MDS Prosthodontics New Curriculum
MDS Prosthodontics New Curriculum
MDS Prosthodontics New Curriculum
Sl No Content Pg No.
2. Course Contents 4
4. Scheme of Examination 29
GOALS:
To train the dental graduates so as to ensure higher level of competence in both general and specialty
areas of Prosthodontics and prepare candidates with teaching, research and clinical abilities including
prevention and after care in Prosthodontics – removable dental prosthodontics, fixed dental
prosthodontics (Crown &Bridge), implantology, maxillofacial prosthodontics and esthetic dentistry.
OBJECTIVES:
At the end of 3 years of training the candidate should be able to acquire adequate knowledge of the
discipline.
Training program for the dental graduates in Prosthetic dentistry– removable dental prosthodontics, fixed
dental Prosthodontics (Crown & Bridge), implantology, maxillofacial prosthodontics and esthetic
dentistry and Crown & Bridge including Implantology is structured to achieve knowledge and skill in
theoretical and clinical laboratory, attitude, communicative skills and ability to perform research with a
good understanding of social, cultural, educational and environmental background of the society.
• To have adequate acquired knowledge and understanding of applied basic and systemic medical
sciences, both in general and in particularly of head and neck region.
• The postgraduates should be able to provide Prosthodontic therapy for patients with competence
and working knowledge with understanding of applied medical, behavioral and clinical science, that are
beyond the treatment skills of the general BDS graduates and MDS graduates of other specialties.
• To demonstrate evaluative and judgment skills in making appropriate decisions regarding prevention,
treatment, after care and referrals to deliver comprehensive care to patients.
1. KNOWLEDGE:
The candidate should possess knowledge of applied basic and systemic medical sciences, knowledge to
diagnose and plan treatment for patients requiring Prosthodontic therapy, ability to read and interpret a
radiograph and other investigations for the purpose of diagnosis and treatment plan. Candidates should
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have theoretical, clinical and practical knowledge regarding tooth and tooth surface restorations, complete
denture Prosthodontics, removable partial denture Prosthodontics, fixed Prosthodontics, maxillofacial and
craniofacial Prosthodontics, implants and implant supported Prosthodontics, T.M.J and occlusion,
craniofacial esthetic, and biomaterials, craniofacial disorders, problems of psychogenic origin.
Diagnostic skill to examine the patients requiring Prosthodontic therapy, investigate the patient
systemically, analyze the investigation results, radiography, diagnose the ailment, plan a treatment,
communicate it with the patient and execute it.
Clinical and practical skills to demonstrate the clinical competence necessary to carry out appropriate
treatment at higher level of knowledge, training and practice skills currently available in their specialty
area. The candidate should be able to restore lost functions of stomatognathic system namely mastication,
speech, appearance and psychological comforts. By understanding biological, biomedical,
bioengineering principles and systemic condition of the patient to provide a quality health care of the
craniofacial region. Perform clinical and laboratory procedures with understanding of biomaterials,tissue
conditions related to prosthesis and have competent dexterity and skills forperforming clinical and
laboratory procedures in fixed, removable, implant, maxillofacial, TMJ and esthetics Prosthodontics.
Laboratory technique management based on skills and knowledge of dental materials and dental
equipment and instrument management. Research skills in handling scientific problems pertaining to
diagnosis and treatment in Prosthodontic therapy. Clinical and didactic skills in encouraging younger
doctors to attain learning objectives.
3. ATTITUDES:
The positive mental attitude and the persistence of continued learning need to be inculcated.
To adopt ethical principles in Prosthodontic practice, Professional honesty, credibility and integrity are to
be fostered. Treatment to be delivered irrespective of social status, caste, creed or religion of patient.
• Should be willing to share the knowledge and clinical experience with professional colleagues.
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• Should be able to self-evaluate, reflect and improve on their own.
• Should pursue research in a goal to contribute significant, relevant and useful information, concept or
methodology to the scientific fraternity.
• Should be willing to adopt new methods and techniques in prosthodontics from time to time based on
scientific research, which are in patient’s best interest.
• Should respect patient’s rights and privileges, including patient’s right to information and right to seek
second opinion.
4. COMMUNICATIVE ABILITIES:
To develop communication skills, in particular and to explain treatment options available in the
management.
• To provide leadership and get the best out of his / her group in a congenial working atmosphere.
• Should be able to communicate in simple understandable language with the patient and explain the
principles of Prosthodontics to the patient. He/She should be able to guide and counsel the patient with
regard to various treatment modalities available.
• To develop the ability to communicate with professional colleagues through various media like
Internet,e-mails, videoconferences etc. to render the best possible treatment.
Should demonstrate good explanatory and demonstrating ability as a teacher in order to facilitate learning
among students.
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COURSE CONTENTS:
The course content has been identified and categorized as essential knowledge given below.
ESSENTIAL KNOWLEDGE:
The topics to be considered are Applied Basic Sciences, Oral and Maxillofacial Prosthodontics and
Implantology.
PART-I
1. General Human Anatomy: Gross anatomy, anatomy of head and neck in detail:
b. Anatomy of TMJ, movement of TMJ and myofacial pain dysfunction syndrome c. Muscles of Facial
Expression and Muscles of Mastication
g. Anatomy of paranasal sinus in relation to V cranial nerve h. Salivary glands, pharynx, larynx, trachea
and esophagus
j. Brief considerations of V, VII, XI, XII cranial nerves and autonomic nervous system of head and neck.
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EMBRYOLOGY:
1. Development of face, palate, tongue, jaws, TMJ, Para nasal sinus, pharynx, larynx, trachea, esophagus,
salivary glands.
