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AdvancingtheArtsandSciencesofGeneralDentistry

Getting There -
The Road to Board Certification
ABGD Objectives and Responsibilities

To evaluate the standards and advance the science and


arts of general dentistry by encouraging its study and
improving its practice
To examine and determine the qualifications and
competence of dentists who voluntarily apply to the
American Board for certification
To grant and issue certificates in general dentistry to
qualified candidates
To maintain a registry of all dentists
certified and to verify the credentials
of those certified upon request

AdvancingtheArtsandSciencesofGeneralDentistry
ABGD Certificate

May be used for credentialing purposes only


Does not confer legal qualification, privilege
or license to practice dentistry
2016 Snapshot data
683 BC members
163 Retired Members
68 Board Eligible

Civilian 53% / Military 47%

Data current as of June 2015

AdvancingtheArtsandSciencesofGeneralDentistry
ABGD Board of Directors

Nine-member board
3-year term
may be re-elected once for a total of 6 years
Nominating committee submits names of
best qualified individuals to Board
Manages business affairs of the ABGD and
creates and administers the examinations

AdvancingtheArtsandSciencesofGeneralDentistry
Basic Requirements for Eligibility

Must be licensed to practice dentistry


in the US or Canada
OR
Successfully completed a
CODA-accredited GPR/AEGD program
OR
Completion of formal training to a DDS or DMD
degree from a school accredited by the Commission
on Dental Accreditation

AdvancingtheArtsandSciencesofGeneralDentistry
Entry Points to Challenge the
ABGD Board Examination
Entry Point 1
2-yr general dentistry residency
AEGD-2 or GPR-2

Entry Point 2
1-yr general dentistry residency
AEGD-1 or GPR-1
600 hrs CE
OR 2 ~1-yr general dentistry residencies
AEGD-1 or GPR-1
400 hrs CE
Entry Point 3
Mastership with the AGD
AdvancingtheArtsandSciencesofGeneralDentistry
Qualifying Application

Application submitted to the ABGD via one of the Entry


Points (I, II, or III)
Documentation of residency, Mastership
status, CDE hours and application fee
of $300
Recent Graduate within three years of graduation
Reduced application fee $150
If accepted, applicant becomes
Educationally Qualified
Limited exceptions allow you to become Conditionally
Educationally Qualified
Have 5 years to pass the written examination after
becoming Educationally Qualified

AdvancingtheArtsandSciencesofGeneralDentistry
Conditionally Educationally Qualified

Entry Point I
First year of 2-year residency is complete
Documentation provided of pending
completion of second year
Entry Point II
1 Yr Residency completed
but 600 CDE hours remaining
Entry Point III
MAGD application accepted by AGD DE Council
but have not attended Convocation to receive award

AdvancingtheArtsandSciencesofGeneralDentistry
Written Examination

Submit application with fee of $400


Recent Graduate fee $250
Test offered:
Tampa March or April
AGD annual meetings June/July
Select military sites
300 multiple choice questions
Three attempts to pass
Criterion-referenced
minimum passing score based on expectation of a minimally
competent ABGD certified General Dentist

AdvancingtheArtsandSciencesofGeneralDentistry
Written Examination Content

Endodontics = 35 Oral Path/Oral Med/Oral


Oral Surgery = 35 Diagnosis = 41
Radiology = 8 Public Health/Infection
Periodontics = 34 Control/Orthodontics/
Pediatric Dentistry = 41
Fixed Pros = 45
Removable Pros = 30 300 Questions
Partial dentures = 20
Complete dentures = 10
Operative Dentistry = 40 Implants = 20
Dental Materials = 22

AdvancingtheArtsandSciencesofGeneralDentistry
The Road to Board Certification

Board Eligible or Conditional Board


Eligible after passing Written Exam
Submit Oral Exam application
$550 fee
Begin preparation for Oral Exam
Oral Exam
Case Treatment Planning and Rationale
Discipline-Specific Oral Examination
Have 5 years to pass the Oral Examination
after becoming Board Eligible

AdvancingtheArtsandSciencesofGeneralDentistry
Discipline-Specific Oral Examinations

Eight sessions over a 4-hour period


Endodontics
Periodontics
Oral Surgery/Radiology
Oral Diagnosis, Oral Medicine, Oral Pathology
Orthodontics, Pediatric Dentistry, Public Health &
Infection Control
Operative Dentistry
Fixed Prosthodontics
Removable Prosthodontics

AdvancingtheArtsandSciencesofGeneralDentistry
Treatment Planning Case

Standardized Case Treatment


Planning Track (NEW FORMAT)
OR
Case Presentation Track

AdvancingtheArtsandSciencesofGeneralDentistry
STUDY AIDS

ABGD Written Exam Study Guide: $45


100 sample questions which reflect the content make-up
of the exam with references
ABGD Treatment Planning Study Guide: $45
Guidelines for Treatment plan format in 6 phases, Problem
list, Treatment Objective & Overview, Prognosis, etc.

