Schulich School of Medicine

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Schulich School of Medicine Dentistry
Shaping the Future of Health Care
Todays Curriculum Tomorrows Practitioners Depart
ment and Divisions Presentations Schulich
Dentistry Retreat Friday, May 12, 2006
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Fall Term Winter Term
YEAR 1
3
Fall Term Winter Term
YEAR 2
4
Fall Term Winter Term
YEAR 3
5
Fall Term Winter Term
YEAR 4
6
Fall Term Winter Term
ITD 1
7
Fall Term Winter Term
ITD 2
8
Formal Hours by Year
Year 4 9
Year 1 32
Year 3 19
Year 2 40
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Allocation of Formal Hours
Basic Sciences 389 Hours 22
Clinical Sciences 1409 Hours 78
10
Basic Sciences
4
5
7
8
44
9
11
12
11
Clinical Sciences
3
3
14
4

4
4
11
5
6
11
6
10
7
8
12
Year 1
13
Year 2
14
Year 3
15
Year 4
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Anatomy
Course/Discipline D100 Formal Curriculum
Hours 168
(anatomy, histology, embryology, neuroanatomy)
Structure Year 1
Term 1 Systems overview
Head Neck
Term 2 Head Neck (including neuroanatomy)
Integration None
Emphasis/Philosophy
Systems - understand non-dental illnesses in
patients
Head Neck - put details of dentally relevant
anatomy in the context of the head neck as a
whole
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Oral Histology
Course/Discipline D140
Formal Curriculum Hours 51
Structure Year 1

• Histology of
• 01 - Crown development
• 02 - root development
• 03 - Eruption and exfoliation
• 04 - Hard tissue genesis
  (Amelogenesis)
• 05 - Enamel
• 06 - Dentine
• 07 - Pulp

• 08 - Cementum /bone
• 09 - Periodontal ligament
• 10 - Lining mucosa
• 11 - Masticatory mucosa (gingiva hard palate)
• 12 - Specialized mucosa
• 13 - TMJ maxillary sinus
• 14 - Salivary Gland

The following topics are taught
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Oral Histology
The Objectives of Oral Histology (D140)
1. Develop a basic science knowledge in Oral
Histology 2. Ability to recognize oral
tissues under a microscope 3. Apply the
fundamentals principles and knowledge of oral
histology in interpreting some normal clinical
situations
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Biochemistry
Course/Discipline D115
Formal Curriculum Hours 36
Structure Year 1
Term 1 Part 1
Term 1 Part 2

• Molecular Cellular Biology
• Nutrition
• Diet Life Cycle
• Diet Lifestyle
• Diet Dentition

• Biochemistry Principles
• Extracellular Matrix
• Mineralization/Demineralization
• (Caries, Implants, Plaque)
• Saliva
• Midterm

Aim of the Course To understand how oral
tissues and fluids function at the molecular
level, the Biochemical changes underlying some
disease conditions and the relationship of
nutrition to oral health.
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Physiology
Course/Discipline D115
Formal Curriculum Hours 30
Structure Year 1
Term 2 Part 1
Term 2 Part 2

• Muscles
• Chewing Swallowing
• Speech
• Sensory Systems
• Mechanical Thermal Reception
• Pain (dental)
• Taste and Smell

• Vomiting
• Salivary Secretion
• Skeletal Development Growth
• Bone Physiology
• Tooth Movement
• Healing

• Primary Objectives
• To understand the physiological functions of the
  orofacial systems
• 2. To encourage students to relate physiological
  principles to clinical dentistry
• 3. To provide foundational knowledge required to
  understand the principles and
• practice of clinical dentistry

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Microbiology
Course/Discipline D211
Formal Curriculum Hours 39
Structure Year 2
Term 1 Part 1
Term 1 Part 2

• Bacteriology
• (tender tooth painful mouth)
• Immunology
• (adverse immune reactions)
• (allergy hypersenstivity)
• (inflammation)
• HIV/AIDS in Dentistry

• Clinical Infection Control
• Biofilms Adhesins
• (plaque caries)
• Virology

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Dental Biophysics
Course/Discipline D120
Formal Curriculum Hours 16
Structure Year 1 Term 2

• Instructors Peter Canham, Ian MacDonald, Henry
  Lapointe (clinically applied lecture)
• Key Objectives
• Show and practice how ordinary physics explains
  common dental problems and solutions
• Explaining physical concepts to patients in plain
  English
• Topic Examples
• Oral facial structures the crumple zone for
  facial trauma
• Transmural pressure and blood flow in the PDL
• OrthoD forces straighten teeth chewing forces
  versus 30g orthoD force that remodels bone over
  time
• TMJ forces, synovial fluid viscosity and joint
  lubrication
• Assignment 2006 Elevator extraction of
  uncomplicated lower third molar -- Measure
  fingers turning force, calculate distal pushing
  force, why fingers vs. hand or arm levering forces

