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PG Curriculum. RGUHS

POST GRADUATE TRAINING IN CONSERVATIVE DENTISTRY & ENDODONTICS (M.D.S.)

“RE-STRUCTURING THE CURRICULUM FOR 3 YEARS COURSE”

Dr. B. SURESH CHANDRA Coordinator Vice Principal, Professor & HOD A.R. Sheth member list of Dental Sciences DERALAKATTE MANGALORE

Membrs 1. Dr. K.K. Wadhwani Prof & HOD K.G. Medical College, Lucknow. 2. Dr. Anil Kohli New Delhi 3. Dr. C.P. Govilla Lucknow 4. Dr. Rajiv Chugh New Delhi

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PG Curriculum. RGUHS

RE-STRUCTURING THE CURRICULUM FOR 3 YEARS COURSE CURRICULUM GOALS Goals for postgraduate training in conservative dentistry and Endodontics would be to prepare a B.D.S graduate who will  Practice Conservative / Restorative dentistry efficiently and effectively backed by scientific knowledge and skill base. Essential knowledge of basic sciences mandatory.  Practice Endodontics in all its broader perspectives with basic knowledge of oral anatomy, physiology and pathology and advanced knowledge of periodontics, microbiology and immunology.  Be kind and considerate and maintain high ethical standards.  CONTINUE TO DEMONTSTRATE KEEN INTEREST IN CONTINUFNG dental education in Conservative/ Restorative dentistry and Endodontics and related dental specialties irrespective of whether he or she is in academics or specialist practice.  Be a committed teacher, defined as Restorative dentist keen to share his knowledge and skills with colleagues, juniors or peers in the specialist area of the field. OBJECTIVES OF THE COURSE The following objectives are laid out to achieve the goals of the course. These objectives are to be achieved by the time the candidate completes the course. These objectives may be considered under the following subtitles. KNOWLEDGE SKILLS HUMAN VALUES- ETHICAL PRACTICE & COMMUNICATION ABILITIES

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PG Curriculum. RGUHS

At the end of 36 months of training, the candidate should be able to: KNOWLEDGE  Describe aetiology, pathophysiology, periapical diagnosis and management of common RestoratiNt situations, Endodontic situations that will include contemporary management of dental caries, management of trauma and Pulpal pathoses including Periodontal situations.  Demonstrate understanding of basic sciences as relevant to Conservative/ Restorative dentistry and Endodontics.  Identify social, economic, environmental and emotional determinants in a given case or community and take them -into account for planning and execution at individual and community levels.  Ability- to master differential diagnosis and recognize conditions that may require multidisciplinary approach or a clinical situation outside the realm of the specialty, which he/she should be able to recognize and refer to appropriate specialist.  Update himself by self study and by attending basic and advanced courses, conferences, seminars, workshops in the specialty of Conservative dentistry / Endodontics / Dental Materials and Restorative Dentistry.  Ability to teach, guide colleagues and other students  Use information technology tools and carry out research both basic and clinical with the aim of publishing his work and presenting the same at various scientifi6 platforms. SKILLS  Take proper chair side history, examine the patient and perform essential medical and dental diagnostic procedures and order as well as perform relevant tests and interpret them to come to a reasonable diagnosis about the dental conditions in general and Conservative dentistry/ Endodontists in particular. 3


PG Curriculum. RGUHS

And undertake complete patient monitoring including preoperative as well as postoperative care of the patient.  Perform all levels of restorative work and surgical and non-surgical Endodontics including Endodontic endosseous implants, as well as Endodontic- Periodontal surgical procedures as part of multi disciplinary approach to clinical situation.  Provide basic life saving support services in emergency situations.  Manage acute pulpal and pulpal & periodontal situations and emergency procedures.  Have a thorough knowledge of INFECTION CONTROL MEASURES in the dental clinical environment and laboratories.

HUMAN VALUES - ethical practice and communication abilities.  Adopt ethical principles in all aspects of restorative and contemporary Endodontics including non-surgical and surgical Endodontics.  Professional honesty and integrity should be the top priority.  Dental care has to be provided regardless of social status, cast, creed or religion of the patient.  Develop communication skills- in particular, the skill to explain various options available in management and to obtain a true informed consent from patient.  Apply high moral and ethical standards while carrying on human or animal research.  He shall not carry out any heroic procedures and must know his limitations in performing all aspects of restorative dentistry including Endodontics. Ask for help from colleagues or seniors when required without any hesitation.

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PG Curriculum. RGUHS

 Respect patient's rights and privileges including patient's right to information.

COURSE CONTENTS ESSENTIAL KNOWLEDGE It is globally recognized today that Conservative dentistry and Endodontics covers basic knowledge of all restorative materials and materials associated with Endodontics. It is also recognized that the area of Conservative dentistry includes knowledge of dental caries and treatment modalities associated with management of dental caries. Basic advanced knowledge of non-carious lesions of mineralized tissues and of carious lesion is essential. Basic and advanced knowledge of biological basis of Endodontics and management of all Endodontic situations, which includes all aspects of diagnosis, treatment planning and treatment modalities are also mandatory. An individual specializing in restorative dentistry should also have knowledge of allied specialties like Periodontics/ Pedodontics & Preventive Dentistry. CONSIDERED SUBDIVISIONS FOR COURSE CONTENTS SHALL BE UNDER I. II.

