8 Dental

Questionnaire for Medical Professionals
Specialty: Dental Medicine
Please consider your rating carefully as you will be responsible to perform any of the following
according to your degree of expertise.
Please, tick the following Rating Scale according to your areas of professionalism.
*Number of cases in your career
Full Name & Date of Birth: _______________________________________________________
Nationality:_____________________________________________________________________
Availability for Start working: ____________________________________________________
How many family members will relocate with you:
_______________________________________
Position Applied for:_______________________________________________________________
Current Salary Goss per year in USD:________________________________________________
Excellent Good Fair *Number

Professional Description of Cases
Surgical removal of 1st impacted tooth
Enucleation of mucocele
Implant Placement
Management of T.M.J Disorders
Oral Surgery
Reduction of Simple alveolar Fracture
Reduction of unilateral mandibular fracture
Reduction of bilateral mandibular fracture
Closure of oroantral fistula
Treatment of different types of carious teeth (anterior or
posterior) and different classes (I -V) using different restorative
materials (amulgam, composite & glassionemer).
Management of traumatized teeth (avulsed, re-implantation &
splinting).
Restorative &
Treatment of deep carious (indirect & direct pulp capping).
General Dentistry
Restoration of non-vital teeth.
Management of teeth with irreversible pulpitis.
Anterior and posterior root canal treatment.
Extraction of hopeless teeth, tooth fragment, remaining roots.
Dento alveolar & Treatment of different types of periodontitis including but not
Periodontics limited to (juvenile and Refractory periodontitis).
Surgery Able to perform tooth lengthening.
Able to perform different types of flaps and grafts.
Pocket reduction surgery.
Soft tissue biopsy.
Gigivectomy.
Restoration of carious deciduous teeth.
Paedodontic fillings
Paedodontic full mouth rehabilitation under GA
Space restoration after early extraction of deciduous teeth.
Paedodontics Management of traumatic injuries.
Management for children by pharmacological and non-
pharmacological maneuvers in different situations.
Management of deep cavitous lesions of deciduous and young
permanent teeth.
Pulpotomy.
Pulpectomy.
Apicectomy.
Root canal treatment.
Performing root amputation.
Endodontics
Management of root canal complications.
Surgical removal of impacted teeth.
Incision and drainage of endodontical swelling.
Enucleation of mucocele.
Able to perform perforative repair.
Treatment of class-I malocclusion associated with crowded
teeth, restriction of max and cross bite.
Treatment of class-II and III dental and skeletal with or w/out
extraction by fixed treatment or removable appliances.
Orthodontics Treatment of bad habits (tongue suction & interposition of
lips).
Orthodontic treatment in pediatrics.
Orthodontics in preparation for orthognathic surgery.
Removable appliance therapy.
Fixed appliance therapy.
Able to perform different types of crowns.
Able to perform different types of bridges.
Able to perform all types of removable appliances (partial and
Prosthodontics complete denture).
Able to perform the prosthetic part of the implant.
Stress broken fixed bridges.
Dentures with precision attachments.
Able to perform fluoride application.
Preventive dentistry Pit and fissure sealants.
Able to perform dietary consultation and health education.
Comment: …………………………………………………………………………………………………………..….........
………………………………………………………………………………………………..………………….
I hereby the undersigned guarantee that all provided information are correct and I can perform the above mentioned medical
professions according to my rated scales, otherwise, I will carry the full responsibilities resulting from untrue information .
Name of the applicant: …………………………………………. Signature: …………………………………...………….
Evaluation: Fair: □ Good:□ v. good:□ Excellent:□

Recommendation: Recommended: □ Not-recommended: □
Decision: Immediate processing: □ Within 3 months: □ Short-listed: □ Failed: □
Comment: .
…………………………………………………………………………………………………………
..
…………………………………………………………………………………………………………
Interviewer: Name: ………………………...Title: ……….……...…… Signature: ……….…………..
Note: Minimum accepted scale is (3), otherwise could be accepted according to our requirements and decision of the
higher management.

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8 Dental

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Questionnaire for Medical Professionals

Specialty: Dental Medicine

Full Name & Date of Birth: _______________________________________________________

Availability for Start working: ____________________________________________________

How many family members will relocate with you:

Position Applied for:_______________________________________________________________

Current Salary Goss per year in USD:________________________________________________

Excellent Good Fair *Number

Evaluation: Fair: □ Good:□ v. good:□ Excellent:□

Interviewer: Name: ………………………...Title: ……….……...…… Signature: ……….…………..

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