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Human Genetics
Course/Discipline D110
Formal Curriculum Hours 16
Course Outline

• Genetics Past, Present and Future
• Molecular Genetics I Heredity at the Cellular
  Level
• Molecular Genetics II Human Chromosomes
• Pedigree Analysis I Mendelian Genetics
• Pedigree Analysis II Dominant and Recessive
  Traits
• Pedigree Analysis III Dominant and Recessive
  Traits
• Multifactorial Inheritance
• Special Topics in Genetics I Cloning and Genetic
  Engineering

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Human Genetics

• Special Topics in Genetics II Stem Cell Research
• Genetic Counseling Diagnosis and Treatment
• Genetics and Dentistry I Restorative
  Considerations
• Genetics and Dentistry II Oral Pathological
  Manifestations
• Genetics and Dentistry III Periodontal
  Predisposition
• Genetics and Dentistry IV Orthodontic and
  Paediatric Dentistry
• Genetics and Dentistry V Prosthodontic Concerns
  / Occlusion
• Genetics and Dentistry VI Oral Surgical
  Considerations

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Pharmacology
Course/Discipline D206, D306
Formal Curriculum Hours 52
Structure

• Term 1
• None
• Didactic Lectures in Pharmacology
• Didactic Lectures in Pharmacology
• None

Term 2 None None None None
Year 1 Year 2 Year 3 Year 4
Emphasis/Philosophy Systems pharmacology, with
emphasis on aspects that relate to Dentistry
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Pharmacology

• COURSE DESCRIPTION
• Pharmacology for Dentistry is taught as TWO
  COMPLEMENTARY COURSES, A (206Y) and B (306Y),
  which are given on ALTERNATE YEARS.
• The course is taken by all 2nd yr and 3rd yr
  Dents students, as well as both the QP1 and QP2
  classes
• COURSE A - (Year 2006-07.) This course will
  deal with mechanisms and principles of drug
  action and metabolism/elimination, agents for
  infections and cancer, endocrinological agents
  and haematological problems, allergies and
  anti-inflammatory agents and special topics in
  paediatric and geriatric pharmacology.
• COURSE B - (Year 2007-08) This course will
  introduce nomenclature and mechanisms of action
  of drugs affecting the peripheral and central
  nervous systems, drug prescribing and
  regulations, drugs affecting the cardiovascular
  system, agents used to induce anaesthesia,
  narcotic analgesics and drug abuse.

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General Systemic Pathology
Course/Discipline D202
Formal Curriculum Hours 69
Structure
- General Pathology Lectures 29 (September
December) - Systemic Pathology Lectures 33
(January April) - WebCT Quizzes 15 - Case
Studies 2
Presented 2nd year only Links to Oral Pathology,
General Medicine Surgery, Oral Medicine
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D202 Philosophy
General Systemic Pathology

• General
• Understanding of basic pathological processes
  (inflammation, neoplasia, wound repair, etc) lays
  the foundation for understanding all aspects of
  oral and systemic diseases
• Systemic
• Many dental patients have the common systemic
  (cardiovascular, pulmonary, etc) diseases
  presented
• Understanding the pathophysiology of the disease
  will help with treatment planning

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Oral Pathology
Course/Discipline D204, D304
Formal Curriculum Hours 89
Emphasis/Philosophy Clinical and
Histopathological correlation.
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General Medicine and Oral and Maxillofacial
Surgery
Formal Curriculum Hours Gen Med (III) 23 hrs /
OMFS (I, II, III IV) 83 hrs Preclinical lab
(II) 9 hrs / Clinic (III IV) 96 hrs
Structure Term 1 Term 2 Year
1 none Biophysics of dental extractions _______
__________________________________________________
______ Year 2 none Basic principles of
surgery Wound healing Local
Anaesthesia ______________________________________
_________________________ Year 3 General
Medicine General Medicine (systems)
Patient evaluation Local Anaesthesia
continued Principles of exodontia Therapeutics
Informed consent Wound and pain
management _______________________________________
________________________ Year 4 Medical
emergencies General anaesthesia Odontogenic
infections Trauma Surgery complications Pre-pros
thetics and implants Treatment of Oral
Path Orthognathic surgery
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General Medicine and Oral and Maxillofacial
Surgery

