COURSE DESCRIPTIONS Doctor of Dental Surgery


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COURSE DESCRIPTIONS Doctor of Dental Surgery

  1. 1. COURSE DESCRIPTIONSDoctor of Dental SurgeryFirst Year practice and the broader social and environmental factors that impact on the healthThe 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 DENTALment cannot be sharply differentiated, but should HEALTH CAREproceed concurrently throughout the entire dental Although society has established healthcourse. professions and delegated its health care to In the first year the student is taught many of them, issues continue to arise between societythe basic science courses which are the founda- and the profession. This module explores thetion for clinical dentistry. In these courses every nature of these issues from both society’sopportunity 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 andduced to some of the broader concepts of the guest lecturers who have special insights oftenpractice of dentistry. An important aspect of this provide the lectures in this module.first year is the students 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, STAFFidentified. DEN106Y1 Gross AnatomyDEN103Y1 Community Dentistry This course is designed to provide a generalThe first year curriculum in Community Dentistry understanding of the gross structure and functionconsists of four modules. The modules are of the human body from conception to old age. Indesigned to provide the context and scientific addition, a comprehensive, detailed study of thesupport 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 tounderstanding of the scientific methods in the complement and reinforce the lecture of health and disease. Students will learn: Students are advised to read Chapter 1 of Thethe epidemiological approach and logic of Anatomical Basis of Dentistry before classesepidemiological enquiry; descriptive, analytic and start.experimental epidemiological designs and their Texts: Netter’s Atlas of Anatomy & Gray’sstrengths and weaknesses; measures of risk; Anatomy for Students, Elsevier Canadaand common flaws in epidemiological studies. (required) Gray’s Dissection Guide for Human Anatomy,MODULE II: EPIDEMIOLOGY OF ORAL Elsevier CanadaDISEASES R. TALWAR, STAFFIn this module, students will cover theepidemiology of dental caries, periodontal DEN109H1 Histologydisease, oral cancer, and orofacial diseases, This course deals with the microscopic structure ofincluding risk factors that point to individual and the human body with special emphasis on thepopulation level preventive strategies. Measures components of the oral cavity. During the firstof oral diseases and oral health-related quality of half of the course the microscopic anatomy of thelife will also be addressed. tissues of the body and the body organ systems is presented. The second half of the course dealsMODULE III: DETERMINANTS OF HEALTH in detail with the development and microscopicAND POPULATION HEALTH STRATEGIES structure of the oral tissues.This module will develop the student’s The course content is delivered using a learningunderstanding of current concepts of health and management system to provide an onlinethe significance of health outcomes in clinical environment. A virtual slide box allows the microscopic specimens to be studied using a30
  2. 2. 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 Periodontalvirtual 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, STAFFMosby Co. 2008 (reference)Wheater’s Functional Histology. A Text and DEN115H1 NutritionColour Atlas. 5th Edition, 2006, Young & Heath This course provides an overview of the(reference) relationship of nutrition to human health. As wellE. FREEMAN, STAFF as reviewing nutrient function and requirements, the course offers an insight into CanadianDEN112Y1 Introduction to Clinical and nutrition directives and they’re rational;Preventive Dentistry application of principles of nutrition to theThe Introduction to Clinical and Preventive different stages of the life cycle and identifiesDentistry (ICPD) course is divided into three reliable resources in the community. Currentcomponents. nutrition issues of interest to consumers and health professionals are discussed. The course isICPD Clinical provides the student with an designed to build upon principles established inintroduction to clinical dentistry with an emphasis Biochemistry and Physiology and to complementon oral diagnosis and preventive dentistry. The instruction in Preventive Dentistry.course uses lectures and clinical sessions to Texts: Supplementary Notes (Department ofintroduce basic methodology in assessing oral Nutritional Sciences) required given in status (i.e., history taking, and clinical Supplementary Text, Nutrition, Concepts andexamination); caries risk (i.e., caries risk Controversies, Sizer and Witney, 6th ed., Westassessment, salivary analysis, oral hygiene Publishing Co., 1994 (reference)instruction); and periodontal health status (i.e., D. HENNYEY, STAFF OF THE DISCIPLINE OFgingival bleeding index, plaque scoring). The NUTRITIONAL SCIENCESrelevance of this information is discussed inplanning an appropriate preventive treatment DEN118H1 Dental Anatomy and Occlusionplan to meet individual patient needs. This course is designated to teach the students: (1) Tooth notation (2) the internal and externalThe 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 andchallenged, geriatric, dentally anxious), patient environmental factors that influence teetheducation and communication, as well as provide morphology, (6) dental anatomy and restorativeadditional clinical experience working with senior dentistry, (7) development and description ofdental students. primary occlusion, (8) development of early adult occlusion, (9) fundamental principles of staticThe Periodontal Module is the third component and dynamic occlusion, and (10) malocclusion.of the course. Periodontal instrumentation Texts: (a) Dental Anatomy Atlas; (b) Pediatricprinciples and techniques are taught in preclinical Dentistry Manual; Faculty of Dentistry;sessions using dentoforms, and clinical sessions Department of Pediatric Dentistry; University ofwhere 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’ Dentaldirect/indirect vision, and instrument grasp and Anatomy and Occlusion (2nd edition – 1992)utilization as the basis for learning periodontal A. PRAKKI, STAFFassessment skills of periodontal probing andcalculus detection. DEN121Y1 Biological Basis of Oral Health and DiseaseManuals: Introduction to Clinical and Preventive This comprehensive course is designed toDentistry Student Manual; Periodontal Module provide the preclinical student a broad-basedManual; Department of Oral Medicine Manual understanding of the basic biological andTexts: Fundamentals of Periodontal physiological processes related to the healthyInstrumentation and Advanced Root and diseased states of the oral cavity, includingInstrumentation. 5th ed. J.S. Nield-Gerhrig, 2004 the dentitions. The first set of lectures explores(reference) the physiology of oral-facial functions, particularly 31
