COURSE DESCRIPTIONS Doctor of Dental Surgery
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COURSE DESCRIPTIONS Doctor of Dental Surgery COURSE DESCRIPTIONS Doctor of Dental Surgery Document Transcript

  • COURSE DESCRIPTIONS Doctor of Dental Surgery First Year practice and the broader social and environmental factors that impact on the health The dental course is designed to unify the funda- of individuals and populations. mental sciences and dental studies, as it is be- lieved that scientific and professional develop- MODULE IV: CURRENT ISSUES IN DENTAL ment cannot be sharply differentiated, but should HEALTH CARE proceed concurrently throughout the entire dental Although society has established health course. professions and delegated its health care to In the first year the student is taught many of them, issues continue to arise between society the basic science courses which are the founda- and the profession. This module explores the tion for clinical dentistry. In these courses every nature of these issues from both society’s opportunity is taken to introduce dentally relevant expectations and the profession’s perspective. material. At the same time the student is intro- The specific topics vary from year to year and duced to some of the broader concepts of the guest lecturers who have special insights often practice of dentistry. An important aspect of this provide the lectures in this module. first year is the student's introduction to dental Text: Daly B, Watt R, Batchelor P, Treasure E. materials and the technical aspects of restorative Essential dental public health (1st edition). Oxford: dentistry. In these courses particular attention is Oxford University Press, 2002 (recommended). paid to evaluating digital skills so that students Handouts: supplied in class. with potential problems in this area can be D. LOCKER, STAFF identified. DEN106Y1 Gross Anatomy DEN103Y1 Community Dentistry This course is designed to provide a general The first year curriculum in Community Dentistry understanding of the gross structure and function consists of four modules. The modules are of the human body from conception to old age. In designed to provide the context and scientific addition, a comprehensive, detailed study of the support for the evidence-based approach to head, neck and central nervous system is under- improving the population’s oral health. taken to provide the student with a basis upon which to build his/her clinical knowledge. MODULE I: EPIDEMIOLOGICAL METHODS Students will be required to dissect the abdomen, This module provides students with an thorax, neck, head and brain in order to understanding of the scientific methods in the complement and reinforce the lecture series. study of health and disease. Students will learn: Students are advised to read Chapter 1 of The the epidemiological approach and logic of Anatomical Basis of Dentistry before classes epidemiological enquiry; descriptive, analytic and start. experimental epidemiological designs and their Texts: Netter’s Atlas of Anatomy & Gray’s strengths and weaknesses; measures of risk; Anatomy for Students, Elsevier Canada and common flaws in epidemiological studies. (required) Gray’s Dissection Guide for Human Anatomy, MODULE II: EPIDEMIOLOGY OF ORAL Elsevier Canada DISEASES R. TALWAR, STAFF In this module, students will cover the epidemiology of dental caries, periodontal DEN109H1 Histology disease, oral cancer, and orofacial diseases, This course deals with the microscopic structure of including risk factors that point to individual and the human body with special emphasis on the population level preventive strategies. Measures components of the oral cavity. During the first of oral diseases and oral health-related quality of half of the course the microscopic anatomy of the life will also be addressed. tissues of the body and the body organ systems is presented. The second half of the course deals MODULE III: DETERMINANTS OF HEALTH in detail with the development and microscopic AND POPULATION HEALTH STRATEGIES structure of the oral tissues. This module will develop the student’s The course content is delivered using a learning understanding of current concepts of health and management system to provide an online the significance of health outcomes in clinical environment. A virtual slide box allows the microscopic specimens to be studied using a 30
  • computer. This innovation has advanced the Periodontal Instrumentation. 2nd ed. A.M. teaching of histology from classical microscopy Patterson, G.L. Patterson, 1992 (reference) using the optical microscope and glass slides to Techniques and Theory of Periodontal virtual microscopy using the computer. Instrumentation. D.A. Perry, P. Beemsterboer, Texts: Oral Histology, Development, Structure F.A. Carranza, 1990 (reference) and Function, 7th Edition, A.R. Ten Cate, C.V. L. DEMPSTER, STAFF Mosby Co. 2008 (reference) Wheater’s Functional Histology. A Text and DEN115H1 Nutrition Colour Atlas. 5th Edition, 2006, Young & Heath This course provides an overview of the (reference) relationship of nutrition to human health. As well E. FREEMAN, STAFF as reviewing nutrient function and requirements, the course offers an insight into Canadian DEN112Y1 Introduction to Clinical and nutrition directives and they’re rational; Preventive Dentistry application of principles of nutrition to the The Introduction to Clinical and Preventive different stages of the life cycle and identifies Dentistry (ICPD) course is divided into three reliable resources in the community. Current components. nutrition issues of interest to consumers and health professionals are discussed. The course is ICPD Clinical provides the student with an designed to build upon principles established in introduction to clinical dentistry with an emphasis Biochemistry and Physiology and to complement on oral diagnosis and preventive dentistry. The instruction in Preventive Dentistry. course uses lectures and clinical sessions to Texts: Supplementary Notes (Department of introduce basic methodology in assessing oral Nutritional Sciences) required given in class. health status (i.e., history taking, and clinical Supplementary Text, Nutrition, Concepts and examination); caries risk (i.e., caries risk Controversies, Sizer and Witney, 6th ed., West assessment, salivary analysis, oral hygiene Publishing Co., 1994 (reference) instruction); and periodontal health status (i.e., D. HENNYEY, STAFF OF THE DISCIPLINE OF gingival bleeding index, plaque scoring). The NUTRITIONAL SCIENCES relevance of this information is discussed in planning an appropriate preventive treatment DEN118H1 Dental Anatomy and Occlusion plan to meet individual patient needs. This course is designated to teach the students: (1) Tooth notation (2) the internal and external The Rotating Group Assignments (RGA) are a anatomy of the deciduous and permanent teeth, series of rotating seminars and clinical sessions (3) the chronology of dental eruption, (4) that address unique patient groups (i.e., evolution of molar tooth, (5) genetic and challenged, geriatric, dentally anxious), patient environmental factors that influence teeth education and communication, as well as provide morphology, (6) dental anatomy and restorative additional clinical experience working with senior dentistry, (7) development and description of dental students. primary occlusion, (8) development of early adult occlusion, (9) fundamental principles of static The Periodontal Module is the third component and dynamic occlusion, and (10) malocclusion. of the course. Periodontal instrumentation Texts: (a) Dental Anatomy Atlas; (b) Pediatric principles and techniques are taught in preclinical Dentistry Manual; Faculty of Dentistry; sessions using dentoforms, and clinical sessions Department of Pediatric Dentistry; University of where students act as both patients and Toronto (9th edition – 2006); (c) Damle SG. operators. Emphasis is placed on the Textbook of Pediatric Dentistry (1st edition – development of fundamental skills such as 2000); (d) DADAS version 1.0. John T. Mayhall & patient/operator positioning, fulcrum, Phillip L. Walker; (e) Abrams J. Kraus’ Dental direct/indirect vision, and instrument grasp and Anatomy and Occlusion (2nd edition – 1992) utilization as the basis for learning periodontal A. PRAKKI, STAFF assessment skills of periodontal probing and calculus detection. DEN121Y1 Biological Basis of Oral Health and Disease Manuals: Introduction to Clinical and Preventive This comprehensive course is designed to Dentistry Student Manual; Periodontal Module provide the preclinical student a broad-based Manual; Department of Oral Medicine Manual understanding of the basic biological and Texts: Fundamentals of Periodontal physiological processes related to the healthy Instrumentation and Advanced Root and diseased states of the oral cavity, including Instrumentation. 5th ed. J.S. Nield-Gerhrig, 2004 the dentitions. The first set of lectures explores (reference) the physiology of oral-facial functions, particularly 31
