The oral examination is primarily designed to assess the candidate’s ability to make appropriate clinical decisions when managing individual patients. Clinical decision making ability will be evaluated and weighted with standardized oral questions that reflect the relative importance of that clinical decision as covered in the broad spectrum of Prosthodontic topics (below).
The Component II Examination will consist of two parts:
Part 1: Comprehensive Clinical Case The comprehensive clinical case will involve the candidate being presented with a standardized set of diagnostic data. The candidate will be given 30 minutes prior to the oral examination to review the diagnostic data and think about the clinical management of the case. In the Examination, the examiners will provide questions on the case that will focus on clinical decision making skills oriented around diagnosis/etiology, pre-prosthetic management strategies, Prosthodontic treatment plans, treatment execution and sequence of prosthetic treatment, post operative management, and long-term prognosis. The total duration of this section of the oral examination is 75 minutes (case review for 30 minutes and questions for 45 minutes).
Part 2: Topic-specific Clinical Case Scenarios
Part 2 of the Examination will continue with topic specific clinical scenarios with questions on standardized case material. This part consists of two sessions:
The first session will immediately follow the Comprehensive Clinical Case for an additional duration of 45 minutes.
The second session will consist of an additional 90 minute session of questions.
Topics for Review
The topics listed below are suggested as a guideline only and should not limit candidates’ review of the Prosthodontic literature in preparation for the Examination. The topics listed below are subject to change and candidates should not limit the scope of their studying to this list.
Removable Complete Dental Prosthesis
Removable Partial Dental Prosthesis
Fixed Detnal Prosthesis Supported by Natural Teeth
Dental Implant Supported Prosthesis
General Prosthetic Principles
Basic Science Topics
Pre-prosthetic Patient Assessment
Pre-prosthetic procedures and/or referrals
Prosthetic Design Principles and Theories
Laboratory Procedures and Techniques
Temporomandibular Joint Disorders
Post Prosthetic Management
Prosthondontic 'Sub-discipline' Definitions
Fixed Prosthodontics is the branch of Prosthodontics concerned with the replacement and/or restoration of teeth by artificial substitutes that are not removable from the mouth.
Removable Prosthodontics is the branch of Prosthodontics concerned with the replacement of teeth and contiguous structures for edentulous or partially edentulous patients by artificial substitutes that are removable from the mouth.
Implant Prosthodontics is the branch of Prosthodontics concerned with the replacement of teeth and contiguous structures by artificial substitutes partially or completely supported and/or retained by alloplastic implants.
Maxillofacial Prosthetics is the branch of Prosthodontics concerned with the restoration and/or replacement of stomatognathic and associated facial structures by artificial substitutes that may or may not be removed.
Candidate Study Guide
The intent of this guide is to provide the candidate with an understanding of the format in which questions may be asked during Component II of the National Dental Specialty Examination. The content used in these sample questions is used for illustrative purposes only, and should not be construed as an example of the level of difficulty of the examination questions.
Try to relax and listen carefully to the questions.
Notepads and pens will be available for note taking. All notes must be left in the Examination room at the end of the Examination.
When asked to describe something, do not skip to the obvious conclusion and ignore other important details. The examiners are interested in observing the process used by the candidate to critically assess the item. Do not stare at an image quietly; candidates should verbalize their thought processes and describe what they see.
The Examination cases have been selected to be representative of the skills and knowledge a qualified specialist with appropriate training should be able to personally manage. Whether candidates treat a particular type of patient in their practice or provide a particular procedure in their office is irrelevant.
Candidates should handle each case as though it were a patient presenting to his/her office, and answer the questions as if he/she was personally treating the patients in his/her practice.
Candidates may ask to have questions repeated and to see images again if needed. Candidates may also ask to see additional images. Once a case is completed and the Examination has progressed to the next case, candidates cannot answer questions on previous cases.
All the case material must be covered during the allotted time period. Answer the questions in a succinct and organized manner. Candidates that stall or ramble will be refocused to the original question by the examiners.
The examiners remain impartial and have been trained not to give candidates any indication whether their responses are correct or incorrect. This behaviour may appear unfriendly to some candidates, but it is essential to ensure that no candidates receive helpful positive reinforcement from examiners.
Do not argue or debate with the examiners in an attempt to elicit information or the correct response. If there are legitimate differences of opinion on how to treat a case within a specialty, select the mainstream option and then mention possible alternative approaches.
Remember that there are never any trick questions.