  3. 3. those associated with pain and touch, taste, relationship between restorative procedures andchewing, swallowing, respiration, related motor prevention of further disease is stressed.activities, oral-facial microcirculations and Lectures on instrumentation, cavity preparationdevelopment 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 developinggenetics, formation, composition, metabolism, digital dexterity in cavity preparation and restora-development, repair and regeneration of hard tion is provided by preclinical exercises on ivorineand 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 - Arelate to oral diseases and their prevention, are Contemporary Approach, Summit, Robbins andintroduced. 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 2003correlates of the oral cavity are discussed. (reference)These lectures are complemented by laboratory W . EL-BADRAWY, STAFFsessions in Oral Biochemistry. References andcourse content are available to students on DEN150Y1 Biomaterials ScienceBlackboard. The objective of this course is to provide funda-Text: Oral Biology, Roth and Calmes, C. V. mental knowledge of materials science requiredMosby 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 fieldsDEN124Y1 Microbiology such as metallurgy, engineering mechanics,The course covers basic, pathogenic and oral ceramics, polymer science and chemicalmicrobiology and immunology. Its objective is to engineering. The laboratory program providesprovide the dental student with an understanding direct exposure to various classes of dentalof microorganisms and of their interactions with materials. In the laboratory the relationship ofthe 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 clinicalmanifestations, (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 Editionimportance. Special emphasis is placed on the Y. FINER, STAFFconcept of dental caries and periodontal diseaseas infectious diseases, and their possible preven- DEN177H1 Prosthodonticstion using antimicrobial strategies. Prosthodontics is a clinical discipline focused onTexts: Oral Microbiology and Immunology, alleviating the needs of patients with acquiredNisengard and Newman, 2nd Ed., W. B. loss or congenital absence of oral tissues bySaunders (reference) improving function, comfort and appearanceOral Microbiology, Marsh and Martin, 3rd Ed., using suitable artificial substitutes made fromVan Nostrand Reinhold (reference) alloplastic materials. Prosthodontic care isThe Biologic and Clinical Basis of Infectious holistic and integrates knowledge acquired inDiseases, Shulmar, Phair and Sommers, 4th Ed., several other basic and clinical courses. Some ofW. B. Saunders (reference) the fundamentals taught in the 1st year basicEssential Immunology, Roitt, 8th Ed., Blackwell sciences courses will be reinforced by(reference) contextualizing these to particular elements ofE.D. FILLERY, STAFF prosthodontic practice. The student will also learn how to complete a limited number of selectedDEN130H1/DEN180H1 Restorative Dentistry clinical and laboratory procedures commonlyThese courses in restorative dentistry begin early applied in conventional and implantin January. The students are introduced to the prosthodontics. The teaching format includesbasic 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 demonstrationsof the restorative material and to the anatomy followed by laboratory and clinical exercises.and histology of the dental tissues. The32
  4. 4. Texts: McCracken’s Removable Partial Wheater’s Basic Histopathology, 4th ed.,Prosthodontics. Car, McGivney and Brown, 11th Stevens, A., Lowe, J.S., Young, B. 2002ed., Elsevier Mosby, 2004 (required) Churchill LivingstoneContemporary Fixed Prosthodontics, Rosenstiel, J.W . WONG, STAFFLand and Fujimoto, 4th ed., Elsevier, 2006(required) DEN206Y1 MicrobiologyDental Materials and Their Selection, O’Brien, 3rd The course covers basic, pathogenic and oraled., Quintessence Publ. 2002 (reference) microbiology and immunology. Its objective is toITI Treatment Guide, Buser, Belser and provide the dental student with an understandingWismeijer, Volumes 1 and 2, Quintessence Publ. of microorganisms and of their interactions with2002 (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 theSecond Year planning and performance of dental treatment for patients, and (3) diseases of major public health importance. Special emphasis is placed on theIn Second Year the students education in the concept of dental caries and periodontal diseasebasic 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 Infectiouscover 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., Blackwellthe conscious patient freedom from pain and (reference)apprehension. E.D. FILLERY, STAFF The objectives of the course in second yearare to provide the students with the in-depth DEN207Y1 Community Dentistrypharmacology of those local anaesthetics and MODULE V: CLINICAL EPIDEMIOLOGY – THE SCIENTIFICvasoconstrictors used in dentistry, as well as the METHODS UNDERLYING EVIDENCE-BASED HEALTHability to technically administer these drugs and CAREachieve local anaesthesia. The first part of the This module will provide students with skills incourse discusses the detailed specific injection clinical epidemiology which are needed to appraisetechniques covering all forms of intra-oral the design and results of studies reporting onanaesthesia for dentistry in the mandible and aetiology, diagnosis, prognosis, efficacy and themaxilla, their complications, and the required relative costs and benefits of interventions forarmamentarium. Students then practice these conditions that affect oral health. Readings andinjection techniques on each other in the clinic. assignments are supported by lectures to illustrateThe second part provides an in-depth discussion the material and demonstrate its application toof the pharmacology of local anaesthetics. clinical questions in dentistry. At the end of thisText: Handbook of Local Anesthesia, S.F. module, the students will have the critical skillsMalamed, Mosby (required) 5th ed. 2004. needed to produce a short evidence-based reportD.A. HAAS, STAFF on a clinical problem in Module VI.DEN203H1 General Pathology MODULE VI: EVIDENCE-BASED CARE—SMALL GROUPThe Department of Laboratory Medicine and LEARNING MODULEPathobiology, Faculty of Medicine, presents this The aim of this module is to develop applied skillscourse to instruct second year students in the in clinical epidemiology by presenting small groupsgeneral 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 anease. The course content includes both general evidence based-report written and orally.and basic systemic pathology. Clinical Text: Clinical Epidemiology: the Essentials, 4thpathological 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, STAFF2007 Saunders Elsevier (smaller textbook). 33
