- What the Fellow Exam Actually Is (and Is Not)
- Clearing the Eligibility Gate First
- Building the Five-Case Portfolio
- The Four Case-Report Headings
- What Happens on Exam Day
- Application Window, Fees, and Timeline
- A Preparation Schedule Built Around the Case Report
- After the Exam: Election, Induction, and Dues
- Frequently Asked Questions
- The Fellow exam is a virtual oral/case examination, not a multiple-choice test: you discuss five standardized cases and defend five of your own.
- All five submitted cases need final prostheses in function for at least one year by the examination period.
- The next application window opens November 2026 and closes February 1, 2027; the virtual exam is scheduled for April 3, 2027.
- Fee schedules conflict between AAID sources, so confirm your route's exact fee before paying.
What the Fellow Exam Actually Is (and Is Not)
Before you open a single textbook, get the format straight. The Fellow of the AAID (FAAID) designation, awarded by the American Academy of Implant Dentistry, is earned through a virtual oral/case examination administered by AAID examiner teams. You will not sit a timed multiple-choice test. Instead, you will discuss five standardized clinical cases presented to you and defend five cases that you treated on different patients and submitted in advance.
That distinction shapes everything about how you prepare. Candidates who treat this like a written board exam tend to over-invest in memorizing facts and under-invest in the thing examiners actually probe: your clinical reasoning, your documentation, and your ability to explain and defend decisions you made on real patients. If you have already passed the Associate Fellow Part 1 written exam, do not assume the same study habits transfer. The Part 1 weighted written blueprint is a separate scope from the Fellow oral/case examination, and this guide covers only the Fellow pathway.
For a candid look at what makes this credential demanding, see our breakdown in How Hard Is the FAAID Exam? Complete Difficulty Guide 2026.
Clearing the Eligibility Gate First
The smartest first step in any FAAID study plan is confirming you qualify, because the eligibility requirements are specific and some take years to satisfy. Applicants must be licensed dental practitioners and must either be AAID Associate Fellows in good standing or have passed Associate Fellow Part 1 and meet Fellow eligibility.
| Requirement | What AAID Specifies |
|---|---|
| Licensure | Licensed dental practitioner |
| AAID standing | Associate Fellow in good standing, or passed Associate Fellow Part 1 and meeting Fellow eligibility |
| Experience | At least five years of implant-dentistry experience |
| Continuing education | 400 hours of implant CE, including 75 participatory/hands-on hours |
| Education alternative | A qualifying full-time implant dentistry, periodontal, oral/maxillofacial surgery or prosthodontics program of at least one year satisfies the educational requirement |
| Competence | Demonstrated surgical and prosthetic competence; you must have provided surgical and/or prosthetic treatment for each submitted case |
That last row matters more than it looks. You cannot submit a case you merely supervised or planned from a distance; you must have provided surgical and/or prosthetic treatment for each one. For the full checklist and how to document each element, read FAAID Requirements 2026: Eligibility, Prerequisites & How to Qualify.
Building the Five-Case Portfolio
The single biggest determinant of readiness is not how many hours you study but whether your five submitted cases satisfy the requirements. Each of the five cases must meet these baseline conditions:
- A final prosthesis in function for at least one year by the examination period
- Implants at least 3 mm in diameter
- A written narrative
- Diagnostic photographs and radiographs
- Signed patient releases
On top of those shared conditions, the five cases must cover specific case types:
- A removable full-arch implant overdenture
- Posterior maxilla with sinus augmentation
- Anterior maxilla
- Extraction with immediate placement, or ridge preservation with delayed placement
- A fixed complete implant prosthesis
One caution on sources: AAID's legacy FAQ still describes an older submitted-case and rating scheme. The current five-case requirements take precedence, so do not plan from the old FAQ. Build your portfolio against the current Fellow requirements page and credentialing guidebook.
The Four Case-Report Headings
The Fellow Examination Case Report Outline organizes your written preparation under four principal headings. Each submitted case should be documented so that a reviewer can walk the full arc from first exam to long-term result. For a deeper treatment of how these map to preparation, see FAAID Exam Domains 2026: Complete Guide to All 4 Content Areas.
Domain 1: Patient Examination
This is where your case defense begins. Examiners expect a thorough, organized record of how you assessed the patient before any decision was made.
- Medical and dental history and how risk factors influenced your decisions
- Clinical findings supported by diagnostic photographs and radiographs
- Diagnostic data you relied on, and why it was sufficient for the planned treatment
- Complete, legible documentation, including the patient release
Domain 2: Development of the Treatment Plan
Here you justify the path you chose. Be ready to explain not just what you did, but what alternatives you considered and why you rejected them.
- Rationale for implant number, position, and size relative to the restorative goal
- Sequencing for the specific case type, such as sinus augmentation timing or immediate versus delayed placement
- Prosthetic design decisions made at the planning stage, not after surgery
- Anticipated complications and how the plan accounted for them
Domain 3: Surgical and Prosthetic Report
This is typically where the case becomes concrete: what you actually did, in what order, and what happened.
- Surgical technique and any deviations from the plan, explained honestly
- Prosthetic phases through final delivery
- Outcome after at least one year of function
- Complications encountered and how you managed them
Domain 4: Clinical Résumé
The résumé component documents your qualifications and experience in support of the eligibility requirements.
- Implant-dentistry experience supporting the five-year requirement
- Continuing education totaling 400 hours, including 75 participatory/hands-on hours
- Any qualifying full-time program that satisfies the educational requirement
- Evidence of surgical and prosthetic competence
Remember the caveat from earlier: these four lines are the principal headings of the case-report outline, not a complete blueprint of everything an examiner might ask during the oral. Strong preparation covers the headings and the broader clinical knowledge underneath them.
