M.D.S.:Prosthodontics Including Removable, Fixed, Maxillofacial & ImplantologyMAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
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M.D.S.:Prosthodontics Including Removable, Fixed, Maxillofacial & Implantology
SYLLABUS OR COURSE IN PROSTHODONTICS
A. Basic sciences
1. Biology and anatomy of dental tissues
Anatomy of the stomatognathic system.
Biology and physiology enamel, dentine Cementum, pulp and periodontium.
Pathology of the periodontal, Pupil and periapical tissues
Anatomy and histology of oral mucous membrane.
Anatomy of T.M.J. its movements and Myofacial pain dysfunction syndrome.
Anatomy physiology and function of the masticator system.
2. Growth and development of face jaws and teeth.
3. Endocrine glands in particular reference to Pituitary, Parathyroid and Thyroid
4. Pathology of dental tissues and oral cavity.
Dental plaque in relation to dental disease.
Sensory perception and pain
Oral pre-cancerous lesions.
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Malignant lesions of the oral cavity and head and neck region.
Developmental anomalies of face, jaws and teeth.
Consequences and management of age changes in the dentition.
Medical conditions and medications affecting dental treatment
Nutrition in geriatric patients
6. Anthropology as applied to craniofacial region.
7. Genetics in Dentistry.
8. Normal occlusion, development of occlusion in deciduous, mixed and permanent
Role of Vit A, C and B complex in oral mucosal and periodontal health.
Role of Calcium and Vit D in growth and development of teeth and jaws.
10. Mastication, swallowing, Speech and deglutition mechanism.
11. Salivary glands and saliva,
12. Indices in diagnosis of dental caries and periodontal diseases.
13. Sterilization in dentistry
14. Tooth numbering systems.
15. Introduction to Biostatistics.
Scope and need for statistical application to biological data.
Definition of selected terms- scale of measurements related to statistics.
Methods of collecting data.
Presentation of data statistical diagrams and graphs.
16. Dentist technician communication- Lab work authorization form and instruction.
1. Physical, mechanical and biological properties of modem dental materials.
2. Gypsum products used in prosthodontics.
3. Die and counter die materials.
4. Various resins used in prosthodontics including Denture base materials
5. Impression materials used in Dentistry.
6. Duplicating materials.
7. Metals and alloys used in Dentistry.
8. Dental Waxes including inlay casting wax
10.Casting machines procedures and defects.
11.Soldering and Welding
12.Cements - restorative and looting
13.Composites - various generations and system in order of development.
Composition, uses and manipulation.
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14.Tissue conditioner and soft reline.
15.Porcelain Including Porcelain fused to Metal alloys.
16.Porcelain furnace, firing and techniques.
17.Mechanics of tooth cutting (burs and points)
18.Cutting, polishing and finishing agents.
20.Bonding agents - enamel and dentin bonding agents and various other
B. Complete Denture Prosthodontics:
1. Anatomy and physiology of edentulous mouth.
2. Diagnosis and treatment planning for a completely edentulous
3. Oral aspects of systemic diseases of prosthodontic interest.
4. The problem of reduction of residual ridges.
5. Preprosthetic surgery.
6. Impressions in Complete Denture Prosthodontics.
Objectives and principals of impression making.
Philosophies and concepts of impression making
Materials and techniques of impression making
7. Posterior palatal seal - principles and techniques.
Brief history and classification
Requirements and limitations
Role in CD fabrication
9. Face bow in complete denture construction.
Different type of face bows.
How to orient face bow
Role of face bow record in complete denture fabrication
Concept of hinge axis with knowledge about different schools of
Method to locate
Significance in CD fabrication
11. Recording of mandibular movements and maxillo - mandibular relations in
Definitions and changing concepts of centric relation
Methods to record CR.
Vertical relation - methods to record and verify.
12. Selection and arrangement of anterior teeth including guidelines for complete
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13. Complete denture occlusion.
