mds- curriculum (hust) tongji medical college

HUST

Tongji Medical College

Masters Programs in Dentistry

ORAL AND MAXILLOFACIAL SURGERY – MDS ObjectivesThe course shall comprise of a minimum of three years which the student will be deemed to have acquire:

1. To have 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.

2. To have understood the general surgical principles like pre and post surgical management particularly evaluation, post surgical care, fluid and electrolyte management, blood transfusion and post surgical pain management.

3. Understanding of basic sciences relevant to practice or oral and maxillofacial surgery.

4. Familiarity with the modern teaching methods and assessment strategies for undergraduate students

5. And have undergone concurrent clinical training in major disciplines.The course shall be given in the following forms:

1. Seminars, demonstrations & laboratory techniques twice a week

2. Clinical case conference and presentations -twice a week.

3. The students will work on patients in the clinics, both in the mornings and in the afternoons under the supervision of the teachers.

4. Lecturers in the basic sciences – attending at this course given by the basic science disciplines will be compulsory.

5. The candidate will get training in various aspects of oral and maxillofacial surgically during the three year course.

6. Internal assessment examination will be conducted after every year.

7. The candidate must submit thesis protocol within 6 months of their joining the course.

8. The candidate must submit thesis six months prior to final examination and the thesis defense.

SYLLABUS OF COURSE IN ORAL AND MAXILLOFACIAL SURGERY

Year Brief Outline1 Chinese language

Scientific research methodologyMedical statisticsMolecular biology and biochemistryImmunohistochemistryNeurobiology

1.Oral and Maxillofacial Surgery Clinic 2.Oral and Maxillofacial Surgery Seminar

Anaesthesia Dentoalveolar Surgery

2 1.Oral and Maxillofacial Surgery Clinic 2.Oral and Maxillofacial Surgery Seminar 3. Writing papers, thesis Orthognathic SurgeryWound Healing and Peri operative ManagementMaxillary and Midfacial ProceduresSpecial ConsiderationsTraumaClinical Practice

3 1.Oral and Maxillofacial Surgery Clinic 2.Oral and Maxillofacial Surgery Seminar 3, Writing papers, thesis

Students will be required to carry out an approved project relating to a problem within the broad field of Oral and Maxillofacial Surgery.

Reconstructive and Implant SurgerySoft Tissue and Osseous Preprosthetic reconstructionImplantology

Cleft/Craniofacial SurgeryYear 1

This module will cover the following topics:

A) Anesthesia

Anesthesia and Pain Control

Preoperative Evaluation

Monitoring for Oral and Maxillofacial Surgery

Local Anesthetics

Parenteral Sedation

General Anesthesia for the Office Patient

Management of Acute Pain

Pharmacosedation for Pediatric Patients

Chronic Head and Neck Pain

Complications in Anesthesia

B) Dentoalveolar Surgery

Basic Exodontia

Complicated Exodontia

Surgical Management of Impacted Teeth

Ectopically Positioned and Unerupted Teeth

Tooth Reimplantation and Transplantation

Surgical Uprighting and Transplantation

Principles of Endodontic Microsurgery

Periodontal Considerations for Oral Surgery Procedures involving the Dentoalveolar Surgery

Lasers in Oral and Maxillofacial Surgery

Complications of Dentoalveolar Surgery

Year 2

C) Orthognathic Surgery

Diagnosis and Treatment Planning

Patient Selection for Orthognathic Surgery

Diagnosis and Treatment Planning for Orthognathic Surgery

The Application of Video Imaging Technology to Orthognathic Surgery

Orthodontic Preparation for Orthognathic Surgery

Model Surgery

D ) Wound Healing and Perioperative Management

Revascularization and Healing of Orthognathic Surgical Procedures

Preoperative, Intraoperative and Postoperative Care

Ambulatory Anesthesia for Orthognathic Surgery

E)Maxillary and Midfacial Procedures

Surgically Assisted Maxillary Expansion

Anterior and Posterior Maxillary Segmental Osteotomies

Maxillary Quadrangular LeFort I and Quadrangular LeFort II Osteotomy

F) Special Considerations

Functional Outcomes Following Orthognathic Surgery

Soft Tissue Changes Associated with Orthognathic Surgery

Psychological Ramifications of Orthognathic Surgery and the consequences

Orthognathic Surgery Before Completion of Growth

Rehabilitation after Orthognathic Surgery

G) Trauma

Basic Principles of Treatment - Hard and Soft Tissue

Diagnosis and Management of Dentoalveolar Injuries

Mandibular Fractures

Management of Midface Injuries

Soft Tissue Injuries

Special Soft Tissue Injuries

Avulsive Hard Tissue Facial Injuries

Maxillofacial Injuries in Children

Maxillofacial Injuries in the Elderly

Year 3

H ) Reconstructive and Implant Surgery

Principles of Preprosthetic Surgery

Coordination in the Comprehensive Diagnosis and Treatment of the Implant Patient : The Relationship between the Implant Surgeon and the Restorative Doctor

