Academy of
Cosmetic Dentistry India

Academy of Cosmetic Dentistry India Fellowship in Cosmetic dentistry

Testing Protocol for Dentists


Academy of Cosmetic Dentistry India (ACDI) – Affliliate of AACD 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. It was formed to educate and inspire dental practioners in a wide range of cosmetic dentistry. In the year 2017 the Indian Board of Cosmetic Dentistry was established to showcase, 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.The Indian Board of Cosmetic Dentistry (IBCD) administers the fellowship and examination process.

Benefits The fellowship process is a professional development and provides continuing educational opportunities to develop one’s vision of seeing the patient. It provides the dentist to study current on information, news and trends related to the dental profession. It creates an environment for fellow dentist an opportunity to meet/network with others in the dental profession. This Fellowship represents a dentist’s dedication to excel and set a standard for excellence in aesthetic dentistry.

How to become Fellow of ACDI/ The Fellowship Process

The process has three parts

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

The Fellowship program duration is for Three Years, divided into four modules. The first module will have theory examination. Second module will have two day’s contact class session plus E-learning. After the second module, Case Type II and Case Type IV should be submitted before starting up the third module. Once case submission is done, candidate is cleared to go to next module. Third module will have two day’s contact class session plus E-learning. Either Case I or Case V should be submitted before module IV. In module IV, Case III to be submitted. Totally four clinical cases should be submitted, each part must be completed in a sequence. The last part will be Viva Voce. Study materials will be provided in the form of PDFs (All five Case types explained in detail below).


Module I: Theory Examination (100 Credit hours) Theory Examination will be conducted Annually during the ACDI Conference. Examination consist of 120 MCQ’s.

Module II: (75 Credit hours)Contact classes 2 days Cases submission – Single/double tooth direct and indirect(Case II & Case IV)Fee- 20,000 Resubmission of case -5000

Module III: (75 Credit hours) Contact classes 2 days Cases submission- Smile Design Case –Direct or Indirect (Case I or Case V) Fee-20,000 Resubmission of case- 5000

Module IV: (50 Credit hours)Cases submission – Tooth Replacement in the anterior Zone (Case III) Plus E- Learning Fee-10,000 Resubmission of case- 5000

Oral examination –Viva


Examination will test the dentist’s basic knowledge towards all subjects related to cosmetic dentistry. The exam dentist must need further knowledge before submitting clinical cases. The written examination is held annually at the ACDI National Conference. Failure to pass the written examination, indicates that the candidate would likely benefit from further education in cosmetic dentistry prior to attempting the submission of scientific cases.

Type of Examination/Grading

The written examination is a multiple-choice examination with 120 questions, which would happen in the Annual Scientific 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

Eligibility for the written examination

Following requirements must be met:

  1. Any member of the ACDI can appear for examination and take up the Fellowship process
  2. Application completed and fee paid for the written examination

Examination Fee: The examination fee would be 6000 INR


Theory knowledge in cosmetic dentistry includes all the specialty of dentistry with an emphasis on those subjects with a special relevance to aesthetics. Each question is referenced to a textbook or referred source to ensure its validity.

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


  1. Occlusion-from TMJ to Smile design- Peter Dawson-2nd Edition
  2. The science and art of porcelain laminate veneers-GalipGurel
  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


  1. Journal of Cosmetic dentistry from AACD
  2. Journal of esthetic and restorative dentistry
  3. Quintessence international

Some of the questions will be based on clinical cases situations (pictures) concerned with cosmetic dentistry. 120 MCQ’s would be spread evenly over the subjects mentioned and the candidate is required to score a minimum of 70% to clear the exam. Failure to appear for a scheduled written examination will result in forfeiture of the entire fee.

Sample Examination

This examination is to help and encourage the dentist who are interested to take up the exam. Some of the questions from previous examination are chosen and released in the form of a sample examination. The sample examination may be purchased on the ACDI website.

Time Limit

There is a three-year limit to complete the entire Fellowship process. Clinical cases of fellowship process must be completed by the expiration of the candidate written examination.

Oral examination must be successfully completed by the oral examination session immediately following the expiration of the candidate’s written examination. In order to be fair to all candidates pursuing fellowship, IBCD has established a policy that no waivers or time extension will be granted with the Fellowship process.


The clinical case Examination is the core of the Fellowship process. Case submission allow dentist to demonstrate their diagnostic skills and clinical excellence. Five specific case types which covers a variety of techniques are chosen to evaluate the dentist clinical skills and knowledge.

Prerequisites for Submission of Clinical Cases

The following requirements must be met:

  1. Dentist must have passed the written examination
  2. Attended at least half of the annual scientific sessions since passing the written examination
  3. Submission form completed and fee paid for each clinical case submitted.
  4. Any outstanding “ethical issues” with the AACD must be resolved prior to clinical case submission.

The Five Required Case Types

There are five case types that must be successfully completed.

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

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 upperincisors.

III. Tooth replacement (options: laboratory fabricated bridge or implant)

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

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.

Submission Procedure

Clinical case submissions must be completed and received on or prior to the deadline date and must include all of the required materials for the case to be examined. Dentist need to complete their online clinical case submission form with the submission fee as per clinical case. Cases have to be submitted online only with appropriate images in the digital negative format and supporting treatment planning 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.

ACDI Photographic Release Form

This form need to be submitted for each clinical case submission signed by the dentist and the patient. It grants permission to the ACDI for use of image submitted for fellowship purpose. The photographic release form is available in the website.


Digital image quality is contingent upon six distinct factors related to the image itself. Properset up and use of your camera and adjunctive photographic equipment maximizes results. Instructions for photographic documentation is elaborated in the following link

Camera Set Up

1) Set the internal clock time to correct time

2) Capture images as a RAW files (Required)

3) Select Lens Magnification ratio as shown in the instruction for photographic documentation (link)

The lens magnification conversion that is needed for most digital SLR camera is

4) Maximize depth of field using high f-stops (minimized aperture)

Capture Equipment Criteria

Professional grade digital cameras are recommended

NOTE: Scanned images will not be accepted for submission (Instructions are a guide and not intended as a substitute for continuing education in digital photography and use of computer hardware and software.) Set internal clock to correct time.

Image Editing

No global, focal, fixed point or spot editing is allowed Global, focal, fixed point or spot editing is strictly prohibited and considered fraudulent. This means even innocent changes such as cleaning up dust spots, cropping, rotating, resizing oreliminating red eye is not allowed. Some cameras have settings that create both a RAW and high quality JPEG at the same time.

Any alteration of images, falsification of information or attempt to mislead the examiners is grounds for immediate termination of the Fellowship process and permanent disqualification from obtaining Fellowship in the future.

Radiographic Documentation

Radiographs must be submitted for all case in fellowship process. For implant, pre-op radiographs of the tooth or radiograph prior to implant placement is required.

Radiographs need to be in one of these format

  1. Photo image file (JPEG) of X-ray
  2. Scanned X-ray image file (JPEG).

All materials submitted become property of ACDI.


Include the following information in the written report:

No personal information, acknowledgements including laboratory technician or specialist to be mentioned in the report.


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 have received 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.


Dentist need to be dressed professionally and need to bring one written report from each case passed.

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 that the dentist took and passed the written examination.
  3. Application completed and fee paid for 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 10,000 INR

With the successful completion of the oral examination, a dentist becomes a Fellow Member of ACDI. On failing the oral examination, dentist may retake the oral examination one time immediately following the expiration of their three-year time period. A second failure at the oral examination terminates the fellowship process.


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.


Exam Date

Exam date - 13th August 2023