DENTAL COUNCIL OF INDIA REVISED MDS COURSE REGULATION, 2007

1 · Short title and commencement ~(i) These Regulations may be called the Dental Council of India Revised MDS Course Regulations, 2007 .

300 · marke

3 · 4 5 6 8

9 · 10

5 · 6

2 · 3 4 5 6

2 · #u 2+1 1

2 · 2+1 |

1 · 1 3

2 · 25 [ ] 1

2 · 2

3 · set set set set [ set 5 Bone graft and GTR membra- nes Depending_on need

2 · 2

2 · 1 1

3 · 2

2 · 2

1 · Set

12 · Continuing dental Education programmes: these programmes on Each Postgraduate department shall regular basis involving the other institutions. Icbertraeneeshaa.?risoibe encouraged to attend such programmes conducted elsewhere. 13. Cteferencee/Workshops/Advanced courses; The trainees shall be encouraged attend conference/ workshops/advance not only to courses but also to present atleast two papers at state /national speciality meeting during their training period 14. Rotational postIng In other Departments: To bring in more speciality and integration between the allied fields each post graduate department shall workout a programme to rotate the trainees in related disciplines and craniofacial and maxillofacial 15. Dlesertation: Trainces shall prepare a dissertation based on ofeciclinicrd experimental work or laboratory or any other study conducted by them under the graduate guide. supervision of the post IYEAR MD.8. Theoretical exposure of all applied sciences of study Clinical and non-clinical exercises involved acquiring higher competence in Prosthodontics therapy for assessment and Commencement of Library Assignment within six months Short epidemiological study relevant to Prosthodontics. Acquaintance with books, journals and referrals to acquire knowledge of published books, journals and website for the purpose of gaining knowledge and reference in the fields of Prosthodontics including Crown & bridge and implantology Acquire knowledge of instruments, equipment; and research tools in Prosthodontics To acquire knowledge of Dental Material Science Biological and biomechanical & bio-esthetics, knowledge of using material in laboratory and clinics materials. including testing methods for dentai Participation and presentation in seminars, didactic lectures Evaluation Internal Assessment examinations on Applied subjects IYEAR MD.S. terairing confidence in obtaining various phases and techniques for providing Prosthodontic therapy. toothisuriaonfdtocetby clinical practice with sufficient numbers of patients requiring tooth and tooth surface restorations. Fabrication of Adequate number of complete denture prosthesis following, approach by utilizing semi-adjustable articulators, Cace bowrosdheephiclloacing higher clinical Understanding the use of the dental surveyor and its application in diagnosis and treatment plan in RPD Adequate numbers of RPD. covering all partially edentulous situation Adequate number of Crowns, Inlays, laminates FPD. covering all clinical situation: Sebctions 0f cases and principles in treatment of partially or complete edentulous implant supported prosthesis. patients by Treating single edentulous arch situation by implant supported prosthesis. Diagnosis and treatment planning for implant prosthesis. Ist stage and Ilnd stage implant surgery Understanding the maxillofacial Prosthodontics Treating craniofacial defects Management of orofacial defects Prosthetic management of TMJ syndrome Occlusal rehabilitation Management of failed restoration Prosthodontics Management of patient with psychogenic disorder: Practice of child and geriatric prosthodontics Participation and presentation in seminars, didactics lectures

4 · Tooth and tissue defects (Maxillo- facial and Cranio-facial prosthesis) A Congenltal Defects a. Cleft lip and palate b. Pierre Robin Syndrome C Ectodermal dysplasia d. Hemifacial microsomia cast partial dentures e: Anodontia implant supported prosthesis f. Oligodontia complete dentures g. Malformed teeth fixed partial dentiures B. Acqutred defects a. Head and neck cancer patients prosthodontic splints and stents b. Restoration of facial defects Auricular prosthesis Nasal prosthesis Orbital prosthesis Craniofacial implants C. Midfacial defects d. Restoration of maxillofacial trauma e. Hemimandibulectomy cast partial denture f. Maxillectomy implant supported dentures g. Lip and cheek support prosthesis complete dentures h. Ocular prosthesis 1, Speech and Velopharyngeal prosthesis j: Laryngectomy aids k Esophageal prosthesis 1. Nasal stents m Tongue prosthesis n Burn stents 0. Auditory inserts P. Trismus appliances 5 TMJ and Occlusal disturbances a. Occlusal equilibration b. Splints Diagnostic Repositioners Deprogrammers c: Anterior bite plate d. Posterior bite plate e: Bite raising appliances f. Occlusal rehabilitation 6. Esthetic/ Smlle designing a. Laminates Veneers b. Tooth contouring (peg laterals, malformed teeth) c. Tooth replacements d. Team management 7 _ Psychological therapy a. Questionnaires

8 · Gerlatric Prosthodontics a. Prosthodontics for the elderly b. Behavioral and psychological counseling C Removable Prosthodontics d_ Fixed Prosthodontics e. Implant supported Prosthodontics f. Maxillofacial Prosthodontics g. Psychological and physiological considerations 9 Preventive measures a. Diet and nutrition modulation and counseling b. Referrals The bench work should be completed before the clinical work starts during the first year of the MDS Course

