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Massachusetts Dental Hygiene — Requirements & Free Practice

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Dental Hygienist License

Massachusetts license to practice dental hygiene issued by the Board of Registration in Dentistry under M.G.L. c. 112, s. 51 and 234 CMR 4.00.

Licensing authority: Massachusetts Board of Registration in Dentistry · Application information

Initial dental hygienist licensure by credentials (234 CMR 4.08)

All of the following:

Clinical Examination
["The clinical examination slot is satisfied by one Board-approved examination listed in the Board document \"Regional and State Clinical Examination Requirements - Updates for 2023\" (effective March 1, 2023).","ADEX dental hygiene scores (as administered by CDCA-WREB and CITA) are accepted; the Board accepts the manikin-based CDCA-WREB and CITA dental hygiene clinical competency exams as an alternative to the traditional patient-based exam.","CRDTS clinical examination scores taken on or after July 1, 2009 are accepted only together with successful completion of the CDCA CSCE (Computer Simulated Clinical Exam) for dental hygienists, with a minimum score of 75% on each section; the CDCA CSCE has no registered examination version in this survey context (see the registration-scoped gap).","CRDTS scores taken prior to July 1, 2009 are accepted on their own (prior evidence).","Florida State Board of Dental Examiners and Nevada State Board of Dental Examiners clinical examinations are accepted (other states' examinations).","A Board-recognized state clinical examination (not further identified) is accepted together with the CDCA CSCE.","Southern Regional Testing Agency (SRTA) scores are accepted if taken prior to Jan. 1, 2013 or after Aug. 9, 2015 (with the CDCA CSCE), or between Jan. 1, 2013 and Aug. 9, 2015 (alone); SRTA has merged with CRDTS and its examination is not a separate current leaf."]
Education
Graduate of a CODA-accredited dental hygiene program or Board-approved successor accrediting agency (234 CMR 4.08(3))
Experience
Minimum of one year of practice in dental hygiene or dental hygiene education immediately preceding the application (234 CMR 4.08(5))
Jurisprudence
Massachusetts Dental Ethics and Jurisprudence Examination or a Board-approved successor examination (234 CMR 4.08(7)(b)).
Licensure
Currently licensed and in good standing as a dental hygienist in another jurisdiction based on passing a Board-approved examination (234 CMR 4.08(6)); the Board-approved clinical examinations are those in the Board document "Regional and State Clinical Examination Requirements".
National Board
234 CMR 4.08(7)(a) names "Parts I and II of the ADA National Board Examination for Dental Hygienists".
Other Requirements
["Good moral character","Current BLS certification or CPR/AED certification","Physician statement from an examination within one year of application","Passport-size color photograph","Disclosure of disciplinary, civil or criminal actions","Tax and child support compliance attestation","Letters of standing from every jurisdiction where a license is or was held, if applicable","Certified letters of standing from all jurisdictions where licensed (234 CMR 4.08(8))"]
Dental hygienist licensure for dental students (234 CMR 4.09; M.G.L. c. 112, s. 51(ii))

All of the following:

Clinical Examination
["The clinical examination slot is satisfied by one Board-approved examination listed in the Board document \"Regional and State Clinical Examination Requirements - Updates for 2023\" (effective March 1, 2023).","ADEX dental hygiene scores (as administered by CDCA-WREB and CITA) are accepted; the Board accepts the manikin-based CDCA-WREB and CITA dental hygiene clinical competency exams as an alternative to the traditional patient-based exam.","CRDTS clinical examination scores taken on or after July 1, 2009 are accepted only together with successful completion of the CDCA CSCE (Computer Simulated Clinical Exam) for dental hygienists, with a minimum score of 75% on each section; the CDCA CSCE has no registered examination version in this survey context (see the registration-scoped gap).","CRDTS scores taken prior to July 1, 2009 are accepted on their own (prior evidence).","Florida State Board of Dental Examiners and Nevada State Board of Dental Examiners clinical examinations are accepted (other states' examinations).","A Board-recognized state clinical examination (not further identified) is accepted together with the CDCA CSCE.","Southern Regional Testing Agency (SRTA) scores are accepted if taken prior to Jan. 1, 2013 or after Aug. 9, 2015 (with the CDCA CSCE), or between Jan. 1, 2013 and Aug. 9, 2015 (alone); SRTA has merged with CRDTS and its examination is not a separate current leaf.","The dental student page asks for proof of a regional or state clinical dental hygiene examination; CDCA scores are sent directly to the Board."]
Education
Full-time dental student who has satisfactorily completed not less than four full semesters in a CODA-accredited dental school (M.G.L. c. 112, s. 51(ii); 234 CMR 4.09)
Jurisprudence
Massachusetts Dental Ethics and Jurisprudence Examination or a Board-approved successor examination; the applicant submits the answer sheet with the application.
Other Requirements
["Good moral character","Current BLS certification or CPR/AED certification","Physician statement from an examination within one year of application","Passport-size color photograph","Disclosure of disciplinary, civil or criminal actions","Tax and child support compliance attestation","Letters of standing from every jurisdiction where a license is or was held, if applicable","Affidavit witnessed by a notary public"]
Prior Examination
234 CMR 4.09(4)(a) requires passing Part I of the ADA National Board Examination for Dentistry; the Board page accepts a photocopy of the National Board Part I scores. The Joint Commission on National Dental Examinations discontinued NBDE Part I as of July 31, 2020, so this is a prior score, not a current examination.
Dental hygienist licensure by examination for graduates of an accredited dental college (M.G.L. c. 112, s. 51(iii))

All of the following:

Age
Not less than 19 years of age (M.G.L. c. 112, s. 51)
Clinical Examination
["The clinical examination slot is satisfied by one Board-approved examination listed in the Board document \"Regional and State Clinical Examination Requirements - Updates for 2023\" (effective March 1, 2023).","ADEX dental hygiene scores (as administered by CDCA-WREB and CITA) are accepted; the Board accepts the manikin-based CDCA-WREB and CITA dental hygiene clinical competency exams as an alternative to the traditional patient-based exam.","CRDTS clinical examination scores taken on or after July 1, 2009 are accepted only together with successful completion of the CDCA CSCE (Computer Simulated Clinical Exam) for dental hygienists, with a minimum score of 75% on each section; the CDCA CSCE has no registered examination version in this survey context (see the registration-scoped gap).","CRDTS scores taken prior to July 1, 2009 are accepted on their own (prior evidence).","Florida State Board of Dental Examiners and Nevada State Board of Dental Examiners clinical examinations are accepted (other states' examinations).","A Board-recognized state clinical examination (not further identified) is accepted together with the CDCA CSCE.","Southern Regional Testing Agency (SRTA) scores are accepted if taken prior to Jan. 1, 2013 or after Aug. 9, 2015 (with the CDCA CSCE), or between Jan. 1, 2013 and Aug. 9, 2015 (alone); SRTA has merged with CRDTS and its examination is not a separate current leaf."]
Education
Graduate from an accredited dental college who has not previously been examined by the Board in subjects considered essential for a dental hygienist (M.G.L. c. 112, s. 51(iii)).
Jurisprudence
Massachusetts Dental Ethics and Jurisprudence Exam; the applicant submits the answer sheet with the application.
National Board
The Board application page asks for the National Board certificate showing a passing score on all sections of the exam.
Other Requirements
["Good moral character (M.G.L. c. 112, s. 51)","Proof of graduation (original transcript or Dean/Registrar letter)","Current CPR/AED or BLS certification","Letters of standing, practice history and NPDB self-query, if applicable","CORI acknowledgment form"]
Statutory Basis
M.G.L. c. 112, s. 51 as amended by St. 2024, c. 394 (approved January 10, 2025). 234 CMR 4.07 addresses only graduates of CODA-accredited dental hygiene programs and has no provision specific to this category; the examinations listed are those the Board application page "Apply for a dental hygienist license", which applies to every applicant except current dental students, requires.
Initial dental hygienist licensure by examination for graduates of a CODA accredited dental hygiene program (234 CMR 4.07; M.G.L. c. 112, s. 51(i))

All of the following:

Age
Not less than 19 years of age (M.G.L. c. 112, s. 51)
Clinical Examination
["The clinical examination slot is satisfied by one Board-approved examination listed in the Board document \"Regional and State Clinical Examination Requirements - Updates for 2023\" (effective March 1, 2023).","ADEX dental hygiene scores (as administered by CDCA-WREB and CITA) are accepted; the Board accepts the manikin-based CDCA-WREB and CITA dental hygiene clinical competency exams as an alternative to the traditional patient-based exam.","CRDTS clinical examination scores taken on or after July 1, 2009 are accepted only together with successful completion of the CDCA CSCE (Computer Simulated Clinical Exam) for dental hygienists, with a minimum score of 75% on each section; the CDCA CSCE has no registered examination version in this survey context (see the registration-scoped gap).","CRDTS scores taken prior to July 1, 2009 are accepted on their own (prior evidence).","Florida State Board of Dental Examiners and Nevada State Board of Dental Examiners clinical examinations are accepted (other states' examinations).","A Board-recognized state clinical examination (not further identified) is accepted together with the CDCA CSCE.","Southern Regional Testing Agency (SRTA) scores are accepted if taken prior to Jan. 1, 2013 or after Aug. 9, 2015 (with the CDCA CSCE), or between Jan. 1, 2013 and Aug. 9, 2015 (alone); SRTA has merged with CRDTS and its examination is not a separate current leaf."]
Education
Graduate of a CODA-accredited dental hygiene program requiring a course of not less than 1 academic year approved by the Board (M.G.L. c. 112, s. 51(i); 234 CMR 4.07(3))
Jurisprudence
Massachusetts Dental Ethics and Jurisprudence Examination or a Board-approved successor examination; the applicant submits the answer sheet with the application.
National Board
234 CMR 4.07(4)(a) names "Parts I and II of the ADA National Board Examination for Dental Hygienists"; the Board application page asks for the National Board certificate showing a passing score on all sections of the exam.
Other Requirements
["Good moral character","Current BLS certification or CPR/AED certification","Physician statement from an examination within one year of application","Passport-size color photograph","Disclosure of disciplinary, civil or criminal actions","Tax and child support compliance attestation","Letters of standing from every jurisdiction where a license is or was held, if applicable"]
Dental hygienist licensure by examination for dentists with foreign practice (M.G.L. c. 112, s. 51(iv))

All of the following:

Age
Not less than 19 years of age (M.G.L. c. 112, s. 51)
Clinical Examination
["The clinical examination slot is satisfied by one Board-approved examination listed in the Board document \"Regional and State Clinical Examination Requirements - Updates for 2023\" (effective March 1, 2023).","ADEX dental hygiene scores (as administered by CDCA-WREB and CITA) are accepted; the Board accepts the manikin-based CDCA-WREB and CITA dental hygiene clinical competency exams as an alternative to the traditional patient-based exam.","CRDTS clinical examination scores taken on or after July 1, 2009 are accepted only together with successful completion of the CDCA CSCE (Computer Simulated Clinical Exam) for dental hygienists, with a minimum score of 75% on each section; the CDCA CSCE has no registered examination version in this survey context (see the registration-scoped gap).","CRDTS scores taken prior to July 1, 2009 are accepted on their own (prior evidence).","Florida State Board of Dental Examiners and Nevada State Board of Dental Examiners clinical examinations are accepted (other states' examinations).","A Board-recognized state clinical examination (not further identified) is accepted together with the CDCA CSCE.","Southern Regional Testing Agency (SRTA) scores are accepted if taken prior to Jan. 1, 2013 or after Aug. 9, 2015 (with the CDCA CSCE), or between Jan. 1, 2013 and Aug. 9, 2015 (alone); SRTA has merged with CRDTS and its examination is not a separate current leaf."]
Education
Dentist with not less than 5 years of lawful practice in a foreign country or province who presents a certificate of registration and duration of practice from that jurisdiction's board; the jurisdiction must require a degree of competency the Board determines comparable to that required of examinees in the Commonwealth (M.G.L. c. 112, s. 51(iv)).
Jurisprudence
Massachusetts Dental Ethics and Jurisprudence Exam; the applicant submits the answer sheet with the application.
National Board
The Board application page asks for the National Board certificate showing a passing score on all sections of the exam.
Other Requirements
["Good moral character (M.G.L. c. 112, s. 51)","Proof of graduation (original transcript or Dean/Registrar letter)","Current CPR/AED or BLS certification","Letters of standing, practice history and NPDB self-query, if applicable","CORI acknowledgment form"]
Statutory Basis
M.G.L. c. 112, s. 51 as amended by St. 2024, c. 394 (approved January 10, 2025). 234 CMR 4.07 addresses only graduates of CODA-accredited dental hygiene programs and has no provision specific to this category; the examinations listed are those the Board application page "Apply for a dental hygienist license", which applies to every applicant except current dental students, requires.
Renewal of a license expired for less than two renewal cycles (234 CMR 4.14(8))
No examination is required for this applicant pathway.
Board Discretion
The Board may require additional information or documentation, in person or in writing (234 CMR 4.14(8)(b))
Requirements
Renewal application, renewal fee for each intervening cycle and late fee, CE documentation for each cycle, and a satisfactory written explanation for failure to renew timely (234 CMR 4.14(8)(a))
Status
License expired for less than two renewal cycles

