Caring and Quality

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Caring and Quality University of California San Francisco School of Dentistry

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Transcript of Caring and Quality

Caring and

Quality

University of CaliforniaSan Francisco

School of Dentistry

Caring and Quality

Preparing bright

minds to face

future challenges

in dental, oral

and craniofacial

sciences.

UCSF School

E X C E L L E N C E I NT E A C H I N G

World-renowned faculty lead

students through an advanced

curriculum.> > > page 6

We advance our core

For more information about the UCSF School of Dentistry, go to http://dentistry.ucsf.edu

of Dentistry

PROFESSIONALISM& SERVICE

Real-world clinical experience

guides students toward a variety

of careers, including private

practice, teaching and research.

Students also understand the

importance of providing care

for California’s underserved

communities.

S C I E N T I F I CA D VA N C E M E N T

Students have the opportunity

to actively participate in ground-

breaking research at the School,

unequalled by programs found

at any dental institution.

COMPREHENSIVEPROGRAMS

The UCSF School of Dentistry

offers a broad education and

many options for postgraduate

specialties, providing rich

alternatives for all students.

> > > page 8

> > > page 10 > > > page 12

values of Caring and Quality through:

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Thank you for your interest in

the UCSF School of Dentistry.

We appreciate that you have a

wide variety of choices in dental

education, but feel that the UCSF School

of Dentistry’s unequalled combination of

teaching, world-class clinical programs,

leading-edge research and community

involvement will provide you with a

comprehensive experience you will not

find in any other dental institution. As

you explore options in dental education,

you will sense the unique nature and

opportunities of the School, the campus,

and the University of California.

We seek to promote a healthy and

humane society, doing so in all the ways

appropriate to a public dental school.

Specifically, to promote a healthy society

we seek to provide excellence in the

areas of teaching, research, patient care

and public service in the dental, oral, and

craniofacial arts and sciences. We seek to

do so at a reasonable cost, and endeavor

to deliver a level of academic quality

unsurpassed by any other dental

educational institution, public or private.

As you will see from this publication,

our programs are comprehensive — we

offer not only a predoctoral curriculum

Message from the

“The UCSF School of Dentistry’s unequalled

combination of teaching, world-class

clinical programs, leading-edge research

and community involvement will provide you

with a comprehensive experience you will

not find in any other dental institution.”

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We, the faculty, students and staff of

the UCSF School of Dentistry, are

committed to fostering an environment

of mutual trust and respect. We believe

this goal requires clear communication,

compassion for others, and enthusiasm

for the dental profession. To this end,

we accept personal responsibility for

our interactions with patients and

colleagues and we encourage one

another through constructive

guidance. This team philosophy will

be the foundation of all our endeavors,

even in challenging times. In this way,

we will continue to achieve academic

and clinical excellence, create

life-long professional partnerships,

and provide lasting contributions to

the greater community.

U C S F S C H O O L O F D E N T I S T RY

Educational Philosophy Deanleading to the DDS degree (and the

baccalaureate degree in dental hygiene),

but also offer certification in most of the

dental specialties, including oral and

maxillofacial surgery, orthodontics,

endodontics, prosthodontics, periodontics,

pediatric dentistry, and public health

dentistry. These programs offer exposure

to some of the leading dental specialists in

the world. This exposure enhances one’s

education in general dentistry, and also

is important to anyone who aspires to

enter a specialty themselves. We feel that

attracting and retaining experts in a variety

of dental specialties is essential to our

effort in maintaining a reputation as one of

the nation’s top-rated dental schools.

We seek to preserve our core values

while stimulating progress and change,

believing that this is a formula that will

allow us to renew ourselves and to achieve

exceptional long-term performance as

an institution — more than that, it is a

strategy that will allow our graduates to

remain at the forefront.

Charles N. Bertolami, DDS, DMedSc

Dean, UCSF School of Dentistry

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ORAL AND MAXILLOFACIAL RADIOLOGY — imaging of the teeth,facial bones and adjacent tissuesusing x-rays, digital technology andcomputer-enhanced imaging.

ORAL AND MAXILLOFACIALSURGERY*— surgical care for dentaldiseases, abnormalities, and injuries of the jaws and other facial bones.

ORTHODONTICS*— facial growth,modification and development, andthe movement of teeth to improve oral function and appearance.

PEDIATRIC DENTISTRY*— advanced education and training forthe treatment of children.

PERIODONTOLOGY*— prevention and treatment of inflammatory diseases of the soft and hard tissuessupporting the teeth.

PROSTHODONTICS*— the replace-ment of multiple missing teeth in complex cases in order to restore oral function.

Other AdvancedProgramsGENERAL PRACTICE RESIDENCY*—hospital-based education and generalpractice experience for hospitalizedand medically compromised patients.

ADVANCED EDUCATION INGENERAL DENTISTRY — outpatienteducation and experience in treatingpatients with special needs or requiring complex procedures.

Dentistry is a licensed health profession that focuses on maintainingthe health of the teeth, the tissues ofthe mouth and jaws, and treating oral diseases. The profession offersmany career opportunities in a vibrantfield that joins biological and materialssciences with high level technical skills in caring for patients.

General Dental PracticeYou can begin the practice of generaldentistry immediately following graduation and provide all aspects ofdental care.

Specialty ProgramsAdvanced education and training programs in these nine specialties, recognized by the American DentalAssociation (ADA), are generally two or three years long.

DENTAL PUBLIC HEALTH*— teachesthe prevention of dental disease and the promotion of dental health in the community.

ENDODONTICS*— the preservation of teeth through treatment of nerve tissue and placement of internal fillings in teeth.

ORAL AND MAXILLOFACIALPATHOLOGY — includes microscopicdiagnosis of diseases in oral soft tis-sues, jaws, teeth and salivary glands.

What is Dentistry?

* The UCSF School of Dentistry offers this ADA-recognized specialty field.

WIDE VARIETY OF PRACTICE

© Private practice optionsinclude solo ownership of a practice, or as part of apartnership or group.

© Institutional practices are located in a variety of community clinics, hospitals, and the publichealth service.

© Military service provides dentists with opportunities to become commissionedofficers in all branches of the armed forces.

© Academic careers focuson clinical and classroomteaching, clinical and laboratory research, andacademic administration.

For more informationabout the field of dentistry,dental professions andoral health career trends,go to the ADA website:www.ada.org

OUTSTANDING STUDENTS

© More than 15 students apply foreach position in the DDS program.

© Mean GPA of entering dental students is 3.50 on a 4.00 scale.

© Students’ dental board scores areamong the highest in the nation.

RESEARCH EXCELLENCE© School of Dentistry research funding

is #1 in the country, a position maintained for more than a decade.

© A world leader in both biomedicaland clinical research.

REAL-WORLD EXPERIENCE© Clinical productivity of UCSF

students ranks second among the 36 U.S. public dental schools, and third among all 55 U.S. dentalschools.

© Students experience what clinicalpractice is like beginning in the first year.

AFFORDABLE© Tuition and fees to attend the

School of Dentistry rank 38th amongthe 55 U.S. dental schools.

DIVERSITY © UCSF has one of the most diverse

student bodies in the nation.

© Approximately 50% of students are women and 12% are under-represented minorities.

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For more facts about theSchool of Dentistry, go to: http://dentistry.ucsf.edu/about/about_fact.html

COMMUNITY SERVICE© The School of Dentistry operates 14

clinics and is responsible for 140,000 patient visits per year, generatingapproximately $13 million annually.

COMPREHENSIVE LEARNINGENVIRONMENT© Graduate, advanced and specialty

programs in more than a dozen areas provide a tremendous range of opportunities.

LEADING FACULTY © Faculty members lecture worldwide

and contribute to universal advancement of knowledge in thehealth sciences.

© Members of the faculty have servedas President of the AmericanAssociation for Dental Research and the International Association for Dental Research.

DEDICATION© Student to faculty ratio is the best

in the state of California.

Achieving ExcellenceUCSF School of Dentistry

PreparingLead

As teachers, our faculty aims to prepare students for leadership roles in oral

health care through:

© SCIENCE-BASED EDUCATION

Students receive concentrated experience in basic biomedical and clinical sciences and may pursue mentored research projects in a wide variety of disciplines.

© PRECLINICAL PREPARATION

The School’s recently renovated preclinical lab permits simulated learning exercises, allowing students to master techniques required forsuccessful clinical practice.

© STUDENT DENTAL PRACTICE

Students experience a structured clinical education with increasingindependence and responsibility for dental care, including specialty care and treatment of patients with complex needs.

John Featherstone, PhD, a world-renowned expert in the fieldof dental caries, heads the School’s Department of Preventiveand Restorative Dental Sciences (PRDS). PRDS classes teachstudents groundbreaking concepts in minimally invasive dentistry (microdentistry), in which the maximum preservationof healthy tooth structures is paramount. Minimally invasivedentistry focuses on caries risk assessment, as well as theprevention or reversal of decay before cavities form andrestorations are required. When necessary, it also entails theremoval of the smallest possible amount of tooth structure,while still maintaining function and appearance. This philoso-phy of tooth conservation complements and augments

For more informationon our programs, degreesand departments, go toour School Bulletin at:http://dentistry.ucsf.edu/bulletin

Progressive Curriculum — The UCSF School of Dentistry is investing $1.6 million into the development and implementation of an innovative newcurriculum. Coursework emphasizes the integration of basic and clinical science in dental education, enabling students to apply evidence-based analysis to patient care. Graduates will be even better prepared to providehigh-quality care for patients, embrace change and growth in practice, and move into a variety of career paths.

MINIMALLY INVASIVE DENTISTRY

Advanced Oral Health Education

6BEFORE AFTER

erstraditional restorative dentistry techniques aimed at repairing moreextensively damaged teeth and preventing tooth loss.

Minimally invasive dentistry is agroundbreaking approach that is gaining popularity nationwide. Patientrisk assessments and interviews are

conducted in a structured format,with the clinician prescribing antimicrobial therapies, such as therapeutic mouth rinses, and monitoring disease susceptibility.UCSF students perform diagnosticprocedures and preventive interven-tions at the patient’s initial visit, andthis analysis becomes the under-pinning of all follow-up treatment.

“At UCSF, we’re still teaching allthe traditional dental techniques

required to be successful in the field,but we’re also exposing students tomore innovative methods that theywouldn’t find at other dental schools,”said Featherstone, who was recentlypresented with a Lifetime AchievementAward from the World Congress onMicrodentistry, and has also beenawarded the prestigious Ericsson Prize in Preventive Dentistry from theSwedish Fund for Research inPreventive Dentistry.

E X C E L L E N C E I N T E A C H I N G

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Flowable composite is an alternative to silver fillings when the patient desires a tooth-coloredrestoration. Composite is placed in the preparedgrooves, and flowable composite seals the fissures.

Patient care experiences in dental education start early in the second year,

with students perfecting techniques at one of 14 dental clinics at two sites in San Francisco. In their fourth year, studentsengage in extended externships in under-served communities throughout California.

Under the guidance of clinical faculty, students offer comprehensivedental care services, including complex oral and maxillofacial surgery,as well as care for special-needs patients. Students have the benefitof a large, diverse patient population, many of whom have soughttreatment from the School over many years, and demonstrate a variety of needs. The rich patient pool gives students at UCSF Schoolof Dentistry an essential tool for clinical studies.

UCSF’s dental clinics host 140,000 patient visits per year, allowingstudents to address both common and rare disorders, assuring them of a broad clinical education. Students may also be the first torecognize diseases like diabetes or AIDS in the patient population, and guide patients to appropriate medical treatment.

As our patients are largely comprised of peopleon public assistance and/or fixed incomes, andthe working poor, fees in our student clinics are set at 50%-75% of those of communitypractitioners. In 2001, UCSF performed 33% ofthe Denti-Cal procedures done at all Californiadental schools. This makes the UCSF School of Dentistry the most active in the State ofCalifornia in serving needy populations.

One of the most popular elective courses inthe school is one that allows students to take

part in a clinic for the city’s homeless; roughly 100 dental and dental hygiene studentsparticipate each year. Visiting citywide shelters,students have the opportunity to conductscreenings and interviews for approximately 80-100 patients per month. Following thescreenings, patients are transported to campusone night a week for dental care. Students provide these services free of charge, as supervising faculty are volunteers and studentsraise money for supplies.

Real-WorldLearning

SERVING THE COMMUNITY

Meeting the Needs of California’s Population

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PROFESSIONALISM & SERVICE

Community ExternshipsStudents’ clinical experience is not limited to the city of San Francisco. They also experiencea three-week rotation outside of the city at arural clinic — such as the Big Valley MedicalCenter in rural, northern California — aimed attreating underserved communities. This givesstudents even greater exposure to a variety ofpatients in different communities.

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One of the core goals of the School is to bring together

cell and molecular biologists, materials scientists, epidemiologistsand clinicians to better understandthe underlying causes of oral and craniofacial diseases and disorders,and to develop new treatments andstrategies for prevention and earlyintervention. UCSF faculty engagein cutting-edge research that leads to scientific breakthroughsthat drive the future development of dental education.

The School of Dentistry ranks firstamong all U.S. dental schools inresearch funding from the NationalInstitutes of Health. This amountedto $17.6 million for fiscal year 2002. The school has held thisfirst-place ranking for the past 12 years. Student exposure to revolutionary research creates anunparalleled academic and scientific learning environment.

One in 700 children is born with a cleft lip and/or cleft palate, making it the fourth most common birthdefect and most common facial birth defect. TheSchool responds to this reality in two important ways.The Center for Craniofacial Anomalies, directed byKarin Vargervik, DDS, a professor in the Departmentof Growth and Development, treats affected childrenand adults throughout California. Since 1963, the center has been providing care for those withcongenital or acquired craniofacial conditions, and

MULTIDISCIPLINARY APPROACH

Treatment and Prevention of Craniofacial Anomalies

The UCSF School of

Dentistry has many centers

for creativity and research,

including:

© Comprehensive Oral Health ResearchCenter of Discovery (one of only three centers hosted by U.S. dental schools and the only one in California);

© Center for the Health Professions;

© UC San Francisco AIDS Specimen Bank;

© Oral AIDS Center;

© Oral Cancer Research Program;

© Center to Address Disparities in Children’s Oral Health; and

© SICCA, an international registry researchnetwork dedicated to the study ofSjögren’s Syndrome.

Revolutionary

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For a more comprehensive listing of research initiatives at the UCSF School of Dentistry, go to: http://dentistry.ucsf.edu/research/research_activities.html

S C I E N T I F I C A D VA N C E M E N T

has a multidisciplinary team of surgeons, an orthodontist, pediatricdentist, prosthodontist, speech pathologist, social worker, geneticist,genetic councilor and others.

To understand the genetic and biological causes of craniofacialdefects, the School recently launcheda program in Craniofacial andMesenchymal Biology (CMB), which

conducts basic research on tissue formation and developmental anomalies. CMB researchers studyhow cells are programmed to differentiate into tissues of the cranio-facial complex, with emphasis onmesenchymal tissues. Rik Derynck,PhD, CMB program director, leads research into the signaling pathwaysthat determine whether mesenchymal stem cells will become fat, muscle orbone. And work led by Caroline

Damsky, PhD, a professor in theDepartment of Stomatology, focuses on how adhesion receptors on cellscommunicate with the extracellularmatrix and other cells to form tissues.

It is anticipated that future and current center research will generatenew treatments, new cures and diagnostic methods, as well as a greater understanding of the biological foundations of the oral and craniofacial sciences.

Research

11From left: Rik Derynck, Caroline Damskyand Karin Vargervik

The UCSF School ofDentistry is uniquely

structured so that entering first-year students have a wide range of career opportunities.

UCSF’s comprehensive curriculum in general dentistry,oral health specialties andresearch gives students enormous opportunities, both during their pursuit of the DDS degree and beyond.Graduates relate that thisapproach has had profoundeffects on their professional life.

One of the School of Dentistry’sadvanced education programs, the oral and maxillofacial surgery(OMFS) residency, an ADA-recognized specialty, is designed to provide a comprehensive background for clinical practice, and to open doors to academic and research-oriented careers.School of Dentistry faculty practicethe full spectrum of OMFS,

including orthognathic, craniofacial,TMJ, oncologic, dentoalveolar, and implant surgery and trauma, and also conduct clinical and basicscience research.

This program provides myriadcareer opportunities for young faculty. Janice Lee, DDS, MD, is an assistant professor in thedepartment of OMFS. Her diverseprofessional background includes

CLINICIAN/RESEARCHER

Oral and Maxillofacial Surgery

UCSF has programs leading to different degrees for dental professionals:© Doctor of Dental Surgery (DDS)

© Doctor of Philosophy (PhD)

© Master of Science in Oral and CraniofacialSciences (MS)

© Bachelor of Science in Dental Hygiene (BS)

© Bachelor of Science in Dental Sciences (BS)

© ...and combined degrees.

Advanced education programsinclude: © Dental Public Health

© Endodontics

© General Practice Residency

© Orthodontics

© Pediatric Dentistry

© Periodontology

© Prosthodontics

© Oral and Maxillofacial Surgery

© Oral Medicine

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Breadth of Opportunity

For a full list of programs, go to: http://dentistry.ucsf.edu/admissions

completion of residency atMassachusetts General Hospital/Harvard University and a fellowshipat the National Institutes of Health.Lee treats patients with fibrous dysplasia (or a related illness,McCune Albright syndrome) and congenital craniofacial or dentofacial deformities at locationssuch as UCSF’s Moffitt Hospital orSan Francisco General Hospital.

She feels that the OMFS departmentprovides students and residents with tremendous opportunities totreat a wide range of unusual andchallenging cases. “Apart from the excellence of the oral andmaxillofacial team at UCSF, I camehere because I knew I could doeverything that I was trained to do,”Lee said. “At UCSF, I can be both a clinician and a researcher.” 13

COMPREHENSIVE PROGRAMS

StudentSchool of Dentistry students

work hard...but they also

play hard. Living in one of the

most exciting cities in the

world, why shouldn’t they?

The UCSF School of Dentistry

is conveniently located in

the center of San Francisco

on the Parnassus Heights

campus, providing students

easy access to scenic

Golden Gate Park, the

Pacific Ocean, the bustle of

downtown and diverse

cuisines of many different

ethnic neighborhoods.

continued

International Dental ProgramUCSF’s International Dentist Program (IDP) is minimallya two-year (eight quarter) program designed for graduates of foreign dental schools. The programadmits up to 24 foreign-trained dentists yearly. Theprogram begins in June and culminates in a Doctor ofDental Science (DDS) degree.

These students enter a modified DDS program thatfocuses on the development of clinical skills. They arethen fully integrated into the Comprehensive Care clini-cal programs. Additionally, IDP students complementtheir clinical education with selected science courses.

Many graduates of the IDP program continue theireducation in graduate specialty programs at UCSF orother institutions, and others go into private practice.

For more information about the International Dentist Program, including application requirements,deadlines, financial aid and costs, go to:http://www.ucsf.edu/dent/ad_idp.htm

Lifelong Learning The UCSF School of Dentistry’s educational missiondoes not end when its students graduate. TheDepartment of Community Relations and ContinuingEducation, established to promote dental education as an ongoing, energizing enterprise, offers lectures,symposia and clinical short courses throughout theyear, providing learning opportunities for nearly 7,000dental professionals annually.

For more information on Continuing Education, go to:http://dentistry.ucsf.edu/continuing/cont_main.html

Outreach ProgramsThe UCSF School of Dentistry also offers a variety ofpredental educational programs for students interestedin careers in dentistry/oral health.

For more information on the Undergraduate Mentorship Program, Postbaccalaureate program and others, go to: http://dentistry.ucsf.edu/admissions/admiss_program5.html

COMPREHENSIVE PROGRAMS

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“The staff and faculty at UCSF create such a caring and positiveenvironment for their students thatSan Francisco feels like a homeaway from home.” Arminda Robles, first-year DDS student

“As much as San Francisco is a confluence of diverse cultures, UCSF is where the interplay of basic science research, clinicalexpertise, and community outreachfind a nurturing common ground.” Stanley Liu, second-year DDS student

“The prestige and reputation of UCSF attracts the most talented applicants year after year. This provides a unique opportunity to interact with elite individuals beforegraduating and becoming part of the legacy of excellence.”Christopher Chung, third-year DDS student

Life “At UCSF, you are offered the opportunity to learn and be trainedby the best faculty in the countryand, at the same time, become part of a tradition of excellence indentistry that began back in 1881.”Benjamin Lee, first-year DDS student

“It’s an amazing feeling to be sharing our fantastic campus withsuch premier health professionals and biological scientists who all share the pride of being part of the world-famous UCSF team.”Mark Graham, second-year DDS student

“San Francisco’s diverse patient base allows students to have a profound and unique impact on their surroundings.”Bassam Michiel, first-year DDS student

Home to more than 2,500 students and 17,000 faculty and staff, UCSF is the only University of California campus dedicated exclusively to the health sciences, with graduate professionals in dentistry, medicine, nursing and pharmacy. By virtue of the quality of its faculty,

the excellence of its patient care, the scope of its many outreach programsand the many discoveries of its scientists, UCSF — part of the University of California since 1873 — is considered one of the nation’s premier health sciences teaching, training and research centers.

© Three members of the UCSF faculty have won the Nobel Prize in Physiologyor Medicine. Stanley Prusiner, MD, won in 1997 for discovery of prions (PREE-ons), infectious agents responsible for a variety of neurodegenerativediseases. Current Chancellor J. Michael Bishop, MD, and Harold Varmus, MD,were honored in 1989 for their discovery that normal cellular genes can beconverted to cancer genes.

© Faculty in the School of Dentistry have made numerous discoveries thathelped advance the field of oral health. In 2003, an investigative team led bySusan Fisher, PhD, discovered what may be the first step in human embryoimplantation. The mechanism involves selectin-mediated protein-carbohydrateinteractions that also function as an important part of the body’s ability to fight infections.

© Beginning in 1993, the lab of Rik Derynck, PhD, discovered the key elements of the signaling pathway activated by TGF-ß, a member of a super-family comprised, in humans, of at least 30 proteins. His lab subsequentlyuncovered how, in response to TGF-ß, genes are activated or repressed.These mechanisms explain how signaling by the many members of the TGF-ß family regulate development and are important to understanding therole of TGF-ß in cancer.

© In 1984, Deborah Greenspan, BDS, DSc and John Greenspan, BDS, PhD,discovered a previously unknown AIDS-related oral lesion, oral hairy leukoplakia [HL]. Their work showed that HL and certain other oral lesions are useful predictors of progression to AIDS. This work paved the way for anumber of advances in the understanding and management of oral mucosal diseases.

A Community of Caring

Above, from top: J. Michael Bishop, MD (left),and Harold Varmus, MD; Stanley Prusiner, MD;Susan Fisher, PhD; Rik Derynck, PhD; John Greenspan, BDS, PhD and DeborahGreenspan, BDS, DSc

Below, from left: map of UCSF locations throughout San Francisco; Parnassus Heights, the site of UCSF’s original campus, includes two teachinghospitals, the UCSF Children’s Hospital, Langley Porter Psychiatric Institute and the UCSF Dental Clinic; and Genentech Hall at UCSF Mission Bay, a new 43-acre biomedical research campus.

T H E U N I V E R S I T Y O F C A L I F O R N I A , S A N F R A N C I S C O

The UCSF School

of Dentistry is

part of a larger

citywide campus

that is among

the leading

health sciences

institutions in

the world.

Produced by UCSF School of Dentistry Communications

EDITOR/WRITER: Cameron Heffernan FACULTY EDITOR: Dorothy Perry DESIGN: Laura Myers Design

PHOTOGRAPHY: Mikkel Aaland, Majed Abolfazli, Chris T. Anderson, Bill Bird, Phil Coblentz, Rik Derynck Laboratory, Robert Foothorap, Getty Images, Margot Hartford, Cameron Heffernan, San Francisco Convention and Visitors Bureau

© 2004 University of California Regents

University of CaliforniaSan Francisco

School of Dentistry

C4

Dean’s Office

UCSF School of Dentistry

513 Parnassus Avenue, S-630

San Francisco, CA 94143-0430

415-476-1323

School of Dentistry

Application deadlines vary by program. Go to http://dentistry.ucsf.edu for recently updated deadlines for all programs.