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 |
|
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 |
&
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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 |
|
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 |
|
1 hr |
5
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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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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. |
|
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 |
|
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 |
|
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 |
|
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 |
|
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. |
|
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 |
|
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 |
|
2hr |
3 | Paranasal sinuses diseases | Classification and perform differential diagnosis of maxillary sinus pathologies | Maxillary sinus and various diseases associated with sinuses. |
|
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. |
|
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. |
|
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 |
|
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 |
|
2hrs |
8 | Digital radiography | Classification, Enumerate types of receptors, Advantages, disadvantages Demonstrate Image manipulation |
Recent advances,RVG,CBCT,CT,MRI |
|
2hr |
9 |
Periapical radiolucencies | Classify, Enlist Differential Diagnosis and Management |
Classification and causes of periapical radiolucencies Radiographic features |
|
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. |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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. |
|
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. |
|
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 |
|
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 |