Methodological discussions about the teaching of substance abuse and addiction in predoctoral dental curricula typically fall short. This article explores the pedagogy employed to present and discuss the relevance of addiction (mostly to illicit drugs) to the dental profession in the irst-year predoctoral dental curriculum at the University of British Columbia. These pedagogical approaches are multifaceted and include a role-play scenario with a standardized patient; an interactive guest lecturebased seminar and a community panel of personal testimonials; students' written relections; and the provision of clinical care to patients with a past or current history of addiction. Students' relections illustrate the impact of these approaches upon their views of addiction and the dental profession. This pedagogy exposes students to alternative views on substance abuse and addiction, challenges their values and beliefs, and fosters dialogue.Note: The session for Term 1 has eight scenarios, one of which is Dr. Gleason's case and takes about twenty minutes in total. The prereading in Term 2 is given one week before the session and refers to Brondani and Park's "Methadone and oral health: a brief review," J Dent Hyg 2011;85(2):91-7. A complete description of the grading system and rubric of the reflection assessments used in Terms 1 and 2 can be found in Brondani et al.'s "An evolving community-based dental course on professionalism and community service," J Dent Educ 2008;72(10):1160-8, Brondani's "Students' reflective learning within a community service-learning dental module," J Dent Educ 2010;74(6):628-36, and Brondani and Paterson's "Teaching lesbian, gay, bisexual, and transgender issues in a dental curriculum: a multipurpose method," J Dent Educ 2011;75(10):1354-61. The students are encouraged to reflect soon after the standardized patient encounter in class (Term 1) and within the first twenty-four hours (Term 2).