HUST

Tongji Medical College

Masters Programs in Dentistry







ORAL AND MAXILLOFACIAL SURGERY MDS

Objectives
The course shall comprise of a minimum of three years which the student will be
deemed to have acquire:
1. To have acquired adequate knowledge and understanding of the etiology
pathophysiology and diagnosis, treatment planning of various common oral
and maxillofacial surgical problems both minor and major in nature.
2. To have understood the general surgical principles like pre and post surgical
management particularly evaluation, post surgical care, fluid and electrolyte
management, blood transfusion and post surgical pain management.
3. Understanding of basic sciences relevant to practice or oral and
maxillofacial surgery.
4. Familiarity with the modern teaching methods and assessment strategies for
undergraduate students
5. And have undergone concurrent clinical training in major disciplines.
The course shall be given in the following forms:
1. Seminars, demonstrations & laboratory techniques twice a week
2. Clinical case conference and presentations -twice a week.
3. The students will work on patients in the clinics, both in the mornings and in the
afternoons under the supervision of the teachers.
4. Lecturers in the basic sciences attending at this course given by the basic
science disciplines will be compulsory.
5. The candidate will get training in various aspects of oral and maxillofacial
surgically during the three year course.
6. Internal assessment examination will be conducted after every year.
7. The candidate must submit thesis protocol within 6 months of their joining the
course.
8. The candidate must submit thesis six months prior to final examination and the
thesis defense.

SYLLABUS OF COURSE IN ORAL AND MAXILLOFACIAL SURGERY

Year Brief Outline
1





Chinese language
Scientific research methodology
Medical statistics
Molecular biology and biochemistry
Immunohistochemistry
Neurobiology

1.Oral and Maxillofacial Surgery Clinic
2.Oral and Maxillofacial Surgery Seminar

Anaesthesia
Dentoalveolar Surgery

2




1.Oral and Maxillofacial Surgery Clinic
2.Oral and Maxillofacial Surgery Seminar
3. Writing papers, thesis

Orthognathic Surgery
Wound Healing and Peri operative Management
Maxillary and Midfacial Procedures
Special Considerations
Trauma
Clinical Practice

3 1.Oral and Maxillofacial Surgery Clinic
2.Oral and Maxillofacial Surgery Seminar
3, Writing papers, thesis


Students will be required to carry out an approved project relating to a
problem within the broad field of Oral and Maxillofacial Surgery.

Reconstructive and Implant Surgery
Soft Tissue and Osseous Preprosthetic reconstruction
Implantology
Cleft/Craniofacial Surgery
Year 1
This module will cover the following topics:
A) Anesthesia
Anesthesia and Pain Control
Preoperative Evaluation
Monitoring for Oral and Maxillofacial Surgery
Local Anesthetics
Parenteral Sedation
General Anesthesia for the Office Patient
Management of Acute Pain
Pharmacosedation for Pediatric Patients
Chronic Head and Neck Pain
Complications in Anesthesia
B) Dentoalveolar Surgery
Basic Exodontia
Complicated Exodontia
Surgical Management of Impacted Teeth
Ectopically Positioned and Unerupted Teeth
Tooth Reimplantation and Transplantation
Surgical Uprighting and Transplantation
Principles of Endodontic Microsurgery
Periodontal Considerations for Oral Surgery Procedures involving the
Dentoalveolar Surgery
Lasers in Oral and Maxillofacial Surgery
Complications of Dentoalveolar Surgery
Year 2
C) Orthognathic Surgery
Diagnosis and Treatment Planning
Patient Selection for Orthognathic Surgery
Diagnosis and Treatment Planning for Orthognathic Surgery
The Application of Video Imaging Technology to Orthognathic Surgery
Orthodontic Preparation for Orthognathic Surgery
Model Surgery

D ) Wound Healing and Perioperative Management
Revascularization and Healing of Orthognathic Surgical Procedures
Preoperative, Intraoperative and Postoperative Care
Ambulatory Anesthesia for Orthognathic Surgery