BASIC SCIENCES DENTAL MATERIALS

III.

CONSERVATIVE DENTISTRY

IV.

ENDODONTICS

V. VI.

AESTHETIC DENTISTRY ALLIED SPECIALITY KNOWLEDGE

BASIC SCIENCES INCLUDE: Applied anatomy (head and neck) Applied physiology/ biochemistry/ oral pathology Applied pharmacology & therapeutics Applied bio statistics & Research methodology

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PG Curriculum. RGUHS

Applied pathology and microbiology DENTAL MATERIALS Advanced knowledge of dental materials History and development of all related materials associated with Conservative dentistry Impression materials / restorative materials / investments / casting alloys and all other materials used in Conservative dentistry Physical properties of all restorative materials and materials used in casting procedures. CONSERVATIVE DENTISTRY Detailed systemic history taking, clinical exercises of various systems coming to a provisional diagnosis. Rationale of diagnostic tests Medical laboratory tests / dental diagnostic tests. Informed consent and medico legal issues COPRA Communication skills with patients Concept of essential drugs and rationalization of drugs Principles of evidence based dentistry ENDODONTICS Includes adult and Paedo-Endodontics  Cross infection control in the dental laboratory and clinics.  Advanced knowledge of all aspects of Endodontics, including diagnostics, treatment modalities, materials, techniques & controversies.  Methods of sterilization / asepsis in clinics

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PG Curriculum. RGUHS

 Instruments and instrumentation - advanced knowledge.  Surgical microscopes- loops / enlarged vision in Endodontics and recent concepts and controversies.  Management of pain as related to Endodontics.  Advanced knowledge of biological basis for Endodontics.  Advanced knowledge on preventive Endodontics.  Advanced knowledge of development of histology, pathology, aetiopathology of pulp and associated periodontal tissues.  Advanced knowledge of internal anatomy / variations and its implications in delivery of high level Endodontic care.  Advanced knowledge of radiology as related to Endodontics.  Basic and advanced knowledge of Microbiology as related to micro flora of pulp space in particular and oral cavity in general, including culture methods and taxonomy of Microbial flora of pulp space.  Vital pulp therapy/ advanced knowledge.  Basic and advanced knowledge on all phases of contemporary and advanced Endodontic therapy, including ACCESS CAVITY PREPARATION/ PULP SPACE PREPARATION/DEBRIDEMENT/ CONCEPT OF STERILE PULP SPACE,' METHODS OF OBTURATION & ACCESS RESTORATIVES.  Drugs and chemicals including intra canal medicaments  Management of traumatized anterior & posterior teeth and associated structures.  Basic and advanced knowledge of all types of Endodontic surgeries/ ENDOPERIO SURGICAL SITUATIONS / Endodontic Endosseous implants  Biology of bone healing/ wound healing  Management of post Endodontic situations 7


PG Curriculum. RGUHS

 Post-surgical management of endo surgical patients.  Lasers as related to Endodontics and Endosurgeries.  Advanced knowledge of materials as related to Endodontics  Multidisciplinary approach to Endodontic situations. KNOWLEDGE OF ALLIED SPECIALITIES Basic knowledge of computers and radiology in detail General and local anesthesia Basic and advanced knowledge of Periodontics Basic and advanced knowledge of Pedodontics and preventive dentistry Basic knowledge of oral surgery in management of post operative G.A. patients. Basic knowledge of operative theatre description RADIOLOGY: Basic and advanced methods of intraoral and extra oral radiography. Basic knowledge on RADIOGRAPHY EQUIPMENTS. Advanced knowledge on RVG and other imaging systems methods of developing / fixing radiographs. And on methods of interpretation of radiographs. OPERATIVE SKILLS SHALL BE UNDER I

Pre-clinical knowledge- Conservative dentistry / Endodontics

II Clinical skills 1. Restorative procedures 2. Endodontic procedures and post-Endodontic situations. 3. Surgical Endodontics. III Laboratory skills Impression procedures, disinfection of impression. Making of removable dies. Casting procedures/ preheaters / wax elimination

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PG Curriculum. RGUHS

Ceramic lab work procedures Finishing of casting Fabrication of post and core/ inlays/ onlays and crowns. Fabrication of ceramic laminates/ crown / inlay and onlay. Dental materials  Advanced knowledge of all materials with restorative dentistry, which includes impression materials.  All past, present and future restorative materials and recent advances including their composition, physical properties, advantages/ disadvantages modifications and combinations.  Recent restorative materials including composites/ Glass Ionomers / fissure sealants/  All materials associated with metal casting fabrication and finishing/ abrasives/ polishing agents. .  Ceramics with recent advances. Knowledge of metallurgy.  Biological response to various restorative materials.  Advanced knowledge of dental equipments. Conservative Dentistry Advanced knowledge on conservative dentistry  Cross infection control in dental clinic/ laboratory  Instruments: advanced instrumentation in conservative dentistry  Eqjiipments of the present and future  Advanced methods of diagnosis and treatment planning  Caries diagnosis - advanced methods- epidemiology of caries