2. Development of oral and Para oral tissue including detailed aspects of tooth and dental hard
tissue formation.
1. Facial form, Facial growth and development, overview of dento facial growth process and
physiology from fetal period to maturity and old age, comprehensive study of craniofacial biology.
2. General physical growth, functional and anatomical aspects of the head, changes in craniofacial
skeletal relationship between development of the dentition and facial growth.
DENTAL ANATOMY:
3. Detailed structural and functional study of the oral, dental and para oral tissues.
4. Normal occlusion, development of occlusion in deciduous, mixed and permanent dentitions, root
length, root configuration, tooth-numbering system.
HISTOLOGY:
1. Histology of enamel, dentin, cementum, periodontal ligament and alveolar bone, pulpal anatomy,
histology and biological consideration.
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3. Histology of general and specific connective tissue including bone, hematopoietic system, lymphoid
system
5. Muscular tissue
6. Nervous tissue
7. Blood vessels
8. Cartilage
9. Tongue
1. Comparative study of tooth, joints, jaws, muscles of mastication and facial expression, tongue, palate,
facial profile and facial skeletal system.
1. Principles of orofacial genetics, molecular basis of genetics, genetic risks, counseling, bioethics.
CELL BIOLOGY:
1. Detailed study of the structure and function of the mammalian cell with special emphasis on ultra
structural features and molecular aspects.
2. Detailed consideration of Inter cellular junctions, cell cycle and division, cell to cell and cell- extra
cellular matrix interactions.
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PHYSIOLOGY:
Blood composition, volume, function, blood groups and hemorrhage, blood transfusion, circulation,
heart, pulse, blood pressure, capillary and lymphatic circulation.
Role of calcium and Vitamin D in growth and development of teeth, bone and jaws.
Role of Vitamin A, C and B complex in oral mucosal and periodontal health. Physiology and function of
the masticatory system.
Speech mechanism, mastication, swallowing and deglutition mechanism, salivary glands and saliva
General principles of endocrine activity and disorders relating to pituitary, thyroid, pancreas, parathyroid,
adrenals, gonads, including pregnancy and lactation.
Laboratory determinations: Blood groups, blood matching, R.B.C and W.B.C. count, bleeding and
clotting time
APPLIED NUTRITION:
Diet, digestion, absorption, transportation and utilization, diet for elderly patients.
BIOCHEMISTRY:
General principles governing the various biological activities of the body, such as osmotic pressure,
electrolytic dissociation, oxidation-reduction, intermediary metabolism.
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Enzymes, Vitamins and minerals, Hormones, Blood and other body fluids, Metabolism of inorganic
elements, Detoxification in the body, Anti metabolites.
PATHOLOGY:
embolism and infarction, infection and infective granulomas. Allergy and hypersensitive reaction.
Developmental disturbances of oral and Para oral structures, Regressive changes of teeth. Bacterial, viral
and mycotic infections of oral cavity, dental caries, diseases of pulp and periapical tissues.
Diseases of the blood in relation to the oral cavity, Periodontal diseases. Diseases of the skin, nerves and
muscles in relation to the Oral cavity.
MICROBIOLOGY:
Immunity
Knowledge of organisms commonly associated with diseases of the oral cavity (morphology cultural
characteristics etc) of streptococcus, staphylococcus, pneumococcus, gonococcus and meningococci,
Clostridia group of organisms, Spirochetes, organisms of tuberculosis, leprosy, diphtheria, actinomycosis
and moniliasis etc.
Virology
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PHAMACOLOGY:
Definition of terminologies used - dosage and mode of administration of drugs. Action and fate of drugs
in the body.
Drugs acting on the central nervous system, general anesthetics, hypnotics. Analeptics and tranquilizers,
Local anesthetics.
Antitubercular and anti syphilitic drugs. Analgesics and antipyretics, Antiseptics, styptics. Sialogogues
and antisialogogues. Haematinics, Cortisone, ACTH, insulin and other anti diabetics Vitamins: A, D, B -
complex group, C and K Chemotherapy and Radiotherapy
BIOSTATISTICS
Definition, aim ,characteristics and limitations of statistics, planning of statistical experiments, sampling,
collection, classification and presentation of data (Tables, graphs, pictograms etc) Analysis of data.
INTRODUCTION TO BIOSTATISTICS
Definition of selected terms - scale of measurements related to statistics. Methods of collecting data,
presentation of the statistical diagrams and graphs.
Frequency curves, mean, mode and median, Standard deviation and co-efficient of variation. Correlation -
Co-efficient and its significance.
Tests of significance
RESEARCH METHODOLOGY
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Measurement and Errors of measurement, Presentation of results, Reliability, Sensitivity and Specificity
diagnosis test and measurement, Research Strategies, Observation, Correlation, Experimentation and
Experimental design.
Logic of statistical interference, clinical vs scientific judgement, problem with clinical judgement,
forming scientific judgements, the problem of contradictory evidence, citation analysis as a means of
literature evaluation, influencing judgement
APPLIED RADIOLOGY
Introduction, radiation, background of radiation, sources, radiation biology, somatic damage genetic
damage, protection from primary and secondary radiation, Principles of X-ray production Applied
principles of radio therapy and after care.
ROENTGENOGRAPHIC TECHNIQUES
Normal anatomical landmarks of teeth and jaws in radiograms Temporomandibular joint radiograms
Neck radiograms.
APPLIED MEDICINE
Systemic diseases and its influence on general health and oral and dental health.