  • those associated with pain and touch, taste, relationship between restorative procedures and chewing, swallowing, respiration, related motor prevention of further disease is stressed. activities, oral-facial microcirculations and Lectures on instrumentation, cavity preparation development of speech and language. and restoration are supplemented by group in- The second series of lectures deals with the struction in the laboratory. Practice in developing genetics, formation, composition, metabolism, digital dexterity in cavity preparation and restora- development, repair and regeneration of hard tion is provided by preclinical exercises on ivorine and soft tissues of the oral cavity. The teeth in a manikin head for clinical simulation. physiology of saliva production, its composition Texts: First Year Operative Manual (required) and the microbial ecology of oral biofilms, as they Fundamentals of Operative Dentistry - A relate to oral diseases and their prevention, are Contemporary Approach, Summit, Robbins and introduced. The continuum of changes from birth Schwartz, Quintessence Books, 2006. (required) to senescence that occur in the oral cavity and Restorative Dental Materials. their impact on dental treatment are presented in Craig, R.G., 12th edition, C.V. Mosby Co. a series of lectures. Concepts related to the 2006 (reference) psychological importance of the oral cavity in Phillips’ Science of Dental Materials, Anusavice- overall health and the psycho-physiological 11th edition, Saunders, Elsevier Science 2003 correlates of the oral cavity are discussed. (reference) These lectures are complemented by laboratory W . EL-BADRAWY, STAFF sessions in Oral Biochemistry. References and course content are available to students on DEN150Y1 Biomaterials Science Blackboard. The objective of this course is to provide funda- Text: Oral Biology, Roth and Calmes, C. V. mental knowledge of materials science required Mosby Co. (reference) to understand the scientific basis for selection, G.V. KULKARNI, B. J. SESSLE, STAFF preparation and use of dental materials. The lectures include knowledge from various fields DEN124Y1 Microbiology such as metallurgy, engineering mechanics, The course covers basic, pathogenic and oral ceramics, polymer science and chemical microbiology and immunology. Its objective is to engineering. The laboratory program provides provide the dental student with an understanding direct exposure to various classes of dental of microorganisms and of their interactions with materials. In the laboratory the relationship of the human host in health and disease. Emphasis manipulation variables to microstructure, is placed on (1) diseases with oral and facial mechanical properties, bio-stability and clinical manifestations, (2) diseases influencing the performance is emphasized. planning and performance of dental treatment for Text: Phillip’s Science of Dental Materials: K.J. patients, and (3) diseases of major public health Anusavice, W.B. Saunders Co., 11th Edition importance. Special emphasis is placed on the Y. FINER, STAFF concept of dental caries and periodontal disease as infectious diseases, and their possible preven- DEN177H1 Prosthodontics tion using antimicrobial strategies. Prosthodontics is a clinical discipline focused on Texts: Oral Microbiology and Immunology, alleviating the needs of patients with acquired Nisengard and Newman, 2nd Ed., W. B. loss or congenital absence of oral tissues by Saunders (reference) improving function, comfort and appearance Oral Microbiology, Marsh and Martin, 3rd Ed., using suitable artificial substitutes made from Van Nostrand Reinhold (reference) alloplastic materials. Prosthodontic care is The Biologic and Clinical Basis of Infectious holistic and integrates knowledge acquired in Diseases, Shulmar, Phair and Sommers, 4th Ed., several other basic and clinical courses. Some of W. B. Saunders (reference) the fundamentals taught in the 1st year basic Essential Immunology, Roitt, 8th Ed., Blackwell sciences courses will be reinforced by (reference) contextualizing these to particular elements of E.D. FILLERY, STAFF prosthodontic practice. The student will also learn how to complete a limited number of selected DEN130H1/DEN180H1 Restorative Dentistry clinical and laboratory procedures commonly These courses in restorative dentistry begin early applied in conventional and implant in January. The students are introduced to the prosthodontics. The teaching format includes basic principles in the treatment of dental caries lectures, group discussions and seminars, take- by restorative means. The principles of cavity home projects, and e-learning simulations, preparation are related to the physical properties complemented with practical demonstrations of the restorative material and to the anatomy followed by laboratory and clinical exercises. and histology of the dental tissues. The 32
  • Texts: McCracken’s Removable Partial Wheater’s Basic Histopathology, 4th ed., Prosthodontics. Car, McGivney and Brown, 11th Stevens, A., Lowe, J.S., Young, B. 2002 ed., Elsevier Mosby, 2004 (required) Churchill Livingstone Contemporary Fixed Prosthodontics, Rosenstiel, J.W . WONG, STAFF Land and Fujimoto, 4th ed., Elsevier, 2006 (required) DEN206Y1 Microbiology Dental Materials and Their Selection, O’Brien, 3rd The course covers basic, pathogenic and oral ed., Quintessence Publ. 2002 (reference) microbiology and immunology. Its objective is to ITI Treatment Guide, Buser, Belser and provide the dental student with an understanding Wismeijer, Volumes 1 and 2, Quintessence Publ. of microorganisms and of their interactions with 2002 (reference) the human host in health and disease. Emphasis A. JOKSTAD, STAFF is placed on (1) diseases with oral and facial manifestations, (2) diseases influencing the Second Year planning and performance of dental treatment for patients, and (3) diseases of major public health importance. Special emphasis is placed on the In Second Year the student's education in the concept of dental caries and periodontal disease basic sciences is completed and more emphasis as infectious diseases, and their possible preven- occurs on the study of dental disease and its tion using antimicrobial strategies. treatment. Combined teaching in the practical Texts: Oral Microbiology and Immunology, arts of dentistry occurs in this year. Nisengard and Newman, 2nd Ed., W. B. Saunders (reference) DEN200H1 Anaesthesia Oral Microbiology, Marsh and Martin, 3rd Ed., The courses in anaesthesia extend from second Van Nostrand Reinhold (reference) through the third and fourth dental years. They The Biologic and Clinical Basis of Infectious cover aspects of pain control and patient man- Diseases, Shulmar, Phair and Sommers, 4th Ed., agement in order to provide the dental student W. B. Saunders (reference) with the knowledge and skills needed to render Essential Immunology, Roitt, 8th Ed., Blackwell the conscious patient freedom from pain and (reference) apprehension. E.D. FILLERY, STAFF The objectives of the course in second year are to provide the students with the in-depth DEN207Y1 Community Dentistry pharmacology of those local anaesthetics and MODULE V: CLINICAL EPIDEMIOLOGY – THE SCIENTIFIC vasoconstrictors used in dentistry, as well as the METHODS UNDERLYING EVIDENCE-BASED HEALTH ability to technically administer these drugs and CARE achieve local anaesthesia. The first part of the This module will provide students with skills in course discusses the detailed specific injection clinical epidemiology which are needed to appraise techniques covering all forms of intra-oral the design and results of studies reporting on anaesthesia for dentistry in the mandible and aetiology, diagnosis, prognosis, efficacy and the maxilla, their complications, and the required relative costs and benefits of interventions for armamentarium. Students then practice these conditions that affect oral health. Readings and injection techniques on each other in the clinic. assignments are supported by lectures to illustrate The second part provides an in-depth discussion the material and demonstrate its application to of the pharmacology of local anaesthetics. clinical questions in dentistry. At the end of this Text: Handbook of Local Anesthesia, S.F. module, the students will have the critical skills Malamed, Mosby (required) 5th ed. 2004. needed to produce a short evidence-based report D.A. HAAS, STAFF on a clinical problem in Module VI. DEN203H1 General Pathology MODULE VI: EVIDENCE-BASED CARE—SMALL GROUP The Department of Laboratory Medicine and LEARNING MODULE Pathobiology, Faculty of Medicine, presents this The aim of this module is to develop applied skills course to instruct second year students in the in clinical epidemiology by presenting small groups general principles of pathology, with a particular of students with a clinical question to be answered, emphasis on the morphological aspects of dis- and having them communicate the results of an ease. The course content includes both general evidence based-report written and orally. and basic systemic pathology. Clinical Text: Clinical Epidemiology: the Essentials, 4th pathological correlation is emphasized. Edition, Fletcher and Fletcher, Lippincott. Texts: Robbins’ Basic Pathology, 8th Edition, V. Williams and Wilkins, Baltimore (recommended) Kumar, Abbas, A.K., Fausto, N., Mitchell, R.N., D. LOCKER, STAFF 2007 Saunders Elsevier (smaller textbook). 33
