Curriculum

Oral Medicine & Radiology

Fourth Year, BDS

MODULE-1

 

S/no

 

TOPIC

 

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

 

TEACHING GUIDELINES

 

METHODOLOGY

TIME

 

1

 

Principles of radiographic interpretation

Can have Knowledge of the principles of interpretation
Perform interpretation of jaw pathologies.
Demonstrate  Radiographic d/d of jaw lesion
 

Introduction of principals of radiographic interpretation

  • Didactic Lecture through Power point projection
  • Charts
  • Role play
  • Visual aid

 

 

1hr

2 Cysts and cyst like lesions of the jaws Have Knowledge of
Classification,
Enumerate Theories of cyst enlargement
Perform Diagnosis of Inflammatory cyst, Developmental and other cyst

 

Introduction definition
Theories of cyst enlargement
Classification,
Etiopathogenesis,clinical features, brief histology and management of Epithelial cyst
Developmental cyst (OKC, dentigerouscyst lateral periodontal cyst, gingival cyst of infant and adult, botryoid odontogenic cyst, calcifying odontogenic cyst, glandular odontogenic cyst
Non odontogenic cyst,
Nasopalatine cyst nasolabial
mid palatal cyst globule maxillary cyst Inflammatory cyst (radicular apical and lateral cyst, residual cyst)
NON-EPITHELIAL CYST
Solitary bone cyst, or aneurysmal bone cyst
Cyst associated with maxillary antrum
Soft tissue cyst
  • Didactic Lecture through Power point projection  ,
  • Seminar,
  • Students Interactive Session

&

  • Case Presentation
  • Problem based learning
  • Multiple choice questions
2hrs
 

3

 

Red & white lesions:

Relate Classification, clinical features,  diagnosis and differential diagnosis and management of
Leukoplakia , Lichen planus, OSMF, SLE/DLE
Candidiasis, Genodermatoses
 Definitions of premalignant lesions and conditions, leukoplakia, OSMF
Classification,Clincialfeatures,
etiology, pathogenesis,  investigations,  Malignant transformation potential  and  Management of red and white lesions
  • Didactic Lecture through Power point projection  ,
  • Students Interactive Session
  • Problem based learning,
  • Case presentation
 

 

 

3hrs

4 Tongue disorders Discuss  clinical features,
Differential diagnosis
Iinvestigation
Treatment  of tongue disorder
Introduction, development of tongue, anatomy of tongue, examination of tongue, classification, clinical features, differential diagnosis and management
  • Didactic Lecture through Power point projection
  • Case presentation with Clinical photographs
 

1 hr

 

 

5

 

Inflammatory lesions of the jaws Enumerate D/D of Periapical,
Pericoronal  diseases&
Osteomyelitis
Clinical feature and management of periapical, pericoronal and osteomyelitic lesions.
Radiographic features and differential diagnosis
  • Students seminars,
  • Poster Presentation
  • Case presentation with clinical photographs
1hr
6 Trauma to teeth and facial structures Demonstrate Clinical and Radiograph feature of traumatic injuries of teeth and jaws.
Assist in performing of various radiographs to be taken
various traumatic injuries to the teeth like concussion, subluxation, luxation injuries, avulsion, fractures, their clinical features, radiographic features and management.
General radiographic features of fractures.
Mandibular fractures-classification, types, clinical features, radiographic features, the type of radiograph required and management.
Midface fractures- lefort fractures, Tripod/Zygomatic complex fracture, zygomatic arch fracture,nasoethmoid fracture, their clinical features, types of radiographs required, radiographic features
  • Didactic Lecture through Power point projection  ,
  • Case demonstration
  • Tutorial

 

1hr
7 Pigmented lesions of oral mucosa Classify endogenous pigmentation and
exogenous pigmentation,
Enumerate  clinical feature,pathology,differential diagnosis, management of lesions
Common causes
classification
Endogenous-clinical feature,pathology,differential diagnosis, management of lesions
  • Didactic Lecture through Power point projection,
  • Tutorial
  •  case Presentation
2hr
8 Contrast imaging Enumerate Contrast agents
Discuss Sialography and Arthrography
Classification of contrast media
Advantages of disadvantages of water based and oil media
Different types of contrast studies
Sialography-definition, indication, contraindication, three types of techniques, the radiograph required for each type of gland and the radiographic interpretation of sialogram-normal and pathologic(sialectasia, sialodochitis, neoplasia, sjogren)
Arthrography
  • Didactic Lecture through Power point projection  ,
  • Demonstration of contrast technique, field visit to general radiology(Group wise 15 Students per batch)
1 hr
9 Salivary Gland disorders: Classify
Xerostomia, sialorrhea
Outline D/D of various salivary gland pathologies.
-Salivary gland anatomy and physiology
-specific diseases and disorders of salivary glands-developmental,sialolithiaisis(salivary stones), mucous retention cyst, mucus extravasations cyst & Ranula, inflammatory and reactive lesions, viral diseases, bacterial sailadenitis, systemic conditions with salivary glands,sialorrhea
-management of xerostomia
-salivary gland tumors
  • Didactic Lecture through Power point projection  , problem base learning,
  • Students interactive session
  • Case presentation
 

