Curriculum

Periodontology

Third Year, BDS

Sr. No

Topic

Learning Objectives Teaching guidelines

Methodology

Time

2 Gingiva-I Student should be able to Identify of various parts of gingival clinically
Emphasis on the functions of each part and their clinical importance
  • Clinical Features of gingiva
  • Marginal Gingiva
  • Gingival Sulcus
  • Attached Gingiva
  • Interdental Gingiva

 

 

Charts and models

1hr

3 Gingiva –II  Student should be able to Identify of gingival in health as well as disease
Various clinical features of disease to be identified and co related with microscopic features
  • Microscopic Features
  • Gingival Epithelium
  • Gingival Connective Tissue

 

  • Correlation of Clinical and Microscopic Features
  • Color
  • Size
  • Contour
  • Shape
  • Consistency
  • Surface Texture
  • Position

Slide projection of various microscopic features.

Clinical pictures on slide projector or charts

1hr

4 Clinical Features of Gingivitis Student should be able to Identify clinical features of gingivitis,
Transition from health and disease, clinical assessment of changes observed in gingivitis
  • Course and Duration,
  • Description,
  • Clinical Findings,
  • Gingival Bleeding on Probing,
  • Gingival Bleeding Caused by Local Factors,
  • Gingival Bleeding Associated with Systemic
  • Changes,
  • Color Changes in the Gingiva,
  • Color Changes Associated with Systemic
  • Factors,
  • Changes in Gingival Contour,
  • Changes in Consistency of the Gingiva,
  • Changes in Surface Texture of the Gingiva,
  • Changes in Position of the Gingiva,
  • Changes in Gingival Contour,
Student interactive session,

Tell, show, do on patients in clinical settings (in small groups)

1hr

5 Alveolar Bone Student should be able to Identify Macroscopic and microscopic features of alveolar bone. The significance of alveolar bone and clinical characterstic in health and disease.
  • To cover what is alveolar bone,
  • types of alveolar bone, macroscopic and microscopic features of alveolar bone,
  •  cells of alveolar bone,
  • functions, anomalies and clinical significance

Models of bones, projection of microscopic features

1hr

6 Cementum Student should be able to Identify Macroscopic and microscopic features of cementum, Importance of cementum in periodontal health, identification of pathology of cementum, changes in cementum during disease process
  • To cover what is cementum,
  • Types of cementum, macroscopic and microscopic features of cementum,
  •  Cells of cementum, functions,
  • Anomalies and clinical significance

Charts of macroscopic and microscopic features

Videos on clinical significance of cementum

1hr

7 Aging & Periodontium
Classification of Periodontal Diseases
Student should be able to understand Effect of aging on various tissues of periodontium and how it affects the disease process and progression of periodontitis
  • Effects of Aging on the Periodontium, Effects of Aging on the Progression of Periodontal Diseases,
  • Aging and the Response to Treatment of the
  • Periodontium,

Group discussion

1hr

8 Microbiology of Periodontal Disease Student should be able to understand Microbiologic Specificity of Periodontal Diseases, The Oral Cavity from A Microbe’s Perspective, Bacteria and Their Biofilm Mode of Living, Characteristics of Biofilm Bacteria, Bacterial Transmission and Translocation, Nonbacterial Inhabitants of The Oral Cavity, The Transition from Health to Disease
  • Structure of a Mature Dental Plaque Biofilm
  • Accumulation of a Dental Plaque Biofilm
  • Factors Affecting Supragingival Dental Plaque Formation
  • De Novo Subgingival Plaque Formation
  • Metabolism of Dental Plaque Bacteria Communication Between Biofilm Bacteria
  • Interactions between Dental Plaque Bacteria
  • Biofilms and Antimicrobial Resistance
  • Plaque Hypothesis
  • Criteria for Identification of Periodontopathogens
  • Virulence Factors of Periodontopathogens

VIDEOS ON PLAQUE FORMATION, structure.