Imaging for Maxillofacial Reconstruction and Implantology

I ) Soft Tissue and Osseous Preprosthetic Reconstruction

Preprosthetic Surgery - An Overview and Soft Tissue Procedures

Reconstruction of the Edentulous Maxilla

Rehabilitation of the Edentulous Mandible: Prosthetic and Surgical Concerns

J) Implantology

Principles for the Surgical Placement of Endosseous Implants

Subperiosteal Implants

The Transmandibular Implant Reconstruction System

Single Tooth Replacement in Oral Implantology

K) Cleft/Craniofacial

Cleft Lip and Palate

Embryogenesis and Comprehensive Management of the Cleft Patient

Use of Orthopedic Appliances in Growth Modification

Cleft Lip and Palate

Velopharyngeal Dysfunction

Alveolar Cleft Grafts

Orthognathic Surgery in the Cleft Patient

GENERAL SURGICAL SKILLS & OPERATIVE PROCEDURES:

Sl.No. Procedure

1 Injection I.M. & I.V

2 Minor suturing & removal of sutures

3 Incision & drainage of an abscess

4 Surgical extractions

5 Impacted teeth

6 Pre-prosthetic surgery-

Corrective procedures Ridge extension Ridge reconstruction

7 OAF closure

8 Cyst enucleations

9 Mandibular fractures

10 Peri-apical surgery

11 Infection management

12 Biopsy procedures

13 Removal of salivary calculi

14 Benign tumors

15 Midface fractures

16 Implants

17 Treacheostomy

18 Skin grafts

19 Orthognathic surgery

20 Harvesting bone & cartilage grafts

iliac crest Rib Calvarial Fibula

21 T.M. Joint surgery

Dissertation:

1. The candidates are required to carry out a research project under the guidance of his/ her mentor professor.

2. The research protocol shall be submitted by the end of the first year.3. The thesis should be submitted before the end of third year.

Evaluation and Examinations:

The candidates are continuously evaluated by the faculties, other staffs and the fellow residents during the postings.

At the end of each posting the mentor professor will evaluate the candidate.

The candidates have to pass the final examination and defend their thesis to the evaluation committee to get the degree.

Recommended books and References pertaining to Oral & maxillo facial surgery & oral implantology

1. Principles of Oral & Maxillofacial Surgery; Vol. 1,2 & 3; Peterson I.J & et. al.

2. Rowe and Williams Maxillofacial injuries Vol. 1 & 2; Williams Jlied3. Handbook of Medical emergencies in the dental office; Malamed S.F.4. Plastic surgery; Vol. 1 – 5; McCarthy JG.5. Cancer of the face and mouth; McGregor IA & Mc6. Oral & Maxillofacial Surgery Vol 1 & 2; Laskin DM7. Oral & Maxillofacial Trauma; Vol 1 & 2; Fonseca RJ & Davis8. Oral & Maxillofacial infections; Topazian RG & Goldberg MH9. Surgical correction of dentofacial deformities Vol 1,2 & 3; Bell WH & et al10.Surgery of the mouth and jaws; Moore JR.11.Dentofacial deformities: integrated orthodontic and surgical correction; Vol

1 to 4;12.Maxillofacial Surgery; Petter Wardbooth

Journals pertaining to Oral & maxillo facial surgery & oral implantology

1. Int. Journal of Oral & Maxillofacial Surgery2. Journal of Cranio Maxillofacial Surgery3. British Journal of Oral & Maxillofacial Surgery4. Oral Surgery, Oral Medicine, Oral Pathology5. Oral & Maxillofacial clinics of North America6. Journal of oro-facial pain7. Int. Journal of Oral & Maxillofacial Implants8. Indian Journal of Oral & Maxillofacial Surgery9. Plastic & Reconstructive Surgery10.Cancer

PROSTHODONTICS- MDS

The course shall comprise of a minimum of three years degree which the student will be deemed to have acquired:

a) An updated knowledge of Prosthodontics including Removable, Fixed, Maxillofacial prosthodontics and Implantology, growth and development of teeth, jaws, Periodontics, TMJ and occlusion.

b) Competence at running independently Prosthodontics service and Maxillofacial Prosthodontics.

c) Working knowledge of some of the important instruments, equipment in the scientific investigations of Dental Materials, Prosthodontic rehabilitation including masticatory efficiency, TMJ dysfunction syndromes and craniofacial anomalies

d) Familiarity with the modern methods and assessment strategies for teaching of undergraduate students

e) And have undergone clinical training in major disciplines.