2hrs

10 Fibro osseous lesions Classify  Fibro osseous lesions  affecting maxilla & mandible
Rephrase Radiograph diagnosis
Definition, types, classification, d/d, prognosis, radiographic diagnosis and t/t of Fibro-osseous lesions.
Clinical features
Dental considerations
  • Didactic Lecture through Power point projection
  • Charts
  • Visual aid
  • Quiz
2hrs
11 Ulcerative, vesicular & bullous lesions: Classify  acute / chronic ulcers,
Describe Diagnosis and management
Defintion of ulcer,vesicle,bulla,papule,macule,erosions.pustule,puprpura
Classication of acute multiple ulcers, recurring multiple ulcers,singleulcers,chronic multiple ulcers
Diagnostic test for vesiculobullous lesions-nikolskyssign,tzankstest,direct,indirectimmunofluroscence,
Clinicalfeatures,etiopathogenesis,diffrentialdiagnosis,management of rau,pemphigusvulgaris,bullouspemhigoid,behcetssyndrome,eosinophilicgranuloma,mucusmemebranepemphigoid,erythemamultiforme. Stevens johnsons syndrome.
  • Didactic Lecture through Power point projection
  • students interactive session,
  • Case presentation

 

2hrs
 

 

12

 

Panoramic radiography

Demonstrate Principle,
Technique
Indication
Faults
Principle, focal trough, centers of rotation, path of rotation of modern machine, indications, advantages, disadvantages, technique-patient positioning
Faults in patient positioning and processing , Ghost images, landmarks
  • Didactic Lecture through Power point projection
  • Video model & simulation
  • Live Demo and processing of the image.
1hr
13 Extra-oral  radiographic examination Classification and Demonstration of
E/O Imaging techniques
Indications of e/o radiographic technique
-Draw backs-imp parameters-required equipment-most commonly used views for orofacial e/o imaging –PA view-waters view-rotated pa view- submentovertex-jugs handle view- lateral oblique view- lateral skull view- TMJ  views- reverse towns –townes projection
  • Didactic Lecture through Power point projection
  • video model & simulation-Step by step Procedure explanation
2 hr
14 Immunologic diseases Classification,
Types of Immunity
primary immunologic and autoimmune disorders
Oral manifestations  and dental consideration
HIV, Oral manifestations
Definition of immunity
And basic of active and passive immunity
classification of immunologic disorders
primary immunodeficiency disorder- basic clinical features
secondary immunodeficiency
autoimmune disorders- mainly SLE, scleroderma, rheumatoid arthritis
Dental considerations  in patients with long term corticosteroids
  • Didactic Lecture through Power point projection  ,
  • Case presentation
  • Tutorial

 

 

 

2hrs

 

15

 

Bleeding and clotting disorders

Classification
Bleeding disorders ,
Clotting disorders
Enlist Clinical feature
Investigation & management
Overview and epidemiology
Pathophysiology
Clinical and Laboratory findings
Classification of bleeding disorders
Vessel wall disorders, Platelet disorders
Coagulation disorders, Congenital coagulopathies
Anticoagulant related coagulopathies
Disease related coagulopathies
Identification of the  dental patient with a bleeding disorder, Management, Prognosis
Oral health considerations
Dental management
  • Didactic Lecture through Power point projection  ,
  • Student interactive session
  • Case presentation
2hrs
16 Oral Cancer Classification
Explain Etiology
Clinical feature of oral cancer,  TNM staging
surgery , Chemotherapy
Radiotherapy & management of complication
Epidemiology,
Etiology and Risk factors, Pathogenesis,
Presenting signs and symptoms, Diagnostic aids, Imaging, Histopathology, Treatment, Prognosis and prevention.
  • Didactic Lecture through Power point projection
  • Case presentation
  • Charts
  • Student seminar

 

 

3hrs

 

MODULE-2

S.NO

 

TOPIC

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

 

TEACHING GUIDELINES

 

