- Introduction: Definition of Periodontology, Periodontics, Periodontia, Brief historical background, Scope of Periodontics
- Development of periodontal tissues, micro-structural anatomy and biology of periodontal tissues in detail Gingiva. Junctional epithelium in detail, Epithelial-Mesenchymal interaction, Periodontal, ligament Cementum, Alveolar bone.
- Defensive mechanisms in the oral cavity: Role of-Epithelium, Gingival fluid, Saliva and other defensive mechanisms in the oral environment.
- Age changes in periodontal structures and their significance in Geriatric dentistry Age changes in teeth and periodontal structures and their association with periodontal diseases
- Classification of periodontal diseases Need for classification, Scientific basis of classification, Classification of gingival and periodontal diseases as described in World Workshop1989
- Gingival diseases Localized and generalized gingivitis, Papillary, marginal and diffuse gingivitis Etiology, pathogenesis, clinical signs, symptoms and management of
- Plaque associated gingivitis
- Systemically aggravated gingivitis (sex hormones, drugs and systemic diseases)
- ANUG
- Desquamative gingivitis-Gingivitis associated with lichen planus, pemphigoid, pemphigus, and other vesiculobullous lesions
- Allergic gingivitis
- Infective gingivitis-Herpetic, bacterial and candidia
- Pericoronitis
- Gingival enlargement (classification and differential diagnosis)
7 Epidemiology of periodontal diseases
- Extension of inflammation from gingiva, Mechanism of spread of inflammation from gingival area to deeper periodontal structures, Factors that modify the spread
- Pocket Definition, signs and symptoms, classification, pathogenesis, histopathology, root surface changes and contents of the pocket
- Etiology – Dental Plaque (Biofilm) Definition, New concept of biofilm, Dental calculus, Iatrogenic and contributing factors, Trauma from occlusion, Influence of systemic diseases.
- Risk factors Definition. Risk factors for periodontal diseases 1
- Host response – Mechanism of initiation and progression of periodontal diseases
- Periodontitis – Etiology, histopathology, clinical signs & symptoms, diagnosis and treatment of adult& aggressive periodontitis
- Diagnosis – Routine procedures, methods of probing, types of probes, (According to case history), Halitosis: Etiology and treatment. Mention advanced diagnostic aids and their role in brief.
- Prognosis
- Treatment plan
- Periodontal therapy A. General principles of periodontal therapy. Phase I,II, III, IVtherapy.
– Plaque control
- Mechanical tooth brushes, interdental cleaning aids, dentifrices
- Chemical; classification and mechanism of action of each & pocket irrigation
18.Pocket eradication procedures
– Scaling and root planing:
– Curettage &present concepts
– Flap surgery
- Osseous Surgery & Osseous defects in periodontal disease
– Other regenerative procedures; root conditioning
– Guided tissue regeneration
- Mucogingival surgery &periodontal plastic surgeries
- Splints – Periodontal splints
- Hypersensitivity Causes, Theories & management
- Implants Definition, types, scope &biomaterials used. Periodontal considerations: such as implant-bone interface, implant-gingiva interface, implant failure, peri-implantitis & management
- Maintenance phase (SPT)
- Pharmaco-therapy – Periodontal dressings, Antibiotics & anti-inflammatory drugs, Local drug delivery systems
- Periodontal management of medically compromised patients, Topics concerning periodontal management of medically compromised patients
- Inter-disciplinary care
- Systemic effects of periodontal diseases in brief
- Infection control protocol Sterilization and various aseptic procedures
- Ethics
Practical
- Diagnosis, treatment planning and discussion and total periodontal treatment – 25 cases
- Dental scaling, oral hygiene instructions – 50 complete cases/ equivalent
- Assistance in periodontal surgery – 5 cases
- A work record should be maintained by all the students and should be submitted at the time of examination after due certification from the head of the department. Students should have to complete the work prescribed by the concerned department from time to time and submit a certified record for evaluation.
INTERNS: CURRICULUM OF INTERNSHIP PROGRAMME.
General Guidelines:
It shall be task-oriented training. The interns should participate in various institutional and field programmes and be given due responsibility to perform the activities in the departments.
To facilitate achievement of basic skills and attitudes the following facilities should be provided to all dental graduates:
History taking, examination, diagnosis, charting and recording treatment plan of cases.
Presentation of cases in a group of Seminar.
Care and sterilization of instruments used.
Performance and interpretation of essential laboratory tests and other relevant investigations.
Data analysis and inference.
Proper use of antibiotics, anti-inflammatory and other drugs, as well as other therapeutic modalities.
Education of patients, their relatives and community on all aspects of dental health care while working in the institution as also in the field.
Communication aimed at inspiring hope, confidence and optimism.
Legal rights of patients and obligations of dental graduate under forensic jurisprudence.
The interns shall perform the following procedures during their posting in Periodontics:
- Pre-clinical suturing exercise on cast
- LASER hands on exercise on vegetables
- Diagnosis and formulation of treatment plan suitable to patient needs
- Ultrasonic scaling
- Abscess drainage
- Assistance and observation of various periodontal surgical procedures.