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New Jersey Dentist — Requirements & Free Practice

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Dental License

License to practice dentistry in New Jersey issued by the State Board of Dentistry under N.J.S.A. 45:6-1 et seq. and N.J.A.C. 13:30.

Licensing authority: New Jersey State Board of Dentistry · Application information

Licensure by credentials
Board Description
The Board's paper application checklist describes this route as endorsement for "a licensee who has not taken the A.D.E.X. exam but who is currently licensed and has worked five years immediately preceding the application to the Board in a state with which New Jersey has reciprocity".
Continued Competency
The Board may require satisfactory proof of continued competency to practice dentistry (N.J.A.C. 13:30-1.2(f), as printed in the 2010 official edition), and reviews discipline and practice history (N.J.A.C. 13:30-1.2(g)).
Jurisprudence Orientation
A certificate of completion of the online New Jersey Jurisprudence orientation taken within six months of the date of application (N.J.A.C. 13:30-1.2, as amended by R.2021 d.035, which replaced the former New Jersey Jurisprudence examination with this orientation). The orientation is not scored: the applicant can proceed past each question only after answering it correctly. Lower-ranked Board materials still call it an examination: the orientation page says "Only use a DESKTOP PC or a LAPTOP to take the exam", and the older paper application checklist says "The Jurisprudence Examination can be taken at any time during this process."
National Board Alternative
The rule also accepts results of Parts I and II of the National Board Dental Examination. The Joint Commission on National Dental Examinations replaced NBDE Part I and Part II with the INBDE, so the NBDE is not mounted; an applicant who already passed both parts may present those results instead of the INBDE.
Other State License
The applicant is licensed to practice dentistry in another state or jurisdiction (N.J.A.C. 13:30-1.2(e)).
Practice History
Evidence that the applicant has actively practiced dentistry in a single state or jurisdiction for at least five years before the date of application (N.J.A.C. 13:30-1.2(e)1, as printed in the 2010 official edition; the current text of this unamended paragraph was not obtained).
Prior Clinical Examination
Results of a clinical examination administered or recognized by another state or jurisdiction that is comparable to the North East Regional Board examination (N.J.A.C. 13:30-1.2(e)5, as printed in the 2010 official edition). The rule does not name an examination, so no leaf is mounted for it.
Licensure by examination

All of the following:

Age And Character
At least 18 years of age and of good moral character (N.J.S.A. 45:6-3).
Background And History Review
A criminal history background check, and Board review of prior or pending discipline, investigations, National Practitioner Data Bank reports, employment history and privilege actions (N.J.A.C. 13:30-1.2(b) and (g)).
Clinical Examination Administrator
The ADEX dental examination, including the Periodontal Examination, may be taken from the Commission on Dental Competency Assessments or another entity administering the ADEX dental examination (N.J.A.C. 13:30-1.2(b)3).
Clinical Examination Remediation
If an applicant fails any portion of the ADEX dental examination three consecutive times, the Board may require a remedial course in the subject area at a dental program accredited by the Commission on Dental Accreditation (N.J.A.C. 13:30-1.2(b)3).
Dental Education
Graduation with a dental degree from a dental school, college or department of a university approved by the Board; a graduate of an unapproved dental school must first complete at least two years of study of a Board-approved curriculum at an approved dental school, with a dental degree conferred by that school (N.J.S.A. 45:6-3).
Jurisprudence Orientation
A certificate of completion of the online New Jersey Jurisprudence orientation taken within six months of the date of application (N.J.A.C. 13:30-1.2, as amended by R.2021 d.035, which replaced the former New Jersey Jurisprudence examination with this orientation). The orientation is not scored: the applicant can proceed past each question only after answering it correctly. Lower-ranked Board materials still call it an examination: the orientation page says "Only use a DESKTOP PC or a LAPTOP to take the exam", and the older paper application checklist says "The Jurisprudence Examination can be taken at any time during this process."
National Board Alternative
The rule also accepts results of Parts I and II of the National Board Dental Examination. The Joint Commission on National Dental Examinations replaced NBDE Part I and Part II with the INBDE, so the NBDE is not mounted; an applicant who already passed both parts may present those results instead of the INBDE.
Licensure by examination after five years without practice

All of the following:

Applicant Situation
The applicant previously passed the ADEX dental examination and has not practiced as a licensed dentist for five years or more before the date of application (N.J.A.C. 13:30-1.2(d)).
Jurisprudence Orientation
A certificate of completion of the online New Jersey Jurisprudence orientation taken within six months of the date of application (N.J.A.C. 13:30-1.2, as amended by R.2021 d.035, which replaced the former New Jersey Jurisprudence examination with this orientation). The orientation is not scored: the applicant can proceed past each question only after answering it correctly. Lower-ranked Board materials still call it an examination: the orientation page says "Only use a DESKTOP PC or a LAPTOP to take the exam", and the older paper application checklist says "The Jurisprudence Examination can be taken at any time during this process."
National Board Alternative
The rule also accepts results of Parts I and II of the National Board Dental Examination. The Joint Commission on National Dental Examinations replaced NBDE Part I and Part II with the INBDE, so the NBDE is not mounted; an applicant who already passed both parts may present those results instead of the INBDE.
Refresher Course Alternative
Instead of re-taking the ADEX examination, the applicant may complete a Board-approved refresher course with a post-course examination (N.J.A.C. 13:30-1.2(d)); that post-course examination is not an identified examination.
Remediation
If the clinical or post-course examination identifies deficiencies or educational needs, the Board may require education, training, supervision, monitoring or limitations as a condition of licensure (N.J.A.C. 13:30-1.2(d)).
Reactivation of inactive or retired license
No examination is required for this applicant pathway.
Board Discretion
If Board review indicates possible practice deficiencies, the Board may require the applicant to pass an examination or an assessment of skills, a refresher course, or other requirements before reactivation (N.J.A.C. 13:30-8.6A(b)); the rule names no examination.
Submissions
Renewal application, certification of employment during the inactive period, renewal fee, and evidence of the continuing education required for the preceding biennial period (N.J.A.C. 13:30-8.6A(a)).

Official no-examination sources

Effective from 2021-04-19.

Reinstatement of suspended license
No examination is required for this applicant pathway.
Board Discretion
If Board review indicates possible practice deficiencies, the Board may require the applicant to pass an examination or an assessment of skills, a refresher course, or other requirements before reinstatement (N.J.A.C. 13:30-8.6B(b)); the rule names no examination.
Submissions
Reinstatement application, certification of employment during the suspension, current and past-due renewal fees, reinstatement fee, and evidence of the continuing education required for the preceding biennial period (N.J.A.C. 13:30-8.6B(a)).

Official no-examination sources

Effective from 2021-04-19.

Biennial renewal
No examination is required for this applicant pathway.
Continuing Education
Continuing dental education, 40 hours every two years including the mandatory hours, is required for renewal (N.J.A.C. 13:30-5.1).
Inactive Option
A licensee may renew as inactive and may not practice until returned to active status (N.J.A.C. 13:30-8.6(c)).
Renewal
Renewal application and fee before license expiration, or within 30 days after expiration with a late fee; a license not renewed within 30 days is suspended (N.J.A.C. 13:30-8.6).

Official no-examination sources

Effective from 2021-04-19.

Retired licensure
No examination is required for this applicant pathway.
Practice History
A licensee who has practiced dentistry for at least 25 years may apply to be licensed as a retired dentist (N.J.A.C. 13:30-1.5).
Practice Restriction
A retired licensee may not practice dentistry during the biennial period of retired status and may resume practice only through reactivation under N.J.A.C. 13:30-8.6A.

Official no-examination sources

Effective from 2021-04-19.