AdvancingtheArtsandSciencesofGeneralDentistry
Oral Examination

Tampa, Florida
Sheraton Tampa Airport/Westshore
4400 West Cypress Street, Tampa, FL
(813) 873-8675
Near Tampa Intl Airport

AdvancingtheArtsandSciencesofGeneralDentistry
QUESTIONS?

AdvancingtheArtsandSciencesofGeneralDentistry
Case Treatment Planning and Rationale

Two Options
Standardized Case
New Format for 2016
Case Review/Oral Examination
Diagnosis
Treatment planning
Rationale

OR
Case Presentation (Submission of 3 original cases; present 2)
Diagnosis
Treatment planning
Rationale

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Case Review
Presented with standardized materials on an
actual patient
ABGD provides these diagnostic aids:
Case scenario
Medical/Dental history
Chief Complaint

Radiographs
Panograph and FMX
Occlusal relationship

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Case Review
Diagnostic aids (cont.)
Diagnostic casts
Mounted
Un-mounted

Periodontal charting
Diagnostic charting
Existing restorations
Photographs
Intraoral/Extraoral
Lined8.5 x 11 inch paper for notes
Consult, Lab Rx forms & Charting forms
Surveyor, table, rods, gauges, etc

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Case Review
Candidate provides
Surveyor, table, rods, gauges, etc (optional)
Pens (blue and black only)
Colored pencils (red, blue, brown)

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Case Review
Case Review section (approx. one hour)
Major Diagnoses supported by findings
Medical considerations
Treatment Plan by phase
Supporting Rationale
Prognosis
Prosthetic designs
Charting of proposed treatment

No formal, written documentation is required

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Oral Examination
Oral Examination (NEW FORMAT)
Similar to Discipline-Specific Oral Examinations
Be prepared to discuss:
Correct diagnoses supported by findings
Phased treatment planning approach
Develop reasonable treatment plan
Address chief complaint
Consider occlusion/key abutment teeth
Materials selection
Fixed, removable or Implant design considerations
Function, esthetics and space maintenance
Appropriate medical management
Disease control
Justify treatment decisions

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Oral Examination
Organize talking points using this Format
Problem List/Diagnosis
Treatment Overview
Treatment Plan with Rationale
Systemic
Emergency
Preparatory
Disease Control
Re-evaluation
Corrective
Reconstruction
Maintenance

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Oral Examination
Diagnosis/Problem List
Chief Complaint
Medical/Systemic
Oral Pathology
Restorative
Endodontics
Prosthodontics
Oral Surgery
Orthodontics
Occlusion
Periodontic
Esthetics

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Oral Examination
Treatment Plan Overview
Control active disease, monitor systemic
health
Definitive reconstruction will be maxilla FPD
and crowns opposing mandibular implant
support RPD in a mutually protected
occlusion
Prognosis
Good if patient maintains excellent OHI

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case:
Oral Examination
Treatment Plan with Rationale
Emergency Phase
Chief complaint
Pulpal/periapical Dx
Appropriate diagnostic tests
Acute/chronic infections

Treatment Rationale
Extract #2 Symptomatic & non-restorable
Pulpectomy #30 Symptomatic irreversible pulpitis

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case Diagnosis,
Treatment Planning, and Rationale
Systemic Phase
Treatment Rationale

Medical consult Diabetic, anticoagulation therapy, INR,


joint replacement

Preparatory Phase
Treatment Rationale
Scale/root plane Subgingival calculus, pocket depth > 5mm

#5 MOD composite Esthetic zone, patient desire


Z250 composite, Optibond FL

Prepare to discuss and justify Tx decisions


AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case Diagnosis,
Treatment Planning, and Rationale

Preparatory Phase
Treatment Rationale
NSRCT #30 Complete emergency treatment
Crown down with GT Tapered prep allows access to apical
files region
Continuous wave More thorough obturation than cold
GP condensation lateral condensation

Bonded amalgam Restore function, prevent fracture,


cuspal coverage Valiant PhD.
restoration

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case Diagnosis,
Treatment Planning, and Rationale
Re-evaluation Phase
Treatment Rationale
BWXRs, plaque score, prophy Evaluate home care, new caries.
Reconstruction?