E)Maxillary and Midfacial Procedures
Surgically Assisted Maxillary Expansion
Anterior and Posterior Maxillary Segmental Osteotomies
Maxillary Quadrangular LeFort I and Quadrangular LeFort II Osteotomy
F) Special Considerations
Functional Outcomes Following Orthognathic Surgery
Soft Tissue Changes Associated with Orthognathic Surgery
Psychological Ramifications of Orthognathic Surgery and the consequences
Orthognathic Surgery Before Completion of Growth
Rehabilitation after Orthognathic Surgery
G) Trauma
Basic Principles of Treatment - Hard and Soft Tissue
Diagnosis and Management of Dentoalveolar Injuries
Mandibular Fractures
Management of Midface Injuries
Soft Tissue Injuries
Special Soft Tissue Injuries
Avulsive Hard Tissue Facial Injuries
Maxillofacial Injuries in Children
Maxillofacial Injuries in the Elderly
Year 3
H ) Reconstructive and Implant Surgery
Principles of Preprosthetic Surgery
Coordination in the Comprehensive Diagnosis and Treatment of the Implant
Patient : The Relationship between the Implant Surgeon and the Restorative Doctor
Imaging for Maxillofacial Reconstruction and Implantology
I ) Soft Tissue and Osseous Preprosthetic Reconstruction
Preprosthetic Surgery - An Overview and Soft Tissue Procedures
Reconstruction of the Edentulous Maxilla
Rehabilitation of the Edentulous Mandible: Prosthetic and Surgical Concerns
J) Implantology
Principles for the Surgical Placement of Endosseous Implants
Subperiosteal Implants
The Transmandibular Implant Reconstruction System
Single Tooth Replacement in Oral Implantology
K) Cleft/Craniofacial
Cleft Lip and Palate
Embryogenesis and Comprehensive Management of the Cleft Patient
Use of Orthopedic Appliances in Growth Modification
Cleft Lip and Palate
Velopharyngeal Dysfunction
Alveolar Cleft Grafts
Orthognathic Surgery in the Cleft Patient
GENERAL SURGICAL SKILLS & OPERATIVE PROCEDURES:

Sl.No. Procedure
1 Injection I.M. & I.V
2 Minor suturing & removal of sutures
3 Incision & drainage of an abscess
4 Surgical extractions
5 Impacted teeth
6 Pre-prosthetic surgery-
Corrective procedures
Ridge extension
Ridge reconstruction
7 OAF closure
8 Cyst enucleations
9 Mandibular fractures
10 Peri-apical surgery
11 Infection management
12 Biopsy procedures
13 Removal of salivary calculi
14 Benign tumors
15 Midface fractures
16 Implants
17 Treacheostomy
18 Skin grafts
19 Orthognathic surgery
20 Harvesting bone & cartilage grafts
iliac crest
Rib
Calvarial
Fibula
21 T.M. Joint surgery

Dissertation:
1. The candidates are required to carry out a research project under the
guidance of his/ her mentor professor.
2. The research protocol shall be submitted by the end of the first year.
3. The thesis should be submitted before the end of third year.

Evaluation and Examinations:
The candidates are continuously evaluated by the faculties, other staffs and the
fellow residents during the postings.
At the end of each posting the mentor professor will evaluate the candidate.
The candidates have to pass the final examination and defend their thesis to the
evaluation committee to get the degree.
Recommended books and References pertaining to Oral & maxillo facial
surgery & oral implantology
1. Principles of Oral & Maxillofacial Surgery; Vol. 1,2 & 3; Peterson I.J & et.
al.
2. Rowe and Williams Maxillofacial injuries Vol. 1 & 2; Williams Jlied
3. Handbook of Medical emergencies in the dental office; Malamed S.F.
4. Plastic surgery; Vol. 1 5; McCarthy JG.
5. Cancer of the face and mouth; McGregor IA & Mc
6. Oral & Maxillofacial Surgery Vol 1 & 2; Laskin DM
7. Oral & Maxillofacial Trauma; Vol 1 & 2; Fonseca RJ & Davis
8. Oral & Maxillofacial infections; Topazian RG & Goldberg MH
9. Surgical correction of dentofacial deformities Vol 1,2 & 3; Bell WH & et al
10. Surgery of the mouth and jaws; Moore JR.
11. Dentofacial deformities: integrated orthodontic and surgical correction; Vol
1 to 4;
12. Maxillofacial Surgery; Petter Wardbooth
Journals pertaining to Oral & maxillo facial surgery & oral implantology
1. Int. Journal of Oral & Maxillofacial Surgery
2. Journal of Cranio Maxillofacial Surgery
3. British Journal of Oral & Maxillofacial Surgery
4. Oral Surgery, Oral Medicine, Oral Pathology
5. Oral & Maxillofacial clinics of North America
6. Journal of oro-facial pain
7. Int. Journal of Oral & Maxillofacial Implants
8. Indian Journal of Oral & Maxillofacial Surgery
9. Plastic & Reconstructive Surgery
10. Cancer

PROSTHODONTICS- MDS
The course shall comprise of a minimum of three years degree which the student
will be deemed to have acquired:
a) An updated knowledge of Prosthodontics including Removable, Fixed,
Maxillofacial prosthodontics and Implantology, growth and development of teeth,
jaws, Periodontics, TMJ and occlusion.
b) Competence at running independently Prosthodontics service and Maxillofacial
Prosthodontics.
c) Working knowledge of some of the important instruments, equipment in the
scientific investigations of Dental Materials, Prosthodontic rehabilitation including
masticatory efficiency, TMJ dysfunction syndromes and craniofacial anomalies
d) Familiarity with the modern methods and assessment strategies for teaching of
undergraduate students
e) And have undergone clinical training in major disciplines.
The course shall be given the following forms:
1. Seminars, demonstrations, and laboratory techniques
2. Clinical case conference and presentations twice a week.
3. The students will work on patients in the clinics both in the morning and in the
afternoon under the supervision of the teachers.
4. The students will undertake the laboratory work for the patients who are under
their treatment
4. Lectures in the basic sciences attending at this course given by the basic
science disciplines will be compulsory.
5. The candidate will get training in various aspects of prosthodontics during the
three year course.
6. Internal assessment examination will be conducted.
7. The candidate must submit thesis protocol