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PG Curriculum. RGUHS

 Advanced methods of removal of caries, including chemo mechanical method  Management of dental as an infectious disease  Total advanced knowledge on dental caries essential  Knowledge of clinical aspects of all past, present and possible future restorative methods  Metallic and non-metallic restorative materials including cast gold- direct goldbase metal alloys - composite resin- glass ionomers- combinations and ceramics. - Advanced knowledge  Basic and advanced knowledge about dentin bonding systems and bonded restorations  Tooth preparations to receive all restorative materials including intra/extra coronal.  Knowledge of all types of dental cements- liners/ bases/ varnishes/ intermediary restorative materials.  Clinical procedures associated with all restorative materials / single tooth cast restorations including cast gold/ direct gold / crowns / onlays /inlays and post Endodontic restorations.  Advanced knowledge on Aesthetic dentistry  Advanced knowledge on occlusion  Basic knowledge of general anesthesia  Advanced knowledge on management of pain: Techniques and management  Advanced knowledge of basic Local anesthesia/ supplementary anesthetic techniques/ Management of complications.  Management of hypersensitive dentin / management of discolored teeth - newer methods of treatment modalities.  Lasers as related to Conservative dentistry 10


PG Curriculum. RGUHS

 Advanced knowledge on minimal intervention dentistry

TEACHING AND LEARNING ACTIVITIES The three-year course is a full time one. He / she shall work in the institute as a full time student.

No student shall be permitted to do any kind of PRIVATE

PRACTICE attached to any clinic / nursing home or as a consultant. Each calendar year / academic year shall be taken as one unit for the purpose of calculating attendance. Every student shall take part actively in learning and teaching activities during each year as prescribed by the university/department/institution. This should primarily include topic discussion at chair side. 1. LECTURES: There will be no formal lecture classes except in biostatistics / anestheology/ computers and IT. Lectures are to be kept at a minimum. They may be employed for teaching purposes. Lectures may be didactic or integrated. Didactic lectures: Few topics are suggested as follows Bio statistics Research methods Dental code of conduct and dental ethics National health and disease control programmes Communication skills These topics may be taken up in the 1st few weeks of the 1st year Integrated lectures Recommended to be taken by multidisciplinary teams for selected topics. 2. JOURNAL CLUB: Recommended that they be held once a week. All PG students are expected to participate actively and enter relevant details in logbook.

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PG Curriculum. RGUHS

candidate must make a presentation from the allotted journal(s) of selected articles at least 10 times each year in the 2nd and 3rd years with a total of 20 presentations in 3 years. I year participate in journal club; meet with seniors Minimum 10 journal clubs in 11 year Minimum 10 journal clubs in III year 3. SUBJECT SEMINAR: Recommended that they be held once a week. All PG students are expected to participate actively and enter relevant details in logbook. The candidate must make a seminar presentation, at least 5 each year in the 2 d and 3d years, totally at least 10 seminars at the end of 3 years. Each student shall submit one seminar on basic sciences typed after presentation at the end of I year. At the end of II year and III year at least 3 months before examination shall submit 5 seminars each year, typed bound and after presentation. He shall also submit library dissertation on a chosen subject at the end of second year. 4. STUDENT SYMPOSIUM: recommended as an optional multidisciplinary programme. Evaluation similar. to that for subject seminar. 5. CLINICAL POSTINGS: during I year, H year & III[ year: Dept of Conservative Dentistry & Endodontics. 6. CLINICO PATHOLOGICAL CONFERENCE: At least shall attend and take part in two such conferences in 1st year and 2nd year. 7. INTERDEPARTMENTAL MEETINGS: shall be held once a month with the Dean of the institute chairing the meetings along with all heads of departments of postgraduate departments. 8. TEACHING SKILLS: Maybe asked to attend short-term courses available in the university. May also be asked to lead group discussions with UG students and also may be asked to tale classes for undergraduate courses.

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PG Curriculum. RGUHS

9. CONTINUING DENTAL EDUCATION PROGRAMMES: department shall organize these programmes with the active cooperation of the heads of institutions on a continuous basis 10. CONFERENCES / WORKSHOPS / ADVANCED COURSES: Students should be encouraged not only to attend compulsorily the conferences/ workshops/ advanced courses available but also should be encouraged to host and organize specialty workshops conferences and advanced courses. 11. DISSERTATION: as per university regulations. 12. ROTATION & POSTING IN OTHER DEPARTMENTS: During the 1st year post graduate course students should undergo lecture programs in Anatomy / Physiology / General pathology/ Microbiology/ and general surgery. During 2nd year, students may be exposed to Periodontics/ Paedodontia/ Radiology-15 days each, in addition to specialty posting in conservative dentistry and Endodontics. During the 3rd year- department of Conservative dentistry and Endodontics- full time posting for 12 calendar months. DISSERTATION / THESIS 1.

The library dissertation should be submitted at the end of the first year.

2.