METHODOLOGY

TIME

1 Metabolic and Nutritional Disorders: vitamin and mineral disorders Rephrase Oral manifestations of metabolic  & nutritional diseases
Relate D/D and  T/T of oral manifestations of  metabolic and
Nutritional Diseases
Types, classification, d/d, prognosis, radiographic diagnosis and t/t of metabolic and nutritional diseases,
Oral manifestations, Clinical features, Various lab. investigations
Dental considerations, Dosage of supplements given in deficiencies
  • Didactic Lecture through Power point projection
  • Case presentation.
  • Charts
  • MCQs
 

2hrs

2 TMJ Disorders: Classification
Demonstration of examination-TMJ
Relate MPDS
intracapsular disorders,
Degenerative developmental, traumatic ankylosis.
Introduction, Anatomy of clinical interest, evaluation of TMJ
Etiology , Classification
All pathologies related to TMJ
Detail management-
Specific disorder and their management
MPDS
intracapsular disorders,
Degenerative joint disorder
developmental, trauma ankylosis
  • Didactic Lecture through Power point projection
  • Role play and Live Demonstration  on Patients

 

 

2hr

3 Paranasal sinuses diseases Classification and  perform differential diagnosis  of maxillary sinus pathologies Maxillary sinus and various diseases associated with sinuses.
  • Didactic Lecture through Power point projection
  • Tutorials
1hr
4 Benign tumors of the jaws Classify Odontogenic , non-odontogenic and other soft tissue tumors
Enumerate Clinical radiographic features, Differential diagnosis, management
Discuss Advanced imaging (CT, MRI)  features of benign tumors
Variants of normal
Benign soft tissue lesions- Inflammatory/ reactive hyperplasia of soft tissues and Benign soft tissue tumors
Benign lesions of bone –Fibrosseous lesions, Giant cell lesions of bone, cysts of jaws and adjacent soft tissues, benign odontogenic and nonodontogenic tumors of the jaws.
  • Didactic Lecture through Power point projection
  • Case presentation
  • Charts
  • Quiz
2hrs
5 Malignant diseases of the jaws Explain Radiographic  d/d of malignant  tumor of jaw Definition of neoplasia, difference between benign and malignant tumors, general radiographic features of malignant  tumors of the jaws, brief discussion of each malignancy-oral SCC, osteosarcoma, primary intraosseous Ca, metastatic lesion, hematopoietic malignancies.
  • Didactic Lecture through Power point projection
  • Case presentation
  • Tutorial
1hr
6 Implant radiology Explain  Implication IOPA,OPG,
CBCT use in implant planning
Introduction
Various modalities used
IOPA, indication advantages disadvantages
OPG, , indication advantages disadvantages,
CBCT , indication advantages disadvantages
Pre, intra and post implant planning evaluation
  • Didactic Lecture through Power point projection
  • Audio-visual  presentation

TIME

7 Orofacial  pain Classification, neuralgias
Explain D/D of orofacial pain & treatment of neuralgias
Definition of pain, Classification of pain, Trigeminal neuralgia clinical features, etiopathogenesis, investigations and management
MPDS (c/f,management)
Burning mouth syndrome(c/f, etiology and management
Atypical facial pain
d/d of oro facial pain
  • Didactic Lecture through Power point projection
  • Problem based learning
  • Charts

 

 

2hrs

8 Digital radiography Classification,
Enumerate types of receptors,
Advantages, disadvantages
Demonstrate Image manipulation
Recent advances,RVG,CBCT,CT,MRI
  • Tutorials,
  • Field visits(Dept of Oral radiology)
 

2hr

 

9

Periapical radiolucencies Classify,
Enlist Differential Diagnosis and
Management
Classification and causes of periapical radiolucencies
Radiographic features
  • Didactic Lecture through Power point projection
  • Students seminar
1hr
10 Periapical radiopacities Classify,
Enlist D/D of all periapical
Radiopacities
Classification of periapical radiopacities
True/projected
Detail about condensing osteitis, PCOD, Hypercementosis, cemetoblastoma, osteosclerosis, ossifying fibroma.
  • Didactic
  • Student seminar
2hrs
 

 

11

Pericoronal radiolucencies Classification,
Enlist Clinical diagnosis and management
Definition/introduction
Enumeration of differential diagnosis
Clinical feature radiographic feature and management of –
-Normal follicular cyst
-Dentigerous cyst
-Para dental cyst
-AOT , Unicystic ameloblastoma
-COC , CEOT , Rarities
  • Didactic Lecture through Power point projection.
  • Student seminar
1hr
12 Oral manifestations of systemic diseases(CVS/CNS including neuromuscular disorders) Extend Oral Manifestation, T/T& D/D
Bell’s palsy
Other palsy
Types, classification, d/d, prognosis, radiographic diagnosis if any and t/t of CVS – CHD, Atherosclerosis, Angina, hypertension, IHD, VHD. CNS UMN & LMN disorders – various palsies – facial, bells, neuralgias trigeminal, glossopharyngeal Etc. and NMD.
Oral manifestations Clinical features
Various lab. investigations
Dental considerations
  • Didactic Lecture through Power point projection
  • Case presentation
  • Student seminar
 