• Emphasis/Philosophy
• Clinical problem solving (comprehensive
  management from initial presentation,
  information gathering, diagnosis, treatment
  planning and treatment to follow-up)
• Understanding the concept of the critical error

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Prosthodontics
Course/Discipline D226, D222, D326, D322, D422
Faculty Complement 7 Full-Time 20 Part-Time
Instructors Structure 5 Didactic Courses 2
Years of Clinical Training

• Removable 226
• Complete Denture Fabrication (Done in the
  clinic)
• Partial Denture Concepts and Designing.
• Fixed 222
• Pre-clinical Fixed, technical skills development
  Includes Crowns, bridges, post cores, implant
  prosthesis. (Done on mannequins)

Didactic Courses
Year 2
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Prosthodontics

• Removable 326
• Treatment Planning
• Clinical Concepts in Removable Prosthodontics
• Exposure to other prosthesis eg. Overdentures,
  immediate dentures etc.
• Fixed 322
• Treatment Planning
• Clinical Concepts in Fixed Prosthesis
• Illustration of materials used in Fixed
  Prosthodontics eg. Core build-up, Implant stent
  fabrication etc.

Year 2

• Prosthodontics 422
• Advanced Prosthodontic Concepts
• Aesthetic Cases
• Pitfalls
• Treatment Planning
• Application of concepts, use of different
  materials

Year 3
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Prosthodontics
Clinical Training

• Over 2 Years Pass/Fail System
• Patient Management Technical Competence
  Assessed
• Typical Student Portfolio
• 1 Fixed Partial Denture
• 4-5 Crowns on natural teeth and implants (Gold,
  All-Ceramic and PFM restorations.
• Post and Cores (Cast or Prefabricated)
• 2 Complete Dentures and 1 Immediate or
  Overdenture case
• 2 Partial Dentures (1 Tooth bourne, 1 Free-end)
• A case each involving Repairs, Relines,
  Transitional Dentures and Night Guards.

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Oral Medicine
Course/Discipline D150
Formal Curriculum Hours Lecture 22 Clinic 11
Structure Year 1 Term1
Content Record keeping, Informed consent
Extra and intraoral anatomy Basic
examination techniques, charting terminology
Diagnostic impressions Overview of
diagnostic aids and periodontal
disease Emphasis Dental terminology, record
keeping Introduction to patient
assessment clinic
Course/Discipline D345A Structure Year 2 Term1
Formal Curriculum Hours Lecture 13 Clinic 4
Content History, diagnosis diagnostic aids
Concept of prognosis Treatment plan
development modification Emphasis Patient
assessment treatment planning, introduction to
clinic
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Oral Medicine
Course/Discipline D345B Structure Year 3
Formal Curriculum Hours Lecture 13 3 Clinic
? 15
Content Descriptive terminology
Recognition, diagnosis and management of common
oral lesions conditions Emergency
examination management Clinic Patient
examination treatment plan development
Emergency patient management
Emphasis Patient assessment, treatment plan
development, record keeping Patient
management
Course/Discipline D445 Structure Year 4
Formal Curriculum Hours Lecture 16 6 Clinic
? 15
Content Management of compromised patients,
forensic dentistry, facial pain Consultation
and referral Student based seminars
Dental Psychology 10 hours Clinic Patient
examination treatment plan development
Emergency patient management
Emphasis Patient assessment, treatment plan
development, record keeping Patient
management, tradition oral medicine
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Clinical Biomaterials
Course/Discipline D144, D320
Formal Curriculum Hours 38
Structure
Term 2
Term 1
Basic Science, study and application of
structure and relationship to physical, chemical
mechanical and biological properties of solids
Dental Biomaterials their clinical applications
Year 1
Emphasis/Philosophy Selection, Technical,
Interpretation
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Dental Anatomy/Occlusion
Course/Discipline D130, D230
Formal Curriculum Hours 81 (Year 1) 48
(Year 2)
Structure

• Term 2
• Intro to Occlusion
• Basic Terminology and Concepts
• Didactic Lab
• Applications
• Clinical
• Very Basic Introduction to Minor TMD and Bruxism

• Term 1
• Dental Anatomy of the Permanent Dentition
• Didactic Lab
• None

Year 1 Year 2
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Dental Anatomy/Occlusion
Emphasis/Philosophy
1st yr Introduce/teach basic terminology,
knowledge concepts relating to dental anatomy
occlusion to prepare students for
other/future dental courses. 2nd yr Prepare
students to conduct basic diagnostic procedures
relating to occlusion/ prosthodontics to
enable them to begin treating patients in 3rd
yr.
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Geriatric Dentistry
Course/Discipline D468
Formal Curriculum Hours 13 Lecture Hours in 4th
Year
Structure
Emphasis/Philosophy

• Medical, Psychological and Biological Changes in
  Aging. Including Aging vs. Disease, Dementia,
  Changes in Personality, Learning, Normal Oral
  changes with aging.