8. The candidate must submit thesis prior to final examination and perform the
thesis defense.

OBJECTIVES:
At the end of the course of study the candidate should be able to develop:
1. Adequate knowledge in the diverse disciplines involved in providing care for
patients with partial or complete loss of teeth or contiguous oral structures
2. Working efficiently as a team in improving the quality of life of patients
presenting loss of tooth or teeth.
3. To critically evaluate scientific literature, discovering and disseminating
knowledge.
4. To have an in-depth knowledge of basic science applicable to Prosthodontics.
5. To implicate the evidence available from the literature in routine treatment
planning.
6. To achieve adequate knowledge in basic concepts of research methodology and
be able to conduct good quality prosthodontic research independently.
7. To be proficient in delivering high quality prosthodontic treatment as an
integral component of overall oral health care and through the surgical or non-
surgical approach based on sound judgment and scientific principles.
8. To be clinically competent in the treatment planning, placement and
maintenance of implants within the concept of comprehensive treatment plan.
9. To be able to communicate with patients effectively to improve the oral health
status and adherence with health care recommendations.
10. To be familiar with research methodology by writing thesis on relevant health
problems.
11. To educate members of the working team.
12. To become a competent and efficient teacher to teach undergraduate
program.
13. To provide learning experiences that will correlate the basic, behavioral and
clinical skills of the dentist for the most effective comprehensive prosthodontic
treatment of partial or complete edentulous patients.
TERMINAL COMPETENCY:
The educational program must provide clinical training for the student/ resident
to the level of proficiency. This must include, but is not limited to, the following
treatment methods (this includes in-depth knowledge of the rationale,
advantages and disadvantages of each treatment modality)
A. Removable partial dentures:
It is important during this course that the student gains a fundamental
background in the following areas of removable partial prosthodontics
- Treatment planning; survey and design of the removable partial denture.
- Mouth preparation for the RPD patient.
- Making the master impression and master casts with tripod marks
- Preparation of a work authorization and related regulatory requirements.
- Preparation of materials/ information for submission to a licensed
commercial dental laboratory
- Try-in and fitting the RPD framework; altered cast impressions; completion
of the RPD
- Delivery/insertion, adjustment, home-care instructions, recall/maintenance
repair and refitting
- Alternate design concepts and treatment outcomes
B. complete dentures:
- Diagnosis and treatment planning for patients with no teeth remaining
- Improving the patients denture foundation and ridge relations
- Impression procedures
- Recording the jaw relations
- Relating the patients to the articulator
- Selecting artificial teeth for edentulous patients
- Arrangement of artificial teeth
- Completion of try-in, eccentric jaw relation records, articulator and cast
adjustment
- Perfection of the posterior palatal seal
- Completion of the rehabilitation of the patients
C. Fixed partial dentures (FPD)
- Treatment planning of the fixed partial denture
- Mouth preparation for the FPD patient
- Making impression and master cast(s)
- Preparation of materials/information for submission to a licensed
commercial dental laboratory
- Try-in and fitting the FPD and cementation of the FPD
- Home care instructions, recall/maintenance
D. Maxillofacial prosthesis:
- Maxillofacial rehabilitation of the patients
E. Dental implants:
Prosthetic aspect of dental implants
Should be able to interpret investigation report of:
a. Orthopentamogram
b. IOPA
c. Bite wing x-rays, occlusal view
d. CT scan
e. Blood test and biochemical evaluations
F. vitality test

SYLLABUS OF COURSE IN PROSTHODONTICS
THEORY: BASIC SCIENCES
All the Postgraduate students in HUST must be capable of reading the
following subjects in order to apply the knowledge of such subjects for
thesis writing and clinical reasoning.
Credits will be counted on these subjects as well.


1) Biochemistry
2) Molecular biology
3) Histochemistry
4) Immunology
5) Biostatistics
7) Neurobiology
8) Research methodology
9) Chinese culture
10) Chinese language