Official no-examination sources

Effective from 2018-04-20.

Biennial renewal on or before the license expiration date (234 CMR 4.14(2), (7))
No examination is required for this applicant pathway.
Continuing Education
At least 20 CEUs in the 24 months preceding March 31st of odd-numbered years (234 CMR 8.02(3)); all required CE completed before renewal (234 CMR 4.14(4))
Fees
License renewal fee
Timing
Renew biennially no later than March 31st of odd-numbered years (234 CMR 4.14(2))

Official no-examination sources

Effective from 2018-04-20.

Renewal of a license expired for longer than two renewal cycles (234 CMR 4.14(9))
No examination is required for this applicant pathway.
Board Discretion
234 CMR 4.14(9)(c) allows re-examination for competency only of a dentist; 234 CMR 4.14(9)(d) states "A licensee shall fulfill such other conditions as the Board may require."
Requirements
Renewal application, renewal fees for each intervening cycle and late fee, CE certificates for each cycle, and a satisfactory written explanation (234 CMR 4.14(9)(a))
Status
License expired for longer than two renewal cycles

Official no-examination sources

Effective from 2018-04-20.

ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE)

Provider
American Board of Dental Examiners; Prometric delivery
Format
Computer-based clinically based questions
Exam questions
Up to 120 items; pilot questions do not affect the final score
Passing score
Minimum scaled score 75; results reported as Pass/Fail
Examination outline
  • Medical/Dental Assessment (12%)
  • Intra and Extra Oral Assessment and Charting (27%)
    • Intra and Extra Oral Examination
    • Dental and Periodontal Charting and Assessment
    • Soft Tissue, Bone, and Tooth Abnormalities
  • Radiology/Imaging (15%)
  • Dental Hygiene Care Planning (13%)
  • Patient Care (19%)
    • Periodontal Procedures
    • Infection Control
    • Medical Emergency Management
  • Dental Specialties and Pharmacology (14%)
    • Dental Specialties
    • Applied Pharmacology
Examination sources

ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE)

This assessment does not have a question bank.

Provider
American Board of Dental Examiners
Format
Simulated patient treatment on maxillary and mandibular typodonts
Passing score
75 or greater; results reported as Pass/Fail for this part
Examination sources

CRDTS Dental Hygiene Patient-Based Exam

This assessment does not have a question bank.

