Case Presentation Overview

I. Introduction

The Case Presentation (CP) is the third phase of a four-part Philippine Board of Pediatric Dentistry (PBPD) certification process and is designed to provide evidence toward validation of the candidate’s advanced training in pediatric dentistry.

The purpose of the Case Presentation is to assess the candidate's treatment planning ability and knowledge of various aspects of treatment after Pediatric Dentistry training. Comprehensive patient care must be documented.

II. Objectives

The Case Presentation (CP) offers each candidate the opportunity to demonstrate and document proficiency in the diagnosis and treatment of a broad range of clinical problems common to the contemporary practice of Pediatric Dentistry. The clinical judgment and skills demonstrated in the cases selected by the candidate must be of a standard expected from a Pediatric Dentist who aspires for Diplomate status. To achieve this end, the candidate must demonstrate:

1. Sustained successful treatment results that are of high quality;

2. Excellence in patient records documentation; and

3. Knowledge and ability to solve clinical cases in pediatric dentistry.

III. Application for Case Presentation

A candidate may apply for the Case Presentation once she/he has passed the Qualifying Written Examination.

The application for Case Presentation together with the P15,000.00 examination fee must be submitted on or before the April 15 of the current year when the Case Presentation is intended to be submitted.  The Case Presentation must be submitted by June 15 of the current year.

IV. Cancellation and Forfeiture of Fees

A. Cancellation prior to May 30 = PHP 6,000.00 processing fee

B. Cancellation after May 30 = PHP 10,000.00 processing fee

C. Failure to submit on June 15 = forfeiture of the examination fee of PHP 15,000.00

D. Examination fees are not transferrable from one year to another.

To cancel application, a letter addressed to the PBPD Secretary must be submitted stating reason for cancellation. Failure to do so may forfeit whole amount of application fee.

IV. Description of the Examination

The Case Presentation section of the Philippine Board of Pediatric Dentistry (PBPD) is designed to offer each candidate the opportunity to demonstrate and document proficiency in the diagnosis and treatment of a broad range of clinical issues common to the contemporary practice of pediatric dentistry. Candidates are required to submit four (4) cases from different categories that meet the specific case category criteria and they must, in each of those cases, document comprehensive oral health care of the child including diagnosis, treatment plan, delivery of care, and follow-up evaluations.

There are 6 categories the candidate may choose from: trauma, periodontal therapy, orthodontic therapy, restorative therapy using general anesthesia or sedation, restorative therapy for a child with special health care needs, and restorative therapy without using general anesthesia or sedation. Within each category, there are a number of case options available to the candidates.

It is required to submit the Case Presentation section in the standardized format. This mandatory format provides a template where candidates can apply their clinical information (including photocopies of original records, photographs, and radiographs) and verify that they have met the requirements for submission of cases. Candidates are given very detailed instructions as to the preparation/presentation of each case. From the perspective of the Case Presentation process, this uniform format eliminates unnecessary information from the case presentation and allows the case assessment to proceed in a clearer and more objective fashion.

Candidates may select cases from the following topic categories:

Category 1 – Comprehensive Care of a Pediatric Patient with Emphasis on Dental Trauma

Case 1A – Coronal Fracture of Permanent Incisor Involving Enamel and Dentin

Case 1B – Complete Avulsion of Permanent Incisor Treated with Replantation

Case 1C – Root Fracture of a Permanent Incisor

Case 1D – Crown Fracture or Luxation Injury of Primary Incisor Involving Pulp Therapy

Category 2 – Comprehensive Care of a Pediatric Patient with Emphasis on Periodontal Therapy

Case 2A – Treatment of Generalized or Localized Pre-pubertal/Juvenile Periodontitis

Case 2B – Surgical Correction of a Mucogingival Defect

Case 2C – Treatment of Acute Necrotizing Ulcerative Gingivitis

Case 2D – Surgical Management of a Frenum

Option 1 – Surgical Management of a Frenum

Option 2 – Surgical Management of Restrictive Lingual Frenum

Case 2E – Surgical Management of Fibrous Gingival Hyperplasia

Category 3 – Comprehensive Care of a Pediatric Patient With Emphasis on Orthodontic Therapy

Case 3A – Interceptive Orthodontic Case – Correction of an anterior cross bite, posterior cross bite, anterior open bite, excessive over jet, deep bite or space regaining in the primary or early mixed dentition. Interceptive treatment must restore occlusion development to a normal pattern for the primary or mixed dentition.

Case 3B – Comprehensive Orthodontic Case – Correction of a complex malocclusion with comprehensive management required into the adolescent permanent dentition with utilization of orthodontic appliances. Overall treatment may involve multiple phases to include growth modification; but must show final completion into the dentition.

Category 4 – Comprehensive Care of a Pediatric Patient with Emphasis on Restorative Therapy using Sedation or General Anesthesia for Patient Management

Case 4A – Comprehensive restorative care involving the use of sedation to manage the patient. Inter proximal caries must be restored in three sextants or more with at least one primary molar requiring a pulpotomy or pulpectomy and stainless steel crown.

