Academy of General Dentistry
Department of Continuing Dental Education
211 E. Chicago_Amenue,_Suite2200
Chicago, Illinois 60611-2670
(312) 440-4300

CONTINUING DENTAL EDUCATION RECORD

 

08/03/94

 

163810148
Michael S. Ben, DDS, FAGD
161 N 2nd St

Fairfax OK 74637-2063

Member Since: 10/81
Status:
MASTER CANDIDATE
Passed Exam:
PRE FAGD HOURS
695 08/13/86

 

Date

 

 

Sponsor

Apvd Maint

Subject                    Del Hrs   Hrs

03/06/87

 

0182

Oral Roberts Sch of Den

132' Anest & Pain Control

01

3

3

03/24/87

*

8429

Den-Mat Corporation

612 Ceramic Restorations

01

0

8

06/06/87

 

9081

Amer Orthodontic Societ

373 Interceptive Ortho

01

5

5

10/16/87

 

2018

AGD-Indiana

250 Operative Dentistry

01

7

7

10/16/87

 

2018

AGD-Indiana

250 Operative Dentistry

01

7

7

12/04/87

 

2020

AGD-Kansas

182 TM Disorders

01

6

6

12/07/87

 

2029

AGD-Missouri

490 Periodontics

02

51

51

02/07/88

 

2039

AGD-Oklahoma

370 Orthodontics

01

12

12

03/19/88

 

2147

AGD Chap-Wichita Area

732 Cephalometrics

02

5

5

04/08/88

 

2018

AGD-Indiana

070 EndodontiCs

02

51

51

05/.14/88

@*

8100

US Dental Institute

373 Interceptive Ortho

01

14

14

06/10/88

 

2029

AGD-Missouri

490 Periodontics

02

29

29

06/13/88

 

2029

AGD-Missouri

180 MPD/Occlusion

01

22

22

10/21/88

 

2018

AGD-Indiana

010 Basic Science

02

51

51

10/29/88

 

0177

Univ of OK Col of Dent

690 Implants

02

16

16

11/12/88

@*

80013

Prof Programming

311 Exodontia

01

15

15

03/11/89

 

2147

AGD Chap-Wichita Area

187 Gnathology

02

5

5

04/27/89

 

2018

AGO-Indiana

180 MPD/Occlusion

02

51

51

05/05/89

 

0177

Univ of OK Col of Dent

250 Operative Dentistry

01

28

28

06/17/89

 

2147

AGD Chap-Wichita Area

373 Interceptive Ortho

02

3

3

10/13/89

 

2018

AGD-Indiana

670 Removable Prostho

02

51

51

11/04/89

 

2147

AGD Chap-Wichita Area

253 Tooth-Colored Restor

02

5

5

03/30/90

 

2018

AGD-Indiana

490 Periodontics

01

22

22

10/05/90

 

2018

AGD-Indiana

430 Pediatric Dentistry

02

51

51

01/24/91

 

2029

AGD-Missouri

670 Removable Prostho

01

21

21

02/09/91

 

2039

AGD-Oklahoma

780 Esthetics

01

7

7

03/17/91

 

0177

Univ of OK Col of Dent

612 Ceramic Restorations

02

16

16

04/12/91

 

2018

AGD-Indiana

610 Fixed Prosthodontics

02

51

51

07/20/91

 

2020

AGD-Kansas

188 Myofunctional Ther

02

5

5

07/25/91

 

2029

AGD-Missouri

731 Radiology

02

12

12

07/25/91

 

2029

AGD-Missouri

738 Communicating Cases

02

16

16

07/25/91

 

2029

AGD-Missouri

754 Dent/Med Compromised

02

23

23

09/20/91

 

5975

E Central Univ-OK

142 Emerg Training/CPR

01

7

7

10/18/91

 

2018

AGD-Indiana

250 Operative Dentistry

02

51

51

11/02/91

@

82093

Amer Ortho Soc St Cl of

373 Interceptive Ortho

02

6

6

01/23/92

 

2029

AGD-Missouri

739 Oral Pathology

02

14

14

01/23/92

 

2029

AGD-Missouri

148 Infection Control

02

7

7

02/29/92

 

2000

Aced of General Dent

148 Infection Control

03

8

8

03/06/92

 

8811

Calcitek, Inc.

