MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK

SYLLABUS SECOND B.D.S.

Candidate will be examine in the following subjects :

1. General Pathology, Microbiology and Parasitology
2. General and Dental Pharmacology
3. Oral and Dental Anatomy, Physiology, Histology & Embryology
4. Preclinical Prosthodontics (Practicals)
5. Preclinical Conservative Dentistry (Practicals)

Subject 1: General Pathology, Microbiology and Parasitology

A. General Pathology

Lectures - 45 Hours

Practicals and demonstration 60 Hours

Total Duration 105 Hours (Minimum)

I. Introduction to Pathology, definition, branches, scope of Pathology, scientific study of disease and some techniques used in the same.

2. Degenerative processes and disturbances of metabolism. Cloudy swelling," Fatty

changes, Amyloidosis, Hyaline degeneration, Pigmentation, Calcification

Necrosis, Gangrene.

Circulatory Disturbances.

Hyperaemia, Venous congestion, Ischaemia, Infarction, Hemorrhage, Thrombosis, Embolism, Oedema, Shock.

3. Inflammation, Response of soft and hard tissues to injuries.

Acute inflammation

Chronic inflammation

Repair with special emphasis of repair of bones, wounds and the effect of

modern treatment on repair.

Hypersensitivity and Allergy

4. Common Bacterial infection i.e. Pyogenic, Enteric fever, Tuberculosis, Syphilis,

Leprosy, Actinomycosis.

5. AIDS

6. Common diseases of bone like osteomylitis

Effects of Chemical, Physical agents including ionising radiation especially on bones and teeth.

7. Disturbances of nutrition with special reference to Indian conditional Metabolic

disorders e.g. Rickets, Scurvy, Diabetes Mellitus etc.

8. Growth and its disorder.

Metaplasia, Atrophy, Hypertrophy

Elementary knowledge of malformation and maldevelopment

Tumour

Classification

Characters of malignant and Benign Tumour

Carcinogenesis

Methods of spread

Diagnostic methods in cancer

9. Anaemias i.e. Irondeficiency, Megaloblastic, Haemolytic, Bleeding disorder and

their laboratory investigations, leukaemia.

B. Microbiology

Lectures 30 hours

Practicals 60 hours

Total Duration 90 hours (Minimum)

1. Introduction with reference to Medical and Dental microbiology including

public health and preventive aspects of infections.

2. Methods and Principles of sterilization-physical and chemical.

3. Pyaemia, Septicemia.& Toxaemia.

4. Immunity and Immunising agents.

5. Auto-immunity-emphasis on practical application.

6. Morphology, Laboratory diagnosis, Physiology, Characteristics, Pathogenesis and classification of micro organisms particularly the followings.

a) Gram positive and negative cocci and bacilli in dental and general infections.

b) Spirochetal oral infections.

c) Normal oral microbial flora.

d) Organism causing specific infections such as meningitis, diphtheria, tetanus, gas gangrene, Tuberculosis, syphilis,

e) Organisms related to Dental caries.

7. Methods of taking swabs and smears from various oral regions and their staining.

8. Elementary knowledge of virology and mycology with examples of Orofacial

lesions.

9. Common parasites and parasitic diseases such as amoebiasis, Malaria, Helminthic

infections such as Tapeworm, Hookworm Roundworm

10. AIDS, Hepatitis, Biosefty and waste disposal.

PRACTICALS & DEMONSTRATIONS

Lecture Demonstration and practicals in Clinical Pathology comprising of Anemias and their laboratory investigations, Blood transfusion and cross matching, Bleeding disorders and their investigations.

Laboratory investigations commonly required by Dental Surgeons

a) Hemoglobinometry and Hemocytometry, Total leucocytes count.

b) Iron deficiency anemia, Megaloblastic.

c) Preparation of Blood Smears and staining them or differential count.

d) Demonstration of Bleeding time, Clotting time.

e) Leukaemia, Acute and chronic.

f) Blood groups and blood transfusion. Exam. of Urine.

g) Microscope, its various parts, Micrometry, care of microscope.

h) Gram's staining and Ziehl- Neeilsen's staining.

i) Histopathology, practicals and specimans, demonstrations.

EXAMINATIONS PATTERN

I : Theory (Written) paper shall be of three hours duration.

Theory paper shall have three parts A, B & C.

Section A: MCQ.

Multiple choice questions of 20 marks.

20 questions shall include 10 questions of General pathology and 10 General Microbiology.

Section B: General Patholgy

Q.No.l : Short answer question. (SAQ)

Five short questions carrying two marks each 10 marks.

