DENT 420 Syllabus FINAL 2014-15 - Oct 10 2014 RK

DENT 420
Introduction to Clinical Dentistry II

(Terms 1 3: August 25, 2014 June 24, 2015)
Course Syllabus
2014-15
Associate Dean, Academic Affairs

Dr. Leandra Best
Module Coordinators
Drs. M. Brondani, V. Diewert, I. Emanuels, R. Harrison,
J. Walton & E. Whitney
Table of Contents
Page
1. Contacts------------------------------------------------------------------------ 2
2. Year 2 Timeline--------------------------------------------------------------
3. DENT 420 Course Description--------------------------------------------
4. Course Time------------------------------------------------------------------
5. Course Location---------------------------------------------------------------
6. Course Attendance-----------------------------------------------------------
7. Clinical Experiences----------------------------------------------------------
8. Integrated Assessment-------------------------------------------------------
9. Academic Integrity Statement----------------------------------------------
10. Introduction to Prosthodontics---------------------------------------------
11. Introduction to Diagnostic Sciences-------------------------------------
12
12. Professionalism and Community Service-------------------------------
17
13. Introduction to Child Patient---------------------------------------------- 20

14. Psychomotor Skills and Operative---------------------------------------- 26
DENT 420 Syllabus Oct 10, 2014 RK
Contact List
Associate Dean, Academic Affairs
Dr. Leandra Best
lbest@dentistry.ubc.ca
604 822-1729
Year 2 DMD Program Assistant Roula Kordonis
fodpa2@dentistry.ubc.ca
604 822-3362
Year 2
DENT 420 Modules
Instructional Team
DENT 420 Introduction

to Prosthodontics (IPROS)
Module Coordinator: Dr. Joanne Walton

Dr. D. Ruse dorin@dentistry.ubc.ca (Content Expert: Biomaterials)
Dr. D. Tobias dtobias@dentistry.ubc.ca (Content Expert: Occlusion)
Dr. J. Walton jnwalton@dentistry.ubc.ca (Content Expert: Complete Dentures)
Ms. N. Welburn nwelburn@dentistry.ubc.ca (Content Expert: Diagnostic Casts)

to Diagnostic Sciences
(IDS)
Module Coordinator: Dr. E. Whitney

Dr. F. Almeida - falmeida@dentistry.ubc.ca (Content Expert: Oral Maxillofacial
Radiology)
Dr. M. Garcia magfulle@dentistry.ubc.ca (Content Expert: Periodontics)
Dr. P. Kindler pawel.kindler@ubc.ca (Content Expert: Fundamentals of Human
Reproduction)
Dr. D. MacDonald - dmacdon@dentistry.ubc.ca (Content Expert: Oral Maxillofacial
Radiology)
Dr. I. Matthew imatthew@dentistry.ubc.ca (Content Expert: Vital Signs/Clinical
Emergency Procedures/Health History/FMED DALEs )
Ms. Neala Welburn - nwelburn@dentistry.ubc.ca (Content Expert: Oral Maxillofacial
Radiology & Romexis)
Dr. E. Whitney - eli.whitney@dentistry.ubc.ca (Content Expert: Temporomandibular
Disorders, Oral Medicine Bridge; Orofacial Pain)
Module Coordinator: Dr. M. Brondani
Dr. J. Aleksejuniene - jolantaa@dentistry.ubc.ca (Content Expert: Evidence-based
Dentistry)
Dr. M. Brondani - brondani@dentistry.ubc.ca (Content Expert: PACS, Dental Geriatrics)
Dr. B. Brymer bbrymer@dentistry.ubc.ca (Content Expert: Communication Skills)
DENT 420 Professionalism &

Community Service (PACS)

to Child Patient (ICP)
DENT 420 Psychomotor Skills
& Operative (PSO)
Module Co-Coordinators: Drs. V. Diewert and T. Wong

Dr. V. Diewert - vdiewert@dentistry.ubc.ca (Content Expert: Orthodontics)
Dr. R. Harrison rosha@dentistry.ubc.ca (Content Expert: Pediatric Dentistry)
Module Coordinator: Dr. I. Emanuels
Dr. I. Emanuels - emanuels@dentistry.ubc.ca (Content Expert: PSO)
Dr. K. Gardner kgardner@dentistry.ubc.ca (Content Expert: Operative)
Dr. A. Manso - amanso@dentistry.ubc.ca (Content Expert: Biomaterials)
Dr. D. Ruse - dorin@dentistry.ubc.ca (Content Expert: Biomaterials)
DENT 420 (Introduction to Clinical Dentistry II)

Course Description:
This course, exclusively for dental students, runs the length of the academic year. It provides a continued exposure to
clinical dentistry in the UBC dental clinic and the practicing community. In problem-based tutorials, clinical and
classroom settings, students will be introduced to diagnostic sciences, prosthodontics, pediatric dentistry, orthodontics,
dental geriatrics, psychomotor skills and operative dentistry. Students will continue to engage in professionalism and
community service learning activities.
Course Time
The course will be held in Terms 1-2 on Monday afternoons (1:30 4:30 PM), Thursday mornings (8:00 AM 12:00
PM) and Friday afternoons (1:30 5:00 PM) from August 25, 2014 May 15, 2015 with exceptions as posted on the
UBC Dentistry Curriculum Database (some sessions will not require the entire timeslot allotted). Term 3 commences on
June 1 24, 2015 from 8:00 AM 5:00 PM with exceptions as posted on the UBC Dentistry Curriculum Database.
Course Location
Tutorials and lectures will be held in various rooms on campus but the majority of classes will be held in the J. B.
Macdonald Building (JBM), the Woodward Instructional Resource Centre (Wood or IRC) and the Food and Nutritional
Health Building (FNH). The Nobel Biocare Oral Health Centre (OHC) will be used for clinical instruction. Various
facilities within the City of Vancouver will be designated sites that student groups will visit during the Professionalism
and Community Service Module (see the DENT 420 PACS Syllabus for details).
Please check the DENT 420 timetable available on OSCAR, the UBC Dentistry Intranet Curriculum
Database, regularly for details.
Course Attendance
Updated dental and medical timetables are available on OSCAR and MEDICOL websites respectively.
If a dental student is unable to attend a DENT 420 session, they must request an excused absence from the Manager of
Student Services in Dentistry (telephone: 604 822-0326, or e-mail: bfarr79@dentistry.ubc.ca). Students must also inform
the relevant Module Coordinator. Failure to do so may result in an unexcused absence being recorded in the student file.
A history of unexcused absences may result in academic discipline. For further information on the Facultys attendance
policy, please consult our Academic Policies and Procedures Manual on the UBC Dentistry Intranet.
Clinical Experiences
Students are expected to follow the important clinic protocol provided in the following manuals on the UBC
Dentistry IntranetClinic Manuals, Guides & Standards
UBC Dental Clinic Operations Manual
Critical Exposure to Blood Borne Pathogens
Health Safety & Fire Manual
Standards for Professional Conduct
Infection Control Updates & Videos
DENT 420 Integrated Assessment

The final grade for DENT 420 will be derived from the assessments in the following modules:
a.
b.
c.
d.
e.
DENT 420 IPROS =

DENT 420 ICP =
DENT 420 IDS =
DENT 420 PSO =
DENT 420 PACS =
25% of final mark

10% of final mark
20% of final mark
25% of final mark
20% of final mark
Students must pass each module to pass the DENT 420 course. Students identified as demonstrating
weakness in any component of a module will be advised in writing by the Associate Dean, Academic
Affairs. Students will be recommended to seek assistance/advice from the module coordinator to rectify
the deficiency. The appropriate module coordinator will also receive a copy of the Associate Deans letter.
Students must receive a pass in professionalism (examples: professional behaviour, attendance) in each
module to pass the DENT 420 course. Students will be notified in writing of any reported unprofessional
behaviours by the Associate Dean, Academic Affairs.
Assessment within each module is found at the end of each module section and will be explained by the
Module Coordinator and/or by the Content Expert at the beginning of each module.
Faculty of Dentistry, UBC