  5. 5. 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. Thetowards 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 generaland 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 theduring 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 totreatment of anterior and premolar teeth. Both diagnose and treat mild forms of inflammatorycomponents are directed towards preparing the periodontal diseases and to maintain periodontalstudent to perform basic clinical endodontic health in patients requiring individualizedprocedures prior to entering the clinics in third preventive services.year. Texts: Clinical Periodontology, Carranza’s, 10thTexts: 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 2005Edition, C. V. Mosby Company 2005 (reference) (reference)Endodontology, S. Seltzer, 2nd ed., Lea & Fundamentals of Dental HygieneFebiger (reference). Instrumentation, Nield & Houseman, Lea &Seltzer and bender’s Dental Pulp. Uintessence Febiger, 2nd edition 1998 (reference)Int, 2002. E. FREEMAN, STAFFProblem Solving in Endodontics, J. L. Gutmann,T. C. Dumsha, P. E. Lovdahl, Year Book Medical DEN212Y1 PharmacologyPub. 2005 (reference). The objective of the course is to provide studentsPrinciples and Practice of Endodontics, R. with a broad knowledge of drugs, including theirWalton, M. Torabinejad, W. B. Saunders fate in the body, mechanisms of action, effectsCompany 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 anEndodontic Therapy, F. Weine Mosby, 2003. understanding of general principles as well as theA. PLAZAS-GARZON, STAFF pharmacology and therapeutics of all categories of drugs. There is a greater emphasis on agentsDEN211Y1 Periodontics commonly used in dentistry. The major topicsThe 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 yeardiseases. The program in second year course in pharmacology which continues withcommences in-depth education in periodontics, topics on therapeutics of direct importance inbuilding 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., 2007to 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., 2005standing 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, STAFFetiology (integrates with the second year programin microbiology), classification of periodontal DEN215H1 Preventive Dentistry and Clinicaldiseases, fundamentals of clinical decision- Nutritionmaking, and treatment of inflammation. The This course is presented in two sections:clinical element centers on the control of inflam- The Preventive Dentistry lecture seriesmatory periodontal conditions by concentrating describe the prevalence and patterns of dentalon examination, patient motivation, oral hygiene, caries and explores the scientific basis forand scaling and root planing skills. The clinical various clinical and public health procedures forprogram encompasses sessions during which caries prevention which are currently in use orstudents both practice these skills on student are under development. Topics include the use of34
  6. 6. dietary control or dietary additives, mechanical expertise to provide patients with the majority ofand chemical plaque control and various single tooth restorative services required inprocedures 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-Achild patients in the Ortho-Paedo clinical Contemporary Approach, Summitt, Robbins,program. Hilton & Schwartz, 3rd Edition. QuintessenceTexts: 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. QuintessenceEtiology, Gordon Nikiforuk (recommended) Publishing Co. 1997 (required)Fluoride in Preventive Dentistry, Mellberg and Fundamentals of Tooth Preparations for CastRipa (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. 2003including 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, STAFFdevelop the students’ skills in counselling andcommunication. Texts: Nutrition in Clinical DEN265Y1 OrthodonticsDentistry 3rd Edition, Nizel and Papas The Orthodontic course comprises lectures,(reference), Dental Communications, D. W. laboratory instruction, clinical seminars, andChambers & A. G. Abrams (reference) clinical practice in the second, third and fourthD. HENNYEY, STAFF years. The objective is to teach students to recognize, diagnose and intercept orthodonticallyDEN218Y1/280Y1 Restorative Dentistry the various forms of malocclusion, except thoseThe objective of this course is to prepare associated with systemic diseases andstudents for clinical practice in third and fourth abnormalities in the skeleton.years. Students are taught the principles, which Cephalometric analysis is studied as a basisgovern the need for initial and retreatment for providing knowledge of normal and abnormalrestorative therapy, the criteria for long-term facial development. During second year, studentsclinical acceptability and the reasons for participate in lectures, case analysis seminarsrestorative failure. The principles and methods and laboratory exercises designed to preparefor restoring teeth to structural, functional and them for clinical practice in the third and fourthaesthetic acceptability are presented in lectures years. During the third and fourth years, theand laboratory demonstrations. students participate in lectures, clinical seminars The course is divided into three modules. The and undertake clinical practice designed to teachfall term is devoted to restorative therapy the etiologic factors associated with the genesisrequiring 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, STAFFtypodonts in phantom heads specially designedto simulate the clinical condition. The spring term DEN265Y1 Paediatric Dentistrymodule has two components: restoration of the Paediatric Dentistry commences in second yearendodontically treated tooth and cariology. The and continues throughout third and fourth years.cariology section features treatment of simulated The didactic and clinical program develops thecarious lesions on ivorine teeth and actual caries concept that Paediatric Dentistry is concernedon extracted teeth. Emphasis is given to the with total dental care of the child and adolescentdiagnosis of initial and recurrent caries, provision during growth and development from birth toof conservative restorative therapy and the adolescence. The management, prevention anddecision making process related to replacement treatment of dental conditions in children aretherapy. emphasized during clinical sessions. Upon completion of the course students should Second Year: The restorative component ispossess the appropriate theoretical and practical introduced at the preclinical level in conjunctionknowledge and have developed the manual with the Department of Restorative Dentistry. 35