7 · /&th posterior Proximal half crown Inlay Class [, II, V Onlay Pin ledged, pinhole Laminates

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 Wax additive technique 3-unit wax patter (maxillary and Mandibular) Full mouth 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 facing Adhesive bridge for anterior Coping for metal margin ceramic crown Pin ledge crown 6. Fabrication of crowns All ceramic crowns with characterisetion Metal ceramic crowns with characterisation Full metal crown Precious metal crown Post and core Laminates Composites with characterisation Ceramic with characterisation Acrylic 8_ Preparation for composites Laminates Crown Inlay Onlay Class I Class II Class III Class IV Fractured anterior tooth IV. Maxlllofaclal prosthesis 1_ Eye 2. Ear 3 Nose 4 Face

5 · Body 6 Cranial 7. Maxillectomy 8. Hemimandibulectomy 9 Finger prosthesis 10 Guiding flange 11_ Obturator

10 · 5 10 5

10 · 6

5 · 25

5 · 5 5

1 · Presentation of treated patients and record8 during 25 Marks thetr 3 years training Period a CD b. R PD. 1 mark C. FPD_ 2 marks including single tooth and surface restoration d. 2 marks IS.P. 5 marks e Occlusal rehabilitation f 5 marks TMJ 5 marks g. Maxillofacial Prosthesis 5 marks 2 Present actual treated patients C D. Prosthesis and Insertion 90 Marks 1 Discussion on treatment plan and patient review 2. Tentative jaw relation records 10 marks 3 Face Bow 5 marks transfer 4_ Transferring it on articulators 5 marks 5_ Extra 5 marks oral tracing and securing centric and 25 marks protrusive / lateral, record

6 · Transfer in on articulator: 7. Selection of teeth 5 marks 8 Arrangement of teeth 5 marks 9_ Waxedup denture trial 15 marks 10 Fit, insertion 10 marks and instruction of previously processed 5 marks charaterised, anatomic complete denture prosthesis All steps will include chairside, lab and viva voce 3. Flxed Partlal Denture 50 Marks a. Case discussion and selection of patients for FPD. b 5 marks Abutment preparation isolation and fluid control C. 25 marks Gingival retraction and impressions d. 10 marks Cementation of provisional restoration 10 marks 4. Removable Partial Denture 35 Marks a_ Surveying and designing of partial dentate cast: b. Discussion 10 marks on components and material selection including occulsal scheme; 15 marks C. Viva Voce 100 Marks 7 Viva-Voce examination: 80 marks All examiners will conduct viva-voce conjointly on candidate's expression; interpretation of data and communication skills. jomctedensiorc analytical approach, contents: It includes presentation and discussion all components of course on dissertation also. ii Pedagogy Exercise: 20 marks A topic be given to each candidate in the beginning of clinical examination. make a presentation on the topic for 8-10 minutes: Helshe i8 asked to 2. PERIODONTOLOGY QBJECTIES: The following objectives are laid out to achieve the goals of the course KNOWLEDGE: Discuss historical perspective to advancement in the subject proper and related topics:

5 · Temporomandibular joint, Maxillae and Mandible 6. Nerves of Periodontics 7. Tongue, Oropharynx 8 Muscles of mastication PHYSIOLOGY: 1_ Blood 2_ Respiratory system Acknowledge of the respiratory diseases which are a cause of periodontal diseases (periodontal Medicine) 3 Cardiovascular system a. Blood pressure b. Normal ECG C. Shock 4_ Endocrinology hormonal influences on Periodontium 5. Gastrointestinal system a. Salivary secretion composition, function & regulation b. Reproductive physiology C. Hormones Actions and regulations, role in periodontal disease d. Family planning methods 6_ Nervous system a. Pain pathways b. Taste Taste buds, primary taste sensation & pathways for sensation BIOCHEMISTRY 1 Basics of carbohydrates, lipids, proteins, vitamins, proteins, enzymes and minerals 2 Diet and nutrition and periodontium 3 Biochemical tests and their significance 4 Calcium and phosphorus PATHOLOGY: 1 Cell structure and metabolism 2_ Inflammation and repair, necrosis and degeneration 3 Immunity and hypersensitivity 4 Circulatory disturbances edema, hemorrhage, shock, thrombosis, embolism, infarction and hypertension 5_ Disturbances of nutrition 6. Diabetes mellitus 7 . Cellular growth and differentiation, regulation 8. Lab investigations 9 Blood MICROBOLOGY: 1. General bacteriology a: Identification of bacteria b. Culture media and methods c. Sterilization and disinfection 2 Immunology and Infection 3 Systemic bacteriology with special emphasis on oral microbiology staphylococci, genus actinomyces and other filamentous bacteria and actinobacillus actinomycetumcomitans 4_ Virology a. General properties of viruses b. Herpes, Hepatitis, virus, HIV virus 5 Mycology

5 · Determination of prognosis 6. Treatment plan 7 . Rationale for periodontal treatment 8. General principles of anti-infective therapy with special emphasis on infection control in periodontal practice 9 Halitosis and it8 treatment 10.Bruxism and its treatment