ANATOMY
- Growth and development of face, jaws, teeth
- The maxilla and the mandible
- Temporomandibular joint
- Muscles of mastication
- Muscles of facial expression
- Normal Occlusion, development of occlusion
- Tongue
- Cleft lip and palate
- Cranial nerves
- Motor and sensory system
- Vascular and lymphatic supply
- Reflex pathways
PHYSIOLOGY
- Occlusion, physiology of mastication, deglutition and speech and its
pathophysiology in orofacial dysfunction
- Role of different orofacial musculature
- Role of muscles in growth and development
- Physiology of occlusion
- Role of saliva
- Normal wound healing mechanism
- Calcium metabolism
FIXED PROSTHODONTICS
PLANNING AND PREPARATION
- History, examination, diagnosis and prognosis
- Treatment planning
- Principles of occlusion
- Mouth preparation
CLINICAL PROCEDURES- PART ONE
- Principles of tooth preparation
- The complete cast crown preparation
- The metal ceramic crown preparation
- Tooth preparation for all ceramic crown
- Restoration of endodontically treated tooth
- Preparation of periodontally weakened tooth
- Implant supported fixed prostheses
- Tissue management and impressions
- Provisional restorations
- The functionally generated path technique
LABORATORY PROCEDURES
- Working cast and dies
- Wax patterns
- Framework design and metal selection for metal ceramic restorations
- Pontic design
- Retainers for removable partial denture
- Investing and casting
- Color science and shade selection
- Metal ceramic restorations
- All ceramic restoration fabrication
- Resin retained fixed partial denture
- Connectors for fixed partial denture
- Finishing the cast restorations
- Communication with the dental laboratory
CLINICAL PROCEDURES- PART TWO
- Try in, staining and glazing
- Luting agents and cementation procedures
- Follow up care
REMOVABLE PARTIAL DENTURE
- Examination, diagnosis and treatment planning in partial denture
prosthodontics.
- Classification of partially edentulous arches
- Major and minor connectors
- Rests and rest seats
- Direct and indirect retainers
- Denture base considerations
- Principles of removable partial denture designing
- Surveying
- Diagnosis and treatment planning
- Preparation of mouth for removable partial designs
- Preparation of abutment tooth
- Impression procedures for removable partial dentures
- Support for distal extension denture base
- Occlusion relationship for removable partial dentures
LABORATORY PROCEDURES
- Work authorization for removable partial dentures
- Initial placement, adjustment, and servicing of removable partial
dentures
- Relining and rebasing of removable partial dentures
- Repairs and addition of removable partial dentures
- Temporary removable partial dentures
- Maxillofacial applications of removable partial dentures
COMPLETE DENTURE PROSTHODONTICS
THE EDENTULOUS PATIENT:
- Biomechanics of edentulous state
- Tissue response to the complete denture: the aging edentulous patient
THE CONSTRUCTION OF COMPLETE DENTURE:
- Anatomy and physiology of edentulous mouth
- Diagnosis and treatment planning
- Preparing the mouth for denture
- Preventing and treating abused tissue
- Making impression
- The posterior palatal seal
- Recording bases and occlusal rims
- Articulators in the complete denture constructions
- Recording edentulous jaw relationship
- Anterior teeth selection and guidelines for complete denture esthetics
- Complete denture occlusion
- Arrangement of posterior teeth
- The trial denture
LABORATORY PROCEDURES AUTHORIZATIONS AND COMMUNICATIONS WITH
DENTAL LABORATORY TECHNICIANS
- Processing dentures
- Denture insertion
MAINTAINANCE OF COMPLETE DENTURE
- Patient education and complete denture maintenance
- Relining and rebasing techniques
- Denture repairs
SPECIAL TECHNIQUES AND PROBLEMS
- Conventional immediate complete denture
- The interim denture
- Over dentures
- The single complete maxillary denture
- Implants for edentulous patients
- The geriatric complete denture patients
MAXILLOFACIAL PROSTHESES
- Maxillofacial prostheses materials and adhesives
- Retention for maxillofacial prostheses
- Eye, ear, and nose prostheses
- Obturators
ORAL IMPLANTOLOGY
- Prosthetic aspects of oral implants

DENTAL MATERIALS
- Physical, mechanical and biological properties of modern dental
materials
- Dental casting alloys
- Dental ceramics
- Various resins used in prosthodontics including denture base materials
- Impression materials
- Dental waxes including inlay casting wax
- Investments
- Gypsum products used in prosthodontics
- Die and counter die materials
- Soldering and welding
- Dental cements for bonding applications
- Mechanism of tooth cutting ( burs and points)
- Abrasives and polishing agents
- Implant materials
-
RECENT ADVANCES IN PROSTHODONTICS

LEARNING STRATEGY:
Learning strategy will cover different aspects of training, viz:
- Theory including applied basic sciences
- Clinical approach and examination of patients
- Skills/procedures, by hand on training, dummy/manikin training
- Attitude development
- Mandatory basic courses
- Stress will be given on practice of evidence based prosthodontics

DISSERTATION:
1. The candidates are required to carry out a research project under the guidance
of his/her mentor professor.
2 The candidate must submit thesis protocol, get it approved and proceed
with the thesis
3. The thesis should be submitted before final examination.
EVALUATION AND EXAMINATIONS
The candidates are continuously evaluated by the faculties, other staffs and the
fellow residents during the postings.
At the end of each posting the mentor professor will evaluate the candidate.
The candidates have to pass the final examination and defend their thesis to the
evaluation committee to get the degree


























ORTHODONTICS MDS

The course shall comprise of a minimum of three years which the student will be
deemed to have acquired:

(a) An update to knowledge of Clinical Orthodontics, roentgeno-cephalometrics,
growth and development of teeth, jaws, periodontium, TMJ and occlusion.
(b) Competence at running independently orthodontic services and cleft palate
orthodontics.
(c) Working knowledge of some of the important instruments, equipments in the
scientific investigation of malocclusion of teeth, jaws and craniofacial
anomalies.
(d) Familiarity with the modern teaching methods and assessment strategies for
undergraduate students.
(e) And have undergone concurrent clinical training in major disciplines.
The course shall be given in the following forms:
1. Seminars, demonstrations & laboratory techniques twice a week
2. Clinical case conference and presentations -twice a week the student will
present all data including cephalometric analysis, Model analysis, and other
required radiographs for discussion in the conference of faculty and students.
3. The students will work on patients in the clinics, both in the mornings and in the
afternoons under the supervision of the teachers.
4. Lecturers in the basic sciences attending at this course given by the basic
science disciplines will be compulsory.
5. The candidate will get training in various aspects of Orthodontics during the
three year course.
6. Internal assessment examination will be conducted after every year.
7. The candidate must submit thesis protocol within 4 months of their joining the
course i.e. Jan 1
st
.
8. The candidate must submit thesis six months prior to final examination and the
thesis defense i.e. Feb 15
th
.

SYLLABUS OF COURSE IN ORTHODONTICS
1. Applied Anatomy: Applied anatomy of oro-dental tissues with special
reference to the jaws, teeth, muscles of mastication, deglutition, speech, occlusion
and dental morphology.
2. Development: Growth and development of the jaws, teeth, supporting
structures, TMJ and dentofacial anomalies.
3. Physical anthropology: Evolution of jaws and teeth, study of anthropometric
and landmarks.
4. Applied physiology: Physiology of investing tissues arch forms and occlusion,
physiology of mastication, deglutition and speech.
5. Nutrition: Study of nutritional factors, vitamins, carbohydrates, fats, proteins,
minerals and their individual dental implications.
6. Applied pathology: Development anomalies affecting tooth form and number.
Disease of teeth and jaws, heredity and anomalies of the jaws
Effects of endocrine and nutritional deficiencies affecting the development of TMJ
teeth & jaws
7. Applied dental materials: Applications of dental cements, stainless steel wires,
band material, solders, impression materials, Plaster of Paris, stone plaster, acrylic
resins and other materials used in Orthodontics.
8. Applied radiology: Dental radiology including cephalometrics and panoramic.
9. Study of biostatics as applied to dentistry and research.
Applied Anatomy:
1. Maxilla
2. Mandible.
3. Primary and permanent Dentition
4. Muscles of Mastication
5. Deglutition
6. Speech
7. Occlusion
8. Dental Morphology.
Development/Growth:
1. Growth Pattern.
2. Physical growth:
Nature of Skeletal growth with special emphasis on the maxilla and mandible
Primary Cartilage, Secondary Cartilage.
Growth Center
Growth Site.
3. Pre natal Growth/Post natal growth Cranial Vault:
Cranial base
Maxilla
Mandible
4. Trajectories of Forces:
5. Theories of forces:
Sutural theory
Cartilaginous theory
Functional matrix
Enlows Principle
Van Limbhorg theory
Cybernetics
6. Implications of growth.
7. Growth spurts.
8. Dento Facial Anomalies.
9. Infancy and Childhood Development.
10. Maturation of oral function and Buccinator mechanism
-Infantile swallow
-Transitional swallow
-Adult swallow
-Cervical vertebra
-Hand and wrist maturational methods.
-Miscellaneous
11. Later stages of development in adolescence:
-Early permanent dentition
-limitation of adolescent
-Timing of the puberty
-Dimensional Changes.
-Maturation and aging of the jaws
-Changes in the teeth and the supporting structures
-Changes in alignment and occlusion soft tissue changes in aging.
-Orofacial muscles
-Basic concepts of orofacial neuromuscular physiology
-Reflex determinants
-Growth and adaptations of orofacial muscles.
Physical Anthropology:
1. Evolution of human face.
2. Evolution of TMJ.
3. Evolution of Dentition.
Applied Physiology:
1. Physiology of investing tissues and the arch forms.
2. Physiology of Mastication.
3. Physiology of speech
4. Physiology of Deglutition.
Nutrition:
1. Role of vitamins.
2. Role of hormones.
3. Balanced Diet.
4. Role of Nutrition.
Applied Dental Pathology In Orthodontics:
1. Development anomalies affecting tooth form and number.
2. Disease of teeth.
3. Diseases of the Jaws.
4. Hereditary anomalies of the jaws.
5. Effects of endocrine and nutritional deficiencies affecting the development of
TMJ teeth & jaws
Applied dental materials:
1. Dental cements
2. Stainless steel wires
3. Band material, solders