  • DEN208H1 Endodontics partners and administer maintenance care to pre- This course offers the student didactic, pre- viously treated general clinic patients in a struc- clinical and clinical experiences that are directed tured program under close supervision. The towards fostering understanding about the emphasis is to impress upon students the impor- nature, the diagnosis, and the treatment of pulpal tance of periodontics within the realm of general and periapical disease. dental care for the long term maintenance of a The didactic and pre-clinical courses are given healthy natural dentition. At the completion of the during the winter and spring terms of 2nd year. year, students should possess the knowledge, The pre-clinical component focuses on the motivation, and clinical judgement and skill to treatment of anterior and premolar teeth. Both diagnose and treat mild forms of inflammatory components are directed towards preparing the periodontal diseases and to maintain periodontal student to perform basic clinical endodontic health in patients requiring individualized procedures prior to entering the clinics in third preventive services. year. Texts: Clinical Periodontology, Carranza’s, 10th Texts: Manual of Endodontics - Faculty of Edition 2006 (recommended) Dentistry, University of Toronto (required) Color Atlas of Dental Medicine (Periodontology), Pathways of the Pulp, Cohen & Hargraves, 9th Wolf, Rateitschak and Hassell, 3rd edition 2005 Edition, C. V. Mosby Company 2005 (reference) (reference) Endodontology, S. Seltzer, 2nd ed., Lea & Fundamentals of Dental Hygiene Febiger (reference). Instrumentation, Nield & Houseman, Lea & Seltzer and bender’s Dental Pulp. Uintessence Febiger, 2nd edition 1998 (reference) Int, 2002. E. FREEMAN, STAFF Problem Solving in Endodontics, J. L. Gutmann, T. C. Dumsha, P. E. Lovdahl, Year Book Medical DEN212Y1 Pharmacology Pub. 2005 (reference). The objective of the course is to provide students Principles and Practice of Endodontics, R. with a broad knowledge of drugs, including their Walton, M. Torabinejad, W. B. Saunders fate in the body, mechanisms of action, effects Company 2001 (reference). and use in the treatment of disease. Upon com- Clinical Endodontics, L. Tronstad, Thieme 2002. pletion of the course the students should have an Endodontic Therapy, F. Weine Mosby, 2003. understanding of general principles as well as the A. PLAZAS-GARZON, STAFF pharmacology and therapeutics of all categories of drugs. There is a greater emphasis on agents DEN211Y1 Periodontics commonly used in dentistry. The major topics The principal objective of the full program in peri- covered include general principles, autonomics, odontics is to educate and prepare general prac- general anaesthetics, analgesics, anti-infectives, titioners of dentistry to serve the universal public central nervous system drugs, cardiovascular, need of prevention, recognition and comprehen- respiratory and endocrine drugs, among others. sive diagnosis and treatment of periodontal This course provides the basis for the third year diseases. The program in second year course in pharmacology which continues with commences in-depth education in periodontics, topics on therapeutics of direct importance in building on the conceptual foundations dental practice. established in the first year programs in basic Texts: Principles of Medical Pharmacology, sciences, community dentistry, and introduction Kalant, Grant and Mitchell, 7th ed., 2007 to clinical and preventive dentistry. The program (required). integrates didactic, preclinical and clinical Pharmacology and Therapeutics for Dentistry; elements aiming to achieve detailed under- Yagiela, Dowd and Neidle; 5th ed., 2005 standing of the pathogenesis, diagnosis, and (reference) approaches to therapy for the more common Pharmacological Basis of Therapeutics, types of periodontal conditions. The didactic Goodman and Gilman, 11th edition (reference) element centers on periodontal pathology, H.A. GRAD, J. LANCA, STAFF etiology (integrates with the second year program in microbiology), classification of periodontal DEN215H1 Preventive Dentistry and Clinical diseases, fundamentals of clinical decision- Nutrition making, and treatment of inflammation. The This course is presented in two sections: clinical element centers on the control of inflam- The Preventive Dentistry lecture series matory periodontal conditions by concentrating describe the prevalence and patterns of dental on examination, patient motivation, oral hygiene, caries and explores the scientific basis for and scaling and root planing skills. The clinical various clinical and public health procedures for program encompasses sessions during which caries prevention which are currently in use or students both practice these skills on student are under development. Topics include the use of 34
  • dietary control or dietary additives, mechanical expertise to provide patients with the majority of and chemical plaque control and various single tooth restorative services required in procedures used to increase the caries resis- modern dental practice. tance of teeth, i.e. occlusal sealants, topical and Texts: II Year Restorative Manual (required) systemic fluoride. This knowledge is applied to Fundamentals of Operative Dentistry-A child patients in the Ortho-Paedo clinical Contemporary Approach, Summitt, Robbins, program. Hilton & Schwartz, 3rd Edition. Quintessence Texts: Understanding Dental Caries, Volume 2, Publishing Co. 2001 (required) Prevention, Gordon Nikiforuk (required) Fundamentals of Fixed Prosthodontics. Understanding Dental Caries, Volume 1, Shillingburg, H. et al. 3rd edition. Quintessence Etiology, Gordon Nikiforuk (recommended) Publishing Co. 1997 (required) Fluoride in Preventive Dentistry, Mellberg and Fundamentals of Tooth Preparations for Cast Ripa (reference) Metal and Porcelain Restorations. Shillingburg, H. LIMEBACK, STAFF H. et al. Quintessence Publishing Co. 1987 (reference). The Clinical Nutrition lectures deal with the Phillips Science of Dental Materials, Anusavice, practical application of nutritional principles, K.J. 11th ed. Quintessence Publishing Co. 2003 including dietary analysis and nutritional (reference) counselling with particular emphasis on the Quality Evaluation of Dental Restorations. prevention of dental disease. Certain medical Anusavice, K.J. Quintessence Publishing Co. conditions with dietary implications are 1989 (reference) considered. Small group workshops are used to J. BROWN, STAFF develop the students’ skills in counselling and communication. Texts: Nutrition in Clinical DEN265Y1 Orthodontics Dentistry 3rd Edition, Nizel and Papas The Orthodontic course comprises lectures, (reference), Dental Communications, D. W. laboratory instruction, clinical seminars, and Chambers & A. G. Abrams (reference) clinical practice in the second, third and fourth D. HENNYEY, STAFF years. The objective is to teach students to recognize, diagnose and intercept orthodontically DEN218Y1/280Y1 Restorative Dentistry the various forms of malocclusion, except those The objective of this course is to prepare associated with systemic diseases and students for clinical practice in third and fourth abnormalities in the skeleton. years. Students are taught the principles, which Cephalometric analysis is studied as a basis govern the need for initial and retreatment for providing knowledge of normal and abnormal restorative therapy, the criteria for long-term facial development. During second year, students clinical acceptability and the reasons for participate in lectures, case analysis seminars restorative failure. The principles and methods and laboratory exercises designed to prepare for restoring teeth to structural, functional and them for clinical practice in the third and fourth aesthetic acceptability are presented in lectures years. During the third and fourth years, the and laboratory demonstrations. students