mds-prosthodontics-crown-bridge-booklet-2022-23

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be university under section 3 of the UGC act,1956) FACULTY OF DENTAL SCIENCES

CURRICULUM AND SCHEME OF EXAMINATION

MASTER OF DENTAL SURGERY PROSTHODONTICS AND CROWN & BRIDGE

2022-23

1


FOREWARD

This is to certify that this booklet contains the entire Curriculum and Scheme of Examination of Master of Dental Surgery Prosthodontics and Crown & Bridge being offered at Manav Rachna Dental College, Faculty of Dental Sciences of this University. This has been duly vetted and finally approved by the Academic Council of the University vide its 37th meeting held on 02-07-2021 and changes, if any deemed appropriate, shall be duly incorporated after the necessary approval by the Academics Council. This Curriculum and Scheme of Examination of Master of Dental Surgery shall be implemented w.e.f AY 2020-21 and onwards.

Date:

Prof. (Dr.) Naresh Grover Dean-Academics, MRIIRS

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Preamble The course Prosthodontics and Crown & Bridge adopted for an outcome based education system which would enable the dentists to acquire the advanced capabilities to meet the demands of increasing treatment, maintenance and esthetics of periodontal tissues. The Programme Education Objectives (PEOs) of Prosthodontics and Crown & Bridge are consistent with the Vision and Mission of the Department as well as the University, and aim to produce globally successful Prosthodontists who are empowered to contribute to nation building through sound knowledge, technical skills and research aptitude. The POs and PSOs address the PEOs and aim to produce innovators, researchers, entrepreneurs and skillful professionals who are well sculpted and groomed for practicing and treating patients with ethics. The curriculum includes courses focusing on self employability, entrepreneurship and skill development which map strongly with the POs defining demonstration of academic and clinical knowledge and engagement in independent and life-long learning. Certain courses are added meant to create an awareness about the finances (financial accounting Lasers implant ), behavioral sciences course etc inculcate professional ethics and Etiquette. The design of curriculum is done in accordance with the predetermined Programme Education Objectives. The syllabus content of each course is meticulously created to develop thorough understanding and gain in-depth knowledge. In order to ensure the effectiveness of teaching-learning process and true implementation of the curriculum, the course outcomes of each course are developed to meet the programme outcomes and programme specific outcomes, which are also reflected in the Course Articulation Matrix. Course outcome and program outcome attainment is measured through direct and indirect tools including internal assessments, assignments, preclinical work, clinical work, dissertations, short and long research study, university exam etc. Although the curriculum has been designed after thorough deliberations involving experts from academies, and considering the feedbacks obtained from various stalwarts pertaining to Prosthodontics and Crown & Bridge, there is always a scope of regular revision and updation of the syllabus keeping in view the changing needs of the society and treatment modalities as per new guidelines by DCI. The revised curriculum is scrutinized by the department Post graduate Board of Studies (BOS) and suggestions of the BOS are also incorporated. The revised curriculum is then placed before the Board of Faculty for consideration which is further reviewed and approved by the academic council.

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES FARIDABAD SCHEME OF STUDIES & EXAMINATIONS Master of Dental Surgery- PROSTHODONTICS AND CROWN & BRIDGE (For the students admitted in 2020-2021 and onwards)

S.No.

Table of Contents

Page No.

1.

About the Department

05

2.

Vision

05

3.

Mission

05

4.

Programs Offered

06

5.

Program Educational Objectives

06-07

6.

Program Outcomes

08

7.

Program Specific Outcomes

09

8.

Components of Curriculum

09-10

9.

Study Scheme and Evaluation

10-72

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES

(Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES 1.About the Department Manav Rachna Educational Institutions (MREI) is one of India’s leading educational institutions, producing some of India’s most employable professionals. MREI is the brain child of renowned educationist and philanthropist, Late Dr. O.P. Bhalla, ExPresident MREI. Manav Rachna Dental College (under Faculty of Dental Sciences) was established in 2006. MDS course started and was recognized vide Ministry of Health & Family Welfare, Govt. of India (MHFW, GOI), vide notification letter no. V-1207/1/2013- DE Dated 5th February 2013, V-2017/20/2011-DE dated 17th March 2016 respectively. MRDC is a constituent institute of Manav Rachna International Institute of Research and Studies, Faridabad as per notification by Government of India, Ministry of Human resource development, Department of higher education, ICR Division vide No.F.10-6/2016-U3(A) dated 13th May 2019. 2. VISION To be a world class Dental Education and Clinical Practice institution that cares for the underprivileged. 3. MISSION  Innovation in oral health education, research and dental health care service to improve the quality of life and meeting the needs of both the society and the students.  To provide world class knowledge by Educating and training dental surgeons into skilled health care professionals  To provide a healthy atmosphere, continuous educational programmes and regular interaction with alumni to enhance and upgrade their knowledge and clinical skills.  To nurture dental surgeons who can promote and maintain oral health by confidently providing comprehensive dental care.  To deliver the treatment irrespective of social status, caste, creed or religion of the patient

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4.PROGRAMMES OFFERED The MDS programme in Prosthodontics and Crown and Bridge is adapted to an outcome based education system which would enable the students to acquire the knowledge. The program education objectives of MDS Prosthodontics and crown an bridge is consistent with vision and mission of Manav Rachna Dental College, FDS and aim to train dental graduates so as to ensure higher level of competence in both general and speciality areas of Prosthodontics. The curriculum will exhibit the dental art pertaining to the restoration and maintenance of oral function, health, comfort and appearance by the replacement of mission or lost natural teeth and associated tissues either by fixed or removable artificial substitutes. It includes the prevalence and prevention of craniomandibular system, to interprete various radiographs, prosthodontic therapy for patients with competence. To evaluate and judgement skills in making appropriate decisions regarding prevention, treatment, after-care and referrals to deliver comprehensive care to the patients.Training programme for dental graduates in removable dental prosthodontics, fixed dental prosthodontics, implantology, maxillofacial prosthodontics and esthetic dentistry. This programme includes clinical and laboratory procedures with a clear understanding of biomaterials, tissue conditions related to prosthesis, Demographic distribution and target diseases of craniomandibular region related to prosthodontics. This is to create professionals that can serve the society and underprivileged as well as to promote the education and skills in young minds. The design of curriculum is done in accordance with the predetermined Programme Education Objectives. The syllabus content of each course is meticulously created to develop thorough understanding and gain in-depth knowledge. 5. PROGRAMME EDUCATIONAL OBJECTIVES (PEOs) The Programme Educational Objectives (PEOs) describes the career and professional accomplishments of the graduates, that the programme is preparing them to achieve, after receiving the degree. The Programme Educational Objectives (PEOs) describes the career and professional accomplishments of the graduates, that the programme is preparing them to achieve, after receiving the degree. The PEOs of the M.D.S Prosthodontics Crown and Bridge are as follows: 6


PEO 1- To prepare dental surgeons to ensure higher competence for a career in prosthodontics, crown and bridge, maxillofacial and implant dentistry with an emphasis on prevention of edentulism. PEO2 - To encourage the student to develop a scientific temper and conduct scientific research into various aspects of prosthodontics at both fundamental and applied aspects. PEO3 – To strengthen clinical decision making ability of the student, Personal development, interactive skills with professionals and empathy for the needs of the community is an inherent component of the training. When the above objectives are achieved, the post graduates will be:  Well prepared for successful careers as lecturer in dental colleges and teaching.  Engage in speciality practise  Able to become researchers  Able to join as commissioned officer with defense.  Successful careers in higher education in allied areas.  Build up their entrepreneurship

MAPPING OF MISSION AND PROGRAMME EDUCATIONAL OBJECTIVES (PEOs)

PEOs

1

2

3

Mission Innovation in oral health education, research and dental health care service to improve the quality of life and meeting the needs of both the society and the students. To provide world class knowledge by Educating and training dental surgeons into skilled health care professionals. To provide a healthy atmosphere, continuous educational programmes and regular interaction with alumni to enhance and upgrade their knowledge and clinical skills. To nurture dental surgeons who can promote and

1

3

3

3

3

3

2

3

3

3

3

3 7


maintain oral health by confidently providing comprehensive dental care. To deliver the treatment irrespective of social status, caste, creed or religion of the patient.

3

3

3

6. PROGRAMME OUTCOMES (POs) Dental Post Graduates will have the following attributes: PO1. Foundation and Knowledge –Understands the fundamentals of basic sciences and their applied aspects related to the specialty. PO2. Alignment and Integration of learning- The gap between the basic and laboratory services is bridged by applying the knowledge of diseases in health and disease. PO3. Electives and value addition programmes- Flexible learning thus providing opportunities for diverse learning experiences. PO4. Attitudes, Ethics and Communication – Communicate effectively with the patients and adopt ethical principles, professional honesty and integrity. PO5. Skill Acquisition –Mastering clinical and soft skills through the application of clinical knowledge and skill. PO6. Continuing Dental Education and Innovation – Value addition to the knowledge is acquired through the continuous learning process, will be aware of newer materials, techniques, treatment modalities, which can be applied to the specialty practice PO7. Environment safety-Understand the importance of environment care through the safe disposal of dental material waste and thus promoting public health by practising biomedical safety rules, disinfection and sterilization procedures. PO8. Technical and Cognitive skills–Reviewing, analysing and synthesizing information to independently generate solutions to complex problems. PO9. Research Principles– Integrating principles of knowledge of research principles, methods associated and executing a research project. PO10. Consolidate and Contextualize- learning through active and regular participation in community dental services. PO11. Competency– Acquire the knowledge to practice independently. PO12. Health Promotion and Team Work – Participate actively in National Oral Health programs and work in a team effectively in the management of the multidisciplinary approach cases.

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7. PROGRAMME SPECIFIC OUTCOMES (PSO) PSO1 - To impart training on techniques for various procedures for oral rehabilitation with relevant prosthodontic modality. PSO2 - To enhance understanding of etiology, clinical manifestations and differential diagnosis of common oral diseases affecting teeth and surrounding structures that could result in edentulism. PSO3- To practice respective specialty efficiently and effectively backed by scientific knowledge and skill to develop the planning, implementation, evaluation, and administrative skills.

PEO PO 1

P O 2

PO 3

PO 4

PO 5

PO 6

PO 7

PO 8

PO 9

P O 1 0

P O 1 1

P O 1 2

PSO 1

PSO 2

P S O 3

PEO 1

1

1

2

2

3

1

2

1

2

3

1

1

3

3

2

PEO 2

2

2

2

1

1

2

3

1

2

1

1

2

2

3

2

PEO 3

1

3

1

2

3

2

3

2

1

3

1

2

2

1

3

8 .COMPONENTS OF CURRICULUM Education at the university shall be organized around the credit based system of study. A student’s performance/progress is measured by the number of credits that he/she has earned, i.e. completed satisfactorily. Based on the course credits and grade obtained by the student, grade point average is calculated. For this purpose one hour of Lecture and Practical class shall be equal to two credits and one credit respectively. For clinical practice, 30-35 hours put in by the student shall be treated as One credit. At the end of every course, a letter grade shall be awarded in each course for which a student has registered. On obtaining a pass grade, student shall accumulate the course credits as earned credits. A student’s performance shall be measured by the 9


number of credits that he/she has earned and by the weighted grade point average. In each year, the credits of non exam going subjects will be given only if the core subjects are cleared and these credits will be based on the stipulated work allotted in the respective subjects during that particular academic year. For Award of MDS Degree, the student shall be required to earn a total of 175 Credits, out of 190 credits which are from the basket of Compulsory Courses and the rest of the 15 Credits he/she can earn by opting the Open Elective Courses as per his/her choice/area of interest out of the basket of courses mentioned in the study scheme or offered by the University at Central level or Online courses as approved by the University. Minimum Working Hours For Each Course of Study (M.D.S.) Year 1st year 2nd year 3rd year Total

Hours 1640 1680 1600 4920

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9. STUDY SCHEME & EVALUATION MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES Prosthodontics and crown and Bridge (MDS) FIRST YEAR Prerequisite Course, if any Course Type

Course Code

Periods/Week

Marks

Title of Course Title

Code

L

T/P

C

Total

Duration of Exam

Credits

400

3

60

Format ive/Co ntinuo us Assess ment

End Annual Exam.

Total

200

200

COMPULSORY COURSES *Fundamen tal AUDIT PASS**

MDSPROS101 MDSCOM101

Prosthodontics and crown and Bridge-Basics

16

Biomedical Research

1

10

18

-

44

1

ELECTIVE COURSES Open Elective Open Elective Open Elective Open Elective Open elective Open elective

MDSPSYOE-001 MDSCA-OE001 MDSFREN OE-001 MDSCOMOE-001 MDSSPANOE-001 MDSLASE0E-001

Behavioural Science

2

2

100

100

200

3

4

Computer Applications

2

2

100

100

200

3

4

Foreign Language French

2

2

100

100

200

3

4

Financial Accounting

2

2

100

100

200

3

4

Foreign Language Spanish

2

2

100

100

200

3

4

Laser***

48 hrs

48 hrs

100

100

200

3

2

Under Elective Courses, beside the above mentioned Elective Courses, other Inter-disciplinary, Generic, on-line Courses (MOOCs etc) and other approved courses shall be offered, which shall be notified well before start of the Academic Year. The student shall be required and allowed to opt the courses out of offered courses as per the limit for maximum credits and for the category of Elective Courses under University Rules. *Fundamental course shall be required to pass 6 months before third year examination. **Audit Pass – is a mandatory course, but no credits are given. (Biomedical research Conducted by ICMR - National Institute of Epidemiology .The student shall be required to pass 6 months before appearing for the third year examination.) ***Laser Course in two modules of 3 days each.

