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

1 Introduction to Oral & Maxillofacial Surgery
  • 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
 3 Hours
2

 

 

 

Local Anaesthesia
  • 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
6  Hours

 

 

 

 

 

 

 

 

3

 

Anaesthesia of Mandible

 

  • 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
4 Hours
4 Anesthesia of Maxilla
  • 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
5 Hours
5 General Anaesthesia
  • 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
4 Hours
6 Asepsis, Sterilisation, Cross Infection & Disinfection
  • 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
4  Hours

 

 

 

 

 

 

 

7 Dento-Alveolar Surgery
  • 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.
4  Hours

 

 

Admission 2017