participate in lectures, clinical seminars The course is divided into three modules. The and undertake clinical practice designed to teach fall term is devoted to restorative therapy the etiologic factors associated with the genesis requiring direct restorative methods. The winter of orthodontic abnormalities. term involves preparations for laboratory- Texts: Contemporary Orthodontics, William R. fabricated restorations. Preclincal treatment Proffit, et. al. 4th Ed., Elsevier, 2007, (required) sessions utilize ivorine and natural tooth S. SURI, STAFF typodonts in phantom heads specially designed to simulate the clinical condition. The spring term DEN265Y1 Paediatric Dentistry module has two components: restoration of the Paediatric Dentistry commences in second year endodontically treated tooth and cariology. The and continues throughout third and fourth years. cariology section features treatment of simulated The didactic and clinical program develops the carious lesions on ivorine teeth and actual caries concept that Paediatric Dentistry is concerned on extracted teeth. Emphasis is given to the with total dental care of the child and adolescent diagnosis of initial and recurrent caries, provision during growth and development from birth to of conservative restorative therapy and the adolescence. The management, prevention and decision making process related to replacement treatment of dental conditions in children are therapy. emphasized during clinical sessions. Upon completion of the course students should Second Year: The restorative component is possess the appropriate theoretical and practical introduced at the preclinical level in conjunction knowledge and have developed the manual with the Department of Restorative Dentistry. 35
  • These procedures are supplemented by lectures, There are written tests at the end of the winter seminars and videotape demonstrations. The and fall term. Paediatric Dentistry component of the Text: Davidson's Principles and Practice of Orthodontic/Paediatric Dentistry program is Medicine, 20th Ed. (recommended) under the direction of Professor M.J. Sigal and Dr. R. WU, STAFF R. Revuelta, Preclinical Program directed by Drs. J. Wiles and J. Rukavina. Text: Paediatric DEN317Y1 Oral Radiology Dentistry Clinic Manual, 9th edition, Sigal Lectures and laboratory exercises introduce the (required) student to the principles of radiation physics and M. SIGAL, STAFF hygiene, radiation biology, radiographic technique and radiographic interpretation of DEN277Y1 Prosthodontics normal anatomy and common diseases affecting The learning objectives of this course are 3-fold: teeth and jaws. 1) to understand the attributes of the dentition Texts: Oral Radiology: Principles and and the physiological changes that occur over Interpretation, White & Pharoah, 6th ed., CV time, as well as pathological events with and Mosby (required) without tooth loss. This will form the basis for Oral Radiology, Poyton & Pharoah, 2nd ed., B.C. learning how 2) to apply mechanical and Decker Inc. (reference) biological principles in prosthesis treatment Principles and Practice of Oral Radiologic planning and design to improve or restore the Interpretation, Worth, Year Book Medical form and function in partially edentulous Publishers Inc. (reference) situations. The student will learn how 3) to R. BARLOW , S. PERSCHBACHER complete a limited number of selected clinical and laboratory phases of removable and fixed DEN356Y1 Oral Diagnosis and Oral Medicine partial prostheses, including implant-supported A course of lectures, seminars and clinical single crowns, with fabrication taking place on sessions teach the student a system of diagnosis student partners, stone models, and manikins as of dental and oral disease. Emphasis is placed appropriate. The teaching format includes on methods of history taking, examination, lectures, group discussions and seminars, take- patient evaluation and management as well as home projects, and e-learning simulations, treatment planning, with special attention to the complemented with practical demonstrations medically compromised patient. This course followed by laboratory and clinical exercises. starts during the second year post-examination Texts: period and continues to the end of Third Year. Teaching material located on Intranet: Texts: Dental Management of the Medically http://sp.dentistry.utoronto.ca/prostho/2ndyear/ Compromised Patient, Little, J. W. and Falace, McCracken’s Removable Partial Prosthodontics. D. A., 6th Ed., C. V. Mosby Co. 2002 (required) Carr AB, McGivney GP, Brown DT (eds.), 11th Department of Oral Medicine, An Outline of Oral ed., Elsevier Mosby, 2004 (required) Diagnosis (required) Contemporary Fixed Prosthodontics. Rosenstiel Internal Medicine for Dentistry, Rose, L. F. and SF, Land MF, Fujimoto J (eds.), 4th ed., Elsevier, Kaye, D., 2nd Ed., C. V. Mosby Co. 1990 2006 (required) (recommended) Dental Materials and Their Selection. O’Brien WJ C. KILMARTIN, STAFF (ed.), 3rd ed., Quintessence Publ. 2002 (reference) ITI Treatment Guide. Buser D, Belser U, Wismeijer D (eds.), Volumes 1, 2, 3. Third Year Quintessence Publ. 2007, 2008, 2009 (reference) P.L. MCDERMOTT, L. LAING GIBBARD, A. JOKSTAD, Clinical Practice STAFF The student now embarks upon the provision of clinical care for assigned patients. Emphasis is DEN312Y1 Medicine on the comprehensive assessment and The course starts in January of Second Year and appropriate management of the oral care needs continues until December of the Third Year. The for all patients for whom the student is the course is designed to provide basic knowledge of primary provider. Wherever possible, new common chronic adult medical illnesses. The patients are assigned to students at their initial purpose is to both understand patients’ chronic appointment in Oral Diagnosis in order to allow conditions as well as to have an approach to continuity of care from initial patient assessment treating patients with chronic medical conditions. to treatment completion within the The relevance of the illnesses on the practice of Comprehensive Care Program which begins in dentistry is emphasized throughout the course. 36
  • the Fall Term, Clinical Coordinators educate and oral sedation and aim for competency in its assist students in the development of rational, administration for adult patients. This course will appropriately phased treatment plans, building also supplement material from other courses in upon the diagnostic information gained during the preparing dentists to manage medical initial patient visits. Consistent with current emergencies. Students will gain experience in standards of optimal patient care, considerable the clinical application of nitrous oxide:oxygen. emphasis is placed on the control and prevention After formal instruction is completed, students of oral disease. may administer nitrous oxide:oxygen or oral Discipline-specific clinical teaching takes place sedation to their own patients in the clinic. within the Comprehensive Care Program. Students will also write anaesthesia consultations Students perform clinical procedures under the for their patients in the clinic. close supervision and guidance provided by Texts: Sedation, A Guide to Patient discipline instructors. During all clinical sessions, Management, Malamed, 4th ed. 2003 (required) students apply the basic principles, knowledge Medical Emergencies in the Dental Office, 6th and skills that they have acquired in their pre- ed., S.F.Malamed, Mosby Elsevier, 2007 clinical education with the objective that by the (recommended). end of the year each student is able to provide a Dental Treatment for the Medically Compromised wide range of the basic treatment services with Patient, Little and Falace (recommended) an appropriate level of confidence. Handbook of Nitrous Oxide and Oxygen A series of group clinics and seminars in vari- Sedation, Clark & Brunick, Mosby, 2003 ous phases of clinical dentistry is conducted by (reference) the staff throughout the clinical course. Group D.A. HAAS, STAFF clinics are also conducted in the teaching hospi- tals of the city of Toronto where students are DEN303H1/DEN453Y1 Endodontics rotated through both dental and medical hospital The knowledge pertaining to endodontic disease departments. and diagnosis, as well as the scope and During clinical sessions students are provided techniques of endodontic treatment are with the opportunity to treat selected patients broadened during lectures given in concomitance utilizing the various methods of pain control and with clinical work in the fall of third year. Further patient management. A pharmacy in the clinic pre-clinical experience is acquired through reinforces teaching of Pharmacology and Thera- performing endodontic treatment on molars in the peutics by