The course shall be given the following forms:

1. Seminars, demonstrations, and laboratory techniques

2. Clinical case conference and presentations twice a week.

3. The students will work on patients in the clinics both in the morning and in the afternoon under the supervision of the teachers.

4. The students will undertake the laboratory work for the patients who are under their treatment

4. Lectures in the basic sciences – attending at this course given by the basic science disciplines will be compulsory.

5. The candidate will get training in various aspects of prosthodontics during the three year course.

6. Internal assessment examination will be conducted.

7. The candidate must submit thesis protocol

8. The candidate must submit thesis prior to final examination and perform the thesis defense.

OBJECTIVES:

At the end of the course of study the candidate should be able to develop:

1. Adequate knowledge in the diverse disciplines involved in providing care for patients with partial or complete loss of teeth or contiguous oral structures

2. Working efficiently as a team in improving the quality of life of patients presenting loss of tooth or teeth.

3. To critically evaluate scientific literature, discovering and disseminating knowledge.

4. To have an in-depth knowledge of basic science applicable to Prosthodontics.

5. To implicate the evidence available from the literature in routine treatment planning.

6. To achieve adequate knowledge in basic concepts of research methodology and be able to conduct good quality prosthodontic research independently.

7. To be proficient in delivering high quality prosthodontic treatment as an integral component of overall oral health care and through the surgical or non-surgical approach based on sound judgment and scientific principles.

8. To be clinically competent in the treatment planning, placement and maintenance of implants within the concept of comprehensive treatment plan.

9. To be able to communicate with patients effectively to improve the oral health status and adherence with health care recommendations.

10. To be familiar with research methodology by writing thesis on relevant health problems.

11. To educate members of the working team.

12. To become a competent and efficient teacher to teach undergraduate program.

13. To provide learning experiences that will correlate the basic, behavioral and clinical skills of the dentist for the most effective comprehensive prosthodontic treatment of partial or complete edentulous patients.

TERMINAL COMPETENCY:

The educational program must provide clinical training for the student/ resident to the level of proficiency. This must include, but is not limited to, the following treatment methods (this includes in-depth knowledge of the rationale, advantages and disadvantages of each treatment modality)

A. Removable partial dentures:

It is important during this course that the student gains a fundamental background in the following areas of removable partial prosthodontics

- Treatment planning; survey and design of the removable partial denture.- Mouth preparation for the RPD patient.- Making the master impression and master casts with tripod marks- Preparation of a work authorization and related regulatory requirements.- Preparation of materials/ information for submission to a licensed

commercial dental laboratory- Try-in and fitting the RPD framework; altered cast impressions; completion

of the RPD- Delivery/insertion, adjustment, home-care instructions, recall/maintenance

repair and refitting- Alternate design concepts and treatment outcomes

B. complete dentures:

- Diagnosis and treatment planning for patients with no teeth remaining

- Improving the patient’s denture foundation and ridge relations- Impression procedures- Recording the jaw relations- Relating the patients to the articulator- Selecting artificial teeth for edentulous patients- Arrangement of artificial teeth- Completion of try-in, eccentric jaw relation records, articulator and cast

adjustment- Perfection of the posterior palatal seal- Completion of the rehabilitation of the patients

C. Fixed partial dentures (FPD)

- Treatment planning of the fixed partial denture

- Mouth preparation for the FPD patient- Making impression and master cast(s)- Preparation of materials/information for submission to a licensed

commercial dental laboratory- Try-in and fitting the FPD and cementation of the FPD- Home care instructions, recall/maintenance

D. Maxillofacial prosthesis:

- Maxillofacial rehabilitation of the patients

E. Dental implants:

Prosthetic aspect of dental implants

Should be able to interpret investigation report of:

a. Orthopentamogram

b. IOPA

c. Bite wing x-rays, occlusal view

d. CT scan

e. Blood test and biochemical evaluations

F. vitality test

SYLLABUS OF COURSE IN PROSTHODONTICSTHEORY: BASIC SCIENCES

All the Postgraduate students in HUST must be capable of reading the following subjects in order to apply the knowledge of such subjects for thesis writing and clinical reasoning.Credits will be counted on these subjects as well.

