitis: Localized and generalized
Post juvenile Periodontitis
e) Periodontitis associated with systemic diseases ,Refractory Periodontitis
16. Diagnosis:
a) Routine procedures, methods of probing, 2 types of probes, (According to case
history) 3
b) Halitosis: Etiology and treatment. Mention advanced diagnostic aids and their role in
brief.
17. Prognosis, Definition, types, purpose and factors to be taken into consideration 1
18. Treatment plan Factors to be considered 1
19. Periodontal therapy
a) General principles of periodontal therapy. Phase I, II, III, IV therapy.
b) Definition of periodontal regeneration, repair, new attachment and reattachment
c) Plaque control 5
(i) mechanical :tooth brushes, Interdental cleaning aids, dentifrices
(ii) Chemical: classification and mechanism of action of each & pocket
irrigation
20. Pocket eradication procedures
a) Scaling and root planning: Indications, Aims & objectives, Healing following root
planning, Hand instruments, sonic, ultrasonic & Piezo-electric Scalers
b) Curettage: Definition Indications present concepts Aims &objectives, Procedures &
5
healing response
c) Flap surgery: Definition, Types of flaps, Design of flaps, papilla preservation
Indications & contraindications, Armamentarium, Surgical procedure & healing
response
21. Osseous Surgery:
a) Osseous defects in periodontal disease, Definition, Classification
b) Surgery: resective, additive osseous surgery (osseous grafts with classification of
grafts) 6
c) Healing responses
d) Other regenerative procedures; root conditioning
e) Guided tissue regeneration
Page 94 of 127
22. Mucogingival surgery & periodontal plastic surgery:
a) Definition, Mucogingival problems: etiology,
b) classification of gingival recession ( P.D.Miller Jr. and Sullivan and Atkins), Indications,
objectives 5
c) Gingival extension procedures: Lateral Pedicle Graft, Frenectomy, Frenotomy
d) Crown lengthening procedures
e) Periodontal microsurgery in brief
23. Splints: Periodontal splints, Purpose & classification, Principles of splinting 1
24. Hypersensitivity, Cause, theories & Management 1
25. Implants: Definition, types, scope & biomaterials used, Periodontal considerations: such as
Implant-bone interface, Implant-Gingiva interface, Implant failure, Peri-implantitis 1
&management
26. Maintenance phase (SPT):
a) Causes, Theories & management
b) Aims, objectives, and principles
4
c) Importance
d) Procedures
e) Maintenance of implants
27. Pharmacotherapy:
a) Periodontal dressings
4
b) Antibiotics & anti-inflammatory drugs
c) Local drug delivery systems
28. Periodontal management of medically compromised patients: Topics concerning periodontal
2
management of medically compromised patients
29. Inter-disciplinary care: Pulpo-Periodontal involvement, Routes of spread of infection, Simons
1
classification, Management
30. Systemic effects of periodontal diseases in brief: Cardiovascular diseases, Low birth weight
1
babies etc.
31. Infection control protocol: Sterilization and various aseptic procedures 1
32. Ethics. 1
Page 95 of 127
e) MINIMUM CLINICAL REQUIREMENTS MANDATORY TO APPEAR FOR UNIVERSITY
EXAMINATION:
i. Diagnosis, treatment planning, and discussion and total periodontal
treatment- 25 cases
ii. Dental scaling, oral hygiene instructions – 50complete cases/equivalent
iii. Sub gingival Scaling and Root Plaining - 15 cases
iv. Assistance in periodontal surgery- 5 cases
v. Awork record should be maintained by all the students and should
be submitted at the time of examination after due certification from the head
of the department.
vi. Students should have to complete the work prescribed by the concerned
department from time to time and submit a certified record for evaluation.
f) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examination:
Types of Questions and
Contents Total Marks
Distribution of Marks
StructuredEssays
28
2x 14marks
Questions from any of the Brief structuredEssays
Periodontology Topics
32
4 x 8marks
Short Answers
40
10x4marks
Total 100
v. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
vi. Clinicals:
University Clinical Examination: 80 Marks
Case History, Clinical Examination, Diagnosis &
Treatment Planning 30Marks
Oral prophylaxis 30 Marks
Clinical Work Record & Seminar 20 Marks
Internal Assessment: 20 Marks
Page 96 of 127
17 ORAL MEDICINE AND RADIOLOGY
a) AIM
i. 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.
ii. To train the students about the importance, role, use and technics of radiographs
and other imaging methods in diagnosis.
iii. The principles of the clinical and radiographic aspects of Forensic Odontology.
b) COURSE CONTENT
i. The syllabus in ORAL MEDICINE & RADIOLOGY is divided into two main parts.
(1) Diagnosis, Diagnostic methods and Oral Medicine
(2) (II) Oral Radiology. Again the part ONE is subdivided into three sections. (A)
Diagnostic methods (B) Diagnosis and differential diagnosis (C) Oral
Medicine & Therapeutics.
ii. Emphasis should be laid on oral manifestations of systemic diseases and ill-
effects of oral sepsis on general health.
iii. To avoid confusion regarding which lesion and to what extent the student should
learn and know, this elaborate syllabus is prepared. As certain lesions come
under more than one group, there is repetition.
iv. Theory: 65 Hours (III yr. 15 hrs, Final yr. Part. I. 50 hrs.)
Sl.No. Topic Hours
SECTION (A) - DIAGNOSTIC METHODS.
1. Definition and importance of Diagnosis and various types of diagnosis 1
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 of
diagnosis of saliva as part of oral disease
(d) Examination of lesions like swellings, ulcers, erosions, sinus, fistula, growths, 2
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
4. (a) Biopsy and exfoliative cytology
2
(b) Hematological, Microbiological and other tests and investigations necessary for
diagnosis and prognosis
SECTION (B) - DIAGNOSIS, DIFFERENTIAL DIAGNOSIS
While learning the following chapters, emphasis shall be given only on diagnostic aspects
including differential diagnosis
5.
Anomalies of Skull – No., Size, Shape, other defects.
Page 97 of 127
7. Metabolic disorders – Histiocytosis 1
8. Endocrine - Acro-megaly and hyperparathyroidism Miscellaneous - Paget's disease, Mono and
1
polyostotic fibrous dysplasia, Cherubism.
9. Anomalies of Temperomandibular joint: No., size, shape, positon, function - Developmental
1
abnormalities of the condyle, Rheumatoid arthritis, Osteoarthritis, Sub-luxation and luxation.
10. Common cysts and Tumors:
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
3
Nerve Tissue: Neurofibroma, Traumatic Neuroma, Neurofibromatosis
Salivary Glands: Pleomorphic adenoma, Adenocarcinoma, Warthin's Tumor, Adenoid cystic
carcinoma.
Hard Tissue:
Non Odontogenic: Osteoma, Osteosarcoma, Osteoclastoma, Chondroma, Chandrosarcoma,
Central giant cell rumor, and Central haemangioma Odontogenic: Enameloma,
Ameloblastoma, Calcifying Epithelial Odontogenic tumor, Adenomatoid Odontogenic tumor,
Periapical cemental dysphasia and odontomas
11. Periodontal diseases: Gingival hyperplasia, gingivitis, periodontitis, pyogenic granuloma 1
12. Granulomatous diseases: Tuberculosis, Sarcoidosis, Midline lethal granuloma, Crohn's Disease
1
and Histiocytosis X
13. Miscellaneous Disorders: Burkitt lymphoma, Sturge - Weber syndrome, CREST syndrome,
1
rendu-osler-weber disease
SECTION (C): ORAL MEDICINE AND THERAPEUTICS.