5 · Occlusal adjustments 10 CASES 6. Perio splints 10 CASES Thlrd Year Clinical work 1. Regenerative techniques Using various graft and barrier membranes 2. Record, maintenance and follow up of all treated cases including implants In addition to the regular evaluation;, log book etc:, Assessment Assessment examinationg: - examination should be conducted once every six months & progress of the student monitored Note: Submission of Synopsis for Dissertation should be done within 6 months of the commencement of the course Submission of two copies of Library Assignments at the end of 1 and Znd year Submission of pre-clinical work as scheduled Submission of Dissertation 6 months before completion of IIL year Maintenance of Work Diary /Log book as prescribed by RGUHS MONTORINGLEARNING PROGRESS: It is essential to monitor the learning progress to each candidate through continuous appraisal and assessment: It not only helps teachers to evaluate students, but also students to evaluate {eeulaelves The monitoring to be doneby the staff of the department based on participation of students in various teaching learning activities It may be structured and assessment be done using checklists that assess various aspects: Checklists are given in Section IV SCHEME QE EXAMINATIQN: A. Theory 300 Marks of four question papers each of three hours duration. Total Written examination shall consist markerforxeach paper will be 1OO. Paper L, Il and IIl shall consist % two long guestions carrying 20 essay questions each carrying 10 marks Paper IV will be on Essay. marks each and 6 short Questionson recent advances may be asked in any Or all the papers Distribution of topics for each paper will be as follows: Applied Basic Sciences: Applied Anatomy, Physiology: & Biochemistry, Pathology , Paper I : Microbiology, Pharmacology, Research Methodology and Biostatistics. Shoud Epidmiology comes under Paper II? structure, Etiology & Pathogenesis of Periodontal diseases, Paper HI: Normal Periodontal epidemiology as related to Periodontics Paper III: Periodontal diagnosis, therapy & Oral implantology Paper IV: Essay (with emphasis on recent advances in periodontics) The topics assigned to the different papers are generally evaluated under those sectionss Hoeveaele not be possible and some overlapping of topics is inevitable: strict division %f the subject may Students should be prepared to answer overlapping topics B. Practical 1 Clinlcal Examination 200 Marks The clinical examination shall be of two days duration 1" day Case discussion Long case One Short case One Periodontal flap surgery on & previously prepared case in one quadrant of the Periodontal surgery_ mouth after getting approval from the examiners

29d · day Post-surgical review and discussion of the case treated on the lst day Presentation of dissertation & discussion All the examiners shall participate in all the aspects of clinical examinations Viva Voce Distribution of Marks for Clinical examination (recommended) a) Long Case discussion 50 b2 short cases 50 c) Periodontal surgery 75 Post operative review 25 Total 200 C. Viva Voce 100 Marks L Viva-Voce examination: 80 marks All examiners will conduct viva-voce conjointly on candidate's comprehension, analytical approach, expression, interpretation of data and communication skills: It includes all components of course contents. It includes presentation and discussion on dissertation also. ii Pedagogy 20 marks A topic be given to each candidate in the beginning of clinical examination. He/she is asked to make a presentation on the topic for 8-10 minutes 3. ORAL AND MAXILLOFACIAL SURGERY OBJECTIES; ghetraining program in Oral and Maxillofacial Surgery is structured to achieve the following four objectives- Knowledge Skills Attitude Communicative skills and ability Research KNOWLEDGE Tochave acquired adequate knowledge and understanding of the etiology,pathophysiology and diagnosis, treatment planning of various common oral and Maxillofacial surgical problems both minor and major in nature To have understood the general gurgical principles like pre and post surgical management; particularly evaluation, post surgical care, fluid and electrolyte management, blood transfusion and post surgical pain management: Understanding of basic sciences relevant to practice of oral and maxillofacial surgery Able to identify social, cultural, economic, genetic and environmental factors and their relevance to disease process management in the oral and Maxillofacial region. Essential knowledge of personal hygiene and infection control, prevention of cross infection and safe disposal Of hospital waste keeping in view the high prevalence of hepatitis and HIV. SKILLS: To obtain proper clinical history, methodical examination of the patient, perform essential diagnostic procedures and order relevant laboratory tests and interpret them and to arrive at a reasonable diagnosis about the surgical condition. To perform with competence minor oral surgical procedures and common maxillofacial surgery. To treat both surgically and ` medically (or by other means of the oral and Maxillofacial and the related area)- Capable of providing care for maxillofacial surgery patients ATTITUB

