AMED Certified Microscope User Requirements:
- AMED Member for 2 years
- Passed 2 levels of microscope skills test
- Approved by the AMED Board/Certification Committee
AMEDAnnual meeting Certification Ceremony
Exercise A) Identification of the Microscope Parts
The candidate will be asked to identify the following seven parts of the microscope and briefly describe their function:
- Ocular fine focus ring adjustment
- Beam Splitter
- Camera Mount
- Magnification adjustment mechanism
- Fine focus adjustment of the scope or Variable focus adjustment knob
- Main focal lens
Exercise B) Doctor Seating and Ergonomics
The candidate must be able to be seated and adjust their seating position. Thighs should be between 90 degrees to 110 degrees to the floor. The spine should be straight with no forward lean. Head should be in a neutral, relaxed, and balanced position over the shoulders. The eyes should be looking forward and the line of sight parallel to the floor. Arms should rest on the arm supports of the operator chair or be supported and braced against the operator’s sides.
Exercise C) Parfocaling the Microscope
The candidate must demonstrate without assistance or coaching the ability to parfocal the microscope, either the operator specific
Exercise D) Dialing in the Object Tooth
The candidate will be evaluated in bringing the object tooth into focus at a field of view of up to 4 teeth. The candidate may begin at a lower magnification but must complete the exercise in the area of 8X magnification. The candidate must be able to bring tooth #8 into view, use a mirror to visualize the lingual surface and examine the tooth with an explorer. The candidate will then turn to either tooth #3 or tooth #14 (candidate choice) and repeat this exercise.
Exercise E) Crown Prep #8
The candidate is permitted to begin at a low magnification but must complete the exercise at a field of view of 4 teeth with an estimated magnification of 8X. The candidate will prepare the facial of tooth #8 then proceed to the mesial and distal proximal reductions. The candidate is not permitted to impact or damage the simulated gingival tissue. The candidate is allowed to utilize a proximal barrier to protect the adjacent teeth from iatrogenic injury. If the adjacent teeth are damaged to the extent that polishing will correct the defect, the candidate will be allowed to pass this section. If the candidate impacts the adjacent tooth/teeth to the extent the tooth would require restoration, the candidate will fail this exercise.
The candidate will proceed to the lingual and prepare the tooth with indirect vision. The margins must connect and be contiguous around the tooth. At least one of the two maxillary procedures must be in focus and centered on
Sample view at 8x
Exercise F) Crown Prep Either #3 or #14 – Candidate Choice
The same criteria are applicable as in the anterior tooth Exercise E. No damage to the simulated gingival tissue and no damage to the adjacent teeth that would require restoration.
In Exercises E and
The candidate is expected to perform, without coaching or assistance, the following:
Exercise A) Doctor Seating and Ergonomics
Same as level 1.
Exercise B) Parfocaling the Microscope and Video
Candidate must be able to parfocal the microscope to video.
Exercise C) Dialing in the Object Tooth
Same as level 1, substituting #24 and #19 or 30.
Exercise D) Full Crown Prep Anterior Tooth #24
Exercise E) Posterior Tooth Preparation. (Candidate option: MOD Onlay Prep or Full Crown Prep #19 or 30)
The candidate may select the procedure. The same criteria apply to these procedures as to the procedures from Level I preparations.
Keep working field in focus and centered with
The crown prep or the
Sample view at 14x