MD (RESIDENCY) IN ORAL ANATOMY

FACULTY OF DENTISTRY, BANGABANDHU

SHEIKH MUJIB MEDICAL UNIVERSITY,
SHAHBAG, DHAKA-1000
Contents
Introduction to the University
Introduction to the Dental Anatomy
residency program
Preface
Vision
Mission
Program educational Objectives (PEO)
Program Learning Outcome (PLO)
Generic Skill/Graduate Profile
Curriculum Mapping
Curriculum Structure/Layout
Course Schedule
Teaching Learning Experiences Strategy
Supervision and Training Monitoring:
Curriculum Implementation, Review and
Updating
Course Contents/Profile (Phase B Syllabus)
2. Introduction of the program (Oral Anatomy)

Title will be Residency program in Dental Anatomy. Residents will undertaken a three year inter
wee in order to achieve the levels of knowledge, skills and expertise required for clinical
practice in the field of Dental anatomy. It is a competency-based program emphasizing on
meaningful integration and contextualization.

In-depth specialty-specific educational and training program in these phases will make the
resident competent and prepare them as qualified dental surgeon. It will also include
educational programs covering Basic medical sciences, Biostatistics, Research Methodology and
generic skill along with rotation specific clinical training.

The teaching, learning and assessment of the curriculum is facilitated by the provision of
comprehensive, educationally oriented supervision and support, which is provided to ail
trainees across the phases of the program.
1. Vision of the program

To become globally recognized as one of the leading residency program in Dental Anatomy in
the geographic region, WN terns of modern standard/highest level of course materials,
academic research and teaching excellent.

2. Mission

The mission of the programs is designed to provide students with advanced knowledge and skill
that are necessary to meet the current demand of world standard patient care and research.
We shall achieve our mission through offering a multi- dimensional curriculum that is designed
to equip students with a broad based knowledge, skill & attitude.

3. Program educational Objectives (PEO)

1. Successfully apply their learned knowledge & skill throughout their professional carrier to
meet and respond to the changing healthcare needs and expectation of the wide range of
population of the society.

2. Lifelong continuous pursue learning and professional development to ensure safety and
quality management of the patient.

3. Have the capability of building team by communicating and collaborating as individuals and
in team that include doctors and colleagues from other disciplines .

4. Building and maintaining the trust among the patient of the community through maintaining
professionalism with ethical standard, problem solving, advocating, managing and
communicating the health problem at level of the patient and the community.
4. Program Learning Outcomes (PLO)
1. Medical expert (Knowledge and skill)
2. Communicator
3. Collaborator
4. Manager
5. Health advocate
6. Scholar
7. Professional
5. GENERIC SKILL / GRADUATE PROFILE:

Generic skill:
Includes communication, collaboration, managing, health advocacy, scholarly and
professionalism.

Graduate profile:
The graduate profile comprises both medical knowledge and generic skill

The following criteria will constitute our graduate profile as per the Can Med described
graduate profile:

Medical Expertise of a graduate

A graduate will be able to-

 Demonstrate Clinical decision-making skills that integrate best evidence and
acknowledge patient values.
 Apply basic knowledge of the etiology, pathogenesis, clinical features, complications,
prognosis, principles of prevention and approach to management with emphasis on
common and life threatening illnesses across the age spectrum.
 Skilled in Dental Anatomy and relevant general and systemic clinical examination.
 Recognize and prioritize the urgency of a patient's clinical problems.
 List and prioritize a meaningful differential diagnosis with emphasis on Common and
urgent clinical presentations.
 Demonstrate the ability to select and interpret commonly-employed investigations.
 Demonstrate appropriate use of selected procedural skills.
 Apply the principles of pharmacology and evaluate options for safe and rational drug
therapy.
 Understand the scientific principles underlying evidence-based approaches to health
maintenance, preventive screening, and therapeutic, rehabilitative, and palliative
interventions.
 Demonstrate a basic understanding of the psychological, interpersonal, family, cultural,
societal, and environmental determinants of health and illness across a diverse
population.
 Recognize and cope with uncertainty and ambiguity in clinical decision-making and care.

