CURRICULUM FOR OPERATIVE DENTISTRY (2019-20)
CURRICULUMFOROPERATIVE DENTISTRY(2019-20)National University of Medical SciencesPakistan1
I.Context / PreambleOperative dentistry is a specialty within dentistry that deals with the that phase of dentistryconcerned with restoration of parts of the teeth that are defective through disease, trauma, orabnormal development to a state of normal function, health, and esthetics, including preventive,diagnostic, biological, mechanical, and therapeutic techniques, as well as material and instrumentscience and applications in all age groups. It also includes the field of endodontics related toprevention and treatment of pulpal and periapical diseases.This undergraduate Operative dentistry curriculum is designed to train Bachelor of Dental Surgery(BDS) students to provide restorative and endodontic services in the practice of general dentistry.This mainly involves diagnosis and management of dental caries and management by different typeof restorations and it also deals with diagnosis and management of teeth with pulpal and periapical diseases. They would also be able to manage Dental trauma.Operative dentistry is a major subject of final professional BDS examination and carries a total of300 marks.II.Mission: The mission of this course is to familiarize BDS students with the basic knowledge,skills and attitudes for safe practice of operative dentistry and endodontic procedures indental clinics.III.Competencies: The following generic competencies apply to this operative dentistrycourse: Critical Thinking Problem Solving Communication Skills Professionalism Procedural SkillsIV.V.VI.Learning Outcomes: Specific Learning outcome of each course is attached as Annex AImplementation of the curriculum:Overview:1. The Operative dentistry is divided into three main blocks with 23 different themes taughtsequentially as given below:A. Operative dentistrya. Radiology & Radiographyi. Periapical Bitewingii. Occlusaliii. OPGb. Restorative materialsi. Amalgam Applied Chemistry2
c.d.e.f.g.h.i.j.ii. Mercury hazards & hygieneiii. Composite resins Applied Chemistry, Acid etching, Enamel & Dentine bonding,Restoration of Class III & IV Posterior Composite Veneersiv. Cements Ca(OH)2 Glass Ionomers Zinc Phosphates Zinc Oxide Eugenol andothersDiscoloration of teethInlays and OnlaysRestoration of Pulpless teeth (Post and Core)Pin Retained restorationsBleaching - Internal - ExternalVeneers Porcelain. Composite MetalRestorative / Gingival InterfaceManagement of medically compromised patients with special reference to HIVand Hepatitis Implant supported restorations OcclusionB. Paedodonticsa. Child management in dental practiceb. Prevention of Dental Diseasei. Prenatal Counselingii. Oral prophylaxisiii. Fluoride administrationiv. Dietary managementv. Diet counselingvi. Home carec. The Acid etch Technique in caries preventiond. Pit & Fissure Sealants & Preventive resin restorationse. Radiologyf. Problem of Pain & Sedationg. Periodontal disease in childrenh. Injury to the primary & permanent teethi. Pulp therapy for the primary & young permanent teeth-Apexification Apexogenesisj. Restorative dentistry for the primary dentitionk. Anesthesiaa) Rampant caries b) Fluorides c) Treatment of handicapped childrenC. Endodonticsa. Diagnostic Procedures. - History - Clinical examination - Therapeutics3
b. Clinical Classification of pulpal & periapical disease - Reversible pulpitis. Irreversible pulpitis. - Acute apical periodontitis. - Acute apical abscess - Chronicapical periodontitisc. Local Anesthesiad. Instrumentse. Internal Morphology & Access openingf. Pulpectomy – diagnostic & working length, cleaning filing, shapingg. Bio-mechanical canal preparation etc.h. Irrigants & intra canal medicamentsi. Root canal sealers & obturation.j. Failures in endodonticsk. Surgical Endodontics & Re-treatmentl. Endo – perio lesionsm. Internal, external resoptionn. Radiographic Analysis.o. Dental emergencyp. Sterilization and asepsisq. Traumatic injuries - Crown fracture - Root fracture - Displacement - Avulsion2. The theory component is covered by three lectures per week in fourth (Final) year.3. Practical training is imparted during aneight week rotation in fourth year BDS.4. During their clinical rotation, students in small groups learn through practical chair sidedemonstrations of the techniques ofa. local anesthesia administrationb. Class 1, Class II cavity preparation, condensation, burnishing and finishing ofAmalgam restorationsc. Cavity preparations, placement, finishing and polishing of Class III, Class IV and ClassV cavities with composite restorationsd. They then perform Class I, Class II Amalgam restorations and Class III, IV and Vcomposite restorationse. They also perform 05 cases of endodontic therapy on extracted teeth.VII.Weekly Plan Operative Dentistry:Operative dentistry Lectures Schedule Final Year BDS (2017 – sdayWednesdayThursdayFriday08:00 – 09:00 11:00 –12:004
