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ISOI FELLOWSHIP APPLICATION

This document outlines the required application format for the ISOI Fellowship, detailing essential patient case information including patient name, address, and mobile number. It specifies case types (single, multiple, full maxilla, full mandible), procedures (surgical, flapless, CT-guided), and implant details (make, diameter, length). Detailed photographic submissions are required, including frontal, occlusal, and lateral views. Radiographs for pre-op, post-op, and post-prosthetics must also be submitted, along with clear date markings. Adherence to specified guidelines is crucial for successful application.

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ISOI FELLOWSHIP APPLICATION

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  1. ISOI FELLOWSHIP APPLICATION NAME: ADDRESS: MOBILE NO:

  2. CASE NO 1 • Name of the Patient: • Type of case:- ( Single / Multiple / Full Maxilla / Full mandible) • Procedure: ( Surgical / Flapless / CT guided .. Etc) • Implant: ( Name & company, diameter & length of implant) • Eg- Implant , XYZ company, manufacturer , Place, • Diameter, length, type of implant surface)

  3. PHOTOGRAHS TO BE SUBMITTED • FRONTAL • PROTRUSIVE • OCCLUSAL, MAXILLARY • OCCLUSAL, MANDIBULAR • LEFT LATERAL • RIGHT LATERAL • LEFT WORKING • RIGHT WORKING

  4. CASE1 , PHOTOS 1-4, CLOCKWISE, DATE OF PHOTOS

  5. CASE1 , PHOTOS 5-8, CLOCKWISE, DATE OF PHOTOS

  6. RADIOGRAPHS • PRE-OP OPG • POST - OP OPG OR POST –OP IOPA • (for single tooth implant within 3 days • of surgery) • POST-PROSTHETICS ( with prosthesis in place) • OPG after 1 year of prosthetic placement

  7. CASE 1 - RADIOGRAPH VIEWS View 1 – Date of photo View 2 – Date of photo View 4 – Date of photo View 3 – Date of photo

  8. REPEAT THE SLIDES FOR CASES 2-10 • Do not add extra slides • Please be specific for all the cases with respect to number of slides and the content

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