Communicator: A graduate will be able to

 Communicate in a manner that maintains compassionate, professional and ethical
therapeutic relationships with patients, their families, and the community by achieving
the development of rapport, understanding, trust, while maintaining respect, integrity,
empathy, confidentiality and acknowledging uncertainty.
 Communicate effectively and in a non-judgmental manner with patients, their families
and the community through verbal, written and other non-verbal means of
communication.
 Effective information-gathering and be proficient in communicating with patients in a
variety of situations, including where communication challenges or sensitive topics may
occur within the profession.
 Deliver information to patients and their families in a compassionate manner such that
it can be easily understood, encourages discussion, and promotes patient participation
in the process of shared decision-making.
 Cooperate and communicate effectively among health professionals involved in patient
care to ensure patient safety and optimize outcomes.
 Present and discuss "bad news” with patients or families in an empathic manner,
including discussions of advance care planning and goals of care.
 Maintain clear, accurate and comprehensive records of patient care includes those in
data base and disseminate appropriately when required.
Collaborator: A graduate will be able to
 Understand the roles and responsibilities of all members of an interdisciplinary team
that are required for optimal patient care, research and education.
 Explain the benefits of teamwork in training and patient care.
 Collaborate with patients, their families and all team members.
 Participate in negotiation and facilitation of conflict resolution in the context of the
learning Setting, patient care and/or team functioning.
 Demonstrate an understanding of effective team processes and functions.
 Function effectively both as a leader or a team member whichever is appropriate.

Manager: A graduate will be able to

 Recognize the different roles and responsibilities in healthcare organizations, ranging
from individual clinical practices to academic health sciences centers.
 Describe the basic government structures within health care organizations and how they
influence patient care, research and educational activities at a local, provincial, regional,
national and international level.
 Demonstrate knowledge of how information technology can be used to impact patient
care.
 Demonstrate knowledge in principle of quality improvement/assurance in health care.
 Describe how economic and cost perspectives impact decision-making.
 Compare and contrast the variety of practice options and settings within the practice of
medicine and in order to make informed personal choices regarding career direction.
 Demonstrate effective time management in personal and professional roles.
 Be knowledgeable on the absolute and relative levels of resources in various
components of the health care system and will be able to discuss the rationale for
stewardship of available resources within the overall allocation framework.
 Describe the need for planning, budgeting and evaluation of outcomes of a patient care
program.
 Describe principles of change management as they apply to innovations in clinical care.
  Describe the principles of effective leadership.
 Demonstrate knowledge of cost/benefit issues in the context of health care resource
allocation and population health.

Health Advocate: A graduate will be-

 Respond to individual patient health needs and issues as part of patient, of the
communities in which they serve and in the population they serve.
 Promote health and well-being of individual patients, communities and populations.
 Articulate and apply the determinants of health, the principles of health promotion and
principles of disease prevention.
 Articulate, synthesize and apply the diverse factors that influence health, disease and
disability and access to health services.
 Medical graduate will demonstrate the ability to advocate for patients and communities
 Identify and access Community resources related to health promotion, disease
prevention and illness management.
 Describe the ethical and professional issues inherent in health advocacy (altruism, social
justice, autonomy, courage, integrity, idealism) and conflict.
 Demonstrate an integration of advocacy into his/her understanding of professional duty
to patients and communities.
 Discuss the possibility of conflict in their role as a health advocate for a patient or
community.
 Demonstrate the ability to advocate as a medical professional for health and patient
safety.
 Scholar: A graduate will able to be-
 Demonstrate critical reflection and inquiry to enable practices of life-long and self-
directed learning.
 Assist in teaching others and facilitate learning where appropriate.
 Demonstrate knowledge of forms of rigorous inquiry in research methodologies and
describe an appropriate methodology to a specific research question.
  Demonstrate an understanding of ethics as it relates to medical research.
 Demonstrate knowledge of the professional practices and scholarly activities required of
the profession.
 Activities include, but are not limited to: participating in the development of practice
guidelines and health Policy development.
 Receive, incorporate, and provide feedback in an appropriate and timely manner in their
daily learning and practice.

Professional: A graduate will be-

 Demonstrate key values required in the profession including honesty, integrity,
trustworthiness, compassion, respect, empathy, cultural awareness, altruism,
maintaining confidentiality end a commitment to patient well-being,
 Honor the privileges and responsibilities of the medical profession. This includes
responding :o the societal and community needs (social accountability), commitment to
public service and carrying out the principles of social justice (access to care, free of
discrimination, finite resource allocation:
 Recognize and knowledgeably respond to ethical and legal challenges.
 Demonstrate reflective practice with patients to achieve a sustainable and current
practice white maintaining appropriate boundaries with patients.
 Demonstrate self-awareness through reflection, and a commitment to balance
professional and personal priorities.
 Demonstrate that the self-regulation of the profession is a privilege and that each
physician has a continuing responsibility to merit this privilege and to support its
institutions including peer Assessment and self-assessment as applicable.
Length/Duration of the program: 3years
The program will be divided into:
 Phase-A (Two years):
- Year 1
- Year 2
 Phase-B (One year)