The following chapters shall be studied in detail including the eiology, pathogenesis, clinical
features, investigations, differential diagnosis, management and prevention
14. Infections of oral and paraoral structures:
Bacterial: Streptococcal, tuberculosis, syphillis, vincents, leprosy, actinomycosis, diphtheria 2
and tetanus Fungal: Candida albicans
Virus: Herpes simplex, herpes zoster, ramsay hunt syndrome, measles, herpangina, mumps,
infectious mononucleosis, AIDS and hepatitis-B
15. Important common mucosal lesions:
White lesions: Chemical burns, leukodema, leukoplakia, fordyce spots, stomatitis nicotina
palatinus, white sponge nevus, candidiasis, lichenplanus, discoid lupus erythematosis
Veiculo-bullous lesions: Herpes simplex, herpes zoster, herpangina, bullous lichen planus,
pemphigus, cicatricial pemphigoid erythema multiforme. 3
Ulcers: Acute and chronic ulcers
Pigmented lesions: Exogenous and endogenous
Red lesions: Erythroplakia, stomatitis venenata and medicamentosa, erosive lesions and denture
sore mouth.
16. Cervico-facial lymphadenopathy 1
17. Facial pain:
(i) Organic pain: Pain arising from the diseases of orofacial tissues like teeth, pulp,
gingival, periodontal tissue, mucosa, tongue, muscles, blood vessels, lymph tissue,
bone, paranasal sinus, salivary glands etc.,
(ii) Pain arising due to C.N.S. diseases:
(iii) Pain due to intracranial and extracranial involvement of cranial nerves. (Multiple 1
sclerosis, cerebrovascular diseases, trotter's syndrome etc.
(iv) Neuralgic pain due to unknown causes: Trigeminal neuralgia, glossopharyngeal
neuralgia, sphenopalatine ganglion neuralgia, periodic migrainous neuralgia and
atypical facial pain
(v) Referred pain: Pain arising from distant tissues like heart, spine etc.,
18. Altered sensations: Cacogeusia
19. Tongue in local and systemic disorders: (Aglossia, ankyloglossia, bifid tongue, fissured tongue,
scrotal tongue, macroglossia, microglossia, geographic tongue, median rhomboid glossitis, 1
depapillation of tongue, hairy tongue, atrophic tongue, reactive lymphoid hyperplasia,
glossodynia, glossopyrosis, ulcers, white and red patches etc.
20. Oral manifestations of:
(i) Metabolic disorders:
4
(a) Porphyria
(b) Haemochromatosis
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(c) Histocytosis X diseases
(ii) Endocrine disorders:
(a) Pituitary: Gigantism, acromegaly, hypopitutarism
(b) Adrenal cortex: Addison's disease (Hypofunction) Cushing's syndrome
(Hyperfunction)
(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 fetalis) Aplastic anemia Polycythemia
(b) White Blood cell diseases Neutropenia, cyclic neutropenia, agranulocytosis and
leukemias.
21. Disease of salivary glands:
(a) Development distrubances: Aplasia, atresia and aberration
(b) Functional disturbances:Xerostomia, ptyalism
(c) Inflammatory conditions: Nonspecific sialadenitis, mumps, sarcoidosis heerdfort's
1
syndrome (Uveoparotid fever), Necrotising sialometaplasia
(d) Cysts and. tumors: Mucocele, ranula, pleomorphic adenoma, mucoepidermoid
carcinoma.