3 · 3,5

19 · 20

5 · CardioVascular System Cardiac cycle, Shock Heart sounds, Blood pressure, Hypertension: 6. Endocrinology General endocrinal activity and disorder relating to thyroid gland, Farathyroid gland, adrenal gland, pituitary gland, pancreas and gonads: Metabolism of calcium 7 NutrItlon General principles of a balanced diet; effect of dietary deficiency, protein energy malnutrition, Kwashiorkor, Marasmus. Fluid and Electrolytic balance in maintaining haemostasis and significance in minor and major surgical procedures BIOCHEMISTRY: General principles governing the various biological activities of the body, such as osmotic pressure, electrolytes, dissociation, oxidation, reduction etc_ General composition of the body Intermediary metabolism Carbohydrates, proteins, lipids, and their metabolism Nucleoproteins, nucleic acid and nucleotides and their metabolism Enzymes, vitamins and minerals Hormones Body and other fluids: Metabolism of inorganic elements. Detoxification in the body. Antimetabolites: PATHOLOGY: 1 Inflammation Repair and regeneration, necrosis and gangrene Role of component system in acute inflammation, Role of arachidonic acid and its metabolites in acute inflammation, Growth factors in acute inflammation Rofwvof molecular events in cell growth and intercellular signaling cell surface receptors Role of NSAIDs in inflammation, Cellular changes in radiation injury and its manifestation: 2. Haemostasis Role of endothelium in thrombogenesis, Arterial and venous thrombi, Disseminated Intravascular coagulation 3. Shock: Pathogenesis of hemorrhagic, neurogenic, septic, cardiogenic shock Circilatory disturbances, ischemia, hyperemia, venous congestion, edema, infarction 4. Chromosomal abnormalities: Marfans Syndrome, Ehlers Danlos Syndrome, Fragile X- Syndrome

5 · Hypersensitivlty: Anaphylaxis, type 2 hypersensitivity, type 3 hyper sensitivity and cell mediated reaction and its clinical importance, systemic lupus erythematosus Infection and infective granulomas. 6. Neoplasia: Classification of tumors: Carcinogenesis and carcinogen- chemical, viral and microbial Grading and staging of cancers, tumor Angiogenesis, Paraneoplastic syndrome, spread of tumors Characteristics of benign and malignant tumors Others: Sex linked agammaglobulinemia. AIDS Management of immun deficiency patients requiring surgical procedures De George Syndrome Ghons complex, post primary pulmonary tuberculosis pathology and pathogenesis 8 Oral Pathology: Developmental disturbances of oral and Para oral structures Regressive changes of teeth: Bacterial, viral and mycotic infections of oral cavity Dental caries,, diseases of pulp and periapical tissues Physical and chemical injuries of the oral cavity Oral manifestations of metabolic and endocrinal disturbances Diseases of jawbones and TMJ Diseases of blood and blood forming organs in relation to oral cavity Cysts of the oral cavity Salivary gland diseases Role of laboratory investigations in oral surgery 9 Microbiology: Immunity Knowledge of organisms commonly associated with disease of oral cavity. Morphology cultural characteristics of strepto, staphylo, pneumo, gono; meningo, clostridium group of organism, spirochetes, organisms of TB, leprosy, diphtheria, actinomycosis and moniliasis Hepatitis B and its prophylaxis Culture and sensitivity test Laboratory determinations Blood groups, blood matching, RBC and WBC count Bleeding and clotting time etc, smears and cultures, Urine analysis and cultures APPLIED PHARMACOLOGY AND THERAPEUTICS: 1 Definition of terminologies uscd 2. Dosage and mode of administration of drugs: 3 Action and fate of drugs in the body 4_ Drug addiction, tolerance and hypersensitivity reactions 5. Drugs acting on the CNS 6. General and local anesthetics, hypnotics, analeptics, and tranquilizers 7 . Chemo therapeutics and antibiotics 8. Analgesics and antipyretics 9_ Antitubercular and antisyphilitic drugs. 10. Antiseptics, sialogogues and antisialogogues 11. Haematinics 12. Antidiabetics

13 · Vitamins A, B-complex, C, D, E, K PAPER-Iy Minor Oral Surgery and Trauma MINOR ORAL SURGERY: PRINCIPLES OF SURGERY: DEVELOPING A SURGICAL DIAGNOSIS , BASIC NECESSITIES FOR SURGERY, ASEPTIC TECHNIQUE , INCISIONS , FLAP DESIGN TISSUE HANDLING, HAEMOSTASIS , DEAD SPACE MANAGEMENT, DECONTAMINATION AND DEBRIDEMENT, SUTURING, OEDEMA CONTROL, PATIENT GENERAL HEALTH AND NUTRITION: MEDICAL EMERGENCIES: prevention and management of altered consciousness (syncope, orthostatic hypotension, seizures, diabetes mellitus, adrenal insufficiency), hypersensitivity reactions, chest discomfort, and respiratory difficulty. EXAMINATION DLAGNOSIS: clinical history, physical and radiographic, clinical and 1 AND laboratory diagnosis, oral manifestationg of systemic diseases, implications of systemic diseases in gurgical patients: HAEMORRHAGE ANDSHOCK: applied physiology, clinical abnormalities of coagulation, 2 extra vascular hemorrhage, and hemorrhagic lesions, management of secondary hemorrhage, shock 3 ExODONTIA: principles of extraction; indications and contraindications, types of extraction; their management, principles of elevators and elevators used in oral complications and surgery_ 4 IMPACTION: surgical anatomy; classification, indications and contraindications, diagnosis, procedures, complications and their management: 5_ SURGICAL' AIDS TO ERUPTION OF TEETH: surgical exposure of unerupted teeth, surgical repositioning of partially erupted teeth. 6 TRANSPLANTATION OF TEETH ENDODONTICS: indications and contraindications; diagnosis, procedures of 7. SURGICAL PerediOs:H EHCTYSURGERY: requirements, types (alvoloplasty , tuberosity reduction, 8 mylohyoid ridge reduction, genial reduction, removai of exostogis, vestibuloplasty) 9 PROCEDURES TO MMPROVE ALVEOLAR SOFT TISSUES: hypermobile tissues- operative sclerosing method, epulis fissuratum, frenectomy and frenotomy INFECTION OF HEAD AND NECK: Odontogenic and non Odontogenic infections, factors 10 affecting spread of infection, diagnosis and differential diagnosis, management of facial space infections, Ludwig angina, cavernous sinus thrombosis: INFECTIONS OF THE JAWS: Osteomyelitis (types, etiology_ pathogenesis, 11_ CHRONIC Manazement} Ssteosadio;aosisinusitis types, pathology, treatment; closure of Oro antral 12_ MAXILLARY fistula, Caldwell- luc operation OROFACIAL REGION: classification, diagnosis, management of OKC, 13_ CYSTS OF THE dentigerous, radicular, non Odontogenic,ranula DISORDERS OF THE MAXILLOFACIAL REGION: diagnosis and 14_ NEUROLOGICAL management of trigeminal neuralgia, MPDS, bells palsy, Frey's syndrome; nerve injuries 15 IMPLANTOLOGY: definition, classification, indications and contraindications, advantages and disadvantages, surgical procedure: 16. ANESTHESIA coGsilication Of local anesthetic drugs, mode of action, indications and contra indications, advantages and disadvantages, techniques, complications and their management: Glassifcation, stagessoi GA, mechanism of action, indications, and contra indications, advanficgeioand digedvant gas, pochanesthetic comDlcationsaand cmergencies anesthetic for dental procedures in children; pre medication, conscious sedation, legal aspects for GA 17. TRAUMA 18. SURGICAL ANATOMY OF HEAD AND NECK 19. ETIOLOGY OF INJURY 20. BASIC PRINCIPLES OF TREATMENT

21 · PRIMARY CARE: resuscitation, establishment %f airway, management of hemorrhage, management of head injuries and admission to hospital. 22_ DLAGNOSIS: clinical, radiological 23_ SOFT TISSUE INJURY OF FACE AND SCALP: classification and management of soft tissue wounds, injuries to structure requiring special treatment 24. DENTO ALVEOALR FRACTURES: examination and diagnosis, classification, prevention. treatment, 25. MANDIBULAR FRACTURES: classification, examination and diagnosis, general principles of treatment, complications and their management 26. FRACTURE OF ZYGOMATIC COMPLEX: , classification, examination and diagnosis, general principles %f treatment, complications and their management 27. ORBITAL FRACTURES: blow out fractures 28. NASAL FRACTURES 29_ FRACTURES OF MIDDLE THIRD Or THE FACIAL SKELETON: emergency care, fracture of maxilla,and treatment %f le fort I, Il, III, fractures of Naso orbito ethmoidal region 30. OPTHALMIC INJURIES: minor injuries, non-perforating injuries, perforating injuries, retro bulbar hemorrhage, and traumatic optic neuropathy. 31_ TRAUMATIC INJURIES TO FRONTAL SINUS: diagnosis, classification, treatment 32_ MAXILLOFACIAL INJURIES IN GERIATRIC AND PEDIATRIC PATIENTS 33. GUN SHOT WOUNDS AND WAR INJURIES 34 OSSEOINTEGRATION IN MAXILLOFACIAL RECONSTRUCTION 35. METABOLIC RESPONSE TO TRAUMA: neuro endocrine responses, inflammatory mediators, clinical implications 36_ HEALING OF TRAUMATIC INJURIES: soft tissues, bone, cartilage, response of peripheral nerve to injury 37. NUTRITIONAL CONSIDERATION FOLLOWING TRAUMA 38. TRACHEOSTOMY: indications and contraindications, procedure, complications and their management: PAPER-III MAXILLOFACLAL SURGERY Salivery glend Sialography Salivary fistula and management Diseases of salivary gland developmental disturbances, cysts, inflammation and sialolithiasis Mucocele and Ranula Tumors of salivary gland and their management Staging of salivary gland tumors Parotidectomy Temporomandibular Joint Etiology, history signs, symptoms, examination and diagnosis of temporomandibular joint disorders Ankylosis and management of the same with different treatment modalities MPDS and management Condylectomy different procedures Various approaches to TMJ Recurrent dislocations Etiology and Management Oncology Biopsy Management 0f pre-malignant tumors of head and neck region Benign and Malignant tumors of Head and Neck region Staging of oral cancer and tumor markers Management of oral cancer Radical Neck dissection

3 · Access cavity opening and root canal therapy in relation to maxillary and mandibular permanent teeth 4. Access cavity preparation and BMP Anterior a. Conventional prep b Step back Crown down Obturation 03 5 BMP Premolar 06 (2 upper and 2 lower) obturation 1 each 6. BMP Molar 06 (3 upper 2 first molars and 1 second molar , 3 lower 2 first molars and 1 second molar) obturation 1 each 7 Post and core preparation and fabrication in relation to anterior and posterior teeth a Anterior 10 (casting 4) b. Posterior 05 (casting 2) 8. Removable dies 04 Note : Technique work to be completed in the first four months CLINCAL WORK:

30 · 30 05 05 05 05 05 05 20 05

25 · marks

25 · marks

20 · marks

20 · marks

20 · marks

20 · marks

20 · marks

100 · Marks

1 · Viva-Voce examlnatlon: 80 marks All examiners will conduct viva-voce conjointly o candidate's comprehension, analytical approach, expression, interpretation of data and communication skills. It includes all components of course contents: It includes presentation and discussion on dissertation also. it. Pedagogy Exerctse: 20 marks A topic be given to each candidate in the beginning of clinical examination. He/she is asked to make a presentation on the topic for 8-10 minutes: Dey 3: Viva-Voce (Continued if more than 4 students are taking examination 'Or shortage of time on 2nd day) 5 ORTHODONTICS & DENTOFACIAL ORTHOPAEDICS OBJECTIVES: The training programme in Orthodontics is to structure and achieve the following four objectives KNQWLEDGE: 1_ The dynamic interaction of biologic processes and mechanical forces acting on the stomatognathic system during orthodontic treatment 2. The etiology, pathophysiology, diagnosis and treatment planning of various common Orthodontic problems 3. Various treatment modalities in Orthodontics preventive interceptive and corrective. 4. Basic sciences relevant to the practice of Orthodontics 5 Interaction of social, cultural, economic, genetic and environmental factors and their relevance to management of oro facial deformities 6 Factors affecting the long-range stability of orthodontic correction and their management

7 · Personal hygiene and infection control prevention of cross infection,and safe disposal of hospital waste, keeping in view the high prevalence of Hepatitis and HIV and other highly contegious diseases: 8KILLB: 1 To obtain proper clinical history, methodical examination of the patient; perform essential diagnostic procedures, and interpret them and arrive at a reasonable diagnosis about the Dentofacial deformities: 2 To be competent to fabricate and manage the most appropriate appliance intra or extra oral, removable or fixed, mechanical or functional, and active or passive for the treatment of any orthodontic problem to be treated singly or as a part of multidisciplinary treatment of orofacial deformities: ATTTUDES: 1_ Develop an attitude to adopt ethical principles in all aspects of Orthodontic practice: 2. Professional honesty and integrity are to b fostered 3 Treatment care is to be delivered irrespective of the social Status, cast, creed or colleagues 4. Willingness to share the knowledge and clinical experience with professional colleagues_ 5_ Willingness to adopt, after a critical asgessment, new methods and techniques of orthodontic management developed from time to time based on scientific research, which are in the best interest of the patient 6. Respect patients rights and privileges, including patients right to information and right to seek a second opinion 7_ Develop attitude to seek opinion from allied medical and dental specialists as and when required COMMUNCATION SKILLS: 1 Develop adequate communication skills particularly with the patients giving them the various options available to manage a particular Dentofacial problem and to obtain a true informed consent from them for the most appropriate treatment available at that point of time_ 2. Develop the ability to communicate with professional colleagues, in Orthodontics or other specialities through various media like correspondence, Internet; e-video, conference etc: To render the best possible treatment: CQURSE CONTENT: The program outlined, addresses both the knowledge needed in Orthodontics and allied Medical specialities in its scope. A_ minimum of three years of formal training through a graded system of education a8 specifies, will equip the trainee with skill and knowledge at its completion to be able to practice basic Orthodontics and have the ability to intelligently pursue further apprenticeship towards advanced Orthodontics: SPREAD OF THE CURRICUUM: Six months teaching 0 basic subjects including completion of pre clinical exercises 2 % years of coverage of all the relevant topics in Orthodontics; clinical training involving treatment of patients and submission of dissertation. These may be divided into blocks of 6 to 8 months duration each, depending on the training policies of each institution. I APPLIEDANATOMY Prenatal growth of head: Stages of embryonic development, origin of head, origin of face, origin of teeth: Postnatal growth of head: Bones of skull, the oral cavity, development of chin, the hyoid bone, general growth of head, face growth. Bone growth: Origin of bone, composition of bone; units of bone structure, schedule of Ossification, mechanical properties of bone, roentgen graphic appearance of bone

1 · NON-APPLLANCE EXERCISES All the following exercises should be done_with 0.Z or 0 8mm wire SLNo: Exercise 2 Straightening 0f 62& 87 long wire Square 3 Rectangle 5 Triangle 0f2"gide_ Circle 0f 2" side 6 Bending of SU8 Bending of SVs 2. CLASPS SLNo Exercise % Clasps Full clasps Tiangular Clasps [ 423 clasp = Xoper molar Adam's Clasp Pre-molar Adam 8 Clasp Incisor Modification of Adam'8 With Helix 9 Modification of Adam's With distal extension 10 Modification of Adam's With soldered tube 11 Duyzing Clasps on Molars 12 Southend Clasp 3.LABLAL BOWS SLNo. Exercise 1 Short labial bow (Upper _& lower) 2 Long labial bow (Upper & lower) 3 Robert's retractor High labial bow-with apron springs 1 Mils labial bow Reverse loop labial bow Retention labiaibow soldered to Adam $ clasp 8 Retention labial bow extending distal to second molar Fitted labial bow 10 Split high labial bow 4. SPRINGS SLNo: Exercise Finger spring-mesial movement 3 Finger spring-distal movement Double cantilever spring 3 Dapneepr Tspring 5. CANINE RETRACTORS

1 · 1

10 · Mock examinatlon DISSERTATION: a. The protocol for dissertation should be submitted on or before the end of six months from the date of admission a8 per calendar of events to the Registrar, Rajiv Gandhi University of Health Sciences, Karnataka, through proper channel b. The completed dissertation should be submitted 6 months before the final examination as per calendar of events to the Registrar (Evaluation), Rajiv Gandhi University of Health Sciences, Karnataka, through proper channel. C. The dissertation should not be just a repetition of a previously undertaken study but it should try to explore some new aspects. d Approval of dissertation is essential before a candidate appears for the University examination. MONTORING LEARNING PROGRESS: It is essential to monitor the learning progress of each candidate through continuous appraisal and regular assessment: It not only helps teachers to evaluate students, but also students to evaluate themselves. The monitoring be done by the staff of the department based on participation of students in various teaching 7 learning activities It may be structured and assessment be done using checklists that assess various aspects. Checklists are given in Section IV. SCHEME QE EXAMINATION: A. Theory 300 Marks Written examination shall consist of four question papers each of three hours duration. Total marks for each paper will be 1OO. Paper 1, II and III shali consist of two long questions carrying 20 marks each and 6 short essay questions each carrying 10 marks Paper IV will be on Essay- Questions on recent advances may be asked in any or all the papers Distribution of topics for each paper will be as follows: Paper-I : Applied Basic Sciences: Applied anatomy Physiology, Dental Materials, Genetics, Pathology, Physical Anthropology, Applied Research methodology, Bio-Statistics and Applied Pharmacology_ Paper II : Orthodontic history, Concepts of occlusion and esthetics, Child and Adult Psychology, Etiology and classification of maloclusion, Dentofacial Anomalies, Diagnostic procedures and treatment planning in Orthodontics, Practice management in Orthodontics Paper III Clinical Orthodontics Paper IV Essay 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 B. Practical / Clinlcal Examination 200 Marks Exercise No: 1 Functional Case 50 Marks Selection of case for functional appliance and recording of construction bite. Fabrication and delivery of the appliance the next day. Exercise No: 2 Multiband exercise 50 Marks 1 II stage with auxiliary springs OR 2. Bonding of SWA brackets and construction of suitable arch wire Exercise No. 3 Display of records of the treated cases (minimum of 5 cages) 5 case8 15 marks = 75 Marks

1 · hour 1 hour

1 · hr 30 min

1 · hour

2 · hours

10 ·

11 ·

2 · Case Discussion; Crown preparation on & Primary Molar for Stalnless steel crown and cementatlon of the same. Case discussion 10 marks Crown Preparation 20 marks Crown selection and Cementation 20 marks Total 50 marks

100 · Marks

10 · Marks 30 Marks

1 · Viva-Voce examinatlon: 80 marks

74 · ro €io Qrio-33004/99

37 · Axrt &1 )HRTil4 7, YRqz rilfua Vrdvh 91a45r (1emq Rrile7) @f4T, 2008 %81 @iKIT _ (ii) 3 AA4A RaF} v1T4A # 074 WRM # @rr # TTL s4 | 2. "Wlar & Fabht / Rlafjaj fnrra # Jriald # rifm Viqt 414zH # vei @8 farqal-&R ffite f4u1 T4T $ 07i A VAR /rriu; f5 M & d) Mur_@.EAg @Fri $ %a 67 5) 073f #.%i7 Aaifdr: 400 3im 3 Fe Wr

300 · 3iv 43

314 · GV2008

1 · [ADVT-IVIVExty b98008] { MAJ: GEN. (Retd) P N AWASTHL, Secy: Note: Prlnclpel Revlsed MDB Couroe Rerultlons,. 7007 WotC Publbod b Part-LL; Section 4, Gazette o Indie, Eatmordingy: % 21*Novembes; 2007 . Printed by the Mentser, Oovt of bndi Predt_ Ring Rord Moyepwrt; New Delhi-[064 wd Published by the Controller of Publicetions, Delhi-J1COSA.