Curriculum Outline:

Phase-A (Year: 1)
Block: 1 (Module 1, 2 & 3)

Block: 2 (Module 4, 5 & 6)

Block: 3 (Module 7 & 8)

 Phase: A (Year:1)

BLOCK :1 Module 1: Introduction to Oral Anatomy

(Paper: I ) Module 2: Oral Radiology

Module 3 : Science of Dental Materials

Module 4 : Oral physiology

BLOCK :2
Module 5 : Oral Pathology, Periodontology & Oral
(Paper :II)
Medicine

Module 6 : Cell Biology & Genetics

Module 7: Orofacial Embryology

BLOCK :3
Module 8: Basic Medical science
(Paper :III)

Phase-A (Year: 2)
Block: 4 (Module 9, 10 )

Block: 5 (Module 11, 12 )

Block: 6 (Module 13,14)

 Phase: A (Year:2 )

BLOCK :4

(Paper :IV) Module 9: Oral Histology

Module 10: Geriatric Dentistry & Pediatric Dentistry

Module 11: Development of the structures of Oral

tissues.
BLOCK :5
Module 12: Advancement of Dentistry
(Paper :V)

BLOCK :6
Module 13: Tooth Morphology & Occlusion
(Paper :VI)
Module 14: Comparative Dental Anatomy

Phase-B
 Project Synopsis Writing
 Research project
 Dissertation Defense

Phase-A (Year: 1)
Module: 01
Title: Introduction to Oral Anatomy
Duration: 4 weeks
Learning objectives: At the end of this module students will be able to-
 Describe the general features of the structures related to oral cavity
 Apply this knowledge to understand the systemic and radiological anatomy
Course Content:
 Nomenclature & important definitions
 The mouth
 The tooth structures (Enamel, dentin and pulp)
 Supporting structures of tooth (Cementum, Periodontal Ligament & Alveolar bone)
 Gingiva and oral mucosa
 Temporomandibular joint
 Salivary gland
 Bones of the jaw (Mandible & Maxilla)
 Gross anatomy of oral structures
Practical work:
 Basic histological & staining technique
 Slide preparation
 Use and handling of light microscope
 Ground section of bone and tooth
Self-Study:
 Review of literature
 Group discussion
Knowledge:
Skill:
Attitude:
Recommended books:
 Oral Histology By A.R. Ten Cate

Module: 02

Title: Oral Radiology

Duration: 2 weeks

Learning objectives: At the end of this module the students will be able to

 Understand the history & development of radiology and science dealing with the
interaction of X-rays with living tissues
 identify the simple dental and contiguous structures of oral cavity and skull
 Grasp the basic concept of digital, magnetic and computer tomography
 Understand the hazards of X- Irradiation

Course contents:

 Production of X-rays
 Atomic interaction
 Absorption of X-rays
 Production of radiograph
 Concepts of MRI & Computer tomography,
 Interpretation of radiograph
 Bone biology
 Landmarks of mandible/maxilla
 Panoromic radiograpn
 Peri-apical radiograph
 Hazards of X-rays

Self-study:

 Group study

Knowledge:

Skill:

Attitude:

Recommended books:

Module: 03

Title: Science of Dental Materials

Duration: 4 weeks

Learning objectives:

Course contents:

 Overview of materials for dental applications

 Structure of matter and principles of adhesion
 Mechanical properties of dental materials
 Physical properties of dental materials
 Dental polymers
 Impression materials
 Biocompatibility of dental materials
 Direct restorative materials
 Finishing and polishing materials
 Indirect restorative and prosthetic materials
 Dental ceramics
 Dental implants

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:

Module: 04
Title: Oral physiology

Duration: 4 weeks
Learning Objectives: At the end of this module the students will be able to
  Grasp a good knowledge of the basic principal of oral physiology
 Apply this knowledge in their daily practice

Course contents:
 The Oral Mucosa
 Mastication & Deglutition
 Pain
 Taste
 Wound healing
 Speech
 Saliva
 Nutrition
 Calcium metabolism & bone
 Healing of bone fracture
 Eruption & shedding
 Orthodontic tooth movements
 Stress and anxiety in dental treatment

Self-Study:

Knowledge:

Skill:

Attitude:

Recommended books:

Module: 05

Title: Oral Pathology, Periodontology & Oral Medicine

Duration: 4 weeks
Learning objectives: At the end of this module the students will be able to

 Understand the basic concepts of production of caries and periodontal diseases

 Identify the various lesions of the oral cavity
 Plan a treatment for different oral pathologies

Course contents:

 Plaque and dental caries

 Periodontal diseases
 Cysts and tumors of the jaw
 Soft tissue swelling
 Red and white lesions of oral cavity
 Pre-cancerous lesions
 Diseases of salivary gland
 Medically compromised patient and oral management

Self-study:

 Literature review
 Group study

Knowledge:

Skill:

Attitude:

Recommended books:

Module: 06
Title: Cell Biology & Genetics

Duration: 2 weeks
Learning objectives:

Course contents:

 Structure of and gene DNA

 Differential gene expression
 Animal development: gene to organism
 Evolution and species
 Molecular and genomic evolution
 Recombinant DNA and Biotechnology
 Molecular biology and medicine
 Natural defenses against disease

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 07

Title: Orofacial Embryology

Duration: 2 weeks

Learning objectives: At the end of this module the students will be able to

 Understand the basic developmental events of embryo

 Describe the skeletal components that form the developing skull & face

Course contents:

 Development of face, tongue & thyroid gland

 Development of the base of the skull
 Development of the branchial apparatus
 Development of the paranasal air sinuses
 Development of cartilage and bone of facial skeleton
 Development of salivary gland
 Development of temporomandibular joint
 Development of occlusion

Self-study:

 Literature review
 Group discussion

Knowledge:

Skill:

Attitude:

Recommended books:

 Langman’s Oral Embryology

 Module: 08

Title: Basic Medical science

Duration: 8 weeks
Learning objectives: At the end of this module the students will be able to
 Grasp the basic knowledge of basic medical science ( Anatomy, Physiology,
Biochemistry, Pathology and Pharmacology)
Course contents:
Anatomy:
Embryology:
 Fertilization, zygote, morula, blastocysts, amnion, chorion, derivatives of germ layers
 Development pf heart and its anomaly
 Development of urogenital and digestive system

Histology:
 Cell
 Tissue (Epithelial, Muscular, Connective & Nervous)
 Systems (Respiratory, Digestive, Endocrine and Immune systems of the body)

General anatomy:
 Classification of bones and joints, their blood supply & ossification
 Types and nerve supply of muscles
 Neuron, peripheral and central nervous system
 Surface markings of heart, lung and abdominal viscera

Head and neck:

 Bones, foramina of skull
 Cranial nerves, brief outline of 5th and 7th cranial nerves
 Nose. Pharynx and larynx (blood supply and nerve supply)

Physiology:
 Functional organization of human body & control of internal environment
 Extra cellular fluid
 Homeostasis
 Anemia, polycythemia
 Resistance of the body to infection
 Immunity and allergy
 Hemostasis and blood coapulation
  cardiovascular, Respiratory, Gastrointestinal & nervous system
 Metabolism and temperature regulation
 endocrinology
 Thyroid and parathyroid
 sports physiology

Biochemistry:
 General concepts of metabolism of proteins, fats, carbohydrates and enzymes
 Structure and functions of nucleic acids and prostaglandins
 Essentials of adequate nutrition and dietetics
 Knowledge of vitamins and their deficiencies
Pathology:
 e Normal human cell inflammatory reactions, chemical mediators
 Primary and secondary wound healing, factors affecting bone healing
 Gram positive and negative organisms and lesions produced by them
 Viral infections like hepatitis, AIDS, polio, herpes, measles
 Etiology and pathogenesis of thrombosis, complications and diagnosis of thrombosis
 Tumors
 Pathological calcification
 Tumors of bones, inflammation of bones and joints, inflammation and tumors of oral
cavity including teeth and jaws
 Tumors of lymph nodes and leukemias, multiple myeloma lesions and lab diagnosis
Pharmacology:
 Principles of pharmacotherapy
 Mechanism of drug action, pharmacokinetics and pharmacodynamics
 Rational drug therapy
 Basic and clinical pharmacology including sedatives, hypnotics, anxiolytics,
antidepressants, analgesics, anti-inflammatory drugs, corticosteroids, local anesthetics,
general anesthetics, skeletal muscle relaxants, coagulants and anti-coagulants, anti-
microbial drugs, anti-cancer drugs and immune-suppressants
 Knowledge of drugs used in dentistry
Self-study:
Knowledge:
Skill:
Attitude:
Recommended books:

Phase-A (Year 2)
 Phase: A (Year:2)

BLOCK :4

(Paper :IV) Module 9: Oral Histology

Module 10: Geriatric Dentistry & Pediatric Dentistry

Module 11: Development of the structures of Oral

tissues.
BLOCK :5
Module 12: Advancement of Dentistry
(Paper :V)

BLOCK :6
Module 13: Tooth Morphology & Occlusion
(Paper :VI)
Module 14: Comparative Dental Anatomy
 Module: 09