Discussion of microbiological concepts through charts and pictures

1hr

9 Periodontal Ligament Student should be able to Identify of Macroscopic and microscopic features of gingiva, its functions and clinical significance of periodontal ligament.
  • Definition
  • Macroscopic and microscopic features
  • Types of PDl fibers
  • Cellular and fiber composition
  • Functions of Pdl
  • Theories of shock absorption of periodontal ligament

Charts and models depicting Periodontal ligament

1hr

10 Immunity & Inflammation Student should be able to understand Role of immunity in maintaining periodontal health.
Progression of inflammation in periodontal tissues. Role of various cells in health and disease of periodontium
  • Cells of immunity and inflammation
  • Complement
  • Transendothelial migration
  • Leukocyte functions
  • Specific immune responses
  • t-cell responses
  • b-cell responses and antibodies

Group discussion and video presentation

1hr

11 Genetic factors associated with periodontal disease Student should be able to understand Role of genetics in periodontal disease. Types of genetic polymorphisms. Various genes associated with periodontal disease
  • Overview of genetic study designs
  • Early onset periodontal diseases
  • Periodontitis in adults
  • Clinical implications of genetic studies future of genetic studies in periodontology

Open textbook study

1hr

12 Microbial interaction with host in periodontal disease Student should be able to understand Role of microbial host interaction in the initiation and progression of periodontal disease.
  • Microbiologic aspects of the microbial-host interaction
  • Immunologic aspects of the microbial interaction with the host
  • Microbiology and immunology in gingival health
  • Microbiology and immunology in Periodontal diseases

Student construct of diagram, charts, graphs and
photographs

1hr

13 Role of Dental Calculus & other Predisposing factors Student should be able to Identify Types of calculus and their role in periodontal disease progression
  • Calculus
  • Types of calculus
  • Theories of calculus formation
  • Other predisposing factors

Chalkboard teaching

1hr

14 Host Modulation –I Student should be able to understand What is host modulation and its emerging role in periodontal disease prevention and treatment
Use of NSAIDs in host modulation
  • Introduction
  • Systemically Administered Agents,
  • Locally Administered Agents,
  • NonsteroidalAntiinflammatory Drugs, Host Modulation and

 

Diagramatic presentations and discussion

1hr

15 Host Modulation –II Student should be able to understand Role of other drugs such as bisphosphonates in prevention of periodontal disease and controlling its progression
  • Comprehensive Periodontal Management, Mechanisms of Action
  • Suggested Uses and Other Considerations
  • Emerging Host Modulatory Therapies
  •  Host Modulation Factors in Systemic Disorders

Diagramatic presentations and discussion

1hr

16 Influence of Systemic disease on Periodontium Student should be able to understand Role of various systemic disease on periodontal disease manifestation. Identification of systemic diseases that can affect periodontium in an adverse manner
  • Endocrine Disorders
  • Hematologic Disorders and Immune Deficiencies
  • Antibody Deficiency Disorders
  • Genetic Disorders
  • Medications
  • Other Systemic Conditions

Illustrative charts, pictures and videos

1hr

17 Stress &periodontium Student should be able to understand Role of stress in periodontal disease, manifestation of stress on periodontal tissues, influences
  • Stress and Psychosomatic Disorders
  • Psychosocial Stress, Depression, and Coping Stress-Induced Immunosuppression
  • Influence of Stress on Periodontal Therapy Outcomes

Seminar given by students in small parts

1hr

18 Periodontal Medicine –I Student should be able to understand the role of periodontitis on various systemic diseases progression
  • Pathobiology of Periodontitis, Focal Infection Theory Revisited
  • Evidence-Based Clinical Practice
  • Subgingival Environment as Reservoir of Bacteria
  • Periodontal Disease and Mortality
  • Periodontal Disease and Coronary Heart Disease/ Atherosclerosi

Panel discussion

1hr

19 Periodontal Medicine -II Student should be able to understand the role of periodontitis on various systemic diseases progression
  • Effect of Periodontal Infection,
  • Role of Periodontal Disease in Myocardial or Cerebral Infarction,
  • Periodontal Disease and Stroke
  • Periodontal Infection Associated with Stroke Periodontal Disease and Diabetes Mellitus
  • Periodontal Infection Associated with Glycemic Control in Diabetes
  • Periodontal Disease and Pregnancy Outcome
  • Disease and Chronic Obstructive Pulmonary Disease
  • Periodontal Disease and Acute Respiratory Infections, Periodontal Medicine in Clinical Practice
  • Periodontal Disease and Systemic Health
  • Patient Education

Panel Discussion

20 Oral Malodor Student should be able to understand Diagnosis of malodor, identification of underlying cause and the treatment of oral malodor
  • Semantics
  • Epidemiology
  • Classification
  • Etiology
  • Physiology of Malodor Detection
  • Diagnosis of Malodor
  • Medical History
  • Treatment of Oral Malodor

