Fellowship in Cosmetic Dentistry

by Academy of Cosmetic Dentistry India - Affiliate of AACD

Introduction: The Academy was established in the year 2016 with the main purpose of promoting the practice of QUALITY Cosmetic Dentistry all around the country .And also to gather across the nation and the globe the Dentist who are dedicated to this field. In the year 2017 the Indian Board of Cosmetic Dentistry was established to show case, the Dentist who have excelled in the field of Cosmetic Dentistry with the highest level of Academic Knowledge and Clinical acumen, to the Nation and the World.

Benefits: Achieving Fellowship in this field will be a journey travelled by each pursuing Dentist towards excellence that would change their Life and Dentistry. They would be highly recognised by their colleagues with the high standards set by the Board. Definitely this group of Dentist would be sought after by patients too.

The Fellowship Process:

The process has three parts

  1. Written Examination
  2. Clinical Case Submission
  3. Oral Examination

The process will be completed in the same sequence and the Dentist will be given 3 years to complete the whole process after successful completion of the written examination.

Written Examination :

The written examination would be a multiple choice question examination which would happen in the Annual Session of ACDI every year in the month of January as directed by the IBCD. The location and the date will be announced well in advance. The application will be available in the website at www.acdi.co.in

The subjects covered would be

  1. Restorative Material Science - Adhesion, Composte , Ceramics
  2. Periodomtics
  3. Occlusion
  4. Tooth preparation - Implants , Bridges , Hybrid Prosthesis, Digital Dentistry , Lab communication
  5. Estheitcs - Smile Designing , Photography , Bleaching , Basic Orthodontics

Resources for the written examination:

All questions will be from text books or journals only

Textbooks

  1. Occlusion-from TMJ to Smile design- Peter Dawson-2nd Edition
  2. The science and art of porcelain laminate veneers-Galip Gurel
  3. Contemporary Implant dentistry-Carl Misch-2nd Edition
  4. Esthetics of anterior fixed prosthodontics- Chiche G, Pinault A
  5. Bonded porcelain restoration in Anterior teeth: a biomimetic approach-Magne P, Belser U
  6. Fundamentals of operative dentistry-A contemporary approach-Summitts-4th Edition
  7. Contemporary Fixed Prosthodontics-Stephen F Rosenstiel-5th Edition
  8. Theory and Practice of Fixed Prosthodontics-Tylman-8th Edition
  9. Clinical Periodontology-Carranza-10th Edition

Journals

  1. Journal of cosmetic dentistry from AACD
  2. Journal of esthetic and restorative dentistry
  3. Quintessence International

Three would be a total of 120 MCQ’s spread evenly over the subjects mentioned and the candidate is required to score a minimum of 70% to clear the exam

Eligibility: Any member of the ACDI can appear for examination and take up the Fellowship Process.

Examination Fee: The examination fee would be 3500 INR

Clinical Case Submission / Examination:

The Clinical Case Examinations is the core of the Fellowship process. The clinical case submissions allow the dentist pursuing Fellowship to demonstrate diagnostic skills and clinical excellence. Five specific types of cosmetic dental treatments have been chosen to cover a variety of techniques.

The Five Required cases are:

Type I. Six or more indirect restorations (treating upper incisors and canines)

Type II. One or two indirect restorations (treating upper incisors*; adjacent teeth must have no indirect restorations) *Edentulous space and or implant does not qualify as treating upper incisors.

Type III. Tooth replacement (options: laboratory fabricated bridge or implant) A. Bridge: at least one pontic must be replacing an upper incisor and/or canine B. Implant: must involve placement of an implant root form into an upper anterior edentulous space. The edentulous space is defined as being devoid of any root structure. (Pre-op x-rays and photographic views must show edentulous space or failing tooth prior to implant placement.) Replacement of a crown on an existing implant or the use of Pink Porcelain/Composite is not acceptable for this case type.

Type IV. Class IV* Direct Resin Restoration: Replacing at least 10% of the facial surface** (treating upper incisors) Options: Class IV or diastema closure

A. Class IV direct resin restoration: replacing at least 10% of the facial surface 4(treating upper incisors)

B. Diastema closure: 1 mm or greater diastema, which involves placement of direct resin on two adjacent teeth (treating upper incisors and/or canines) * To meet the Class IV requirement, the structural compromise must involve the mesial, and/or distal, facial, lingual and incisal aspects of the tooth.

** To meet the 10% requirement, 10% of the facial aspect of the tooth must be structurally compromised/missing in the preoperative images.

Type V. Six or more direct resin veneers (treating upper incisors and canines) (technique case)

NOTE: ALL required teeth treated must be upper anterior teeth and permanent. When additional teeth are treated they are judged using the same criteria as the required teeth. Only one case type per patient may be used.

The fee for each case is 4000 INR and cases have to be submitted online only with appropriate images in the digital negative format and supporting treatment planing text. The Dentist is eligible to submit any number of cases also all 5 cases at a time but only one case per case type. There would be two exam sessions every year. June 1st and November 1st as the last date of case submission. So, after passing the theory the Dentist will have six practical exam sessions to pass the practical exam.

Prerequisites for Submission of Clinical Cases

To submit clinical cases, the following requirements must be met:

  1. Dentist must have passed the written examination
  2. Dentist must have attended The Fellowship Workshop offered at the annual scientific session.
  3. Submission form completed and fee paid for each clinical case submitted.

Grading/Examination

Each clinical case is examined anonymously by a panel of three examiners. A majority of “pass” votes are required to pass a case. The dentist may resubmit clinical cases until all five havereceived a passing score. When all five clinical cases have received a passing score, the dentist is eligible to continue to phase three, the oral examination.

NOTE: All materials submitted become property of the IBCD

Oral Examination:

Purpose

The purpose of the Oral Examination is two-fold. The first purpose is to provide the dentist an opportunity to verify and authenticate passed casework. The dentist may be asked questions about case selection, diagnosis and treatment planning, or materials and techniques on any of their passed clinical case submissions. The dentist’s knowledge should clearly demonstrate a familiarity and understanding of these cases. Additional questions may be asked that cover related topics considered relevant by the examiners.

The second purpose of the oral examination is to provide the dentist with an opportunity to demonstrate their treatment planning abilities. The dentist will be presented with information regarding a pre-selected case. Adequate time will be allowed for the dentist to formulate a treatment plan, which will then be shared and discussed.

Eligibility for Appearance at the Oral Examination

To take the oral examination at the next given date, the following requirements must be met:

  1. The dentist must have passed all five required clinical cases
  2. Attended at least half of the annual scientific sessions, starting with the session thatthe dentist took and passed the written examination
  3. Application completed and fee paid for the oral examination.

Application and Fees

The application for the oral examination will be sent to the dentist once the five clinical cases have been passed. The application and fee must be received at the ACDI Office prior to scheduling. The fee is 5000 INR

Grading: Pass/Fail

Pass

With the successful completion of the oral examination, a dentist receives the Fellowship of the ACDI

Fail

A dentist may retake the oral examination one time immediately following the expiration of their three -year time period and must successfully pass the next time the oral examination is administered. A second failure at the oral examination terminates the Accreditation process. Submission of a new written examination application is required to begin the Fellowship process again. If the Dentist is not able to complete the cases within three years time they have an option of case role over , but only after passing the theory exam again, The case role over fee for each case would be 2000 INR

Fellowship Award Ceremony

With the successful completion of the oral examination, a dentist receives the Fellowship of the ACDI The recognition ceremony and presentation of the award will be held at the next annual scientific session.

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Exam Date

Date - 6th Jan 2017

Time - 2PM to 5PM

Duration - 2 Hours