The dissertation is aimed to train a postgraduate student in research methods and techniques. It includes identification of a problem, formulation of a hypothesis, search and review of literature, getting acquainted with recent advances, designing of a research study, collection of data, critical analysis, comparison of results and drawing conclusions.

3.

Every candidate shall submit to University in the prescribed Profonna, a synopsis of the proposed dissertation work,%ithin 6 months from the date of commencement of the course either on or before the dates notified by the university. The synopsis shall be sent through the proper channel.

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PG Curriculum. RGUHS

4.

Such synopsis will be reviewed and the disseration topic will be registered by the University. No change in the dissertation topic or guide shall be made without prior approval by the university.

5.

The dissertation should be written under the following headings: i.

Introduction

ii.

Aims or Objectives of the study

iv.

Materials and methods

v.

Results

vi.

Discussion

vii. Conclusion viii. Summary

6.

ix.

References

x.

Tables

xi.

Annexure

The written text of the dissertation shall not be less than 50 pages and shall not exceed 150 pages excluding references, tables, questionnaires and other checklists. It should be neatly typed in double line spacing on one side of paper (A4 size, 8.27" x 11.69") and bound properly. Spiral binding should be avoided. The dissertation shall be certified by the glide, head of the department

and

head of the Institution. 7.

Four copies of the dissertation thus prepared shall be submitted to the university, six months before final examination on or before the dates notified by the university.

8.

The dissertation shall be valued by examiners appointed by the university. Approval of dissertation work is an essential precondition for the candidate to appear in the University Exam. 14


PG Curriculum. RGUHS

9.

Guide: The academic qualification and teaching experience required for recognition by this university as a guide for dissertation work be as per Dental Council of India regulations, 1993. A Co-Guide may be included provided the work requires substantial contribution from sister department or from another dental / medical institution recognized for teaching/ training by the university/ dental council of India The co-guide shall be a recognized post graduate teacher.

10. Change of guide In the event of a registered guide leaving the college for any reason or in the event of the death of guide, guide may be changed with prior permission from the university. EVALUATION The evaluation of learning outcome of the trainees consists of: a)

Internal assessment (Formative evaluation)

b)

University examination (Summative evaluation) for assessment of learning outcome at the end of the course for award of degree.

A) INTERNAL ASSESSMENT Is essential for monitoring learning progress through continuous appraisal and regular assessment. It also helps teachers to evaluate students, students to evaluate themselves, helps rationalize performance in the examination and to differentiate between candidates of otherwise equal performance in the examination. Formal evaluation is done by the staff of the department based on participation of the students in various teaching/learning activities. Evaluation is structured on the basis of checklists that evaluate these various aspects. Examples of such checklists are given in Annexure I to serve as a guide for the assessment. The learning outcomes to be assessed should include: (i) Personal Attitudes (ii) Acquisition Of Knowledge (iii) Clinical And Operative Skills (iv) Teaching Skills (v) Dissertation. 15


PG Curriculum. RGUHS

(i) Personal Attitudes: The essential items are  Caring attitudes  Initiative  Organizational ability  Potential to cope with stressful situations and undertake responsibility  Trustworthiness and reliability  To understand and communicate intelligibly with patients and others.  To behave in a manner which establishes professional relationships with patients and colleagues.  Ability to work 'in a team  A critical enquiring approach to the acquisition of knowledge. (ii) Acquisition of knowledge : the methods comprise of "log book" which records participation in various teaching / learning activities by the students. The number of activities attended and the number in which presentations are made are to be recorded. The logbook should periodically be validated by the supervisors.

Some of the

activities to be listed include:joumal clubs, seminars/ s),mposia/ clinico-pathological conferences. (iii) Clinical and operative skills: Day-to-day work: Skills in clinical programme should be assessed periodically. The assessment should include the candidate's sincerity and punctuality, analytical ability and communication skills. Clinical meetings: Candidates should periodically present cases to his peers and faculty members. Operative skills: The candidate should be given graded responsibility to enable learning by observation.

The performance is assessed by the guide by direct

observation. Particulars are recorded in the student logbook. 16


PG Curriculum. RGUHS

Quota of cases to be completed by the candidate Inlays and crowns

25

Reinforced restorations, including post and core

15

Endodontically treated multi rooted teeth

100

Aesthetic restorations

50

Surgical interventions

25

(iv) Teaching skills: Candidates should be encouraged to teach undergraduate students. The performance should be based on assessment by the faculty members of the department and by feedback from the undergraduate students. (v) Dissertation in the department: Periodic presentations are to be made in the department. Initially the topic selected is to be presented before submission to the university for registration, again before finalization for critical evaluation and another before final submission of the completed work. All assessment must be periodic and by the department staff. (vi) Periodic tests: Tests must be based on problem based short essay questions or objective questions for assessment of theoretical knowledge. For the assessment of clinical skills separate clinical examination be held using both long and short cases. The minimum number of tests recommended are three, preferably at the end of I & 11 & HI months before completion of the course.

B) UNIVERSITY EXAMINATIONS: (i) Eligibility: The following requirements should be fulfilled by every candidate to become eligible to appear for final examination

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PG Curriculum. RGUHS

Attendance, Progress and Conduct: Every student shall attend symposia, seminars, conferences, journal review meetings, case presentation, clinics and lectures during each year as prescribed by the department and not absent himself/ herself from work without valid reasons. Every student shall maintain a work diary/ logbook for recording his/her participation in the training programmes.