Medical emergencies in the dental offices - Prevention, preparation, medico legal consideration,
unconsciousness, respiratory distress, altered consciousness, seizures, drug related emergencies, chest
pain, cardiac arrest, premedication, and management of ambulatory patients, resuscitation, applied
psychiatry, child, adult and senior citizens.
Assessment of case, premaliation, inhibition, monitoring, extubalin, complication, assist in O.T. for
anesthesia.
General principles of surgery, wound healing, incision wound care, hospital care, control of hemorrhage,
electrolyte balance.
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Common bandages, sutures, splints, shifting of critically ill patients, prophylactic therapy, bone surgeries,
grafts, etc, surgical techniques, nursing assistance, anesthetic assistance.
Principles in speech therapy, surgical and radiological craniofacial oncology, applied surgical
PLASTIC SURGERY
Applied understanding and assistance in programmes of plastic surgery for prosthodontics therapy.
• All materials used for treatment of craniofacial disorders - Clinical, treatment, and
laboratory materials, Associated materials, Technical consideration, shelf life, storage, manipulations,
sterilization, and waste management.
• Students shall acquire knowledge and practice of history taking, examination of systemic and oral
and craniofacial region and diagnosis and treatment plan and prognosis record maintaining. A
comprehensive rehabilitation concept with pre prosthetic treatment plan including surgical reevaluation
and Prosthodontic treatment plan, impressions, jaw relations, utility of face bow and articulators,
selection and positioning of teeth for retention, stability, esthetics, phonation and psychological comfort.
Fit and insertion and instruction for patients after care and preventive Prosthodontic, management of
failed restorations.
TMJ syndromes, occlusion rehabilitation and craniofacial esthetics. State of the art clinical methods
and materials for implants supported extra oral and intra oral prosthesis.
• Knowledge of testing biological, mechanical and other physical property of all material used for
the clinical and laboratory procedures in Prosthodontic therapy.
PART II
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a. Prosthodontic treatment for completely edentulous patients - Complete denture, immediate complete
denture, single complete denture, tooth supported complete denture, Implant supported Prosthesis for
completely edentulous patients
b. Prosthodontic treatment for partially edentulous patients: Clasp-retained partial dentures, intra coronal
and extra coronal precision attachments retained partial dentures, maxillofacial prosthesis\
Prosthodontic treatment for edentulous patients - Complete Dentures and Implant supported Prosthesis.
Scope of Prosthodontic - The Cranio Mandibular system and its functions, the reasons for loss of teeth
and methods of restorations
Infection control, cross infection barrier - clinical and laboratory and hospital and lab waste management
a. Edentulous Predicament, Biomechanics of the edentulous state, Support mechanism for the natural
dentition and complete dentures.
Biological considerations, Functional and Para functional considerations, Esthetic, Behavioural and
adaptive responses, Temporomandibular joints changes.
b. Effects of aging, distribution of edentulism in old age, impact of age on edentulous mouth - Mucosa,
Bone, saliva, jaw movements in old age, taste and smell, nutrition, aging, skin and teeth, concern for
personal appearance in old age.
c. Sequalae caused by wearing complete denture - the denture in the oral environment - mucosal
reactions, altered taste perception, burning mouth syndrome, gagging, residual ridge resorption, denture
stomatitis, flabby ridge, denture irritation hyperplasia, traumatic ulcers, oral cancer in denture wearers,
nutritional deficiencies, masticatory ability and performance, nutritional status and masticatory functions.
e. Nutrition Care for the denture wearing patient - Impact of dental status on food intake, gastrointestinal
functions, nutritional needs and status of older adults, Calcium and bone health, vitamin and nutritional
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supplementation, dietary counselling and risk factor for malnutrition in patients with dentures and when
teeth are extracted.
Diagnosis and treatment planning for edentulous and partially edentulous patients - problem
identification, prognosis and treatment planning - contributing history - patient's history, social
information, medical status - systemic status with special reference to debilitating diseases, diseases of the
joint, cardiovascular, disease of the skin, neurological disorders, oral malignancies, use of drugs, mental
health - mental attitude, psychological changes, adaptability, geriatric changes - physiologic,
pathological and intra oral changes.
Intra oral health - mucose membrane, alveolar ridges, palate and vestibular sulcus and dental health.
Data collection and recording, visual observation, radiography, palpation, measurement- sulci or fossae,
extra oral measurement, the vertical dimension of occlusion, diagnostic casts.
Specific observations - existing dentures, soft tissue health, hard tissue health - teeth, bone
Biomechanical considerations - jaw relations, border tissues, saliva, and muscular development - muscle
tone, neuromuscular co-ordination, tongue, cheek and lips.
g. Pre prosthetic surgery - Improving the patients denture bearing areas and ridge relations:
- non surgical methods - rest for the denture supporting tissues, occlusal correction of the old prosthesis,
good nutrition, conditioning of the patients musculature
surgical methods - Correction of conditions, that preclude optimal prosthetic function - hyperplastic ridge
- epulis fissuratum and papillomatosis, frenular attachments and pendulous maxillary tuberosities, ridge
augmentation, maxillary and Mandibular oral implants, corrections of congenital deformities,
discrepancies in jaw size, relief of pressure on the mental foramen, enlargement of denture bearing
areas, vestibuloplasty, ridge augmentation, replacement of tooth roots with Osseo integrated denture
implants.
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. h. Immediate Denture - Advantages, disadvantages, contra indication, diagnosis treatment plan and
prognosis, Explanation to the patient, Oral examinations, examination of existing prosthesis, tooth
modification, prognosis, referrals/adjunctive care, oral prophylaxis and other treatment needs.