4. Impression materials
5. Plaster of Paris
6. Stone plaster
7. Acrylic resins
Applied radiology:
1. Properties of X-ray.
2. Evolution of X-ray.
3. X-ray films and its variations in size.
4. Bitewing radiograph.
5. IOPA
a. Paralleling technique
b. Bisecting angle technique.
6. OPG
7. General Radiography.
a. Radiation Hazards/protection.
b. Xero radiography.
c. Focal trough
d. TMJ imaging.
e. Collimator, grids, intensifying screens.
f. Shift cone technique.
8. Cephalometrics
a. Significance of Cephalometrics.
b. Radiographic Cephalometric technique
Factors Affecting
Patient Positioning
X-ray films Grids.
Film /Screen combination
Film processing
Protection Principles
c. Tracing techniques and identification landmarks
Tracing techniques
Identification of Cephalometric landmarks
d. Various Analyses
-Downs Analysis
-Steiner Analysis
-Wits Appraisal
-McNamara Analysis
-Pitchfork Analysis
-Bjork Analysis
-Tweeds Analysis
-Schwartz Analysis
-The geometry of Cephalometrics
-The complexity of facial growth Analysis
-Superimposition of Cephalometrics radiographs
-The continuous and dynamic measurement of natural head posture and
position
-Soft tissue evaluation
a-frontal view
b-profile view
-Soft tissue Analysis:
a. Profile analysis
b. Reference points used in profile analysis
c. Assessment of total profile
d. Lip analysis
e. Reference planes for lip profile assessment analysis of tongue position
f. Average findings
g. Functional analysis based on Cephalometrics radiography.
-The Holdaway soft tissue Analysis
-Advances in Cephalometrics prediction
-Video Cephalometrics
-Facial Analysis in two and three dimensions
-Reliability of Cephalometric prediction.

Child psychology from birth to adolescence
1. Learning and developmental behavior.
a. Classical conditioning
b. Operant conditioning
c. observational conditioning
2. Stages of emotional and cognitive development
a. Sigmund Freuds Psychoanalytical theory and personality development
b. Erik Erikssons eight stages of emotional development
3. Cognitive Development
4. Behavioral sciences
a. The adolescent patient
b. The complaint adult patient
c. The orthodontist
5. Social Psychology of Orthodontics
6. Orthodontics motivational Psychology
7. Educational Psychology
a. Learning patterns
b. Sensitivity threshold
c. Patient oriented approach
8. Psychologic outcomes of Orthodontic treatment
a. Self concept
b. Self esteem
c. Body images

Genetics
heredity with special reference to dental and other facial anomalies

Biostatics as applied to dentistry and research

Dissertation:
1. The candidates are required to carry out a research project under the guidance of his/ her
mentor professor.
2. The research protocol shall be submitted by the end of the first year.
3. The thesis should be submitted before the end of third year.

Evaluation and Examinations:
The candidates are continuously evaluated by the faculties, other staffs and the fellow residents during
the postings.
At the end of each posting the mentor professor will evaluate the candidate.
The candidates have to pass the final examination and defend their thesis to the evaluation committee
to get the degree.













CONSERVATIVE AND ENDODONTICS- MDS
The course shall comprise of a minimum of three years degree which the student
will be deemed to have acquired:
a) An updated knowledge of Operative Dentistry and Endodontics including Inlay
and Onlay Restorations, Endo-osseous implantology, Surgical Endodontics,
Geriatric Endodontics, Oral Radiology, Growth and Development of teeth, jaws,
Periodontics, TMJ and occlusion.
b) Competence at running independently root canal treatments and various
restorations.
c) Working knowledge of some of the important instruments, equipment in the
scientific investigations of Dental Materials, instruments used in endodontic and
operative procedures and related investigating equipments.
d) Familiarity with the modern methods and assessment strategies for teaching of
undergraduate students
e) And have undergone clinical training in major disciplines.
The course shall be given the following forms:
1. Seminars, demonstrations, and laboratory techniques
2. Clinical case conference and presentations twice a week.
3. The students will work on patients in the clinics both in the morning and in the
afternoon under the supervision of their individual mentors.
4. The students will undertake the case history, make investigations and their
interpretations and treatment plans for the patients to be treated and
presentation should be done.
4. Lectures in the basic sciences attending at this course given by the basic
science disciplines will be compulsory.
5. The candidate will get training in various aspects of operative dentistry and
endodontics during the three years course.
6. Internal assessment examination will be conducted.
7. The candidate must submit thesis protocol at the end of 1
st
year.