Academic Policies and Procedures
2012-13
Undergraduate and Graduate Programs
3.3 Plagiarism
In order to support the academic integrity of the dental and dental hygiene programs by reducing opportunities for
plagiarism and to ensure a level playing field for all students, faculty reserve the right to submit papers and grad theses
to turnitin.com to confirm the originality of the material. Students may obtain more information on turnitin.com from
the Office of the Provost and VP Academic.
Plagiarism, which is the submission of someone elses work as ones own without acknowledging the source of the
material, is considered to be both academic misconduct and unprofessional, and students who plagiarize will not only
receive a grade of zero on the applicable assignment, and therefore the applicable Module or Course, they may be
suspended from the University or subject to other academic discipline.
When completing written assignments, students are expected to review multiple sources of information and report their
findings in their own words. It is the responsibility of students to familiarize themselves with what constitutes plagiarism
and how to prevent it.
Suspected incidents of plagiarism will be referred immediately to the Presidents Committee for Academic Misconduct.
See the Policies and Regulations > Student Conduct and Discipline section of the UBC Calendar.
Resources:
http://learningcommons.ubc.ca/guide-to-academic-integrity/
http://vpacademic.ubc.ca/integrity/ubc-regulation-on-plagiarism/
http://www.lib.sfu.ca/help/tutorials/plagiarism-tutorial
http://okanagan.students.ubc.ca/calendar/index.cfm?tree=3,54,111,0.
UBC Academic Integrity Statement recommended by UBC Vancouver Senate Curriculum Committee to be
included in all Course Outlines/Syllabi
Academic Integrity
The academic enterprise is founded on honesty, civility, and integrity. As members of this enterprise, all students
are expected to know, understand, and follow the codes of conduct regarding academic integrity. At the most basic
level, this means submitting only original work done by you and acknowledging all sources of information or ideas
and attributing them to others as required. This also means you should not cheat, copy, or mislead others about
what is your work. Violations of academic integrity (i.e., misconduct) lead to the breakdown of the academic
enterprise, and therefore serious consequences arise and harsh sanctions are imposed. For example, incidences of
plagiarism or cheating may result in a mark of zero on the assignment or exam and more serious consequences
may apply if the matter is referred to the Presidents Advisory Committee on Student Discipline. Careful records are
kept in order to monitor and prevent recurrences.
A more detailed description of academic integrity, including the Universitys policies and procedures, may be found
in the Academic Calendar at
http://calendar.ubc.ca/vancouver/index.cfm?tree=3,54,111,0.
DENT 420 Introduction to Prosthodontics (IPROS)

Module Instructional Team:
D. Ruse, D. Tobias, J. Walton (Coordinator) and Ms. N. Welburn
DENT 420 IPROS Module Description:
In this Module, students will provide clinical treatment for their first patient by applying appropriate knowledge, skills and
behaviour in the following areas:
an introduction to the science and application of biomaterials in the provision of diagnostic casts and
complete denture prosthodontics,
the rationale and clinical techniques for generating diagnostic casts,
the concepts of occlusion, including the interactive roles of muscles, joints and teeth, and articulation of
dental casts,
an introduction to prosthodontic patient care, including an overview of clinical information systems, basic
treatment planning concepts, and principles underlying both the fabrication of complete dentures and the
maintenance of health, comfort, function and esthetics for edentulous patients.
Students must prepare for and participate in all of the sessions competently and pass all specified assessments.
Competencies Addressed: This Module addresses, in part, the following Competency Statements found in the UBC
Competency Document, which defines the knowledge, skills and attitudes required of a new graduate of our DMD
program.
C2. recognize the relationship between general health and oral health.
C4. communicate effectively with patients, parents or guardians, staff, peers, other health professionals and the
public.
C5. identify the patients chief complaint/concern and obtain the associated history.
C6. obtain and interpret a medical, dental and psychosocial history, including a review of systems as necessary, and
evaluate physical or psychosocial conditions that may affect dental management.
C7. maintain accurate and complete patient records in a confidential manner.
C8. prevent the transmission of infectious diseases by following current infection control guidelines.
C9. perform a clinical examination.
C10. differentiate between normal and abnormal hard and soft tissues of the maxillofacial complex.
C11. prescribe and obtain the required diagnostic tests, considering their risks and benefits.
C13. interpret the findings from a patient's history, clinical examination, radiographic examination and from other
diagnostic tests and procedures.
C14. recognize and manage the anxious or fearful dental patient.
C16. assess patient risk (including, but not limited to, diet and tobacco use) for oral disease or injuries.
C17. develop a problem list and establish diagnoses.
C18. determine the level of expertise required for treatment and formulate a written request for consultation and/or
referral when appropriate.
C19. develop treatment options based on the evaluation of all relevant data.
C20. discuss the findings, diagnoses, etiology, risks, benefits and prognoses of the treatment options, with a view to
patient participation in oral health management.
C21. develop an appropriate comprehensive, prioritized and sequenced treatment plan.
C22. present and discuss the sequence of treatment, estimated fees, payment arrangements, time requirements and the
patients responsibilities for treatment.
C23. obtain informed consent including the patients written acceptance of the treatment plan and any modifications.
C24. modify the treatment plan as required during the course of treatment.
C26. provide therapies for the prevention of oral disease and injury.
C27. recognize and institute procedures to minimize occupational hazards related to the practice of dentistry.
C40. recognize and manage functional and non-functional occlusion.
C41. select and, where indicated, prescribe appropriate biomaterials for patient treatment.
C42. manage partially and completely edentulous patients with prosthodontic needs including the provision of fixed,
removable and implant prostheses.
C43. make records required for use in the laboratory fabrication of dental prostheses and appliances.
C44. design a dental prosthesis or appliance, write a laboratory prescription and evaluate laboratory products.
8
C45. apply accepted principles of ethics and jurisprudence to maintain standards and advance knowledge and skills.
C46. apply basic principles of practice administration, financial and personnel management to a dental practice.
C47. demonstrate professional behaviour that is ethical, supersedes self-interest, strives for excellence, is committed
to continued professional development and is accountable to individual patients, society and the profession.
Educational Objectives on which Assessment will be based:
At the successful completion of this Module, the student will be able to:
1. Apply knowledge of the temporomandibular joint and its associated structures to describe the musculoskeletal
dynamics and functional biomechanics of the jaw joint.
2. Assess dental contact patterns, occlusal wear, occlusal schemes and variations in arch form in order to describe
normal jaw-tooth relationships and their implications in occlusal diagnosis and therapy.
3. Describe the etiology, diagnosis and management of occlusal parafunction and nocturnal bruxism.
4. Explain the procedures to produce clinically acceptable diagnostic casts for dentate and edentate patients.
i. Identify and describe intra-oral structures to be included in impressions for diagnostic casts.
ii. Describe the properties, handling and applications of irreversible hydrocolloid impression materials.
iii. Produce clinically acceptable irreversible hydrocolloid impressions of dental arches.
5. Produce clinically acceptable diagnostic casts for dentulous and edentulous patients.
i. Describe the properties, handling and applications of dental stones.
ii. Describe the rationale for trimming study casts.
iii. Produce clinically acceptable trimmed stone casts of dental arches.
iv. Critically evaluate impressions and trimmed casts.
6. Explain the jaw position and arc of movement referred to as centric relation and its role in clinical dentistry.
7. Describe the role and design limitations of the WhipMix 3040 Facebow and semi-adjustable articulator.
8. Prepare and adjust mounted casts on a semi-adjustable articulator to replicate a patients tooth guided excursive
movements.
9. Explain the method, technique and inter-occlusal records required to relate dentate and edentate diagnostic and
final casts in clinical dentistry.
10. Request dental clinical supplies using the clinical information management system(s) in place.
11. Explain the rationale for dentists and pharmacists working together to the benefit of their patients.
12. Explain the dentists and the pharmacists scope of practice in the context of medication management.
13. Actively make their expertise available to other health care providers and willingly share relevant information
using language that can be understood by all.
14. Demonstrate respect for the participation of all health care providers in collaborative decision-making.
15. Work with others to assess, plan, provide and integrate evidence-based care for patients.
16. Apply collaborative decision-making principles.
17. Apply principles of confidentiality, professionalism, and clinical information management systems for patient
care records and practice management.
18. Apply principles of disinfection and sterilization by demonstrating the infection control and biohazard
management protocols as stated in the UBC Dental Clinic Operations Manual.
19. Perform, interpret and record vital signs as required for an assigned patient.
20. Demonstrate safe clinical operating techniques with attention to operator ergonomics and patient comfort.
21. Solicit and record the history of an edentulous patient.
22. Assess the oral health of an edentulous patient, based on previously learned knowledge and skills, in addition to
the following new knowledge and skills:
i. Describe the principles of panoramic radiography.
ii. Identify technique errors during exposure of panoramic radiographs.
iii. Critique the acceptability of a panoramic radiograph of an edentulous patient.
iv. Identify and describe the principle anatomical features of a panoramic radiograph.
18. Manage the functional anatomy of an edentulous mouth in the context of the support, stability, retention and
appearance of complete dentures.
19. Manage disorders encountered in an edentulous mouth.
20. Develop an appropriately phased treatment plan to manage diseases and disorders, rehabilitate and maintain the
oral health of an edentulous patient.
21. Employ the American College of Prosthodontists (ACP) Classification of Complete Edentulism for an assigned
patient.
22. Identify the main criteria assessed in the ACP Classification of Complete Edentulism.
23. Describe the rationale for dental laboratory procedures related to complete denture fabrication.
24. Explain the procedures and underlying science involved in fabricating complete dentures.
25. Fabricate complete dentures for a patient, based on applying the following knowledge and skills:
i. Use impression materials to record the shape of oral structures associated with complete dentures, and
pour/trim stone casts from the impressions.
ii. Discuss the setting reaction and explain the classification and properties of dental stones based on their
different structures.
iii. Explain the properties and identify the usage of different dental waxes based on their structure.
iv. Classify dental impression materials based on the properties and structure.
v. Discuss the setting reactions, structures, and properties of different dental impression materials.
vi. Describe sol-gel reactions, syneresis, and imbibition; differentiate between condensation and addition
silicone impression materials.
vii. Discuss applicability, advantages and disadvantages of different types of impression materials.
viii. Explain the effect of manipulation variables on the performance of impression materials.
ix. Prescribe for a dental laboratory technician the laboratory procedures required to construct complete
dentures, including custom trays, final casts, occlusion rims, denture tooth arrangement in wax, and denture
processing, and evaluate the results.
x. Discuss the setting reaction of (meth)acrylic acid and methyl methacrylate.
xi. Select denture teeth
xii. Arrange in wax the six maxillary anterior denture teeth and mandibular central incisors in order to address
the appearance, expectations and functional requirements of a patient.
xiii. Record the vertical and horizontal relationships of the edentulous maxillary and mandibular jaws, and
mount on a dental articulator the casts of the residual ridges.
xiv. Correct errors in the arrangement of the teeth in wax related to:
1. Occlusal vertical dimension
2. Occlusion in Centric Relation and in Excursions
3. Occlusal plane position
4. Neutral Zone
5. Esthetics
6. Phonetics
xv. Deliver, remount and adjust dentures for fit comfort and occlusion
xvi. Communicate effectively with an edentulous patient about the management and care of the mouth and
dentures.
xvii. Provide ongoing denture adjustments as needed for fit, comfort and occlusion.
22. Explain the procedures and underlying science involved in relining complete dentures.
23. Explain the procedures and underlying science involved in fabricating immediate dentures.
24. Explain the procedures and underlying science involved in fabricating overdentures.
Required Texts:
MacEntee, Michael I. The Complete Denture: A Clinical Pathway. 2nd Edition (2014). Quintessence Publishing Co. Inc
Chicago. eBook, available on Connect: http://elearning.ubc.ca/connect/ 2014-15 DENT 420 (Dentistry II)
Introduction to Prosthodontics Module. ISBN: 978-0-86715-652-2
Note: there will be assigned readings from this eBook each week during the Complete Denture component of the DENT
420 IPROS Module.
Recommended Texts:
Zarb G. Bolender C and Carlsson G. Boucher's Prosthodontic Treatment for Edentulous Patients, 12th ed., Mosby, St.
Louis 2004. ISBN:03230229601 Note: this text provides more detailed background and rationale for complete denture
procedures than the MacEntee text, which, as the name implies, focuses more on the clinical steps in assessing patients
and fabricating complete dentures.
Anusavice KJ. Phillips Science of Dental Materials, 11th edition, WB Saunders Co., Philadelphia 2003. ISBN: 978-07216-9387-3
Klineberg, Iven and Jagger, Robert, G. Occlusion and Clinical Practice An Evidence-Based Approach, Elsevier Limited
2004. ISBN 723610924
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Additional References are available on Connect: http://elearning.ubc.ca/connect/ 2014-15 DENT 420