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES Prosthodontics and crown and Bridge (MDS) SECOND YEAR Pre-requisite Course, if any Cours e Type

Cours e Code

Title of Course

Core Course

MDSPROS201

Prosthodonti cs and crown and Bridge-I

Title

Periods/Week

Code

L

T/ P

C

Marks Format ive/Co ntinuo us Assess ment

End Annu al Exam .

Tot al

44

200

-

200

Tot al

Durat ion of Exam

Cred its

COMPULSORY COURSES 13

15

16

57*

ELECTIVE COURSES Open Electiv e Open Electiv e Open Electiv e Open Electiv e Open electiv e Open Electiv e Open electiv e

MDSPHOTOE001 MDSORPAOE001 MDSCA-OE002 MDSFREN OE002 MDS – SPAN – OE002 MDSFMPOE001 MDSIMPL0E-001

Dental Photography

1

1

100

100

200

3

2

Forensic Odontology

2

2

100

100

200

3

4

Computer Applications

MDS-CAOE-001

Computer Applicatio

2

2

100

100

200

3

4

Foreign Language French

Foreign Language French

MDSFRENCHOE-001

2

2

100

100

200

3

4

Foreign Language Spanish

Foreign Language Spanish

MDSSPANOE-001

2

2

100

100

200

3

4

Financial management and Planning

MDS-COMOE-001

Financial Accountin g

2

2

100

100

200

3

4

32 hr s

32 hrs

-

-

-

-

2*

Implant**

Under Elective Courses, beside the above mentioned Elective Courses, other Inter-disciplinary, Generic, on-line Courses (MOOCs etc) and other approved courses shall be offered, which shall be notified well before start of the Academic Year. The student shall be required and allowed to opt the courses out of offered courses as per the limit for maximum credits and for the category of Elective Courses under University Rules. *Credit points of second year will be credited in third year **Implant course in 2 modules in 2days each

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES Prosthodontics and crown and Bridge (MDS) THIRD YEAR Pre-requisite Course, if any Course Type

Cours e Code

Title of Course

Title

Code

Periods/Week

L

T/ P

C

Marks Dura tion of Exa m

Credit s

Formati ve/Con tinuous Assess ment

End Annua l Exam.

Tota l

46

700*

600

1300

3

115*

1

100

100

200

3

2

Tota l

COMPULSORY COURSES

Core

MDSPROS201

Prosthodontic s and crown and Bridge-II

Prosthodo ntics and crown and BridgeBasics Biomedical Research

Open Elective Open Elective Open Elective Open Elective

MDSPMAGOE-001 MDSPHDEOE-001 MDSCONSOE-001 MDSORCPOE-001

MDSPROS101

12

10

24

MDSCOM101 ELECTIVE COURSES

Practice Management

1

Ethics

2

2

100

100

200

3

4

Aesthetic Dentistry

2

2

100

100

200

3

4

Oral Radiology Comprehensiv e programme.

2

2

100

100

200

3hrs

4

-

-

*Under Elective Courses, beside the above mentioned Elective Courses, other Inter-disciplinary, Generic, on-line Courses (MOOCs etc) and other approved courses shall be offered, which shall be notified well before start of the Academic Year. The student shall be required and allowed to opt the courses out of offered courses as per the limit for maximum credits and for the category of Elective Courses under University Rules. *Formative Assessment marks is added **Credits of Second year are added. For Successful completion of the degree, the students need to earn 175 credits of compulsory courses and at least 15 credits of Elective Courses

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Credits: Year

Credits st

1 Year Credits out of 2nd Year Compulsory Courses 3rd Year Sub Total Credit out of Open Electives courses Total Credits

60 57 58 175 15 190

EVALUATION Formative and Summative Assessment The overall weightage of a course in the Study Scheme shall be determined in terms of credits assigned to the course. The overall evaluation of students in a course shall have following two components/processes unless specifically stated otherwise in the Study Scheme: 1. Formative or Continuous assessment (FA) - 800 marks 2. Summative or University examinations (SA) - 800 marks I year MDS will comprise of both: 1. Formative Assessment-200 marks 2. Summative Assessment- 200 marks II year MDS will have ONLY Formative/Continuous assessment- 200*marks. *These marks will be added in the Formative assessment of III year MDS. III year MDS will again comprise of both: 1. Formative Assessment-600 marks (400 + 200**) 2. Summative Assessment- 600 marks **These marks will be carried from Formative assessment of II year MDS. (i) Formative evaluation shall be done through a series of written/clinical /practical tests and examinations conducted periodically during each year by the programme. It will also include other items such as maintenance of records, participation in seminars and group discussions, clinical case study, proficiency in carrying out practical or clinical skill and assignments even during vacations. These will be evaluated objectively and recorded.

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Continuous Assessment for First year MDS -200 marks S.no

1

2.

3.

Theory

Marks(100)

Continuous evaluation Mid-term/ Sessional examination (Best two out of three) Undergraduate teaching 5Journal review & Seminar presentation

50

Marks (100)

Practical Continuous evaluation Mid-term/ Sessional examination (Best two out of three)

Total

50

100

25

Pre- clinical Quota

25

50

25

Poster/paper presentation in conference

25

50

Formative/Continuous Assessment Sessional examination consisting of 2 long answers of 25 marks each and 10 short answers of 5 marks each. Pictorial questions can be added in the question paper of three hours duration. Summative Evaluation- 200 marks Theory - Applied Basic Sciences papers -100 marks Paper-1: Applied Basic Sciences: Applied Anatomy, Physiology, and Biochemistry. Pathology, Microbiology, Pharmacology, Research Methodology and Biostatistcs. Paper –I consisting of 2 long answers of 25 marks each and 10 short answers of 5 marks each is for three hours duration. Practical/Clinical Examination – 100 marks Practical -80 marks. (Practical examination can be on Typhodont /Patient-based examination. S. No. 1. 2. 3. 4. 5.

Topic CD EXERCISE FPD EXERCISE RPD EXERCISE RECORDS (SEMINAR AND JC) SYNOPSIS PRESENTATION Total

Maximum Marks 20 20 20 10 10 80 15


Theory Viva-voce examination -20 marks

S.no

1

2.

3.

*Continuous/ formative Assessment for second year -200 marks Marks Theory Practical Marks(100) (100) Continuous Continuous Evaluation MidEvaluation term/ Sessional Mid-term/ Sessional 50 50 examination examination (Best (Best two out of two out of three three Class test* Class test (Best (Best of 3) 25 of 3) Practical 25 test/viva-voce Poster/paper Publication 25 presentation in 25 conference

Total

100

50

50

*Continuous assessment marks will be added in the Third year. Sessional examination consisting of Part-II :Paper-I Removable Prosthodontics and Implant supported prosthesis(Implantology), Geriatric dentistry and Cranio facial Prosthodontics Paper-II Fixed Prosthodontics, Occlusion, TMJ and esthetics. Paper III Essays (descriptive and analyzing type questions). The Paper –I, Paper –II and Paper-III is of 3 hours duration. Paper-I & Paper –II Consisting of 2 long questions of 25 marks each and 5 short answers carrying 10 marks each. Paper-III Consisting of three questions of 50 marks each, out of which the students have to attempt any two questions.

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Continuous Assessment for third year- 400 marks S.no

1

2

3 4 5 6

Theory Continuous Evaluation Midterm/ Sessional examination (Best two out of three 5 Journal review & Seminar presentation 1 Publication Dissertation/ Library dissertation Lectures for undergraduates Clinico-pathological presentation/vertical Integration

Marks (200)

Practical

Marks( Total 200) (400)

50

Continuous Evaluation Mid-term/ Sessional examination (Best two out of three

50

100

25

Pedagogy

25

50

25

2 Poster/paper presentation in conference

25

50

50

Record keeping

50

100

25

Special cases

50

25

75 25

Formative/Continuous Assessment- Total marks after adding marks of II MDS 400+ *200= 600 marks Paper-I Removable Prosthodontics and Implant supported prosthesis(Implantology), Geriatric dentistry and Cranio facial Prosthodontics Paper-II Fixed Prosthodontics, Occlusion, TMJ and esthetics. Paper III Essays (descriptive and analyzing type questions). The topics assigned to the different papers are generally evaluated under those sections. However, a strict division of the subject may not be possible and some overlapping of topics is inevitable. Students should be prepared to answer overlapping topics. The Paper –I, Paper –II and Paper-III is of 3 hours duration. Paper-I & Paper –II Consisting of 2 long questions of 25 marks each and 5 short answers carrying 10 marks each.

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Paper-III Consisting of three questions of 50 marks each, out of which the students have to attempt any two questions. Summative Assessment – 600 Marks The Paper –I, Paper –II and Paper-III is of 3 hours duration. Paper-I & Paper –II Consisting of 2 long questions of 25 marks each and 5 short answers carrying 10 marks each. Paper-III Consisting of three questions of 50 marks each, out of which the students have to attempt any two questions. Paper-I Removable Prosthodontics and Implant supported prosthesis(Implantology), Geriatric dentistry and Cranio facial Prosthodontics Paper-II Fixed Prosthodontics, Occlusion, TMJ and esthetics. Paper III Essays (descriptive and analyzing type questions). The topics assigned to the different papers are generally evaluated under those sections. However a strict division of the subject may not be possible and some overlapping of topics is inevitable. B. Practical / Clinical Examination : 300 Marks The clinical examination shall be of two days duration 1. Presentation of treated patients and records during their 3 years Training period 35 Marks  C.D. 1 mark  R.P.D. 2 marks  F.P.D. including single tooth and surface restoration 2 marks  I.S.P. 5 marks  Occlusal rehabilitation 5 marks  T.M.J. 5 marks  Maxillofacial Prosthesis 5 marks  Pre Clinic Exercises 10 marks 18


2. Presentation of Clinical Exam CD patient’s prosthesis including insertion 75 Marks  Discussion on treatment plan and patient review 10 marks  Tentative jaw relation records 5 marks  Face Bow – transfer 5 marks  Transferring it on articulators 5 marks  Extra oral tracing and securing centric and 15 marks protrusive/lateral, record  Transferring records on articulator and programming 5 marks  Selection of teeth 5 marks  Arrangement of teeth 10 marks  Waxed up denture trial 10 marks  Check of Fit, insertion and instruction of previously 5 marks processed characterised, anatomic complete denture Prosthesis • ALL STEPS WILL INCLUDE CHAIRSIDE, LAB AND VIVA VOCE 3. Fixed Partial Denture 35 Marks a. Case discussion including treatment planning and selection of 5 Marks patient for F.P.D. a. Case discussion including treatment planning and case selection 10 marks b. Abutment preparation isolation and fluid control 15 marks c. Gingival retraction and impressions (conventional/ CADCAM impressions) 10 marks d. Cementation of provisional restoration 5 marks 4. Removable Partial Denture 25 Marks a. Surveying and designing of partial dentate cast. 5 marks 19


b. Discussion on components and material selection 10 marks including occulsal schemes. 5. Implant supported prosthesis (2nd stage- protocol) 30 marks a. selection of patient for ISP 10 marks b. II stage preparation, Abutment selection, placement, evaluation 10 marks c. Implant impression and making of cast 10 marks (ALL STEPS WILL INCLUDE CHAIRSIDE, LAB AND VIVA VOCE ) B. Viva Voce : 100 Marks I. Viva-Voce examination 80 marks II. Pedagogy 20 marks

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I MDS

21


MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-PROS-101: PROSTHODONTICS AND CROWN & BRIDGE-Basics Periods/weeks Credits L:16 T/P:10 C:18 60 Duration of Examination – 3 hrs

Max Marks:400 Formative/Continuous Assessment: 200 Annual/Final: 200

Pre-requisites: NA Course Type: Fundamental Course Coordinator/Co-Coordinator: Course Outcomes

At the end of the course, students will be able to... 1. MDS-PROS-101.1- Knowledge of dental material science and biological biomechanical and bio-aesthetics. 2. MDS-PROS-101.2 – Acquire knowledge of instruments, equipment and research tools in prosthodontics. 3. MDS-PROS-101.3 – To differentiate various types of articles published in and critically appraise based on standard reference guidelines. 4. MDS-PROS-101.4– To perform clinical and laboratory procedures with a clear understanding of biomaterials, tissue conditions related to prosthesis and have required dexterity and skill for performing all procedures in fixed, removable, implant, maxillofacial, TMJ and esthetic prosthodontics 5. MDS-PROS-101.5 – Judge the patients requiring prosthodontic therapy, investigate patient systemically, interpret investigation results, radiographs, diagnose the ailment, treatment planning, communication with patient and execution. COURSE CONTENTS- In detail The course content has been identified and categorized as essential knowledge given below. ESSENTIAL KNOWLEDGE: The topics to be considered are Applied Basic Sciences, Oral and Maxillofacial Prosthodontics and Implantology