Q..No.2: One Long answer question or 2 short notes (5 x 2) 10 marks

Section C: Microbiology

Q.No.3: Short answer question. (SAQ)

Five short questions carrying two marks each 10 marks.-------- 10 Marks

Q.No.4 One long answer question or 2 short notes (5 x 2)- ------------- 10 marks

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II: Practicals MAXIMUM : 80 Marks

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Clinical pathology 20 Marks

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Histopathology(2 slides X 5) 10 Marks

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Microbiology Staining (any One) 20 Marks

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Spotting (10 spot X 2) 20 Marks

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Journal (Micro & Patho) 10 Marks

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Oral (Marks to be added to Practical) 20 Marks

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III : Internal Assessment

Theory+Practical 20 Marks each

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Subject 2 : General & Dental Pharmacology

Duration of syllabus 40 Hrs (Minimum)

1) General Pharmacology - Scope

- Nature & Sources

- Dosage form & routes of administration

- Prescription writing

- Pharmacokinetics

- Mode of Action

- Factors modifying drug action

- Adverse drug reaction

- Drug Interaction

2) CNS - General Anaesethetics

- Hypnosedatives

- Analgesics

- Psychotropics

- Antiepileptics

- Analaptics

- Local Anaesthetics

3) ANS - Sympathomimetic

- Anti adrenergic drug

- Parasympathomimetics

- Parasympatholytics

- Histamine

- Antihistamincs

4)CVS - Cardiac stimulent(Glycosides)

- Anti anginal drugs

- Anti hypertensive drugs

- Vesopressors & Treatment of shock

5) Drug acting on blood - Coagulents

- Anti coagulents

- Haematinics..

6) G.I.T.Drugs - Purgatives

- Anti diorrheals

- Antacids

- Anti emetics

7)Endocrines - Treatment of diabetics

- Adrenal Carticosteroids

8) Chemo therapy - Sulfonamides & cotrimoxazole

- Penicillins

- Cephalosporins

- Aminoglycosides

- Broad spectrum antibiotics

- Other antibiotics

- Fluroquinolones

- Chemotheraphy of tuberocolosis

leprosy, malignancy, Maleria &

Amoebiasis Antihelmanthic

- Antiviral

9) Vitamins & Anti oxidants

10) Misc. drugs - Diuretics

Heavy Metal antagonists

Dental Pharmacology & Thearapeutics

Antiseptics

Astringents

Obtundant, Mummifying agents Bleeching agents

Dentifrices & Mouthwashes

11) Respiratory system : Cough & Bronchial asthma

PRACTICALS .20 HOURS DURATION. (MINIMUM)

1) Prescription Writing and weights, measures, instruments

2) Antiseptic Mouthwash

3) Obtundant Preparation

4) Gum Paint

5) Tooth Powder

6) Tooth Paste

7) Lotion

8) Display of Trade Market Combination

-Mention Only for training

-Therapeatic action and not for

-Toxic actions University

-Contraindications Examination

-Indications

9) Criticism & Correction of Prescription on basis of drug interaction.

10) Drugs of Choice.

EXAMINATION PATTERN :

Theory (Written ) Paper: Maximum 60 Marks Duration : 3Hours Section -A- MCQ (20 Question) 20 Marks

Section - B

Q .1 Short Answer Question (SAQ) 10 Marks

Q.2. One Long question/ 2 Short Notes (2 x 5) 10 Marks

Section -C

Q.3 Short Answer Question (SAQ) 10 Marks

Q. 4 One Long Question /2 Short Notes (2x5) 10 Marks

ORALS:

GRAND ORAL FOR 20 MARKS, to be added to Practical. It is conducted separately by examiners and submitted in a separate sheet as per the proforma supplied by University (Appendix -F)

PRACTICAL: Maximum 80 marks.

Distributions is as under:

a) Pharmacy Practical - 25 marks

b) Correction of wrong prescription - 25 marks

c) Drug of choice & Dose (5 Drugs x 4) - 20 marks.

d) Journals /Record book - 10 marks.

Subject : 3 ORAL AND DENTAL ANATOMY, PHYSIOLOGY,

HISTOLOGY & EMBRYOLOGY

A Course of 150 Hrs. lectures and Practicals including demonstrations and tooth carving to be covered in two academic years.

A. Lectures: 45 Hours {Minimum)

1. Development including mineralization, histology, applied anatomy age changes, functions and stress on clinical significance from the view point of histology and embryology etc. of the following:

a) Structures of teeth (ENAMEL. DENTINE. CEMENTUM. & PULP)

b) Periodential ligament.

c) Jaws .

d) T. M. Joint.

f) Face

g) Oral mucosa

h) Salivary glands.

2) Active and passive eruption of teeth and shedding of Primary teeth.

3) Preparation of hard-soft tissue sections for histological Examination.