(Dentistry II) Introduction to Prosthodontics Module
11
STUDENT ASSESSMENT in the DENT 420 IPROS MODULE:

The IPROS Module grade counts for 25% of the final grade in DENT 420, and this Module must be passed in order to pass the DENT 420 Course.
The breakdown of marks for the IPROS Module is as follows:
DOMAIN
WEIGHT
COMPONENT
5%
P/F
Instructor Assessment of Diagnostic Casts (Dentulous and Edentulous)*

Student Self-Assessment of Diagnostic (Dentulous + Edentulous) and Final Impressions (Edentulous
only)*
Student Assessment of Final Edentulous Casts produced by Dental Laboratory (mounting notches and
identification to be added by students)*
Instructor Assessment of Clinical Skills in sessions related to the fabrication of Diagnostic Casts*
Student Self-Assessment and Instructor Assessment of Articulator-mounted Diagnostic Casts*
Instructor Assessments of Professionalism; Application of Knowledge; Clinical Skills; and
Organization, Time Management and Infection Control related to the provision of care for an edentulous
patient*:
Assessment 1: 10%
Assessment 2: 15%
Instructor Assessment of Professionalism* in all other aspects of the IPROS Module
Interprofessional Education (IPE) component on medication management for Assigned Patient*
Written Treatment Letter to Patient* (Due 1 week after completion of Treatment Plan for Assigned
Patient)
Clinical Skills & Professionalism
P/F
P/F
P/F
25%
P/F
P/F
P/F
Knowledge
70%
P/F
Written Examinations*
Comprehensive Exam of Term 1 Knowledge:
25%
Comprehensive Exam of Combined Term 1 & 2 Knowledge: 45%
American College of Prosthodontists (ACP) Classification* of Assigned Patient
Each listed component (*) of the IPROS Module must be passed in order to successfully complete this Module.
The passing grade where a percentage mark is given is 60%.
DENT 420 Introduction to Diagnostic Sciences (IDS)

Drs. F. Almeida, M. Brondani, M. Garcia, P. Kindler, D. MacDonald, I.
Matthew, E. Whitney (Coordinator) and Ms. Neala Welburn
DENT 420 IDS Module Description:
In this Module, students will further develop their oral diagnosis knowledge base and skill set in the
following areas:
An introduction to temporomandibular disorders and orofacial pain with special emphasis on
the link to related medical-dental blocks (musculoskeletal, brain and behaviour)
The theory and practice of the clinical approach to the craniomandibular examination
An introduction to oral mucosal disease with special emphasis on the link to integument
Review exercises exploring the dental management of medically complex patients
Review basic structure of the periodontium; perform a complete periodontal examination and an
introduction to performing a periodontal radiographic interpretation
Expose intra-oral radiographs in simulation
Introduction to the interpretation of intra-oral radiographs
A review of patient history taking, vital signs measurement, and the management of medical
emergencies in the dental office
A review of the menstruation, pregnancy, menopause, and sexual health from the perspective
of oral changes, oral health, and the provision of dental care.
Competencies Addressed: This Module addresses, in part, the following Competency Statements
found in the UBC Competency Document, which defines the knowledge, skills and attitudes required of a
new graduate of our DMD program.
C3. evaluate the scientific literature and justify management recommendations based on the level of
evidence available.
C4. communicate effectively with patients, parents or guardians, staff, peers, other health professionals
and the public.
C45. apply accepted principles of ethics and jurisprudence to maintain standards and advance knowledge
and skills.
C27. recognize and institute procedures to minimize occupational hazards related to the practice of
dentistry.
C6. obtain and interpret a medical, dental and psychosocial history, including a review of systems as
necessary, and evaluate physical or psychosocial conditions that may affect dental management.
C7. maintain accurate and complete patient records in a confidential manner.
C9. perform a clinical examination.
C12. perform a radiographic examination.
C13. interpret the findings from a patient's history, clinical examination, radiographic examination and
from other diagnostic tests and procedures.
C29. determine the indications and contraindications for the use of drugs used in dental practice,
their dosages and routes of administration and write prescriptions for drugs used in dentistry.
13
C35. manage patients with orofacial pain and/or dysfunction.