Examination sources

CRDTS Dental Hygiene Simulated Patient Exam

Examination outline
  • Extra/Intra Oral Assessment OSCE — 16 scorable items, 1 point each, 16 maximum points
    • Identify gross head and neck anatomy, variations of normal anatomy, palpation techniques used to examine head and neck extraoral and intraoral structures, and atypical or abnormal findings, whether pathologic or non-pathologic
    • Extraoral — Head, Face, and Neck: asymmetry, infected piercings, swellings, lesions
    • Extraoral — Lymph Nodes, TMJ: description of location, restricted opening
    • Intraoral — Oral Mucosa/Lips and Supporting Structures: lesions, chemical/physical irritations, tattoos, swellings, hematomas, nodules
    • Intraoral — Alveolar Ridge: lesions, chemical/physical irritations, exostosis, torus/tori, tattoos, swellings, hematomas, nodules
    • Intraoral — Palate and Oral Pharynx (tonsils and tonsillar pillars): torus, lesions, chemical/physical irritation, other significant findings
    • Intraoral — Tongue: hairy tongue, fissured tongue, loss of papilla, geographic tongue, glossitis, nodules, lesions
    • Intraoral — Floor of the Mouth: ankyloglossia, hematomas, lesions, tattoos, other significant findings
  • Calculus Detection — 12 scorable surfaces, 1 point each, 12 maximum points
    • Explore 12 random assigned surfaces on the maxillary arch and accurately record presence (Y/Yes) or absence (N/No) of calculus on each surface
    • The maxillary arch is for calculus detection only, not scaling; deposits detected on a line angle are marked on the closest interproximal surface
  • Scaling/Subgingival Calculus Removal — 12 scorable surfaces, 5 points each, 60 maximum points
    • Candidate selects the right or left mandibular quadrant during the initial online application; examiners evaluate 12 surfaces in the selected quadrant
    • Because evaluated surfaces are unknown, explore all subgingival surfaces in the selected quadrant and remove subgingival calculus so no deposits are detectable with an 11/12 explorer; detectable subgingival calculus is a scaling error
    • Supragingival deposit/stain removal is not part of this examination, so rubber cup polishing is not needed or required
  • Periodontal Probing — 12 scorable measurements, 1 point each, 12 maximum points
    • On two randomly assigned teeth in the selected treatment quadrant, chart simulated gingival sulcus/pocket depths within ±1 mm to the nearest mm on six aspects of each tooth: MF, F-midpoint, DF, ML, L-midpoint, and DL
    • Record periodontal measurements after scaling; direct facial and lingual readings are at tooth midpoint with probe parallel to root surface and long axis; interproximal readings place the shank against the contact point and tip slightly into the col; if no contact, place at proximal midpoint and record the same facial and lingual measurement; use light pressure to position the tip to sulcus depth
Examination sources

Massachusetts Dental Ethics and Jurisprudence Examination

Provider
Massachusetts Board of Registration in Dentistry
Format
Open-book examination requested from the Board by email; the applicant submits the answer sheet with the license application
Examination outline
  • M.G.L. Chapter 112: Registration of Certain Professions and Occupations
  • M.G.L. Chapter 94C: Controlled Substances Act
  • 234 CMR 2.00: Purpose and Definitions
  • 234 CMR 4.00: Licensure and License Renewal Requirements
  • 234 CMR 5.00: Requirements for the Practice of Dentistry, Dental Hygiene and Dental Assisting
  • 234 CMR 6.00: Administration of Anesthesia and Sedation
  • 234 CMR 7.00: Mobile and Portable Dentistry
  • 234 CMR 8.00: Continuing Education
  • 234 CMR 9.00: Investigations, Complaints and Board Actions
  • 29 CFR Part 1910: Occupational Safety and Health Standards
  • 310 CMR 73.00: Amalgam Wastewater and Recycling Regulations for Dental Facilities
  • ADA Principles of Ethics and Code of Professional Conduct
  • ADHA Code of Ethics
  • ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists
  • ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, 2007
  • American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, 2010
  • AAP/AAPD Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation
Examination sources