First extraction / surgical visit, preliminary impressions and diagnostic casts, management of loose teeth,
custom trays, final impressions and final casts two tray or sectional custom impression tray, location of
posterior limit and jaw relation records, setting the denture teeth / verifying jaw relations and the try in,
laboratory phase, setting of anterior teeth, Wax contouring, flasking and dewaxing, processing and
finishing, surgical templates, surgery and immediate denture insertion, post operative care and patient
instructions, subsequent service for the patient on the immediate denture, over denture tooth attachments,
implants or implant attachments.
i. Over dentures (tooth supported complete dentures) - indications and treatment planning, "advantages
and disadvantages, selection of abutment teeth, lose of abutment teeth, tooth supported complete dentures.
Non-coping abutments, abutment with copings, abutments with attachments, submerged vital roots,
preparations of the retained teeth.
j. Single Dentures: Single Mandibular denture to oppose natural maxillary teeth, single complete
maxillary denture to oppose natural Mandibular teeth, to oppose a partially edentulous Mandibular arch
with fixed prosthesis, partially edentulous Mandibular arch with removable partial dentures. Opposing
existing complete dentures, preservation of the residual alveolar ridge, necessity for retaining maxillary
teeth and mental trauma,
l. Materials prescribed in the management of edentulous patients - Denture base materials, General
requirements of biomaterials for edentulous patients, requirement of an ideal denture base, chemical
composition of denture base resins, materials used in the fabrication of prosthetic denture teeth,
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requirement of prosthetic denture teeth, denture lining materials and tissue conditioners, cast metal alloys
as denture, bases - base metal alloys
j. Articulators - Classification, selection, limitations, precision, accuracy and sensitivity, and Functional
activities of the lower member of the articulator and uses.
Complete denture impressions - muscles of facial expressions and anatomical landmarks, support,
retention, stability, aims and objectives - preservation, support, stability, aesthetics, and retention.
Impression materials and techniques - the preliminary impression and final impression
,Developing an analogue / substitute for the maxillary denture bearing area - anatomy of supporting
structures - mucous membrane:, hard palate, residual ridge, shape of the supporting structure and factors
that influence the form and size of the supporting bones, incisive foramen, maxillary tuberosity, sharp
spiny process, torus palatunis, Anatomy of peripheral or limiting structures, labial vestibule, Buccal
vestibule, vibrating line. Preliminary and final impressions, custom tray and refining the custom tray,
preparing the tray to secure the final impression, making the final impression, boxing impression and
making the casts.
Developing an analogue / substitute for the Mandibular denture bearing area-Mandible - anatomy of
supporting structure, crest of the residual ridge, the buccal shelf, shape of supporting structure, mylohyoid
ridge, mental foramen, genial tubercles, torus mandibularis, anatomy of peripheral or limiting structure -
labial vestibule, buccal vestibule, lingual border, mylohyoid muscle, retromylohyoid fossa, sublingual
gland region, alveolingual sulcus.
Mandibular impressions - preliminary impressions, custom tray, refining, preparing the tray, final
impressions.
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Recording of Mandibular movements - influence of opposing tooth contacts, temporomandibular joint,
muscular involvements, neuromuscular regulation of mandibular motion, the envelope of motion, rest
position, Maxillo - Mandibular relations - the centric, eccentric, physiologic rest position, vertical
dimension, occlusion,
Determining the horizontal jaw relation - Functional graphics, tactile or interocclusal check record
method, Orientation / sagittal relation records, Arbitrary / Hinge axis and face bow record, significance
and requirement, principles and biological considerations and securing on articulators.
p. Selecting and arranging artificial teeth and occlusion for the edentulous patient -anterior tooth
selection, posterior tooth selection, and principles in arrangement of teeth, -and factors governing
position of teeth - horizontal, vertical. The inclinations and arrangement of teeth for aesthetics,
phonetics and mechanics - to concept of occlusion.
q. The Try in - verifying vertical dimension, centric relation, establishment of posterior palatal seal,
creating a facial and functional harmony with anterior teeth, harmony of spaces of individual teeth
position, harmony with sex, personality and age of the patient, co-relating aesthetics and incisal guidance.
r. Speech considerations with complete dentures - speech production - structural and functional
demands, neuropsychological background, speech production and the role of teeth and other oral
structures - bilabial sounds, labiodentals sounds, linguodental sounds, linguoalveolar sound,
articulatoric characteristics, acoustic characteristics, auditory characteristics, linguopalatal and
linguoalveolar sounds, speech analysis and prosthetic considerations.
s. Waxing, contouring and processing the dentures their fit and Insertion and after care .
Laboratory procedure - wax contouring, flasking and processing, laboratory remount procedures and
selective, finishing and polishing.
Critiquing the finished prosthesis -doctors evaluation, patients evaluation, friends evaluation, elimination
of basal surface errors, errors in occlusion, interocclusal records for remounting procedures - verifying:
centric relation, eliminating occlusal errors, special instructions to the patient -appearance with new
denture, mastication with new dentures, speaking with new dentures, oral hygiene with dentures,
preserving of residual ridges and educational material for patients, maintaining the comfort and health of
the oral cavity in the rehabilitated edentulous patients.
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24hrs oral examination and treatment and Prosthodontic - periodontic recall for oral examination 3 to 4
months intervals and yearly intervals.
t. Implant supported Prosthesis for partially edentulous patients - Science of osseointegration and
clinical protocol for treatment with implant supported over dentures, managing problems and
complications, implant Prosthodontics for edentulous patients – current and future directions.
Implant supported prosthesis for partially edentulous patients – clinical and laboratory protocol: Implant
supported prosthesis, managing problems and complications
• Work authorization for Implant supported prosthesis - definitive instructions, legal aspects,
delineation of responsibility.