What Happens on Exam Day
The examination is delivered virtually, in English. AAID's guidebook describes approximately three hours for the examination itself and up to four hours once equipment testing is included, so protect a full half-day. If English is not your first language, an AAID-supplied interpreter may be arranged at the candidate's expense.
Equipment and setup
You will need an Internet-capable computer with a webcam, plus a cellular device, and you should complete a prior equipment check before exam day. Do not treat the equipment test as a formality. A frozen webcam or unstable connection during a case defense creates avoidable stress. Test your setup on the same network, in the same room, at roughly the same time of day you will sit the exam, and keep your cellular device charged and nearby.
The two halves of the exam
Plan separately for the two formats you will face:
- Standardized cases: You discuss five cases presented by the examiners. Here the skill is rapid, structured clinical reasoning on material you have not prepared in advance. Practice narrating a diagnosis, plan, and risk assessment out loud from an unfamiliar set of records.
- Your submitted cases: You defend five cases on different patients. Here the skill is command of your own documentation. You should be able to explain any radiograph, any decision point, and any complication without hunting for the answer.
Key Takeaway
Rehearse out loud. A defensible oral answer is organized (finding, diagnosis, options, choice, outcome) and delivered calmly. Recording yourself walking through each submitted case is far more useful than rereading your narrative silently.
As for scoring, no current numeric passing threshold has been verified, so avoid any source that claims one. Our article on the FAAID passing score explains what is and is not publicly confirmed, and FAAID Pass Rate 2026: What the Data Shows addresses why no pass-rate statistic should be quoted as fact.
Application Window, Fees, and Timeline
As of October 7, 2026, the next application window opens in November 2026 and closes on February 1, 2027. The Fellow oral/case examination is scheduled virtually for April 3, 2027. Because the application deadline falls well before the exam, your portfolio must be essentially complete by the time you apply, not by the time you sit. Confirm current dates on the AAID exam schedule, and see FAAID Exam Dates 2026: Testing Windows, Deadlines & Scheduling for planning guidance.
Fee information is where candidates most often get tripped up, because AAID's own documents disagree.
| Fee | Current live schedule | Linked 2024 guide |
|---|---|---|
| Fellow examination | USD 1,085 | USD 1,185 |
| Alternative route after Associate Fellow Part 1 (substitution) | USD 599 | USD 699 |
| Re-examination | USD 400 | USD 500 |
A Preparation Schedule Built Around the Case Report
Because the exam rewards case mastery over memorization, your schedule should follow the four headings rather than generic topic rotation. The sequence below assumes you have already confirmed eligibility and have all five cases identified. Adjust the pacing to your own calendar, working backward from the application deadline and exam date.
Audit and gap check (Domain 4 first)
- Verify experience, the 400 CE hours, and the 75 hands-on hours against your records
- Confirm each case has a final prosthesis in function for at least one year by the exam period
- Confirm all five required case types are covered and each implant is at least 3 mm
Documentation (Domain 1)
- Organize photographs, radiographs, narratives, and patient releases for every case
- Fill documentation gaps while you can still request records
Rationale and reporting (Domains 2 and 3)
- Write out your planning rationale and alternatives for each case
- Draft surgical and prosthetic reports, including complications, using the 2024 Fellow Written Report Template as a structural reference
Oral rehearsal and equipment
- Practice defending each case aloud with a colleague or on recording
- Practice narrating unfamiliar cases for the standardized portion
- Complete your equipment check and plan a quiet, interruption-free room
Phase 1 comes first for a practical reason: an eligibility or case-type gap is the one problem that study cannot fix quickly. For broader prep resources, our FAAID cheat sheet offers a one-page review of must-know facts, and you can pressure-test your clinical knowledge with practice questions on the main practice test site.
After the Exam: Election, Induction, and Dues
Passing the oral does not immediately make you a Fellow. Election follows approval by the Admissions and Credentials Board and a vote of the Board of Trustees. Successful oral candidates must then attend an Annual Business Meeting for induction within two years. The authorized designation is FAAID, Fellow of the AAID.
Maintaining the credential requires active AAID membership. Regular Fellow dues are USD 695 annually, payable January 1. If you are weighing the return on those costs, our ROI analysis of the FAAID certification walks through the considerations qualitatively, and our FAAID salary guide explains why no specific earnings figure should be assumed. If you need a refresher on the basics, start with What Is FAAID?.
Frequently Asked Questions
No. The Fellow of the AAID (FAAID) credential is earned through a virtual oral/case examination in which you discuss five standardized cases and defend five cases you submitted on different patients. The weighted written blueprint belongs to Associate Fellow Part 1, which is a separate exam.
AAID's guidebook describes approximately three hours for the examination, and up to four hours when equipment testing is included. Reserve a full half-day and complete your equipment check beforehand.
No current numeric passing threshold or pass-rate statistic has been verified, so neither should be quoted as fact. Focus on meeting every case requirement and defending your cases clearly and accurately.
AAID's live fee page lists USD 1,085 for the Fellow examination, USD 599 for the alternative route after Associate Fellow Part 1, and USD 400 for re-examination, while the linked 2024 guide lists USD 1,185, USD 699, and USD 500. Because the schedules conflict, confirm the applicable fee for your route with AAID before paying.
As of October 7, 2026, the application window opens in November 2026 and closes February 1, 2027, with the virtual Fellow oral/case exam scheduled for April 3, 2027. Verify current dates on the AAID exam schedule before planning.
Start by auditing your five cases against the requirements, then build outward from there. For a consolidated overview of the pathway, revisit our FAAID study guide, and keep your clinical knowledge sharp with questions from the FAAID Exam Prep practice test platform.