ACADEMY OF COSMETIC DENTISTRY INDIA FELLOWSHIP IN COSMETIC DENTISTRY

Testing Protocol for Dentists

INTRODUCTION

Academy of Cosmetic Dentistry India (ACDI) – Affiliate 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 dentists who are dedicated to this field. The Moto of this academy is to educate and inspire dental practitioner’s who are interested in the flied 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 examination process.

The fellowship process focusses on professional development and provides continuing educational opportunities and thus helping dentist’s to provide world class dentistry. It provides the dentist to study current on information, news and trends related to cosmetic dentistry. It creates an environment for fellow dentist to meet / network with others in the profession. This Fellowship represents a dentist’s dedication to excel and set a standard for excellence in cosmetic dentistry.

The Fellowship Process

The process has three parts

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

The Fellowship program duration is for five years , from the pass of written examination. The whole process is 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 I and Case Type II 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 CaseType III or Case Type IV should be submitted before module IV. In module IV, Case Type V to be submitted. Totally four clinical cases should be submitted, each part must be completed in a sequence. The final part will be Viva Voce. (All five Case types explained in detail below).

MODULES

Module I: Theory Examination (100 Credit hours) Theory Examination will be conducted annually between June and August by online . Examination consist of 150 MCQ’s. Fee for written exam 9500 INR

Module II: (75 Credit hours) Contact classes 2 days will be held during our annual conference. Cases submission – Single/double tooth direct and indirect(Case I & Case II ) Fee for contact session - 25,000 INR . Per case Submission / Re submission fee 8000 INR

Module III: (75 Credit hours) Contact classes 2 days will be held during our annual conference. Cases submission- Smile Design Case –Direct or Indirect (Case III or Case IV) Fee for contact session 25,000 INR Per case Submission / Resubmission of case- 8000 INR

Module IV: (50 Credit hours) Cases submission – Tooth Replacement in the anterior Zone (Case V ) Online Training session Fee-15,000 INR Per case Submission / Resubmission of case- 8000 INR

Oral examination –Viva fee 20000 INR Location will be intimated

Time line The whole process should be completed within five years from the year of passing the written examination. Cases completed before clearing theory exam will also be accepted and any type of cases can be done in between the modules, but needs to be submitted as per module recommendations. Contact sessions and online sessions can be attended as per your convenience. Highly recommended to complete one module per year. Oral examination must be successfully completed by the oral examination session immediately after passing the last case or completing the module 4. 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.

WRITTEN EXAMINATION

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 online. 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 clinical cases.

Type of Examination/Grading

The written examination is a multiple-choice examination with 150 questions, which would happen online between the month of June and August as directed by the IBCD. The exact date will be announced well in advance. The application will be available in the website at www.acdi.co.in

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 9500 INR

Content

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

Textbooks

1. Occlusion-from TMJ to Smile design- Peter Dawson
2. The science and art of porcelain laminate veneers- Galip Gurel
3. Contemporary Implant dentistry -Carl Misch
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
7. Contemporary Fixed Prosthodontics-Stephen F Rosenstiel
8. Theory and Practice of Fixed Prosthodontics-Tylman
9. Clinical Periodontology-Carranza

Journals

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. 150 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 will be provided after registering for the exam.

CLINICAL CASE SUBMISSION/EXAMINATION

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 ACDI must be resolved prior to clinical case submission.

The Five Case Types

There are four case types that must be successfully completed.

Case Type I 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 (treating upper incisors)
• B. Diastema closure: 1 mm or greater diastema, which involves placement of directresin 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.

Case 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 upperincisors.

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

Case Type IV Six or more indirect restorations (treating upper incisors and canines)

Case Type V 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.

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. 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 TEN 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 will be sent on request.

PHOTOGRAPHIC REQUIREMENTS & IMAGE CRITERIA

Digital image quality is contingent upon six distinct factors related to the image itself. Proper set up and use of your camera and adjunctive photographic equipment maximises results.

• Correct colour
• Correct exposure
• Depth of field
• Good tonal range
• Image sharpness
• All images need to be captured in landscape orientation

Camera Set Up

1. Set the internal clock time to correct time
2. Capture images as a RAW files (Required)
3. Select the appropriate magnification ratio

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

   • Magnification of (1.5) x (setting on the lens barrel)
   • 1:2 views set the lens on a digital camera to 1:3
   • 1:1 views set the lens on a digital camera to 1:1.5
4. Maximize depth of field using high f-stops (minimized aperture)

Capture Equipment Criteria

Professional grade digital cameras are recommended

• An example of a professional grade camera would be a Single Lens Reflex Digital Camera with a macro lens capable of manual focus and selectable magnification ratio with a lens mounted flash.
• The digital camera should be capable of capturing at least 5 megapixels and be able to capture images as RAW files.
• Capture images as RAW files.

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 or eliminating 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.

WRITTEN REPORT

Include the following information in the written report:

• Introduction and chief complaint
• History
• Diagnosis and treatment plan
• Description of treatment
• References to literature pertaining to the treatment prescribed.

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

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 four have received a passing score. When all four clinical cases have received a passing score, the dentist is eligible to the oral examination.

ORAL EXAMINATION

Dentist need to be dressed professionally and need to bring case pictures in a pen drive.

• The first part of oral examination, dentist need to verify and authenticate the passed clinical cases.
• The second part, dentist will be presented with a pre-selected case. Adequate time will be allowed for the dentist to formulate a treatment plan, which will then be shared and discussed. This part of examination is to evaluate the patient’s treatment planning ability.

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 four 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 four clinical cases have been passed. The application and fee must be received at the ACDI Office prior to scheduling. The fee is 20,000 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 five -year time period. A second failure at the oral examination terminates the fellowship process.

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.