Prosthodontics
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a. Scope, definition and terminology, classification of partially edentulous arches - requirements of
acceptable methods of classification. Kennedy’s classification, Apple gates rules
b. Components of RPD –
Major connector - mandibular and maxillary, minor connectors: design, functions, form, and location of
major and minor connectors, tissue stops, finishing lines, reaction of tissue to metallic coverage
Rest and rest seats - from of the Occlusal rest and rest scat, interproximal Occlusal rest seats, internal
Occlusal rests, possible movements of partial dentures, support for rests, lingual rests on canines and
incisor teeth, incisal rest and rest seat.
Direct retainer- Internal attachment. Extra coronal direct retainer, relative uniformity of retention,
flexibility of clasp arms, stabilizing reciprocal clasp, criteria for selecting a given clasp design, the basic
principles of clasp design, circumferential clasp, bar clasp, combination clasp and other type of retainers.
Indirect Retainer - denture rotation about an axis, factors influencing effectiveness of indirect retainers,
forms of indirect retainers, auxiliary Occlusal rest, canine extensions from Occlusal rests, canine rests,
continuous bar retainers and linguoplates, modification areas, rugae support, direct - indirect retention
Principles of removable partial Denture design - bio mechanical considerations, and the factors
influencing it. Mouth preparations - Occlusal relationship of remaining teeth, orientation of Occlusal
plane, available space for restoration, arch integrity, tooth morphology, response of oral structure to
previous stress, periodontal conditions, abutment support, tooth supported and tooth and tissue supported,
need for indirect retention, clasp design, need for rebasing, secondary impressions, need for abutment
tooth modification, type of major connector, type of teeth selection, patients past experience, method of
replacing single teeth or missing anterior teeth.
a. Difference between tooth supported and tissue supported partial dentures, essential of partial denture
design, components of partial denture design, tooth support, ridge support, stabilizing components,
guiding planes, use of splint bar for denture support, internal clip attachments, overlay abutment as
support for a denture base, use of a component partial to gain support.
b. Education of patient
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e. Surveying - Description of dental surveyor, purposes of surveying, Aims and objectives in surveying of
diagnostic cast and master cast, final path of placement, factors that determine path of placement and
removal.
f. Recording relation of cast to surveyor, measuring retention, Blocking of master cast - paralleled
blockout, shaped blockout, arbitrary blockout and relief.
g. Diagnosis and treatment planning – infection control and cross infection barriers – clinical and
laboratory and hospital waste management,.
h. Preparation of Mouth for removable partial dentures - Oral surgical preparation, conditioning of
abused and irritated tissues, periodontal preparation - objectives at periodontal therapy, periodontal
diagnosis, control therapy, periodontal surgery.
j. Impression Materials and Procedures for Removable Partial Dentures — Rigid materials, thermoplastic
materials, Elastic materials, Impressions of the partially edentulous arch, Tooth supported, tooth tissue
supported, Individual impression trays.
k. Support for the Distal Extension Denture Base - Distal extension removable partial denture, Factors
influencing the support of distal extension base, Methods for obtaining functional support for the distal
extension base.
l. Laboratory Procedures - Duplicating a stone cast, Waxing the partial denture framework,
Anatomic replica patterns, Spruing, investing, burnout, casting and finishing of the partial denture
framework, making record bases, occlusion rims, making a stone occlusal template from a functional
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occlusal record, arranging posterior teeth to an opposing cast or template, types of anterior teeth, waxing
and investing the partial denture before processing acrylic resin bases, processing the denture, remounting
and occlusal correction to an occlusal template, polishing the denture.
m. Initial placement, adjustment and servicing of the removable partial denture - adjustments to
bearing surfaces of denture framework, adjustment of occlusion in harmony with natural and artificial
dentition, instructions to the patient, follow - up services.
n.Relining and Rebasing the removable partial denture - Relining tooth supported dentures bases, relining
distal extension denture bases, methods of reestablishing occlusion on a relined partial denture.
o. Repairs and additions to removable partial dentures - Broken clasp arms, fractured occlusal rests,
distortion or breakage of other components — major and minor connectors, loss of a tooth or teeth
not involved in the support or retention of the restoration, loss of an abutment tooth necessitating its
replacement and making a new direct retainer, Other types of repairs. Repair by soldering.
Scope, terminology, definitions, cross infection control and hospital waste management, work
authorization.
Behavioral and psychological issues in head and neck cancer, Psychodynamic interactions - clinician and
patient Cancer Chemotherapy: Oral Manifestations, Complications, and management, Radiation therapy
of head and neck tumors: Oral effects, Dental manifestations and dental treatment; Etiology, treatment
and rehabilitation (restoration) - Acquired defects of the mandible, acquired defects of hard palate, soft
palate, clinical management of edentulous and partially edentulous maxillectomy patients, Facial
defects, Restoration of speech, Velopharyngeal function, cleft lip and palate, cranial implants,
maxillofacial trauma, Lip and cheek support prosthesis, Laryngectomy aids, Obstructive sleep apnoea,
Tongue prosthesis, Esophageal prosthesis. Vaginal radiation carrier. Burn stents, Nasal stents, Auditory
inserts, trismus appliances, mouth controlled devices for assisting the handicapped, custom prosthesis for
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lagophthalomos of the eye. Osseo integrated supported facial and maxillofacial prosthesis. Resin bonding
for maxillofacial prosthesis, Implant rehabilitation of the mandible compromise by radiotherapy,
Craniofacial Osseo Integration, Prosthodontic treatment, Material and laboratory procedures for
maxillofacial prosthesis.