690 Implants

02

16

16

04/17/92

 

0177

Univ of OK Col of Dent

142 Emerg Training/CPR

02

4

4

06/22/92

 

0177

Univ of OK Col of Dent

490 Periodontics

02

16

16

02/07/93

 

9081

Amer Orthodontic Societ

735 Treatment Planning

02

20

20

02/12/93

 

2039

AGD-Oklahoma

017 Dental Materials

01

7

7

02/13/93

 

2039

AGD-Oklahoma

550 Practice Management

01

4

4

03/28/93

 

9081

Amer Orthodontic Societ

185 Appliance Therapy

02

20

20

05/16/93

 

9081

Amer Orthodontic Societ

370 Orthodontics

02

20

20

06/27/93

 

9081

Amer Orthodontic Societ

 550 Practice Management

02

20

20

10/03/93

 

9081

Amer Orthodontic Societ

185 Appliance Therapy

01

20

20

 


 

@=Special Approval *=Sponsor Not Ap‑

proved for Date
+=Hours not applicable

   toward the award.

Of the 75 hrs needed to satisfy the Membership Maintenance requirement from 11/01/93 to 10/31/96 you have earned 0.


 

CONTINUING DENTAL EDUCATION RECORD

08/03/94
JDW Page:3

163810148
Michael S. Ben, DDS, FAGD

 

 

 

 

PROGRESS TOWARD THE MAGD AWARD;

This chart is for your information and should be referred to as a guide toward your progress in achieving the Mastership award.

DELIVERY

Once you have reached the maximum number of hours applicable to the award in a delivery, additional hours taken in that delivery will not be added to the hours that can be applied toward Mastership.

TOTAL        MAXIMUM

HOURS        ALLOWED

DELIVERY                          EARNED       HOURS

01 Lecture

207

9999

02 Participation

686

9999

03 Self-Instructional

8

100

 

DISCIPLINE

The 'PART MIN' column reflects the minimum number of hours required in participation for each discipline. The 'DISC MIN' column indicates the minimum number of hours required for that discipline from all deliveries. 'TOTAL PART' and 'TOTAL HOURS' reflect hours earned, and 'TO-GO' columns show where additional hours are still needed.

      PART TOTAL PART     DISC   TOTAL   DISC

DISCIPLINE                          MIN  PART TO-GO    MIN   HOURS   TO-GO

010 Basic Science

12

51

0

12

58

0

070 Endodontics

30

51

0

46

51

0

130 Electives

30

11

19

46

29

17

180 Myofascial Pain Dys/Occlusion

30

81

0

46

129

0

250 Operative Dentistry

30

56

0

46

98

0

310 Oral & Maxillofacial Surgery

30

0

30

46

15

31

370 Orthodontics

12

29

0

12

60

0

430 Pediatric Dentistry

12

51

0

12

51

0

490 Periodontics

30

96

0

46

118

0

550 Practice Mgmt/Human Relations

0

20

0

24

24

0

610 Fixed Prosthodontics

30

67

0

46

67

0

670 Removable Prosthodontics

30

51

0

46

72

0

690 Implants

30

32

0

46

32

14

730 Oral Med/Oral Diagnosis

12

67

0

12

67

0

750 Special Patient Care

12

23

0

12

23

0

780 Esthetics

30

0

30

46

7

39

 

 

686

 

 

901

 

 

DETERMINING YOUR ELIGIBILITY FOR THE MASTERSHIP AWARD

400 of the 600 approved hours required for Mastership must be earned in partici­pation courses. If the 'TOTAL PART' column is at least 400 and 'PART TO GO' is zero AND the 'TOTAL HOURS' column is at least 600 and the 'DISC TO-GO' is zero, please call or write the Dental Education Department for an application.