Projections and videos followed by quiz competition

1hr

21 Defence Mechanism of Gingiva Student should be able to understand Various defence mechanism of the body working within the oral cavity. Role of GCF and saliva in defending the oral cavity. The role of salivary and GCF molecules in diagnosis of periodontal disease.
  • Sulcular Fluid
  • Saliva

Preparation of charts by students and submission

1hr

22 Gingival Inflammation Student should be able to Identify various stages of gingivitis
  • Stage I Gingivitis: The Initial Lesion
  • Stage II Gingivitis: The Early Lesion
  • Stage III Gingivitis: The Established Lesion
  • Stage IV Gingivitis: The Advanced Lesion

Student interactive session

1hr

23 Smoking & Periodontal disease Student should be able to understand Affect of smoking on periodontal tissues, its effect on the course of periodontal disease. how smoking affects the progression of disease and its impact on treatment of periodontal disease.
  • The Smoking Epidemic
  • Effects of Smoking on the Prevalence and Severity of Periodontal Diseases
  • Effects of Smoking on the Etiology and Pathogenesis of Periodontal Disease
  • Effects of Smoking on Response to Periodontal Therapy
  • Effects of Smoking Cessation on Periodontal Treatment Outcomes

Class discussion and chalkboard teaching

1hr

24 Gingival enlargement –I Student should be able to Identify Various types of gingival enlargement. Overview of drugs that cause gingival enlargement and the inflammatory gingival enlargement.
Systemic disease that can cause gingival enlargement.
  • Inflammatory Enlargement, Drug-Induced Gingival Enlargement,
  • Idiopathic Gingival Enlargement
  • Enlargements Associated with Systemic Diseases

,

Case presentations
And discussion

1hr

25 Gingival enlargement –II Student should be able to Identify Systemic conditions which cause gingival enlargement, the diagnosis and treatment of gingival diseases.
  • Conditioned Enlargements, Systemic Diseases That Cause  Gingival Enlargement
  • Neoplastic Enlargement False Enlargement

Case presentations
And discussion

1hr

26 Acute Gingival Infections Student should be able to Identify Various types of acute gingival diseases, their etiology, identification in clinical setting and their treatment.
  • Necrotizing Ulcerative Gingivitis
  • Primary Herpetic Gingivostomatitis
  • Pericoronitis
Clinical pictures and discussion

1hr

27 Gingival diseases in Childhood Student should be able to understand Differences between a primary and an adult periodontium. Manifestations of childhood disease on periodontium, treatment of gingival and periodontal diseases of pediatric patients
  • Periodontium of the Primary Dentition
  • Gingival Diseases of Childhood
  • Periodontal Diseases of Childhood
  • Gingival Manifestation of Systemic Disease in  Children Oral Mucosa in Childhood Diseases
  • Therapeutic Considerations in the Pediatric Patients

Textbook assignment

1hr

28 Desquamative gingivitis Student should be able to understand Diseases manifesting as desquamative gingivitis, their diagnosis, differential diagnosis and treatment
  • Chronic DesquamativeGingivitis
  • Diagnosis of Desquamative Gingivitis
  • Diseases Clinically Presenting as Desquamative Gingivitis, Drug Eruptions
  • Miscellaneous Conditions Mimicking Desquamative Gingivitis

Seminar preparation by students

1hr

29 Mechanical Plaque control Student should be able to Identify Various methods of mechanical plaque control, the role of toothbrush and other interdental aids in polaque control, role of oral irrigation in plaque control.
  • The Toothbrush,
  • Powered Toothbrushes
  • Dentifrices
  • Interdental Cleaning Aids
  • Dental Floss
  • Interdental Cleaning Devices, Gingival Massage
  • Oral  Irrigation

Videos and charts on topic

1hr

30 Chemical Plaque control Student should be able to understand Classification of various agents used in plaque control. Role of various plaque control agents, their mode of action and their uses in clinical setting
  • Prescription Chlorhexidine Rinse
  • Nonprescription Essential Oil Rinse
  • Other Products
  • Disclosing Agents
  • Frequency of Plaque
  • Removal Patient Motivation and Education

Small assignments given to students and group discussion regarding same

1hr

Admission 2017