Fixed Prosthodontics
Scope, definitions and terminology, classification and principles, design, mechanical and biological
considerations of components: retainers, connectors, pontics, work authorization
Patient’s history and interview, patient’s desires and expectations and needs, systemic and emotional
health
Clinical examinations - head and neck, oral - teeth, occlusal and periodontal, Preparation of diagnostic
cast, radiographic interpretation, Aesthetics, endodontics consideration, abutment selection - bone
support, root proximities and inclinations, selection of abutments, for cantilever, pier abutments,
splinting, available tooth structures and crown morphology TMJ and muscles mastication and
comprehensive planning and prognosis
• Management of Carious teeth - caries in aged, caries control, removal carious, protection of pulp,
reconstruction measure for compromising teeth - retentive pins, horizontal slots, retention grooves,
prevention of caries, diet, prevention of root caries and vaccine for caries.
• Biomechanical principle of tooth preparations - individual tooth preparations. Complete metal Crowns -
P.F.C., All porcelain - Cere store crowns, dicor crowns, incerem etc., porcelain jacket crowns partial 3/4,
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fronional half, radicular 7/8, telescopic, pin-ledge,; laminates, inlays, onlays and preparations for
restoration of teeth-amalgam, glass lonomer and composite resins, Resin Bond retainers, Gingival
marginal preparations - Design, material selection, and biological and mechanical considerations -
intracoronal retainer and precision attachments - custom made and ready made
• Isolation and fluid control - Rubber dam applications, tissue dilation - soft tissue management
for cast restoration, impression materials and techniques, provisional restoration, interocclusal records,
laboratory support for fixed Prosthodontics, Occlusion, Occlusal equilibration, articulators, recording and
transferring of occlusal relations, cementing of restorations.
OCCLUSION:
Scope, definition, terminology, optimum oral health, anatomic harmony, functional harmony, occlusal
stability, causes of deterioration of dental and oral health, Anatomical, physiological, neuro - muscular,
psychological considerations of teeth, muscles of mastication, temporomandibular joint, intra oral and
extra oral and facial musculatures, the functions of Cranio mandibular system.
Occlusal therapy, the stomatognathic system, centric relation, vertical dimension, the neutral zone, the
occlusal plane, differential diagnosis of temporomandibular disorders, Understanding and diagnosing
intra articular problems, relating treatment to diagnosis of internal derangements of TMJ, Occlusal
splints, selecting instruments for occlusal diagnosis and treatment, mounting casts, Pankey – mann -
schuyler philosophy of complete occlusal rehabilitation, long centric, anterior guidance, restoring lower
anterior teeth, restoring upper anterior teeth, determining the type of posterior occlusal contours, methods
for determining the plane of occlusion, restoring lower posterior teeth, restoring upper posterior teeth,
functionally generated path techniques for recording border movements intra orally, occlusal
equilibration, Bruxism, Procedural steps in restoring occlusion a, requirements for occlusal stability,
solving occlusal problems through programmed treatment planning, splinting, solving - occlusal wear
problems, deep overbite problems, anterior overjet problems, anterior open bite problems. Treating -
end to end occlusion, splayed anterior teeth, cross bite patient, Crowded, irregular, or interlocking
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anterior bite, using Cephalometric for occlusal analysis, solving severe arch malrelationship problems,
transcranial radiography, postoperative care of occlusal therapy.
Osseo integrated supported fixed Prosthodontics - Osseo integrated supported and tooth supported fixed
Prosthodontics
Temporomandibular joint and its function, Orofacial pain, and pain from the temporomandibular joint
region, temporomandibular joint dysfunction, temporomandibular joint sounds, temporomandibular joint
disorders
• Etiology, diagnosis and cranio mandibular pain, differential diagnosis and management of orofacial pain
- pain from teeth, pulp, dentin, muscle pain, TMJ pain -psychologic, physiologic - endogenous control,
acupuncture analgesia, Placebo effects on analgesia, Trigeminal neuralgia, Temporal (arteritis)
• Occlusal splint therapy - construction and fitting of occlusal splints, management of occlusal splints,
therapeutic effects of occlusal splints, occlusal splints and general muscles performance, TMJ joint
uploading and anterior repositioning appliances, use and care of occlusal splints.
• Occlusal adjustment procedures - Reversible - occlusal stabilization splints and physical therapies, jaw
exercises, jaw manipulation and other physiotherapy or irreversible therapy, occlusal repositioning
appliances, orthodontic treatment, Orthognathic surgery, fixed and removable prosthodontic treatment
and occlusal adjustment, removable prosthodontic treatment and occlusal adjustment, Indication for
occlusal adjustment,special nature at orofacial pain, Indication for occlusal adjustment, special nature of
orofacial pain.
23
AESTHETIC: SCOPE AND DEFINITIONS:
Morpho psychology and esthetics, structural esthetic rules - facial components, dental components,
gingival components and physical components.
Esthetics and its relationship to function - Crown morphology, physiology of occlusion, mastication,
occlusal loading and clinical aspect in bio esthetic aspects. Physical and physiologic characteristic and
muscular activities of facial muscle, perioral anatomy and muscle retaining exercises.
Smile - classification and smile components, smile design, esthetic restoration of smile.
Esthetic management of the dentogingival unit, intraoral materials for management of gingival contours,
and ridge contours, Periodontal esthetics, Restorations - Tooth colored restorative materials, the clinical
and laboratory aspects, marginal fit, anatomy, inclinations, form, size,shape, color, embrasures, contact
point.
• The post graduate shall maintain a clinical case history record book, in the form of both manual and
digital format. Cases need to be recorded and endorsed by the staff.
