M.D.S.:PERIODONTOLOGY AND ORAL IMPLANTOLOGY

M.D.S.:PERIODONTOLOGY AND ORAL IMPLANTOLOGY

SYLLABUS FOR FIRST YEAR M.D.S.
BASIC SCIENCES:-
1. Applied Anatomy and Histology.
2. Applied Physiology and Biochemistry.
3. Applied Pharmacology.
4. Applied Oral and General Pathology and Microbiology.
5. Biostatistics.
6. Research Methodology.
7. Biotechnology.
8. Bio information.
1-4 are exam going subjects and 5-8 are non exam going subjects.
Paper-I
Applied Anatomy Histology.
1. Blood supply , nerve supply of oral cavity.
2. Muscles of mastication and temporomandibular joint
3. Microstructural anatomy of periodontium including development
4. Maxillary sinus & its lining
5. Osteology of maxilla and mandible
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Paper-II
Applied Physiology and Biochemistry
A. PHYSIOLOGY
 Cellular physiology
 Body fluids, homeostasis, fluid transmission
 Saliva
 Pain-Pathway and mechanisms
 Hematology- Normal blood constituents, clinical variations, blood clouing
mechanism, their disorders and management.
 Heart-Normal physiology, variations, peripheral vascular resistance. Blood
volume. Cardiovascularr homeostasis. Dynamics of blood and lymph flow
 Respiratory system -Normal Physiology and variations in health and disease ,
oxygen-carbon dioxide gas exchange, emergency situations, artificial
respiration.
 Endocrinology- Thyroid, pancreas, adrenaline, growth harmones, sex
harmones and pregnancy.
B.BIOCHEMISTRY
 Molecular Biology
 Carbohydrates, lipids, proteins
 Connective tissue
 Fluids- Extracellular and Intracellular
 Enzymes
 Lab investigations & interpretation of data of
- Liver Function
- Kidney Function
- Acidosis & alkalosis
- Electrolytes
 Saliva, collagen, and histochemistry
 Nutrition & Diet
Definition, balanced diet
Energy requirement or BMR value
Vitamins & Minerals and Deficiency Diseases.
Paper-III
Applied Pathology and Microbiology
A. GENERAL PATHOLOGY
 Cell- growth and regulation.
 Growth Factors and cytokines.
 Inflammation-Details of celluar events-Chemical mediators: promoters and
suppressors
 Healing Different types repair and regeneration.
 Immunology / Immunogenetics / Immunochemistry
 Disturbances in cell growth & differentiation
 Brif understading of Histochemistry / Cytochemistr / Enzyme
Histochemistry.
B. ORAL PATHOLOGY
 Developmental disturbances of oral structures.
 Epidemiology of oral diseases
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 Oral manifestations of nutritional and metabolic diseases.
 Diseases of blood and blood forming organs.
 Effects of disturbances in endocrine function on oral tissues
C. MICROBIOLOGY
 Oral microbiology - Classification & characteristics
 General microbiology
- Bacterial cell morphology
- Bacterial growth & metabolism
- Antibiotic sensitivity tests
- Mechanism of drug resistance
- Sterilization
- Infection control
- Different staining & culturing techniques
D. IMMUNOLOGY
 Infection
 Complement system
 Immune reaction
 Immunodeficiency disorders
 Tumour & transplant immunology
 Systemic bacteriology of pathogenic oral microbes, periodontal pathoogen
 Viruses -Herpes, AIDS, Hepatitis, Oncogenic, Measles, Mumps
 Fungi
 Vaccines
Paper-IV
Applied Pharmacology, Biostatistics and Research Methodology
A. PHARMACOLOGY
 Drug Administration -Modes, posology, toxicology of antibiotics
 Chemotherapeutic agents
 Antiseptics & Disinfectants
 Analgesics & anti-inflammatory drugs
 Conscious sedation & local anaesthesia-indications & contraindications.
Pre-medication and anaesthetics in different clinics
 Emergency drugs in dental practice
 Local Drug Delivery Systems
 Antibiotic Sensitivity tests
 Calcium channel blockers.
 Immunosuppressive drugs
 Biotranformation of drugs related to periodontics
B. BIOSTATISTICS
 Introduction
 Collection, Classification & presentation.
 Averages (Mean, median & mode)
 Dispersion Skewness & Kurtosis
 Correlation
 Regression
 Binomial, Poisson & Normal distributions
 Tests of significance (Large samples)
 x2, t and f tests, logistic regression analysis
 Measures of morbidity, fertility, mortality & survival
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 Clinical trials
C . RESEARCH METHODOLOGY
CORE CURRICULUM
1. What is research ?
2. What is research methodology?
3. Types of research
a) Basic or Fundamental
b) Applied
c) Clinical.
d) Experimental
4. How does one select a subject for Research ?
a) Intuition?
b) Intuition based on experience.
c) Knowledge of subject & questions that one asked of oneself
d) Areas of unknown aspects that have not been explored.