1) Biochemistry 2) Molecular biology 3) Histochemistry

4) Immunology 5) Biostatistics 7) Neurobiology 8) Research methodology

9) Chinese culture 10) Chinese language

ANATOMY

- Growth and development of face, jaws, teeth- The maxilla and the mandible- Temporomandibular joint- Muscles of mastication- Muscles of facial expression- Normal Occlusion, development of occlusion - Tongue- Cleft lip and palate

- Cranial nerves- Motor and sensory system- Vascular and lymphatic supply- Reflex pathways

PHYSIOLOGY

- Occlusion, physiology of mastication, deglutition and speech and its pathophysiology in orofacial dysfunction

- Role of different orofacial musculature- Role of muscles in growth and development- Physiology of occlusion- Role of saliva- Normal wound healing mechanism- Calcium metabolism

FIXED PROSTHODONTICS

PLANNING AND PREPARATION

- History, examination, diagnosis and prognosis- Treatment planning- Principles of occlusion- Mouth preparation

CLINICAL PROCEDURES- PART ONE

- Principles of tooth preparation- The complete cast crown preparation- The metal ceramic crown preparation- Tooth preparation for all ceramic crown- Restoration of endodontically treated tooth- Preparation of periodontally weakened tooth- Implant supported fixed prostheses- Tissue management and impressions- Provisional restorations

- The functionally generated path technique

LABORATORY PROCEDURES

- Working cast and dies- Wax patterns- Framework design and metal selection for metal ceramic restorations- Pontic design- Retainers for removable partial denture- Investing and casting- Color science and shade selection- Metal ceramic restorations- All ceramic restoration fabrication- Resin retained fixed partial denture- Connectors for fixed partial denture- Finishing the cast restorations- Communication with the dental laboratory

CLINICAL PROCEDURES- PART TWO

- Try in, staining and glazing- Luting agents and cementation procedures- Follow up care

REMOVABLE PARTIAL DENTURE

- Examination, diagnosis and treatment planning in partial denture prosthodontics.

- Classification of partially edentulous arches- Major and minor connectors- Rests and rest seats- Direct and indirect retainers- Denture base considerations- Principles of removable partial denture designing- Surveying

- Diagnosis and treatment planning- Preparation of mouth for removable partial designs- Preparation of abutment tooth- Impression procedures for removable partial dentures- Support for distal extension denture base- Occlusion relationship for removable partial dentures

LABORATORY PROCEDURES

- Work authorization for removable partial dentures- Initial placement, adjustment, and servicing of removable partial

dentures- Relining and rebasing of removable partial dentures- Repairs and addition of removable partial dentures- Temporary removable partial dentures- Maxillofacial applications of removable partial dentures

COMPLETE DENTURE PROSTHODONTICS

THE EDENTULOUS PATIENT:

- Biomechanics of edentulous state- Tissue response to the complete denture: the aging edentulous patient

THE CONSTRUCTION OF COMPLETE DENTURE:

- Anatomy and physiology of edentulous mouth- Diagnosis and treatment planning- Preparing the mouth for denture- Preventing and treating abused tissue- Making impression- The posterior palatal seal- Recording bases and occlusal rims- Articulators in the complete denture constructions- Recording edentulous jaw relationship- Anterior teeth selection and guidelines for complete denture esthetics

- Complete denture occlusion- Arrangement of posterior teeth- The trial denture

LABORATORY PROCEDURES AUTHORIZATIONS AND COMMUNICATIONS WITH DENTAL LABORATORY TECHNICIANS

- Processing dentures- Denture insertion

MAINTAINANCE OF COMPLETE DENTURE

- Patient education and complete denture maintenance- Relining and rebasing techniques- Denture repairs

SPECIAL TECHNIQUES AND PROBLEMS

- Conventional immediate complete denture- The interim denture- Over dentures- The single complete maxillary denture- Implants for edentulous patients- The geriatric complete denture patients

MAXILLOFACIAL PROSTHESES

- Maxillofacial prostheses materials and adhesives- Retention for maxillofacial prostheses- Eye, ear, and nose prostheses- Obturators

ORAL IMPLANTOLOGY

- Prosthetic aspects of oral implants

DENTAL MATERIALS

- Physical, mechanical and biological properties of modern dental materials

- Dental casting alloys- Dental ceramics- Various resins used in prosthodontics including denture base materials- Impression materials- Dental waxes including inlay casting wax- Investments - Gypsum products used in prosthodontics- Die and counter die materials- Soldering and welding- Dental cements for bonding applications- Mechanism of tooth cutting ( burs and points)- Abrasives and polishing agents- Implant materials-

RECENT ADVANCES IN PROSTHODONTICS

LEARNING STRATEGY:

Learning strategy will cover different aspects of training, viz:

- Theory including applied basic sciences- Clinical approach and examination of patients- Skills/procedures, by hand on training, dummy/manikin training- Attitude development- Mandatory basic courses- Stress will be given on practice of evidence based prosthodontics

DISSERTATION:

1. The candidates are required to carry out a research project under the guidance of his/her mentor professor.

2 The candidate must submit thesis protocol, get it approved and proceed with the thesis

3. The thesis should be submitted before final examination.

EVALUATION AND EXAMINATIONS



The candidates have to pass the final examination and defend their thesis to the evaluation committee to get the degree

