Syllabus

Oral Medicine & Radiology

Fourth Year, BDS

 

Sr.No

  

TOPIC
TEACHING GUIDELINES

DOMAIN                                                                    MUST KNOW,DESIRABLE TO KNOW & NICE TO KNOW

TIME
 

1

  

PRINCIPLES OF RADIOGRAPHIC INTERPRETATION
Knowledge of the principles of interpretation of jaw pathologies.
Radiographic d/d of jaw lesions

  

MUST TO KNOW

  

1hr
 

2

 CYSTS AND CYST LIKE LESIONS OF THE JAWS
Knowledge of Classification, Theories of cyst enlargement
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, dentigeruscyst lateral periodontal cyst, gingival cyst of infant and adult, botryoid odontogenic cyst, calcifying odontogenic cyst, glandular odontogenic
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		  

MUST TO KNOW

 

 

 

 

 

 

DESIRABLE  TO KNOW :
NICE TO KNOW:

 2hrs
3 RED & WHITE LESIONS: 
Classification, clinical diagnosis and differential diagnosis and management of
Leukoplakia , Lichen  planus, OSMF,. Candidiasis,
  Definitions of premalignant lesions and conditions, leukoplakia,osmf.
Classifications of red and white lesion,Clincialfeatures,etiology,pathogenesisi.of red and white lesions, , investigations of red and white lesions ,Malignant transformation potential of red and white lesions Management of red and white lesions
SLE/DLE,  Genodermatoses		  

MUST TO  KNOW

 

 

DESIRABLE TO KNOW

  

 

 

3hrs
 

4

  

TONGUE DISORDERS
Knowledge of C/F, D/D, investigation & Treatment  of tongue disorder

Introduction, development of tongue, anatomy of tongue, examination of tongue, classification, clinical features, differential diagnosis and management

  

MUST TO KNOW

DESIRABLE TO KNOW

  

1 hr
 

5

  

INFLAMMATORY LESIONS OF THE JAWS
D/D of Periapical,
Pericoronal  diseases&
Osteomyelitis
Clinical feature and management of periapical, pericoronal and osteomyelitic lesions.
Radiographic features and differential diagnosis

  

MUST TO KNOW

 1hr
7 TRAUMA TO TEETH AND FACIAL STRUCTURES.
Clinical and Radiograph feature of traumatic injuries of teeth and jaws.
types 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		 MUST TO KNOW

 

 

 

DESIRABLE TO KNOW

 1hr
8 PIGMENTED LESIONS OF ORAL MUCOSA:
Classification
endogenous pigmentation
exogenous pigmentation
Common causes, classification
Endogenous-clinical feature,pathology,differential diagnosis, management of lesions		  

MUST TO KNOW

 

 

 2hr
 

9

 CONTRAST IMAGING
Contrast agents , Sialography
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		  

MUST TO KNOW

 

 

DESIRABLE TO KNOW

 1 hr
10 SALIVARY GLAND DISORDERS
Classification
Xerostomia, sialorrhea
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 &ranulas, inflammatory and reactive lesions, viral diseses, bacterial sailadenitis, systemic conditions with salivary glands,sialorrhea
-management of xerostomia
-salivary gland tumours		  

MUST TO KNOW

 

2hrs
11 FIBRO OSSEOUS LESIONS( FOL):
Classification,
FOL affecting maxilla & mandible
Radiograph diagnosis
Definition, types, classification, d/d, prognosis, radiographic diagnosis and t/t of Fibro-osseous lesions.
Clinical features of FOL
Dental considerations for FOL patients		 MUST KNOW  

 

 

 

DESIRABLE  TO KNOW

 2hrs
12 ULCERATIVE, VESICULAR & BULLOUS LESIONS:   Classicfication
acute / chronic ulcers,
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, ,erythemamultiforme. Stevens Johnson’s syndrome.
mucusmemebranepemphigoid		  

MUST TO KNOW

 

 

 

 

DESIRABLE TO KNOW

 2hrs
13 PANORAMIC RADIOGRAPHY
Principle,
Technique
Indication
Faults
Principle, focal trough, centres of rotation, path of rotation of modern machine, indications, advantages, disadvantages, technique-patient positioning, landmarks
Faults in patient positioning and processing
Ghost images,		  

MUST TO  KNOW

 

 