C25. Provide education regarding the risks and prevention of oral disease and injury to encourage
the adoption of healthy behaviors.
Educational Objectives (Global Module Objectives with Enabling Objectives):
The lettered objectives are Enabling Objectives, which are the building blocks on which the
numbered Global Objectives are based. Students will need to learn the Enabling Objectives in
order to achieve the Global Objectives. Assessment will be based on the Global Objectives.
1. Interpret history, clinical findings, and histopathologic findings to formulate a diagnosis and
treatment plan for oral mucosal disease in the medically non-complex patient
a. List the cellular components of oral mucosa
b. Describe the three primary functions of oral mucosa
c. Outline keratinocyte maturation
d. List the non-keratinocyte epithelial cells
e. Describe the non-cellular components of the lamina propria
f. Explain the effect that inflammation within the lamina propria can exert of the clinical
appearance of the mucosa
g. Identify the locations for lining mucosa
h. Explain the clinical presentation of lining mucosa
i. Identify the locations for masticatory mucosa
j. Explain the clinical presentation of masticatory mucosa
k. Interpret a history, clinical presentation, and histological slide to diagnose and manage an
oral mucosal disorder
2. Identify normal anatomic landmarks on intraoral radiographic images and panoramic radiographs
3. Identify radiologic features of caries periodontal disease, and facial fractures
4. Produce a technically acceptable FMS
a. Assess risks and benefits associated with dental radiographs
b. Define a systematic approach to radiological interpretation in simulation
c. Describe the principles of imaging techniques of intraoral radiographs: periapicals,
bitewings, and occlusals and projection geometry
d. Apply appropriate techniques, exposure factors, and sensor for periapical, bitewing, and
occlusal radiographs on dried skulls (DXXTR Manikin)
5. Identify the components of the periodontium
a. Identify clinical feature of a healthy periodontium
b. Identify normal alveolar bony architecture
c. Identify patterns of bone loss associated with periodontitis
d. Identify and describe normal and pathologic features from radiographs, especially as they
pertain to the periodontal structures
e. Describe the supporting tissues of the tooth
6. Perform a clinical examination of the periodontium
a. Demonstrate basic infection control techniques according to the current UBC Clinic
Procedures manual
b. Demonstrate balanced operator positioning
c. Assess width of keratinized tissue and record mucogingival involvements
d. Detect, classify and record furcation involvement.
e. Detect mobility
f. Describe periodontal probes, the probing technique and periodontal pocket recording
g. Describe additional clinical data collected with the periodontal probe
h. Describe the classification of furcation and mobility, and their recording
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7.
8.
9.
10.
11.
12.
i. Determine appropriate radiographs needed to complete periodontal examination

j. Describe the elements that comprise a periodontal radiographic interpretation report
Integrate a comprehensive patient history with knowledge of biomedical sciences and clinical
manifestations to formulate a diagnosis and a management plan.
a. Explain why an effective health history can prevent most medical emergencies in a dental
office.
b. Obtain a comprehensive patient intake history.
c. Summarize the medical management and oral clinical significance of selected systemic
medical conditions.
d. Compose a patient intake assessment presentation.
Determine appropriate patient-centered TMD treatment
a. Recommend appropriate initial self-care for TMD patients
b. Explain the possible mechanisms for oral appliances
c. Describe the appropriate design for an oral appliance for a TMD patient
d. Identify patients for whom a TMD surgical approach may be beneficial
e. Discuss the risks and benefits associated with TMJ minimally invasive surgery
f. Explain the treatment of common orofacial pain disorders
Explain the neurophysiology of pain sensation in the face
a. Explain the organization and structure of the nervous system related to OFP
b. Explain the neurophysiology of pain sensation related to the face
c. Explain the causes of orofacial pain
d. Explain characteristics of orofacial pain disorders
Perform a Research Diagnostic Criteria (RDC) standard TMD examination
a. Contrast the clinical presentation of reducing and non-reducing disc displacements
Formulate an RDC for TMD diagnosis from available history, clinical and imaging information
a. Recall the epidemiology of TMD
b. Explain the possible etiology of disc displacements
c. Explain the possible etiology of muscle pain
d. Explain the common causes of orofacial pain (OFP)
e. Explain the major characteristics of OFP disorders
f. Select the appropriate imaging modality for the investigation of chronic pain
Describe the fundamentals of Human reproduction
a. Describe the gross anatomy of the male reproductive system including the testes
b. Outline the process of spermatogenesis
c. Describe the hormonal mechanisms that regulate male reproductive functions
d. Describe the gross anatomy of the female reproductive system
e. Distinguish between oogenesis and folliculogenesis
f. Identify the phases and events of the ovarian and uterine cycles
g. Describe the hormonal mechanisms that regulate the female reproductive functions
h. Describe the events occurring between the fertilization and implantation
i. Describe the role of placenta in the exchanges between the maternal and fetal blood
j. Distinguish between the hormonal control of the pregnancy provided by the corpus
luteum and placenta
13. Describe changes from pregnancy to menopause as they affect the delivery of dental care
a. Describe the modifications to dental care for pregnant patients
b. Describe the physiologic changes associated with menopause and HRT
c. Describe the changes to the oral cavity in pregnancy and menopause
d. Describe the physiologic changes associated with oral contraceptives and discuss their
impact on the delivery of dental care
e. Explain the effect of periodontal disease on pregnancy and labour
15
14. Describe STIs and Infectious disease as they apply to dentistry and oral health
a. Describe the role of STIs in the oral health
b. Describe the risks factors for STIs
c. Explain the role of oral sex in STIs
d. List the common STIs that have oral manifestation
e. Identify the role of the dentist in discussing STIs prevention
f. Explain the indications for HPV vaccination
g. Identify the recommended target population for HPV vaccine
h. Describe the triad oral sex- HPV- oral cancer
15. Apply knowledge of the reproductive cycle to clinical scenarios
a. Describe the risks associated with oral sex
b. Explain the relationship between HPV and oropharyngeal cancer
c. Describe pregnancy changes in the mother and fetus in terms of trimesters
d. Explain the risk to the fetus of medications normally used in dentistry (including local
anesthetics, sedatives and general anesthetics
e. Describe the main complications of pregnancy
16. Describe the importance of obtaining a thorough medical history
a. Explain the measurement of vital signs
17. Describe the OHC clinic protocol for medical emergencies
a. Describe the contents of an emergency kit
b. List the location of emergency equipment in the OHC.
c. Explain the students roles and responsibilities in a medical emergency in the OHC
Required Texts:
MacDonald, D. Oral and Maxillofacial Radiology A Diagnostic Approach, Wiley-Blackwell, April
2011. ISBN: 9780813814148
White SC and Pharoah MJ. Oral Radiology, Principles and interpretation, 7th edition. Mosby, ISBN:
978032309633-1
Greenberg, Martin, Michael Glick and Jonathon Ship, eds. Burket's Oral Medicine: Diagnosis &
Treatment, 11th ed. Hamilton, Ont.: BC Decker, 2007. 9781550093452
Regezi, Joseph A, Sciubba, James J., Jordan, Richard C.K. Oral Pathology: Clinical Pathologic
Correlations, 6th ed., ISBN-13: 978-1455702626
Little, JW, Falace, D, Miller, C, Rhodus, NL. Little and Falace's Dental Management of the Medically
Compromised Patient, 8th edition, 2012, ISBN-10: 0323080286
Recommended Texts:
Carranza, Fermin A. et al. Carranza's Clinical Periodontology, 11th ed. St. Louis, MO: Saunders
Elsevier, 2006. 9781416024002
Laposata Michael, Laboratory Medicine: The Diagnosis of Disease in the Clinical Laboratory, 1st. ed.,
McGraw-Hill (Lange Medical), 2010. ISBN-13 978-0071626743
Additional References are available on Connect: http://elearning.ubc.ca/connect/ 201415 DENT 420 (Dentistry II) Introduction to Diagnostic Sciences Module
16
DENT 420 Introduction to the Diagnostic Sciences (IDS) Module Assessment Breakdown
Professionalism = P/F (professionalism is expected in all aspects of the module and that a failure in
professionalism may result in a failing grade in the module).
Please consult OSCAR (the Curriculum Database) for the most up to date scheduling.
Dent 420 IDS: 20% of DENT 420 Final Grade
Term 1
Combined Exam 1:
25%
TMD and TMJ
imaging (OMFR),
DALEs (GI, B&L,
MSK/Endocrine)
Term 2
Combined Exam 2: 30%

