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General Medicine |
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General Surgery |
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Oral Pathology and Oral Microbiology |
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Oral Pathology and Oral
Microbiology |
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Paper No. –III : Oral
Pathology and Oral Microbiology |
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Teaching Scheme |
Examination Scheme |
Total Marks |
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Hours Per year |
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Lectures |
Practicals |
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145 |
130 |
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275 Hrs |
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Theory Marks |
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Final |
Viva Voce |
Internal |
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70 |
20 |
10 |
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100 |
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Practical Marks |
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Final |
Internal |
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90 |
10 |
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100 |
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200 |
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OBJECTIVES: |
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At the end of Oral Pathology
& Microbiology course, the student should be
able to comprehend - |
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1. |
The different types of pathological processes,
that involve the oral cavity. |
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2. |
The manifestations of common
diseases, their diagnosis & correlation with
clinical pathological processes. |
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3. |
An understanding of the oral
manifestations of systemic diseases should help
in correlating with the systemic physical signs
& laboratory findings. |
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4. |
The student should understand
the underlying biological principles governing
treatment of oral diseases. |
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5. |
The principles of certain basic aspects of
Forensic Odontology. |
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SKILLS |
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1. |
Microscopic study of common
lesions affecting oral tissues through
microscopic slides & projection slides. |
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2. |
Study of the disease process by surgical
specimens. |
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3. |
Study of teeth
anomalies/polymorphisms through tooth specimens
& plaster casts. |
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4. |
Microscopic study of plaque pathogens. |
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5. |
Study of haematological preparations (blood
films) of anaemias & leukemias. |
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6. |
Basic exercises in Forensic
Odontology such as histological methods of age
estimation and appearance of teeth in injuries. |
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1. |
INTRODUCTION: |
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A bird's eye view of the
different pathological processes involving the
oral cavity & oral cavity involvement in
systemic diseases to be brought out.
Interrelationship between General Medicine &
General Surgery & Oral pathology to be
emphasized. |
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2. |
Developmental disturbances of teeth, jaws and
soft tissues of oral & paraoral region : |
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Introduction to developmental
disturbances - Hereditary, Familial mutation,
Hormonal etc. causes to be highlighted. |
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Developmental disturbances of
teeth - Etiopathogenesis, clinical features,
radiological features & histopathological
features as appropriate :- The size, shape,
number, structure & eruption of teeth & clinical
significance of the anomalies to be emphasized. |
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Developmental disturbances of jaws - size &
shape of the jaws. |
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Developmental disturbances of
oral & paraoral soft tissues - lip & palate -
clefts, tongue, gingiva, mouth, salivary glands
& face. |
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3. |
Dental Caries : |
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Etiopathogenesis,
microbiology, clinical features, diagnosis,
histopathology, immunology, prevention of dental
caries & its sequelae. |
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4. |
Pulp & Periapical
Pathology & Osteomyelitis. Etiopathogenesis &
interrelationship, clinical features,
microbiology, histopathology & radiological
features (as appropriate) of pulp & periapical
lesions & osteomyelitis. |
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Sequelae of periapical
abscess - summary of space infections, systemic
complications & significance. |
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5. |
Periodontal Diseases : |
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Etiopathogenesis,
microbiology, clinical features, histopathology
& radiological features (as appropriate) of
gingivitis, gingival enlargements &
periodontitis. Basic immunological mechanisms of
periodontal disease to be highlighted. |
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6. |
Microbial infections of oral soft tissues : |
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Microbiology, defence
mechanisms including immunological aspects, oral
manifestations, histopathogy and laboratory
diagnosis of common bacterial, viral & fungal
infections namely :- |
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Bacterial : Tuberculosis, Syphilis, ANUG
& its complications - Cancrum Oris. |
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Viral : Herpes Simplex, Varicella zoster,
Measles, Mumps & HIV infection. |
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Fungal : Candidal infection. Apthous
Ulcers. |
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7. |
Common non- inflammatory diseases involving
the jaws : |
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Etiopathogenesis, clinical
features, radiological & laboratory values in
diagnosis of : Fibrous dysplasia, Cherubism,
Osteogenesis Imperfecta, Paget's disease,
Cleidocranial dysplasia, Rickets, Achondroplasia,
Marfan's syndrome & Down's syndrome. |
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8. |
Diseases of TM Joint : |
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Ankylosis, summary of
different types of arthritis & other
developmental malformations, traumatic injuries
& myofascial pain dysfunction syndrome. |
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9. |
Cysts of the Oral & Paraoral region : |
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Classification,
etiopathogenesis, clinical features,
histopathology, laboratory & radiological
features (as appropriate) of Odontogenic cysts,
Non-Odontogenic cysts, Pseudocysts of jaws &
soft tissue cysts of oral & paraoral region. |
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10. |
Tumours of the Oral Cavity : |
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Classification of Odontogenic,
Non-Odontogenic & Salivary Gland Tumours.
