Syllabus

Oral Medicine & Radiology

Third Year , BDS

 

SrNo

 

TOPIC
TEACHING GUIDELINES

DOMAIN
MUST KNOW,DESIRABLE TO KNOW,                                         NICE TO KNOW

Time
hr

 

INTRODUCTION TO ORAL MEDICINE AND RADIOLOGY
History, Definitions,
Scope of  Oral medicine and Radiology
History of Oral medicine and Radiology , Definitions of OMR, Pioneers in OMR, Scope of OMR

 

 

MUST TO KNOW
DESIRABLE TO KNOW
NICE TO KNOW

1hr
 

CASE HISTORY AND EVALUATION OF THE DENTAL PATIENT
Types,
SOAP formats, Significance of  history recording
Definitions of case history, Provisional diagnosis.
Types of case history –POR,SOAP,Conditioned format
History of present illness, Past illness
Importance of medical history , Drug history
History of allergy or hospitalization
Skills in Extra oral and intraoral examination
TMJ, lymph nodes, muscle of mastication, Salivary gland examination
General physical examination, Extra oral emanation :
Examination of TMJ,Muscles of mastication, salivary gland ,cervical lymph nodes
Intraoral examination drug history of soft tissue and hard tissue structures
Provisional diagnosis, Investigations, Final diagnosis, Prognosis, Treatment plan
Forming a provisional diagnosis, Differential diagnosis
Investigations , Definitive diagnosis
Treatment plan  -phases of treatment plan, Prognosis
Electronic health record keeping

 

MUST KNOW 

 

 

 

 

 

 

 

 

 

 

 

1hr

 

3.

CERVICAL LYMPHADENOPATHY
Knowledge, Classification & Significance of  cervical lymphadenopathy
Skills of Examination of LN
Lymphatic system and lymph node
Drainage of head and neck
Significance of lymphadenopathy related findings
Levels of lymph nodes
 

MUST TO KNOW

 

 

DESIRABLE TO KNOW
NICE TO KNOW

 

1hr

4.

 

 

ANTIMICROBIAL  AND ANALGESICS IN DENTISTRY
Usefulness, Commonly used antibiotics in dentistry,
Commonly used analgesics in dentistry, Clinical Application
Classification and mechanism of action  and adverse reaction and drug interaction
Special emphasis on Penicillin, Cephalosporin, Tetracycline, Metronidazole
NSAIDS : Classification of  MOA ,Indication,contraindication,side effects, drug interaction
Uses according to intensity of pain
OPIOIDS : Classification of  MOA ,Indication,contraindication,side effects, drug interaction
 

MUST TO KNOW

 

 

 

 

DESIRABLE TO KNOW

 

 

 

1hr

5. ASEPSIS,  STERILIZATION & BIOMEDICAL WASTE DISPOSAL
Need of asepsis,  Methods of sterilization,
Methods of waste disposable
Necessity of sterilization and disinfection
Need and method of waste disposal
 

MUST TO KNOW:

 

DESIRABLE TO KNOW

 

1hr

6. PULPAL & PERIAPICAL DISEASES
Sequalae of pulpitis,
Clinical and radiographic features of Periapical granuloma, cyst, Abscess
Differential diagnosis and management
Osteomyelitis
 

MUST TO KNOW :

 

1hr

7. PERIODONTAL DISEASES
Classify and differentially diagnose each pathology.
Periodontal disease
Introduction : normal anatomy, cementation, Gingivitis,
Periodontal ligament,  Alveolar bone
Etiology , Classification
Periodontal diseases-(etiology, clinical feature, management)chronic periodontitis,aggressive periodontitis
Periodontal manifestation of systemic diseases
Necrotizing periodontal diseases, periodontal abscess
Perio-endo lesion
Radiological features in periodontal diseases
Advanced diagnostic modality
 

MUST TO KNOW :

 

 

 

 

 

NICE TO KNOW:

1hr
8. BACTERIAL  INFECTIONS
Clinical behavior, Differential diagnosis, investigation and
management of each disease
Clinical course, presenting signs and symptoms, differential diagnosis, investigations and management of each disease.
TB, syphilis, Actinomycosis
Specific and non specific infection
Cat scratch disease, Leprosy, Cancrum  oris ,Vincets mouth
 

MUST TO KNOW:
.

 

DESIRABLE TO KNOW
NICE TO KNOW:

 

2hr

 

9.

VIRAL  INFECTIONS
Clinical features
Oral manifestations of various viral infections.
Modes of spread, Investigate and management
Differential diagnosis, investigation & management of each disease
 

MUST TO KNOW

DESIRABLE TO KNOW

 

2hrs

 

10

 

FUNGAL  INFECTIONS
Knowledge of oral fungal lesions and clinical behavior.
Diagnosis and management.
Types of fungal infections- Superficial and deep.
Classification of candidiasis, predisposing factors, in detail about each type clinical features, investigations and management.
In brief about other deep mycoses like histoplasmosis, blastomycosis, aspergillosis, mucormycosis. The clinical features, investigations and differences in their management with candidiasis.