  7. 7. These procedures are supplemented by lectures, There are written tests at the end of the winterseminars and videotape demonstrations. The and fall term.Paediatric Dentistry component of the Text: Davidsons Principles and Practice ofOrthodontic/Paediatric Dentistry program is Medicine, 20th Ed. (recommended)under the direction of Professor M.J. Sigal and Dr. R. WU, STAFFR. Revuelta, Preclinical Program directed by Drs.J. Wiles and J. Rukavina. Text: Paediatric DEN317Y1 Oral RadiologyDentistry Clinic Manual, 9th edition, Sigal Lectures and laboratory exercises introduce the(required) student to the principles of radiation physics andM. SIGAL, STAFF hygiene, radiation biology, radiographic technique and radiographic interpretation ofDEN277Y1 Prosthodontics normal anatomy and common diseases affectingThe learning objectives of this course are 3-fold: teeth and jaws.1) to understand the attributes of the dentition Texts: Oral Radiology: Principles andand the physiological changes that occur over Interpretation, White & Pharoah, 6th ed., CVtime, 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 Radiologicplanning and design to improve or restore the Interpretation, Worth, Year Book Medicalform and function in partially edentulous Publishers Inc. (reference)situations. The student will learn how 3) to R. BARLOW , S. PERSCHBACHERcomplete a limited number of selected clinicaland laboratory phases of removable and fixed DEN356Y1 Oral Diagnosis and Oral Medicinepartial prostheses, including implant-supported A course of lectures, seminars and clinicalsingle crowns, with fabrication taking place on sessions teach the student a system of diagnosisstudent partners, stone models, and manikins as of dental and oral disease. Emphasis is placedappropriate. The teaching format includes on methods of history taking, examination,lectures, group discussions and seminars, take- patient evaluation and management as well ashome projects, and e-learning simulations, treatment planning, with special attention to thecomplemented with practical demonstrations medically compromised patient. This coursefollowed by laboratory and clinical exercises. starts during the second year post-examinationTexts: period and continues to the end of Third Year.Teaching material located on Intranet: Texts: Dental Management of the Medically 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 Oraled., Elsevier Mosby, 2004 (required) Diagnosis (required)Contemporary Fixed Prosthodontics. Rosenstiel Internal Medicine for Dentistry, Rose, L. F. andSF, Land MF, Fujimoto J (eds.), 4th ed., Elsevier, Kaye, D., 2nd Ed., C. V. Mosby Co. 19902006 (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 YearQuintessence Publ. 2007, 2008, 2009 (reference)P.L. MCDERMOTT, L. LAING GIBBARD, A. JOKSTAD, Clinical PracticeSTAFF The student now embarks upon the provision of clinical care for assigned patients. Emphasis isDEN312Y1 Medicine on the comprehensive assessment andThe course starts in January of Second Year and appropriate management of the oral care needscontinues until December of the Third Year. The for all patients for whom the student is thecourse is designed to provide basic knowledge of primary provider. Wherever possible, newcommon chronic adult medical illnesses. The patients are assigned to students at their initialpurpose is to both understand patients’ chronic appointment in Oral Diagnosis in order to allowconditions as well as to have an approach to continuity of care from initial patient assessmenttreating patients with chronic medical conditions. to treatment completion within theThe relevance of the illnesses on the practice of Comprehensive Care Program which begins indentistry is emphasized throughout the course.36
  8. 8. the Fall Term, Clinical Coordinators educate and oral sedation and aim for competency in itsassist students in the development of rational, administration for adult patients. This course willappropriately phased treatment plans, building also supplement material from other courses inupon the diagnostic information gained during the preparing dentists to manage medicalinitial patient visits. Consistent with current emergencies. Students will gain experience instandards 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, studentsof 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 consultationsStudents perform clinical procedures under the for their patients in the clinic.close supervision and guidance provided by Texts: Sedation, A Guide to Patientdiscipline instructors. During all clinical sessions, Management, Malamed, 4th ed. 2003 (required)students apply the basic principles, knowledge Medical Emergencies in the Dental Office, 6thand skills that they have acquired in their pre- ed., S.F.Malamed, Mosby Elsevier, 2007clinical education with the objective that by the (recommended).end of the year each student is able to provide a Dental Treatment for the Medically Compromisedwide 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, 2003ous phases of clinical dentistry is conducted by (reference)the staff throughout the clinical course. Group D.A. HAAS, STAFFclinics are also conducted in the teaching hospi-tals of the city of Toronto where students are DEN303H1/DEN453Y1 Endodonticsrotated through both dental and medical hospital The knowledge pertaining to endodontic diseasedepartments. and diagnosis, as well as the scope and During clinical sessions students are provided techniques of endodontic treatment arewith the opportunity to treat selected patients broadened during lectures given in concomitanceutilizing the various methods of pain control and with clinical work in the fall of third year. Furtherpatient management. A pharmacy in the clinic pre-clinical experience is acquired throughreinforces teaching of Pharmacology and Thera- performing endodontic treatment on molars in thepeutics by