Questions those are unanswered.
e) Survey of relevant literature, using a library.
5. How does one set about a Research Problems?
a) List the aims & objectives.
b) What is there in the relevant literature that has been done, is being done
and remains undone?
c) How can the aims and objectives be achieved?
i Retrospective research.
ii Prospective research?
iii Advantages & disadvantages of each What will therefore be the best in
the circumstances?
iv Evolve a hypothesis
v Develop a protocol to give answers so as to give the necessary data
in the light of the hypothesis.
vi Develop a model especially designed to test hypothesis and may
confirm the data.
Vii Advantages & Disadvantages of experimental model.
Viii How does the data from the experimental model fit the hypothesis?
Are the conclusions comparable? Are there any other conclusions
possible?
6. Objectivity in Research Methodology.
a) Open trials? Bias and safeguards against it.
b) Double blind & triple blind studies.
c) Cross over methods.
7. Quantification in Research Methodology.
a) Instrumental quantification rationales & fallacies.
b) Reproducibility .
c) Scoring methods, especially to lend objectivity to subjective observation.
Safeguards against subjective bias.
8. Records, Protocols and Analysis
The logic of Research.
Examples of special areas of Research:-
1. Clinical
2. Experimental
3. Histological & Morphological
4. Histochemical
5. Genetic
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6. Epidemiologic studies.
Etiology of periodontal diseases:-
• Periodontal tissues, Saliva, Gingival Crevicular Fluid, Clinical Epidemiology
• Pathogenesis & microbiology of Periodontal diseases
• Bio-films
• Defense mechanisms of the gingiva
• Host response: Basic concepts
• Host-Bacteria interactions in periodontal diseases
• Altered leukocyte function & periodontal diseases
• Dental calculus
• The role of Iatrogenic & other local factors
• Dental occlusion
• Influence of systemic diseases on the Periodotium
• AIDS and the Periodontium
• Smoking.
• Effect of External forces on Periodontitis
• Genetics
• Classification of Gingival & Periodontal Disease
Periodontal Pathology:-
Gingival Diseases
• Gingival Inflammation
• Clinical features of gingivitis
• Gingival enlargement
• Acute gingval infections
• Desquamative gingivitis & oral mucous membrane diseases
• Gingival diseases in childhood.
Periodontal Diseases
• The periodontal pocket
• Bone loss & patterns of bone destruction
• Periodontal response to external forces
• Slowly progressive periodontitis
• Rapidly progressive periodontitis
• Nacrotizing ulcerative periodontitis
• Refractory periodontitis
• Prepubertal & juvenile periodontitis
• Periodontal Medicine
Periodontal Instrumentation:-
• The Periodontal Instrumentation
• Principles of periodontal instrumentation
• Instrumentation in different areas of the tooth
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Treatment of Periodontal Diseases:-
1. Diagnosis prognosis and Treatment Plan
* Clinical diagnosis
* Radiographic & Other aids in the diagnosis of Periodontal diseases
* Advanced diagnostic techniques
* Determination of the Prognosis
* The treatment plan
* Rationale for Periodontal Treatments
* Periodontal Treatment of Medically compromised patients
* Perriodontal treatment of Geriatric Patients
2. Treatment of acute gingival and Periodontal diseases
3. Therapy
• Preparation of the tooth surface
• Plaque control
• Treatment of Uncomplicated chronic gingivitis
• Antimicrobial & other Chemotherapeutic agents in Periodontal therapy
• Treatment of aggressive forms of Periodontitis- Refractory. Rapidly
progressive , Necrotizing ulcerative and Juvenile
• Periodontal management of HIV-INFECTED patients
• Coronoplasty in periodontal therapy
• Orthodontic considerations in periodontal therapy
• Interdisciplinary therapy
• Splinting
• Evidence based Periodontal Therapy
4. Surgical Phase.
• The Surgical Phase of therapy
• General principles of periodontal surgery
• Surgical anatomy of the periodontium & related structures.
• Gingival curettage
• The gingivectomy technique
• The Periodontal flap with various modifications.
• The flap technique for Pocket therapy
• Resective osseous surgery
• Re constructive osseous surgery
• Treatment of furcation involvement & combined Periodontal Endodontic
therapy.
5. Mucogingival surgery and Perio-esthetics
6. Treatment of gingival enlargement
7 Recent advances in surgical technology
8 Oral Implantology
Introduction & Historical Review
* Biologic , clinical and surgical aspects of Dental Implants
• Periodontal-Implant interface
• Diagnosis and Treatment Planning
• Implant surgery
• Implant prothodontics
• Implant failures and their Mangement
• Peri-in plantitis and its management
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9. Lasers.
10. Microsurgery.
11. Electrosurgery.
12. Supportive Periodontal Treatments
13. Recent advances in Periodontics.