1. Introduction, definition, scope, aims and objectives.
2. Diagnosis in oral surgery:

(A) History taking

(B) Clinical examination

(C) Investigations.

3. Principles of infection control and cross-infection control with particular reference to HIV/AIDS and

Hepatitis.

4. Principles of Oral Surgery –
5. a) Asepsis: Definition, measures to prevent introduction of infection during surgery.
6. Preparation of the patient
7. Measures to be taken by operator
8. Sterilisation of instruments – various methods of sterilisation etc.
9. Surgery set up.
10. b) Painless Surgery:
11. Pre-anaesthetic considerations. Pre-medication: purpose, drugs used
12. Anaesthetic considerations –
13. a) Local b) Local with IV sedations
14. Use of general anaesthetic
15. c) Access:

Intra-oral: Mucoperiosteal flaps, principles, commonly used intra oral incisions.

Bone Removal: Methods of bone removal.

Use of Burs: Advantages & precautions

Bone cutting instruments: Principles of using chisel & osteotome.

Extra-oral: Skin incisions – principles, various extra-oral incision to expose facial skeleton.

1. a) Submandibular
2. b) Pre auricular
3. c) Incision to expose maxilla & orbit
4. d) Bicoronal incision
5. d) Control of haemorrhage during surgery

Normal Haemostasis

Local measures available to control bleeding, Hypotensive anaesthesia etc.

1. e) Drainage & Debridement

Purpose of drainage in surgical wounds

Types of drains used

Debridement: purpose, soft tissue & bone debridement.

1. f) Closure of wounds

Suturing: Principles, suture material, classification, body response to various materials etc.

1. g) Post operative care

Post operative instructions

Physiology of cold and heat

Control of pain – analgesics

Control of infection – antibiotics

Control of swelling – anti-inflammatory drugs

Long term post operative follow up – significance.

5. Exodontia: General considerations

Ideal Extraction.

Indications for extraction of teeth

Extractions in medically compromised patients.

Methods of extraction –

(a) Forceps or intra-alveolar or closed method.

Principles, types of movement, force etc.

(b) Trans-alveolar, surgical or open method, Indications, surgical procedure.

Dental elevators: uses, classification, principles in the use of elevators, commonly

used elevators.

Complications of Exodontia –

Complications during exodontia

Common to both maxilla and mandible.

Post-operative complications –

Prevention and management of complications.

6. Impacted teeth:

Incidence, definition, aetiology.

(a) Impacted mandibular third molar.

Classification, reasons for removal,

Assessment – both clinical & radiological

Surgical procedures for removal.

Complications during and after removal,

Prevention and management.

(b) Maxillary third molar,

Indications for removal, classification,

Surgical procedure for removal.

(c) Impacted maxillary canine

Reasons for canine impaction,

Localization, indications for removal,

Methods of management, labial and palatal approach,

Surgical exposure, transplantation, removal etc.

7. Pre-prosthetic Surgery:

Definition, classification of procedures

(a) Corrective procedures: Alveoloplasty,

Reduction of maxillary tuberosities,

Frenoctemies and removal of tori.

(b) Ridge extension or Sulcus extension procedures

Indications and various surgical procedures

(c) Ridge augmentation and reconstruction.

Indications, use of bone grafts, Hydroxyapatite

Implants – concept of osseo integration

Knowledge of various types of implants and

surgical procedure to place implants.

8. Diseases of the maxillary sinus

Surgical anatomy of the sinus.

Sinusitis both acute and chronic

Surgical approach of sinus – Caldwell-Luc procedure

Removal of root from the sinus.

Oro-antral fistula – aetiology, clinical features and various surgical

methods for closure.

9. Disorders of T.M. Joint

Applied surgical anatomy of the joint.

Dislocation – Types, aetiology, clinical features and management.

Ankylosis – Definition, aetiology, clinical features and management

Myo-facial pain dysfunction syndrome, aetiology, clinical features, management-

Non surgical and surgical.

Internal derangement of the joint.

Arthritis of T.M. Joint.

10. Infections of the Oral cavity

Introduction, factors responsible for infection, course of odontogenic infections, spread of odontogenic infections through various facial spaces.

