About Part 2 (Oral/Case) Examination
Frequently Asked Questions
General Questions • Written/Narrative Report • Photographs • Radiographs • Removable Prosthesis Case • About the Oral Examinations
- Is the "one-year-in-function" requirement calculated from the time that the temporary or permanent prosthesis was placed?
The "one-year-in-function" requirement is based on the time that the permanent prosthesis was placed.
- I submitted my application for the Part 2 (oral/case) examination but was unable to get the final photographs (or radiograph) for a case. Can I change cases?
As long as the replacement case still meets all the case requirements, you may change the case submitted for the exam. Notify the AAID office in writing (letter sent by email, mail, or fax) of the new case information. The replacement case report will still be due on the same date as all the case reports.
- What is the interpretation of "edentulous posterior maxilla?"
Free-ended. There is nothing distal to the tooth (teeth) replaced by the implant.
- Does a four-unit bridge (mandibular left lateral incisor to mandibular right lateral incisor) that is anchored by two implants qualify as an edentulous segment or must the implants themselves be adjacent?
Yes. A case that is anchored by two implants qualifies as an edentulous segment of two or more adjacent teeth.
- Do onlay graft cases include ridge split cases?
If the dentist is effectively “splitting the ridge” and doing an interpositional graft and obtaining the net change horizontally (or vertically for that matter), the case would be accepted for the Part 2 examination.
- Can the patient's name and other personal information, e.g., telephone number, appear on the health history included in my case report?
Yes, the patient's name can appear on the health history. However, the city, state, telephone number and, when applicable, the country should not appear in the report.
- If the applicant did not place the implant(s), must the consent form for implant placement be included in the case report?
- From what date is the "one year in function" requirement calculated for an edentulous case in which one of the four root-form implants failed?
The prosthesis must have been in function for one year after the failed implant was replaced.
- Some years ago I placed an implant-supported overdenture for an elderly patient and followed the case for four years before she died. My clinical documentation includes all of the required photographs and radiographs except for a radiograph taken within 12 months of this year's examination period. Her family has authorized me to use her dental records for the examination. Can I use the case for the required edentulous arch case?
Yes, the case can be used provided the candidate has radiographs that document the overdenture was in place for at least one year.
- Are health histories disclosing the patient's name and address to be included in the case reports?
The patient's health history is to be included in the case reports; however, his or her address should be blocked out.
- What is the interpretation of the requirement that the pre- and post-operative diagnoses should be compared in the case report?
If something unforeseen surfaced during treatment, the post-operative diagnosis would be different and should be included in the report. If not, the pre- and post-operative diagnoses would be the same.
- What information should be included in the report with respect to pre- and post- diagnosis?
The pre-op diagnosis would include either partial edentulism or fully edentulous with a description of the ridge or implant site as to bone width height and density. The post diagnosis would be what was achieved with the procedure. The implant site should be presented in the context of the entire arch[s] as this will affect the final outcome, i.e., vertical dimension and inter-occlusal space as well as oral habits.
- If an oral surgeon placed the implants, what should the candidate submit for the surgical report section of the case report?
The candidate should submit the surgeon's report as well as his/her overview since it is assumed that the candidate had direct control about where the implants were placed and the number and brand of implants used.
- The insertion dates for the implants and the prosthesis for each of my cases were included in my application for the Part 2 examination. Therefore, do I need to include these dates in my case reports?
Yes. As specified in the Guidelines for Case Reports for the Associate Fellow Membership Examination, the dates of treatment must be included.
- Are examples of the photographs that must be included in my case reports available?
Yes. Two sets of the photographic views specified in the Guidelines for Case Reports are posted in this section of the web site. Single tooth case (click here); Edentulous Mandibular Arch Removable Prosthesis (click here)
- Is a photograph of a radiograph acceptable?
Yes. Since the Board accepts digital radiographs, a photograph of a radiograph is acceptable.
- Is a panograph required for the case of an edentulous segment of two or more adjacent teeth?
No, a periapical radiograph is acceptable provided it shows both (or all) teeth.
- Can post-surgical periapical radiographs be submitted instead of an immediate post-surgical panograph for cases that include multiple implants?
If the periapical radiographs were made before the abutments were seated, they may be included in lieu of the photograph. Also include a panograph with the abutments in place. Note in your report why you did not submit the post-surgical panograph as specified.
