3rd BDS Year SYLLABUS
 
   SYLLABUS
 
  General Medicine
General Surgery
  Oral Pathology and Oral Microbiology
     

Oral Pathology and Oral Microbiology

     
Paper No. –III : Oral Pathology and Oral Microbiology

Teaching Scheme

Examination Scheme

Total Marks

Hours Per year

Lectures Practicals
145 130

275 Hrs

Theory Marks

Final Viva Voce Internal
70 20 10

100

Practical Marks
Final Internal
90 10

100

200
     
  OBJECTIVES:
 

At the end of Oral Pathology & Microbiology course, the student should be able to comprehend -

     
  1. The different types of pathological processes, that involve the oral cavity.
  2.

The manifestations of common diseases, their diagnosis & correlation with clinical pathological processes.

  3.

An understanding of the oral manifestations of systemic diseases should help in correlating with the systemic physical signs & laboratory findings.

  4.

The student should understand the underlying biological principles governing treatment of oral diseases.

  5. The principles of certain basic aspects of Forensic Odontology.
     
  SKILLS
     
  1.

Microscopic study of common lesions affecting oral tissues through microscopic slides & projection slides.

  2. Study of the disease process by surgical specimens.
  3.

Study of teeth anomalies/polymorphisms through tooth specimens & plaster casts.

  4. Microscopic study of plaque pathogens.
  5. Study of haematological preparations (blood films) of anaemias & leukemias.
  6.

Basic exercises in Forensic Odontology such as histological methods of age estimation and appearance of teeth in injuries.

     
1. INTRODUCTION:
 

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.

     
2. Developmental disturbances of teeth, jaws and soft tissues of oral & paraoral region :
 

Introduction to developmental disturbances - Hereditary, Familial mutation, Hormonal etc. causes to be highlighted.

 

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.

  Developmental disturbances of jaws - size & shape of the jaws.
 

Developmental disturbances of oral & paraoral soft tissues - lip & palate - clefts, tongue, gingiva, mouth, salivary glands & face.

     
3. Dental Caries :
 

Etiopathogenesis, microbiology, clinical features, diagnosis, histopathology, immunology, prevention of dental caries & its sequelae.

     
4.

Pulp & Periapical Pathology & Osteomyelitis. Etiopathogenesis & interrelationship, clinical features, microbiology, histopathology & radiological features (as appropriate) of pulp & periapical lesions & osteomyelitis.

 

Sequelae of periapical abscess - summary of space infections, systemic complications & significance.

     
5. Periodontal Diseases :
 

Etiopathogenesis, microbiology, clinical features, histopathology & radiological features (as appropriate) of gingivitis, gingival enlargements & periodontitis. Basic immunological mechanisms of periodontal disease to be highlighted.

     
6. Microbial infections of oral soft tissues :
 

Microbiology, defence mechanisms including immunological aspects, oral manifestations, histopathogy and laboratory diagnosis of common bacterial, viral & fungal infections namely :-

  Bacterial : Tuberculosis, Syphilis, ANUG & its complications - Cancrum Oris.
  Viral : Herpes Simplex, Varicella zoster, Measles, Mumps & HIV infection.
  Fungal : Candidal infection. Apthous Ulcers.
     
7. Common non- inflammatory diseases involving the jaws :
 

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.

     
8. Diseases of TM Joint :
 

Ankylosis, summary of different types of arthritis & other developmental malformations, traumatic injuries & myofascial pain dysfunction syndrome.

     
9. Cysts of the Oral & Paraoral region :
 

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.

     
10. Tumours of the Oral Cavity :
 

Classification of Odontogenic, Non-Odontogenic & Salivary Gland Tumours. Etiopathogenesis, clinical features, histopathology, radiological features & laboratory diagnosis (as appropriate) of the following common tumours

  a) Odontogenic - all lesions.
  b) Non-odontogenic
    - Benign Epithelial - Papilloma, Keratoacanthoma & Naevi.
    - Benign Mesenchymal - Fibroma, Aggressive fibrous lesions, Lipoma,
 

Haemangioma,Lymphangioma, Neurofibroma, Schwannoma, Chondroma, Osteoma & Tori.

    - Malignant Epithelial - Basal Cell Carcinoma, Verrucous Carcinoma,
  Squamous Cell carcinoma & Malignant Melanoma.
   

- Malignant Mesenchymal - Fibrosarcoma, Osteosarcoma, Giant cell tumour, Chondrosarcoma, Angiosarcoma, Kaposi's sarcoma, Lymphomas , Ewing’s sarcoma & Other Reticuloendothelial tumours.

  c) Salivary Gland
   

- Benign Epithelial neoplasms - Pleomorphic Adenoma, Warthin's tumour, & Oncocytoma.

   

- Malignant Epithelial neoplasms - Adenoid Cystic Carcinoma, Mucoepidermoid Carcinoma, Acinic Cell Carcinoma & Adenocarcinomas.

  d)

Tumours of Disputed Origin - Congenital Epulis & Granular Cell Myoblastoma.

  e)

Metastatic tumours - Tumors metastasizing to & from oral cavity & the routes of metastasis.

     
11. Traumatic, Reactive & Regressive lesions of Oral Cavity :
 

Pyogenic & Giant cell granuloma, exostoses Fibrous Hyperplasia, Traumatic Ulcer & Traumatic Neuroma.

 

Attrition, Abrasion, Erosion, Bruxism, Hypercementosis, Dentinal changes, Pulp calcifications & Resorption of teeth.

 

Radiation effects of oral cavity, summary of Physical & Chemical injuries including allergic reactions of the oral cavity.

  Healing of Oral wounds & complications - Dry socket.
     
12. Non neoplastic Salivary Gland Diseases :
  Sialolithiasis, Sialosis, Sialadenitis, Xerostomia & Ptyalism.
     
13. Systemic Diseases involving Oral cavity :
 

Brief review & oral manifestations, diagnosis & significance of common Blood, Nutritional, Hormonal & Metabolic diseases of Oral cavity.

     
14. Mucocutaneous Lesions :
 

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..

     
15. Diseases of the Nerves :
 

Facial neuralgias - Trigeminal & Glossopharyngeal. VII nerve paralysis, Causalgia.

  Psychogenic facial pain & Burning mouth syndrome.
     
16. Pigmentation of Oral & Paraoral region & Discolouration of teeth :
  causes & clinical manifestations.
     
17. Diseases of Maxillary Sinus :
  Traumatic injuries to sinus, Sinusitis, Cysts & Tumours involving antrum.
     
18. Biopsy:
  a)

ORAL PRECANCER – CANCER : Epidemiology, aetiology, clinical and histopathological features, TNM classification, Recent advances in diagnosis.

  b)

Types of Biopsy, value of biopsy, cytology, histochemistry & frozen sections in diagnosis of oral diseases.

19. Principles of Basic Forensic Odontology (Pre-clinical Forensic Odontology):
  Introduction, definition, aims & scope.
 

Sex and ethnic (racial) differences in tooth morphology and histological age estimation

  Determination of sex & blood groups from buccal mucosa / saliva.
  Dental DNA methods
    Bite marks, rugae patterns & lip prints.
    Dental importance of poisons and corrosives.
    Overview of forensic medicine and toxicology
     
  RECOMMENDED BOOKS
1. A Text Book of Oral Pathology - Shafer, Hine & Levy.
2. Oral Pathology - Clinical Pathologic correlations - Regezi & Sciubba.
3. Oral Pathology -Soames & Southam.
4. Oral Pathology in the Tropics - Prabhu, Wilson, Johnson & Daftary
 
 
 
 
 
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