Orthodontics
Orthodontics is the branch and specialty of dentistry concerned with the supervision, guidance, and correction of the growing or mature dentofacial structures and the diagnosis, prevention, and treatment of any abnormalities associated with these structures.
Examination Format
The Fellowship Examination in Orthodontics evaluates the advanced clinical judgment, diagnostic reasoning, and communication skills required of a Fellow in Orthodontics. The objective is to assess a candidate’s ability to synthesize information, make sound treatment decisions, and manage complex patient care scenarios at the level expected of a Fellow of the Royal College of Dentists of Canada. The examination emphasizes proficient data gathering and diagnosis, critical clinical analysis, patient-centered decision making, and professional communication.
| Element | Time | Description |
|---|---|---|
| Part 1: Case Analysis | 45 minutes preparation, 15 minutes questioning | Candidates will be provided access to complete patient records and 45 minutes of preparation to enable comprehensive analysis and treatment planning for one comprehensive case. |
| Part 1: Oral Examination | 45 minutes | Candidates will be presented with case histories, pertinent medical and dental histories, radiographs, clinical photographs, and other clinical information. Candidates will be expected to recognize, diagnose, and plan appropriate intervention, recommend management and treatment, and follow-up care for the presented patients. |
| Part 2: Case Analysis | 45 minutes preparation, 15 minutes questioning | Candidates will be provided access to complete patient records and 45 minutes of preparation to enable comprehensive analysis and treatment planning for one comprehensive case. |
| Part 2: Oral Examination | 45 minutes | Candidates will be presented with case histories, pertinent medical and dental histories, radiographs, clinical photographs, and other clinical information. Candidates will be expected to recognize, diagnose, and plan appropriate intervention, recommend management and treatment, and follow-up care for the presented patients. |
Examination Blueprint
| Domain | Weight |
|---|---|
| Data Gathering and Diagnosis | 30 – 40% |
| Treatment Objectives and Planning | 25 – 35% |
| Treatment Implementation, Management, and Complications | 25 – 35% |
| Communication | 5 – 15% |
Blueprint
Orthodontics
| Format | Each session consists of a series of structured clinical cases designed to reflect real-world orthodontic practice. |
| Assessment | Performance is evaluated using the Global Rating Scale (GRS), which emphasizes judgment, reasoning, and communication across multiple domains. |
| Examiner Role | Examiners are responsible for pacing the examination and guiding the discussion. Examiners may supplement case scenarios with text, clinical photographs, radiographs, or other imaging as part of the discussion. |
| Candidate Role | Candidates are expected to approach each case as they would in practice: by gathering and interpreting information, formulating a diagnosis, developing and justifying treatment options, and communicating their decisions clearly. Candidates are encouraged to think aloud, explain their reasoning, and communicate their approach as they would in a clinical setting. |
Preparation
Preparation should focus on applied reasoning and communication rather than memorization. Candidates are encouraged to:
- Practice structured case discussions, individually or with peers.
- Rehearse verbalizing reasoning, including justification of decisions and management of uncertainty.
- Review the example case provided to become familiar with the style of questioning and depth of response expected.
- Focus on clarity, structure, and professionalism in communication
FDI Two-Digit Tooth Numbering Chart
The Fellowship Examination uses the FDI Two-Digit system.
Sample Case
Orthodontics