4) Applied Anatomy of: -

a) Blood and nerve supply with lymphtic drainage of Oral Tissues.

b) Muscles of Mastication and Facial. expression.

5) Detail Morphology. Chronology. Occlusion (including its controlling factors) of primary & permanent dentitions. Differences between primary and permanent dentitions.

6) Physiology of mastication, deglutition, speech and sensation with their relevance to oral structures.

7) Composition & Physiology of Saliva and their influencing factors.

8) Chemical composition and Physical properties of enamel dentine, cementum & bone.

9) Broad outline of bio-chemistry of oral tissues.

B) Examination (Theory Pattern)

Written -Theory -Paper shall be of 3 hours duration of maximum 60 marks.

Section A: MCQ --- 20 Marks.

20 questions shall be answered by students in a seperate answer sheet within first 20 minutes. This answer sheet to be collected by invigillator immediately after 20 minutes completion.

Section B & C : 20 Marks each.

Q.No.1 S.A.Q. 5 SAQ x 2 Marks each -10Marks

Q.No.2 L.A.Q. 1 Essay type Or 2 Short Notes -10 Marks

Section B should cover syllabus of topics No. 1,2,3, & 4

Section C should include the rest of the syllabus.

C. PRACTICALS

I) Demonstration of Various methods of Histological preparation of

a) Oral soft tissues

b) Ground decalcified Sections of teeth and Jaws

2) Brief introduction to Microscope and Microscopy

3) Microscopic study (Histological and Histochemical) of normal oral and dental tissues and their drawing in Journals. .

4) Identification of teeth

5) Determination of Age

6) Carving of permanent teeth including drawing in Journals.

7) Elective presentation of a specific topics.

Subject 4 : PRECLINICAL PROSTHODONTICS (PRACTICALS)

Duration of syllabus: First and Second Year B.D.S.

(360 Hours in Two Years period)

Practical Exercises:

A) Fabrication of complete Denture Prosthesis using edentulous Models (Cast)

1) Introduction, Aims, Objective and Scope.

2) Masticatory apparatus- Applied anatomy of the components

3) Anatomical landmarks and Physiological considerations of the Edentulous maxillary and mandibular arches.

4) Preliminary impression, (Demonstration only) and cast preparatio.

5) Construction of special trays in shellac base and self cured acrylic resin.

a) Close-fit type b) Tray with full spacer and tissue stop.

6) Final impression & Master cast preparation by box-in technique (only Demonstration)

7) Preparation of Record bases..

a) Temporary denture bases (shellac/ selfaired acrylic resin)

b) Occlusion Rims of standard dimensions.

8) Brief introduction and Demonstration of J aw Relation recording

9) Brief introductions of articulators- Detail about Mean value articulator.

10) Transfer of Jaw Relation record on articulator.

11) Brief information about the selection of teeth.

12) Arrangement of teeth -Anteriors and posterior.

13) Reproducing gingival tissue morphology (Waxing and carving)

14) Laboratory Procedures:

i) Flasking -Various techniques in brief

ii) Wax elimination from mould (Dewaxing)

iii) Preparation and packing the mould with Denture base resin.

iv) Acrylization -Brief introduction about curing cycles

v) Deflasking -Denture recovery from flask.

vi) Laboratory Remount Procedure and selective grinding.

vii) Face bow preservation Record (optional)

viii) Finishing and polishing of Dentures

ix) Making Remount cast for Clinical remount procedure.

15) Teeth arrangement in Prognathic and Retrognathic ridge relations.

16) Repair to a broken complete denture.

B) Fabrication of Removable partial Dentures:

1. Brief introduction to partial Dentures.

2. Comparison between Removable and fixed partial dentures.

3. Classification (introduction) and rules governing the classification.

4. Making one tooth (Anterior) partial denture in acrylic resin.

5. Making (posterior) removable partial denture with 'C' clasp adaptation.

6. Surveying procedure (Demonstration only)

7. Brief introduction of various components of partial Denture.

8. Designing partial denture framework on partially edentulous cast (Drawing as Diagnostic model and in journal)

9. Brief introduction to various laboratory steps in fabrication of cast partial denture framework by using audio-visual aids.

C) Fixed partial Denture Prosthesis :

1. Brief introduction to crown and Bridge prosthesis
2. Principles of tooth reduction (Preparing abutment) to receive

a) Full crown for anteriors and posterior teeth .

b) partial veneer crown for anteriors and posterior teeth

c) Dowel crown/post and core crown (Demonstration only)

3. Casting procedure to fabricate 3 unit bridge (Demonstrition only) with special consideration to making of dyes and working models.
4. Brief introduction of pontic designs.