Special mention may be made of the

presentations by the candidate as well as details of clinical or laboratory procedures. The work diary and log book shall be verified and certified by the head of the department and the head of the institution and among other things forms the basis for certifying satisfactory progress. The logbook if demanded, must be presented in the university clinical or viva voce examination. Every candidate should have fulfilled the minimum attendance requirement prescribed in the Dental Council of India and University (80% of the training during each academic year of the postgraduate course). The university appointed examiners should have accepted the dissertation work. Any student who fails to complete the course in the manner stated above should not be permitted to appear for the University Examinations. SCHEME OF EXAMINATION: 1. Prior evaluation of the dissertation 2. Written papers (theory) 3. Clinical Examination 4. Viva Voce PRACTICALS EXERCISE I: Preparation of the post space for an anterior endodontically treated tooth and obtain wax pattern

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PG Curriculum. RGUHS

EXERCISE II: Prepare a lower or upper molar to receive a class 11 cast gold inlay restoration / Obtain rubber base impression/ wax pattern / casting EXERCISE III: Selection of case for molar Endodontics-Access cavity - estimation of working length - biomechanical preparation- obturation EXERCISE IV: Class 11 direct composite restoration in a posterior tooth up to finishing EXAMINERS:

There shall be at least four examiners in each subject. Out of

them two shall be external examiners and two shall be internal examiners. The qualification and teaching experience for appointment as an examiner shall be as laid down by the Dental Council of India and the University. There shall be at least 4 examiners.

Out of them two shall be external

examiners and two shall be internal examiners.

The qualification and teaching

experience for appointment as an examiner shall be as laid down by the Dental Council of India. Criteria for declarinly as pass in University Examinations: To pass in the University examination, a candidate shall secure in theory examination, an aggregate of 50% of total marks prescribed for each paper, provided the candidate has secured a minimum of 40% of total marks prescribed in each paper, and 50% of the total marks prescribed for practical/ clinical training including viva voce examination. Further, a candidate shall secure the minimum 50% of marks in each of the two components, i.e., theory and practical/clinical including viva-voce separately in the same examination to be declared as pass. A candidate securing less than 50% marks as described above shall be declared to have failed in the examination.

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PG Curriculum. RGUHS

RECOMMENDED BOOKS AND JOURNALS TEXT BOOKS BOOKS

AUTHORS

1.

BASRANI

Fractures of the teeth, prevention and treatment of the vital and non-vital pulp.

2.

Textbook of operative dentistry

BAUM

3.

Advanced restorative dentistry

BAUM AND McCOY

4.

Dentin and pulp in restorative dentistry

BRANNSTORM

5.

Principles and practice of operative dentistry

CHARBENEAU

6.

Operative dentistry

GILMORE

7.

Modem concepts in operative dentistry

HORSTED-BANDSLEU MAJOR

8.

Esthetic composite bonding

JORDAN

9.