DESIRABLE TO KNOW

 1hr
14 EXTRA-ORAL RADIOGRAPHIC EXAMINATION
Classification
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-
Jug handel view- lateral oblique view- lateral skull view- tmj views- reverse towns –townes projection		  

MUST TO KNOW-

 

 

DESIRABLE TO KNOW

 2 hr
15 IMMUNOLOGIC DISEASES
Classification,
Types of Immunity
primary immunologic and autoimmune disorders
Oral manifeastion and dental consideration
HIV, Oral manifeastation
Definition of immunity
And basic of active and passive immunity
classification of immunologic disorders
primaryimmunodeficiency disorder- basic clinical features
secondary immunodeficiency
autoimmune disorders- mainly SLE, scleroderma, rheumatoid arthritis
Dental considerayions in patients with long term corticosteroids
Management of each disorder, Malamed rule of two
recent concept of steroid prophylaxis		 MUST  TO  KNOW

 

 

 

 

 

 

DESIRABLE TO KNOW

  

 

2hrs
16 BLEEDING AND CLOTTING DISORDERS
Classification
Bleeding disorders , Clotting disorders
Clinical feature
Significance and need to know bleeding and clotting disorders
Investigation & management		 MUST TO KNOW

 

 

DESIRABLE TO KNOW

2hrs
17 ORAL CANCER 
Etiology, Classification
Clinical feature of oral cancer TNM staging
surgery chemo therapy
Radiotherapy & management of complication
Etiology and Risk factors, Pathogenesis, presenting signs and symptoms, Diagnostic aids,
Imaging, Histopathology, Treatment, prognosis and prevention.
Tumor markers, Gene therapy		 MUST TO KNOW

 

 

 

DESIRABLE TO KNOW
NICE TO KNOW

 3 hrs

MODULE-2

 

S. No

 

TOPIC

DOMAIN MUSTKNOW      DESIRABLE TO KNOW  NICE TO KNOW

TIME
1 METABOLIC AND NUTRITIONAL DISORDERS: VITAMIN AND MINERAL DISORDERS
Oral manifestations of metabolic  & nutritional diseases
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
Dosage of supplements given		 MUST TO  KNOW
 

 

 

 

DESIRABLE  TO KNOW 

 

2hrs
2 TMJ DISORDERS
Classification
Demonstration of examination-TMJ
MPDS, Intracapsular disorders, Degenerative, developmental, traumatic ankyloses.
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		  

MUST  TO KNOW

 

 

 

DESIRABLE  TO KNOW

  

2hr
3 PARANASAL SINUSES DISEASES
Classification and differential diagnosis  of maxillary sinus pathologies
Maxillary sinus and various diseases associated with sinuses.		 DESIRABLE TO KNOW 1hr
4 BENIGN TUMORS OF THE JAWS
odontogenic
non-odontogenic and other soft tissue 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.
Inflammatory hyperplasias and benign soft tissue tumors like epithelial tumors, vascular lesions, neurogenic lesions
Giant cell lesions of bone		 MUST TO KNOW

 

 

DESIRABLE TO KNOW

NICE TO KNOW

 2hrs
5 MALIGNANT DISEASES OF THE JAWS
Radiographic  d/d of malignant  tumor of jaw
Definition of neoplasia, difference between benign and malignant tumors, general radiographic features of maliganat tumors of the jaws, brief discussion of each maligannacy-oral SCC, osteosarcoma,
Primary intraosseous Ca, metastatic lesion, hematipoieticmaliganancies,		  

MUST TO KNOW        

 

DESIRABLE TO KNOW

 1hr
6 IMPLANT RADIOLOGY
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		  

MUST TO KNOW:

 

 

NICE TO KNOW

TIME
7 OROFACIAL  PAIN
Classification, neuralgias
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		  

MUST TO KNOW-

 

 

DESIRABLE TO KNOW,

  

2hrs
8 DIGITAL RADIOGRAPHY
Classification, types of receptors,
Advantages, disadvantages
Image manipulation
Recent advances,RVG,CBCT,CT,MRI		  

MUST TO KNOW

DESIRABLE TO KNOW
NICE TO KNOW

  