D) Special Prosthesis :

1. Making of cap spints & gunning splint (only Demonstrations.)
2. Fabrication of obturators (only demonstration)
3. Introduction (with models/charts/photographs) of various maxillofacial prosthesis & Dental Implant.

EXAMINATION PATTERN :

I) Internal assessment. 20 Marks

a) First test of 5 Marks -- Making of special tray/Occlusion rims

b) Second test of 5 Marks -- Arrangement of teeth

c) Third test of 5 Marks -- Designing a removable partial denture for (cast

partial framework) given model (Drawing on Cast

and Lab. prescription slip)

d) Fourth test of 5 Marks -- Preparation of tooth to receive Full/P.V. Crown

with wax pattern

First two tests to be conducted in first Year B.D.S. and third & fourth test to be con- ducted in Second Year B.D.S. Marks of First two tests must be submitted to university along with the marks of other First year subjects.

II Practical Examination: 80 Marks

To be conducted at the end of Second Year B.D.S. along with university practical programme of other subjects. Break-up is as under:

Exercise I a) Teeth arrangement for complete denture .25 Marks Duration

b) Waxing and carving (Gingival tissue morphology)..15 Marks 3 Hrs.

Exercise II c) Abutment preparation to receive crown .20 Marks. Duration

d) Wax pattern for that preparation ..10 Marks. 2 Hrs.

e) Journals/Record of the-two Year work ..10 Marks.

Subject 5: PRECLINICAL CONSERVATIVE DENTISTRY (PRACTICALS) Duration of Syllabus: Second Year B.D.S. (240 Hrs minimum)

Syllabus :

Practical Exercises :

A. Exercises to improve the dexterity:

i) Preparation of plaster models of teeth

ii) Finishing and polishing of plaster models

iii) Marking of cavity as per Black's classification on these plaster models

for Dental Amalgum fillings and inlays.

iv) Preparation of cavities for Amalgum fillings and Inlays on plaster

model

v) Restoration of the prepared cavities with modelling wax.

B. Exercises for cavity preparation of Dental Amalgum Restoration on

natural/ivorine

1) Mounting of the Natural/Ivorine teeth on phantom head.

2) Preparation of Cl. I/Cl.I Comp./Cl.II/Cl. V /M.O./D. cavities of posterior

teeth with special amphesis on Cl. II cavities.

3) Cavity lining on all the prepared cavities

4) Restoration &.polishing of all teeth restored with dental amalgam.

C. Exercises for anterior teeth restoration.

1) Preparation of CI. III/Cl. IV cavities in anterior teeth.

2} Preparation of wax pattern for the same with inlay wax.

DEMONSTRATIONS ONLY

1. Casting procedures

2. Restoration of fractured anterior teeth with compositer resins.

3. Opening of root canal for anterior/ opsterior teeth.

EXAMINATION PATTERN

I. Internal assessment. 20 Marks.

a) First Test of 5 Marks. ..Cavity Preparation & filling on plaster models

b) Second Test of 5 Marks . .Cavity preparation class II on ivorine/Extracted (Natural) tooth & filling in Amalgum.

c) Third Test of 5 Marks ...Restoration of prepared cavity by using /GIC/ Composite resin or any other suitable material.

d) Fourth test of 5 Marks ...Class I inlay preparation of wax pattern on ivorine/extracted tooth.

First two test in First Term & Last two test in second term to be conducted. The marks in proforma to be submitted along with other subjects. .

II. Practical Examination. 80 Marks

To be conducted along with university practical examination of other subjects. Break-

up is as under.

Exercise . I : 2 Hours duretion.

i) Class II cavity preparation on ivorine/Extracted 20 Marks

tooth (for Amalgum fillings)

ii) Lining 05 Marks

iii) Filling of the cavity with amalgum 15 Marks

and carving

Exercise. II : 1 Hours duretion.

i) Class I Inlay cavity preparation on 20 Marks

ivorine/ natural tooth

ii) Wax pattern for inlay 10 Marks

iii) Records/ Journals 10 Marks

Maharashtra University of Health Science, Nashik

Scheme of Practical & /or Clinical examination

University Practical/Clinical Examination ... 80 Marks

The Practical/Clinical examination shall be conducted at the centres where adquate facilities are available to conduct such examinations and the centre/college is approved/recognised by Dental Council of India.

Not more than 30 students to be examined per day. The marks should be submitted in the proforma (Appendix - E & F) supplied by the University Authority. This proforma should be signed by the examiners. Over writing or scratching will not be permitted. Any corrections made, must have the counter-signature of external examiners .The sealed envelop containing this proforma shall be submitted on the same day to the Dean for onward transmission to the Controller of examinations, Maharashtra University of Health Sciences, Nashik. No examiner or any other person connected with the work of practical examination is permitted to carry any paper or violate the rules