Dento-alveolar abscess – aetiology, clinical features and management.

Osteomyelitis of the jaws – definition, aetiology, pre-disposing factors, classification, clinical features and management.

Ludwigs angina – definition, aetiology, clinical features, management and complications.

11. Benign cystic lesions of the jaws –

Definition, classification, pathogenesis.

Diagnosis – Clinical features, radiological, aspiration biopsy, use of contrast

media and histopathology.

Management – Types of surgical procedures, Rationale of the techniques,

indications, procedures, complications etc.

12. Tumours of the Oral cavity –

General considerations

Non odontogenetic benign tumours occuring in oral cavity – fibroma, papilloma,

lipoma, ossifying fibroma, mynoma etc.

Ameloblastoma – Clinical features, radiological appearance and methods of

management.

Carcinoma of the oral cavity –

Biopsy – types

TNM classification.

Outline of management of squamous

Cell carcinoma: surgery, radiation and chemotherapy

Role of dental surgeons in the prevention and early detection of oral cancer.

13. Fractures of the jaws –

General considerations, types of fractures, aetiology, clinical features and general principles

of management.

mandibular fractures – Applied anatomy, classification.

Diagnosis – Clinical and radiological

Management – Reduction closed and open

Fixation and immobilisation methods

Outline of rigid and semi-rigid internal fixation.

Fractures of the condyle – aetiology, classification, clinical features, principles

of management.

Fractures of the middle third of the face.

Definition of the mid face, applied surgical anatomy, classification, clinical

features and outline of management.

Alveolar fractures – methods of management

Fractures of the Zygomatic complex

Classification, clinical features, indications for treatment, various methods of

reduction and fixation.

Complications of fractures – delayed union, non-union and malunion.

14. Salivary gland diseases –

Diagnosis of salivary gland diseases’

Sialography, contrast media, procedure.

Infections of the salivary glands

Sialolithiasis – Sub mandibular duct and gland and parotid duct.

Clinical features, management.

Salivary fistulae

Common tumours of salivary glands like Pleomorphic adenoma including

minor salivary glands.

15. Jaw deformities –

Basic forms – Prognathism, Retrognathism and open bite.

Reasons for correction.

Outline of surgical methods carried out on mandible and maxilla.

16. Neurological disorders –

Trigeminal neuralgia – definition, aetiology, clinical features and methods of

management including surgical.

Facial paralysis – Aetiology, clinical features.

Nerve injuries – Classification, neurorhaphy etc.

17. Cleft Lip and Palate –

Aetiology of the clefts, incidence, classification, role of dental surgeon in the management of

cleft patients. Outline of the closure procedures.

18. Medical Emergencies in dental practice –

Primary care of medical emergencies in dental practice particularly –

(a)Cardio vascular (b) Respiratory (c) Endocrine

(d)Anaphylactic reaction (e) Epilepsy (f) Epilepsy

19. Emergency drugs & Intra muscular I.V. Injections –

Applied anatomy, Ideal location for giving these injections, techniques etc.

20. Oral Implantology
21. Ethics

LOCAL ANAESTHESIA:

Introduction, concept of L.A., classification of local anaesthetic agents, ideal requirements, mode of

action, types of local anaesthesia, complications.

Use of Vaso constrictors in local anaesthetic solution –

Advantages, contra-indications, various vaso constrictors used.

Anaesthesia of the mandible –

Pterygomandibular space – boundaries, contents etc.

Interior Dental Nerve Block – various techniques

Complications

Mental foramen nerve block

Anaesthesia of Maxilla –

Intra – orbital nerve block.

Posterior superior alveolar nerve block

Maxillary nerve block – techniques.

GENERAL ANAESTHESIA –

Concept of general anaesthesia.

Indications of general anaesthesia in dentistry.

Pre-anaesthetic evaluation of the patient.

Pre-anaesthetic medication – advantages, drugs used.

Commonly used anaesthetic agents.

Complication during and after G.A.

I.V. sedation with Diazepam and Medozolam.

Indications, mode of action, technique etc.

Cardiopulmonary resuscitation

Use of oxygen and emergency drugs.

Tracheostomy.