Endo Submission Reminder  

• 1 of 3 cases submitted must include a molar endo
• Pre and Post - Xrays are also required
• Click the link to complete Endo Assessment - 80% Pass Rate is required

 Crown Submission Reminder 

• 3 Cases must be submitted
• Pre and Post Xray, Scan, and Intra-Oral Image required
• Use the following STL file instructionsto upload your scan
• Click the link to complete Crown Assessment- 80% Pass Rate is required

 Invisalign Submission Reminder 

• Cases started from September 1 - October 31st are only counted as starts
• 1 completed case must be submitted
• Pre and Post Photo Series and a Scan of the completed case are required for submission
• Use the following STL file instructions to upload your scan
• Use the following PPT templateto upload your series - note only 1 image file allowed
• Click the link to complete Clear Aligner Assessment - 80% Pass Rate is required

Click here for FAQ

Click herefor the Flyer

 



Case Submission Guidelines

• Case # - Participant Name - State Abbreviation

Required Documents: requires the following (legible) documents for case approval:

1. Patient Health History and Patient Medical Release Form
2. Diagnostic Quality FMX, Pano, PA of Implant Site, (Optional Kentucky Conebeam or Kansas Cat scan with calipers)
3. Diagnosis and Periodontal Health Status
4. Poured Models, Copy of Full Arch Scans (Export STL File Instructions), or Intraoral photo of Probe measurements 

Approval Guidelines: Cases will be approved and ranked based on the surgical difficulty level scale of 1 to 5.

• (Slight to moderate difficulty 1-3) = automatic approvals
• (Above moderate difficulty 4) = Clinical Director approval required
• (High degree of difficulty 5) = will not be approved 

Please allow 7-10 business days for an email response from your mentor.

Course Requirements 

Cases must be submitted with all required documents and approved by the host mentor before your workshop date

Cases will be approved and ranked based on the difficulty level on a scale of 1 to 5.   

• 1-3 are automatic approvals
• 4 requires Clinical Director approval
• 5 is not approved

You must register at least 2 weeks prior to the workshop to receive appropriate supplies.

Review page 2 of the Clinical Foundations Workshop Flyer prior to completing this form to select the correct Workshop

The following documentation is required for case approval:
Documentation is required for each patient.   
For each case submission, you will use a new submission form. 

• Patient Health History 
• Signed Patient Medical Release Form
• Pano, FMX, BW's, PA of teeth to be treated
• Intraoral Photos 
• Diagnosis, Teeth #'s, and Perio Health Status

Reminder: All 3 procedures must be approved and completed and a post-op endo PA submitted to receive CE Credit.  

The post-op PA needs to be submitted through a separate Submittable portal on the day of the workshop 

Deadlines:

Cases must be submitted no later than 11:59 PM the day of your workshop to qualify for CE for the Clinical Foundations Workshop (CFW)


Required Submission:

PA of completed endodontic case