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About This Guide
Dental Licensure and the National Board Dental Examinations
Purpose of the NBDE
Recognition of NBDE Certification
The Integrated National Board Dental Examination
Ethical Conduct and the Licensure Process for Dentists
EXAMINATION CONTENT AND PREPARATION MATERIALS
Scope of the Examination
Sample Item Formats
Confidentiality of Examination Materials
Scoring of Examination
Obtain a DENTPIN® and Apply for Examination
Privacy and Security
Reschedule or Cancel a Testing Appointment
Unacceptable Forms of Documentation
EXAMINATION REGULATIONS AND RULES OF CONDUCT
Rules of Conduct
Test Center Procedures
Examination Regulations and Prohibited Conduct
Irregularities and Appeals
Licensure of dentists in the United States is the responsibility of the individual state, district, or jurisdiction.
Agencies in state government that administer dental licensure under laws adopted by state legislatures typically
are called state boards of dentistry. A list of state boards can be found at www.dentalboards.org.
Specific dental licensure requirements vary among jurisdictions, but all jurisdictions have three basic requirements:
an educational requirement, a written examination requirement, and a clinical examination requirement. All
jurisdictions accept graduation from a dental school accredited by the Commission on Dental Accreditation
(CODA) as fulfilling the educational requirement. Most jurisdictions also accept graduation from a Canadian
dental school accredited by the Commission on Dental Accreditation of Canada (CDAC).
The National Board Dental Examinations (NBDE) Program is intended to fulfill the written examination requirement.
Acceptance of NBDE results is completely at the discretion of the individual state. A state may place any limit on
acceptance of NBDE results that it deems appropriate.
The Joint Commission on National Dental Examinations (JCNDE) is responsible for the development and
administration of the NBDE and the National Board Dental Hygiene Examination (NBDHE). The Department of
Testing Services is a shared resource of the American Dental Association (ADA) that implements the National
While this guide covers NBDE Part I, it is important for candidates to note that there is another examination
on the horizon that will one day replace NBDE Parts I and II. This examination—the Integrated National Board
Dental Examination (INBDE)—integrates the biomedical, clinical, and behavioral sciences in its evaluation of
candidate dental cognitive skills. Similar to the NBDE, the IN
The NBDE Part I is a comprehensive examination consisting of 400 items. For each discipline, approximately
80% of the items are stand-alone, while approximately 20% are interdisciplinary testlet-based. A testlet consists
of a patient scenario, patient history, and a set of discipline based items relevant to the scenario. NBDE Part I
items are drawn from the following disciplines:
• Anatomic Sciences
• Dental Anatomy and Occlusion
One item from each of the disciplines listed above is designated for the testlets under the syllabu “Professional
Ethics/Patient Management.” These items require a basic understanding of professional ethical principles in
Examination items are developed by test construction teams composed of subject-matter experts in accordance
with examination specifications approved by the JCNDE.
The Universal/National System for tooth notation that has been adopted by the American Dental Association is
used on all National Board Examinations. This system is a sequential tooth numbering system, designating the
permanent dentition (numbers 1-32), and the primary dentition (letters A-T).
EXAMINATION CONTENT AND PREPARATION MATERIALS
Biochemistry-Physiology (100 Items)
• Biological Compounds
• Molecular and Cellular Biology
• Connective Tissues
• Nervous System
• Oral Physiology
• Professional Ethics/Patient Management
Anatomic Sciences (100 Items)
• Gross Anatomy*
• Oral Histology
• Developmental Biology
• Professional Ethics/Patient Management
*The following courses will be considered under each category of gross anatomy. Bone; muscles; fascia, nerves (peripheral and autonomic); arteries, veins, and lymphatics; spaces and cavities; joints and ligaments; and endocrines and exocrines.
Microbiology-Pathology (100 Items)
• General Microbiology
• Reactions of Tissue to Injury
• Immunology and Immunopathology (at least 3 on oral immunology)
• Microbiology, Immunology, and Pathology of Specific Infectious Diseases (at least 8 on oral diseases)
• Systemic Pathology
• Growth Disturbances
• Professional Ethics/Patient Management
Dental Anatomy And Occlusion (100 items)
• Tooth Morphology
• Pulp Cavity Morphology
• Calcification and Eruption
• Principles of Occlusion and Function
• Clinical Considerations—Tooth Morphology and Anomalies
• Professional Ethics/Patient Management
The JCNDE recommends that candidates use textbooks and lecture notes as primary sources for study. Although
some previous questions from the NBDEs are periodically released, the JCNDE believes they are best used to
familiarize candidates with item formats. The JCNDE does not ensure that the information in released NBDE
materials is accurate, current, or relevant. Released materials may no longer be consistent with the current
examination specifications, content emphasis, item formatting guidelines, and examination structure. Due to the
dynamic nature of dental practice and the biomedical sciences, these materials may be outdated. Candidates
are cautioned not to limit preparation for the examination to the review of released items.
To purchase copies of released items, contact the American Student Dental Association (ASDA) at 800.621.8099
(x 2795), 312.440.2795, or www.asdanet.org. Official released items contain the ADA copyright insignia at the
bottom of the document pages.
The JCNDE does not endorse or recommend any specific texts or other teaching aids (e.g., review courses) that
are identified as NBDE preparation materials.
The NBDE Part I is a pass/fail exam; results are reported only as “pass” for candidates who achieve passing
scores. For remediation purposes, candidates who fail the examination receive numerical scores for each of the
major disciplines covered on the examination. With respect to candidates who tested prior to 2012, numerical
scores for prior attempts are still reported.
The status of “pass” is reported for candidates who achieve a scale score of 75 or higher. The status of “fail” is
reported for candidates who achieve a scale score below 75.
National Board Examination results are typically made available approximately three to four weeks after the
examination. Results can be viewed online by logging into the My Account Summary page.
By signing the application, a candidate enrolled in an accredited dental school (or who has graduated within
the last five years) gives express permission to provide results to the dean of the dental school and his or her
designee(s). Results are provided to others if permission is granted in the form of a results report request from
the candidate. If misconduct has occurred in a past administration, your results report may contain information
concerning the incident (see Examination Irregularities and Misconduct).
After receiving your results report, you may request that additional reports be sent to other entities. You should
confirm the accuracy of your results report request.
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