Operative dentistry Practical / Clinical Schedule Final Year BDS (2017 - hursdayFriday11:00-14:30Clinical Procedureunder SupervisionVIII.Tuesday11:00-14:30 11:00-143011:00-14:30Resources:To be filled by each InstituteIX.Facilities:To be filled by each InstituteX.Course Administration:To be filled by each InstituteXI.Students Assessment:a. Minimum attendance of 75% is a requirement to appear in university professionalexamination.b. Students are expected to perform 250 fillings of teeth as recommended by PM&DC duringc.d.e.f.g.h.i.j.their clinical duty in 4th Year BDS and successfully complete practical exercises andassignments.Continuous formative evaluation is conducted during the academic year comprising of 5theory tests, and 2 clinical assessment tests (Pre-annual and Annual). The results arecommunicated to students through notice board. Feedback is provided after eachevaluation.Mid - Term, Term, Pre - Annual and Annual ExaminationThere will be two mid-term & term examinations followed by a pre-Annual and annualexaminations each year.The structure of the paper of all the term examinations and pre-annual will be the sameas that for annual examination though syllabus will be different.The structure of Mid-term exam will be half of the term exam.The syllabus for mid-term & term examinations will be announced by the department atleast 02 weeks prior to examination.Pre-annual examination will be from whole syllabus.The date sheet for mid-term, term and pre-annual examinations will be published byExamination branch while the examinations will be conducted by respectivedepartment.5
k. The result will be submitted to examination branch for incorporation in internalassessment.l. Internal assessment marks based on the above evaluations are sent to the university atthe end of academic year and constitute 10% of the final professional examinationscore.m. Log bookEach student is expected to maintain record of practical work in log book. Safe keeping(make copies) of the log book is the responsibility of each student. The log book must besubmitted to the Operative dentistry department at the end of the academic year.XII.Final Professional University ExaminationThe summative assessment consists of a theory paper and practical examination with thefollowing details:Total Marks:Theory:Paper:Internal Assessment:Total:Practical Examination:Clinical Examination:Internal Assessment:Total:Grand Total:XIII.30090 marks (30 MCQs & 09 SAQs)10 Marks100 Marks18020200 Marks300 MarksCommunication of Information to Students: All information communicated tostudents through Notice boards.XIV.Learning ResourcesRecommended Textbooks The Art & Science of Operative Dentistry by SturdevantPickards Manual of Operative Dentistry by EAM KiddPaediatric Dentistry by WelburyPathway of the Pulp by CohenFundamentals of Operative Dentistry by SchwartzEssentials of Dental Radiography & Radiology by Frickwhaites6
Anx-ASr.NoTopic/themeCourse ContentLearning OutcomesAt the end of each module, student will be able to:Knowledge1. Dental Caries 2. AmalgamDental caries and its typesCauses of dental caries Diagnosis andtreatment planning fordental carious lesionsFundamentals of tooth preparartionAmalgam Applied Chemistry Mercury hazards andHygiene Restoration of Class I andII Complex Amalgamrestorations %SkillsDefine dental caries and its different typesTo enlist different methods of diagnosingdental caries and topractice all the tests ofdiagnosis competentlyDiscuss fundamentalsand classification oftooth preparations fordental cariesExplain the physicaland chemicalproperties,manipulation, finishingand polishing andresolution of errorsrelated to Self-directedIdentify dentalcarieslearning/Assignmentpractice all steps forcavity preparationscompetentlyLecture/Case-basedlearning7
3. -Composites Pin retainedrestorations -Composites Explain the physicaland chemicalproperties,manipulation, finishingand polishing andresolution of errorsrelated to amalgamrestorations Differentiate types ofdentin bonding agentsused and the physicaland chemicalproperties of DentinBonding agents(DBA) Explain differenttechniques used toprepare for directcomposite veneers andto identify the cause offailure of direct veneer Applied chemistry Acid etching Enamel and dentinebonding Restoration of Class IIIand Class IV Composite VeneersDiscuss the physicalproperties of dentinalpins and to enlist thesteps used forpreparation ofcomplex amlgamrestorationLectures; Case-basedlearning/Chair-sidelearning8