facilitating the writing of accurate pre- winter term of 3rd year and clinical experience isscriptions 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 Torontotreatment. They also learn to communicate with (required)the patients physician in order to assess medical Visual Endodontics & Traumatology - CD-Romproblems and their impact on potential treatment. (required)Students also have the opportunity of working Dental Pulp, Hargreaves & Goode, Quintessenceclosely 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 toThird Year Clinical Requirements Handout for DEN308Y1 Community Dentistryremedial training in the Third Year clinical MODULE VII: COMMUNICATION IN DENTAL PRACTICEprograms. This module aims to make students aware of central role played by communication in dentalDEN301Y1 Anaesthesia practice. The curriculum will cover: communicationThe objective of this course is to provide the and its association with pain, anxiety andability 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 tonitrous oxide:oxygen conscious sedation. communication; consultation styles; conflicts ofStudents should also become knowledgeable in perspective, shared understanding. 37
  9. 9. MODULE VIII: PSYCHOLOGICAL AND BEHAVIOURAL DEN317Y1 Oral RadiologyISSUES IN DENTAL PRACTICE A series of lectures are presented on theThe 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 systematicproblems encountered in dental practice and approach to radiographic interpretation isstrategies, based on psychological principles that stressed as a basis for recognizing andcan be employed to manage these problems. This understanding the effects of various diseasecomponent covers: dental anxiety, its nature, mode processes on hard tissue structures. Caseof acquisition and consequences; cognitive factors studies are presented in conjunction with theinvolved 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 clinicaltreating dental anxiety; dental anxiety in childhood; context. Clinical assignments focus on attainingaversive and non-aversive methods of managing experience and proficiency in intraoralthe child patient; preparing the child patient; in- radiographic techniques. Clinical seminars andoperatory management techniques. case reporting under guidance allowTexts: D. Locker. Introduction to behavioural development of skills in basic oral radiographicscience and dentistry. (recommended) interpretation.D. LOCKER Texts: As Second Year R. BARLOW AND S. PERSCHBACHERDEN312Y1 MedicineThe course starts in January of Second Year and DEN318Y1 Oral and Maxillofacial Surgerycontinues until December of the Third Year. The The third year course consists of a lecturecourse is designed to provide basic knowledge of program and labs. Basic didactic instruction willcommon chronic adult medical illnesses. The include orientation to the department, basicpurpose 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, rootThe relevance of the illnesses on the practice of resection, pre-prosthetic surgical procedures,dentistry is emphasized throughout the course. and the management of infections andThere are written tests at the end of the winter application of various drugs.and fall term. A laboratory exercise, in flaps, extractions andText: Davidsons Principles and Practice of suturing, employing a pig mandible will be held toMedicine, 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, moreDEN315Y1 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 clinicalglands, 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. Lippincottand management of these conditions are Basic Principles of Oral & Maxillofacial Surgery,discussed. Manual. Dr. H. Holmes (3rd Year ManualIn the laboratory computerized virtual microscopy suppliedis used by the students to illustrate the H. HOLMES, STAFFhistopathological appearances of the mostsignificant lesions. This is used as an aid in DEN322Y1/ DEN365Y1 Orthodonticsunderstanding 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 toknowledge of the pathology with oral medicine teach the student the more advanced diagnosticand to impart a system of diagnosis and procedures important in the treatment planning oftreatment based on the understanding of orthodontic abnormalities. The final writtendisease. Texts: ―Contemporary Oral and examination in Theoretical Orthodontics isMaxillofacial 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 STAFFPathology‖ Neville, Brad W.; Damm, Douglas D.; rdAllen, Carl M. Bouquot, Jerry E., 3 ed. 2009. DEN323Y1/DEN368Y1 Paediatric DentistryW.B. Saunders Co. (Reference) A series of lectures and seminars are presentedR.J. MCCOMB, STAFF on dentistry for children that include behaviour38
  10. 10. management, infant care, diagnosis and DEN327H1 Pharmacologytreatment planning, management of early The objective of this course is to provide appliedchildhood caries, space management, paediatric knowledge of clinical pharmacology anddental emergencies and trauma, paediatric oral therapeutics in dental practice. The topicssurgery and oral pathology, and applied covered include analgesics, anti-infectives, drugspaediatric medicine. The intent of the course is used in medical emergencies and naturalto provide the student with the knowledge and products. As well, the use of drugs for specificskills 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, STAFFthird year, stressing total patient care in theChildren’s Clinic. The students also rotate to the DEN333Y1/DEN377Y1 ProsthodonticsCity of Toronto Public Dental Health Clinic, This course consists of 2 modules. In the fallToronto Rehabilitation Institute, and the Mt. Sinai term, lectures and related readings outline theHospital for a portion of their clinical training. changes associated with tooth loss, theStudents are required to attend all sessions to management of the edentulous patient, and howadvance into 4th year, but a grade will only be osseointegration has expanded the benefits wegiven in Clinical Paedo at the end of 4th year. can provide for our patients. Class projects allowTexts: Paediatric Dentistry Manual, 9th ed., skills development and assessment. Each project(required) has independent self evaluation to developPaediatric Dentistry: Infancy Through Adoles- judgment of clinical procedures. Knowledge andcence, J. Pinkham et al, 3rd edition, Saunders comprehension are assessed with term tests and1999 (reference) a final exam. Students use pre-clinical manikinM. SIGAL, P. ANDREWS, B. SALTZMAN simulation, and student/operator pairs projects to appreciate and develop their skills in edentulousDEN324Y1/DEN371Y1 Periodontics and implant impressions, jaw