Written Examination
Certification
Part I: Written Examination
Written Exam Overview
As the first of two examinations, the Written Exam asks candidates to apply their implant dentistry knowledge to real clinical situations through a multiple-choice format.
The examination consists of 200 multiple-choice questions, each requiring candidates to choose the single best answer. Questions reflect the essential knowledge areas defined by the ABOI/ID Examination Committee, and the exam is administered at secure Pearson VUE testing centers.
Practice Analysis and Test Design
Each edition of the examination is developed according to the Test Specifications, which are based on practice analyses conducted with ABOI/ID Diplomates. These analyses identify the activities essential to delivering safe and effective patient care, and the Board updates them periodically to keep the Specifications current. Candidates preparing for the examination should review the Test Specifications carefully.
Obtaining and assessing diagnostic data
15% of exam
- Assess the patient’s medical history
- Evaluate the patient’s bone anatomy
- Assess patient risk factors
- Identify all clinical parameters for a completely edentulous patient
- Identify all clinical parameters for a partially edentulous patient
- Assess the patient’s dental history
- Obtain and evaluate diagnostic records
- Obtain and evaluate CBCT scans
- Assess the patient’s facial esthetics
- Assess the patient’s temporomandibular joints and parafunctional habits
- Obtain and assess the patient’s clinical and medical laboratory tests
Developing and presenting a patient treatment plan
18% of exam
- Select the most appropriate treatment
- Educate the patient on the limitations of the proposed implant therapy
- Integrate the patient’s medical and dental history findings into the proposed treatment
- Evaluate all pertinent treatment options with the patient
- Modify treatment plan based on biomechanics
- Assess and manage peri-operative pharmacological parameters
- Plan and present the sequence (staging) of the proposed treatment plan to the patient
- Modify treatment plan based on esthetics
- Coordinate the phases of the patient’s proposed treatment plan with dental and non-dental healthcare providers
Implementing patient treatment
44% of exam
- Use an aseptic field during surgery
- Perform a framework try-in
- Make and evaluate a final impression for 4 or more implants
- Design and fabricate a full arch prosthesis
- Design, manage, and suture various flaps
- Monitor and assess the patient’s peri-operative vital signs
- Implement a surgical and prosthetic contingency plan
- Make and evaluate a final impression for 3 or less implants
- Manage the patient’s anxiolytic state peri-operatively
- Maintenance and augmentation of the patient’s ridge
- Customize peri-operative protocols (hygiene, diet, medications, habit control, temporization, nightguard, occlusal control, etc.)
- Design, fabricate, and place a screw retained fixed prosthesis
- Utilize digital technology for treatment (CBCT, printed models, printed surgical guides, impressions, restorations, etc.)
- Perform a one or two stage implant surgery
- Assess primary and secondary implant stability
- Design and fabricate a single tooth transitional prosthesis for soft tissue contour
- Perform soft tissue grafting procedures
- Evaluate different radiographic modalities throughout treatment
- Design, fabricate, and place a removable overdenture
- Design, fabricate, and place a cement retained fixed prosthesis
- Use guided tissue regenerative procedures
- Manage the patient’s soft tissue
- Perform pre-prosthetic surgery, including hard and soft tissue
- Augment the patient’s sinus
- Evaluate the degree of healing and patient compliance
- Place implants in a healed ridge for a full arch with or without immediate functional load
- Perform immediate implant placement for a full arch with or without immediate functional load
- Perform immediate implant placement for a single tooth with or without a provisional
- Design and fabricate surgical guides
- Place short implants (<7mm)
Maintaining the effectiveness of the dental implant treatment
8% of exam
- Assess comfort, occlusion, function, and esthetics
- Perform periodic radiographic evaluation
- Evaluate the patient’s implant treatment outcome periodically and refine as needed
- Customize maintenance protocols
- Evaluate the significance of changes in the patient’s physical and psychological health
- Identify and address changes in the patient’s temporomandibular status and parafunctional habits
- Identify changes in the patient’s lifestyle (social habits, vocational, employment, marital, and/or financial)
Prevention and management of complications
15% of exam
- Prevent and manage medical emergencies
- Prevent and manage post-operative surgical complications
- Prevent and manage intra-operative surgical complications
- Prevent and manage prosthetic complications
- Prevent and manage aesthetic complications
- Prevent and manage neurosensory disturbances
- Identify and manage peri-implantitis
- Treat a failing implant
After the Exam
Candidates who pass Part I become eligible for the Part II Oral/Case Examination. Those who do not pass may reapply for a future administration according to ABOI/ID policies.