facilitating the writing of accurate pre- winter term of 3rd year and clinical experience is scriptions for patients. Students consult with the subsequently reinforced on patients. clinical pharmacist in the management of various Texts: Manual of Undergraduate Endodontics, therapeutic problems which, can arise in patient Faculty of Dentistry, University of Toronto treatment. They also learn to communicate with (required) the patient's physician in order to assess medical Visual Endodontics & Traumatology - CD-Rom problems and their impact on potential treatment. (required) Students also have the opportunity of working Dental Pulp, Hargreaves & Goode, Quintessence closely with trained auxiliary personnel in a man- (reference) ner, which simulates the private practice environ- Pathways of Pulp, Cohen & Burns, 8th Edition, ment. C. V. Mosby Company (reference) During the Fall and Winter terms of Third Year Principles & Practice of Endodontics, R. Walton, the students must achieve all stated minimum M. Torabinejad, 3rd edition, W. B. Saunders Co. numerical requirements with passing or better (reference) grade standing and attend all assigned seminars Clinical Endodontics, L. Tronstad, Thieme. and clinics in order to qualify for entry into the (reference) final year of the Comprehensive Care Program A. PLAZAS-GARZON, STAFF (450Y1/451Y1) in May of Third Year. Refer to Third Year Clinical Requirements Handout for DEN308Y1 Community Dentistry remedial training in the Third Year clinical MODULE VII: COMMUNICATION IN DENTAL PRACTICE programs. This module aims to make students aware of central role played by communication in dental DEN301Y1 Anaesthesia practice. The curriculum will cover: communication The objective of this course is to provide the and its association with pain, anxiety and ability to administer conscious sedation when therapeutic outcomes; models of the dentist- indicated for patients in dentistry. The focus is to patient relationship; consultation tasks; common- achieve competency in the administration of deficits in communication; barriers to nitrous oxide:oxygen conscious sedation. communication; consultation styles; conflicts of Students should also become knowledgeable in perspective, shared understanding. 37
  • MODULE VIII: PSYCHOLOGICAL AND BEHAVIOURAL DEN317Y1 Oral Radiology ISSUES IN DENTAL PRACTICE A series of lectures are presented on the The aims of this module are to make students radiologic interpretation of disease processes, aware of common psychological and behavioural which affect the teeth and jaws. A systematic problems encountered in dental practice and approach to radiographic interpretation is strategies, based on psychological principles that stressed as a basis for recognizing and can be employed to manage these problems. This understanding the effects of various disease component covers: dental anxiety, its nature, mode processes on hard tissue structures. Case of acquisition and consequences; cognitive factors studies are presented in conjunction with the involved in dental anxiety; diagnostic types; helping discipline of Oral Diagnosis and Medicine, the dentally anxious adult accept dental treatment; enabling integration of material in a clinical treating dental anxiety; dental anxiety in childhood; context. Clinical assignments focus on attaining aversive and non-aversive methods of managing experience and proficiency in intraoral the child patient; preparing the child patient; in- radiographic techniques. Clinical seminars and operatory management techniques. case reporting under guidance allow Texts: D. Locker. Introduction to behavioural development of skills in basic oral radiographic science and dentistry. (recommended) interpretation. D. LOCKER Texts: As Second Year R. BARLOW AND S. PERSCHBACHER DEN312Y1 Medicine The course starts in January of Second Year and DEN318Y1 Oral and Maxillofacial Surgery continues until December of the Third Year. The The third year course consists of a lecture course is designed to provide basic knowledge of program and labs. Basic didactic instruction will common chronic adult medical illnesses. The include orientation to the department, basic purpose is to both understand patients’ chronic surgical principles, instrumentation and tech- conditions as well as to have an approach to niques of exodontia for both erupted and un- treating patients with chronic medical conditions. erupted teeth, minor dentoalveolar surgery, root The relevance of the illnesses on the practice of resection, pre-prosthetic surgical procedures, dentistry is emphasized throughout the course. and the management of infections and There are written tests at the end of the winter application of various drugs. and fall term. A laboratory exercise, in flaps, extractions and Text: Davidson's Principles and Practice of suturing, employing a pig mandible will be held to Medicine, 20th Ed. (recommended) supplement the didactic aspects of exodontia. R. WU, STAFF During orientation, a surgical simulator will be used to simulate basic techniques which, more DEN315Y1 Oral Medicine and Pathology closely approximates the real life circumstance. The lectures cover diseases of the teeth, Assignment to the Oral Surgery Clinic in March, periodontium, tongue, oral mucosa, salivary May or June will begin the students clinical glands, jaws, oro-facial deformities and systemic experience. diseases as they affect the mouth and jaws. The Texts: Principles of Oral & Maxillofacial Surgery, pathology, clinical aspects, differential diagnosis Dr. Petersom, J.B. Lippincott and management of these conditions are Basic Principles of Oral & Maxillofacial Surgery, discussed. Manual. Dr. H. Holmes (3rd Year Manual In the laboratory computerized virtual microscopy supplied is used by the students to illustrate the H. HOLMES, STAFF histopathological appearances of the most significant lesions. This is used as an aid in DEN322Y1/ DEN365Y1 Orthodontics understanding the pathobiology of oral disease. The Third Year of studies includes lectures, clini- The seminar periods are used to integrate cal seminars and clinical practice designed to knowledge of the pathology with oral medicine teach the student the more advanced diagnostic and to impart a system of diagnosis and procedures important in the treatment planning of treatment based on the understanding of orthodontic abnormalities. The final written disease. Texts: ―Contemporary Oral and examination in Theoretical Orthodontics is Maxillofacial Pathology‖ Sapp, J. Philip; Eversole, conducted at the end of this course. Lewis R., and Wysocki, George P., 2nd ed., Text: As in second year; Mosby, 2004 (required) ―Oral and Maxillofacial ORTHODONTIC DISCIPLINE STAFF Pathology‖ Neville, Brad W.; Damm, Douglas D.; rd Allen, Carl M. Bouquot, Jerry E., 3 ed. 2009. DEN323Y1/DEN368Y1 Paediatric Dentistry W.B. Saunders Co. (Reference) A series of lectures and seminars are presented R.J. MCCOMB, STAFF on dentistry for children that include behaviour 38
  • management, infant care, diagnosis and DEN327H1 Pharmacology treatment planning, management of early The objective of this course is to provide applied childhood caries, space management, paediatric knowledge of clinical pharmacology and dental emergencies and trauma, paediatric oral therapeutics in dental practice. The topics surgery and oral pathology, and applied covered include analgesics, anti-infectives, drugs paediatric medicine. The intent of the course is used in medical emergencies and natural to provide the student with the knowledge and products. As well, the use of drugs for specific skills required to provide basic dental care to patient situations such as in the elderly, children in a family practice setting. pregnancy and lactation, cardiovascular disease, The clinical phase of Paediatric Dentistry is and the immunocompromised, is also included. developed in a comprehensive manner during D.A. HAAS, H. GRAD, STAFF third year, stressing total patient care in the Children’s Clinic. The students also rotate to the DEN333Y1/DEN377Y1 Prosthodontics City of Toronto Public Dental Health Clinic, This course consists of 2 modules. In the fall Toronto Rehabilitation Institute, and the Mt. Sinai term, lectures and related readings outline the Hospital for a portion of their clinical training. changes associated with tooth loss, the Students are required to attend all sessions to management of the edentulous patient, and how advance into 4th year, but a grade will only be osseointegration has expanded the benefits we given in Clinical Paedo at the end of 4th year. can provide for our patients. Class projects allow Texts: Paediatric Dentistry Manual, 9th ed., skills development and assessment. Each project (required) has independent self evaluation to develop Paediatric Dentistry: Infancy Through