registrations, toothThe main objective of third year Periodontics is to shade and mold selection, and custom toothpresent a more detailed program on diagnosis, arrangement to the point of a manikin simulatedrationale, and delivery of periodontal therapy for wax-up of a complete maxillary denture and ana wide range of periodontal conditions, building implant supported mandibular overdenture. Theon the basic knowledge and instrumentation second year principles of fixed partial dentureskills learned in the first two years. The program prostheses are rehearsed with abutmentconsists of didactic, preclinical, and clinical preparations and temporization of anterior andelements. The didactic program consists of a posterior partially edentulous manikins, and aseries of lectures and seminars on periodontal practical pre-clinical session prior to clinictherapy, including surgical therapies. These are patients.integrated with preclinical sessions. Care of In the winter term, associated Prosthodonticclinical patients is continued within a framework topics and more comprehensive treatmentof clinical sessions under close supervision. At planning are provided in lectures, relatedthe completion of the year, students should readings, and seminars of Comprehensive Carepossess the knowledge, motivation and clinical Program evaluation and treatment planningacuity to diagnose most periodontal conditions formats. Further principles of prosthetic designsand to establish treatment plans for and treatment planning are presented viauncomplicated 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 skillssanative, antimicrobial and surgical modes of needed for patient impressions with concepts oftherapy and should be ready to enter an border molding procedures.educational phase in which they can readily Texts: As in DEN277Y1 plusintegrate their knowledge and skill in Periodontics Teaching material located on Intranet:with that learned in other disciplines. 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 Implantedition, 2008 Lindhe, Karring, Lang (reference) Overdentures. Shafie HR (ed.), BlackwellJ. LAI, STAFF Publishing, 2007 (reference) Removable Prosthodontic Techniques. Sowter JB.(ed.), 2nd ed., U North Carolina Press, 1986 39
  11. 11. (reference) dental care. There will be two seminars involvingA. FENTON, H. ALKUMRU, A. JOKSTAD, STAFF Radiology staff to ensure application of correct radiographic interpretation to the diagnosticDEN336Y1/DEN380Y1 Restorative Dentistry process.The clinical course takes place within the During the whole of Third Year, students willComprehensive Care Program. The Fall Term attend the Oral Diagnosis and Emergency Clinicsprovides close supervision for the transition from in order to obtain practical experience in thepreclinical operative to clinical implementation of evaluation and management of a large andbasic direct restorative procedures. The varied group of patients They will also learn howfundamental principles and methods for restoring to request and evaluate medical information fromteeth to structural, functional and esthetic their patient’s physicians or hospitals. In theacceptability, learned thus far in a preclinical Faculty Emergency Clinic, the students learn tosetting, are emphasized as the students acquire diagnose and manage a wide range of dentalthe clinical skills necessary to treat individual emergencies. The clinical sessions providepatients. Patient management skills and student practical application of the material covered inconfidence in restorative dentistry are developed the lecture/seminar component of the course andduring this program. Students are evaluated on a prepare students for the more detailed treatmentdaily basis using self-assessment forms and/or planning sessions involved in the provision ofcomputer grading, and work towards achieving comprehensive care.clinical competency which is evaluated in the Texts: Dental Management of the Medicallyform 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 Manualexamination comprehensively covers all material Cardiovascular Supplemental Manualtaught over the three years including lectures, C. KILMARTIN, STAFFreading assignments and the knowledge gainedfrom clinical practice. DEN374Y Preventive DentistryTexts: The didactic program concentrates on the practi-Third Year Clinic Manual* (required) cal aspects of incorporating preventive dentistryGeneral Restorative Dentistry Clinic Manual* into private dental practice. Seminar sessions are(required) devoted to patient motivation and preventive dietFundamentals 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 clinicFundamental 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, BarkleyPhilip’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, STAFFDEN356Y1 Oral Diagnosis and Oral Medicine DEN383H1 Biological Basis of Oral Health andThis course contains two parts as outlined below Disease - Practical Applications Iand will be examined by a series of tests (3 tests This course is designed to introduce novelto 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 beThe course starts in the Second Year post placed on the understanding of the biologicalexamination period with a series of lectures, basis underlying the new technologies andseminars 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 STAFFinclude the evaluation and management ofhealthy patients as well as of those with a wide DEN403Y1 Case-Based Learningvariety 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 in40
  12. 12. small groups with emphasis on identification ofkey issues, researching the medical and dental Fourth Yearliterature and critical analysis of selected In the Fourth Year the student applies the basicinformation. Discussion groups of students knowledge and techniques already acquired, toexchange information and reach evidenced- gain further clinical experience and familiaritybased conclusions. This course is continued from with more advanced treatment services. Tospring term of Third year into Fourth Year. prepare students for entry into the profession asH. GRAD, STAFF general practitioners, emphasis is placed upon integration of the various disciplines and overallDEN450Y1 Comprehensive Care Program management of patient treatment. In addition toThis multidisciplinary clinical program begins in their work in the Facultys Clinics, studentsthe Fall Term of third year and continues participate in elective programs, clinicalthroughout fourth year in order to provide a ―total conferences and hospital-based experiences.patient care experience‖ from initial patientpresentation to treatment completion for the