Title: Oral Histology

Duration: 5 weeks

Learning Objectives:

Course contents:

 Histology of enamel
 Histology of dentin
 Histology of pulp
 Histology of periodontal ligament
 Histology of cementum
 Histology of alveolar bone
 Age changes of tooth tissues
 Age changes of the supporting structures of tooth
 Age changes of oral mucosa and salivary gland
 Histological structures of oral tissues: oral mucosa, gingiva, salivary gland an
temporomandibular joint
 Preparation of Ground sections, hematoxylin& Eosin sections & decalcified section

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 10
Title: Geriatric Dentistry & Pediatric Dentistry
Duration: 3 weeks
Learning objectives:
Geriatric Dentistry
Course contents:
 Importance of geriatric dentistry
 Disability in old age — the relationship with oral health
 Age-related changes occurring in the oral environment
 Bone loss in the craniofacial skeleton
 Age-related changes in oral-sensory functions
 Age changes of tooth tissues
 Age changes of oral mucosa, jaws and alveolar bone
 Geriatric oral health assessment
 Common oral conditions affecting the elderly population
 Caries in the older person
 Pathology of diseases of the pulp
 Pathology of gingivitis and periodontitis in the aging individual
 Pathology of gingivitis and periodontitis in the aging individual
 Pathology of oral mucosal diseases
 Salivary function and disorders in the older adult

Pediatric Dentistry
 Anatomy of the Teeth and Mouth
 Deciduous Dentition

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 11

Title: Development of the Structures of Oral Tissues

Duration: 3 weeks

Learning objectives:

Course contents:

 Development of tooth and supporting structures

 Amelogenesis
 Dentin genesis
 Development of pulp
 Development cementum
 Development of periodontal ligament
 Development of TMJ
 Development of salivary gland

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 12
Title: Advancement of Dentistry
Duration: 2 weeks
Learning objectives:
Course contents:
 History of resins and new generation of resins
 Use of rotary nickel-titanium technologies
 30 printing in dentistry
 Use of lasers in dentistry
 Use of Endo-microscope and its scope in dentistry
 Implant dentistry
 Bone grafting
 Micro vascular surgery and flap design
 Use of rvg in dentistry
 Zirconium
 Periodontal and perio-endo surgery
 Histology and immunohistochemistry
- Regeneration process
- Healing mechanism
Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 13
Title: Tooth Morphology & Occlusion
Duration: 5 weeks
Learning objectives:
Course contents:
 Chronology of human dentition
 Primary and permanent dentition
 Development of dentition
 Dental arches and fundamental curvature
 Importance of primary and permanent teeth
 Nomenclature of primary and permanent teeth
 Pulp chamber & canals in primary and permanent teeth
 Occlusion of primary and permanent teeth
 Form and function of teeth
 Concept of crown outline
 Concept of smile design
 Developmental anomalies of teeth

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 14

Title: Comparative Dental Anatomy

Duration: 2 weeks

Reaming objectives:

Course contents:

 Classification of vertebrates
 Evolution of jaw and mandibular joint
 Comparative anatomy of dental tissues
 Rodent incisors
 Dental adaptation to functional demand
 Changes of dental interest during human evolution

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
(Module: 15 & Module: 16 ) should be completed before Thesis Defense
(Module: 15 & Module: 16 ) are not included in the Phase A ( YEAR :1 & 2) Final written Exam
Module: 15
Title: Teaching Methodology
Duration: 5 weeks
Learning objectives:
Course contents:
 Teaching and learning
 Types of learning
 Stages of learning
 Concept learning
 Steps of adult learning
 Small and large group teaching
 Instructional materials
 Lesson plan
 Lecture: types and methods
 Teacher- students relationship
 Assessment and evaluation
 Study guide
 Test matrix
 Curriculum development

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Module: 16

Research Methodology & Biostatistics

Duration: 5 weeks
Learning objectives:
Course contents:
 Types of research
 Conceptualizing research, problem formulation & research objectives
 Literature reviews
 Planning of research
 Variables, data, hypothesis
 Research design & experimental design
 Types of surveys
 Qualitative/quantitative research
 Questionnaires
 Data display and summary
 Population and sample
 Mean and standard deviation
 Probability and confidence interval
 Type I and Type II error
 The test and Chi-squared test
 Correlation and regression
 study design and choosing a statistical test

Self-study:

Knowledge:

Skill:

Attitude:

Recommended books:
 Phase-B
 Project Synopsis Writing (4 weeks)
 Research Protocol Development (42 Weeks)
 Thesis Defense (2 Weeks)