(e) Miscellaneous: Sialolithiasis, Sjogren's syndrome, Mikuliez's disease and sialosis
22. Dermatological diseases with oral manifestations:
(a) Ectodermal dysplasia
(b) Hyperkerotosis palmarpiantaris with periodontopathy
(c) Scleroderma
(d) Lichen planus including ginspan's syndrome 1
(e) Lupus erythematosus
(f) Pemphigus
(g) Erythema multiforme
(h) Psoriasis
23. Immunological diseases with oral manifestations
(a) Leukemia
(b) Lymphomas
(c) Multiple myeloma
(d) AIDS clinical manifestations
(e) opportunistic infections
(f) neoplasms
1
(g) Thrombcytopenia
(h) Lupus erythematosus
(i) Scleroderma
(j) Dermatomyositis
(k) Submucous fibrosis
(l) Rhemtoid arthritis
(m) Recurrent oral ulcerations including behcet's syndrome and reiter's syndrome
24. Allergy: Local allergic reactions, anaphylaxis, serum sickness (local and systemic allergic
manifestations to food drugs and chemicals)
25. Foci of oral infection and their i l l effects on general health
26. Management of dental problems in medically compromised persons: 2
(a) Physiological changes: Puberty, pregnancy and menopause
(b) The patients suffering with cardiac, respiratory, liver, kidney and bleeding disorders,
hypertension, diabetes and AIDS. Post-irradiated patients.
27. Precancerous lesions and conditions 1
28. Nerve and muscle diseases:
(i) Nerves:
(a) Neuropraxia
(b) Neurotemesis
(c) Neuritis
2
(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
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(ii) Muscles:
(a) Myositis ossificans
(b) Myofascial pain dysfunction syndrome
(c) Trismus
29. Forensic odontology:
(a) Medico legal aspects of orofacial injuries
(b) Identification of bite marks 2
(c) Determination of age and sex
(d) Identification of cadavers by dental appliances, Restorations and tissue remnants
30. Therapeutics: General therapeutic measures - drugs commonly used in oral medicine 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 ORAL RADIOLOGY
31. Scope of the subject and history of origin 1
32. Physics of radiation:
(a) Nature and types of radiations
(b) Source of radiations
(c) Production of X-rays
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(d) Properties of X-rays
(e) Compton effect
(f) Photoelectric effect
(g) Radiation measuring units
33. Biological effects of radiation 1
34. Radiation safety and protection measures 1
35. Principles of image production 1
36. Radiographic techniques:
(i) Intra-Oral:
(a) Periapical radiographs (Bisecting and parallel techniques)
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(b) Bite wing radiographs
(c) Occlusal radiographs
(ii) Extra-oral:
(a) Lateral projections of skull and jaw bones and paranasal sinuses
(b) Cephalograms
(c) pantomograms
(d) Projections of temperomandibular joint and condyle of mandible
3
(e) Projections for Zygomatic arche
(f) Specialised techniques:
• Sialography
• Xeroradiography
• Tomography
37. 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
4
(f) X-ray films
(g) Exposure time
(h) Techniques
(i) Dark room
(j) Developer and fixer solutions
(k) Film processing
38. Radiographic normal anatomical landmarks 2
39. Faulty radiographs and artefacts in radiographs 1
40. Interpretation of radiographs in various abnormalities of teeth, bones and other orofacial tissues 1
41. Principles of radiotherapy of Oro-facial malignancies and complications of radiotherapy 1
42. Contrast radiography and basic knowledge of radio-active isotopes 1
43. Recent Advances in Imaging 1
44. Radiography in Forensic Odontoloy - Radiographic age estimation and postmortem radiographic
2
methods
v. Clinicals:
- Patient examination
- Patient assessment
- Treatment planning
- Follow up protocols
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 clinical requirement to appear for University
examination:
a) Recording of detailed case histories of interesting cases-10
b) Routine OP, short cases – minimum 100 (third and Final year)
c) Intra-oral radiographs (Periapical, bitewing, occlusal)-25
d) Discussions - should have participated in a minimum of 20 long case
discussions
e) Investigative procedures – Biopsy, Cytology etc:-
c) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examination:
Types of Questions and
Contents Total Marks
Distribution of Marks
One question from oral medicine and StructuredEssays
one from radiology 28
2x 14marks
A. Diagnostic Methods – Two questions
B. Differntial Diagnosis - two questions