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APPLIED BASIC SCIENCES: Should develop thorough knowledge on the applied aspects of Anatomy, Embryology, Histology particularly head and neck, Physiology, Biochemistry, Pathology, Microbiology, Virology, Pharmacology, Health and systematic diseases principles in surgery medicine and Anesthesia, Nutrition, Behavioral sciences, age changes, genetics, Dental Material Science, congenital defects and Syndromes and Anthropology, Biomaterial Sciences, Bio-engineering and Bio-medical and Research Methodology as related to Masters degree Prosthodontics and Crown & Bridge including Implantology It is desirable to have adequate knowledge in Bio-statistics, Research Methodology and use of computers to develop necessary teaching skills in the specialty of Prosthodontics including crown and bridge. APPLIED ANATOMY OF HEAD AND NECK: General Human Anatomy –Gross Anatomy, anatomy of Head and Neck in detail: Cranial and facial bones, TMJ and function, muscles of mastication and facial expression, muscles of neck and back including muscles of deglutition and tongue, arterial supply and venous drainage of the head and neck, anatomy of the Para nasal sinuses in relation to the Vth cranial nerve. General considerations of the structure and function of the brain, brief considerations of V, VII, XI, XII, cranial nerves and autonomic nervous system of the head and neck. The salivary glands, Pharynx, Larynx Trachea, Oesophagus, Functional Anatomy of masticatory muscles, Deglutition, speech, respiration, and circulation, teeth eruption, morphology, occlusion and function. Anatomy of TMJ, its movements and myofacial pain dysfunction syndrome. Embryology –Development of the face, tongue, jaws, TMJ, Paranasal sinuses, pharynx, larynx, trachea, esophagus, Salivary glands, Development of oral and Para oral tissues including detailed aspects of tooth formation. Growth & Development –Facial form and Facial growth and development overview ofDentofacial growth process and physiology from foetal period to maturity and old age,. General physical growth, functional and anatomical aspects of the head, changes in craniofacial skeletal development, relationship between development of the dentition and facial growth. Dental Anatomy –Anatomy of primary and secondary dentition, concept of occlusion,mechanism of articulation, and masticatory function. Detailed structural and functional study of the oral and Para oral tissues, normal occlusion, development of occlusion in deciduous mixed and permanent dentitions, root length, root configuration & tooth-numbering systems. 23


Histology –histology of enamel, dentin, Cementum, periodontal ligament and alveolar bone, pulpal anatomy, histology and biological consideration. Salivary glands and Histology of epithelial tissues including glands.Histology of general and specific connective tissue including bone, , Salivary glands, Histology of skin, oral mucosa, respiratory mucosa, connective tissue, bone, cartilage, cellular elements of blood vessels, blood, lymphatics, nerves, muscles, tongue and tooth Cell biology –Brief study of the structure and function of the mammalian cell Components of the cell and functions of various types of cells and their consequences with tissue injury APPLIED PHYSIOLOGY AND NUTIRITION : Introduction, Mastication, deglutition, digestion and assimilation, Homeostasis, fluid and electrolyte balance, blood composition, volume, function, blood groups and hemorrhage, Blood transfusion, circulation, Heart, Pulse, Blood pressure, capillary and lymphatic circulation. Shock, respiration, control, anoxia, hypoxia, asphyxia, artificial respiration. Endocrine glands in particular reference to pituitary, parathyroid and thyroid glands and sex hormones. Role of calcium and Vit D in growth and development of teeth, bone and jaws.Role of Vit.A, C and B complex in oral mucosal and periodontal health.Physiology and function of the masticatory system. Speech mechanism, mastication, swallowing and deglutition mechanism, salivary glands and Saliva Endocrines – General principles of endocrine activity and disorders relating to pituitary, thyroid, pancreas, parathyroid, adrenals, gonads, including pregnancy and lactation. Physiology of saliva, urine formation, normal and abnormal constituents, Physiology of pain, Sympathetic and parasympathetic nervous system, neuromuscular co-ordination of the stomatognathic system. Applied Nutrition – General principles, balanced diet, effect of dietary deficiencies and starvation, Diet, digestion, absorption, transportation and utilization & diet for elderly patients. APPLIED BIOCHEMISTRY: General principles governing the various biological activities of the body, such as osmotic pressure, electrolytic dissociation, oxidation-reductionCarbohydrates, proteins, liquids and their metabolism, Enzymes, Vitamins, and minerals, Hormones, Blood, Metabolism of inorganic elements, Detoxification in the body & anti metabolites.

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APPLIED PHARMACOLOGY AND THERAPEUTICS: Dosage and mode of administration of drugs. Action and fate of drugs in the body, Drug addiction, tolerance and hypersensitive reactions, Drugs acting on the central nervous system, general anesthetics hypnotics, analeptics and tranquilizers. Local anesthetics, Chemotherapeutics and antibiotics, Antitubercular and anti syphiliticdrugs, Analgesics and antipyretics, Antiseptics, styptics, Sialogogues and antisialogogues, Haematinics, Cortisones, ACTH, insulin and other antidiabetics vitamins: A, D, B – complex group C, K etc. Chemotherapy and Radiotherapy. Drug regime for antibiotic prophylaxis and infectious endocarditis and drug therapy following dental surgical treatments like placement of implants, pre and peri prosthetic surgery APPLIED PATHOLOGY: Inflammation, repair and degeneration, Necrosis and gangrene, Circulatory disturbances, Ischaemia, hyperaemia, chronic venous congestion, oedema, thrombosis, embolism and infarction. Infection and infective granulomas, Allergy and hypersensitive reactions, Neoplasms; Classification of tumors, Carcinogenesis, characteristics of benign and malignant tumors, spread of tumors. Applied histo pathology and clinical pathology. APPLIED MICROBIOLOGY: Immunity, knowledge of organisms commonly associated with diseases of the oral cavity (morphology cultural characteristics etc) of strepto, staphylo, , Clostridia group of organisms, Spirochaetes, organisms of tuberculosis, leprosy, diphtheria, actinomycosis and moniliasis etc. Virology, Cross infection control, sterilization and hospital waste management APPLIED ORAL PATHOLOGY: Developmental disturbances of oral and Para oral structures, Regressive changes of teeth, Bacterial, viral and mycotic infections of the oral cavity. Dental caries, diseases of pulp and periapical tissues, Physical and chemical injuries of the oral cavity, oral manifestations of metabolic and endocrine disturbances, Diseases of the blood and blood forming organism in relation to the oral cavity, Periodontal diseases, Diseases of the skin, nerves and muscles in relation to the Oral cavity. LABORATORY DETERMINATIONS: Blood groups, blood matching, R.B.C. and W.B.C. count, Bleeding and clotting time, PT, PTT and INR Smears and cultures – urine analysis and culture. Interpretation of RBS, Glycosylated Hb, GTT

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BIOSTATISTICS: Characteristics and limitations of statistics, planning of statistical experim to biological data. Definition of selected terms – scale of measurements related to statistics, Methods of collecting data, presentation of the statistical diagrams and graphs. Frequency curves, mean, mode of median, Standard deviation and co-efficient of variation, Correlation – Co-efficient and its significance, Binominal distributions normal distribution and Poisson’s distribution, Tests of significance. RESEARCH METHODOLOGY: Understanding and evaluating dental research, scientific method and the behavior of scientists, understanding to logic – inductive logic – analogy, models, authority, hypothesis and causation,. Measurement and Errors of measurement, presentation of results, Reliability, Sensitivity and specificity diagnosis tests and measurements, Research Strategies, Observation, Correlation, Experimentation and Experimental design. Logic of statistical in(ter)ferences, balance judgements, judgement under uncertainty, clinical vs., scientific judgement, problems with clinical judgement, forming scientific judgements, the problem of contradictory evidence, citation analysis as a Means of literature evaluation, influencing judgement : Protocol writing for experimental, observational studies, survey including hypothesis, PICO statement, aim objectives, sample size justification, use of control/placebo, standardization techniques, bias and its elimination, blinding, evaluation, inclusion and exclusion criteria. APPLIED RADIOLOGY: Introduction, radiation, background of radiation, sources, radiation biology, somatic damage, genetic damage, protection from primary and secondary radiation, Principles of X-ray production, Applied principles of radio therapy and after care. ROENTGENOGRAPHIC TECHNIQUES: Intra oral, extra oral roentgenography, Methods of localization digital radiology and ultra sounds.Normal anatomical landmarks of teeth and jaws in radiograms, temporomandibular joint radiograms, neck radiograms.Use of CT and CBCT in prosthodontics APPLIED MEDICINE: Systemic diseases and (its) their influence on general health and oral and dental health. Medical emergencies like syncope, hyperventilation, angina, seizure, asthma and allergy/anaphylaxis in the dental offices – Prevention, preparation, medico legal consideration, unconsciousness, respiratory distress, altered consciousness, seizures, 26


drug related emergencies, chest pain, cardiac arrest, premedication, prophylaxis and management of ambulatory patients, resuscitation, applied psychiatry, child, adult and senior citizens. APPLIED SURGERY & ANESTHESIA: General principles of surgery, wound healing, incision wound care, hospital care, control of hemorrhage, electrolyte balance. Common bandages, sutures, splints, shifting of critically ill patients, prophylactic therapy, bone surgeries, grafts, etc, surgical techniques, nursing assistance, anesthetic assistance. Principles in speech therapy, surgical and radiological craniofacial oncology, applied surgical ENT and ophthalmology. APPLIED PLASTIC SURGERY: Applied understanding and assistance in programs of plastic surgery for prosthodontics therapy.                        

APPLIED DENTAL MATERIALS: 1. Overview of materials for dental applications with special reference to standards for dental materials 2. Biocompatibility of Dental Materials 3. Structure of matter and principles of adhesion 4. Physical properties of Dental Materials 5. Mechanical Properties of Dental materials 6. Solidification and microstructure of Metals 7. Equilibrium phases in cast alloys 8. Dental Polymers 9. Impression Material 10. Gypsum Products 11. Dental Waxes 12. Casting Investments and procedures 13. Finishing and Polishing materials with special reference to bur design 14. Bonding for direct restorative materials 15. Restorative resins 16. Dental cements 17. Dental Casting and soldering alloys 18. Wrought alloys except orthodontic wires and brackets 19. Dental Ceramics 20. Denture base resins 21. Dental Implants 22. Materials for maxillofacial prosthetics 23. Materials for post and core 27


Students should have understanding of all materials used for treatment of craniofacial disorders – Clinical, treatment, and laboratory materials, associated materials, technical considerations, shelf life, storage, manipulations, sterilization, and waste management.  Students shall acquire knowledge of testing biological, mechanical and other physical properties of all materials used for the clinical and laboratory procedures in prosthodontic therapy.  Students shall acquire full knowledge and practice of Equipments, instruments, materials, and laboratory procedures at a higher level of competence with accepted methods. ACTIVITIES AND PRACTICAL ASPECTS The post graduate is expected to complete the following at the end of:S. No. 1.

Year Wise

Activities works to be done

Module 1

I. Complete dentures 1. Arrangements in adjustable articulator for  Class I  Class II  Class III  Characterized 2. Various face bow transfer to adjustable articulators 3. Processing of characterized anatomical denture II. Removable partial denture 1. Design for Kennedy's Classification (Survey, block out and design) a. Class I b. Class II c. Class III d. Class IV 2. Designing of various components of RPD 3. Wax pattern on refractory cast a. Class I b. Class II c. Class III d. Class IV 4- Casting and finishing of metal frameworks 5- Acrylisation on metal frameworks for Class I/ II III. Fixed Partial Denture 28


 Preparation of ivory teeth/natural teeth  FVC for metal  FVC for ceramic  PFM crown 2. Preparation of different die system 3. Fabrication of wax pattern by drop wax build up technique  Wax in increments to produce wax coping over dies of tooth preparations on substructures.  3-unit wax pattern (maxillary and Mandibular)  Full mouth  Wax additive technique 4. Pontic design in wax pattern  Ridge lap Sanitary  Modified ridge lap  Modified sanitary  Spheroidal or conical 5. Fabrication of metal framework  Full metal bridge for posterior (3 units)  Coping for anterior (3 unit)  Full metal with acrylic facing  Full metal with ceramic facingc Adhesive bridge for anterior  Coping for metal margin ceramic crown 6. Fabrication of crowns  All ceramic crowns with characterization  Metal ceramic crowns with characterization  Full metal crown IV. Maxillofacial prosthesis 1. Eye 2. Ear 3. Nose 4. Finger prosthesis VI. Other exercises 1. TMJ splints - stabilization appliances, maxillary and Mandibular repositioning appliances 2. Anterior disclusion appliances 3. Chrome cobalt and acrylic resin stabilization appliances 4. Modification in accommodation in irregularities in dentures 29


5. Occlusal splint 6. Periodontal splint 7. Over denture coping 8. Full mouth rehabilitation (by drop wax technique, ceramic build up) 9. TMJ appliances -stabilization appliances Essential Skills