 

1 hr

13 Respiratory system + Halitosis Enlist Oral manifestations & dental considerations of respiratory diseases
Haitosis causes investigation
Oral manifestations of respiratory disorders
In detail dental considerations in asthmatic patients and tuberculosis patients
Various causes of halitosis
Tests to detect halitosis and management
  • Didactic Lecture through Power point projection
  • Student Seminar
1 hr
14 Oral manifestations of systemic diseases(RENAL) Classification
Enumerate Clinical  features,
Differential  diagnosis
Investigation
Management
Oral soft tissues, hard tissues, salivary and bony changes in renal patients
Hemodialysis and management of oral manifestations
  • Didactic Lecture through Power point projection
  • Audio-visual
1 hr
15 GIT+ Hepatobiliary Diseases including hepatitis Classification
Relate clinical features and Management
Diseases of upper digestive tract/GERD
-Diseases of lower digestive tract/peptic ulcer, inflammatory bowel disease, crohns disease,  jaundice
-eating disorders anorexia/bulimia
-syndrome-plummerwinson syndrome
-peutzjeghers syndrome
-cowdens syndrome
-gardeners syndrome
  • Didactic Lecture through Power point projection
  • Students seminar
 

1 hr

16 Oral manifestations of Endocrine disorders I Relate Oral manifestations
Dental management of Diabetes  mellitus
DIABETES MELLITUS
Epidemiology, Classification, Pathophysiology,Clinical presentation, Diagnosis and monitoring, Complications, Management, Oral manifestations of DM, Dental management
Growth, Maintenance of Homeostasis, Reproduction, Hormonal feedback Regulatory system, Hormonal rhythms, Mechanism of endocrine diseases, Hormone measurement and endocrine testing
  • Didactic Lecture through Power point projection
  • Students seminar
1 hr
17 Oral manifestations of Endocrine diseases II Summarize Oral manifestations and dental management of pituitary gland, Adrenal gland, Thyroid gland, Parathyroid gland and metabolic disorders Oral manifestations and dental management of Pituitary gland, Adrenal gland, Thyroid gland, Gonads and Gonadal dysfunction, Parathyroid gland and metabolic disorders, Hypoparathyroidism and Hypocalcemia, Rickets, Osteomalacia, Vit D deficiency
  • Didactic Lecture through Power point projection
  • Students seminar
  • MCQs
1 hr
18 Soft tissue calcification and ossification Classification – idiopathic, metastatic,
Dystrophic
Enumerate D/D & T/T
Radiographic diagnosis
3 types – metastatic, dystrophic, idiopathic – their c/f, radiographic feat. Oral manifestations, dental considerations.
D/d of soft tissue calcification,
Treatment
  • Didactic Lecture through Power point projection
  • Case presentation
  • Seminar
 

1 hr

19 Diseases of bone manifested in the jaws and  Systemic diseases manifested in the jaws Interpret Clinical Feature
D/D
Investigation
Management
Jaw bone manifestations of systemic and bone diseases
Radiographic features and management.
  • Didactic Lecture through Power point projection
  • Teacher Seminar
  • Case presentation
1 hr
20 Forensic odontology Rephrase  Lip prints
Bite marks
Rugaes pattern
Definition, History, scope, Personal identification, gender determination, age estimation, Rugoscopy, Bite mark analysis, lip prints, Child abuse and neglect, Dentist as an expert witness.
  • Didactic Lecture through Power point projection
  • Students interactive session
  • Student assignment
2
hrs

MODULE-3

 

S. NO

TOPIC

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

TEACHING GUIDELINES

METHODOLOGY

TIME

 

 

1

Multilocular radiolucencies Classification and
Outline D/d of Multilocular radiolucencies
Multilocularradilucnencies-types-soap bubble ,honey comb apperanece,tennis racket appearance
Classification, Clincialfeatures,etiology,pathogenesis, Radiographic differential diagnosis and
Investigation workup for mutilocular radiolucnecies
  • Didactic,
  • Poster presentation
1 hr
2 Specialized radiographic Techniques Outline Principles and practice of CT, CBCT, MRI,Scintigraphy including USG, Thermography, Xeroradiography in H&N pathologies Principles and practice of CT, CBCT, MRI,Scintigraphy including USG, Thermography, Xeroradiography in H&N pathologies Tutorials,
Field visits(SGT Medical College, Radiology Dept Group divided between 15-20 students)
3hrs