National Board Dental Hygiene Examination

Examination outline
  • Discipline-Based Component — Scientific Basis for Dental Hygiene Practice (61 items)
    • Anatomic Sciences
    • Anatomic Sciences — Anatomy
    • Anatomic Sciences — Anatomy — Head and neck anatomy
    • Anatomic Sciences — Anatomy — Dental anatomy
    • Anatomic Sciences — Anatomy — Dental anatomy — General anatomy
    • Anatomic Sciences — Anatomy — Dental anatomy — Root anatomy
    • Anatomic Sciences — Anatomy — Histology and Embryology
    • Anatomic Sciences — Physiology
    • Anatomic Sciences — Biochemistry and Nutrition
    • Anatomic Sciences — Microbiology and Immunology
    • Anatomic Sciences — Pathology
    • Anatomic Sciences — Pathology — General
    • Anatomic Sciences — Pathology — Oral
    • Anatomic Sciences — Pharmacology
  • Discipline-Based Component — Provision of Clinical Dental Hygiene Services (115 items)
    • Assessing Patient Characteristics
    • Assessing Patient Characteristics — Medical and dental history
    • Assessing Patient Characteristics — Head and neck examination
    • Assessing Patient Characteristics — Periodontal evaluation
    • Assessing Patient Characteristics — Oral evaluation
    • Assessing Patient Characteristics — General
    • Obtaining and Interpreting Radiographs
    • Obtaining and Interpreting Radiographs — Principles of radiophysics and radiobiology
    • Obtaining and Interpreting Radiographs — Principles of radiologic health
    • Obtaining and Interpreting Radiographs — Technique
    • Obtaining and Interpreting Radiographs — Recognition of normalities and abnormalities
    • Obtaining and Interpreting Radiographs — General
    • Planning and Managing Dental Hygiene Care
    • Planning and Managing Dental Hygiene Care — Infection control (application)
    • Planning and Managing Dental Hygiene Care — Recognition of emergency situations and provision of appropriate care
    • Planning and Managing Dental Hygiene Care — Individualized patient education
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Planning of individualized instruction
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Dental caries
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Periodontal disease
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Oral conditions
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Anxiety and pain control
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Recognition and management of compromised patients
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Diagnosis
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Treatment plan
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Case presentation
    • Planning and Managing Dental Hygiene Care — Individualized patient education — General
    • Performing Periodontal Procedures
    • Performing Periodontal Procedures — Etiology and pathogenesis of periodontal diseases
    • Performing Periodontal Procedures — Prescribed therapy
    • Performing Periodontal Procedures — Prescribed therapy — Periodontal debridement
    • Performing Periodontal Procedures — Prescribed therapy — Surgical support services
    • Performing Periodontal Procedures — Prescribed therapy — Chemotherapeutic agents
    • Performing Periodontal Procedures — Prescribed therapy — General
    • Performing Periodontal Procedures — Reassessment and maintenance (e.g., implant care)
    • Using Preventive Agents
    • Using Preventive Agents — Fluorides - systemic and topical
    • Using Preventive Agents — Fluorides - systemic and topical — Mechanisms of action
    • Using Preventive Agents — Fluorides - systemic and topical — Toxicology
    • Using Preventive Agents — Fluorides - systemic and topical — Methods of administration
    • Using Preventive Agents — Fluorides - systemic and topical — Methods of administration — Water fluoridation
    • Using Preventive Agents — Fluorides - systemic and topical — Methods of administration — Self-administered
    • Using Preventive Agents — Pit and fissure sealants
    • Using Preventive Agents — Other preventive agents
    • Providing Supportive Treatment Services
    • Providing Supportive Treatment Services — Properties and manipulation of materials
    • Providing Supportive Treatment Services — Polishing natural and restored teeth
    • Providing Supportive Treatment Services — Making of impressions and preparation of study casts
    • Providing Supportive Treatment Services — Other supportive services (e.g., tooth desensitization)
    • Providing Supportive Treatment Services — General
    • Professional Responsibility
    • Professional Responsibility — Ethical principles, including informed consent
    • Professional Responsibility — Regulatory compliance
    • Professional Responsibility — Patient and professional communication
    • Professional Responsibility — General
  • Discipline-Based Component — Community Health/Research Principles (24 items)
    • Promoting Health and Preventing Disease Within Groups
    • Participating in Community Programs
    • Participating in Community Programs — Assessing populations and defining objectives
    • Participating in Community Programs — Designing, implementing, and evaluating programs
    • Analyzing Scientific Literature, Understanding Statistical Concepts, and Applying Research Results
  • Case-Based Component (150 items involving 12 to 15 dental hygiene patient cases)
    • Cases present information dealing with adult and child patients and may involve geriatric, adult-periodontal, pediatric, special needs, medically compromised, and other patient types; a medically compromised patient is one whose health status may require modification of standard treatment or special consideration.
    • Patient information is presented by means of patient histories, dental charts, radiographs, and clinical photographs.
    • Assessing patient characteristics
    • Obtaining and interpreting radiographs
    • Planning and managing dental hygiene care
    • Performing periodontal procedures
    • Using preventive agents
    • Providing supportive treatment service
    • Professional responsibility
Examination sources