Oral Mucosal Disease, Orofacial
Pain, Vital Signs, Patient Presentation
Medical Emergencies
OMFR (Fracture Imaging)
___________________________
Term 3
Combined Exam 3:
30%
Periodontics, OMFR,
DALEs (B&B, Repro,
NGD)
Reproduction Quiz 5%
DALE Tutorials
Grade: P/F (this is an assessment of
professionalism skills assessed over
Term 1 and 2, and must be passed)
Tutors will use the online PBL/DALE
Assessment form to assess students in
the DALEs.
Perio OSCE: P/F

(June)
OMFR OSCE: 10%
(June)
Oral Med Bridge: P/F

(June) based on group
activity and
participation
Legend:
OMFR= Oral and Maxillofacial Radiology
Perio= Periodontics
TMD= temporomandibular disorders
DALE: Dental Applied Learning Experience
P/F= Pass/Fail
OSCE= Objective Structured Clinical Examination
N.B. Attendance is expected at all clinical and small group
sessions. Failure to participate in these sessions and failure to
submit assignments may result in a Failure in the
professionalism component of the module
17
DENT 420 Professionalism and Community Service (PACS)

Drs. J. Aleksejuniene, M. Brondani (Coordinator) B. Brymer
DENT 420 PACS Module Description:
DENT 420 PACS will focus on the following themes: Aging and Dental Geriatrics, Caries Risk
Assessment & Management in the Elderly and Cognitively- & Physically-impaired, Elderly
Abuse, Communication Skills, Conflict Resolution and Serving Residents of Long-Term Care
Facilities.
Competencies Addressed: This Module addresses, in part, the following Competency Statements found
in the UBC Competency Document, which defines the knowledge, skills and attitudes required of a new
graduate of our DMD program.
C1. recognize the determinants of oral health in individuals and populations and the role of dentists in
health promotion, including the disadvantaged.
evidence available.
C4. communicate effectively with patients, parents or guardians, staff, peers, other health
professionals and the public.
C25. provide education regarding the risks and prevention of oral disease and injury to encourage the
adoption of healthy behaviours.
dentistry.
C45. apply accepted principles of ethics and jurisprudence to maintain standards and advance
knowledge and skills.
C47. demonstrate professional behaviour that is ethical, supersedes self-interest, strives for
excellence, is committed to continued professional development and is accountable to individual
patients, society and the profession.
Educational Objectives (Global Objectives with Enabling Objectives):
1. Recognize the wider social determinants of health, oral health and quality of life in old age
a. Outline some of the definition of oral health
b. Explain the pros and cons in utilizing health questionnaires
c. Recognize the multidimensional aspects of oral health quality of life
d. Recognize the physical and physical aspects of tooth loss
e. Be familiar with the diversity of the elderly population
f. Describe some of the impact of aging on the mouth (soft and hard structures), body and
health care
g. Make sense of charts and demographic information
18
2. Apply ethical and professional principles while caring for the health of frail elderly patients in longterm care (LTC).
a. Provide oral care (teeth and complete/removable dental appliances) to older adults living
in LTC
b. Label complete dentures
c. Be familiar with the ethical and legal implications in caring for the elderly living in LTC
d. Communicate effectively with older adults, their family members and health care
providers
3. Be aware of the existence of elderly abuse and neglect
a. List some of the forms of abuse and neglect
b. Identify some of the forms of abuse and neglect
c. Recognize the dentists roles and responsibilities in identifying elderly abuse and neglect
4. Recognize the relationships between nutrition, age, caries risk, oral hygiene and polypharmacy
a. List the factors influencing proper nutrition in old age
b. Make sense of the relationships between dry mouth, dysphagia, dysgeusia and aspiration.
c. Understand the need for caries risk management in old age
d. Describe the causes and consequences of dry mouth
e. Recognize the effect of bacterial and fungi growth on the surface of dental appliances,
mucosa and teeth
f. Understand the relationships between dry mouth, dysphagia, dysgeusia and aspiration
(pneumonia
5. Outline the roles of an interprofessional team in the context of home, palliative and long-term care
a. Define dental palliative (hospice) care
6. Apply an evidence-based literature review
a. To know how to ask an answerable question related to the problem one is trying to solve
b. To search an identify relevant articles to this question/problem
c. To retrieve the article which has the most relevant information to the question/problem
d. To identify key concepts used in the pre-selected article
e. To explain the author(s)s perspective and compare it with students own perspective,
present reasoning (rationale) for both perspectives
f. To find and present example of an argument identifying the main components of the
argument and assess the quality of information presented
g. To evaluate the argument for its validity
h. To define hierarchy of evidence
i. To present the main study design
j. To prepare a report
k. To explain the rationale for hierarchy of evidence and its limitations
7. Familiarize with tactics to conflict management
a. Recognize different stages in conflict
b. Identify situations where conflict might occur in dentistry
c. Develop strategies to deal with conflict
Required Text:
Wiley-Blackwell, Oral Healthcare and The Frail Elder A Clinical Perspective, Blackwell
Publishing LTD., 2011, 9780813812649
19
Recommended Texts: none

Additional References are available on Connect: http://elearning.ubc.ca/connect/ 201415 DENT 420 (Dentistry II) Professionalism and Community Service Module
STUDENT ASSESSMENT in the DENT 420 PACS MODULE

The PACS Module is worth 20% of the Dent 420 Final Mark. The breakdown is as follows:
Evaluation Method
INDIVIDUAL
DENT 420 Overview Exam
Grade and Percentage
10%
Tutor Assessment
(Site - participation, preparation
& professionalism + student selfand peer-assessments)
Must pass - VAS

(poor to excellent)
Self- and Peer-Assessment

(Site - participation, preparation
& professionalism)
Must pass - VAS

(poor to excellent)
Personal Interview Life

History (for all students except
the IPE Health Mentor Project
Students, who will complete a
specific reflection exercise)
Graded 0 10
Final Exam
Graded: 0 - 10
Due Date
September 4, 2014
April 7, 2015
15%
30%
April 7, 2015
May 20, 2015
April 8, 2015
45%
20
DENT 420 Introduction to Child Patient (ICP)

Drs. V. Diewert & R. Harrison (Module Co-Coordinators)
DENT 420 ICP Module Description:
This module addresses some of the dental, craniofacial and behavioural science necessary to manage the
oral health needs of the child. Module learning objectives will be achieved by a combination of
experiential learning activities, hands-on application of tools and electronic media, and didactic
instruction.
Competencies Addressed:
This Module addresses, in part, the following Competency Statements found in the UBC Competency
Document, which defines the knowledge, skills and attitudes required of a new graduate of our DMD
program.
C3. Evaluate the scientific literature and justify management recommendations based on the level of
evidence available.
C4. Communicate effectively with patients, parents or guardians, staff, peers, other health
professionals and the public.
C10. Differentiate between normal and abnormal hard and soft tissues of the maxillofacial complex.
C13 Interpret the findings from a patient's history, clinical examination, radiographic examination
and from other diagnostic tests and procedures
C14. Recognize and manage the anxious or fearful dental patient.
C16. Assess patient risk (including, but not limited to, diet and tobacco use) for oral disease or
injuries.
C17. Develop a problem list and establish diagnoses.
C25. Provide education regarding the risks and prevention of oral disease and injury to encourage
the adoption of healthy behaviors.
C26. Provide therapies for the prevention of oral disease and injury.
C39. Manage abnormalities of orofacial growth and development and treat minor orthodontic
problems.
The lettered objectives are Enabling Objectives, which are the building blocks on which the numbered
Global Objectives are based. Students will need to learn the Enabling Objectives in order to achieve the
Global Objectives. Assessment will be based on the objectives.
1. Demonstrate professionalism in class and small group participation
2. Compare and contrast developing dentitions and occlusal relationships of the growing child.
a. Based on an examination of images of child's dentition
a) Identify teeth present
b) Determine the age of the child
c) Predict which teeth will erupt next
b. Distinguish the morphological differences between primary and permanent teeth.
c. Explain the characteristics of dental occlusion in the primary dentition.
21
d.
e.
f.
g.
Explain the following terms and concepts of primary and permanent dentitions: interdental
spacing, primate spacing, midline, crossbite, overjet, canine relationship, overbite,
openbite, molar relationship: mesial step, distal step, flush terminal plane.
Identify normal sequences of eruption of permanent teeth and explain possible
consequences of normal and abnormal patterns of eruption.
Predict permanent molar relationships that will develop during the transition from the
primary to the permanent dentition.
Manipulate OrthoCAD software to illustrate key concepts of occlusion of the primary
dentition and permanent teeth.
3. Explain important concepts of caries management related to children

a. Describe the impact of tooth decay on the growing child
b. Review the process of caries
c. Justify the recommended age for a childs first dental visit
d. Explain a method of examining a child less than 3 years of age
e. Recommend practical preventive dental strategies for infants and toddlers
4. Differentiate stages of normal behavioural cognitive, motor, and emotional development of
childhood
5. Develop effective communication approaches to enable a positive dental experience for children
a. Compare and contrast the child and adult dental patient
b. Explain the pediatric dentistry treatment triangle
6. Recognize signs of child abuse and/or neglect and describe the appropriate response of the dental
practitioner
7. Define the position and relationships of teeth in recognized orthodontic terminology.
a. Delineate the basis of the Angle classification of malocclusions, and describe the
characteristics of each classification.
8. Examine the processes and timing of the transition from the primary to permanent dentition.
a. Describe changes in the dental arches that can be expected with normal growth in the
maxilla and mandible and transition from the primary to the permanent dentition.
b. Outline the general factors and the specific orofacial factors which may contribute to the
development of a malocclusion and evaluate these etiologic factors in terms of their effect
on treatment limitations
9. Compare and contrast the major sites of growth and types of bone growth in the mandible,
nasomaxillary process and cranial base.
a. Describe how differential growth of craniofacial components contributes to changes in size,
shape and proportions of craniofacial structures and to changes in their relationships during
postnatal growth and development.
10. Describe the principles and techniques employed in evaluating orthodontic records including
cephalometric radiographs, panoramic radiographs, intraoral surveys, and intraoral and facial
photographs.
a. Classify malocclusions on the basis of their intraoral characteristics.
b. Relate the dental features of a malocclusion to the skeletal pattern as determined by a
cephalometric appraisal
c. Perform arch length analyses of mixed dentitions and permanent dentitions and describe the
clinical significance as to adequacy and inadequacy
22
d. Discuss the Bolton tooth-size analysis for defining compatibility between sizes of teeth, and
outline the clinical consequences of tooth size incompatibility.
e. Perform computerized cephalometric analysis of digital cephalometric radiographs and
explain what the measurements reveal abaout dental and skeletal features of the patient. Be
familiar with the use of computerized methods for analyzing digital study models and
cephalometric radiographs.
11. Describe the biological phenomena associated with orthodontic tooth movement and outline the
various categories of tooth movement.
Part A
Required Text:
Casamassimo, P. S., Fields, H. W., Jr., McTigue, D. J., & Nowak, A. J. Pediatric Dentistry: Infancy
Through Adolescence, 5th ed. St. Louis, MO.: Elsevier Saunders, 2013. (Appropriate chapters)
ISBN:9780323085465
Recommended Reading:
Connect: http://elearning.ubc.ca/connect/ 2014-15 DENT 420 (Dentistry II) Introduction to Child
Patient Module
The Primary Dentition (Dr. Babak Chehroudi) from DENT 410
Anatomy of the Primary Dentition (Dr. Babak Chehroudi) from DENT 410
Sequence and timing of eruption of primary and permanent teeth
The Toddler and Preschool Child: Notes on Child Development
Quick Time images of primary teeth
Others TBA
Other helpful resources:
http://www.kidsmiles.ca/
http://www.bcdental.org/Dental_Health/Default.aspx?id=56
Part B
Required Text:
Chapters posted on Connect: Lear, C.S.C., Editor, An Outline of Orthodontics, UBC
Recommended Text:
Proffit, W.R., Fields, H.W., and Sarver D.M, Contemporary Orthodontics, 5th Edition, C.V. Mosby, St.
Louis, 2013. (Appropriate chapters) ISBN: 9780323083171 (on reserve in Woodward Library)
Additional References
Connect: http://elearning.ubc.ca/connect/ 2014-15 DENT 420 (Dentistry II) Introduction to Child
Patient Module
23
Topics Addressed:
1. March 27, 2015
Dentition and behaviour of the young child
2. April 10, 2015
The First Dental Visit

Child abuse
3. April 17, 2015
Occlusion in the young child and transition to the Permanent Dentition

Classification of Malocclusion
4. April 24, 2015
Craniofacial Growth & Development I; Initial Records/Cephalometrics
5. May 1, 2015
Craniofacial Growth & Development II; Etiology of Malocclusion I;

Arch Length Analysis
6. Jun. 2, 2015
Assessment of Initial Orthodontic Records/Cephalometrics/Arch Length
7. Jun. 9 & 10, 2015
Initial Records Digital Models/Arch Length/ Bolton Tooth Size
8. Jun. 16 & 17, 2015
Early Timing Treatment; Etiology of Malocclusion II; Biology of tooth

Movement; First Case Based Exercise
9. Jun. 18, 2015
On-line Exam
STUDENT ASSESSMENT in the DENT 420 ICP MODULE

The ICP Module is worth 10% of the Dent 420 Final Mark.
Module Assessment Methods:
There will be opportunities for self, peer and tutor/instructor assessment throughout this module. Please
see rubric for grading standards. Acquisition of knowledge, logical reasoning, critical thinking, problemsolving, communication and professionalism will be assessed. There will be a final written examination.
Module Grading Practices/Evaluation Criteria:
In the event of illness, immediately contact the Student Services Office and email Dr. Harrison or Dr.
Diewert regarding your absence. Students must contact the Manager, Student Services to obtain
permission for an excused absence. The request for an excused absence must be accompanied by an
explanation and documentation may be required. (Section 5.2 i Academic Policies and Procedures
Manual)
At the end of the academic year, you will receive a final grade derived from Part A-Pediatric Dentistry,
Part B- Orthodontics, and a final examination. A passing grade (60%) is required in each of the following
3 components to successfully complete the module:
1. Professionalism
2. In-class assessments and
participation
3. Final examination
Total
P/F
(must pass)
Part A
Part B*
(must pass) (must pass)
10%
40%
50% (must pass)
100%
24
*Details of Graded Assignments

Part A:
Tutor assessment of tutorial participation (Week 1) and completion of BCDA on-line learning course and
submission of certificate of completion (Week 2).
PART B
Dolphin Cephalometric Tracing Exercise
In this session you will be assigned a cephalometric head film case (by number) to digitize, measure and
record some of your results on summary sheets.
Digital Models/Arch Length
In this session you will be assigned three sets of study models (one permanent dentition and two mixed
dentition) to digitize, measure and record some of your results on summary sheets.
The objective is to have you learn how to use the diagnostic software and recognize if your measurements
are reasonable. We will assess your submissions and return them within two days. Expect that your
answers will not be exact or the same. The questions about the meaning of the measurements are to have
you attempt to interpret what you have measured.
First Case Based Exercise
In this session you will be given digital orthodontic records for patient and required to collect information
from the digital records. You will digitize and measure the head film and study models and record some of
your results on summary sheets. The objective is to have you learn how to begin to understand how the
records and the analyses are used for diagnosis and treatment planning.
25
DENT 420 Introduction to Child Patient 2014-15
Rubric for Assessment and Evaluation (Part A: Session 1)
Criteria
Exceeds Expectations = 4
Meets Expectations = 3
Requires Improvement = 2
Content Management
Almost always:
Frequently:
Identifies and organizes important

information; cites from readings; uses
readings to support points; actively searches
from information from multiple credible
sources
Identifies and organizes important

information; cites from readings; uses
readings to support points; actively searches
from information from multiple credible
sources
Unable to identify and organize information;

rarely cites from readings; rarely uses
readings to support points; collects
inadequate information
Almost always:
Frequently:
Collects information from multiple sources

and analyzes information in depth; makes
connections between material under
discussion and other bodies of knowledge
(readings, other discussions); provides
rationale to support hypothesis; logically
interprets evidence to solve a problem or
offer alternate solutions
Collects information from multiple sources

and analyzes information in depth; makes
(readings, other discussions); provides
rationale to support hypothesis; logically
interprets evidence to solve a problem or
offer alternate solutions
Almost always:
Frequently:
Rarely:
Clearly communicates ideas logically and

concisely; listens to others and responds
appropriately; uses proper terminology;
routinely builds on ideas of others
Clearly communicates ideas logically and

concisely; listens to others and responds
appropriately; uses proper terminology;
routinely builds on ideas of others
Communicates ideas; responds to questions;

uses correct terminology; volunteers point of
view
Always demonstrates commitment through

preparation; almost always solicits others
perspectives
Rarely unprepared; occasionally solicits

others perspectives
Arrives late; often unprepared; rarely solicits

others perspectives
Synthesis and Integration
Communication
Professionalism
Collects inadequate information to perform

meaningful analyses; fails to make
(readings, other discussions); justifies few
arguments; misinterprets evidence and does
not derive a logical solution to a problem;
superficially evaluates alternate solutions
Excellence is the norm, only the most exceptional students should be given an Exceeds Expectations
Requires Improvement category should be completed if there is a discomfort regarding any aspect of performance and may identify for both student and faculty the
need for assistance
All Requires Improvement MUST be discussed directly with the student
26
DENT 420 Psychomotor Skills and Operative (PSO)

Drs. I. Emanuels (Coordinator), K. Gardner, A. Manso & D. Ruse
DENT 420 PSO Module Description:
The Psychomotor Skills and Introduction to Operative Dentistry (PSO) Module is the first exposure to
Operative Dentistry in simulation in the Oral Health Centre Clinic. Students will learn correct ergonomic
postures using surgical magnification as they acquire the fine micro-motor and reflective vision skills
necessary to operate using a mirror. They will learn to perform restorative procedures using proper
asepsis and isolation techniques. Preparation designs for restoration of caries in Class 1, 2 & 3 lesions
using various restorative materials will be performed by the completion of this module. Emphasis will be
placed on the medical management of caries and the decision process for surgical intervention.
Competencies Addressed: This Module addresses, in part, the following Competency Statements
found in the UBC Competency Document, which defines the knowledge, skills and attitudes required of a
new graduate of our DMD program.
C1. recognize the determinants of oral health in individuals and populations and the role of dentists in
health promotion, including the disadvantaged.
evidence available.
C6. obtain and interpret a medical, dental and psychosocial history, including a review of systems as
necessary, and evaluate physical or psychosocial conditions that may affect dental management.
C12. perform a radiographic examination.
C13. interpret the findings from a patient's history, clinical examination, radiographic examination
and from other diagnostic tests and procedures.
C16. assess patient risk (including, but not limited to, diet and tobacco use) for oral disease or
injuries.
C20. discuss the findings, diagnoses, etiology, risks, benefits and prognoses of the treatment options,
with a view to patient participation in oral health management.
C21. develop an appropriate comprehensive, prioritized and sequenced treatment plan.
C25. provide education regarding the risks and prevention of oral disease and injury to encourage the
adoption of healthy behaviors.
C26. provide therapies for the prevention of oral disease and injury.
dentistry.
C33. assess the risk, extent and activity of caries and recommend appropriate non-surgical and
surgical therapy.
C34. manage dental caries, tooth defects and esthetic problems and, when restoration is warranted,
use techniques that conserve tooth structure and preserve pulp vitality to restore form and function.
C36. manage surgical procedures related to oral soft and hard tissues and their complications.
C40. recognize and manage functional and non-functional occlusion.
C41. select and, where indicated, prescribe appropriate biomaterials for patient treatment.
27
C47. demonstrate professional behaviour that is ethical, supersedes self-interest, strives for
excellence, is committed to continued professional development and is accountable to individual
patients, society and the profession.

1. Demonstrate clinical competence in Class 1 restorations using amalgam and resin composite
restorative materials
a. Demonstrate clinical asepsis procedures and protocol; and demonstrate operation of
dental unit and handpieces.
b. Apply principles of cavity preparation, retention and design to compromised single teeth
for restoration
c. Restore tooth to form and function using appropriate materials
d. Demonstrate application of tooth morphology in cavity preparation design
e. Demonstrate self and peer evaluation
f. Demonstrate organization and time management of restorative procedures
g. Operate both air-turbine and electric motor handpieces, and understand the relationship of
bur design to the instrument's effectiveness and precision of use.
h. Discover optimal psychomotor control factors for using an air-turbine (high-speed)
handpiece
i. Discover optimal light-touch psychomotor control factors for using explorers and probes
on the supragingival cervical third of maxillary and mandibular teeth.
j. Determine the portions of micromotor control that are visual and non-visual, and learn to
enhance the non-visual components.
k. Precision control of the air turbine and EM handpieces to an intended level of
accountability, including self-assessment of errors, for maxillary occlusal amalgam
preparations.
l. Precision control of the air turbine and EM handpieces to an intended level of
accountability, including self-assessment of errors, for mandibular occlusal composite
preparations.
m. Diagram tooth preparation designs
2. Demonstrate proper use of pulp protection techniques.
a. Pulpal therapy as required as a result of a simulated "optimal" carious exposure.
b. Describe pulpal response to tooth restoration
3. Demonstrate Class 1 provisional restoration using RMGIC.
a. Describe clinical circumstances for temporary restoration
b. Demonstrate mixing of GIC cement
c. Place a Class 1 RMGIC temporary restoration.
4. Demonstrate Class 2 provisional restoration using IRM.
d. Describe clinical circumstances for temporary restoration
e. Demonstrate mixing of IRM cement
f. Place a Class II Intermediate Restorative Material (IRM) temporary restoration.
5. Demonstrate Class 2 restoration carving in simulation in wax
6. Demonstrate proper clinical utilization of rubber dam, matrices, and hand instruments.
a. Apply a rubber dam to isolate specified dentition of the maxilla.
b. Assemble and apply Tofflemire matrix system to specific teeth.
c. Demonstrate management of matrix systems
d. Identify and select appropriate instrumentation
28
e. Demostrate identification and ergonomically correct usage of hand instruments

f. Demonstrate correct and skillful sharpening of those hand instruments which have cutting
edge(s).
g. Apply Rubber Dam to adequately expose and isolate the oral field for intermediate
restorative procedures.
7. Demonstrate knowledge of Class 2 amalgam and composite restoration techniques.
a. Condense and carve a Class 2 amalgam restoration.
b. Complete all phases following high-speed rotary preparation for a Class 2 amalgam
restoration of a caries simulation tooth (46 MO).
c. Choose and place appropriate wedges for Class 2 restorations.
d. Precision control of the air turbine and EM handpieces to an intended level of
accountability, including self-assessment of errors, for mandibular Class 2 amalgam
preparations.
e. Precision control of the air turbine and EM handpieces to an intended level of
accountability, including self-assessment of errors, for mandibular Class 2 composite
preparations.
f. Prepare cavitated teeth according to accepted design principles without iatrogenic damage
to adjacent teeth,
g. Demonstrate restoration of 35 MO pre-prepared tooth with a Class 2 resin composite.
8. Demonstrate balanced ergonomic performance for restorative clinical treatment.
a. Demonstrate balanced ergonomic performance for restorative clinical treatment
b. Demonstrate balanced ergonomics during placement of a rubber dam retainer.
c. Demonstrate correct placement of Toffelmire for amalgam restorations in ergonomic
balance.
9. Demonstrate the placement of fissure sealants on artificial permanent posterior teeth using various
isolation techniques.
a. Demonstrate placement of fissure sealants on artificial permanent posterior teeth using
various isolation techniques.
10. Explain the etiology of caries.
a. Describe the factors contributing to dental caries and caries progression
b. Identify high caries risk
c. Explain how the onset of dental caries can be reduced
d. Apply a system of caries classification
11. Diagnose and manage caries in the high risk patient.
a. Connect and review the case and week objectives.
b. Explain any complications introduced by drug use and medical conditions
c. Explain the goals of dietary analysis
d. Describe various approaches to caries prevention and management
e. Distinguish between requirements for surgical/non-surgical intervention.
f. Discuss caries management
g. Identify proximal caries in bite-wing and periapical radiographs
h. Identify clinical caries
i. Integrate the concepts of caries etiology and clinical/radiological presentation in dental
treatment.
j. Describe the options available for restoring early carious lesions in anterior and posterior
teeth
k. Integrate operative procedures into an overall treatment plan.
l. Discuss the financial and ethical implications of treatment options from the dentist's and
patient's perspective
12. Demonstrate an understanding of the proper clinical application of various dental restorative
materials.
a. Application of knowledge and technique in simulation to achieve competency for clinical
practice
29
b. Refine precision planning and assessments for tooth-cutting.