8. The candidate must submit thesis prior to final examination and perform the
thesis defense.


OBJECTIVES:
At the end of the course of study the candidate should be able to develop:
1. Adequate knowledge in the diverse disciplines involved in providing care for
patients with carious, fractured or deformed, pulpally involved, infectious and
pain provoking teeth.
2. Working efficiently as a team in improving the quality of life of patients
presenting carious and pain provoking teeth.
3. To critically evaluate scientific literature, discovering and disseminating
knowledge.
4. To have an in-depth knowledge of basic science applicable to operative
dentistry and endodontics.
5. To implicate the evidence available from the literature in routine treatment
planning.
6. To achieve adequate knowledge in basic concepts of research methodology and
be able to conduct good quality research independently related to the field.
7. To be proficient in delivering high quality conservative and endodontic
treatment as an integral component of overall oral health care and through the
surgical or non-surgical approach based on sound judgment and scientific
principles.
8. To be clinically competent in the treatment planning, endodontic surgeries
within the concept of comprehensive treatment plan.
9. To be able to communicate with patients effectively to improve the oral health
status and adherence with health care recommendations.
10. To be familiar with research methodology by writing thesis on relevant health
problems.
11. To educate members of the working team.
12. To become a competent and efficient teacher to teach undergraduate
program.
13. To provide learning experiences that will correlate the basic, behavioral and
clinical skills of the dentist for the most effective comprehensive conservative and
endodontic treatment of various tooth pathologies and complaints.
TERMINAL COMPETENCY:

The educational program must provide clinical training for the student/ resident
to the level of proficiency. This must include, but is not limited to, the following
treatment methods (this includes in-depth knowledge of the rationale,
advantages and disadvantages of each treatment modality).
a. Operative Procedures.
It is important during this course that the student gains a fundamental
background in the following areas of operative procedures.
Treatment planning; investigations of carious, fractured or malformed
teeth.
Evaluation of pulp involvement or non pulp involvement of particular
tooth/teeth.
Use rotatory instruments (aerators and micro motors)
Use of different kinds of burs
Use of rubber dam for isolation of various teeth
Tooth preparations:
o Class I, II, III, IV, and V for amalgam and
composite restorations.
o On lay and inlay preparation for gold and
porcelain.
o Full and jacket crown preparation for anterior
and posterior-teeth.
o Laminate preparation of anterior teeth.
o Primary tooth preparation for glass-ionomer
cement restorations

Making impressions for indirect restorating teeth and cast pouring for
fabrication of inlays, on lays and crowns.
Restorations in adult and primary teeth.
Permanent and temporary restorations.
Posterior and anterior esthetic restorations.
Restorations in endodontically treated teeth.
Pit and fissure sealing.
ART restorations.
Preparation of a work authorization and related regulatory requirements.
Preparation of materials/ information for submission to a licensed
commercial dental laboratory.
Insertion of inlays, on lays and crowns.
Home-care instructions, recall/maintenance.
Alternate concepts and treatment outcomes.
b. Endodontics

Diagnosis, treatment plan and management of pulpally involved teeth.

Assessment of origin of dental pain.

Radiological investigations and interpretations.

Dental anesthesia.

Tooth vitality tests.

Access opening and root canal preparations in primary and permanent
teeth both anteriors and posteriors using basic and advanced techniques.

Use of different kind of burs and files.

Locating Root canals.

Root canal medicaments.

Root canal obturation using basic and advanced techniques.

Use of microscopy in root canal preparations and obturations.
Infection control in pulpally involved teeth.

Endodontic failure and retreatment.

Endodontic treatment and management of traumatized teeth.

Restoration in endodontically treated teeth.

Post and core preparation and fabrications.

Management of pulpo-perio involved teeth.

Endodontic surgeries- apicectomy, retrograde filling, hemi section, re
implantation, endo-osseous implant.

Bleaching in vital and non vital teeth.

Medications for pain management and infection control.

Home care instructions recall/ maintenance.
Should be able to interpret investigation report of:
a. OPG
b. IOPA
c. Bite wing x-rays, occlusal view
d. CT scan
e. Blood test, biochemical evaluations and bacteriological investigation.
f. Vitality tests
SYLLABUS OF COURSE IN CONSERVATIVE AND
ENDODONTICS
THEORY: BASIC SCIENCES
All the Postgraduate students in HUST must be capable of reading the
following subjects in order to apply the knowledge of such subjects for
thesis writing and clinical reasoning.
Credits will be counted on these subjects as well.


1) Biochemistry
2) Molecular biology
3) Histochemistry
4) Immunology
5) Biostatistics
7) Neurobiology
8) Research methodology
9) Chinese culture
10) Chinese language

ANATOMY
- Growth and development of face, jaws, teeth
- The maxilla and the mandible
- Temporomandibular joint
- Muscles of mastication
- Normal Occlusion, development
- Tongue
- lip and palate
- Salivary glands
- Para nasal sinuses
- Cranial nerves
- Motor and sensory system
- Vascular and lymphatic supply
- Anatomy of individual teeth and their roots and nerve supply
- Development of tooth, eruption and shedding
- Structure of enamel, dentin, pulp, periodontium and oral mucosa.