Tissue management in restorative dentistry

MALONE & PORTER

10. Operative dentistry: modem theory and practice

MARZOOK

11. Anterior restoratives

PARAMESHWARAN & RAJAN

12. Manual of operative dentistry

PICKARD

13. Art, science and practice of operative dentistry

STURDEVANT

14. Atlas of operative dentistry - pre clinical and clinical

EVANS & WETZ

procedures 15. New concepts in operative dentistry

FUSIYAMA

16. Colour atlas of conservative dentistry

GRUNDY

17. Atlas of operative dentistry

HOWARD & MOLLER

18. Conservative dentistry

JACOBSON

19. Handbook of clinical Endodontics

BENCE

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PG Curriculum. RGUHS

20. Why root end therapy?

BERNS

21. Pathways of the pulp

COHEN & BURNS

22. Bleaching teeth

FEINMAN

23. Technique in clinical Endodontics

GERSTEIN

24. Endodontic practice

GROSSMAN

25. Problem solving in Endodontics, prevention,

GUTMANN

identification and management 26

Endodontics in clinical practice

HARTY

27. Endodontics

INGLE & TAINTOR

28. Principles of Endodontics

MUMFORD & JEDYNAKIEWIC

29. Endodontics

NICHOLS

30. Manual of four handed dentistry

PAUL

31. Endodontics- science and practice

SCHROEDER

32. Endodontology - biologic considerations in

SELTZER

Endodontic procedures. 33. Restoration of the endodontically treated tooth

SCHILLLNGBERG & KESSLER

34. Systematic Endodontics

SHOJI

35. Principles and practice of Endodontics

WALTO.N & TORABINEJAD

36. Colour atlas of acid etch technique

MURRAYYA & BENNETT

37. Endodontic therapy

WEINE

38. Colour atlas of Endodonties

MESSING & STOCK 21


PG Curriculum. RGUHS

39. The dental pulp

SELTZER & BENDER

40. Dynamic aspects of the dental pulp

INOKI

41. Experimental Endodontics

SPANGBERG

42. Essentials of dental caries and its management

KIDD & JOYSTON BECHAL

43. Caries risk, practical guide for assessment and

KRASSE

control 44. Cariology

NEWBRUN

45. Text book of cariology tooth development and caries

THYLSTRUP & FEJERSKOV

46. Tooth colored filling material in clinical practice

DEUBERT & JENKINS

47. Silver amalgam in clinical practice

GAINSFORD

48. Dental amalgam

VRIJHOEF

49. Glass Ionomer cement

WILSON & McCLEAN

50. Understanding dental caries

NIKIFORUK

51. Color atlas of a new concept of enamel caries

BANDLISH

52. Pediatric operative dentistry

KENEDY

53. Fluorides in caries prevention

MURROY & RUGG-GEENN

54. Applied dental materials

ANDERSON

55. Dental materials science

BASU

56. Dental materials, properties and manipulation

CRAIG

57. Notes on dental materials

COMBE

58. Science of dental materials

ANUSAVICE - PHILLIPS

59. Color atlas and text of Endodontics

STOCK 22


PG Curriculum. RGUHS

REFERENCE TEXT BOOKS BOOKS

AUTHORS

1. Electroforming in Restorative Dentistry

WIRZ/ HOFFNIAN

2. Esthetic restoration

PAUL J. MUIA 1993

3. Practical lesson in Endodontic surgery

ARENS 1998

4. Aesthetics- direct adhesive restoration of fractured BARATTERI 1998 anterior teeth 5. Clinical atlas of Endodontic surgery

BELLIZZ 1991.

6. Why root canal therapy?

BERNS 1986.

7. Contemporary esthetic dentistry- practice funda

CRISPIN 1994

8. Enamel micro abrasion

CROLL 1991

9. Advances in Glass lonomers

DAVIDSON 1991

10. Complete dental bleaching

GOLDSTEIN 1995

11. Imaging in esthetic dentistry

GOLDSTEIN 1997

12. Creative ceramic colour - practical system

HEGENBARTH 1990

13. Fiber reinforced composite in clinical dentistry

FREILICH 2000

14. Dental ceramics

McLEAN 1983

15. LASERS in dentistry

MISERENDIND1995

16. Principles of Endodontics

MUMFORD 1988

17. Esthetic approach to metal ceramic restorations

MUTERTHIES 1990

18. Hybridization of dental hard tissues

NAKABAYASHI 1998

19. Rubber darn in clinical practice

REID 1991

20. Life and times of G.V. Black

PAPPAS 1983

21. Fundamentals of esthetics

RUFENACST 1992

22. Model concept in diagnosis and treatment

PATTERSON 1991

of fissure caries

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PG Curriculum. RGUHS

23. Bonded ceramic inlays

ROULAT 1991

24. Fundamentals of operative dentistry

SCHWARTZ 1996

25. Fundamentals of tooth preparation

SCFULLINGBURG 1996-

26. Guide to occlusal waxing

SCFULLINGBURG 2000

27. Esthetics with indirect restorations

STEIN 1992

28. Endodontic surgery

STOCKDALE 1992

29. Glass ionomer Cement

WILSON - McLEAN 1988

30. Surgical Endodontics

BARNES 1991

3 1. Endodontics in clinical practice

HARTY 1990

32. Self assessment picture/ test in Endodontics

WALKER 1994

33. Esthetics in dentistry

GOLDSTEIN 1998

34. Operative dentistry

MARZOOK 1996

35. Dynamic aspects of dental pulp

INOKI 1990

36. Dental enamel

CIBA foundation 1997

37. Essential Endodontology

ORSTAVIK 1998

38. Inlays, crowns and bridges

G.F.KANTOROWICZ 1993

JOURNALS FOR REFERFNCE 1.

Journal of Endodontics

2.

Endodontics & Dental Traumatology

3.

International Endodontic Journal

4.

Operative Dentistry

5.

Esthetic Dentistry

6.

Endodontology

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PG Curriculum. RGUHS

7.

Dental Materials

8.

Oral Surgery, Oral Medicine, Oral Pathology

9.

Oral Radiology & Endodontics

10. Journal of Prosthetic Dentistry 11. International Journal of Prosthetic Dentistry 12. Periodontics & Restorative Dentistry 13. Dental Clinics of North America 14. British Dental Journal 15. Dental Abstracts 16. Index to Dental Literature 17. Quintessence International 18. Journal of Dental Education 19. Journal of American Dental Association 20. International Dental Journal 21. Journal of Dental Research 22. Journal of Indian Dental Association 23. Journal of Dentistry 24. And also back volumes of the above journals. RECOMMENDATIONS ADMISSION TO POST GRADUATE COURSE The selection for postgraduate courses should be strictly on the basis of academic merit.

This should be applicable to admissions in government, non-

government and private institutions. Merit should be determined by competitive

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PG Curriculum. RGUHS

entrance tests conducted by universities or and agency authorized by the Government of India, preferably the latter. Reservation of seats shall be as per the policy of Government of India. The Dental Council of India (DCI) should make serious efforts to make aptitude testing also a part of the entrance tests. NUMBER OF SEATS Me Government of India, Dental Council of India and the State Governments should make a dental manpower survey and assess the requirement of each state and agree to train only such number as is required to meet the need. In the interim period, there should a moratorium to the total number of candidates admitted for PG course in Conservative dentistry/ Endodontics.

It is recommended that not more than 6-8

students should be admitted per year in an institute for MDS Conservative Dentistry/ Endodontics, to maintain quality. DURATION Minimum period as fixed by the Dental Council was considered inadequate to train an endodontist to practice independently. Therefore a three-year training period for Postgraduate course was recommended.

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PG Curriculum. RGUHS

Designing curriculum for PG courses in Dental Sciences leading to M.D.S. degree Name of the subject: conservative dentistry and Endodontics Please describe 1. Goals: as prescribed by the University 2. Statement of objectives of the course -

Knowledge

-

Skills and attitudes

-

Communication abilities

3. Course contents -

Essential knowledge

-

Procedural and operational skills*

* Graded responsibility in care of patients operative work (structured training schedule)

Category+

Procedure

O I year

Preclinical work and observation of work done in clinicals submission of synopsis within first 6 months submission of library disseration

II year Clinical work As prescribed by the university / guide / Head of the department Submission of thesis III year

Clinical work Including advanced restorative techniques and surgical Endodontics

27

A

PA

PI


PG Curriculum. RGUHS

+

Key: 0 - Preelinical work done on simulated phantom heads A-Clinical work; restorative / Endodontic work done under supervision of postgraduate teacher/ guide. PA-Performed endosurgical procedures under direct supervision of senior postgraduate teacher Pl- The above three, performed independently.

5.

Teaching and learning activities

5.1

Participation in departmental activities a. Journal review meetings b. Seminars c. Clinico pathological conferences d. Inter departmental meetings e. Community work- camps/ field visits f. Participation in conferences / Presentations of papers g. Any other

5.2

Rotation and posting in other departments (Duration and learning requirements to be specified for a, b & c) a. Basic Medical Sciences related subjects b. Applied subjects c. Allied subjects

28


PG Curriculum. RGUHS

LIST OF EQUIPMENTS REOUIRED FOR POST GRADUATE COURSE -IN CONSERVATIVE DENTISTRY AND ENDODONTICS 3 YEAR COURSE FOR EIGHT ADMISSIONS ANNUALLY I. Dental chairs with all accessories including high speed/ air motor/ micromotor. One Student > One Chair plus two chairs for staff and demonstrations total 26 chairs II. ENDOSONIC HANDPIECES - Physiosaline equipments III. Radiovisuography including peri-apical X-ray machine - 2 sets IV. Mechanized rotary instruments including hand pieces and hand instruments 24 sets atleast V. Glass bead sterilizers 24 VI. Autoclaves for bulk instrument sterilization Vacuum preferrably VII. Autoclaves for hand piece sterilization - 6 nos. VIII. Apex locators- 16 nos. at least IX. Equipments for injectable thermoplasticized gutta percha-2 OBTURA 11 2 kits X. MIDAJET pressurized local anaesthesia XI. Surgical microscopes- CARL ZEISS – 1no. XII. Pickling kits XIII. Surgical endo kits - minimum 16 nos. XIV. Low speed high torque motors-- min 24 nos. XV. ANTHOGYR Torque control handpieces-- min 8 nos. XVI. Kavo torque control handpieces-- min 8 nos. XVII. HuFreidy set of hand instruments-- min 16 sets XVIII. HuFreidy sterilizer trays-- min 8 nos. XIX. Variable Intensity Polymerization equipments VLC units-- min 6 units XX. Conventional VLC units - min IO units XXI. LCD projector with computer -basic system with printer and scanner XXII. Over head projector at least 2 nos. 29


PG Curriculum. RGUHS

XXIII. Slide projector KODAK 2 nos. with carousels XXIV. Clinical micro motors at least 24 nos. XXV. High speed hand pieces 50 nos. XXVI. Composite kits with different shades and polishing kits – minimum 24 kits at any given time. XXVII. Ceramic finishing kits XXVIII. Amalgam finishing kits LABORATORY EQUIPMENT Equipments for casting procedures Equipments for ceramics including induction – casting machines/burnout preheat furnaces/wax elimination furnaces. Lab micro motor/metal grinders/sand blasters/polishing lathes/duplicator equipment / vacuum investment equipments.

30


PG Curriculum. RGUHS

Checklists for Internal Assessment (Note: These are model checklists. Modifications to suit local requirements may be made) Checklist – I MODEL CHECK-LIST FOR EVALUATION OF JOURNAL REVIEW PRESENTATIONS Name of the Student :

Name of the Faculty/Observer :

Date: Sl. No.

Items for observation during presentation

1

Article chosen was

2

Extent of understanding of scope and objectives of the paper by the candidate

3

Whether cross references have been consulted

4

Whether other relevant publications consulted

5

Ability to respond to questions on the paper/subject

6

Audio-visual aids used

7

Ability to defend the paper

8

Clarity of presentation

9

Any other observation

10

Others

Poor 0

Total Score

31

Below Very Average Good average Good 1

2

3

4


PG Curriculum. RGUHS

Checklist – II MODEL CHECK-LIST FOR EVALUATION OF SEMINAR PRESENTATIONS Name of the Student :

Name of the Faculty/Observer :

Date: Sl. No.