14.Selection and arrangement of posterior teeth
15.Varification of maxillo - mandibular relation records.
16.Try in of complete dentures.
17.Laboratory procedures involved in complete denture construction.
19. Patient's education and complete denture maintenance
20.Compliance associated with dentures.
21.Relining and rebasing of denture.
26.Obturators on complete denture.
27.The single complete denture.
28.Implants for the edentulous arches.
29.Geriatrics complete denture patients.
31.Epidemiology of edentulous ness.
32.Role of computers in prosthodontics
C. Partial Denture Prosthodontics
1. Introduction and terminology used in partial denture prosthodontics.
2. Examination, Diagnosis and treatment planning in partial denture prosthodontics.
3. Classification of partially edentulous arches.
4. Components of removable partial dentures and their functions.
a. Major connectors
b. Minor connectors
c. Rests and rest seats
d. Direct retainers
e. Indirect retainers
f. Denture base considerations and teeth.
g. Stress brakers.
5. Principles of removable partial denture (R.P.D.) design and RPI concept.
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7. Mouth preparation for removable partial denture including preparation of
8. Impression material and procedures for partially edentulous mouth.
9. Support for the distal extension denture base.
10.Occlusal relationship and arrangement of teeth.
11.Laboratory procedures involved in cast partial dentures.
12.Trying in and adjustment of cast frame work.
13.Processing, finishing, delivery and instructions about maintenance of removable
14.Repairs and additions to removable partial dentures.
15.Acrylic partial dentures.
16.Immediate partial dentures
D. Fixed Prosthodontics:
1. Diagnosis and Treatment Planning.
2. Periodontal considerations in fixed prosthodontics.
3. Fundamental of Occlusion.
4. Bio-mechanical principles of tooth preparation.
5. Individual tooth preparation.
a. Complete Metal Crown
b. Partial veneer crown for Ant. and post teeth.
c. Porcelain jacket crown
6. Preparations for intra-coronal restorations.
7. Preparations for extensively damaged or endodontically treated teeth.
8. Provisional or temporary restorations.
9. Fluid control and soft tissue management.
10.Impression material and techniques.
11.Working casts and dies.
12.Interocclusal records techniques and material
13.Articulation of casts.
15.Articulators in fixed partial denture prosthodontics
16.Precision and semiprecision attachment.
17.Connectors in FPD
18.Investing and casting
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20.Finishing and cementation.
23.Full mouth rehabilitation-philosophies, techniques, clinical and lab procedure.
24.Porcelain fused to metal restorations.
26.Resin bonded retainers(Maryland bridges)
27.Fixed removable Prosthodontics.
28.Solder joints and other connectors.
E. Maxillofacial Prosthodontics:
1. Dentist and Patient interaction Psychological status of the patient Social support
2. Chemotherapy, radiation therapy their effect on oro-dental tissue.
3. Prosthodontic reconstruction of Acquired mandibular defects.
Mandibular Guidance appliance
Clinical and laboratory steps for their fabrication.
4. Prosthodontic reconstruction of Acquired developmental defect of maxilla
Clinical and laboratory steps for their fabrication.
5. Restoration of Acquired and developmental Facial defects
Clinical and laboratory steps for their fabrication.
6. Cranial and Facial implants
7. Recostructive pre prosthetic surgery
8. Maxillofacial prosthesis materials
9. Miscellaneous prosthesis
Splints and stents
Radiation carrier prosthesis.
10.Methods of Retention for maxillofacial prosthesis.
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F. Evidence based practice in Dentistry
1. Introduction to EBD
2. How to search for evidence
3. evidence based practice in FPD
4. evidence based practice in CD
5. evidence based practice in RPD
6. evidence based practice in Implantology and MFP
7. evidence based practice in esthetic dentistry
8. Basic Knowledge about how to screen literature for evidence.
G. Implants in prosthodontics:
1. Introduction to Implantology
2. Brief History and evolution.
3. DIAGNOSIS AND TREATMENT PLANNING
Rationale for dental Implants
Medical Evaluation of the Implant Patient
Diagnostic Imaging and techniques
Divisions of Available Bone
4. FUNDAMENTAL SCIENCE.
Bone Physiology and Metabolism.