C. Therapuetics– Two question
Brief structuredEssays
D. Radiation Physics – One question 32
E. Techniques – Two Questions 4 x 8marks
F. Radiographic Interpretation – One
Question
A. Four Questions from Oral
Medicne
B. Four Questions from Short Answers
Radiology
40
10x4marks
C. Two from Forensic
Odontology
Total 100
vii. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
viii. Clinicals:
University Clinical Examination: 80 Marks
Spotters (1 mark each) 1x 10 10 Marks
DiscussionLong Case 1x30 30 Marks
Taking and Interpretation of Radiograph 1x30 30 Marks
Work Record and seminar 10 Marks
Internal Assessment: 20 Marks
TOTAL 100 Marks
Grand Total 250Marks
a) GOAL
Undergraduate programme in Orthodontics is designed to enable the qualifying
dental surgeon to diagnose, analyze and treat common orthodontic problems by
preventive, interceptive and corrective orthodontic procedures
b) SCHEME OF STUDY
The undergraduate study of orthodontics spans over second year, third year and
fourth year. In second year the emphasis is given for basic and preclinical wire
bending exercises and appliance fabrication. In third year the student has to
undergo clinical postings where patient care and appliance management is
emphasized. In fourth year of study the candidate will be allotted with long cases for
detailed discussion treatment plan formulation appliance construction, insertion
and management. In addition they will be trained to attend routine out patients,
appliance activation, cephalometric interpretation etc.
c) SKILLS
i. To diagnose a case of malocclusion and formulate a treatment plan
ii. To make a good alginate impression
iii. To fabricate a good study model
iv. To perform various model analysis and cephalometric analysis
v. To construct routine removable and myofunctional appliances using cold
cure acrylic
vi. Insertion and management of appliance
d) INTEGRATION
By learning the science of Orthodontics, the student should be able to diagnose
different types of malocclusion, develop a treatment plan and manage simple
malocclusions. The student should acquire skills to recognize Complex
malocclusions and the same may be referred to a specialist.
This insight is gained in a variety of ways:
g) CLINICAL TRAINING
Sl no Training In III year Hours
Model analysis
• Pont’s analysis
• Ashley Howe’s analysis
1
• Carey’s analysis
• Bolton’s analysis
• Moyer’s mixed dentition analysis
Cephalometric analysis
• Down’s analysis
2 • Steiner’s analysis
• Tweed’s analysis
• Witts appraisal 60
Short cases
• Impressions
• Model fabrication
3 • Wire bending
• Acrylization
• Trimming and polishing
• Insertion of appliance
Training In Final year ( Part I)
Long case taking
• Case taking
1 • Model analysis
• Discussion
• Appliance fabrication and insertion
Short cases
2 • Spot diagnosis and spot discussion 140
• Appliance fabrication and insertion
3 Attending O P cases and appliance review
Desirable exercises
Modified Adam’s clasp
4 Adams clasp on anterior teeth
Split labial bow, reverse labial bow, mills retractor, Roberts retractor,
high labial bow with aprons spring
c) THEORY: 70 HOURS (III Yr. 20 hrs, Final Yr. Part I. 20 hrs. Part II. 30 hrs.)
Sl. No. Topics Description Hours
Topics for III Year
Definition, scope, aims and objectives.
Diagnosis in oral surgery: History taking, Clinical examination,
Introduction Investigations.
1. 1
Principles of infection control and cross-infection control with
particular reference to HIV/AIDS and Hepatitis.
1) Asepsis:
Definition
Measures to prevent introduction of infection
during Surgery.
Preparation of the patient,
Measures to be taken by operator,
Sterilization of instruments - various methods of
sterilization etc,
Principles and need for cleaning of infected/ used
instruments prior to re sterilization
Surgery set up.
2) Painless Surgery:
Pre- anesthetic considerations
Pre-medication: purpose, drugs used
Anesthetic considerations a) Local b) Local with IV
sedations
Use of general anesthetic
3) Access:
Intra-oral: Mucoperiosteal flaps, principles,
commonly used intraoral 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-
Principles of Oral oral incision to expose facial skeleton. a)
2. Surgery Submandibular b) Pre auricular Incision for TMJ, 4
Access to maxilla & orbit , Bi coronal incision
4) Control of hemorrhage during surgery
Normal Haemostasis
Local measures available to control bleeding
Hypotensive anaesthesia etc.