Corrective Phase
Treatment Rationale

PFM FPD #3-5 Restore form and function; strength of metal frame
Modified ridge lap pontic for hygiene, porcelain
occlusal and proximal contacts, shoulder facial
porcelain for esthetics

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case Diagnosis,
Treatment Planning, and Rationale

Corrective Phase
Treatment Rationale
PFM Crown #30 Restore form and function; improve occlusal relationship
with FPD #3-5, improve esthetics
RMGI cement, high noble alloy, feldspathic porcelain

Maintenance Phase
Treatment Rationale

4 month prophy, evaluate occlusion, Motivate patient to maintain oral health


OHI. Extend to 6 months if OHI is good

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case
Oral Examination
Important points to remember
Significantpreparation prior to examination
Phased treatment planning approach
Chronologically sequenced treatment
Supported by current standards and accepted
dental therapeutics
Consider problem list
Major diagnoses
Do no harm

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case
Oral Examination

AdvancingtheArtsandSciencesofGeneralDentistry
Standardized Case
Oral Examination

New Format for Standardized Oral Case Examination

Candidate will have one hour to review case

Candidate is examined - 45 minutes for oral exam

Total time for exam is 1 hour, 45 minutes

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation
Case Presentation Track
Submit 3 moderately difficult cases
One case must include replacing missing teeth
RPD, FPD or implant
One case must include periodontal treatment (surgery)
Flap, osseous grafting, soft tissue augmentation
One case must include operative dentistry
Multiple quadrant
Incomplete cases
Failures and returned

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Each case must include at least 3 of the following


disciplines
Periodontal Treatment
Operative Dentistry
Oral Pathology/Oral Medicine
Oral Surgery
Endodontics
Fixed Pros/Implant
Removable Pros/Implant
Ortho/Pedo/Public Health

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Candidate must be primary clinician


Submitted cases must document care in 6
sequenced phases;
Emergency
Systemic
Preparatory/Disease Control
Re-evaluation
Corrective-Restorative
Maintenance

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation
Due to ABGD Office by February 1st
Release of Information and Waivers
Medical History form
Medical Consults if needed
Treatment Plan & Rationale
Photographs
Clinical
10 pre-op and 10 post-op
Casts
5 pre-op and 5 post-op
AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Periodontal charting
Missing teeth
6 point probing depth
Level of gingival margin
Furcation
Mobility
BOP/suppuration
Location of mucogingival junction

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Digital
Pre and post FMXRs
(complete series)

Lab authorizations

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Board reviews cases


Acceptable
Conditionally Acceptable
Unacceptable
Two are chosen for presentation
10 min presentation
20 min questioning

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Candidateinformed which two of the three


submitted cases will be presented
Oral Exam in Tampa, FL
April or May of the same year

AdvancingtheArtsandSciencesofGeneralDentistry
Case Presentation Documentation

Digital images Digital images must be at least


600x800 dpi resolution
Intraoral video camera images are not acceptable
Pre-treatment and post-treatment images must
conform to prescribed views of the ABGD

All case information is digitized and included on


CD or flash drive for the Board to retain (photos,
radiographs, casts, paperwork, etc.)

AdvancingtheArtsandSciencesofGeneralDentistry
Full Face View (1)

Full Face

AdvancingtheArtsandSciencesofGeneralDentistry
Anterior View in Occlusion (1)

Full Retracted

AdvancingtheArtsandSciencesofGeneralDentistry
Facial Views in Occlusion (2)

Right Buccal Left Buccal

AdvancingtheArtsandSciencesofGeneralDentistry
Occlusal Views (2)

Maxillary Occlusal Mandibular Occlusal

AdvancingtheArtsandSciencesofGeneralDentistry
Lingual Views (4)

Right Palatal Left Palatal

Right Lingual Left Lingual

AdvancingtheArtsandSciencesofGeneralDentistry
Anterior View - Casts (1)

AdvancingtheArtsandSciencesofGeneralDentistry
Facial Views - Casts (2)

Right Left

AdvancingtheArtsandSciencesofGeneralDentistry
Occlusal Views - Casts (2)

Maxillary Mandibular

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Treatment Plan Format


Diagnosis/Problem List
Treatment Plan Overview
Treatment Plan with Rationale
Prognosis

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation
Problem list by Discipline
Chief Complaint
Medical/Systemic
Oral Pathology
Restorative
Endodontics
Periodontal
Orthodontics
Oral Surgery
Occlusion
Prosthodontics
Esthetics

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Treatment Plan by 6 Phases:


Emergency
Systemic
Medical consults
Preparatory
Disease control
Re-evaluation
Corrective
Reconstruction
Maintenance

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

Pre-operative Diagnostic casts


Mounted on semi-adjustable articulator
Unmounted
Wax up

Post-operative casts
With and without RPD

AdvancingtheArtsandSciencesofGeneralDentistry
Option 2 Case Presentation

OralPresentation
Defend two cases
Approx. 10 min to present (powerpoint)
Approx. 20 min for questions

AdvancingtheArtsandSciencesofGeneralDentistry
Summary

Successful Completion of Written and Oral


Exam
Diplomate of ABGD
Annual Renewal
$125
Recertification
Every 5 years
125 hours of CE
$75 fee

Retired
Recent Graduate Fees
AdvancingtheArtsandSciencesofGeneralDentistry
Contact Information

American Board of General Dentistry


PO Box 7613
Seminole, FL 33775-7613

Phone: 561-809-5491

NOTICE: The address above does not accept UPS or FedEx packages.
Please call our office for shipping address.
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AdvancingtheArtsandSciencesofGeneralDentistry