• The post graduate has to maintain a pre clinical record book in which all the preclinical exercises shall
be recorded and completed in first six months of the course.
• The postgraduate shall maintain a log book to record the cases treated.
• The Academic record in the prescribed format has to be submitted before appearing for University
examination.
• The completion of all the clinical work and pass performance in all the exams conducted by the
department is mandatory for appearing University examinations with required clinical attendance as per
the University guidelines.
• All the post graduates should report to the Department prior to 8.30 am and sign in the attendance
register on all working days.
• All the post graduate students should enter the movement register and counter signed by the staff or
HOD before moving out of the Department for all purposes during working hours. All the post graduate
24
students should report to their respective units regarding the previous day work (clinical as well as
laboratory) and the cases to be treated on that particular day at 8.30 am every working day.
• All the post graduate students should leave the department by 3.30 pm and compulsorily punch out. To
work in the lab, after 3.30pm, all the post graduate students should punch in and out at the lab entrance.
• All the postgraduates should take prior permission from the HOD and the Principal for availing any
leave.
• Examination at the end of every academic term as annual evaluation examination will be conducted.
remedies
25
All the 1st year post graduate students are posted in the Pre clinical Prosthodontics for giving
demonstration and monitoring I year BDS students.
It is essential to monitor the learning progress of each candidate through continuous appraisal and regular
assessment. It not only helps teachers to evaluate students, but also students to evaluate themselves. The
monitoring to be done by the staff of the department based on participation of students in various
teaching / learning activities. It may be structured and time bound with minimal requirements. Inter
disciplinary seminars: Each post graduate shall present at least 1 seminar during the interdisciplinary
activity of the institute
ACADEMIC ACTIVITIES:
I Year
Acquaintance with books, journals and referrals to acquire knowledge of published books, journals and
website for the purpose of gaining knowledge and reference – in the fields of Prosthodontics including
Crown and Bridge and Implantology.
To differentiate various types of articles published in and critically appraise based on standard reference
guidelines.
To develop the ability to gather evidence from published articles. Participation and presentation in
seminars, didactic lectures. Internal Assessment Examination
II year:
26
Acquiring confidence in seminars, didactic lectures
III year:
First Year:
Acquire knowledge of dental material sciences, knowledge of using materials in laboratory and clinics
including testing methods for dental materials.
Clinical and pre clinical exercises involved in Prosthodontic therapy for assessment and acquiring higher
competence.
• University mandates candidate shall complete and submit the Thesis/Main Dissertation, six months prior
to university examination.
27
• University mandates candidate shall complete and submit the Library Dissertation with in eighteen
months from the commencement of course.
• Candidate shall complete one paper, two poster, one table clinic presentations in
• INTERNAL EXAMINATIONS
Candidateshall have pass marks in bridge course examination conducted three months after admission
to the course by the Department.
Candidateshall have pass marks in Part-I examination (basic sciences) conducted at the end of first
year by the University.
• Department requirement: Candidate shall complete all their seminars, journal discussion, pre clinical
bench work, clinical cases, log book, conference presentations and publications.
SCHEME OF EXAMINATION:
ACM/ 39/08/2020
EXAMINATION:
The university examination shall consist of theory, practical / clinical examination, viva-voce and
Pedagogy
A. Theory:
There shall be a theory examination in the Basic Sciences at the end of 1st year. The question papers shall
be set and evaluated by the concerned Department/Speciality. The candidates shall have to secure a
minimum of 50% in the Basic Sciences and shall have to pass the Part-I examination at least six months
prior to the final (Part-II) examination.
Paper-I: Applied Basic Sciences- Applied Anatomy, embryology, growth and development, genetics,
immunology, anthropology, physiology, nutrition and bio chemistry, pathology and microbiology,
28
virology, applied pharmacology, research methodology and bio statistics, applied dental anatomy and
histology, oral pathology and oral microbiology, adult and geriatric psychology, applied dental
materials.
Paper-II: Fixed Prosthodontics, occlusion, TMJ and esthetics Paper-III: Descriptive and analyzing type
questions (Essays)
SCHEME OF EXAMINATION:
Part-I: Written examination shall consist of Basic Sciences (Part-I) of three hours duration shall be
conducted at the end of First year of MDS course.
Paper I: Applied Basic Sciences: Applied Anatomy, embryology, growth and development, genetics,
immunology, anthropology, physiology, nutrition and bio chemistry, pathology and microbiology,
virology, applied pharmacology, research methodology and bio statistics, applied dental anatomy and
histology, oral pathology and oral microbiology, adult and geriatric psychology, applied dental
materials.
DISTRIBUTION OF MARKS:
(1) Part I University Examination (100 Marks):- Applied basics sciences conducted at the end of First
year.
Part-II: Examination shall be conducted at the end of Third year of MDS course. Part-II Examination
shall consist of Paper-I, Paper-II and Paper-III, each of three hours duration. Questions on recent
advances may be asked in any or all the papers. Distribution of topics for each paper will be as follows:
29
Part-II: Shall consist of three papers, namely-
(2) Part II (3 papers of 100 Marks):- Conducted at the end of third year
1. CLINICAL/PRACTICAL EXAMINATION:
Clinical/practical examination is designed to test the clinical skill, performance and competence of the
candidate in skills such as communication, clinical examination, medical/dental procedures or
prescription, exercise prescription, latest techniques, evaluation and interpretation of results so as to
undertake independent work as a specialist. The affiliating university shall ensure that the candidate has
been given ample opportunity to perform various clinical procedures. The practical/clinical examination
in all the specialities shall be conducted for eight candidates in three days.