5) Drainage & Debridement
Purpose of drainage in surgical wounds
Types of drains used
Debridement: purpose, soft tissue & bone
debridement.
6) Closure of wounds
Type wounds, Classification of wounds
Suturing: Principles
Suture material: Classification, ideal requirements
Body response and resorbability of various
materials etc.
7) Post operative care
Post operative instructions
Physiology of cold and heat in the control of pain
and swelling
Analgesics and anti-inflammatory drugs in the
control of pain and swelling
Control of infection – antibiotics, principles of
antibiotic therapy, prevention of antibiotic abuse
Long term post operative follow up - significance.
i) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examination:
Types of Questions and
Contents Total Marks
Distribution of Marks
One Question From Local Anaesthesia StructuredEssays
One Question From Oral Surgery 28
2x 14marks
Eight Question From Oral Surgery, One
Brief structuredEssays
Question From Local Anaesthesia, , One 32
Question From General Anaesthesia 4 x 8marks
Questions from any of the Oral & Short Answers
Maxillofacial Surgery topics.
40
10x4marks
Total 100
xi. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
xii. Clinicals:
University Clinical Examination: 80 Marks
Extraction of one firm tooth ( Maxillary/ Mandibular)
Case History 20 Marks
Local Anaesthesia technique 25 Marks
Extraction of firm tooth & patient management 25 Marks
Clinical Work Record & Seminar 10 Marks
Internal Assessment: 20 Marks
b) THEORY: 160 HOURS (II yr.25hrs, III Yr. 65 hrs, Final Yr. Part I. 40 hrs. Part II. 30 hrs.)
Composite restorations
Recent advances in posterior composite resins
48. 4
Indications, contraindications, advantages and disadvantages
Stepwise procedure of tooth preparation for composite restoration.
Clinical Exercises
1. Preparation for class II amalgam and restoration
Or
2. Anterior composite restoration
Or
3. Root canal treatment for anterior tooth up to selection of master cone
a) THEORY:160 HOURS (IIyr. 25 hrs, IIIyr.65 hrs, Part I.40 hrs, Part II. 30 hrs)
Sl.
Topic Description Hours
No.
Removable Complete Prosthodontics
Introduction
1. Applied Anatomy and Physiology Biomechanics of the edentulous state. 3
Residual ridge resorption
Understanding the patients, mental
2. Communicating with the patient attitude. 1
Instructing the patient.
With some teeth remaining.
With no teeth remaining.
Systemic status.
3. Diagnosis and treatment planning for patient. 2
Local factor.
The geriatric patient
Diagnostic procedures.
4. Articulators – discussion 3
Pre-operative examination.
Initial hard tissue & soft tissue
procedure,
Improving the patient’s denture foundation and ridge Secondary hard & soft tissue
5. 3
relation- an overview procedure
Implant procedure.
Congenital deformities
Postoperative procedure
6. Principles of Retention, Support and Stability 2
Muscles of facial expression.
Biologic considerations for maxillary
and Mandibular impression including
anatomy landmarks and their
interpretation.
Impression objectives
Impression Materials
7. Impressions- detail. Impression techniques. 7
Maxillary and Mandibular impression
procedures
Preliminary impressions
Final impressions.
Laboratory procedures involved with
impression making (Beading &
Boxing, and cast preparation).
Materials & techniques
8. Record bases and occlusion rims- in details. Useful guidelines and ideal 2
parameters.
9. Recording and transferring bases and occlusal rims 1
Mandibular movements.
Biological consideration in jaw relation& jaw movements –
10 Maxillo- Mandibular relation including 3
craniomandibular relations.
vertical and horizontal jaw relations.