4.Veneers-Veneers Describe differenttechiques ofpreparation and clinicalmethods related tofinishing, polishing andcementation of Directand indirect veneersPorcelainMetal5.-Pin Retained restorations- Inlays and Onlays--Crowns6. -CAD and CAM-CAD and CAM -Occlusion- Restoration of Pulplessteeth(Postand Core) -Cements Ca(OH)2Glass IonomersZinc PhosphatesZinc oxide Eugenol andothers LecturesDescibe the physicalproperties ,manipulation,finishing and polishingresolution of errorsrelated to amalgamrestorationsLectures; ClinicalDescibe the physicalproperties of differentingots used in Indirectveneers, onlays andinlaysEnlist the steps ofconstruction ofrestorations in CADand CAMEnlist the clinical stepsrelated to try in,finishing, polishingand cementation ofCAD and CAMLecture; /clinicaldemonstration9
-Restorative/Gingivalinterface 7.Radiology and Radiography -Periapical-Bitewing-OcclusalOPG constructed veneers,inlays and onlaysEnlist differentrestorations used forendodonticallytreated teethDescribe the differenttypes of endopostused, the physicalproperties andmethod ofpreparation,cementation and corebuild upDefine biologicalwidth and list thefactors effecting thehealth of biologicwidthDiscuss basicprinciples,interpretation, clinicaltechniques forperforming peri apicalradiographs and tointerpret the errorsand how to rectify theLecture; nstration10
8.Management of medically compromisedpatients with specialreference to HIV andhepatitis9.Occlusionerrors in peri apicalradiographsTo interpret OPGradiographs fordiagnosisManagement of medically compromised patientswith special reference toHIV and hepatitisIdentify the factorsrelated to medicallycompromisedpatients and thenecessary prerequisites forhandling the patientsbefore performingany operativeproceduresLecture; Skill lab/ Recall differentterminologies used inocclusionDescribe differentprocedures used fortaking occlusalrelationshipsnecessary forconstructingrestorationLecture; case-basedOcclusion emonstration11
10. Discoloration of tethDiscoloration of teeth 11. Bleaching BleachingInternalExternal 12. Clinical classification ofpulpal and periodontaldisease13. Diagnosis &Treatmentplanning Reversible Pulpitis Irreversible Pulpitis Acute apicalperiodontitis Chronic apical periodontitis Acute Alveolar abscess Chronic alveolar abscess Focal sclerosingosteitisDiagnosis &Treatment planning Diagnostic procedures History and Clinicalexamination Radiographic analysis Identify differenttypes of discolorationof teethDescribe the differenttechniques used fortreating discoloredteethLecture; nstrationExplain different typesof bleachingtechniquesTo list the steps forperforming differenttypes of bleachingIdentify the differentclinical signs andsymptoms of differentpulpal diseaseInterpret peri apicalradiographs related tothe pulpal diseasesand to diagnoseLecture; case-basedDiagnose pulpal andperi apical diseases bycombining the clinicaland radiographicalexaminationLecture; case-basedlearninglearning12
14. Non- odontogenic diseases -Non- odontogenic diseases mimickingmimickingpulpal and periodontaldiseasespulpal and periodontaldiseases -Endo-perio lesions -Resorption InternalExternal To prepare treatmentplan in a sequentialmanner and accordingto the problem listlist the different nonodontogenic diseasesmimicking pulpal andperi apical diseaseslist the differentiatingfeatures that help indiagnosisng the nonodontogenic diseasesLecture; case-basedlearningRecall different typesand clinical features ofendoperiolesiondiagnose endoperiolesions on the basis ofsigns and symptomsand radiographicinterpretationlist different types andclinical features ofresorptionDifferentiate internaland externalresorption on the basisof clinical and13
15. TherapeuticsTherapeutics -Non- surgical endodontics-Non- Surgical Re –treatment -Surgical endodontics-Dental Emergency-Geriatric endodontics radiographicevaluationPrepare treatmen planand recognize theprognostic valueaccording to the typeof resorptionList the physical andchemical properties ofthe materials used innonsurgicalendodonticsList the differentguidelines and steps ofpreparing access cavityEnlist the differentguidelines and stepsinvolved in chemomechanicalinstrumentationDescribe thebiomechanics of thedifferent instrumentsused in non- surgicalendodonticsLlist the differentsurgical flapsperformed forapicectomyLecture; case-basedlearning14
16. Sterilization and asepsisSterilization and asepsisDiscuss the steps orguidelines forperforming surgicalapicectome andretrograderestorationsDiagnose differentdental traumaticinjuries and to enlistdifferent steps orguidelines formanaging such injuriesIdentify variations inroot morphologyrelated to geriatricpatients and tomanage suchvariations according tothe recommendedguidelines for accesscavities andinstrumentations insclerosed or narrowcanalsEnlist the recommendedguidelines for sterilizationof dental operatories anddental instrumentsLecture; case-basedlearning15
