Department of Dental Anesthesiology: Curriculum


PREDOCTORIAL REQUIRED COURSES

Second Year

DSANE 5241 ANESTHESIA 1: Local Anesthesia 2 units
A comprehensive course on local anesthesia. Topics include theories of pain, medicolegal considerations, pharmacology of local anesthetics and vasoconstrictors; techniques of local anesthetic administration, armamentarium, complications, and alternative anesthetic techniques.

DSANE 5245 Local Anesthesia Technique Lab 1 units

The purpose of preclinical activities is to prepare the student to successfully administer local anesthetic in a “live-patient” format. In a small group design, the students will take turns being the operator, the patient, and the observer/assistant. The student will demonstrate proficiency in technical aspects of local anesthetic administration, and in applying pharmacological principles to the selection of local anesthetics and pain management.

DSANE 5247 Advanced Local Anesthesia Technique Lab 0.5 units

This course will foster an appreciation for the important role of anesthesia in dentistry.  The student will demonstrate proficiency in the technical aspects of local anesthetic administration and be provided exposure to advanced techniques in local anesthesia administration.

DSANE 5272 ANESTHESIA 2: Medical Emergencies 1 units This course will offer foundational knowledge in emergency medicine which will enable the student to assess and manage patients experiencing a medical emergency in the dental office. Differential diagnosis is presented according to the presenting signs and symptoms.  Emphasis is placed on proper office protocol during an emergency, including the use of an emergency drug kit.

Third Year

DSANE 5311 CLINICAL MEDICINE 1: Patient Management: Enteral Sedation 1 units
This graduate course in clinical medicine is directed to first professional dental students. We will provide future dentists with a better understanding of common medical conditions and their current treatment. This course will help prepare new dentists for providing dental care to the growing population of aging patients with complex medical conditions and managing these patients in conjunction with our physician colleagues.

DSANE 5313 ANESTHESIA 3:Pain and Anxiety Control 1 units

• This course will offer foundational knowledge, primary knowledge and clinical procedural information in the areas of pain and anxiety control for adult dental patients. 
• Pain control encompasses introduction to prescription writing, establishes prescribing protocols for both non-steroidal anti-inflammatory and opioid analgesics.
• Often pain medications are prescribed to the dental patient in an empirical sense
   - The goal of this portion of the course was to impart a clinical rational for prescribing pain medications. A method was established so that the student could make a therapeutic choice based on the needs of the patient and contemporary dental practice. Atypical analgesics for neuropathic pain are also discussed.
• Anxiety control 
    - The goals of this section are to provide current pharmacologic management in anxiety control for dentistry. The focus of material is directed to what the general practice dentist should provide in the office setting. The methods of anxiety reduction and sedation that were selected for presentation were done so on the basis of efficacy & safety.
• Orally administered agents (benzodiazepines) and inhalation sedation (nitrous oxide) techniques were covered in depth. Advanced techniques such as intravenous conscious sedation were introduced and demonstrated to acquaint the student and stimulate interest. 

DSANE 5342 CLINICAL MEDICINE 2: Minimal Sedation 1 units

In October, 2007 the American Dental Association adopted “Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students.” This course is designed to meet the educational requirements for first professional dental students set forth by that document. In combination with previously presented course material in pharmacology, physiology, and clinical medicine, satisfactory completion of this course, along with subsequent clinical exposures, will place the student in compliance with the ADA guidelines for enteral sedation.

DSANE 5344 Medical Emergencies - WISER Center

This course permits students to apply the skills and knowledge of diagnosis and management of medical emergencies that may occur in the dental office. 
• Using simulated scenarios, emphasis will be placed on airway management, medication use, emergency drug kit usage, and recognition and management of medical emergencies. 
• Students will also acquire the experieince of a team approach to responding to emergency events. 
• This course will be offered in conjunction with the Peter M. Winter Institute for Simulation, Education & Research (WISER, www.wiser.pitt.edu).

DSANE 5375 Nitrous Oxide Sedation Lab

• This course will provide the student with clinical experience in the use of nitrous oxide.
• The students will get hands-on experience with the set-up and use of the nitrous oxide machine.
• The students will have the opportunity to administer nitrous oxide to fellow students that elect to experience the effects of the medication.

SELECTIVE PREDOCTORIAL COURSES

Third Year

DSANE 5971 MODERATE SEDATION 1 1 units
This is a one year undergraduate dental course dealing with the philosophy and methods of pain and anxiety control in dentistry. Concepts of pain & anxiety, as well as the principles of their psychologic & pharmacologic modifications are explored. Modalities ranging from non-drug & regional analgesic to enteral & parenteral sedative medication techniques are administered by the student under the supervision of the anesthesia faculty. The advantages, disadvantages, & complications associated with these techniques are compared.

Fourth Year

DSANE 5912 MODERATE SEDATION 2 1 units
This is a one year undergraduate dental course dealing with the philosophy and methods of pain and anxiety control in dentistry. Concepts of pain and anxiety, as well as the principles of their psychologic and pharmacologic modifications are explored. Modalities ranging from non-drug and regional analgesic to enteral and parenteral sedative medication techniques are administered by the student under the supervision of the anesthesia faculty. The advantages, disadvantages, and complications associated with these techniques are compared.

DSANE 5943 MODERATE SEDATION 3 4 units
This is a one year undergraduate dental course dealing with the philosophy and methods of pain and anxiety control in dentistry. Concepts of pain and anxiety, as well as the principles of their psychologic and pharmacologic modifications are explored. Modalities ranging from non-drug and regional analgesic to enteral and parenteral sedative medication techniques are administered by the student under the supervision of the anesthesia faculty. The advantages, disadvantages, and complications associated with these techniques are compared.

DSANE 5900 INDEPENDENT STUDY 1 - 3 units
An individualized program of advanced studies in anesthesia offered by each faculty member.

POSTDOCTORIAL COURSES

DSANE 2242 PRINCIPLES OF ANESTHESIA 2 units

This is a graduate course in Anesthetic Principles.  Under the supervision of the course directors, the resident will become proficient in principles of anesthesia and sedation.  Specific instruction will focus on local anesthesia, oral sedation, nitrous oxide sedation, combined oral/nitrous oxide sedation, and intravenous sedation.  The resident will be given the opportunity to apply the learned methods, skills, and techniques in a clinical setting through subsequent elective courses.

DSANE 2114 PATH & MGT OF MEDICAL EMERGNCY 2 units
This course covers the prevention, recognition, and treatment of medical emergencies that can occur in the dental setting. Differential diagnosis is presented according to the presenting signs and symptomotology. Emphasis is placed on the proper office protocol during an emergency, including the assembly of an emergency drug kit. Experience with IV and IM techniques is included.

DSANE 2260 MODERATE SEDATION I 2 units
This is the first of two didactic courses dealing with the philosophy and methods of pain and anxiety control in dentistry. Principles of psychologic and pharmacologic modifications are explored. The advantages, disadvantages, and complications of a range of techniques are compared to enable the student to rationally select the best modality for their patient.

DSANE 2270 MODERATE SEDATION II  2 units
This is the second course in a series dealing with the philosophy and methods of pain and anxiety control in dentistry.

DSANE 2243 MODERATE SEDATION CLINIC 2 units
This course is designed to integrate with the didactic course series dealing with the philosophy and methods of pain and anxiety control in dentistry. In this clinical course, under the supervision of the anesthesia faculty, students will select and administer the various pain and anxiety control techniques learned in the classroom.