2
11 Concepts of occlusion- discuss in brief. Discuss in brief.
Face bow types & uses – discuss in
brief.
12. Relating the patient to the articulator 1
Face bow transfer procedure- discus
in brief.
Vertical relation
Centric relation records.
13. Recording Maxillo Mandibular relation. 4
Eccentric relation records.
Lateral relation records
14. Tooth selection and arrangement. Anterior teeth. 2
It is suggested that the above mentioned topics be dealt with wherever appropriate in
the following order so as to cover -
Definition
c) SCHEME OF EXAMINATION
Distribution of Topics and Types of Questions for University Written Examination:
Types of Questions and
Contents Total Marks
Distribution of Marks
One Question From Complete Denture StructuredEssays
topics and one from either FPD or RPD 28
2x 14marks
4 Questions from Complete dentures, 3
questions from RPD, 2 questions from Brief structuredEssays
FPD and 1 question from Miscellaneous
32
4 x 8marks
topics.
Questions from any of the Short Answers
Prosthodontic topics
40
10x4marks
Total 100
xv. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
xvi. Clinicals:
University Clinical Examination: 80 Marks
Case History 5 Marks
Complete Denture clinical steps 45 Marks
Tooth Preparation on Typhodont or RPD designing 20 Marks
Clinical Work Record & Seminar 10Marks
Internal Assessment: 20 Marks
b) PRACTICALS/ CLINICALS
Student is trained to arrive at proper diagnosis by following a scientific and systematic procedure of
history taking and examination of orofacial region. Training is also imparted in management whenever
possible.
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.
The following is the minimum prescribed work.
III Year
Drawing of individual primary teeth morphology
Preparation of various cavity designs on typhodont teeth and extracted primary and permanent teeth.
A study model or chart as instructed should be submitted during the III year posting.
Clinical Exercises (III Year + Final Year)
The following is the minimum prescribed work
Case history recording and Treatment Planning
Short cases : 20
Long cases : 5
Total : 25
Communication and Management of child patient
Preventive measures:
Oral prophylaxis; 15
Topical Fluoride application: 15
Restoration of carious teeth using different Materials (Class I and II):15
Extraction of teeth: 50
Fabrication of preventive and interceptive orthodontic appliances: 5
Treatment for Children with Special health care needs: 2
(Children with cardiac problems, bleeding disorders, neurological problems, visually challenged etc)
Education and motivation of the patients using disclosing agents, educating patients about oral hygiene measures
like tooth brushing, flossing etc.
Presentation of seminars / library assignments – preferably in power point, during the IV year clinical posting in
the department. Seminar should be submitted in a book form and the same certified by the HOD should be
submitted along with the record at the time of University Practical Examination.
xvii. Theory
University Written 100 Marks
Internal Assessment 25 Marks
Viva Voce: 25 Marks
xviii. Clinicals:
University Clinical Examination: 80 Marks
Case History, Clinical Examination, Diagnosis &
Treatment Planning 40 Marks
Clinical Procedure:
Oral prophylaxis and topical fluoride application 20 Marks
Restoration of decayed tooth
Extraction of tooth
Chair side preparation, Measures taken for 10 Marks
infection control, Overall management of the
child patient & Post operative instructions
Clinical Work Record & Seminar 10 Marks
Internal Assessment: 20 Marks
Section IX
After passing the Final BDS part II Degree Examination the candidate has to undergo
Compulsory Paid Rotating Internship programme for Twelve months (i.e. 365 days) in
the same institution. During this period the candidates will be posted in all the clinical
departments of the institution. The Degree will be awarded only after successful
completion of the Internship programme. During this training period they will have to
attend to the routine clinical activities of the department under the supervision of
faculty members. The interns will also be posted in the Dental Casualty for attending to
the emergency services of the institution and may also include rural postings.
Note: The entire clinical work done by intern will be under the supervision of faculty
members. In the absence of faculty the intern will be under the supervision of Senior/Junior
Resident.
At the college: