5th BDS Year SYLLABUS
 
   SYLLABUS
 
  Prosthodontics and Crown & Bridge
Conservative Dentistry and Endodontics
  Oral & Maxillofacial Surgery
  Public Health Dentistry
   
Conservative Dentistry and Endodontics
     
Paper No. –II : Conservative Dentistry and Endodontics

Teaching Scheme

Examination Scheme

Total Marks

Hours Per year

Lectures Clinical
110 460

570 Hrs

Theory Marks

Final Viva Voce Internal
70 20 10

100

Practical Marks

Final Internal
90 10

100

200
     
  CONSERVATIVE, ENDODONTICS & AESTHETIC DENTISTRY
     
  OBJECTIVES:
     
  A) Knowledge and understanding
  B) Skills and
  C) Attitudes.
  Knowledge And Under Standing:
 

The graduate should acquire the following knowledge during the period of training.

  i. To diagnose and treat simple restorative work for teeth.
  ii.

To gain knowledge about aesthetic restorative material and to translate the same to patients needs.

  iii.

To gain the knowledge about endodontic treatment on the basis of scientific foundation.

  iv. To carry out simple endodontic treatment.
  v.

To carry out simple luexation of tooth and its treatment and to provide emergency endodontic treatment.

  Skills:
  He should attain following skills necessary for practice of dentistry
  i.

To use medium and high speed hand pieces to carry out restorative work.

  ii.

Poses the skills to use and familiarise endodontic instruments and materials needed for carrying out simple endodontic treatment.

  iii.

To achieve the skills to translate patients esthetic needs along with function.

  H) Attitudes:
  i.

Maintain a high standard of professional ethics and conduct and apply these in all aspects of professional life.

  ii.

Willingness to participate in CDE programme to update the knowledge and professional skill from time to time.

  iii.

To help and participate in the implementation of the national oral health policy.

  iv.

He should be able to motivate the patient for proper dental treatment at the same time proper maintenance of oral hygiene should be emphasise which will help to maintain the restorative work and prevent future damage.

  INTRODUCTION :
 

Definition aims objectives of Conservative Dentistry scope and future of Conservative Dentistry.

  1. Nomenclature Of Dentition: Tooth numbering systems A.D.A. Zsigmondy Palmer and F.D.I. systems.
  2.

Principles Of Cavity Preparation : Steps and nomenclature of cavity preparation classification of cavities, nomenclature of floors angles of cavities.

  3.

Dental Caries : Aetiology, classification clinical features, morphological features, microscopic features, clinical diagnosis and sequel of dental caries.

  4.

Treatment Planning For Operative Dentistry: Detailed clinical examination , radiographic examination, tooth vitality tests, diagnosis and treatment planning, preparation of the case sheet.

  5.

Gnathological Concepts Of Restoration: Physiology of occlusion, normal occlusion, Ideal occlusion, mandibular movements and occlusal analysis. Occlusal rehabilitation and restoration.

  6.

Aramamentarium For Cavity Preparation: General classification of operative instruments, Hand cutting instruments design formula and sharpening of instruments. Rotary cutting instruments dental bur, mechanism of cutting, evaluation of hand piece and speed current concepts of rotary cutting procedures. Sterilisation and maintenance of instruments. Basic instrument tray set up.

  7.

Control Of Operating Filed: Light source sterilisation field of operation control of moisture, rubber dam in detail, cotton rolls and anti sialogagues.

  8.

Amalgam Restoration : Indication contraindication, physical and mechanical properties , clinical behaviour. Cavity preparation for Class I , II, V and III. Step wise procedure for cavity preparation and restoration. Failure of amalgam restoration.

  9.

Pulp Protection : Liners, varnishes and bases, Zinc phosphate, zinc polycarboxylate, zinc oxide eugenol and glass inomer cements.

  10.

Anterior Restorations : Selection of cases, selection of material, step wise procedures for using restorations , silicate ( theory only) glass inomers, composites, including sand witch restorations and bevels of the same with a note on status of the dentine bonding agents.

  11. Direct Filling Gold Restorations : Types of direct filling gold indications and limitations of cohesive gold. Annealing of gold foil cavity preparation and condensation of gold foils.
     
   
  2. Principles Of Cavity Preparation :
  b) Face bow transfer procedure - discuss in brief.
  K. Recording maxillo mandibular relation.
  a) Vertical relations.
  b) Centric relation records.
  c) Eccentric relation records.
  d) Lateral relation records.
  L. Tooth selection and arrangement.
  a) Anterior teeth.
  b) Posterior teeth.
  c) Esthetic and functional harmony.
  M. Relating inclination of teeth to concept of occlusion- in brief.
  a) Neutrocentric concept.
  b) Balanced occlusal concept.
  N. Trial dentures.
  O. Laboratory procedures.
  a) Wax contouring.
  b) Investing of dentures.
  c) Preparing of mold.
  d) Preparing & packing acrylic resin.
  e) Processing of dentures.
  f) Recovery of dentures.
  g) Lab remount procedures.
  h) Recovering the complete denture from the cast.
  i) Finishing and polishing the complete denture.
  j) Plaster cast for clinical denture remount procedure.
  P. Denture insertion.
  a) Insertion procedures.
  b) Clinical errors.
  c) Correcting occlusal disharmony.
  d) Selective grinding procedures.
  R.

Treating problems with associated denture use – discuss in brief (tabulation/flow-chart form).

  S. Treating abused tissues - discuss in brief.
  T. Relining and rebasing of dentures- discuss in brief.
  U. Immediate complete dentures construction procedure- discuss in brief.
  V. The single complete denture- discuss in brief.
  W. Overdentures denture- discuss in brief.
  X. Dental implants in complete denture - discuss in brief.
     
  NOTE-
 

It is suggested that the above mentioned topics be dealt with wherever appropriate in the following order so as to cover –

  1. Definition
  2. Diagnosis (of the particular situation /patient selection /treatment planning)
  3. Types / Classification
  4. Materials
  5. Methodology – Lab /Clinical
  6. Advantages & disadvantages
  7. Indications, contraindications
  8. Maintenance Phase
  9. Oral Implantology
  10. Ethics.
  11.

Direct Filling Gold Restorations : Types of direct filling gold indications and limitations of cohesive gold. Annealing of gold foil cavity preparation and condensation of gold foils.

  12. Preventive Measures In Restorative Practice
 

Plaque Control : Pitand fissure sealants dietary measures restorative procedure and periodontal health. Contact and contour of teeth and restorations matrices tooth separation and wedges.

  13. Temporasation or Iterim Restoration.
  14.

Pin Amalgam Restoration Indication Contra Indication : Advantages disadvantages of each types of pin methods of placement use of auto matrix. Failure of pin amalgam restoration.

  15. Management Of Deep Carious Lesions Indirect And Direct Pulp Capping.
  16.

Non Carious Destruction’s Tooth Structures Diagnosis And Clinical Management

  17. Hyper Sensitive Dentine And Its Management.
  18.

Cast Restorations : Indications, contra indications, advantages and disadvantages and materials used for same Class II and Class I cavity preparation for inlays fabrication of wax pattern spurring inverting and casting procedures & casting defects.

  19. Die Materials And Preparation Of Dies.
  20.

Gingival Tissue Management For Cast Restoration And Impression Procedures

  21. Recent Cavity Modification Amalgam Restoration.
  22.

Differences Between Amalgam And Inlay Cavity Preparation With Note On All : The Types Of Bewels Used For Cast Restoration

  23. Control Of Pain During Operative Procedures.
  24

Treatment Planning For Operative Dentistry Detailed Clinical Examination Radiographic Examination

  25.

Vitality Tests, Diagnosis And Treatment Planning And Preparation Of Case Sheet.

  26. Applied Dental Materials.
  1.

Biological Considerations. Evaluation, clinical application and adverse effects of the following materials. Dental cements, Zinc oxide euginol cements zinc phosphate cements, polycarboxylates glass ionomer cements, silicate cement calcium hydroxides varnishes.

  2.

Dental amalgam, technical considerations mercury toxicity mercury hygiene.

  3. Composite, Dentine bonding agents, chemical and light curing composites
  4. Rubber base Imp. Materials
  5. Nobel metal alloys & non noble metal alloys
  6. Investment and die materials
  7. Inlay casting waxes
  8. Dental porcelain
  9. Aesthetic Dentistry
  28. Endodontics: introduction definition scope and future of endodontics
  29. Clinical diagnostic methods
  30. emergency endodontic procedures
  31. Pulpal diseases causes, types and treatment .
  32.

Periapical diseases: acute periapical abscess, acute periodontal abscess phoeix abscess, chronic alveolar abscess granuloma cysts condensing osteits, external resorption.

  33.

Vital pulp therapy: indirect and direct pulp capping pulpotomy different types and medicaments used.

  34. Apexogenisis and apexification or problems of open apex.
  35.

Rationale of endodontic treatment case selection indication and contraindications for root canal treatments.

  36.

Principles of root canal treatment mouth preparation root canal instruments, hand instruments, power driven instruments, standardisation color coding principle of using endodontic instruments. Sterilisation of root canal instruments and materials rubber dam application.

  37. Anatomy of the pulp cavity: root canals apical foramen. Anomalies of pulp cavities access cavity preparation of anterior and premolar teeth.
  38.

Preparation of root canal space . Determination of working length, cleaning and shaping of root canals, irrigating solution chemical aids to instrumentation.

  39.

Disinfection of root canal space intracanal medicaments, poly antibiotic paste gross mans paste, mummifying agents. Out line of root canal treatment, bacteriological examinations, culture methods.

  40.

Problems during cleaning and shaping of root canal spaces. Perforation and its management. Broken instruments and its management, management of single and double curved root canals.

  41.

Methods of cleaning and shaping like step back crown down and conventional methods.

  42.

Obturation of the root canal system. Requirements of an ideal root canal filling material obturation methods using gutta percha healing after endodontic treatment. Failures in endodontics.

  43.

Root canal sealers. Ideal properties classification. Manipulation of root canal sealers.

  44.

Post endodontic restoration fabrication and components of post core preparation.

  45. Smear layer and its importance in endodontics and conservative treatment.
  46.

Discoloured teeth and its management. Bleaching agents, vital and non vital bleaching methods.

  47.

Traumatised teeth classification of fractured teeth. Management of fractured tooth and root. Luxated teeth and its management.

  48.

Endodontic surgeries indication contraindications, pre operative preparation. Pre medication surgical instruments and techniques apicectomy, retrograde filling, post operative sequale terphination hemisection, radiscetomy techniques of tooth reimplantation (both intentional and accidental) endodontic implants.

  49. Root resorption.
  50. Emergency endodontic procedures.
  51. Lasers in conservative endodontics (introduction only) practice management
  52. Professional association dentist act 1948 and its amendment 1993.
  53. Duties towards the govt. Like payments of professional tax, income tax.
  54. Financial management of practice
  55. Dental material and basic equipment management
  56.  Ethics
 
 
 
 
 
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