Clinical Practicemajority of assigned patients. The third year See Third Year description.portion of the clinical Comprehensive CareProgram (CCP) introduces the student to Electivesmultidisciplinary treatment planning and the Electives are offered to senior students in variousconcept of appropriately phased patient care. disciplines each year. The subjects presentedBuilding upon the teaching provided by the may change from year to year. Currently thereclinical 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 affordtreatment 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 particularassist and educate students in the assessment, interest. These programs are offered to thediagnosis and sequencing of patient care through entire class on a first come basis and some havecomprehensive treatment planning sessions limited enrolment. In Paediatric Dentistry, thedesigned to ensure case understanding, rational elective is a "selective" since interested studentstreatment decisions and an appropriate treatment are selected to attend the Moose Factory Dentalplan. Significant emphasis is placed in third year Project that deals with the delivery of dentalCCP on the importance of optimal oral disease treatment to Native Peoples in the James Baycontrol and patient-specific prevention. Following area from a hospital base.the development of a treatment plan, themultidisciplinary treatment needs of the patient DEN400H1 Anaesthesiaare carried out under the supervision and This course consists of seminars and clinicalteaching of clinical instructors from the experience in anaesthesia as it applies toperiodontology, prosthodontics and restorative dentistry. The seminars review the protocol anddisciplines. l applied aspects of handling medicalText: Treatment Planning in Dentistry. Edit. emergencies. Students practise oxygenStefanac & Nesbitt. Mosby Inc. 2007 (reference) administration, intramuscular injection andD. MCCOMB, L. TAM, G. LIN, STAFF venipuncture techniques on each other. The clinical component is carried out throughout theDEN459Y1 Oral Radiology academic year and involves writing anaesthesiaThis course in clinical oral radiology spans consultations for their patients, administeringSecond, Third and Fourth Year. In the third year, nitrous oxide:oxygen conscious sedation andstudents 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, 2007students use digital radiographic techniques in a (recommended).laboratory exercise. Students are also D.A. HAAS, J. BHALLA, STAFFintroduced to radiographic interpretation byreporting on patient cases. Three clinical DEN401Y1 Advances in Dental Sciencecompetency tests are given which form part of These presentations will cover recent advancesthe 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
  13. 13. DEN403Y1 Case-Based Learning Gaskins, Reston Publishing Co. (recommended)The tutorials started in Third Year continue Dental Practice Management Manual, Canadianthroughout 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, STAFFon identification of key issues, researching themedical and dental literature and critical analysis DEN450Y1/DEN451Y1 Comprehensive Careof selected information. Discussion groups of Programstudents exchange information and reach This multidisciplinary clinical program begins inevidenced-based conclusions. third year and continues throughout fourth year inH. GRAD, STAFF order to provide continuing care for all assigned patients and to amplify the student experience inDEN406Y1 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 orETHICS management of the treatment needs for allThe lectures in Ethics discuss the currently patients for whom they are designated primaryaccepted standards of conduct and behaviour for providers. The process begins in the diagnosticmembers of the dental profession. Subjects clinics and continues in the comprehensive carecovered include the basis of the Code of Ethics in clinic for the same student and patient whereverthe professions. Examples of situations in practice possible. The emphasis is on providing optimalthat require judgment of an ethical nature are patient care which addresses the oral healthpresented. needs of the patient and takes into considerationP. ALLATT, STAFF IN COMMUNITY DENTISTRY the patient’s wishes. Emphasis is placed on provision of optimal disease control andJURISPRUDENCE prevention for all patients prior to more extensiveThe information contained n the lectures in rehabilitation. Major program goals are a) theJurisprudence is based on the legal matters completion of treatment for all assigned patientsbearing on the practice of dentistry in Ontario that and b) adequate preparation of students forare essential for dentists to be able to recognize, general know, to explain and to be able to act uponappropriately. Subjects covered in the course Students are assigned to a Clinicalinclude the following: delegated legislation; Comprehensive Care Groups each withprofessional relationships; dental malpractice; designated Coordinators, specialist consultantsprofessional misconduct; regulating the dental and clinical instructors. Central to the programprofession; organization of dentistry in Canada; objectives is the development of a rationalstatutes that impact on dentistry; associate treatment plan for an informed patient. Treatmentarrangements; dental office staff; and practice planning is carried out by group Coordinators andprocedures (advisories, standards and the process ensues careful patient assessmentguidelines). and appropriate specialist consultations. TheText: RCDSO Jurisprudence and Ethics Guide program emphasizes the educationalD.J. MCFARLANE, RCDSO development of treatment planning, critical thinking and decision-making skills. Patient-PRACTICE ADMINISTRATION Based-Learning (PBL) didactic seminars areThis is an interactive learning series beginning in conducted in small student groups throughout thethe Spring Term of Second Year and continuing program, towards the same educationalthrough winter and spring terms of Third year into objectives and sharing the resource of CCPFourth Year, and is designed to provide the stu- patients.dent with an understanding of the management The Comprehensive Care Program culminatesand administration of a dental practice. Guest in case-based comprehensive didacticlecturers discuss relevant topics such as examinations for adult patient as well as a finalfinancing, accounting, taxation, leases, contracts, oral examination. Conducted by teams ofpartnerships and associateships so that students academic staff, the oral examination evaluatesare informed about factors to be considered the student’s knowledge, clinical judgment,when entering private practice. reasoning processes and ability to planTexts: 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, STAFF42