LIST OF BOOKS 1. Essential of Complete Denture Prosthodontics - Winkler, 3RD EDITION 2. Prosthodontic Treatment for Edentluous Patients - ZarbBolender, 13TH EDITION 3. Impression Techniques for Complete Denture - Bernard Levin, 1ST EDITION 4. Clinical Removable Partial Denture -Stewart, 4TH EDITION 5. Removable Partial Prosthodontics - Mc Cracken, 13TH EDITION 6. Fundamentals of Fixed Prosthodontics -Shillingburg, 3RD EDITION Instructions for paper setting - Each paper will have 02types of questions in which containing Essay Type Questions and Short Questions. - There will be 02 essay type questions of 25 marks each and 10 short questions of 5 marks each. - Marks should be indicated against each question Assessment Tools: 1. Written tests 2. Assignments 3. Tutorials/Practicals 4. Viva voce 5. Paper/Poster presentation/Publications

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COURSE ARTICULATION MATRIX: CO Statement

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MDS-PROS101.3

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MDS-PROS101.4

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1.8

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1.8

2.2

2.2

1.8

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AUDIT PASS SUBJECT MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-COM-101: BIOMEDICAL RESEARCH Periods/week Credits 1 Pre-requisites: Course Type: Audit Pass Category: Multidisciplinary Duration: 16 weeks (23 lectures) Course Coordinator:

Max. Marks: 200 Annual/Final Exams: 200 marks

Course Outcomes:

At the end of the course, students will be able to... MDS-COM-001.1:-Explain fundamental concepts in research methodology. MDS-COM-001.2:- Conceptualize a research study MDS-COM-001.3 –Epidemiological and bio-statistical considerations in designing a research study MDS-COM-001.4 – Planning and conducting a research study, writing a research protocol MDS-COM-001.5- Understand publication ethics Course Content Detailed Curriculum Conceptualizing a research study 1. Introduction to health research 2 Formulating research question, hypothesis and objectives 3 Literature review Epidemiological considerations in designing a research study 1. Measures of disease frequency 2. Descriptive study designs 3. Analytical study designs 4. Experimental study designs 5. Validity of epidemiological studies 6. Qualitative research methods: An overview Bio-statistical considerations in designing a research study 1. Measurement of study variables 2. Sampling methods 3. Calculating sample size and power 4. Planning a research study 32


5. Selection of study population 6. Study plan and project management 7. Designing data collection tools 8. Principles of data collection 9. Data management 10. Overview of data analysis Ethical issues in conducting a research study 1. Ethical framework for health research 2. Conducting clinical trials Writing a research protocol 2. Preparing a concept paper for research projects 3. Elements of a protocol for research studies 4. Publication ethics Instruction for paper setting 1. Each lecture will comprise of online assignments consisting of 10 Multiple Choice Questions. 2. Assignment scores will be released after the assignment submission deadline. 3. A minimum score of 50% in aggregate is required to register for the final proctored exam. Final Proctored Exam 1. Registration will open 3 months before the scheduled examination date 2. The participant will have to fill up the online application form and have to pay Rs. 1000 online 3. The city-wise list of examination centres will be made available at the time of registration. Certification 1. A minimum score of 50% is considered pass. 2. Participants who successfully clear the final proctored exam will be awarded an e-verifiable course completion certificate. Books and References 1.World Health Organization. Health research methodology: a guide for training in research methods. Manila: WHO Regional Office for the Western Pacific; 2001: p. 1-10. https://apps.who.int/iris/handle/10665/206929 2. Bonita R, Beaglehole R, Kjellstrom T. Basic epidemiology. 2 nd ed. Geneva: World Health Organization; 2006: p. 15-23. http://apps.who.int/iris/bitstream/10665/43541/1/9241547073_eng.pdf 3. Coggon D, Rose G, Barker DJP. Epidemiology for the uninitiated. 4 th ed. London: BMJ publishing Group; 1997. https://www.bmj.com/aboutbmj/resources-readers/publications/epidemiology-uninitiated 4. Campbell MJ, Swinscow TDV. Statistics at square one.9 th ed. BMJ Publishing Group; 1997. https://www.bmj.com/about-bmj/resourcesreaders/publications/statistics-square-one 33


5. Hudelson PM. Qualitative research for health programmes. Geneva: World Health Organisation; 2004. https://apps.who.int/iris/bitstream/handle/10665/62315/WHO_MNH_PSF_94.3.p df?sequence=1

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II MDS

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-PROS-201-I: PROSTHODONTICS AND CROWN & BRIDGE -I Periods/weeks Credits Max Marks:200 L:13 T/P:15 C:16 57 Formative/Continuous Assessment: 200 Duration of Examination – 3 hrs Pre-requisites: MDS-PROS-101 –PROSTHODONTICS AND CROWN & BRIDGE Basics Studied Course Type: Core Course Coordinator/Co-Coordinator: Course Content-In detail COMPLETE DENTURE PROSTHESIS a. Prosthodontic treatment for completely edentulous patients - Complete denture, immediate complete denture, single complete denture, tooth supported complete denture, Implant supported Prosthesis for completely edentulous. b. Prosthodontic treatment for partially edentulous patients: - Clasp- retained partial dentures, intra coronal and extra coronal precision attachments retained partial dentures, maxillofacial prosthesis. Prosthodontic treatment for edentulous patients: Complete Dentures and Implant supported Prosthesis for Edentulous in both the arches Complete Denture Prosthesis - Definitions, terminology, G.P.T., Boucher's clinical dental Terminology Scope of Prosthodontics - the Cranio Mandibular system and its functions, the reasons for loss of teeth and methods of restorations, Infection control, cross infection barrier - clinical and laboratory and hospital and lab waste management a) Edentulous Predicament, Biomechanics of the edentulous state, Support mechanism for the natural dentition and complete dentures, Biological considerations, Functional and Para functional considerations, Esthetic, behavioral and adaptive responses, Temporomandibular joints changes. b) Effects of aging of edentulous patients - aging population, distribution and edentulism in old age, impact of age on edentulous mouth - Mucosa, Bone, saliva, jaw movements in old age, taste and smell, nutrition, aging, skin and teeth, concern for personal appearance in old age c) Sequalae caused by wearing complete denture - the denture in the oralenvironment - Mucosal reactions, altered taste perception, burning mouth syndrome, gagging, residual ridge reduction, denture stomatitis, flabby ridge, denture irritation hyperplasia, traumatic Ulcers, Oral cancer in denture wearers,

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nutritional deficiencies, masticatory ability and performance, nutritional status and masticatory functions. d) Temporomandibular disorders in edentulous patients - Epidemiology, etiology and management, Pharmacotherapy, Physical modalities, and Bio-behavioral modalities e) Nutrition Care for the denture wearing patient - Impact of dental status of food intake, Gastrointestinal functions, nutritional needs and status of older adults, Calcium and bone health, vitamin and herbal supplementation, dietary counseling and risk factor for malnutrition in patients with dentures and when teeth are extracted. f) Preparing patient for complete denture patients - Diagnosis and treatment planning for edentulous and partially edentulous patients - familiarity with patients, principles of perception, health questionnaires and identification data, problem identification, prognosis and treatment identification data, problem identification, prognosis and treatment planning - contributing history - patient's history, social information, medical status - systemic status with special reference to debilitating diseases, diseases of the joint, cardiovascular, disease of the skin, neurological disorders, oral malignancies, climacteric, use of drugs, mental health - mental attitude, psychological changes, adaptability, geriatric changes - physiologic, pathological, pathological and intra oral changes. Intra oral health - mucosa membrane, alveolar ridges, palate and vestibular sulcus and dental health. Data collection and recording, visual observation, radiography, palpation, measurement- sulci or fossae, extra oral measurement is the vertical dimension of occlusion, diagnostic casts. Specific observations - existing dentures, soft tissue health, hard tissue health teeth, bone. Biomechanical considerations - jaw relations, border tissues, saliva, muscular development - muscle tones, neuromuscular co-ordination, tongue, cheek and lips. Interpreting diagnostic findings and treatment planning g) Pre prosthetic surgery - Improving the patients denture bearing areas and relations: non surgical methods - rest for the denture supporting tissues, 0m! correction of the old prosthesis, good nutrition, conditioning of the patients musculature, surgical methods Correction of conditions, that preclude optimal prosthetic function - hyperplastic ridge – epulis fissuratum and papillomatosis, frenular attachments and pendulous maxillary tuberosities, ridge augmentation,maxillary and Mandibular oral implants, corrections of congenital deformities, discrepancies in jaw size, relief of pressure on the mental foramen, enlargement of denture bearing areas, vestibuloplasty, ridge augmentation, replacement of tooth roots with Osseo integrated denture implants. 37


h) Immediate Denture - Advantages, disadvantages, contra indication, diagnosis treatment plan and prognosis, Explanation to the patient, Oral examinations, examination of existing prosthesis, tooth modification, prognosis, referrals / adjunctive care, oral prophylaxis and other treatment needs. First extraction / surgical visit, preliminary impressions and diagnostic casts, management of loose teeth, custom trays, final impressions and final casts two tray or sectional custom impression tray, location of posterior limit and jaw relation records, setting the denture teeth / verifying jaw relations and the patient try in, laboratory phase, setting of anterior teeth, Wax contouring, flasking and boil out, processing and finishing, surgical templates, surgery and immediate denture insertion, post operative care and patient instructions, subsequent service for the patient on the immediate denture, over denture tooth attachments, implants or implant attachments. i) Over dentures (tooth supported complete dentures) - indications and treatment planning, advantages and disadvantages, selection of abutment teeth, lose of abutment teeth, tooth supported complete dentures. Non-coping abutments, abutment with copings, abutments with attachments, submerged vital roots, preparations of the retained teeth. j) Single Dentures: Single Mandibular denture to oppose natural maxillary teeth, single complete maxillary denture to oppose natural Mandibular teeth to oppose a partially edentulous Mandibular arch with fixed prosthesis, partially edentulous Mandibular arch with removable partial dentures. Opposing existing complete dentures, preservation of the residual alveolar ridge, necessity for retaining maxillary teeth and mental trauma. k) Art of communication in the management of the edentulous predicament Communication - scope, a model of communication, why communication . important, what are the elements of effective communications, special significance of doctor / patient communication, doctor behavior, The iatrosedative (doctor & act of making calm) recognizing and acknowledging the problem, exploring and identifying the problem, interpreting and explaining the problem, offering a solution to the problem for mobilize their resources to operate most efficient way, recognizing and acknowledging the problem, interpreting and explaining the problem, offering a solution to the problem. I) Materials prescribed in the management of edentulous patients - Denture base materials, General requirements of biomaterials for edentulous patients, requirement of an ideal denture base, chemical composition of denture base resins, materials used in the fabrication of prosthetic denture teeth, requirement of prosthetic denture teeth, denture lining materials and tissue conditioners, cast metal alloys as denture, bases - base metal alloys. m) Articulators - Classification, selection, limitations, precision, accuracy and sensitivity, and Functional activities of the lower member of the articulator and uses, 38


n) Fabrications of complete dentures - complete denture impressions - muscles of facial expressions and anatomical landmarks, support, retention, stability, aims and objectives - preservation, support, stability, aesthetics, and retention. Impression materials and techniques - need of 2 impressions the preliminary impression and final impression. Developing an analogue / substitute for the maxillary denture bearing area -anatomy of supporting structures - mucous membrane, hard palate, residual ridge, shape of the supporting structure and factors that influence the form and size of the supporting bones, incisive foramen, maxillary tuberosity, sharp spiny process, torus palatinus, Anatomy of peripheral or limiting structures, labial vestibule, Buccal vestibule, vibrating line, preliminary and final impressions, impression making, custom tray and refining the custom tray, preparing the tray to secure the final impression, making the final impression, boxing impression and making the casts Developing an analogue / substitute for the Mandibular denture bearing areaMandible - anatomy of supporting structure, crest of the residual ridge, the Buccal shelf, shape of supporting structure, mylohyoid ridge, mental foramen, genial tubercles, torus mandibularis, Anatomy of peripheral or limiting structure - labial vestibule, Buccal vestibule, lingual border, mylohyoid muscle, retromylohyoid fossa, sublingual gland region, alveolingual sulcus, Mandibular impressions - preliminary impressions, custom tray, refining, preparing the tray\, final impressions. m) Mandibular movements, Maxillo mandibular relation and concepts of occlusion Gnathology, identification of shape and location of arch form - Mandibular and maxillary, occlusion rim, level of occlusal plane and recording of trail denture base, tests to determine vertical dimension of occlusion, interocclusal, centric relation records, Biological and clinical considerations in making jaw relation records and transferringrecords from the patients to the articulator, Recording of Mandibular movements - influence of opposing tooth contacts, Temporomandibular joint, muscular involvements, neuromuscular regulation of Mandibular motion, the envelope of motion, rest position, Maxillo - Mandibular relations - the centric, eccentric, physiologic rest position, vertical dimension, occlusion, recording methods - mechanical, physiological, Determining the horizontal jaw relation - Functional graphics, tactile or interocclusal check record method, Orientation / sagittal relation records, Arbitrary / Hinge axis and face bow record, significance and requirement, principles and biological considerations and securing on articulators. n) Selecting and arranging artificial teeth and occlusion for the edentulous patient anterior tooth selection, posterior tooth selection, and principles in arrangement of teeth, and factors governing position of teeth - horizontal, vertical. The inclinations and arrangement of teeth for aesthetics, phonetics and mechanics -to concept of occlusion. 39