Adoles- judgment of clinical procedures. Knowledge and cence, J. Pinkham et al, 3rd edition, Saunders comprehension are assessed with term tests and 1999 (reference) a final exam. Students use pre-clinical manikin M. SIGAL, P. ANDREWS, B. SALTZMAN simulation, and student/operator pairs projects to appreciate and develop their skills in edentulous DEN324Y1/DEN371Y1 Periodontics and implant impressions, jaw registrations, tooth The main objective of third year Periodontics is to shade and mold selection, and custom tooth present a more detailed program on diagnosis, arrangement to the point of a manikin simulated rationale, and delivery of periodontal therapy for wax-up of a complete maxillary denture and an a wide range of periodontal conditions, building implant supported mandibular overdenture. The on the basic knowledge and instrumentation second year principles of fixed partial denture skills learned in the first two years. The program prostheses are rehearsed with abutment consists of didactic, preclinical, and clinical preparations and temporization of anterior and elements. The didactic program consists of a posterior partially edentulous manikins, and a series of lectures and seminars on periodontal practical pre-clinical session prior to clinic therapy, including surgical therapies. These are patients. integrated with preclinical sessions. Care of In the winter term, associated Prosthodontic clinical patients is continued within a framework topics and more comprehensive treatment of clinical sessions under close supervision. At planning are provided in lectures, related the completion of the year, students should readings, and seminars of Comprehensive Care possess the knowledge, motivation and clinical Program evaluation and treatment planning acuity to diagnose most periodontal conditions formats. Further principles of prosthetic designs and to establish treatment plans for and treatment planning are presented via uncomplicated cases. They should have the laboratory and computer guided simulations. knowledge needed to treat mild to moderate Immediately prior to clinical patient care, forms of periodontal diseases by combining student/operator pairs projects rehearse the skills sanative, antimicrobial and surgical modes of needed for patient impressions with concepts of therapy and should be ready to enter an border molding procedures. educational phase in which they can readily Texts: As in DEN277Y1 plus integrate their knowledge and skill in Periodontics Teaching material located on Intranet: with that learned in other disciplines. https://sp.dentistry.utoronto.ca/prostho/3rdyear/ Texts: As in second year plus Treatment of Edentulous Patients. McCord JF, Periodontics: Medicine, Surgery, and Implants Smith P, Grey N (eds.), Churchill Livingstone, 2004, Rose, Mealey and Genco (reference) 2004. (required) Clinical Periodontology and Implant Dentistry, 5th Clinical and Laboratory Manual of Implant edition, 2008 Lindhe, Karring, Lang (reference) Overdentures. Shafie HR (ed.), Blackwell J. LAI, STAFF Publishing, 2007 (reference) Removable Prosthodontic Techniques. Sowter JB.(ed.), 2nd ed., U North Carolina Press, 1986 39
  • (reference) dental care. There will be two seminars involving A. FENTON, H. ALKUMRU, A. JOKSTAD, STAFF Radiology staff to ensure application of correct radiographic interpretation to the diagnostic DEN336Y1/DEN380Y1 Restorative Dentistry process. The clinical course takes place within the During the whole of Third Year, students will Comprehensive Care Program. The Fall Term attend the Oral Diagnosis and Emergency Clinics provides close supervision for the transition from in order to obtain practical experience in the preclinical operative to clinical implementation of evaluation and management of a large and basic direct restorative procedures. The varied group of patients They will also learn how fundamental principles and methods for restoring to request and evaluate medical information from teeth to structural, functional and esthetic their patient’s physicians or hospitals. In the acceptability, learned thus far in a preclinical Faculty Emergency Clinic, the students learn to setting, are emphasized as the students acquire diagnose and manage a wide range of dental the clinical skills necessary to treat individual emergencies. The clinical sessions provide patients. Patient management skills and student practical application of the material covered in confidence in restorative dentistry are developed the lecture/seminar component of the course and during this program. Students are evaluated on a prepare students for the more detailed treatment daily basis using self-assessment forms and/or planning sessions involved in the provision of computer grading, and work towards achieving comprehensive care. clinical competency which is evaluated in the Texts: Dental Management of the Medically form of competency tests. Lectures are designed Compromised Patient, Little, J. W. and Falace, to highlight clinical aspects of restorative D. A., C. V. Mosby Co. 2007 (required) materials and procedures. The final written Oral Diagnosis Manual examination comprehensively covers all material Cardiovascular Supplemental Manual taught over the three years including lectures, C. KILMARTIN, STAFF reading assignments and the knowledge gained from clinical practice. DEN374Y Preventive Dentistry Texts: The didactic program concentrates on the practi- Third Year Clinic Manual* (required) cal aspects of incorporating preventive dentistry General Restorative Dentistry Clinic Manual* into private dental practice. Seminar sessions are (required) devoted to patient motivation and preventive diet Fundamentals of Operative Dentistry- A counselling, to a systematic approach to preven- Contemporary Approach, Summitt JB, Robbins tive care and to the use of auxiliaries in preven- JW, and Schwartz RS. 2nd Edition. Quintessence tive practice. The student utilizes preventive prin- Publishing Co., 2000. (reference) ciples and techniques for assigned clinic Fundamental of Fixed Prosthodontics, patients. Texts: Primary Preventive Dentistry, Shillingburg HT et al. #rd edition. Quintessence Harris and Christen (reference) Publishing Co., 1997. (reference) Successful Preventive Dental Practices, Barkley Philip’s Science of Dental Materials, Anusavice (reference) KJ. 10th edition. WB Saunders Cp, 1996. A Textbook of Preventive Dentistry, Caldwell and (reference) Stallard (reference) L. TAM, STAFF I.S. HUSAIN, STAFF DEN356Y1 Oral Diagnosis and Oral Medicine DEN383H1 Biological Basis of Oral Health and This course contains two parts as outlined below Disease - Practical Applications I and will be examined by a series of tests (3 tests This course is designed to introduce novel to give 50% of the mark) and will also include clinical procedures, technologies and common, grading of approximately 24 clinical sessions current, clinically important laboratory tests to the (50%). preclinical student. Equal emphasis will be The course starts in the Second Year post placed on the understanding of the biological examination period with a series of lectures, basis underlying the new technologies and seminars and clinical sessions to teach students physiological laboratory tests. This is a credit, a system of diagnosis and initial treatment non-credit based course. planning of oral and dental disease. This will STAFF include the evaluation and management of healthy patients as well as of those with a wide DEN403Y1 Case-Based Learning variety of co-existing medical disorders. A series of eight tutorials will be taken by stu- Students will learn the impact of medical dents during the Third Year post-exam period. conditions on treatment planning and provision of The problems presented may be from clinical cases or from other sources. Learning occurs in 40