2hr
9 PERIAPICAL RADIOLUCENCIES
Diagnosis and Management, Classification and causes of periapical radiolucencies, Radiographic features		 MUST TO KNOW
 1hr
10 PERIAPICAL RADIOPACITIES
Classification of periapical radiopacities
True/projected
– in detail about condensing osteitis, PCOD, Hypercementosis, cemetoblastoma, osteosclerosis, ossifying fibroma.		 MUST TO  KNOW

 

 2hrs
11 PERICORONAL RADIOLUCENCIES
Classification
Cliniacal diagnosis and management
Defination/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		 MUST TO KNOW:

 

 

 

DESIRABLE TO KNOW

 1hr
12 ORAL MANIFESTATIONS OF SYSTEMIC DISEASES(CVS/CNS INCLUDING NEUROMUSCULAR DISORDERS)
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, neulagias trigeminal, glossopharyngeal Etc. and NMD.
Clinical features, Various lab. investigations
Dental considerations		  

MUST  TO KNOW

 

 

DESIRABLE TO KNOW

  

1 hr
13 RESPIRATORY SYSTEM + HALITOSIS
Oral manifestations & dental consideration of respiratory diseases
Halitosis causes,  investigations
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		 DESIRABLE TO KNOW 1 hr
 

14

  

ORAL MANIFESTATIONS OF SYSTEMIC DISEASES(RENAL)
Clinical feature, Differential diagnosis
Investigation, Manifestations
Oral soft tissues, hard tissues, salivary and bony changes in renal patients
Hemodialysis and management of oral manifestations

  

DESIRABLE TO KNOW

 1 hr
 

15

  

GIT+ HEPATOBILIARY DISEASES INCLUDING HEPATITIS
Classification , Management
–Diseases of upper digestive tract/GERD
-Diseases of lower digestive tract/peptic ulcer, inflammatory bowel disease, Crohn’s disease, jaundice
-eating disorders anorexia/bulimia
-syndrome-PlummerWinson syndrome, -peutzjeghers syndrome
cowdens syndrome, gardeners syndrome

  

DESIRABLE TO KNOW

 

 

 

NICE TO KNOW-

 

1 hr
16 ORAL MANIFESTATIONS OF ENDOCRINE DISORDERS I
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		 MUST TO KNOW-       

 

 

 

 

DESIRABLE TO KNOW-

 1 hr
17 ORAL MANIFESTATIONS OF ENDOCRINE DISEASES II
Oral manifestations and dental management of Pituitary gland,
Parathyroid gland and metabolic disorders,
Hypoparathyroidism and Hypocalcemia, Rickets,
Osteomalacia, Vit D deficiency
Adrenal gland, Thyroid gland,
Gonads and Gonadal dysfunction,		 MUST TO KNOW

 

 

DESIRABLE TO KNOW

 1 hr
18 SOFT TISSUE CALCIFICATION AND OSSIFICATION
Classification
idiopathic , Metastatic, Dystrophic
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 and management		 MUST TO  KNOW  

1 hr
19 DISEASES OF BONE MANIFESTED IN THE JAWS AND SYSTEMIC DISEASES MANIFESTED IN THE JAWS.
Clinical Feature, D/D, Investigation, Management
Jaw bone manifestations of systemic and bone diseases
Radiographic features and management.		 MUST TO KNOW 1 hr
20 FORENSIC ODONTOLOGY
Definition, History, scope,
Personal identification, Gender determination,
Age estimation, Bite mark analysis,
Dentist as an expert witness
Rugoscopy,Lip prints
Child abuse and neglect		 MUST TO KNOW

 

 

DESIRABLE TO KNOW
NICE TO KNOW

 2
hrs

MODULE-3

S. NO

 

TOPIC

DOMAIN MUST KNOW  DESIRABLE TO KNOW  NICE TO KNOW

Time
1 MULTILOCULAR RADIOLUCENCIES
Classification and  D/d of Multilocular radiolucencies
Multilocularradilucnencies-types-soap bubble ,honey comb apperanece,tennis racket appearance
Clincialfeatures,etiology,pathogenesis of multilocularradiolucneices
Radiographic diffrentail diagnosis for multilocularradiolucnecies
Cherubism, Aneurysmal bone cyst

Vascular malformation, metastatic tumors to the jaws

 MUST TO KNOW

 

 

 

 

 

DESIRABLE TO KNOW

NICE TO KNOW

 1 hr
2 SPECIALIZED RADIOGRAPHIC TECHNIQUES 
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		 DESIRABLE TO KNOW 3hrs