Pharmacologic for Dental Implants
Bone Response to Mechanical Loads.
Osseo integration, bio integration and Fibrosseointegration
5. IMPLANT PROSTHODONTICS AND MAINTENANCE
Principles of Cement-Retained and Screw-Retained Fixed Implant
Occlusal Considerations for Implant-Supported and tissue supported
Implant supported prosthesis-clinical and lab procedures.
Maintenance of Dental Implants.
H. Esthetic Dentistry
1. Principles of esthetics
Light and Shadow
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The principle of form
The principle of perception.
2. Dentin bonding agents
Composition and clinical considerations
3. Colour modifier and Opaquers
4. Composite resins
Composition and manipulation
Technique for direct and indirect composite restorations
5. Porcelain Fused to metal restorations
6. All ceramic restorations
7. Laminates-Clinical and Laboratory procedure for porcelain and composite laminates
9. Dynesthetic concept of smile.
The student would be asked to complete the following preclinical exercises in
Prosthodontics in first six months.
Setting up of teeth in balances occlusion (Complete Denture)
a. Class I Jaw Relation (Dentogenic concept)
b. Class II Jaw Relation
c. Class III Jaw Relation
d. Balanced class I complete denture
e. Break and repair of maxillary complete denture
f. Relining of mandibular complete denture
g. Immediate denture using lower dentulous and upper semi-edentulous
casts with upper anterior missing.
Partial Denture Work: Typodont & Laboratory:
a. Occlusal carving using cone waxing technique on mounted casts for
Maxillary and Mandibular Premolars & molars
b. Post and core preparation on upper right Central incisor with casting and PFM
c. Three quarter crown for Maxillary canine(preparation and casting)
d. Anterior PFM 3 units FPD replacing upper right lateral incisor using modified
ridge lap pontic.
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e. PFM crown on maxillary molar (preparation and casting).
f. Laminate preparation on upper left lateral incisor with porcelain facing
g. Full metal crown for mandibular molar (preparation and casting)
h. Posterior 3 Unit PFM FPD replacing right lower first molar using spheroidal pontic
with 4/5 crown on preparation full crown on second molar.
i. Maryland bridge preparation to replace lower left lateral incisor
j. Soldering of a 3-unit metal bridge.
k. Fabrication of a semiprecision / precision attachment retained prosthesis
C. Removable Partial Dentures
a. Surveying, designing & wax up of one each of Kennedy's Class I,II,III, IV plaster
b. Casting finishing and polishing etc. of any one of the above.
12.Clinical Load During Training
1. Complete Dentures. -25
2. Partial Dentures
a. Cast partial dentures -2
b. Interim partial dentures -5
c. Transitional partial dentures -5
d. Immediate dentures -5
3. Crown -30
a. Post Full metal crowns -10
b. Post Full metal ceramic crown -5
c. Ant metal ceramic crowns -5
d. All ceramic crowns -5
4. Fixed partial dentures -10
5. Maxillofacial prosthesis -05
A) Periodic tests.
During the course of three years, the departments will conduct three tests, two of
them by annual tests, one at the end of first year and the other in the second year.
The third test may be held three months before the final examination. The tests may
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include written papers, practical/clinical and viva voce. Records and marks obtained
in such tests will be maintained by the Head of the Department and sent to the
University, when called for.
B) Internal assessment:
100 credit points could be spread over a period of three years as given below.
Topic Credit points.
Seminars presented(3 credit points per seminar) 15
Seminars attended (1 per seminar) 10
Clinical case presentation and discussions (3/presentation) 15
Pre clinical work 20
Publications/oral presentation / table Presentation/poster 10
Literature review/ Journal club 10
Pase documentations with Photographs 10
Pommunity programs (old age homes /hospital patients etc).