ORTHODONTICS – MDS

The course shall comprise of a minimum of three years which the student will be deemed to have acquired:

(a) An update to knowledge of Clinical Orthodontics, roentgeno-cephalometrics, growth and development of teeth, jaws, periodontium, TMJ and occlusion.(b) Competence at running independently orthodontic services and cleft palate orthodontics.(c) Working knowledge of some of the important instruments, equipments in the scientific investigation of malocclusion of teeth, jaws and craniofacial anomalies.(d) Familiarity with the modern teaching methods and assessment strategies for undergraduate students.(e) And have undergone concurrent clinical training in major disciplines.The course shall be given in the following forms:

1. Seminars, demonstrations & laboratory techniques twice a week

2. Clinical case conference and presentations -twice a week – the student will present all data including cephalometric analysis, Model analysis, and other required radiographs for discussion in the conference of faculty and students.

3. The students will work on patients in the clinics, both in the mornings and in the afternoons under the supervision of the teachers.

4. Lecturers in the basic sciences – attending at this course given by the basic science disciplines will be compulsory.

5. The candidate will get training in various aspects of Orthodontics during the three year course.

6. Internal assessment examination will be conducted after every year.

7. The candidate must submit thesis protocol within 4 months of their joining the course i.e. Jan 1st.

8. The candidate must submit thesis six months prior to final examination and the thesis defense i.e. Feb 15th.

SYLLABUS OF COURSE IN ORTHODONTICS

1. Applied Anatomy: Applied anatomy of oro-dental tissues with special reference to the jaws, teeth, muscles of mastication, deglutition, speech, occlusion and dental morphology.2. Development: Growth and development of the jaws, teeth, supporting structures, TMJ and dentofacial anomalies.3. Physical anthropology: Evolution of jaws and teeth, study of anthropometric and landmarks.4. Applied physiology: Physiology of investing tissues arch forms and occlusion, physiology of mastication, deglutition and speech.5. Nutrition: Study of nutritional factors, vitamins, carbohydrates, fats, proteins, minerals and their individual dental implications.6. Applied pathology: Development anomalies affecting tooth form and number. Disease of teeth and jaws, heredity and anomalies of the jawsEffects of endocrine and nutritional deficiencies affecting the development of TMJ teeth & jaws7. Applied dental materials: Applications of dental cements, stainless steel wires, band material, solders, impression materials, Plaster of Paris, stone plaster, acrylic resins and other materials used in Orthodontics.8. Applied radiology: Dental radiology including cephalometrics and panoramic.9. Study of biostatics as applied to dentistry and research.

Applied Anatomy:

1. Maxilla

2. Mandible.

3. Primary and permanent Dentition

4. Muscles of Mastication

5. Deglutition

6. Speech

7. Occlusion

8. Dental Morphology.

Development/Growth:

1. Growth Pattern.

2. Physical growth:

Nature of Skeletal growth with special emphasis on the maxilla and mandible

Primary Cartilage, Secondary Cartilage.

Growth Center

Growth Site.

3. Pre natal Growth/Post natal growth –Cranial Vault:

Cranial base

Maxilla

Mandible

4. Trajectories of Forces:

5. Theories of forces:

Sutural theory

Cartilaginous theory

Functional matrix

Enlow’s Principle

Van Limbhorg theory

Cybernetics

6. Implications of growth.

7. Growth spurts.

8. Dento Facial Anomalies.

9. Infancy and Childhood Development.

10. Maturation of oral function and Buccinator mechanism

-Infantile swallow

-Transitional swallow

-Adult swallow

-Cervical vertebra

-Hand and wrist maturational methods.

-Miscellaneous

11. Later stages of development in adolescence:

-Early permanent dentition

-limitation of adolescent

-Timing of the puberty

-Dimensional Changes.

-Maturation and aging of the jaws

-Changes in the teeth and the supporting structures

-Changes in alignment and occlusion soft tissue changes in aging.

-Orofacial muscles

-Basic concepts of orofacial neuromuscular physiology

-Reflex determinants

-Growth and adaptations of orofacial muscles.

Physical Anthropology:

1. Evolution of human face.2. Evolution of TMJ.3. Evolution of Dentition.

Applied Physiology:

1. Physiology of investing tissues and the arch forms.

2. Physiology of Mastication.

3. Physiology of speech

4. Physiology of Deglutition.

Nutrition:

1. Role of vitamins.

2. Role of hormones.

3. Balanced Diet.

4. Role of Nutrition.

Applied Dental Pathology In Orthodontics:

1. Development anomalies affecting tooth form and number.

2. Disease of teeth.

3. Diseases of the Jaws.

4. Hereditary anomalies of the jaws.

5. Effects of endocrine and nutritional deficiencies affecting the development of TMJ teeth & jaws

Applied dental materials:

1. Dental cements

2. Stainless steel wires

3. Band material, solders

4. Impression materials

5. Plaster of Paris

6. Stone plaster

7. Acrylic resins

Applied radiology:

1. Properties of X-ray.

2. Evolution of X-ray.

3. X-ray films and its variations in size.

4. Bitewing radiograph.

5. IOPA

a. Paralleling technique

b. Bisecting angle technique.

6. OPG

7. General Radiography.

a. Radiation Hazards/protection.

b. Xero radiography.

c. Focal trough

d. TMJ imaging.

e. Collimator, grids, intensifying screens.

f. Shift cone technique.

8. Cephalometrics

a. Significance of Cephalometrics.

b. Radiographic Cephalometric technique

Factors Affecting

Patient Positioning

X-ray films Grids.

Film /Screen combination

Film processing

Protection Principles

c. Tracing techniques and identification landmarks

Tracing techniques

Identification of Cephalometric landmarks

d. Various Analyses

-Down’s Analysis

-Steiner Analysis

-Wits Appraisal

-McNamara Analysis

-Pitchfork Analysis

-Bjork Analysis

-Tweed’s Analysis

-Schwartz Analysis

-The geometry of Cephalometrics

-The complexity of facial growth Analysis

-Superimposition of Cephalometrics radiographs

-The continuous and dynamic measurement of natural head posture and position

-Soft tissue evaluation

a-frontal view

b-profile view

-Soft tissue Analysis:

a. Profile analysis

b. Reference points used in profile analysis

c. Assessment of total profile

d. Lip analysis

e. Reference planes for lip profile assessment analysis of tongue position

f. Average findings

g. Functional analysis based on Cephalometrics radiography.

-The Holdaway soft tissue Analysis

-Advances in Cephalometrics prediction

-Video Cephalometrics

-Facial Analysis in two and three dimensions

-Reliability of Cephalometric prediction.

Child psychology from birth to adolescence

1. Learning and developmental behavior.

a. Classical conditioning

b. Operant conditioning

c. observational conditioning

2. Stages of emotional and cognitive development

a. Sigmund Freud’s Psychoanalytical theory and personality development

b. Erik Eriksson’s eight stages of emotional development

3. Cognitive Development

4. Behavioral sciences

a. The adolescent patient

b. The complaint adult patient

c. The orthodontist

5. Social Psychology of Orthodontics

6. Orthodontics motivational Psychology

7. Educational Psychology

a. Learning patterns

b. Sensitivity threshold

c. Patient –oriented approach

8. Psychologic outcomes of Orthodontic treatment

a. Self concept

b. Self esteem

c. Body images

Genetics

heredity with special reference to dental and other facial anomalies

Biostatics as applied to dentistry and research

Dissertation:

1. The candidates are required to carry out a research project under the guidance of his/ her mentor professor.

2. The research protocol shall be submitted by the end of the first year.3. The thesis should be submitted before the end of third year.

Evaluation and Examinations:




CONSERVATIVE AND ENDODONTICS- MDS

The course shall comprise of a minimum of three years degree which the student will be deemed to have acquired:

a) An updated knowledge of Operative Dentistry and Endodontics including Inlay and Onlay Restorations, Endo-osseous implantology, Surgical Endodontics, Geriatric Endodontics, Oral Radiology, Growth and Development of teeth, jaws, Periodontics, TMJ and occlusion.

b) Competence at running independently root canal treatments and various restorations.

c) Working knowledge of some of the important instruments, equipment in the scientific investigations of Dental Materials, instruments used in endodontic and operative procedures and related investigating equipments.

d) Familiarity with the modern methods and assessment strategies for teaching of undergraduate students

e) And have undergone clinical training in major disciplines.

The course shall be given the following forms:

1. Seminars, demonstrations, and laboratory techniques

2. Clinical case conference and presentations twice a week.

3. The students will work on patients in the clinics both in the morning and in the afternoon under the supervision of their individual mentors.

4. The students will undertake the case history, make investigations and their interpretations and treatment plans for the patients to be treated and presentation should be done.

4. Lectures in the basic sciences – attending at this course given by the basic science disciplines will be compulsory.

5. The candidate will get training in various aspects of operative dentistry and endodontics during the three years course.

6. Internal assessment examination will be conducted.

7. The candidate must submit thesis protocol at the end of 1st year.

8. The candidate must submit thesis prior to final examination and perform the thesis defense.

OBJECTIVES:

At the end of the course of study the candidate should be able to develop:

1. Adequate knowledge in the diverse disciplines involved in providing care for patients with carious, fractured or deformed, pulpally involved, infectious and pain provoking teeth.

2. Working efficiently as a team in improving the quality of life of patients presenting carious and pain provoking teeth.

3. To critically evaluate scientific literature, discovering and disseminating knowledge.

4. To have an in-depth knowledge of basic science applicable to operative dentistry and endodontics.

5. To implicate the evidence available from the literature in routine treatment planning.

6. To achieve adequate knowledge in basic concepts of research methodology and be able to conduct good quality research independently related to the field.

7. To be proficient in delivering high quality conservative and endodontic treatment as an integral component of overall oral health care and through the surgical or non-surgical approach based on sound judgment and scientific principles.

8. To be clinically competent in the treatment planning, endodontic surgeries within the concept of comprehensive treatment plan.

9. To be able to communicate with patients effectively to improve the oral health status and adherence with health care recommendations.

10. To be familiar with research methodology by writing thesis on relevant health problems.

11. To educate members of the working team.

12. To become a competent and efficient teacher to teach undergraduate program.

13. To provide learning experiences that will correlate the basic, behavioral and clinical skills of the dentist for the most effective comprehensive conservative and endodontic treatment of various tooth pathologies and complaints.

TERMINAL COMPETENCY:

The educational program must provide clinical training for the student/ resident to the level of proficiency. This must include, but is not limited to, the following treatment methods (this includes in-depth knowledge of the rationale, advantages and disadvantages of each treatment modality).

a. Operative Procedures.

It is important during this course that the student gains a fundamental background in the following areas of operative procedures.

Treatment planning; investigations of carious, fractured or malformed teeth.

Evaluation of pulp involvement or non pulp involvement of particular tooth/teeth.

Use rotatory instruments (aerators and micro motors) Use of different kinds of burs Use of rubber dam for isolation of various teeth Tooth preparations:

o Class I, II, III, IV, and V for amalgam and composite restorations.

o On lay and inlay preparation for gold and porcelain.

o Full and jacket crown preparation for anterior and posterior-teeth.

o Laminate preparation of anterior teeth.o Primary tooth preparation for glass-ionomer

cement restorations

Making impressions for indirect restorating teeth and cast pouring for fabrication of inlays, on lays and crowns.

Restorations in adult and primary teeth. Permanent and temporary restorations. Posterior and anterior esthetic restorations. Restorations in endodontically treated teeth. Pit and fissure sealing. ART restorations. Preparation of a work authorization and related regulatory requirements. Preparation of materials/ information for submission to a licensed

commercial dental laboratory. Insertion of inlays, on lays and crowns. Home-care instructions, recall/maintenance. Alternate concepts and treatment outcomes.

b. Endodontics

Diagnosis, treatment plan and management of pulpally involved teeth.

Assessment of origin of dental pain.

Radiological investigations and interpretations.

Dental anesthesia.

Tooth vitality tests.

Access opening and root canal preparations in primary and permanent teeth both anteriors and posteriors using basic and advanced techniques.

Use of different kind of burs and files.

Locating Root canals.

Root canal medicaments.

Root canal obturation using basic and advanced techniques.

Use of microscopy in root canal preparations and obturations. Infection control in pulpally involved teeth.

Endodontic failure and retreatment.

Endodontic treatment and management of traumatized teeth.

Restoration in endodontically treated teeth.

Post and core preparation and fabrications.

Management of pulpo-perio involved teeth.

Endodontic surgeries- apicectomy, retrograde filling, hemi section, re implantation, endo-osseous implant.

Bleaching in vital and non vital teeth.

Medications for pain management and infection control.

Home care instructions recall/ maintenance.

Should be able to interpret investigation report of:

a. OPG

b. IOPA

c. Bite wing x-rays, occlusal view

d. CT scan

e. Blood test, biochemical evaluations and bacteriological investigation.

f. Vitality tests

SYLLABUS OF COURSE IN CONSERVATIVE AND ENDODONTICSTHEORY: BASIC SCIENCES

All the Postgraduate students in HUST must be capable of reading the following subjects in order to apply the knowledge of such subjects for thesis writing and clinical reasoning.Credits will be counted on these subjects as well.

1) Biochemistry 2) Molecular biology 3) Histochemistry

4) Immunology 5) Biostatistics 7) Neurobiology 8) Research methodology

9) Chinese culture 10) Chinese language

ANATOMY

- Growth and development of face, jaws, teeth- The maxilla and the mandible- Temporomandibular joint- Muscles of mastication- Normal Occlusion, development - Tongue- lip and palate

- Salivary glands- Para nasal sinuses- Cranial nerves- Motor and sensory system- Vascular and lymphatic supply- Anatomy of individual teeth and their roots and nerve supply- Development of tooth, eruption and shedding- Structure of enamel, dentin, pulp, periodontium and oral mucosa.

PHYSIOLOGY/ BIOCHEMISTRY

- Occlusion, physiology of mastication, deglutition and speech and its pathophysiology in orofacial dysfunction

- Role of different orofacial musculature- Physiology of occlusion- Role of saliva- Normal wound healing mechanism- Calcium metabolism- Pain pathways and mechanism- Diet and nutrition- Blood physiology and pathology- Respiratory system – normal physiology and variations in health and

disease- Endocrinology- normal physiology and variations in health and disease

PHARMACOLOGY

- Chemotherapy of bacterial infections- Local and general anesthetics- Analgesics and anti-inflammatory drugs- Antipyretics- Hypnotics and tranquilizers- Hypertensive and hypotensive drugs

- Immunosuppressive drugs- Emergency drugs in dental practice

PATHOLOGY/MICROBIOLOGY

- Cyst and tumors- Necrosis- Blood dyscrasias- Developmental disorders of oral and dental structures- Red and white lesions- Metabolic diseases- Salivary gland diseases- Oral micro flora- Most communicable diseases encountered in dental practice- Defense mechanisms - Sterilization of various dental equipments- Use of sterile techniques in dental procedures

DENTAL MATERIALS

- Physical, mechanical and biological properties of modern dental materials.

- Gypsum products- Dental impression materials- Metals and alloys used in dentistry- Silver amalgam- Dental waxes- Investments- Casting procedures- Dental cements- Composite resins- Porcelain- Porcelain furnace, firing and techniques- Tooth cutting instruments (burs)- Abrasive and polishing agents

OPERATIVE DENTISTRY

- Patient evaluation, diagnosis and treatment planning- Primary considerations for Operative Procedures- Clinical aspects of Dental Caries- Color and shade matching- Principles of cavity/tooth preparation- Selection of restorative materials- Isolation of the operating fields- Instruments and equipments for tooth preparation- Tooth filling instruments- Matrices ,retainers and wedges- Infection control- Pain control- Pulp protection- Periodontal aspects of operative dentistry- Amalgam restorations- Pin retained restorations- Micro leakage- Finishing and polishing of restorations- Interim restorations- Bonding - Composite and other tooth colored restorations- Glass- ionomer cement restoration- Indirect tooth colored restorations- Cast metal restorations- Restoration of cervical lesions- Conservative esthetic procedures- Direct gold restorations- Restoration of badly decayed and broken down teeth- Emergencies and post operative complications- Restoration of endodontically treated teeth

- Restoration of non carious defects- Restorations and stomatognathic system- Management of discolored teeth- Various designs and shapes of margins of tooth preparation and

restoration

ENDODONTICS

- Patient evaluation, diagnosis and treatment planning- Pulpitis, pathogenesis and systemic influences- Pulp Necrosis- Repair in the pulp- Apical periodontitis- etiology, pathogenesis, radiographic appearance

and differential diagnosis- Pulpal pain, dental hypersensitivity, symptomatic pulpitis- Periapical pain- Oral and perioral pain of endodontic origin- Referred pain- Differential diagnosis of oral infections- Dental percussion and palpation tests- Heat and cold sensitivity tests- Pulp vitality test- Treatment of immature non vital teeth (apexification), follow-up

examinations and prognosis- Endodontic treatment of Root-fractured teeth- Endodontic treatment of endo-perio lesion- Surgical endodontic treatment –indication, flap design and surgical

access- Apicectomy- Intentional replantation- Endodontic emergencies and treatment- Endodontic aspects of root resorption- Endodontic instruments- hand and engine driven- Root canal instrumentation

- Root canal obturation- Gutta-percha- Surgical instruments- Endodontic materials- sealers and core fillings- Endodontic complications- Endodontic failures- Endodontic retreatment- Root canal irrigations and medicaments- Guidelines of access opening and canal location in anterior and posterior

teeth

Lab and Practical Works

- Tooth preparations in extracted teeth and typhodont- Amalgam filling in extracted teeth - Access openings in extracted teeth- Canal location and instrumentation in extracted teeth- Preparation of post space- Working cast and dies- Wax patterns- Investing and casting- Color science and shade selection- Communication with the dental laboratory

RECENT ADVANCES IN OPERATIVE PROCEDURES AND ENDODONTICS

LEARNING STRATEGY:

Learning strategy will cover different aspects of training, viz:

- Theory including applied basic sciences- Clinical approach and examination of patients- Skills/procedures, by hand on training, dummy/manikin training- Attitude development

- Mandatory basic courses- Stress will be given on practice of evidence based dentistry

DISSERTATION:

1. The candidates are required to carry out a research project under the guidance of his/her mentor professor.

2 The candidate must submit thesis protocol, get it approved and proceed with the thesis

3. The thesis should be submitted before final examination.

EVALUATION AND EXAMINATIONS




mds- curriculum (hust) tongji medical college

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