  • small groups with emphasis on identification of key issues, researching the medical and dental Fourth Year literature and critical analysis of selected In the Fourth Year the student applies the basic information. Discussion groups of students knowledge and techniques already acquired, to exchange information and reach evidenced- gain further clinical experience and familiarity based conclusions. This course is continued from with more advanced treatment services. To spring term of Third year into Fourth Year. prepare students for entry into the profession as H. GRAD, STAFF general practitioners, emphasis is placed upon integration of the various disciplines and overall DEN450Y1 Comprehensive Care Program management of patient treatment. In addition to This multidisciplinary clinical program begins in their work in the Faculty's Clinics, students the Fall Term of third year and continues participate in elective programs, clinical throughout fourth year in order to provide a ―total conferences and hospital-based experiences. patient care experience‖ from initial patient presentation to treatment completion for the Clinical Practice majority of assigned patients. The third year See Third Year description. portion of the clinical Comprehensive Care Program (CCP) introduces the student to Electives multidisciplinary treatment planning and the Electives are offered to senior students in various concept of appropriately phased patient care. disciplines each year. The subjects presented Building upon the teaching provided by the may change from year to year. Currently there clinical disciplines in the pre-clinical programs, are electives in Restorative Dentistry, students participate in the evaluation, planning Anaesthesia, Preventive Dentistry and Radiology. and management of the comprehensive Time is set aside from the curriculum to afford treatment needs for their assigned adult patients. students a broader in-depth discussion of a Comprehensive Care Program Coordinators subject(s) in which they may have a particular assist and educate students in the assessment, interest. These programs are offered to the diagnosis and sequencing of patient care through entire class on a first come basis and some have comprehensive treatment planning sessions limited enrolment. In Paediatric Dentistry, the designed to ensure case understanding, rational elective is a "selective" since interested students treatment decisions and an appropriate treatment are selected to attend the Moose Factory Dental plan. Significant emphasis is placed in third year Project that deals with the delivery of dental CCP on the importance of optimal oral disease treatment to Native Peoples in the James Bay control and patient-specific prevention. Following area from a hospital base. the development of a treatment plan, the multidisciplinary treatment needs of the patient DEN400H1 Anaesthesia are carried out under the supervision and This course consists of seminars and clinical teaching of clinical instructors from the experience in anaesthesia as it applies to periodontology, prosthodontics and restorative dentistry. The seminars review the protocol and disciplines. l applied aspects of handling medical Text: Treatment Planning in Dentistry. Edit. emergencies. Students practise oxygen Stefanac & Nesbitt. Mosby Inc. 2007 (reference) administration, intramuscular injection and D. MCCOMB, L. TAM, G. LIN, STAFF venipuncture techniques on each other. The clinical component is carried out throughout the DEN459Y1 Oral Radiology academic year and involves writing anaesthesia This course in clinical oral radiology spans consultations for their patients, administering Second, Third and Fourth Year. In the third year, nitrous oxide:oxygen conscious sedation and students are introduced to intraoral radiologic taking a competency test for the latter. techniques and apply these skills to patients in Text: Medical Emergencies in the Dental Office, the clinic. Patient radiography is film-based but 6th ed., S.F.Malamed, Mosby Elsevier, 2007 students use digital radiographic techniques in a (recommended). laboratory exercise. Students are also D.A. HAAS, J. BHALLA, STAFF introduced to radiographic interpretation by reporting on patient cases. Three clinical DEN401Y1 Advances in Dental Science competency tests are given which form part of These presentations will cover recent advances the final assessment in this course in Fourth and emerging issues in dental science. A multi- Year. disciplinary format will be used whenever possi- R. BARLOW , S. PERSCHBACHER, STAFF ble. The subject matter will change annually. STAFF OF THE FACULTY OF DENTISTRY 41
  • DEN403Y1 Case-Based Learning Gaskins, Reston Publishing Co. (recommended) The tutorials started in Third Year continue Dental Practice Management Manual, Canadian throughout Fourth Year with one three-hour Dental Association (recommended) tutorial each week. Problems of increasing com- Burnout, Freudenberger and Richelson, Double- plexity are introduced as the course progresses. day and Company Inc. (recommended) Learning occurs in small groups with emphasis L. VALENZANO, STAFF on identification of key issues, researching the medical and dental literature and critical analysis DEN450Y1/DEN451Y1 Comprehensive Care of selected information. Discussion groups of Program students exchange information and reach This multidisciplinary clinical program begins in evidenced-based conclusions. third year and continues throughout fourth year in H. GRAD, STAFF order to provide continuing care for all assigned patients and to amplify the student experience in DEN406Y1 Ethics, Jurisprudence and Practice provision of optimal comprehensive care. Administration Students participate in the assessment, This course has three components as follows: diagnosis, treatment planning and provision or ETHICS management of the treatment needs for all The lectures in Ethics discuss the currently patients for whom they are designated primary accepted standards of conduct and behaviour for providers. The process begins in the diagnostic members of the dental profession. Subjects clinics and continues in the comprehensive care covered include the basis of the Code of Ethics in clinic for the same student and patient wherever the professions. Examples of situations in practice possible. The emphasis is on providing optimal that require judgment of an ethical nature are patient care which addresses the oral health presented. needs of the patient and takes into consideration P. ALLATT, STAFF IN COMMUNITY DENTISTRY the patient’s wishes. Emphasis is placed on provision of optimal disease control and JURISPRUDENCE prevention for all patients prior to more extensive The information contained n the lectures in rehabilitation. Major program goals are a) the Jurisprudence is based on the legal matters completion of treatment for all assigned patients bearing on the practice of dentistry in Ontario that and b) adequate preparation of students for are essential for dentists to be able to recognize, general practice. to know, to explain and to be able to act upon appropriately. Subjects covered in the course Students are assigned to a Clinical include the following: delegated legislation; Comprehensive Care Groups each with professional relationships; dental malpractice; designated Coordinators, specialist consultants professional misconduct; regulating the dental and clinical instructors. Central to the program profession; organization of dentistry in Canada; objectives is the development of a rational statutes that impact on dentistry; associate treatment plan for an informed patient. Treatment arrangements; dental office staff; and practice planning is carried out by group Coordinators and procedures (advisories, standards and the process ensues careful patient assessment guidelines). and appropriate specialist consultations. The Text: RCDSO Jurisprudence and Ethics Guide program emphasizes the educational D.J. MCFARLANE, RCDSO development of treatment planning, critical thinking and decision-making skills. Patient- PRACTICE ADMINISTRATION Based-Learning (PBL) didactic seminars are This is an interactive learning series beginning in conducted in small student groups throughout the the Spring Term of Second Year and continuing program, towards the same educational through winter and spring terms of Third year into objectives and sharing the resource of CCP Fourth Year, and is designed to provide the stu- patients. dent with an understanding of the management The Comprehensive Care Program culminates and administration of a dental practice. Guest in case-based comprehensive didactic lecturers discuss relevant topics such as examinations for adult patient as well as a final financing, accounting, taxation, leases, contracts, oral examination. Conducted by teams of partnerships and associateships so that students academic staff, the oral examination evaluates are informed about factors to be considered the student’s knowledge, clinical judgment, when entering private practice. reasoning processes and ability to plan Texts: Medical: Dental Office Practice appropriate comprehensive patient dental care. Management, White and Louis, CCH Canadian Text: Treatment Planning in Dentistry. Edit. Limited (recommended) Stefanac & Nesbit. Mosby Inc. 2007 (reference) A Primer on Dental Practice Management, D. MCCOMB, STAFF 42