a. C.D.
b. R. P.D.
c. F.P.D. including single tooth and surface restoration
d. I.S.P.
e. Occlusal rehabilitation
f. T.M.J.
g. Maxillofacial Prosthesis
h. Pre Clinic Exercises
30
2. Presentation of Clinical Exam CD patient’s prosthesis including insertion
75 Marks
1. Discussion on treatment plan and patient review
2. Primary impression(One arch: maxillary or mandibular)
3. Secondary impression(One arch: maxillary or mandibular)
4. Tentative jaw relation records
5. Face Bow – transfer
6. Transferring it on articulators
7. Extra oral tracing and securing centric and
protrusive/lateral, record
8. Transferring records on articulator and programming.
9. Selection of teeth
10. Arrangement of teeth
9. Waxed up denture trial
10. Check of Fit, insertion and instruction of previously
processed characterised, anatomic complete denture
Prosthesis
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3. Pedagogy: A topic shall be given to each candidate in the beginning of clinical examination. He/she is
asked to make a presentation for micro teaching on the topic for 8-10 minutes.
DISTRIBUTION OF MARKS:
TOTAL MARKS:
32
ASSESSMENT PERFORMA’S AND LOG BOOK:
INDEX
POSTGRADUATELOGBOOK
INDEX
33
SEMINAR MARKS
34
JOURNAL REVIEW
35
UG-TEACHING
36
CONTINUED DENTAL EDUCATION PROGRAMME
37
WORKSHOPS/CONFERENCES
38
PRECLINICAL WORK
a Class I
b Class II
(Survey,BlockOut,DesignandColorCoding)
c Class III
d Class IV
2 Designing of various components of R.P.D
3 Wax pattern on Cast
a Class I-Dental stone cast
b Class II-Refractory cast
c Class III- Refractory cast
d Class IV-Dental stone cast
4 Casting and finishing of metal frameworks-Class III
5 Casting and finishing of metal frameworks with teeth
39
Arrangement and acrylisation
III Fixed Partial Denture:
1 Preparation on typodont teeth:
Full Veneer Crown:
a FVC for metal-Posterior teeth-36/46
b FVC for ceramic-Anterior teeth-11/21
c FVC for ceramic-Posterior teeth-16/26
d Porcelain Jacket Crown-Anterior teeth-11/21
Partial Veneer Crown :
e ¾ Crown(Canine and premolar)-13,23/14/24
f 7/8 Crown-17/27
g Proximal half Crown-37/47
h Inlay-ClassI,II-36/46
i Laminates-11/21
2 Preparation of die system(Pindex) for full arch
3 Fabrication of wax pattern on all prepared teeth
4 Fabrication of wax pattern on trimmed occlusal
surface of maxillarycast(Fullmouth)
5 Pontic Design:
a Ridge lap-Anterior and Posterior
b Modified ridge lap-Anterior and posterior
c Sanitary
d Modified sanitary
e Spheroidal, Conical
f Ovate
6 Fabrication of metal framework
a Full metal bridge for posterior(3unit)
b Coping for anterior(3unit)
c Full metal with ceramic facing
d Metal ceramic crown
e Full metal crown
f All ceramic crown with characterisation
40
g Post and core
h Adhesive bridge for anterior
7 Laminates
IV Maxillofacial Prosthodontics:
a Eye
b Ear
c Nose
d Obturator
e Finger Prosthesis
V Other exercises
1.TMJsplints-Stabilization
2.Overdenturecoping-33,43
Precision attachments-custom made (key and key
way)
VI Implant supported prosthesis
Step by step procedures-laboratory phase
41
Clinical Cases
5)
1
2
3
42
4
5
6
7
VIII Single complete dentures(Min2)
1
2
3
4
5
IX Over dentures(Min1)
1
2
3
X Interim/immediate complete
dentures(Min1)
1
2
XI Complete Dentures(Using mean
value articulator)
1
2
3
4
5
6
7
8
9
10
11
12
43
13
14
15
16
17
18
19
20
XII Relining and rebasing(Min2)
1
2
3
4
Removable Partial Dentures:
I Provisional Partial Denture
1
2 Prosthesis(Min8)
3
4
5
6
7
8
9
10
11
12
II Cast partial denture(Min 4
arches)
1
2
44
3
4
5
6
III Immediate removable partial
dentures(Min2)
1
2
3
4
CROWNS(min40)
I Metal free ceramic crown (Min 5)
1
2
3
4
5
6
7
8
Cases treated using CAD/
CAM(Min 5)
1
2
3 technology )Min 5)
4
5
II PFM
crowns(Posterior/Anterior,Min30)
1
2
3
45
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
46
38
39
40
47
FIXED PARTIAL
DENTURE(Min20units)
I Metal free ceramic FPD(Min3
units)
1
2
3
4
5
6
II PFM(Anterior/Posterior,Min17
units)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
48
23
24
25
III Precision and semi precision
attachments(Min3)
1
2
3
4
5
IMPLANTS
I Implant Prosthesis(Min6)
1
2
3
4
5
6
MAXILLOFACIAL
PROSTHESIS
I Definitive Obturator(min1)
2
3
II Eye Prosthesis(Min1)
1
Full mouth rehabilitation
TMJ Syndrome Management
Splints- Stabilizing and
repositioning(min2)
1
2
3
4
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CASE PRESENTATION
50
INTERNAL ASSESSMENT EXAMINATION MARKS
of 1styear
Paper I
of 2ndyear
Paper I
Paper II
4 Preparatory exam 3rdyear
Paper I
Paper II
Paper III
Clinical Exam:
51