• Common Disease Processes Xerostomia, Root
  Caries, Periodontal Disease

• Assessment and Treatment Planning, Nutrition and
  Oral health, Barriers and Limitations to Care

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Practice Administration

• First Year (D155) Fall 39 hours
• Third Year(D/QP355) Winter 24 hours
• Fourth Year(D/QP455) Fall 21.5 hours
• Total 84.5 hours

94.5 hours in 2006- 2007
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Practice Administration
Course/Discipline D155
Formal Curriculum Hours 39
Structure
Year 1 3 hrs/week
Fall term History of dentistry, dental practice,
professionalism, ethics, communication, critical
appraisal of the literature, the business of
dentistry, informed consent
Emphasis Portray dentistry as a profession and
a business
Course/Discipline D355/QP355
Formal Curriculum Hours 24
Structure
Year 3 1 hrs/week
Winter term Public dental programs, ethics,
informed consent, communications, evidence -
based dentistry, practice opportunities, computer
search strategies to keep current of advances in
dentistry
Emphasis Provide tools and skills for patient
management and the practice of evidence-based
dentistry
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Practice Administration
Course/Discipline D455/QP455
Formal Curriculum Hours 21.5
Structure
Year 4 1 hr/week 3 seminars
Fall term Human resource
management, fees, billing and collections, dental
insurance, overhead, ethics, communications,
ethics and jurisprudence (RCDSO), standards of
practice
Emphasis Provide practical information and
tools to prepare them for understanding/appreci
ating the professional and business aspects of
private practice
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Orthodontics and Paediatric Dentistry
Course/Discipline D462,D362,D262
Formal Curriculum Hours 182
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Orthodontics and Paediatric Dentistry
Emphasis To prepare students to treat the
child patient and the disabled patient and to
motivate the student to educate the patient and
parents/caregivers to provide good oral
health. Philosophy Treatment/Referral. Do
not start the case if you cannot finish it.
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Periodontics
Course/Discipline D252, D352, D425
Formal Curriculum Hours 59

• Term 2
• None
• Preclinical perio. instrumentation on manikin.
• Clinical pairing with senior students.
• Clinical Practice
• Clinical Practice

• Term 1
• None
• Anatomy
• Classification
• Examination
• Treatment Planning
• Periodontal surgery
• Perio. ? dental
• Clinical Practice
• Clinical Practice

Structure
Year 1 Year 2 Year 3 Year 4

• Emphasis/Philosophy - Proper diagnosis
• - Non-surgical treatment - Referral and
  maintenance

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Endodontics
Course/Discipline D228, D328, D428
Structure

• Case approval requires an endo evaluation form.
• Perio and Prostho involved in treatment planning.

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Operative Dentistry
Course/Discipline D125, D225, D325, D425

• Term 2
• Amalgam, complex amalgam preps and restorations,
  finishing/ polishing
• CI.2 Preps and restorations
• Gold Inlays/ Onlays
• Review of amalgam procedures
• Lectures and clinical practice
• Clinical practice

• Term 1
• Caries, amalgam preps
• Bonding procedures
• Composite resin classification
• Cl.3, 4, 5, 6, veneer preps and restoration of
  above preps
• Lectures and clinical practice
• Clinical Practice (100 surfaces over 3rd 4th
• years) No Lectures

Year 1 Year 2 Year 3 Year 4
Emphasis/Philosophy Cavity design, materials
selection, case selection
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Removable Prosthodontics
Course/Discipline D226
Formal Curriculum Hours 152
Structure

• Term 2
• None
• Partial Denture
• None
• None

• Term 1
• None
• Complete Denture
• None
• None

Year 1 Year 2 Year 3 Year 4
Emphasis/Philosophy Theoretical, Technical
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Radiology
Course/Discipline D246, D446
Formal Curriculum Hours 85
Structure
Term 2 None Basic Interpretation Advanced
Interpretation Clinical Practice Advanced
Interpretation Clinical Practice
Term 1 None Basic Science, Anatomy
Technique Basic Interpretation,
Technique Clinical Practice Advanced
Interpretation Clinical Practice
Year 1 Year 2 Year 3 Year 4
Emphasis/Philosophy Selection, Technical,
Interpretation, Referral