o) The Try in - verifying vertical dimension, centric relation, establishment of posterior palatal seal, creating a facial and functional harmony with anterior teeth, harmony of spaces of individual teeth position, harmony with sex, personality and age of the patient, co-relating aesthetics and incisal guidance. p) Speech considerations with complete dentures - speech production - structural and functional demands, neuropsychological background, speech production and the roll of teeth and other oral structures - bilabial sounds, labiodentals sounds, linguodental sounds, linguoalveolar sound, articulatoric characteristics, acoustic characteristics, auditory characteristics, linguopalatal and linguoalveolar sounds, speech analysis and prosthetic considerations. q) Waxing contouring and processing the dentures their fit and insertion and after care – laboratory procedure - wax contouring, flasking and processing, laboratory remount procedures and selective, finishing and polishing. Critiquing the finished prosthesis - doctors evaluation, patients evaluation, friends evaluation, elimination of basal surface errors, errors in occlusion, interocclusal records for remounting procedures - verifying centric relation, eliminating occlusal errors, special instructions to the patient – appearance with new denture, mastication with new dentures, speaking with new dentures, speaking with new dentures, oral hygiene with dentures, preserving of residual ridges and educational material for patients, maintaining the comfort and health of the oral cavity in the rehabilitated edentulous patients. Twenty-four hours oral examination and treatment and preventive Prosthodontic - periodontic recall for oral examination 3 to 4 months intervals and yearly intervals. m) Implant supported Prosthesis for partially edentulous patients - Science of Osseo integration, clinical protocol for treatment with implant supported over dentures, managing problems and complications, implant Prosthodontics for edentulous patients: current and future directions. n) Implant supported prosthesis for partially edentulous patients - Clinical and laboratory protocol: Implant supported prosthesis, managing problems and implications. Introduction and Historical Review, Biological, clinical and surgical aspects of oral implants, Diagnosis and treatment planning, Radiological interpretation for selection of fixtures, Splints for guidance fort surgical placement of fixtures, Intra oral plastic surgery, Guided bone and Tissue generation consideration for implants fixture, Implants supported prosthesis for complete edentulism and partial edentulism, Occlusion for implants support prosthesis, Peri-implant tissue and Management, Peri-implant and management, Maintenance and after care, Management of failed restoration, Work authorization for implant supported prosthesis - definitive instructions, legal aspects, delineation of responsibility.

40


PROSTHODONTIC TREATMENT FOR PARTIALLY EDENTULOUS PATIENTS REMOVABLE PARTIAL PROSTHODONTICS a. Scope, definition and terminology, Classification of partially edentulous arches – requirements of an acceptable methods of classification, Kennedy's classification, Applegate's rules for applying the Kennedy classification. b. Components of RPD - major connector - mandibular and maxillary, minor connectors, design, functions, form and location of major and minor connectors, tissue stops, finishing lines, reaction of tissue to metallic coverage Rest and rest seats - from of the Occlusal rest and rest seat, interproximal Occlusal rest seats, internal Occlusal rests, possible movements of partial dentures, support for rests, lingual rests on canines and incisor teeth, incisal rest and rest seat. Direct retainer- Internal attachment, extracoronal direct retainer, relative uniformity of retention, flexibility of clasp arms, stabilizing - reciprocal clasp are, criteria for selecting a given clasp design, the basic principles of clasp design, circumferential clasp, bar clasp, combination clasp and other type of retainers. Indirect Retainer - denture rotation about an axis, factors influencing effectiveness of indirect retainers, forms of indirect retainers, auxiliary Occlusal rest, canine extensions from Occlusal an opposing cast or template, types of anterior teeth, waxing and investing tinW partial denture before processing acrylic resin bases, processing the denture, remounting and occlusal correction toan occlusal template, polishing the denture. m. Initial placement, adjustment and servicing of the removable partial denture adjustments to bearing surfaces of denture framework, adjustment of occlusion in harmony with natural and artificial dentition, instructions to the patient, follow - up services n. Relining and Rebasing the removable partial denture - Relining tooth supported dentures bases, relining distal extension denture bases, methods of reestablishing occlusion on a relined partial denture. o. Repairs and additions to removable partial dentures - Broken clasp arms, fractured occlusal rests, distortion or breakage of other components - major and minor connectors, loss of a tooth or teeth not involved in the support or retention of the restoration, loss of an abutment tooth necessitating its replacement and making a new direct retainer, Other types of repairs, Repair by soldering. p. Removable partial denture considerations in maxillofacial prosthetics – Maxillofacial prosthetics, intra oral prosthesis, design considerations, maxillary prosthesis. Obturators, speech aids, palatal lifts, palatal augmentations, mandibular prosthesis, treatment planning, framework design, class I resection, Class II resection, mandibular flange prosthesis, jaw relation record q. Management of failed restorations, work authorization. 41


LEARNING SCHEME FOR II YEAR M.D.S.  Acquired confidence in obtaining various phases and techniques for providing Prosthodontictherapy.  Acquiring confidence by clinical practice with sufficient numbers of patient requiring tooth and toothsurface restorations.  Adequate number of complete denture prosthesis and techniques with higher clinical approach byutilizing in semi-adjustable articulators, face bow and graphic tracing.  Understanding the use of the dental surveyor and its application in diagnosis and treatment plan in R.P.D.  Adequate numbers of R.P.D. covering all clinical partially edentulous situation  Adequate number of Crowns, Inlays, laminates F.P.D. covering all clinically, partial edentulous situation.  Selection of cases and principles in treatment of edentulous patients, partial or complete by implant supported prosthesis.  Treating single edentulous situation by implant support.  Diagnosis and treatment planning.  1st stage and 2nd stage implant surgery  Understanding the maxillofacial Prosthodontics  Treating craniofacial defects  Management of orofacial esthetics  Prosthetic management of TMJ syndrome  Occlusal rehabilitation  Maintenance and management of filled restoration  Prosthodontic Management of patient with psychogenic origin.  Practice of child and geriatric prosthodontics  Participation and presentation in seminars, didactics lectures  Evaluation - Internal Assessment examinations RECOMMENDED TEXT BOOKS 1. Essential of Complete Denture Prosthodontics – Winkler, 3RD EDITION 2. Prosthodontic Treatment for Edentluous Patients – ZarbBolender, 13TH EDITION 3. Impression Techniques for Complete Denture – Bernard Levin, 1ST EDITION . Clinical Removable Partial Denture –Stewart, 4TH EDITION 5. Removable Partial Prosthodontics – Mc Cracken, 13TH EDITION 6. Fundamentals of Fixed Prosthodontics –Shillingburg, 3RD EDITION 7. Contemporary Fixed Partial Denture – Rosenstiel, 4TH EDITION 8. Functional Occlusion from TMJ to Smile Design –Peter E Dawson, 1ST EDITION 9. Maxillofacial Prosthodontics –Thomas D Taylor, 1ST EDITION 10. Maxillofacial Rehabilitation –John Beumer III, 1ST EDITION 11. Dental Implant Prosthetics – Carl E Misch, 2ND EDITION 42


12. Contemporary Implant Dentistry –Carl E Misch, 3RD EDITION 13. TextBookOf Prosthodontics –Deepak Nallaswamy, 2ND EDITION 14. Textbook of Prosthodontics- V Rangarajan, 2ND EDITION 15. Esthetics in Dentistry- Ronald E Goldstein- 3RD EDITION JOURNALS 1. Journal of Indian Prosthodontic Society 2. Journal of Prosthetic Dentistry 3. Journal of Prosthetic Research 4. Journal of Prosthodontics 5. Journal of Advanced Prosthodontics 6. Journal of Clinical Dentistry and Research 7. Journal of Oral Implantology Formative Assessment Tools: 1. Sessional Examination 2. Class tests 3. Publications 4. Paper/Poster presentation

43


III MDS

44


MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-PROS-201-II: PROSTHODONTICS AND CROWN & BRIDGE -II Periods/weeks Credits L:12 T/P:10 C:24 58 Duration of Examination – 3 hrs

Max Marks:1000 Formative/Continuous Assessment: 400 Annual/Final: 600

Pre-requisites:MDS-PROS-101 PROSTHODONTICS AND CROWN & BRIDGE Basic & MDS-COM-101 Biomedical Research Course Type: Core Course Coordinator/Co-Coordinator: Course Outcomes

At the end of the course, students will be able to... MDS-PROS-201-II.1: The candidate would possess knowledge about age changes and Prosthodontic Therapy for the aged related to removable Prosthodontics and oral Implantology MDS-PROS-201-II.2:2.The candidate would be able to demonstrate the clinical competence to restore lost functions of stomatognathic system namely mastication, speech, appearance and psychological comforts by removable prosthesis. MDS-PROS-201-II.3:The candidate would be able to communicate in simple understandable language with the patient and explain the principles of fixed prosthodontics to the patient MDS-PROS-201-II.4:Analyze prosthodontic therapy

the

role

of

inter-disciplinary

approaches

in

MDS-PROS-201-II.5: Develop knowledge skill and the science of oral implantology. Should be aware of the various designs and placement of oral implants and follow up of implant restorations. Course Contents- In detail I. MAXILLOFACIAL REHABILITATION: Scope, terminology, definitions, cross infection control and hospital waste management, work authorization. Behavioral and psychological issues in Head and neck cancer, Psychodynamic interactions - clinician and patient - Cancer Chemotherapy: Oral Manifestations, Complications, and management, Radiation therapy of head and neck tumors: Oral 45


effects, Dental manifestations and dental treatment: Etiology, treatment and rehabilitation ( restoration)- Acquired defect of the mandible, acquired defects of hard palate, soft palate, clinical management of edentulous and partially edentulous maxillectomy patients, Facial defects, Restoration of speech, Velopharyngeal function, cleft lip and palate, cranial implants, maxillofacial trauma, Lip and cheek support prosthesis, Laryngectomy aids, Obstructive sleep apnoea, Tongue prosthesis, Esophageal prosthesis, Vaginal radiation carrier, Burn stents, Nasal stents, Auditory inserts, trismus appliances, mouth controlled devices for assisting the handicapped, custom prosthesis for lagophthalomos of the eye. Osseo integrated supported facial and maxillofacial prosthesis. Resin bonding for maxillofacial prosthesis, Implant rehabilitation of the mandible compromise by radiotherapy, Craniofacial Osseo integration, Prosthodontic treatment, Material and laboratory procedures for maxillofacial prosthesis. II. OCCLUSION Evaluation, Diagnosis and Treatment of Occlusal Problems Scope, definition, terminology, optimum oral health, anatomic harmony, functional harmony, occlusal stability, causes of deterioration of dental and oral health, Anatomical, physiological, neuro - muscular, psychological, considerations of teeth, muscles of mastication, temporomandibular joint, intra oral and extra oral and facial musculatures, the functions of Cranio mandibular system. Occlusal therapy, the stomatognathic system, centric relation, vertical dimension, the neutral zone, the occlusal plane, differential diagnosis of temporomandibular disorders, understanding and diagnosing intra articular problems, relating treatment to diagnosis of internal derangements of TMJ, Occlusal splints, Selecting instruments for occlusal diagnosis and treatment, mounting casts, Pankey-mann-schuyler philosophy of complete occlusal rehabilitation, long centric, anterior guidance, restoring lower anterior teeth, restoring upper anterior teeth, determining the type of posterior occlusal contours, methods for determining the plane of occlusion, restoring lower posterior teeth, restoring upper posterior teeth, functionally generated path techniques from recording border movements intra orally, occlusal equilibration, Bruxism, Procedural steps in restoring occlusions, requirements for occlusal stability, solving occlusal problems through programmed treatment planning, splinting, solving - occlusal wear problems, deep overbite problems, anterior overjet problems, anterior open bite problems. Treating - end to end occlusion, splayed anterior teeth, cross bite patient, Crowded, irregular, or interlocking anterior bite, using Cephalometric for occlusal analysis, solving severe arch malrelationship problems, transcranial radiography, postoperative care of occlusal therapy. III. FIXED PROSTHODONTICS Scope, definitions and terminology, classification and principles, design, mechanical and biological considerations of components - Retainers, connectors, pontics, work authorization. Diagnosis and treatment planning - patients history and interview, 46


patients desires and expectations and needs, systemic and emotional health, clinical examinations -head and neck, oral - teeth, occlusal and periodontal, Preparation of diagnostic cast, radiographic interpretation, Aesthetics, endodontics considerations, abutment selection - bone support, root proximities and inclinations, selections of abutments, for cantilever, pier abutments, splinting, available tooth structures and crown morphology, TMJ and muscles mastication and comprehensive planning and prognosis. Management of carious teeth - caries in aged, caries control, removing infected carious materials, protection of pulp, reconstruction measure for compromising teeth - retentive pins, horizontal slots, retention grooves, prevention of caries, diet, prevention of root caries and vaccine for caries. c Periodontal considerations attachment units, ligaments, gingivitis, periodort^l Microbiological aspect of periodontal diseases, marginal lesion, occlusal trauma, periodontal pockets attached gingiva, interdental papilla, gingival embrasures, radiographic interpretations of Periodontia, intraoral plastics, periodontal splinting -Fixed prosthodontics with periodontially compromised dentitions, placement of margin restorations. Biomechanical principle of tooth preparations - individual tooth preparations Complete metal Crowns - P.F.C., All porcelain - Cerestore crowns, dicor crowns, incerem etc. porcelain jacket crowns partial 3/4, half and half, ridiculer, telescopic, telescopic, pin - hole, pin - ledge, laminates, inlays, onlays and preparations for restoration of teeth - amalgam, glass lonomer and composite resins, Resin Bond retainer, Gingival marginal preparations - Design, material selection, and biological and mechanical considerations - intracoronal retainer and precision attachments custom made and ready made, Isolation and fluid control - Rubber dam applications, tissue dilation - soft tissue management for cast restoration, impression materials and techniques, provisional restoration, interocclusal records, laboratory support for fixed Prosthodontics' Occlusion, Occlusal equilibration, articulators, recording and transferring of occlusal relations, cementing of restoration. c Resins, Gold and gold alloys, glass lonomer, restorations. c Restorations of endodontically treated teeth, Stomatognathic Dysfunction and managements c Management of failed restorations c Osseo integrated supported fixed Prosthodontics - Osseo integrated supported and tooth supported fixed Prosthodontics IV. TMJ - Temporomandibular joint dysfunction - Scope, definitions, and terminology Temporomandibular joint and its function, Orofacial pain, and pain from the temporomandibular joint region, temporomandibular joint dysfunction, temporomandibular joint sounds, temporomandibular joint disorders Anatomy related, trauma, disc displacement, Osteoarthrosis/Osteoarthritis, Hyper mobility and dislocation, infectious arthritis, inflammatory diseases, Eagle's syndrome (Styloid –stylohyoid syndrome), Synovial chondromatosis, Osteochondrrosis disease, 47