  14. 14. DEN453Y1 Endodontics R. BARLOW , S. PERSCHBACHER, STAFFThis course offers the student didactic andclinical components. The didactic component is DEN462Y1 Oral and Maxillofacial Surgerydesigned to expand on the knowledge acquired in The Fourth Year program consists of a series of3rd year about the nature, diagnosis and lectures in the advanced aspects of Oral andtreatment of endodontic disease. It includes nine Maxillofacial Surgery such as trauma, surgicallectures given during the winter term of 4th year, orthodontic treatment and Oral and Maxillofacialfocused on advanced aspects of endodontic Surgery reconstruction etc. The aim of thisdisease management. The clinical component is program is to provide the students with a basica continuation of the program started in 3rd year. understanding of and the diagnostic capability toIt provides the student opportunities to acquire approach these more advanced aspects, ofthe skills and experience in providing basic surgery which customarily are dealt with by Oralendodontic treatments in the context of and Maxillofacial Surgeons. The clinical part ofcomprehensive dental care. this program is the continuation of assignmentsTexts: to the department which, covered in 3rd Year, asManual of Endodontics – Faculty of Dentistry, well as exposure to major oral surgery that mayUniversity of Toronto (required) occur during the student’s hospital assignments.Pathways of the Pulp, Cohen & Hargreaves, 9th An essay on an assignment topic, due ined, C.V. Mosby Company 2005 (reference) December is also required. Texts: As third YearEndodontology, Seltzer, 2nd ed., Lea & Febiger H.I. HOLMES, STAFF(reference)Seltzer and Bender’s Dental Pulp. Hargreaves, DEN465Y1 OrthodonticsKenneth M./Goodis, Harold E. Quintessence Int, The work includes lectures, clinical seminars and2002 (reference) clinical instruction for the diagnosis, treatmentProblem Solving in Endodontics, Thom C. planning and clinical interception ofDumsha; 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 YearW.B. Saunders Company 2008 (reference) ORTHODONTIC DISCIPLINE STAFFClinical Endodontics, Tronstand, Thieme 2002(reference) DEN468Y1 Paediatric DentistryEndodontic 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 emphasizedStudents continue to attend the Oral Diagnosis both in the Faculty clinic and a Communityand Emergency Clinics for further experience in Dental Clinic in Toronto. Students arethe management, evaluation and treatment plan- encouraged to treat children under consciousning of patients, with continued emphasis on sedation and to see multiple patients in each ofassessment and treatment planning of patients their sessions. In addition, students will have awith special care or medical problems. Fourth required assignment to the Paediatric DentistryYear students attend the Emergency Clinic Surgicentre. The dental care of persons withthroughout the year. This experience will be special needs is provided through affiliatedassessed as part of the Oral and Comprehensive hospitals. Various members of the departmentCare Fourth Year Final Examinations. give seminars in advanced Paediatric DentistryTexts: As Third Year throughout the year. Elective programs inC. KILMARTIN, STAFF conjunction with the Hospital for Sick Children, Mount Sinai Hospital, Toronto RehabilitationDEN459Y1 Oral Radiology Institute and Weeneebayko General Hospital areThe objectives of fourth year radiology clinical available. Director, Mount Sinai Dental Programassignments 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 Yearradiographic techniques and to understand and M. SIGAL, STAFFapply the principles of image formation inpanoramics. Case reporting allows continued DEN471Y1 Periodonticsdevelopment of skills in basic and more The major objective of fourth year Periodontics isadvanced oral radiographic interpretation. to graduate general practitioners that combineTexts: As Second Year the knowledge, judgement, skill and motivation to 43
  15. 15. serve individual patients and the communitys or 1 implant supported prosthesis and (iv) 1needs in the prevention, recognition, and treat- reline or implant-retrofitted or repair of ament 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 ondiagnosis and treatment within the overall oral Intranet:health care system. Students are challenged to how Periodontics influences the Orofacial Pain – From Basic Science to Clinicalmanagement 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 Aand specialist, is stressed. Each student also (ed.), Blackwell Publishing, 2009 (reference)has assignments to assist in the graduate clinic. T. DAO, A. JOKSTAD, STAFFTexts: As in second and third year.J. LAI, STAFF DEN480Y1 Restorative Dentistry The program consists of the restorative clinicalDEN474Y1 Preventive Dentistry care of Comprehensive Care Program patients.The lectures consider strategies for identifying The aim is to broaden the students clinicalindividuals at high risk of coronal and root experience and to further develop and refinesurface 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 andwhich 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 establishedclinic patients and provide an appropriate level of to ensure adequate clinical experience has beenpreventive 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, plusterm 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 1998the course is to emphasize that all prosthodontic (Recommended).Esthetic Dentistry and Ceramicinterventions 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, STAFFwith a minimalist approach – and vice versa, and(2) that exact information relating to the patients DEN483H1 Biological Basis of Oral Health andoral and medical condition and history – evidence Disease - Practical Applications IIbased when possible –is required to allow the This course is designed to introduce novelpatient 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 beclinical comprehensive program that is placed on the understanding of the biologicalundertaken throughout the year. The clinical basis underlying the new technologies andinstructors 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 STAFFprosthodontic management of patients withpartial and complete edentulous jaws. Theminimum clinical core experience for thestudents are: (i) 1 complete (or immediatecomplete) removable prosthesis, (ii) 2 removablepartial prostheses, (iii) 1 fixed partial prosthesis44