1974 · 71/2012

81 · / ~rd # #TT (5) # Jyafa & (i eafefyi # #a G ?rkr # Aza 3m 4 mag; A:7Zm # #6v & 77mi 3iq 454 gTTrg Wr 6 | g1vF M Auku Far Wararif # &rd # frif ri51r QFd Va I4r WrG # YTT Voqat eid} $ 318R W fut VCHT a17 7I 45 & @ %f& #afa Aforu $ nreff (lavI 4arari # <feda} # fV 4ru #U # fm #afum 4A @ ffy 3aifja rigi4 TTATT Ti Ydr Ta 4 4FufRa Tt 39 %iM &1T # 31FVGt ved & m a7u TOR #railu zru WTa & TrJf 4 3193 fadaTR #afug #fr 7 #rrefut & @ia # FaI YuTM 4 aud & TaQ 3qf8a ~Nw' 81q7 31 EZT Tai & 3F &7iu VrOR ET Zt YAT F2wR TR 335)tarat Bzh %afno &4 $ fiQ @TL 84 | (3) @iarw Tlm / #UN 4 rifd $fmujf & ff #lzl @ &G FTorit / %q Rr &3 # nv @eIRGII ffa # 3THR &1 / Fely MTT &a wdr Tenl 4 M 3a1 + JUT T M1 affuf 4 0 &fUa #riq <jruildnr #di 3 #Fet & 7e_TR 44nl44 Tri RR & wgm}' Ji TnoR Hiutqt 4 eznfaif @1 TfUcTI #4a1 *Tun1mt Wu 4 # f44 JQTT / 707 rId &6 & @ vil anreff FaT / FRaTT milaarur # #a1 # & J7Tq Tnra 4 4nud1m7 fafvu #a #r4 3i4 # #ra R / 44F Wifeard ET 4w @ / #241 grr #5i # # 1 Har # Wd 44 # f 10 Wa +1 aa} & w # WnTI6T f4 MQT vf <1e14 WN-r-drI Tat # 8TT 3p} & afad % 3m 30 Wfarlo @m w71 | ayre 317 %tr 87 ruv FTn Jik #GH wifear} ETT FY4_H4 Wr 7eT4rnat B | T &f x anr2ff ui Jtgau HRT (2) # 4ufura ~a TT 3 515t 47A # 3514.4 Rat &, 8 &d #afufd u # fn+ 1 FMR 4344 # aaa 71 faqt TFQM | (6) Tifearv Haa Tat GTT # A 3 mra #z Ww) Jr@fj # #) G3} FN7d} Aqa 3 & Tfaq Axau 50 wlrm # 70 wfarmt # + & | dfnt rdf < & @ # #H 3 Mr #12 4 # #18 #ilz QH Jrnf4j 9 3TTTGI % TRM fTT Aqd J1f @ Tar Arnanm 50 Warig # 70 Waria & 44 &} @A # v W 6} m 3 Wr & 5 &7 4 @7 #M r6 T Qr Hiz, *1 HTTN Au & U7t 3rufefu} # fazv @frfdi #loa m # MMa fv MN # %, 0 @nnu # I v fNG fal 35f + 714 Av 40 # 50 XrIa # &7 6f} / # 31 Wd 48 & @ 76 #id wzur Yd &4 @1aly / FeI7 ETr adct & f&Q Hiafua HTY_Vri & 3HR 9M & @il / #-TaTm &74 #rtv / #re 4 ga #iet 4 # 50 wrva (Tan "r) Hie r FRTR ERT Jetat Uro BTRT Agq Miar €RT * vf & TTa5t 50 WfrrIa (Wan w) #i2 eafug 6u @rau / 4RI TTT R7514 [_Q_wdri Trian # WM 301 & &1R? W dUR & J 4a14 1d # JEr Q # Tm / FTTR frilr 4auati # 50 wa #z FGRI #qt 4 fgdd &# Jn4 fafdaH afaify & feV BRfiI 6it frrh- Tr T / &erqi Jrr 43l # TT # #9 m7 &4 & #qt & 01 Fan? ruim MWT #r7 @ & &64 Rfaca afaamat # piz RRTR / F1Gta MfaaT ETT FT_FTq T TAfrfn 374 74/&475 JW #7 4 & qi m fV Jivrll #rr sm ! (8) frafae1FT4 Ju1 374 Mlfedr &udt & Afiu # Tr8 # 3yifola #r4 f4 AnbaR Tr7s 4 Rrau* 9fiat wfaqtf 2 # # 4G & JQ / 3 0*C7 # # $ #n# AF+i Zoo6 # niei Fiqt7 alv FTV_T Q JrnTad #TT * & 4 4GF # /

31 · # & &1 fdr # riafr #A # f0x 4 Rema # DT # #1X afaal T6 f44 MQ frafdaiTu 3u9qa 7rg # &r 7ia fr T 6F *1 doflarrut T81 7tii | (10) HRr4 v Mta Th J1RTU & Ar & Fod & @ &f W # 517 3fIJIIG f4 T 8 fNIA &ud & #Ma & J Mu # d Teo1i MT fau1 8 0x 31447 # Y34w # TuNm & Fr UM #eta1 0i 5TA a Hm fh #f & Jeal * ranafarwTo 3af4A, 1848 & MrT7 # fng 4F J8a T8 A7T M m F41A Jr4q # fi5 funa &4 are # TG 741 shia1d 4 Fo4 FRAR / farafdalaru / Frium YV4 FIR * 44TH MadRI ERT Tefuia rrd m T m 8or+ #d FY rifeal *d 8 8ra @74 Jhlaie ETT vefufa #rarf m M Hat for #RemN a Mafs 44 & @Y Kqa &iaai 41 # #A T # vifualt # #A 7o % 74gau #e Jrufia' f41 vTTT RAG BTT ! #da (Harfe) <i, 54, # 3, TFfa1ad Wfqa [fTI9a III/498/1 2/3T1

197h · shi -2 Printed by the Manager, Government 0f India Press, Ring Road Mayapuri_ New Delhi-[10064 and Published 'by the Controller of Publications, Delhi-[100S4.

2959 · GI2016