Ostonecrosis, Nerve entrapment process, Growth changes, Tumors, Radiographic imaging Etiology, diagnosis and cranio mandibular pain, differential diagnosis and management, orofacial pain - pain from teeth, pulp, dentin, muscle pain, TMJ pain psycho logic, physiologic - endogenous control, acupuncture analgesia, Placebo effects on analgesia, Trigeminal neuralgia, Temporal arteritisc Occlusal splint therapy - construction and fitting of occlusal splints, management of occlusal splints, therapeutic effects of occlusal splints, occlusal splints and general muscles performance, TMJ joint uploading and anterior repositioning appliances, use and care of occlusal splints. Occlusal adjustment procedures - Reversible - occlusal stabilization splints and physical therapies, jaw exercises, jaw manipulation and other physiotherapy or irreversible therapy - occlusal repositioning appliances, orthodontic treatment, Orthognathic surgery, fixed and removable prosthodontic treatment and occlusal adjustment, removable prosthodontic treatment and occlusal adjustment, Indication for occlusal adjustment, special nature of orofacial pain, Indication for occlusal adjustment, special nature of orofacial pain, Psychopathological considerations, occlusal adjustment philosophies, mandibular position, excursive guidance, occlusal contact scheme, goals of occlusal adjustment, significance of a slide in centric, Preclinical procedures, clinical procedures for occlusal adjustment. V. AESTHETIC Scope, definitions - Morpho psychology and esthetics, structural esthetic rules facial components, dental components, gingival components physical components. Esthetics and its relationship to function – Crown morphology, physiology of occlusion, mastication, occlusal loading and clinical aspect in bio esthetic aspects, Physical and physiologic characteristic and muscular activities of facial muscle, perioral anatomy and muscle retaining exercises Smile - classification and smile components, smile design, esthetic restoration of smile, Esthetic management of the dentogingival unit, intraoral plastic for management of gingival contours, and ridge contours, Periodontal esthetics, Restorations – Tooth colored restorative materials, the clinical and laboratory aspects, marginal fit anatomy, inclinations, form, size, shape, color, embrasures, contact point. LEARNING SCHEME FOR III YR MDS  Clinical and laboratory practice continued from IInd year  Occlusal equilibration procedures - Fabrication of stabilizing splint for parafunctional disorders, occlusal disorders and TMJ functions.  Practice of dental, oral and facial esthetics  The clinical practice of all aspects of Prosthodontic therapy for elderly patients.  Implants Prosthodontics - Rehabilitation of Partial Edentulous, Complete edentulism and for craniofacial rehabilitation 48


 Failures in all aspects of Prosthodontics and its management and after care  Team management for esthetics, TMJ syndrome and Maxillofacial and Craniofacial Prosthodontics  Management of Prosthodontics emergencies, resuscitation.  Candidate should complete the course by attending by large number and variety of patients to master the prosthodontic therapy. This includes the practice management, examinations, treatment planning, communication with patients, clinical and laboratory techniques materials and instrumentation requiring different aspects of prosthodontic therapy, Tooth and Tooth surface restoration, Restoration of root treated teeth, splints for periodontal rehabilitations and fractured jaws, complete dentures, R.P.D. FPD. Immediate dentures over dentures implant supported prosthesis, maxillofacial and body prosthesis, occlusal rehabilitation.  Prosthetic management of TMJ syndrome  Management of failed restorations  Complete and submit Library Assignment 6 months prior to examination.  Candidates should acquire complete theoretical and clinical knowledge through seminars, symposium, workshops and reading.  Participation and presentation in seminars, didactic lectures.  Evaluation - Internal Assessment examinations three months before University examinations.  ESSENTIAL SKILLS:  *Key  O – Washes up and observes  A – Assists a senior  PA – Performs procedure under the direct supervision of a senior specialist  PI – Performs independently  The following list of procedures are expected of the post graduate to complete in the post graduate programme under faculty guidance [PA] or independently [PI] . Each of the following procedures should be evaluated for the competencies like critical thinking, patient centered approach, use of evidence based approach, professionalism, systems based practice approach and communication skills of the student. The mentioned numbers denote minimal requirement. However, the head of the department has the discretion to fix the quota and assess them systematically. There may be procedures which the student has observed [O] or assisted [A]. The student can however make his entry into his log book or portfolio wherein he/she can make his comments with remarks of the facilitator in the form of a feedback which would reinforce his learning.

49


CATEGORY

PROCEDURE

O

A

PA

PI

TOOTH AND TOOTH SURFACE RESTORATIONS

2

2

2

10

COMPOSITES- FILLINGS, LAMINATES, INLAY, ONLAY

2

2

2

10

CERAMICS (LAMINATES, INLAYS, ONLAYS), GLASS IONOMER

1

1

1

10

FVC FOR METAL

1

2

2

10

FVC FOR CERAMIC

1

2

2

10

PRECIOUS METALCROWN

1

--

1

5

GALVANOFORMED CROWN

--

--

1

1

3/4TH CROWNS (PREMOLARS, CANINES AND CENTRALS)

1

--

--

5

7/8TH POSTERIOR CROWN

1

--

--

5

PROXIMAL HALF CROWN

1

--

--

5

PINLEDGE AND PINHOLE CROWNS

1

--

--

5

TELESCOPIC CROWNS

1

--

--

5

INTRARADICULAR CROWNS (CENTRAL, LATERAL, CANINE, PREMOLAR AND MOLAR)

1

--

--

5

CROWN AS IMPLANT SUPPORTED PROSTHESIS

1

1

5

CROWNS

FIXED PARTIAL DENTURES CAST PORCELAIN (3UNIT)

1

--

--

5

CAST METAL- PRECIOUS AND NON PRECIOUS

1

--

--

5

1

1

1

10

(3 UNIT POSTERIOR) PORCELAIN FUSED METAL (ANTERIOR AND POSTERIOR)

50


MULTIPLE ABUTMENT- MAXILLARY AND MANDIBULAR FULL ARCH

1

1

1

5

INCORPORATION OF CUSTOM MADE AND READYMADE PRECISION JOINT OR ATTACHMENT

1

1

1

4

ADHESIVE BRIDGE FOR ANTERIOR/ POSTERIOR

1

--

1

10

METAL FUSED TO RESIN ANTERIOR FPD

--

--

1

5

INTERIM PROVISIONAL RESTORATIONS (CROWNS 1 AND FPDs)

1

1

10

IMMEDIATE FIXED PARTIAL DENTURES (INTERIM) 1

--

--

5

FIXED PROSTHESIS AS A RETENTION AND REHABILITATION FOR ACQUIRED AND CONGENITAL DEFECTS- MAXILLOFACIAL PROSTHETICS

1

1

--

5

IMPLANT SUPPORTED PROSTHESIS

1

--

1

1

IMPLANT-TOOTH SUPPORTED PROSTHESIS

1

--

1

1

PROVISIONAL PARTIAL DENTURE PROSTHESIS

1

1

1

10

CAST REMOVABLE PARTIAL DENTURE (FOR KENNEDY’S APPLEGATE CLASSIFICATION WITH MODIFICATION)

1

1

1

6

REMOVABLE BRIDGE WITH PRECISION ATTACHMENTS AND TELESCOPIC CROWNS FOR ANTERIOR AND POSTERIOR

1

1

2

4

IMMEDIATE RPD

1

1

1

5

PARTIAL DENTURE FOR MEDICALLY COMPROMISED AND HANDICAPPED PATIENTS

1

1

1

5

NEUROCENTRIC OCCLUSION AND CHARACTERIZED PROSTHESIS

--

--

1

5

ANATOMIC CHARACTERIZED PROSTHESIS (BY

--

--

1

25

REMOVABLE PARTIAL DENTURE

COMPLETE DENTURES

51


USING SEMI ADJUSTABLE ARTICULATOR) SINGLE DENTURES

--

--

1

5

OVERLAY DENTURES

--

--

1

5

INTERIM COMPLETE DENTURES AS A TREATMENT PROSTHEIS FOR ABUSED DENTURE SUPPORTING TISSUES

--

--

1

5

COMPLETE DENTURE PROSTHESIS (FOR ABNORMAL RIDGE RELATION, RIDGE FORM AND RIDGE SIZE)

--

--

1

5

COMPLETE DENTURES FOR PATIENTS WITH TMJ SYNDROMES

--

--

1

5

COMPLETE DENTURES FOR MEDICALLY COMPROMISED AND HANDICAPPED PATIENTS

--

--

1

5

--

--

1

5

--

--

1

1

GUIDING FLANGE AND OBTURATORS

--

--

1

4

SPEECH AND PALATAL LIFT PROSTHESIS

--

--

1

2

EYE PROSTHESIS

--

--

1

2

EAR PROSTHESIS

--

--

1

2

NOSE PROSTHESIS

--

--

1

2

FACE PROSTHESIS

--

--

--

1

HEMIMAXILLECTOMY

--

--

1

2

HEMIMANDIBULECTOMY

--

--

1

2

GERIATRIC PATIENTS TOOTH AND TOOTH SURFACE RESTORATIONS, CROWNS, FIXED PROSTHESIS, REMOVABLE PROSTHESIS

IMPLANT SUPPORTED COMPLETE PROSTHESIS IMPLANT SUPPORTED COMPLETE PROSTHESIS (MAXILLARY AND MANDIBULAR) MAXILLOFACIAL PROSTHESIS

52


CRANIOPLASTY

--

--

1

1

FINGER/HAND, FOOT

--

--

1

2

BODY PROSTHESIS

--

--

1

1

MANAGEMENT OF BURNS, SCARS

--

--

--

1

SPLINTS- PERIODONTAL, TEETH, JAWS

--

--

1

4

TMJ SUPPORTIVE AND TREATMENT PROSTHESIS

--

--

1

1

STABILIZATION APPLIANCES FOR MAXILLA AND -MANDIBLE WITH FREEDOM TO MOVE FROM IP TO CRCP

--

--

1

IN IP WITHOUT THE FREEDOM TO MOVE TO CRCP

--

--

--

1

REPOSITIONING APPLIANCES, ANTERIOR DISCLUSION

--

--

--

1

CHROME COBALT AND ACRYLIC RESIN STABILIZATION APPLIANCES FOR MODIFICATION TO ACCOMMODATE FOR THE IRREGULARITIES IN THE DENTITION

--

--

--

2

OCCLUSAL ADJUSTMENT AND OCCLUSAL EQUILIBRIUM

--

--

1

4

FULL MOUTH REHABILITATION- OCCLUSION

--

--

1

4

FULL MOUTH REHABILITATION- RESTORATION OF ESTHETICS AND FUNCTION OF STOMATOGNATHIC SYSTEM

--

--

1

4

--

1

2

TMJ SYNDROME MANAGEMENT

FULL MOUTH REHABILITATION

INTER DISCIPLINARY TREATMENT MODALITIES INTER-DISCIPLINARY MANAGEMENT-RESTORATION OF ORO CRANIOFACIAL DEFECTS FOR ESTHETICS, PHONATION, MASTICATION AND PSYCHOLOGICAL COMFORTS