Case 4B – Comprehensive restorative care involving the use of general anesthesia to manage the patient. Inter proximal caries must be restored in three sextants or more with at least one primary molar requiring a pulpotomy or pulpectomy and stainless steel crown.

Category 5 – Comprehensive Care of a Pediatric Patient with Special Health Care Needs with Emphasis on Restorative Therapy

Comprehensive restorative care for a child presenting medical, physical and/ or mental disabilities which require special management to accomplish comprehensive dental care. A letter from the primary physician or photocopy of the medical record describing the disability must be provided. Management may involve use of sedation, general anesthesia or non-pharmacological behavior techniques to accomplish the dental treatment. Interproximal caries must be restored in two sextants or more with at least one primary tooth requiring pulpotomy or pulpectomy and a stainless steel crown.

Category 6 – Comprehensive Care of a Pediatric Patient with Emphasis on Restorative Therapy for a child Without the Use of Sedation or General Anesthesia

Comprehensive restorative care in the primary or mixed dentition without use of sedation or general anesthesia to manage the patient. The use of nitrous oxide/oxygen inhalation is acceptable. Interproximal caries must be restored in three sextants or more with at least one primary molar requiring a pulpotomy/pulpectomy and a stainless steel crown.

V. Examination Blueprint

The CASE PRESENTATION section requires submission of FOUR (4) separate categories of pediatric dental patient care documented with specific criteria for presentation. The FOUR (4) CASE SUBMISSIONS must be selected from the six (6) major Case Category options. A brief discussion of the four (4) cases will be required upon submission.

In the presentation of case materials for each of the case categories, the candidate must submit a formal written discussion to document the diagnostic and treatment aspects of the individual patient. This case presentation includes meeting the specific CASE CATEGORY CRITERIA for each of the individual case selections and documentation of COMPREHENSIVE ORAL HEALTH CARE of the child including diagnosis, treatment planning, delivery of care, and follow-up evaluations. The documentation requires a minimum follow-up assessment period for the practitioner and the Board to determine treatment outcomes in the comprehensive care provided for that patient.

VI. Recommendations for Preparation

1. The Case Presentation requires submission of four (4) separate categories of pediatric dental patient care documented with specific criteria for presentation. The FOUR CASE SUBMISSIONS must be selected from six major Case Category options.

2. Case categories cannot be combined within a single patient record; three individual cases representing FOUR SEPARATE PATIENTS from FOUR different categories must be presented. All four case Presentations must be submitted at one time for evaluation.

3. The Philippine Board of Pediatric Dentistry endorses the current American Academy of Pediatric Dentistry’s 2011-2012 Definitions, Oral Health Policies and Clinical Guidelines (www.aapd.org/policies). The candidate should be familiar with and adhere to these guidelines and criteria in the treatment of each child represented in each of the cases submitted for examination.

4. The PBPD Handbook for Case Presentation that will be provided is the guide to be used in preparing for the Case Presentation. Please refer to the Handbook for Case Presentation for instructions on how to assemble your submitted cases.

VII. Day of Submission

Completed cases will be submitted no later than 5 pm of June 15 to the Secretariat Office. All submitted materials will be the property of the PBPD.

VIII. Grading

Each case submission is graded independently according to STANDARD EVALUATION AREAS which assess specific criteria appropriate to the case category and the comprehensive care provided to the patient. The specific and general evaluation topics for each category of case are formatted on standard grade sheets which mirror the typical formats outlined on the Candidate’s Case Presentation Worksheet for each of the separate case categories (enclosed). Cases are objectively graded using these evaluation topics with each separate case receiving a PASS or FAIL assessment.

  • Any case scored as a “PASS” is credited to the candidate toward fulfillment of the three case requirements for the duration of the six (6) year certification period. The candidate is informed of the “PASS” assessment for the specific category. A candidate must receive a “PASS” evaluation in a total of three cases from three different category options to successfully complete the Case Presentation Section.
  • A case determined as a “FAILURE” is judged not to meet either the case specific criteria and/ or the comprehensive care requirements using the grading standards as described. A “FAILURE” may also result from commission of a Critical Error (see section on Critical Errors, page 6). The candidate is informed in writing of the evaluation results with specific criteria as to the reasons for the FAIL assessment. Any case judged as a “FAILURE” cannot be resubmitted as the determination implies the case materials do not have the potential to meet evaluation standards. It is necessary to submit a new case in the same category.

Results of the examination will be conveyed to the Board Eligible candidate within 60 days after the test is administered. Candidates who get a passing grade may go on to take Phase IV Clinical Oral Presentation Examination (CORE) section.

IX. Re-examination Policy

Candidates who fail the Case Presentation section may retake the examination annually within their 6 -year eligibility period. The eligibility period begins when the candidate sits for his/her initial Qualifying Written Examination regardless of the outcome and terminates on December 31 of the 6th year.