- Should the denture be in place for the post-prosthetic radiograph?
No. For a removable overdenture, the post-prosthetic radiograph should show the bar, the overdenture attachment abutment or superstructure without the denture in place. As noted in the "Photographs" section of the case report guidelines, for cases that include a removable prosthesis, the following three photographs are required in addition to the either photographs required for all cases:
- An occlusal view of the superstructure without the removable prosthesis in place.
- A frontal view of the superstructure without the removable prosthesis in place.
- A view of the intaglio (tissue side) surface of the removable prosthesis.
The goal of these photographs is to show the tissue response to the removable prosthesis as well as the occlusion.
- For one of my cases I have a CT-scan but do not have a presurgical panograph or a full-mouth radiographic series. What should I submit?
Submit the 3-D rendering and a cross section of each of the implants.
- Can a CT scan be substituted for the presurgical panograph or a full-mouth radiographic series that is specified in the Radiographs section of the case report guidelines?
- Can the post-prosthetic and complete case x-ray be the same film as long as it is taken within twelve months of the exam?
Yes, the post-prosthetic and completed case x-ray can be the same film as long as it is taken within twelve months of the exam and the case has been in function for one year. However, two copies of the film should be provided: one labeled post-prosthetic and the other labeled completed case.
Cases with a Removable Prosthesis
- For cases that include a removable prosthesis, a post-completion photograph of the superstructure is required. Where should the superstructure be when the photo is made?
The superstructure should be in the mouth for this photograph. A photo on the model is not acceptable.
- What is the superstructure?
The superstructure is a prosthesis that attaches to implant abutments.
In the JOI Glossary of Terms, the definition of superstructure also states "or an intermediary casting called a mesostructure." The following definition for mesostructure was found on the internet: A mesostructure is an intermediate superstructure that is a series of splinted copings, each of which fits over an implant abutment or natural tooth and over which fits the completed prosthodontic appliance.
- For cases that include a removable prosthesis, two additional photographs are required: (1) a post-completion photograph of the superstructure and (2) a photograph of the implants without the prosthesis in place. When should the photograph have been made?
The Board's preference is a photo that shows the implants before the superstructure was attached. However, if you did not make a photo of the case at that time and the bar is cemented or screw-retained, make a photo without the prosthesis in place.
- If a removable prosthesis is placed on a subperiosteal implant, are two extra photographs required?
No, one photo showing the superstructure without the denture in place will suffice.
About the Examinations
- Must I be present for the entire examination period?
No. All candidates are given appointments that are within the examination period. Candidates are scheduled in groups of five. Each Associate Fellow candidate must be present for no more than 2 1/2 hours.
- May I request that my examination be scheduled on a specific day?
Yes, a specific day within the examination period can be requested at the time of application; the reason for the request must be specified. The Board will endeavor to honor the request but cannot guarantee that the candidate's examination will be scheduled on the day requested.
- Will my oral/case examination focus solely on my case reports?
No. Candidates demonstrate their knowledge of implant dentistry through five standardized cases as well as the reports that they submit to satisfy the case requirements for the examination. A team of two examiners is assigned to each station. For each of the five standardized cases, the candidates review a written description, a panograph and a photograph and then respond to questions related to treatment of the case.
After a candidate completes the five stations, a team of two examiners conducts the case examination that is based on the cases that the candidate submitted. This examination follows a case presentation and discussion format. Before meeting with the candidate, this team of examiners evaluated the case reports that the candidate submitted to determine the degree to which the case reports met the Guidelines for Case Report Preparation.
- How are the oral/case examinations evaluated?
Each candidate receives a total of 88 ratings with input from ten different examiners, each of whom rates the candidate independently. These ratings are organized in ten areas: diagnosis, treatment planning, clinical judgment - surgical, clinical judgment - prosthetic; treatment, outcome, radiographs, photographs, medical history and narrative report.
For the Associate Fellow examination, these ten areas are distributed among the various aspects of the examination as follows:
Written case reports: radiographs, photographs, medical history and narrative report
Each of the five standardized cases: diagnosis, treatment planning, clinical judgment; surgical, and clinical judgment: prosthetics
Defense of the three case reports: diagnosis, treatment plan, treatment, outcome