53


MANAGEMENT OF FAILED RESTORATION TOOTH AND TOOTH SURFACE RESTORATIONS

--

--

--

5

REMOVABLE PROSTHESIS

--

--

--

10

CROWNS AND FIXED PROSTHESIS

--

--

--

5

MAXILLOFACIAL PROSTHESIS

--

--

--

2

IMPLANT SUPPORTED PROSTHESIS

--

--

--

1

OCCLUSAL REHABILITATION AND TMJ SYNDROME --

--

--

2

RESTORATION FAILURE OF PSYCHOGENIC ORIGIN

--

--

--

5

RESTORATION FAILURE TO AGE CHANGES

--

--

--

2

RECOMMENDED TEXT BOOKS 1. Essential of Complete Denture Prosthodontics – Winkler, 3RD EDITION 2. Prosthodontic Treatment for Edentluous Patients – ZarbBolender, 13TH EDITION 3. Impression Techniques for Complete Denture – Bernard Levin, 1ST EDITION . Clinical Removable Partial Denture –Stewart, 4TH EDITION 5. Removable Partial Prosthodontics – Mc Cracken, 13TH EDITION 6. Fundamentals of Fixed Prosthodontics –Shillingburg, 3RD EDITION 7. Contemporary Fixed Partial Denture – Rosenstiel, 4TH EDITION 8. Functional Occlusion from TMJ to Smile Design –Peter E Dawson, 1ST EDITION 9. Maxillofacial Prosthodontics –Thomas D Taylor, 1ST EDITION 10. Maxillofacial Rehabilitation –John Beumer III, 1ST EDITION 11. Dental Implant Prosthetics – Carl E Misch, 2ND EDITION 12. Contemporary Implant Dentistry –Carl E Misch, 3RD EDITION 13. TextBookOf Prosthodontics –Deepak Nallaswamy, 2ND EDITION 14. Textbook of Prosthodontics- V Rangarajan, 2ND EDITION

54


15. Esthetics in Dentistry- Ronald E Goldstein- 3RD EDITION

JOURNALS 1. Journal of Indian Prosthodontic Society 2. Journal of Prosthetic Dentistry 3. Journal of Prosthetic Research 4. Journal of Prosthodontics 5. Journal of Advanced Prosthodontics 6. Journal of Clinical Dentistry and Research 7. Journal of Oral Implantology Formative Assessment Tools: 1. Dissertation 2. Library dissertation 3. Journal review and seminar presentation 4. Sessional Exam 5. Paper/Poster presentation 6. Publications Summative Assessment Tools: 1. CLINICAL CASES 2. Viva-voce 3. Pedagogy

55


COURSE ARTICULATION MATRIX

CO Stateme nt

PO1

PO2

PO3

PO 4

PO 5

PO6

PO 7

PO 8

PO 9

PO 10

PO 11

PO 12

PS O1

PS O2

PS O3

MDSPROS201-II.1

3

1

1

1

3

3

1

1

1

1

2

1

3

2

2

3

3

3

3

3

1

1

1

2

1

1

2

3

MDSPROS201-II.2

3

1

MDSPROS201-II.3

3

MDSPROS201-II.4

3

MDSPROS201-II.5

3

Average

3

2

3

3

2

2

1

1

1

1

1

2

2

2 2

3

3

3

1

1

2

3

1

2

2

2

2

1 3

2

3

3

2

2

2

1

1

1

3

1

2

3 1

2.1

2.5

2.3

2.1

1.8

1.2

1.2

1

1.4

1.8

1.4

2.2

2.1 1.8

56


DENTAL ELECTIVES

57


MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-PMAG-OE-001: Practice Management Program Pre-requisites: Max Marks - 200 Course Type: Open Elective Formative/Continuous Assessment - 100 Annual/Final Exams - 100 Course Coordinator: Course Outcomes At the end of the course, students will be able to MDS-PMAG-301.1. Increased competition, dynamic business environment & current economic crises have made it a mandate for dentists today to keep on upgrading in order to achieve sustainable competitive advantage over others. MDS-PMAG-301.2 There is also a positive change in society in terms of wider social consciousness concerning Dental hygiene & health issues which has created more business opportunity for the dentists. MDS-PMAG-301.3 Keeping in mind all these recent changes it is necessary to inculcate entrepreneurial skills in them in order to help them gaining competence to identify the untapped opportunities and reaping the benefit of being a pioneer and to bring value to the patient. OBJTo give participants a strategic vision and methodological management tools that help them gain sustainable competitive advantage.    

To provide them with entrepreneurial skills to be able to better manage clinic To develop participants into a more confident and industry ready professional. To improve their management skills and capabilities To help them grow their business with resource innovation and optimization.

Session No 1 2 3 4 5 6 7

Session Topic Introduction to the Program, Expectation Setting, Introduction to trainer & Trainees Traits of a Doctor Listening Skills Empathy/Compassion Establishing your Brand Marketing your Brand Leadership Skills 58


8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ETHODOLOGY:

Leadership Skills Team Building Skills Team Building Skills Doctor Patient Relationship Assessment -1 Assessment 1 Dealing with Difficult Patients Dealing with Difficult Patients Managing Diversity Stress Management Change Management Integrity- Keeping patient’s data Confidential Resume Building Interview Skills Interview Skills Final Assessment Final Assessment Final Assessment

 Participant centric approach inclusive of expert sessions  Interactive classroom sessions  Simulation Games  Case studies  Project presentation SESSMReaction: Zero day feedback  Learning: Pre & post test scores  Practical assessments: Done through Project & case studies. ERTIFICATION CRITERIA:  Attendance  Classroom performance  Learning Scores  Project presentation EVENT  Launch program  Project presentation  R&R

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-PHOT-OE-001: Clinical Photography in Dentistry Periods/week Credits 1 2 Pre-requisites: NA Course Type: Open Elective Course Coordinator: Course Outcomes: At the end of the course, students will be able to...

Max. Marks: 200 Practical assignment: 100 Written Exam: 100

MDS-PHOT-201.1What photographic gears you will need for clinical photography. MDS-PHOT-201.2 How to take scientifically correct photographs and become confident in taking diagnostically usefulphotographs. MDS-PHOT-201.3 How to share photographs with patients and grow your practice. MDS-PHOT-201.4 Take photograph with minimal discomfort to the patient and less chair time. MDS-PHOT-201.5 How to edit clinical photograph in Quick time and prepare them for presentations and Journal submission. Course Content in Detail 1. Equipment selection. 2. Understanding the camera system. 3. Adjusting the camera for specific clinical requirement. 4. Science of Exposure. 5. Art of Composition. 6. Facial, Intra-oral, table-top, and photographing a radiograph. 7. How to process the images for presentation and submission. 8. How to take care of the camera equipment. Requirements for the course: 1. You must have a basic DSR camera. 2. Micro / Macro lens and Ring flash is optional but highly recommended. However, you do not need any previous experience in shooting photograph. Participants 1. Clinicians of all skill level who want to shoot better clinical photographs and intend to boost their practice using this visual medium. 2. Students and interns who wish to take scientifically correct photographs and use them effectively for exam, presentation, and publication. Medium of the course: 1. This is an online course conducted through Microsoft Teams software / Google Meet. 60


2. It will comprise of 12 module with each module of around 60 minutes spread over 3 months’ time. Instruction for paper setting a) Each paper will have 03 types of questions in which containing MCQ’S, Long Essay Type Questions and Short Questions. b) There will be 10 MCQ’S of 1 mark, 2 Long Essay Type Questions of 10 marks and 5 Short Questions of 5 marks in each paper. c) Marks should be indicated against each question Instruction for practical examination a) There will be 2 assignments (Facial Photograph / Intra-oral photograph and Tabletop Photograph) given, to be completed in stipulated time and submitted online via mail. Recommended book: 1. Clinical Photography in Dentistry – Matrishva B Vyas, Jaypee Medical Publisher, New Delhi, 1stEdition 2008. (ISBN no. 978-81-8448-427-4) You can purchase the book online: https://www.amazon.in/dp/8184484275/ref=cm_sw_r_wa_apa_i_ZtAyFb03040HY Assessment Tools: 1. 2. 3. 4. 5. 6.

Written tests Composition Exposure Overall balance Technical aspects Post processing skill.

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-ORPA-OE-001 Forensic Odontology Periods/weekCredits L: 2 4

Max. Marks : 200 Formative/Continuous Assessments : 100 Annual/Final Exams: 100

Pre-requisites: NA Course Type: Open Elective Course Coordinator: Course Outcomes At the end of the course, students will be able to MDS-ORPA-OE-001.1- Describe the concepts and methodology involved in the identification of human remains and manage victim identification in mass disasters. 

MDS-ORPA-OE-001.2-Recognise forensic cases with dental applications when consulted by the police, forensic pathologists, lawyers and associated professionals  MDS-ORPA-OE-001.3-Use dental evidence related to cases for identification, ethnic and sex differentiation, age estimation and bite marks  MDS-ORPA-OE-001.4-Associate in analysis, evaluation, and presentation of dental facts within the realm of law  MDS-ORPA-OE-001.5-Determine the ethical obligations and legal responsibilities in routine practice and forensic casework. Course Content in detail: . Introduction to forensic dentistry  Definition and history  Recent developments and future trends 2. Overview of forensic medicine and toxicology  Cause of death and postmortem changes  Toxicological manifestations in teeth and oral tissues 3. Dental identification  Definition  Basis for dental identification  Postmortem procedures  Dental record compilation and interpretation  Comparison of data, and principles of report writing  Identification in disasters and handling incinerated remains  Postmortem changes to oral structures 62


4. Maintaining dental records  Basic aspects of good record-keeping  Different types of dental records  Dental charts  Dental radiographs  Study casts  Denture marking  Photographs  Dental notations  Relevance of dental records in forensic investigation 5. Age estimation  Age estimation in children and adolescents  Advantages of tooth calcification over ‘eruption’ in estimating age  Radiographic methods of Schour&Massler, Demirjian et al  Age estimation in adults  Histological methods – Gustafson’s six variables and Johanson’s modification, Bang & Ramm’s dentine translucency  Radiographic method of Kvaal et al  Principles of report writing 6. Sex differentiation  Sexual dimorphism in tooth dimensions (Odontometrics) 7. Ethnic variations (‘racial’ differences) in tooth morphology  Description of human population groups  Genetic and environmental influences on tooth morphology  Description of metric and non-metric dental features used in ethnic differentiation 8. Bite mark procedures  Definition and classification  Basis for bite mark investigation  Bite mark appearance  Macroscopic and microscopic ageing of bite marks  Evidence collection from the victim and suspect of bite mark  Analysis and comparison  Principles of report writing  Animal bite investigation 9. Dental DNA methods  Importance of dental DNA evidence in forensic investigations  Types of DNA and dental DNA isolation procedures  DNA analysis in personal identification  Gene-linked sex dimorphism  Population genetics 63


10. Jurisprudence and ethics  Fundamentals of law and the constitution  Medical legislation and statutes (Dental and Medical Council Acts, etc)  Basics of civil law (including torts, contracts and consumer protection act)  Criminal and civil procedure code (including expert witness requirement)  Assessment and quantification of dental injuries in courts of law  Medical negligence and liability  Informed consent and confidentiality  Rights and duties of doctors and patients  Medical and dental ethics (as per Dentists’ Act) Theory sessions and practical exercises Total hours for the course Didactic- 10-12 hours Practical – 20-25 hours Detailed didactic sessions for the above components, either in the form of lectures or as structured student-teacher interactions, is essential. Specialists from multiple disciplines, particularly from legal and forensic sciences, can be encouraged to undertake teaching in their area of expertise. An interactive, navigable and non-linear (INN) model may also be utilised for education. Practical exercises (real-life casework and/or simulated cases) must complement didactic sessions to facilitate optimal student understanding of the subject. Mandatory practical training in dental identification methods, dental profiling (ethnic and sex differences, radiographic age estimation), and bite mark procedures, is of paramount importance. In addition, practical exercises/demonstrations in histological age estimation, comparative dental anatomy, DNA methods, medical autopsy, court visits, and other topics may be conducted depending on available expertise, equipment and feasibility. Approach to teaching forensic odontology Forensic odontology could be covered in two separate streams. The divisions include a preclinical stream and a clinical stream. Preclinical stream  Introduction to forensic odontology  Sex differences in odontometrics  Ethnic variations in tooth morphology  Histological Age estimations  Dental DNA methods  Bitemarks procedures  Overview of forensic medicine and toxicology

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It could prove useful to undertake the preclinical stream under Oral Biology/Oral Pathology since these aspects of forensic odontology require grounding in dental morphology, dental histology and basic sciences, which, students would have obtained in I and/or II BDS. Clinical stream  Dental identification  Maintaining dental records  Radiographic age estimation  Medical jurisprudence and ethics It would be suitable to undertake these topics in the II year (Last six months) as part of Oral Medicine and Radiology, since students would need to interpret dental records, perform dental postmortems and analyze dental radiographs for age estimation. Instructions for paper setting: a) Each paper will have 03 types of questions in which containing MCQ’S, Long Essay Type Questions and Short Questions. b) There will be 10 MCQ’S of 1 mark, 2 Long Essay Type Questions of 10 marks and 10 Short Questions of 5 marks in each paper. c) Marks should be indicated against each question Recommended Books: 1. Derek H.Clark – Practical Forensic Odontology - Butterworth-Heinemann 2. C Michael Bowers, Gary Bell – Manual of Forensic Odontology - Forensic Pr(1995) 3. Text Book of Forensic Odontology-KMK Masthan, Ist Edition, Jaypee Publications 4. Text Book of Forensic Odontology- Nitmal Jain, Ist edition, Jaypee publications 5. Forensic Dentistry- Senn& Stimson- 2nd edition, CRC Press 6. Manual of Forensic Odontology- Senn& Weems, 5th edition, CRC Press Assessment Tools: 1. Written tests 2. Tutorials/Practicals 3. Clinical examination 4. Viva voce 5. Research/Project