PHYSIOLOGY/ BIOCHEMISTRY
- Occlusion, physiology of mastication, deglutition and speech and its
pathophysiology in orofacial dysfunction
- Role of different orofacial musculature
- Physiology of occlusion
- Role of saliva
- Normal wound healing mechanism
- Calcium metabolism
- Pain pathways and mechanism
- Diet and nutrition
- Blood physiology and pathology
- Respiratory system normal physiology and variations in health and
disease
- Endocrinology- normal physiology and variations in health and disease
PHARMACOLOGY
- Chemotherapy of bacterial infections
- Local and general anesthetics
- Analgesics and anti-inflammatory drugs
- Antipyretics
- Hypnotics and tranquilizers
- Hypertensive and hypotensive drugs
- Immunosuppressive drugs
- Emergency drugs in dental practice
PATHOLOGY/MICROBIOLOGY
- Cyst and tumors
- Necrosis
- Blood dyscrasias
- Developmental disorders of oral and dental structures
- Red and white lesions
- Metabolic diseases
- Salivary gland diseases
- Oral micro flora
- Most communicable diseases encountered in dental practice
- Defense mechanisms
- Sterilization of various dental equipments
- Use of sterile techniques in dental procedures
DENTAL MATERIALS
- Physical, mechanical and biological properties of modern dental
materials.
- Gypsum products
- Dental impression materials
- Metals and alloys used in dentistry
- Silver amalgam
- Dental waxes
- Investments
- Casting procedures
- Dental cements
- Composite resins
- Porcelain
- Porcelain furnace, firing and techniques
- Tooth cutting instruments (burs)
- Abrasive and polishing agents
OPERATIVE DENTISTRY

- Patient evaluation, diagnosis and treatment planning
- Primary considerations for Operative Procedures
- Clinical aspects of Dental Caries
- Color and shade matching
- Principles of cavity/tooth preparation
- Selection of restorative materials
- Isolation of the operating fields
- Instruments and equipments for tooth preparation
- Tooth filling instruments
- Matrices ,retainers and wedges
- Infection control
- Pain control
- Pulp protection
- Periodontal aspects of operative dentistry
- Amalgam restorations
- Pin retained restorations
- Micro leakage
- Finishing and polishing of restorations
- Interim restorations
- Bonding
- Composite and other tooth colored restorations
- Glass- ionomer cement restoration
- Indirect tooth colored restorations
- Cast metal restorations
- Restoration of cervical lesions
- Conservative esthetic procedures
- Direct gold restorations
- Restoration of badly decayed and broken down teeth
- Emergencies and post operative complications
- Restoration of endodontically treated teeth
- Restoration of non carious defects
- Restorations and stomatognathic system
- Management of discolored teeth
- Various designs and shapes of margins of tooth preparation and
restoration
ENDODONTICS
- Patient evaluation, diagnosis and treatment planning
- Pulpitis, pathogenesis and systemic influences
- Pulp Necrosis
- Repair in the pulp
- Apical periodontitis- etiology, pathogenesis, radiographic appearance
and differential diagnosis
- Pulpal pain, dental hypersensitivity, symptomatic pulpitis
- Periapical pain
- Oral and perioral pain of endodontic origin
- Referred pain
- Differential diagnosis of oral infections
- Dental percussion and palpation tests
- Heat and cold sensitivity tests
- Pulp vitality test
- Treatment of immature non vital teeth (apexification), follow-up
examinations and prognosis
- Endodontic treatment of Root-fractured teeth
- Endodontic treatment of endo-perio lesion
- Surgical endodontic treatment indication, flap design and surgical
access
- Apicectomy
- Intentional replantation
- Endodontic emergencies and treatment
- Endodontic aspects of root resorption
- Endodontic instruments- hand and engine driven
- Root canal instrumentation
- Root canal obturation
- Gutta-percha
- Surgical instruments
- Endodontic materials- sealers and core fillings
- Endodontic complications
- Endodontic failures
- Endodontic retreatment
- Root canal irrigations and medicaments
- Guidelines of access opening and canal location in anterior and posterior
teeth
Lab and Practical Works
- Tooth preparations in extracted teeth and typhodont
- Amalgam filling in extracted teeth
- Access openings in extracted teeth
- Canal location and instrumentation in extracted teeth
- Preparation of post space
- Working cast and dies
- Wax patterns
- Investing and casting
- Color science and shade selection
- Communication with the dental laboratory
RECENT ADVANCES IN OPERATIVE PROCEDURES AND ENDODONTICS

LEARNING STRATEGY:
Learning strategy will cover different aspects of training, viz:
- Theory including applied basic sciences
- Clinical approach and examination of patients
- Skills/procedures, by hand on training, dummy/manikin training
- Attitude development
- Mandatory basic courses
- Stress will be given on practice of evidence based dentistry

DISSERTATION:
1. The candidates are required to carry out a research project under the guidance
of his/her mentor professor.
2 The candidate must submit thesis protocol, get it approved and proceed
with the thesis
3. The thesis should be submitted before final examination.

EVALUATION AND EXAMINATIONS
The candidates are continuously evaluated by the faculties, other staffs and the
fellow residents during the postings.
At the end of each posting the mentor professor will evaluate the candidate.
The candidates have to pass the final examination and defend their thesis to the
evaluation committee to get the degree.