Items for observation during presentation

1

Whether other relevant publications consulted

2

Whether cross references have been consulted

3

Completeness or preparation

4

Clarity of presentation

5

Understanding of subject

6

Ability to answer questions

7

Time scheduling

8

Appropriate use of Audio-visual aids

9

Overall Performance

10

Any other observation

11

Others

Poor 0

Total Score

32

Below Very Average Good average Good 1

2

3

4


PG Curriculum. RGUHS

Checklist – II MODEL CHECK-LIST FOR EVALUATION OF CLINICAL WORK (To be completed once a month by respective Unit Heads including posting in other departments) Name of the Student :

Name of the Faculty/Observer :

Date: Sl. No.

Items for observation during presentation

1

Regularity of attendance

2

Punctuality

3

Interaction with colleagues and supportive staff

4

Maintenance of case records

5

Presentation of cases

6

Investigations work up

7

Rapport with patients

8

Overall quality of work

9

Others

Poor 0

Total Score

33

Below Very Average Good average Good 1

2

3

4


PG Curriculum. RGUHS

Checklist – IV EVALUATION FORM FOR CLINICAL CASE PRESENTATION Name of the Student :

Name of the Faculty :

Date: Sl. No.

Items for observation during presentation

1 2

Completeness of history Whether all relevant points elicited Clarity of Presentation Logical order Mentioned all positive and negative points of importance Accuracy of periodontal examination Whether all etiological factors identified Whether any periodontal examination misinterpreted Diagnosis: Whether it follows logically from history and findings Investigations required

3 4 5 6 7 8 9 10

Poor 0

Below Very Average Good average Good 1 2 3 4

Complete list Relevant order 11 12 13 14

Interpretation of investigations Ability to react to questioning whether it follows logically from history and findings Ability to defend diagnosis Ability to justify differential diagnosis Others Total Score

Please use a separate sheet for each faculty member

34


PG Curriculum. RGUHS

Checklist – V MODEL CHECK-LIST FOR EVALUATION OF TEACHING SKILL Name of the Student :

Faculty Member :

Date: Sl. No.

Strong Point

1

Communication of the purpose of the talk

2

Evokes audience interest in the subject

3

The introduction

4

The sequence of ideas

5

The use of practical examples and/or illustrations

6

Speaking style (enjoyable, monotonous, etc., specify)

7

Attempts audience participation

8

Summary of the main points at the end

9

Asks questions

10

Answers questions asked by the audience

11

Rapport of speaker with his audience

12

Effectiveness of the talk

13

Uses AV aids appropriately

14

Others

35

Weak Point


PG Curriculum. RGUHS

Checklist – VI MODEL CHECK-LIST FOR DISSERTATION PRESENTATION Name of the Student :

Faculty :

Date: Sl. No.

Points to be considered

1

Interest shown in selecting topic

2

Appropriate review

3

Discussion with guide and other faculty

4

Quality of protocol

5

Preparation of Proforma

6

Others

Poor 0

Total Score

36

Below Very Average Good average Good 1

2

3

4


PG Curriculum. RGUHS

Checklist – VII CONTINUOUS EVALUATION OF DISSERTATION WORK BY GUIDE/CO-GUIDE Name of the Student :

Guide :

Date: Sl. No.

Items for observation during presentation

1

Periodic consultation with guide/co-guide

2

Regular collection of case material

3

Depth of analysis/Discussion

4

Departmental presentation of findings

5

Quality of final output

6

Others

Poor 0

Total Score

37

Below Very Average Good average Good 1

2

3

4


PG Curriculum. RGUHS

Checklist – VIII OVERALL ASSESSMENT SHEET Sl. No. 1 2 3 4 5 6

Faculty Member

A

Name of student and Mean Score B C D E F G H I

Signature of HOD

J

Signature of Principal

The above overall assessment sheet used along with the log book should form the basis for certifying satisfactory completion of course of study, in addition to the attendance requirement. Key : Faculty Member: Name of the faculty doing the assessment. Mean score is the sum of all the scores of checklists I to VII. A, B, ‌ Name of the study

38


PG Curriculum. RGUHS

LOG BOOK Table 1. Academic activities attended. Name :

Admission year:

College :

Date

Type of Activity Specify Seminar, Journal Club, Presentation, UG teaching

39

Particulars


PG Curriculum. RGUHS

LOG BOOK Table 1. Academic presentations made by the student. Name :

Admission year:

College :

Date

Type of Activity Specify Seminar, Journal Club, Presentation, UG teaching, etc.

Topic

40


PG Curriculum. RGUHS

LOG BOOK Table 1. Academic presentations made by the student. Name :

Admission year:

College :

Date

Key : O A -

Name

OP No.

Procedure

Category O, A, PA, PI

Washed up and observed – Initial 6 months of admission. Assisted a more senior surgeon – I year MDS.

PA - Performed procedure under the direct supervision of a senior surgeon – II year MDS. PI -

Performed independently – III year MDS.

41

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