There has been a noticeable change of curricula in specialized and technical courses offered in Japanese schools and universities. One of these is the integration of English for general and specific purposes in the dental curriculum. Although a number of studies have assessed the former, very few have assessed English for specific purposes education for dentistry in Japan. Further, studies that look into methods of facilitating its integration into the dental curriculum, what the course comprises, and the specific needs of students are therefore needed. Because Japanese students rarely participate actively in student-teacher interaction, this article describes how the student-teacher shuttle card, a type of journal, was used to identify students' specific satisfaction or needs and implications for improving course management. Consecutively used for 3 years in a dental school setting, freshmen students were able to convey their questions and opinions easily through the card. Entries from the card may be used to maintain, improve, or develop better teaching methods. They may also identify students who need more attention or who can be used as models for others during group discussions or practical exercises. (Contains 1 table and 2 figures.)