Curriculum | Oral & Maxillofacial Surgery | Third Year | BDS

SR NO

TOPIC

LEARNING OBJECTIVES
(AT THE END OF THE SESSION THE STUDENT SHOULD BE ABLE TO)

TEACHING GUIDELINES

METHODOLOGY

TIME

• Describe normal and abnormal anatomy and physiology of intra- and extra-oral structures and tissues.
•  Describe assessment in an emergency setting
• Ascertain a thorough history with consideration of possible local or systemic triggers including iatrogenic causes.
• Complete a thorough examination of the patient and their hard and soft tissues and make appropriate diagnoses.
• Identify and record risk factors for conditions relevant to mode of presentation.
•  Use and interpret correctly all appropriate investigations (e.g. radiographic, vitality tests, haematological and microbiological tests etc) to diagnose.
• Communicate effectively to derive a diagnosis.
• Develop a hierarchy of action to safeguard the patient in an emergency situation
• Make an assessment of the likelihood of a significant underlying diagnosis and differentiate patients with urgent and nonurgent care needs.
• Recognise own limits and choose appropriately when to ask for help

• Definition, Introduction, Objectives and Scope of Oral & maxillofacial Surgery
•  History taking
• Examination of the patients
• Investigations
• Diagnosis.

• Workplace (clinical) experience with appropriate trainers
• Appropriate range of clinical cases for observational and personal treatment.
• Didactic teaching sessions within department.
•  Independent study.
• Involvement in training dental students or in specialist practice
• Use of structured questionnaires
• Exercises in which different conditions and reports are discussed and students asked to derive a diagnosis

• Provide profound and sufficient local analgesia during all treatment procedures taking account of the patient’s medical status and treatment needs.

•  Practice administration of local analgesia in complete safety and be able to manage any associated complications.
• Describe: – Relevant biology, anatomy, physiology, pathology, microbiology and technical requirements in provision of such care.
• Show a high degree of skill in the choice and execution of appropriate anaesthetic
• Carry out appropriate procedures for safe and effective administration of local anaesthesia

•  Neurology of Facial Pain
• Historical aspects, definition, types of L.A., Indications and Contra Indication, advantage & disadvantage,advantages & disadvantages
• Local anaesthetic drugs, Classificaion.
•  Ideal requirements of L.A. solutions, composition and mode of action
•  Factors to be considered in the choice of particular mode of anaesthesia
•  Complications of L.A., its prevention and management.

• Self directed learning
• supervised outpatient clinics;
• Demonstration on patients and colleagues
• Ask the students to discuss the techniques applicable in particular conditions
• Quiz based learning
• Didactic sessions in department

• Provide profound and sufficient local analgesia during all treatment procedures taking account of the patient’s medical status and treatment needs.
•  Practice administration of local analgesia in complete safety and be able to manage any associated complications.
•  Describe: – Relevant biology, anatomy, physiology, pathology, microbiology and technical requirements in provision of such care.
•  Show a high degree of skill in the choice and execution of appropriate anaesthetic
• Carry out appropriate procedures for safe and effective administration of local anaesthesia

• Anatomical consideration – Pterygomandibuar space – contetns, boundaries etc
• Infiltration
• Mental nerve block
• Inferior alveolar nerve block –Intraoral &Extraoral Techniques

• Self directed learning
• Demonstration on skull and mandible models
• Demonstration on patients and colleagues
• supervised outpatient clinics
• Ask the students to discuss the techniques applicable in particular conditions eg. Trismus
• Didactic sessions in department

• Provide profound and sufficient local analgesia during all treatment procedures taking account of the patient’s medical status and treatment needs.
•  Practice administration of local analgesia in complete safety and be able to manage any associated complications.
•  Describe: – Relevant biology, anatomy, physiology, pathology, microbiology and technical requirements in provision of such care.
•  Show a high degree of skill in the choice and execution of appropriate anaesthetic
• Carry out appropriate procedures for safe and effective administration of local anaesthesia

• Anatomical considerations
• Infiltration
•  Infra orbital block,
• Posterior superior Alveolar
• Maxillary nerve block.
• Extra oral blocks – Indications & Technique.

• Self directed learning
• Demonstration on skull and mandible models
• Demonstration on patients and colleagues
• supervised outpatient clinics
• Ask the students to discuss the techniques applicable in particular conditions
• Didactic sessions in department

• Ability to identify when general anaesthesia is appropriate.
• Ability to identify when sedation is helpful and the form of sedation eg oral, IV etc.
•  Be able to inform patient of other options and risks associated with this form of anaesthesia.
•  Know when to refer to or confer with other specialists.
•  Describe, at a basic level, the principles of general anaesthesia and sedation in children and adults.
• Describe the risks and advantages of various methods of airway management from both the dental and anaesthetic point of view.

• Explain the dentist’s role in the management of complications/emergencies which may occur during delivery of GA.

•  Deliver oral surgical care for children and adults under general anaesthesia.

• History of G.A.
• Indications of G.A., in oral-surgery
• Pre-anaesthetic evaluation of the patient
• Pre-medication
•  Types of G.A.including I.V. Sedation
• States of G.A.
• common general anaesthetic agents
• Complications during and after anaesthesia.

• Post anaesthetic care of the patients.

• Didactic teaching sessions
• Integration with anaesthesia department
• Involvement of students in pre anaesthetic evaluation of patients
• Demonstration of design and safe operation of equipment used to deliver inhalation and IV sedation

• Demonstration on mannequins for endotracheal intubation and tracheostomy

• Observation of all major surgeries and immediate post operative critical care of the patient
• Ward rounds

• Identify the meaning of aseptic technique.
•  Identify the measures treatment personnel can use to carry out aseptic technique.
•  Distinguish between medical and surgical aseptic technique.
• Distinguish between sterilization and disinfection.
• Identify the various types of chemical disinfectants, antiseptics, and cleaning agents and their uses.
• Identify the steps used in medical asepsis.

• Definitions
• Terminologies
• Generalconsiderations
• Effective measures in infection control
• Problems encountered in asepsis and infection control

• Assignments at the end of the lesson
• Demonstration of equipment – autoclave etc
• Discussion of the different chemical agents  used for chemical disinfection
• Quiz on sterilization methods of various intruments

• Assess those teeth that require extraction and those that can be restored.
• Safely extract a tooth and deal with complications that may arise.
• Describe the – Signs and symptoms – Differential diagnosis – Investigations and radiographicinterpretation associated with teeth that require extracting.

•  Describe common indications for tooth repair and tooth extraction.
• Describe methods of medical management including treatment of inflammation/infection.
• Formulate a treatment plan
• Carry out technique under local anaesthesia, sedation or general anaesthesia.
• Carry out steps of procedure safely and correctly.
• Surgically remove a fractured tooth – use techniques of bone removal and tooth division
• Use intra-oral suturing techniques.
• Explain potential complications to the patient.
• Institute aftercare and know when to review.

• Exodontia
  • GeneralConsideration
  • Indications &Contraindications
• Methods of Extraction:
  •  Principles of forceps extraction
  • Indications, Principles and surgical procedure of Trans alveolar extraction
• Principles and use of elevators.
• Complications of exodontias and management.

• Workplace (clinical) experience with appropriate trainers
• Appropriate range of clinical cases for observational and personal treatment
• Attendance at didactic teaching sessions within department.
• Attendance at suitable courses.
• Brainstorming sessions for devising treatment plan in various conditions.