  • DEN453Y1 Endodontics R. BARLOW , S. PERSCHBACHER, STAFF This course offers the student didactic and clinical components. The didactic component is DEN462Y1 Oral and Maxillofacial Surgery designed to expand on the knowledge acquired in The Fourth Year program consists of a series of 3rd year about the nature, diagnosis and lectures in the advanced aspects of Oral and treatment of endodontic disease. It includes nine Maxillofacial Surgery such as trauma, surgical lectures given during the winter term of 4th year, orthodontic treatment and Oral and Maxillofacial focused on advanced aspects of endodontic Surgery reconstruction etc. The aim of this disease management. The clinical component is program is to provide the students with a basic a continuation of the program started in 3rd year. understanding of and the diagnostic capability to It provides the student opportunities to acquire approach these more advanced aspects, of the skills and experience in providing basic surgery which customarily are dealt with by Oral endodontic treatments in the context of and Maxillofacial Surgeons. The clinical part of comprehensive dental care. this program is the continuation of assignments Texts: to the department which, covered in 3rd Year, as Manual of Endodontics – Faculty of Dentistry, well as exposure to major oral surgery that may University of Toronto (required) occur during the student’s hospital assignments. Pathways of the Pulp, Cohen & Hargreaves, 9th An essay on an assignment topic, due in ed, C.V. Mosby Company 2005 (reference) December is also required. Texts: As third Year Endodontology, Seltzer, 2nd ed., Lea & Febiger H.I. HOLMES, STAFF (reference) Seltzer and Bender’s Dental Pulp. Hargreaves, DEN465Y1 Orthodontics Kenneth M./Goodis, Harold E. Quintessence Int, The work includes lectures, clinical seminars and 2002 (reference) clinical instruction for the diagnosis, treatment Problem Solving in Endodontics, Thom C. planning and clinical interception of Dumsha; James L. Gutmann, Mosby. 2005 malocclusions. The final clinical examinations are (reference) Principles and Practice of conducted at the end of this course. Endodontics. R. Walton M. Torabinejad, 4th ed, Texts: As Second Year W.B. Saunders Company 2008 (reference) ORTHODONTIC DISCIPLINE STAFF Clinical Endodontics, Tronstand, Thieme 2002 (reference) DEN468Y1 Paediatric Dentistry Endodontic Therapy, Weine 6th ed Mosby, 2003 Additional emphasis in clinical Paediatric (reference) Dentistry is given and advanced treatments dur- ENDODONTIC DISCIPLINE STAFF ing the primary, mixed and permanent dentition periods, including management of dental abnor- DEN456Y1 Oral Diagnosis and Oral Medicine malities and injuries to teeth, are emphasized Students continue to attend the Oral Diagnosis both in the Faculty clinic and a Community and Emergency Clinics for further experience in Dental Clinic in Toronto. Students are the management, evaluation and treatment plan- encouraged to treat children under conscious ning of patients, with continued emphasis on sedation and to see multiple patients in each of assessment and treatment planning of patients their sessions. In addition, students will have a with special care or medical problems. Fourth required assignment to the Paediatric Dentistry Year students attend the Emergency Clinic Surgicentre. The dental care of persons with throughout the year. This experience will be special needs is provided through affiliated assessed as part of the Oral and Comprehensive hospitals. Various members of the department Care Fourth Year Final Examinations. give seminars in advanced Paediatric Dentistry Texts: As Third Year throughout the year. Elective programs in C. KILMARTIN, STAFF conjunction with the Hospital for Sick Children, Mount Sinai Hospital, Toronto Rehabilitation DEN459Y1 Oral Radiology Institute and Weeneebayko General Hospital are The objectives of fourth year radiology clinical available. Director, Mount Sinai Dental Program assignments are for students to apply sound for Persons with Disabilities is Professor M. decision-making skills in prescription of Sigal. radiographs, to become proficient in all intraoral Texts: As Third Year radiographic techniques and to understand and M. SIGAL, STAFF apply the principles of image formation in panoramics. Case reporting allows continued DEN471Y1 Periodontics development of skills in basic and more The major objective of fourth year Periodontics is advanced oral radiographic interpretation. to graduate general practitioners that combine Texts: As Second Year the knowledge, judgement, skill and motivation to 43
  • serve individual patients and the community's or 1 implant supported prosthesis and (iv) 1 needs in the prevention, recognition, and treat- reline or implant-retrofitted or repair of a ment of periodontal diseases. In the removable prosthesis. Comprehensive Care clinics in fourth year, Texts: As in DEN277Y1 and DEN333Y1/ emphasis is placed on integrating periodontal DEN377Y1 plus: Teaching material located on diagnosis and treatment within the overall oral Intranet: health care system. Students are challenged to https://sp.dentistry.utoronto.ca/prostho/4thyear/ learn how Periodontics influences the Orofacial Pain – From Basic Science to Clinical management of both uncomplicated and complex Management. Sessle BJ, LavigneG J, Lund JP, cases. Discrimination of cases treatable in Dubner R (eds.), 2nd ed. Quintessence, 2008. general practice and those, which should be (reference) treated through co-operation between generalist Osseointegration and Dental Implants. Jokstad A and specialist, is stressed. Each student also (ed.), Blackwell Publishing, 2009 (reference) has assignments to assist in the graduate clinic. T. DAO, A. JOKSTAD, STAFF Texts: As in second and third year. J. LAI, STAFF DEN480Y1 Restorative Dentistry The program consists of the restorative clinical DEN474Y1 Preventive Dentistry care of Comprehensive Care Program patients. The lectures consider strategies for identifying The aim is to broaden the student's clinical individuals at high risk of coronal and root experience and to further develop and refine surface caries and explore how preventive care his/her operative skills and diagnostic acumen. should be individualized for such patients. Cases, More advanced treatments are carried out and which present other challenging preventive alternative forms of treatment are discussed. problems, are also presented and discussed. Emphasis is also placed on integration of A clinical assignment requires that students restorative care with the other clinical disciplines. evaluate the risk of dental disease in selected Minimum treatment requirements are established clinic patients and provide an appropriate level of to ensure adequate clinical experience has been preventive care for each. provided followed by clinical competency testing. H. LIMEBACK, STAFF Lectures amplify and broaden the students' di- dactic knowledge with emphasis on recent deve- DEN477Y1 Prosthodontics lopments in Restorative materials and tech- This course consists of a lecture series in the fall niques. Texts: As third year, plus term and assignments in the clinic in the fall and Restorative Clinic Manual (required) spring terms. Fundamentals of Fixed Prosthodontics, Shilling- The didactic course focuses on planning and berg et al., 3rd Edition, Quintessence Pub. Co. integrating removable and fixed prosthodontic 1997 (reference) interventions within a continuum of Esthetics in Dentistry Vol 1 2nd edition. comprehensive patient care. The major theme of R.E.Goldstein. BCDecker 1998 the course is to emphasize that all prosthodontic (Recommended).Esthetic Dentistry and Ceramic interventions include a biological cost – although Restorations. B.Touati, P.Miara & D.Nathanson. also provide benefits. Moreover, that (1) the Martin Dunitz, 1999. (Recommended) costs can be small and the benefits large often D. MCCOMB, O. EL-MOWAFY, STAFF with a minimalist approach – and vice versa, and (2) that exact information relating to the patient's DEN483H1 Biological Basis of Oral Health and oral and medical condition and history – evidence Disease - Practical Applications II based when possible –is required to allow the This course is designed to introduce novel patient to make an informed decision consistent clinical procedures, technologies and common, with his or her treatment needs and preferences. current, clinically important laboratory tests to the The clinical assignments form a part of the preclinical student. Equal emphasis will be clinical comprehensive program that is placed on the understanding of the biological undertaken throughout the year. The clinical basis underlying the new technologies and instructors will ensure that the prior knowledge physiological laboratory tests. This is a credit, acquired in the first 3 years of studying is toward non-credit based course. evidence-based decision making regarding STAFF prosthodontic management of patients with partial and complete edentulous jaws. The minimum clinical core experience for the students are: (i) 1 complete (or immediate complete) removable prosthesis, (ii) 2 removable partial prostheses, (iii) 1 fixed partial prosthesis 44