The highest Award given in the International College of Dentists is the Ottofy – Okumura Award. It is not intended to be presented every year, and it recognizes extraordinary lifetime service to the ICD. To be considered for this award, a candidate must have maintained Fellowship in good standing for at least 20 years and must have demonstrated a history of outstanding service to the College at every level. This is a rare and distinctive honor presented to a Fellow who has significantly elevated the College through his or her actions and activities.