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-PHDE-OE-001: Ethics Periods/week Credits Max. Marks : 200 L: 2 4 Formative/Continuous Assessments: 100 Annual/Final Exams: 100 Pre-requisites: NA Course Type: Open Elective Course Coordinator: Course Outcomes At the end of the course, students will be able to 

MDS-PHDE-OE-001.1-List and define the ethical principles used in dentistry and dental hygiene.  MDS-PHDE-OE-001.2-Describe the difference between a problem and an ethical dilemma.  MDS-PHDE-OE-001.3- Explain the terms, values and concepts that are often used in health care.  MDS-PHDE-OE-001.4- Choose the principles or values which are present and important in clinical scenarios. Course Content in detail: Introduction to ethics – o What is ethics? o What are values and norms? o How to form a value system in one’s personal and professional life? o Hippocratic oath. o Declaration of Helsinki, WHO declaration of Geneva, International code of ethics, DCI Code of ethics. o Ethics of the individual – o The patient as a person. o Right to be respected o Truth and confidentiality o Autonomy of decision o Doctor Patient relationship Profession Ethics –  Code of conduct  Charging of fees, fee splitting  Prescription of drugs  Over-investigating the patient  Malpractice and negligence 66


Research Ethics – o Animal and experimental research/humanness o Human experimentation o Human volunteer research-informed consent o Drug trials  Ethical workshop of cases  Gathering all scientific factors  Gathering all value factors  Identifying areas of value – conflict, setting of priorities  Working our criteria towards decisions Instructions for paper setting: a) Each paper will have 03 types of questions in which containing MCQ’S, Long Essay Type Questions and Short Questions. b) There will be 10 MCQ’S of 1 mark, 2 Long Essay Type Questions of 10 marks and 10 Short Questions of 5 marks in each paper. c) Marks should be indicated against each question Recommended Reading: 1. Medical Ethics, Francis C.M., I Ed. 1993, Jaypee Brothers, New Delhi p. 189. 2. Medical Ethics Manual, World Medical Association,UK Assessment Tools: 1. Written tests 2. Tutorials/Practicals 3. Clinical examination 4. Viva voce 5. Research/Projects

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-CONS-OE-001: Aesthetic Dentistry Periods/week Credits Max. Marks : 200 L: 2 4 Formative/Continuous Assessments : 100 Annual/Final Exams: 100 Pre-requisites: NA Course Type: Open Elective Course Coordinator: Course Outcomes At the end of the course, students will be able to MDS-CONS-OE-001.1- Describe the complexities involved in esthetic diagnosis MDS-CONS-OE-001.2- Analyse a complete digital and analog smile analysis MDS-CONS-OE-001.3- Formulate and execute treatment plans for patients desiring esthetic improvement. Course Content in detail: Introduction and scope of esthetic dentistry Anatomy & physiology of smile Role of the colour in esthetic dentistry Simple procedures (roundening of central incisors to enhance esthetic appearance) Bleaching of teeth Veneers with various materials Preventive and interceptive esthetics Ceramics Simple gingival contouring to enhance the appearance Simple clinical procedures for BDS students Instructions for paper setting: a) Each paper will have 03 types of questions in which containing MCQ’S, Long Essay Type Questions and Short Questions. b) There will be 10 MCQ’S of 1 mark, 2 Long Essay Type Questions of 10 marks and 10 Short Questions of 5 marks in each paper. c) Marks should be indicated against each question Recommended books: 1. Esthetic guidelines for restorative dentistry; Scharer & others 2. Esthetics of anterior fixed prosthodontics; Chiche (GJ) & Pinault (Alain) 3. Esthetic& the treatment of facial form, Vol 28; Mc Namara (JA)

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Assessment Tools: 1. Written tests 2. Tutorials/Practicals 3. Clinical examination 4. Viva voce 5. Research/Project

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-ORCP-OE-001: Oral Radiology Comprehensive programme Periods/week Credits L: 2 4

Max. Marks : 200 Formative/Continuous Assessments : 100 Annual/Final Exams: 100

Pre-requisites: NA Course Type: Open Elective Course Coordinator: Course Outcomes At the end of the course, students will be able to MDS-ORCP-OE-001.1-To present a review of general principles of Dental Radiology MDS-ORCP-OE-001.2 Understand basic principles of Digital imaging and 3D imaging in Dentistry MDS-ORCP-OE-001.3 Discuss basic principles of Radiographic interpretation MDS-ORCP-OE-001.4 Provide best available evidence based information on radiographic selection (prescribing) criteria Course Content in detail: 1. Describe how x-rays are generated, the components of the x-ray tube and how it operates; discuss the characteristics of the X-ray beam and how image contrast is obtained. 2. Discuss radiographic image formation on various receptors, the interaction between x-radiation and the object to be radiographed, and factors that affect image quality. 3. Discuss the biological effect of ionizing radiation on various cell types with special reference to radiation effects on normal oral tissues and malignant cells. 4. Discuss principles of ALARA (As Low As Reasonably Achievable). 5. Discuss image receptors and the principles of accurate image projection; describe intraoral radiographic techniques; and identify and correct radiographic image errors. 6. Discuss normal anatomy observed in panoramic images; determine the cause and appearance of various technique errors; discuss the importance of radiographs in patient education; and understand the benefit of panoramic radiographs. 7. Discuss the selection criteria for panoramic imaging; compare and contrast panoramic and intraoral imaging; discuss the advantages and limitations of panoramic radiography; and identify and correct common panoramic image errors. 8. Discuss digital imaging; contrast radiation exposure of patients with digital versus conventional radiography; and discuss the advantages and disadvantages. 9. Describe CBCT technology and how it differs from other intraoral or extra oral dental imaging; discuss indications for the use of CBCT scan and options to limit radiation exposure to the patient; develop a systematic approach to interpret a CBCT scan; and discuss the ethical and medico-legal considerations of CBCT. 10. Discuss general concepts of radiographic interpretations; describe the radiographic appearance of dentigerous cysts, mesiodens, sialoliths, odontomas, and idiopathic osteosclerosis; and discuss their origin and clinical relevance.

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Recommended Books 1. White S.C&Pharoah M.J. Oral Radiology: Principles and Interpretation– 6th Edition - Mosby year Book 2. Wuehrmann– Dental Radiology – C.V. Mosby Company 3. Gibilisco J.A. Stafne's Oral Roentgenographic Diagnosis –5thEdition- W.B.Saunders Co., 4. Eric Whaites, Nicholas Drage; Essentials of Dental Radiography and Radiology, 5th Edition, Publisher- Churchill Livingstone. (Elsevier)

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-LASE-OE-001: Laser course Course duration -3 months Contact session – 6 days Number of course modules-02 Course Type: Open Elective Course Coordinator: Course Outcomes

At the end of course students will be able to MDS-LASE-OE-001=Understand the laser physics Biophysical Interactions Modes of Operations of Lasers, Evidence-based learning approach. MDS-LASE-OE-002= Diode Hands On – Animal Jaws, Bleaching and LLLT, live demonstration on patients, multiple hands on exercises. MDS-LASE-OE-003= Erbium physics Hard and Soft tissue therapy, clinical case videos discussion Module 1 Day 1 Laser Physics Introduction to laser physics Biophysical Interactions Modes of Operations of Lasers How to equip a dental office Laser Safety Learn Laser safety and infection control. Understand the capabilities and limitations of Dental Lasers. Review all Laser Types – delivery system operating parameters and power settings. Diode Lasers Didactic lectures on high powered lasers and their use on soft tissues. Soft tissue cases Demo on Patients by faculty Day 2 Diode Hands On – Animal Jaws Bleaching and pain therapy Clinical Demo on patients Day 3 Erbium physics Hard and Soft tissue therapy Patient Demo Module 2 Day 1. Oral Exam: 5 documented clinical cases presentations according to provided guidelines. Laser- Perio and Endo Applications Erbium refresher and cases Group Discussions Day 2. 1.Patients with Diode lasers for students for various indications-Participants are encouraged to bring in their own patients 2. Pediatric application of Erbium and all tissue lasers 3. Refresher lectures for Associate Fellowship Day 3 IALD Exam MCQ Lectures on Implant Applications with lasers Certification Lunch and convocation.

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MANAV RACHNA INTERNATIONAL INSTITUTE OF RESEARCH AND STUDIES (Deemed to be University under section 3 of the UGC Act 1956) FACULTY OF DENTAL SCIENCES MDS-IMPL-0E-001: Quick start implant Programme Course duration -3 months Contact session – 4 days Number of course modules-02 Course Type: Open Elective Course Outcomes

At the end of course students will be able to MDS-IMPL-0E-001=Understand the macro and micro design of implants MDS-IMPL-0E-002= Placement of Implants MDS-IMPL-0E-003= Impression making abutment selection and delivery of the final prosthesis in patients. Course Type: Open Elective The ITI-Implant Quick Start Program at CDE-MRDC will comprise of 2 modules, Surgical and Prosthetic, 2 days each (4 days total) separated by at least 3 months. The first day of each module will consist of lectures and hands-on. The second day of each module will involve treating patients. The surgical module will involve placement of 2 implants by each participant. The prosthetic module will involve impression making, abutment selection and delivery of the final prosthesis in patients. The Lecture presentations in the surgical module will include (and not limited to): Course Content in Details Introduction to Implantology Anatomy and Biomaterials Selection of Implant System Clinical and Radiographic Case Evaluation and Planning Incision and Flap Design Suturing Techniques Surgical Implant Placement Protocol The Hands-On in the Surgical Module will include Dummy Implant Placement in Maxillary/Mandibular Models. The Lecture presentations in the Prosthetic Module will include (and not limited to): Impression Techniques Abutment Selection Restorative Materials and Clinical Applications Soft Tissue Management Implant Occlusion Prosthetic Complications and Management The Hands-On in the Prosthetic Module will include Implant Impression Techniques - Analog and Digital and Abutment Selection.

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Appendix-A

List of courses having relevance to the Local/Regional, National and Global Development needs.

Course code

Course name Regional

National

Global

MDS-PROS-101

PROSTHODONTICS AND CROWN & BRIDGE-Basics

MDS-COM-101

BIOMEDICAL RESEARCH

MDS-PROS-201I

PROSTHODONTICS

AND CROWN & BRIDGE -I

MDS-PROS-201II

PROSTHODONTICS AND CROWN & BRIDGE -II

MDS-PMAG-OE001

Practice Management Program

MDS-PHOT-OE001

Clinical Photography in Dentistry

MDS-ORPA-OE001

Forensic Odontology

MDS-PHDE-OE001

Ethics

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MDS-CONS-OE001

Aesthetic Dentistry

MDS-ORCP-OE001

Oral Radiology Comprehensive programme

MDS-LASE-OE001

Laser course

MDS-IMPL-0E001

Quick start implant Programme

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Appendix B: List of courses having focus on Employability, Entrepreneurship and Skill Development

Course code

Course name Employability

Entrepreneurship

Skill Development

MDS-PROS101

PROSTHODONTICS AND CROWN & BRIDGE-Basics

MDS-COM101

BIOMEDICAL RESEARCH

MDS-PROS201-I

PROSTHODONTICS AND CROWN & BRIDGE -I

MDS-PROS201-II

PROSTHODONTICS AND CROWN & BRIDGE -II

MDS-PMAGOE-001

Practice Management Program

MDS-PHOTOE-001

Clinical Photography in Dentistry

MDS-ORPAOE-001

Forensic Odontology

MDS-PHDEOE-001

Ethics

MDS-CONSOE-001

Aesthetic Dentistry

MDS-ORCPOE-001

Oral Radiology Comprehensive programme

MDS-LASEOE-001

Laser course

MDS-IMPL0E-001

Quick start implant Programme

√ √

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Appendix C:

List of courses and proposed activities relevant to Professional Ethics, Gender, Human Values, Environment and Sustainability

Course code

Course name Professional Ethics

Gender

Human Values

MDSPROS-101

PROSTHODONTICS AND CROWN & BRIDGE-Basics

MDS-COM101

BIOMEDICAL RESEARCH

MDSPROS-201I

PROSTHODONTICS AND CROWN & BRIDGE -I

MDSPROS-201II

PROSTHODONTICS AND CROWN & BRIDGE -II

MDSPMAG-OE001

Practice Management Program

MDSPHOT-OE001

Clinical Photography in Dentistry

MDSORPA-OE001

Forensic Odontology

MDSPHDE-OE001

Ethics

MDSCONS-OE001

Aesthetic Dentistry

Environment and Sustainability

√ √ √

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MDSORCP-OE001

Oral Radiology Comprehensive programme

MDS-LASE- Laser course OE-001

MDS-IMPL- Quick start implant 0E-001 Programme

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