c. Condense and carve silver amalgam restorative material in simulated multilayer teeth.
d. Restore simulated mandibular molar occlusal surfaces with bonding agent and resin
composite restorative materials for esthetics, contour and colour.
e. Fluently combine the elements of tooth preparation and amalgam restoration of a
simulated tooth.
f. Finish/polish amalgam restorations.
g. Demonstrate management of all basic elements of tooth restoration for occlusal caries
using two different mandibular molars.
h. Demonstrate clinical skills in a timed evaluation for determination of reliability of
psychomotor competence and self-evaluation accuracy.
13. Demonstrate an understanding of the properties and handling characteristics of various dental
restorative materials.
a. Describe the properties, advantages and disadvantages of dental amalgam, composite
resins and glass ionomer restorative materials.
b. Discuss the interactions between biomaterials and host from both biomaterial and host
point of view.
c. Define and discuss the setting reaction of dental amalgams.
d. Classify dental amalgams; describe differences in composition and the impact on structure
and properties.
e. Describe the implications of amalgam handling on its structure, properties, and
performance.
f. Discuss the biocompatibility issue associated with the use of dental amalgams.
g. Critically evaluate the status of mercury toxicity in amalgam restorations
h. Discuss the setting reaction of (meth)acrylic acid and methyl methacrylate.
i. Define and describe the structure and role of dental bonding agents
j. Discuss the problem of adhesion in the oral environment.
k. Define dental composite materials and discuss their composition, structure, and
properties.
l. Discuss the properties of dental composites in relation to the structure of the matrix, filler
content, and filler - matrix interface.
m. Classify dental composite materials based on matrix chemistry, filler characteristics, and
activation reaction.
n. Define and classify dental cements according to their usage and chemistry.
o. Discuss the setting reactions of dental cements.
p. Describe and compare the properties of different classes of dental cements based on their
structure.
q. Select, for specific applications, the appropriate dental cement based on its structure and
properties.
14. Demonstrate knowledge of Class 3 composite restoration techniques.
a. Restore prepared teeth to appropriate form, function and esthetics.
b. Summarize important principles in the field of esthetic dentistry including psychological
aspects.
15. Demonstrate clinical judgment.
a. Apply knowledge in a clinical setting.
b. Accurate self-evaluate own work.
30
Required Texts:
Summitt, James B. Fundamentals of Operative Dentistry: a Contemporary Approach, 3rd ed. Chicago:
Quintessence Pub., 2006. 9780867154528
Recommended Texts: none

Additional References are available on Connect: http://elearning.ubc.ca/connect/ 201415 DENT 420 (Dentistry II) PSO
31
STUDENT ASSESSMENT in the DENT 420 PSO MODULE

The PSO Module is worth 25% of the Dent 420 Final Mark. Students are assessed in the Professionalism,
Knowledge and Clinical Skills domains and each domain must be passed. The breakdown is as follows:
Method
Daily Work
Checksheet indicating completion of
exercises (5%)
Checksheet indicating completion of
exercises to specifications (5%)
Instructor Formative and Summative
evaluations in axiUm (15%)
- results of multiple evaluations provided
daily by multiple clinical instructors will be
averaged to provide this score. This will
include evaluation of demonstrated
professionalism, communication,
organizational excellence and clinical skills.
Background Knowledge
Objective structured clinical examination
(OSCE) in WebCT format (including
technique and biomaterials background)
(13%)
In Class iClicker Quizzes (2%)
Special Projects
6 page paper on an Operative relevant topic
to be selected by Jan 2 (Session13) and
completed by Feb 6 (Session 17) (4%)
Diastemas website learning community
participation Feb. 4-18 (2%)
W5 Case-based Workshop on Clinical
Treatment Planning Feb. 7, 14 & 21 (4%)
Clinical Skills
Successful completion of all 12 Clinical
Quizzes
Professionalism
Total
Weighting
25 %
15 %
10 %
50 %
P/F
(must pass)
100%
32
Instructors will apply their professional judgment to assess students in the following areas:
1. Knowledge Base: as presented through large and small group learning and the required readings
2. Communications: ability to effectively discuss current situations and accept and implement
instructor communications
3. Critical Thinking and Analysis: demonstration of ability to accurately assess a current situation
and implement a relevant problem solving technique
4. Psychomotor Skills Proficiency: demonstration of necessary hand skills to complete required
preparations and restorations to specified critical criteria
5.
Professional Behaviour: consistent demonstration of ethics and professional responsibility in

interactions with simulated patient, peers, and instructors
6. Overall Evaluation: students will be graded with a percentage and description as follows:
a. Does not meet requirements (50%)
b. Borderline (60%)
c. Meets requirements (70%)
d. Above Average (80%)
e. Excellent (95%)
33

DENT 420 Syllabus FINAL 2014-15 - Oct 10 2014 RK

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DENT 420

Introduction to Clinical Dentistry II

Associate Dean, Academic Affairs

3. DENT 420 Course Description--------------------------------------------

9. Academic Integrity Statement----------------------------------------------

10. Introduction to Prosthodontics---------------------------------------------

11. Introduction to Diagnostic Sciences-------------------------------------

12. Professionalism and Community Service-------------------------------

13. Introduction to Child Patient---------------------------------------------- 20

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Introduction

Module Coordinator: Dr. Joanne Walton

DENT 420 Introduction

Module Coordinator: Dr. E. Whitney

DENT 420 Professionalism &

DENT 420 Introduction

Module Co-Coordinators: Drs. V. Diewert and T. Wong

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 (Introduction to Clinical Dentistry II)

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Integrated Assessment

DENT 420 IPROS =

25% of final mark

DENT 420 Syllabus Oct 10, 2014 RK

Faculty of Dentistry, UBC

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Introduction to Prosthodontics (IPROS)

Additional References are available on Connect: http://elearning.ubc.ca/connect/ 2014-15 DENT 420

DENT 420 Syllabus Oct 10, 2014 RK

STUDENT ASSESSMENT in the DENT 420 IPROS MODULE:

Instructor Assessment of Diagnostic Casts (Dentulous and Edentulous)*

Clinical Skills & Professionalism

DENT 420 Introduction to Diagnostic Sciences (IDS)

C35. manage patients with orofacial pain and/or dysfunction.

i. Determine appropriate radiographs needed to complete periodontal examination

DENT 420 Syllabus Oct 10, 2014 RK

Dent 420 IDS: 20% of DENT 420 Final Grade

Combined Exam 2: 30%

Perio OSCE: P/F

Oral Med Bridge: P/F

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Professionalism and Community Service (PACS)

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Syllabus Oct 10, 2014 RK

Recommended Texts: none

STUDENT ASSESSMENT in the DENT 420 PACS MODULE

Grade and Percentage

Must pass - VAS

Self- and Peer-Assessment

Must pass - VAS

Personal Interview Life

May 20, 2015

DENT 420 Syllabus Oct 10, 2014 RK

DENT 420 Introduction to Child Patient (ICP)

DENT 420 Syllabus Oct 10, 2014 RK

3. Explain important concepts of caries management related to children

DENT 420 Syllabus Oct 10, 2014 RK

Dentition and behaviour of the young child

2. April 10, 2015

The First Dental Visit

3. April 17, 2015