17. Traumatic emergencies-Crown fractures-Root fractures-Displacement-Avulsion18. Child management inDental Practice Diagnose differentdental traumaticinjuries and to enlistdifferent steps orguidelines formanaging such injuriesChild management in Dental Describe different nonPracticepharmacological behaviorLecture; case-basedlearningLecture; case-basedlearningmanagement modalities19. Clinical diagnosis ofClinical diagnosis of Padiatric Differentiate the clinicalfeatures of pulpal and periPadiatric dental diseases dental diseasesradicular diseases of primaryEarly childhood diseaseteethLecture; case-basedlearning-Rampant Caries-Fluorosis-Congenital dental anamolies20. Prevention of DentalDiseasesPrevention of DentalDiseases-Prenatal counselingList the preventive protocolsand different preventivemodalitiesLecture; case-basedlearning-Oral Prophylaxis-Fluoride Administration-Dietary Management-Diet councelling16
-Home care-Acid etch technique in cariesprevention-Pit and fissure sealants andpreventiveresinrestorations21. Treatment modalitiesTreatment modalities-Restorative dentistry forprimarydentition Composite Compomers Glass ionomer Amalgam Stainless steel crowns-Vital and Non Vital Pulptherapy for theprimary and youngpermanent teeth Apexification Apexogenesis Pulpotomy Pulpectomy 22. RadiologyRadiologyinterpret OPG , Bite wingand periapical radiographs23. Injury to primary andInjury to primary andpermanent teeth permanent teeth list indications, contraindications anddifferent stepsinvolved in vital pulptherapies, pulpecotmyRecall the physical andchemical properties ofrestorations used inpediatric dentistryDescribe the Hallstechnique for stainlesssteel crowns and thesteps for preparationof teeth related to thistechnique Practice all types Lecture; case-basedof restorations learningon deciduousteethPractice bite wing and peri Lecture; case-basedapical radiographslearningpractice different splinting Lecture; case-basedDiagnose differentlearningtypes of dental injuries techniques used to17
to primary andpermanent dentition24. Anesthesia and sedation Anesthesia and sedation List indications, contraindications and thepharmacokinetics ofconscious sedationand generalanesthesiastabilize teeth undergoingtraumaLecture; case-basedlearning18
Final Professional BDS Examination (2020)Operative DentistryTime Allowed 03 hrs. (Including MCQs)Marks of theory paper 90Internal assessment 10Total marks 100Pass Marks 5045 x MCQs(45 Marks)Time 50 minQ. No. 1,2,3,4,5,6,7,8,93 x SAQs/SEQs (Recall) 05 marks each6 x SAQs/SEQs (Application) 05 marks eachTotal MarksSr.No 45 MarksCourse ContentTime 2 hours & 10 minNUMBER OF MCQs (45)Recall (18)Application (27)(1 mark each)NUMBER OFSAQs/SEQs (09)(05 marks each)1.Amalgam312.Composites413.Veneers24.Pin Retained restorations25.CAD and CAM26.Radiology and Radiography37.Management of medically compromisedpatients with special reference to HIV andhepatitis28.Occlusion29.Discoloration of teeth111210. Bleaching311. Diagnosis &Treatment planning2classification of pulpal and12. Clinicalperiodontal disease2119
Non- odontogenic diseases mimicking13. pulpal and periodontal diseases214. Therapeutics515. Sterilization and asepsis116. Traumatic emergencies117. Child management in Dental Practice118. Clinical diagnosis of Pediatric dental diseases119. Prevention of Dental Diseases120. Treatment modalities121. Radiology122. Injury to primary and permanent teeth123. Anesthesia and sedation111145 (45)Total09 (45)Internal Assessment calculation (Theory Annual)ABRoll NameNo.CDEFG1st Mid term1st term2nd Midterm 2nd eory)(Theory)(Theory)(Theory)45 Marks90 Marks45 Marks90 Marks90 MarksHTotal Marks ofinternalAssessment outof 10H (C D E F G) 360 x 1020
Table of specifications for Annual Professional Exam: PracticalVIVA90 marksPractical / Clinical90 marksExaminer 1Examiner 245 Marks45 MarksHistoryTaking30TotalOperativeProcedureChair side Viva4010OSCE180 Marks10Internal assessment calculation (Practical)ARoll No.BNameCPractical QuotaCompletionDEnd ofRotationFPre-annual(Practical)Batch Test100 Marks50 Marks180MarksGTotal Marks ofinternal assessmentout of 20(C D E) 330 x 2020 Marks21
National University of Medical Sciences Pakistan. 2 I. Context / Preamble . This undergraduate Operative dentistry curriculum is designed to train Bachelor of Dental Surgery (BDS) students to provide restorative and endodontic services in the practice of general dentistry.
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