Etiopathogenesis, clinical features,
histopathology, radiological features &
laboratory diagnosis (as appropriate) of the
following common tumours |
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a) |
Odontogenic - all lesions. |
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b) |
Non-odontogenic |
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- Benign Epithelial - Papilloma, Keratoacanthoma
& Naevi. |
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- Benign Mesenchymal - Fibroma, Aggressive
fibrous lesions, Lipoma, |
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Haemangioma,Lymphangioma,
Neurofibroma, Schwannoma, Chondroma, Osteoma &
Tori. |
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- Malignant Epithelial - Basal Cell Carcinoma,
Verrucous Carcinoma, |
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Squamous Cell carcinoma & Malignant Melanoma. |
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- Malignant Mesenchymal -
Fibrosarcoma, Osteosarcoma, Giant cell tumour,
Chondrosarcoma, Angiosarcoma, Kaposi's sarcoma,
Lymphomas , Ewing’s sarcoma & Other
Reticuloendothelial tumours. |
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c) |
Salivary Gland |
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- Benign Epithelial neoplasms
- Pleomorphic Adenoma, Warthin's tumour, &
Oncocytoma. |
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- Malignant Epithelial
neoplasms - Adenoid Cystic Carcinoma,
Mucoepidermoid Carcinoma, Acinic Cell Carcinoma
& Adenocarcinomas. |
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d) |
Tumours of Disputed Origin -
Congenital Epulis & Granular Cell Myoblastoma. |
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e) |
Metastatic tumours - Tumors
metastasizing to & from oral cavity & the routes
of metastasis. |
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11. |
Traumatic, Reactive & Regressive lesions of
Oral Cavity : |
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Pyogenic & Giant cell
granuloma, exostoses Fibrous Hyperplasia,
Traumatic Ulcer & Traumatic Neuroma. |
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Attrition, Abrasion, Erosion,
Bruxism, Hypercementosis, Dentinal changes, Pulp
calcifications & Resorption of teeth. |
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Radiation effects of oral
cavity, summary of Physical & Chemical injuries
including allergic reactions of the oral cavity. |
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Healing of Oral wounds & complications - Dry
socket. |
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12. |
Non neoplastic Salivary Gland Diseases : |
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Sialolithiasis, Sialosis, Sialadenitis,
Xerostomia & Ptyalism. |
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13. |
Systemic Diseases involving Oral cavity : |
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Brief review & oral
manifestations, diagnosis & significance of
common Blood, Nutritional, Hormonal & Metabolic
diseases of Oral cavity. |
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14. |
Mucocutaneous Lesions : |
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Etiopathogenesis, clinical
features & histopathology of the following
common lesions. Lichen Planus, Lupus
Erythematosus, Pemphigus & Pemphigoid lesions,
Erythema Multiforme, Psoriasis, Scleroderma,
Ectodermal Dysplasia, Epidermolysis bullosa &
White sponge nevus.. |
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15. |
Diseases of the Nerves : |
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Facial neuralgias -
Trigeminal & Glossopharyngeal. VII nerve
paralysis, Causalgia. |
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Psychogenic facial pain & Burning mouth
syndrome. |
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16. |
Pigmentation of Oral & Paraoral region &
Discolouration of teeth : |
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causes & clinical manifestations. |
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17. |
Diseases of Maxillary Sinus : |
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Traumatic injuries to sinus, Sinusitis, Cysts &
Tumours involving antrum. |
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18. |
Biopsy: |
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a) |
ORAL PRECANCER – CANCER :
Epidemiology, aetiology, clinical and
histopathological features, TNM classification,
Recent advances in diagnosis. |
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b) |
Types of Biopsy, value of
biopsy, cytology, histochemistry & frozen
sections in diagnosis of oral diseases. |
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19. |
Principles of Basic Forensic Odontology
(Pre-clinical Forensic Odontology): |
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Introduction, definition, aims & scope. |
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Sex and ethnic (racial)
differences in tooth morphology and histological
age estimation |
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Determination of sex & blood groups from buccal
mucosa / saliva. |
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Dental DNA methods |
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Bite marks, rugae patterns & lip prints. |
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Dental importance of poisons and corrosives. |
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Overview of forensic medicine and toxicology |
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RECOMMENDED BOOKS |
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1. |
A Text Book of Oral Pathology |
- Shafer, Hine & Levy. |
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2. |
Oral Pathology - Clinical Pathologic
correlations |
- Regezi & Sciubba. |
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3. |
Oral Pathology |
-Soames & Southam. |
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4. |
Oral Pathology in the Tropics |
- Prabhu, Wilson, Johnson & Daftary |
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