 

MUST TO KNOW

 

 

DESIRABLE TO KNOW

1hr
11. RADIATION PHYSICS
Knowledge of basics of physics in oral radiography.
Skills on optimal use of exposure parameters
Radiation,Elctromagnetic spectrum
Properties of X rays, production of X rays, interaction of X rays with matter, Design of x ray tube and its functioning
Radiation monitoring devices
Radition units-dosimetry
Heel effect , Space charge effect
 

MUST TO KNOW

 

 

 

DESIRABLE TO KNOW                                       

 

2hr

12 RADIATION BIOLOGY     
Significance of diagnostic and therapeutic radiation & hazards related.
Measures employed in oral radiology for these hazards.
Various types of effect of radiation
Effects of radiation on cell cycle
Sensitivity of various cells to radiation
Effects of radiation on oral mucous membrane
Direct and indirect effect
Deterministic and Stochastic effects
 

MUST TO  KNOW

 

 

DESIRABLE TO KNOW                                       

 

1hr

13.

 

RADIATION SAFETY & PROTECTION
Knowledge of concept and measures of radiation safety in oral radiology.
Significance and importance of Radiation, Biologic effects and measures taken to prevent radiation hazards.
 

MUST  TO KNOW

 

1hr

 

14

 

CONCEPT OF PREMALIGNANCY AND CHAIRSIDE INVESTIGATIONS
Early detection and knowledge of oral premalignancies.
Skills in chair side test in early detection in cancerous and precancerous condition.
Chair side detection and knowledge of oral premalignancies

 

 

MUST  TO KNOW

NICE TO KNOW

1 hr
15 SPREAD OF ORAL INFECTIONS AND SPACE INFECTIONS
Knowledge of potential facial spaces and the foci of infection.
Skills of clinical diagnosis of facial space infection.
Sequelae of dental caries,  Osteomyelitis, Ludwig’s angina  Acute, chronic abscess Lumpy jaw
Spaces in oral maxillofacial regions and manifestations of space infections-clinical features, diagnosis, management
 

MUST TO KNOW

 

DESIRABLE  TO KNOW

1 hr
16 X-RAY FILMS, INTENSIFYING SCREENS & GRIDS.
Knowledge of different type of X-ray films  in oral Radiation
Knowledge of film accessories like grids, screen, use and function.
Fundamentals of X rays films, their importance, composition and classification. Extra oral films, screens
Grids, classification and uses.
 

MUST TO KNOW

 

 

DESIRABLE  TO KNOW

1
 

17

LATENT IMAGE AND PROCESSING.
Formation of latent image
Concept of processing and its solution.
Concept of latent image formation
Composition of developer and fixer
Various methods of processing radiograph
Processing equipment
Dark room lay out
Automatic processor
 

MUST  TO KNOW

 

 

DESIRABLE TO KNOW                                       

 

1 hr

18 PROJECTION GEOMETRY AND ERRORS IN RADIOGRAPHS
Principle of projection geometry
Bisecting angle technique
Paralleling  technique
Errors in radiographs and their rectification
 

MUST TO KNOW

1 hr
19 NORMAL RADIOGRAPHIC ANATOMY
Knowledge of Various radiological landmarks on intra and extra oral radiographs.
Landmarks common to both maxilla and mandible
Cervical burn out, lamina dura
alveolar bone radiological landmarks on intra  oral maxilla and mandibular landmarks and extra oral radiographs
 

MUST TO KNOW-

1 hr
20 PRINCIPLES OF RADIOGRAPHIC INTERPRETATION
Knowledge of various principle of interpretation of  jaw pathologies
Radiographic D/D of jaw lesions.
MUST TO KNOW 1 hr
 

21

CRANIAL NERVE EXAMINATION
Knowledge of cranial nerves supplying  the face and neck
Clinical examination of cranial nerves and their function.
 

DESIRABLE TO KNOW

1 hr
22 LABORATORY INVESTIGATIONS
Knowledge of the laboratory investigation in oral disease
Clinical judgement required for Lab Inv. in oral diseases
Importance of lab investigations in oral medicine.
– basic investigations like complete hemogram including RBC count, platelet count, Hb, TLC,DLC, MCV,PCV,MCH,MCHC.
BT,CT,PT,INR,aPTT, RBS, fasting blood sugar, HbA1c, OGTT, Urine examination, LFT, KFT, serum Ca, P, Alkaline phosphatase, Acid phosphatase etc
Microbiological investigations like culture and antibiotic sensitivity testing
 

MUST TO KNOW

 

DESIRABLE TO KNOW

 

 

NICE TO KNOW

1 hr
23 OCCUPATIONAL HAZARDS
Knowledge of various occupational disease associated with dentistry and Occ. Hazards affecting oral cavity
NICE TO KNOW  

1 hr

24 DEVELOPMENTAL DISTURBANCE IN HEAD AND NECK INCLUDING SYNDROMES
Understanding of the etiology and clinical features of common syndromes of head and neck, soft and hard tissue development abnormalities.
Developmental disturbances  of teeth, lips, tongue, salivary glands, palate and jaw bones, Syndromes affecting jaws
Management of various dev/ dist and syndromes.
 

DESIRABLE TO KNOW

 

1 hr

25 STEROIDS IN ORAL MEDICINE.
Knowledge of use of steroids in oral disease
Safety precautions in their use, Classification of steroids
Indications, Contraindications, Side effects
Various topical and systemic steroids prescribed to patients with various oral lesions
 

MUST  TO KNOW

 

1 hr