ADEX Dental Examination

Provider
American Board of Dental Examiners (ADEX); DLOSCE administered at Prometric Test Centers under an exclusive license from the ADA; clinical examinations on simulated patient manikins at host clinical locations
Format
Examination series of one computer-based component (DLOSCE) and five clinical components (Periodontal, Endodontic, Fixed Prosthodontic, Anterior Restorative, Posterior Restorative), each scored and reported pass/fail as a separate part; all components must be passed within 18 months of the initial attempt of any component for an overall passing score; three successive failed attempts of the same part fail the entire series. Cohort form: registrations made prior to 6/1/2026 may make an initial attempt of the DSE OSCE in place of the DLOSCE by no later than December 31, 2026; failure of the DSE requires a subsequent attempt of the DLOSCE.
Time limit
DLOSCE approximately 6 hours 45 minutes seat time; Periodontal up to 90 minutes; Endodontic up to 3 hours; Fixed Prosthodontic up to 4 hours; Anterior Restorative up to 3 hours; Posterior Restorative up to 3.5 hours
Passing score
A score of 75 or greater is required to pass each part of the examination; results are reported as Pass/Fail for each part
Exam fee
$2,995 examination fee plus Facility Fee (varies by clinical location); includes one complimentary retake per clinical examination procedure; Typodont Fee $150 per procedure; DLOSCE second or third attempt $695
Examination outline
  • Dental Licensure Objective Structured Clinical Examination (DLOSCE) — computer-based component of the ADEX Dental Examination series (overseen by the Joint Commission on National Dental Examinations, owned by the ADA, used by ADEX under an exclusive license; administered at Prometric Test Centers). The examination includes questions involving patients of various types and backgrounds, including pediatric, geriatric, special needs, and medically complex patients.
    • DLOSCE topic area Restorative (24% of DLOSCE) — Diagnosis
    • DLOSCE topic area Restorative (24% of DLOSCE) — Preparations
    • DLOSCE topic area Restorative (24% of DLOSCE) — Restorations — Direct
    • DLOSCE topic area Restorative (24% of DLOSCE) — Restorations — Indirect
    • DLOSCE topic area Prosthodontics (19% of DLOSCE) — Removable
    • DLOSCE topic area Prosthodontics (19% of DLOSCE) — Fixed
    • DLOSCE topic area Prosthodontics (19% of DLOSCE) — Implants
    • DLOSCE topic area Oral Pathology, Pain Management, and Temporomandibular Dysfunction (13% of DLOSCE) — Oral Pathology/Oral Medicine
    • DLOSCE topic area Oral Pathology, Pain Management, and Temporomandibular Dysfunction (13% of DLOSCE) — Orofacial Pain and Temporomandibular Dysfunction
    • DLOSCE topic area Periodontics (10% of DLOSCE) — Diagnosis
    • DLOSCE topic area Periodontics (10% of DLOSCE) — Treatment Planning
    • DLOSCE topic area Periodontics (10% of DLOSCE) — Etiology
    • DLOSCE topic area Oral Surgery (9% of DLOSCE) — Diagnosis
    • DLOSCE topic area Oral Surgery (9% of DLOSCE) — Treatment Planning
    • DLOSCE topic area Oral Surgery (9% of DLOSCE) — Extractions
    • DLOSCE topic area Endodontics (8% of DLOSCE) — Diagnosis
    • DLOSCE topic area Endodontics (8% of DLOSCE) — Treatment Planning
    • DLOSCE topic area Endodontics (8% of DLOSCE) — Emergency Management
    • DLOSCE topic area Endodontics (8% of DLOSCE) — Post-treatment Evaluation
    • DLOSCE topic area Orthodontics (6% of DLOSCE) — Treatment Screening
    • DLOSCE topic area Orthodontics (6% of DLOSCE) — Space Management
    • DLOSCE topic area Medical Emergencies (6% of DLOSCE) — Diagnosis
    • DLOSCE topic area Medical Emergencies (6% of DLOSCE) — Management
    • DLOSCE topic area Prescriptions (5% of DLOSCE) — Antibiotic
    • DLOSCE topic area Prescriptions (5% of DLOSCE) — Analgesic
    • DLOSCE — Diagnosis and Treatment Planning – as well as Occlusion – are covered across the listed topic areas.
  • Periodontal Examination — clinical component on a simulated patient manikin, up to 90 minutes: 1. Calculus detection (maxillary); 2. Calculus removal on assigned quadrant (mandibular); 3. Periodontal probing depth measurements (mandibular). Scoring Rubric total 100 points; required component effective August 1, 2026.
    • Calculus Detection (16 points possible): 4 assigned maxillary teeth; 4 surfaces per tooth (M, D, F, L); 16 surfaces evaluated for presence or absence of subgingival calculus (1 point each).
    • Calculus Removal (66 points possible): One mandibular quadrant assigned; 12 assigned key surfaces evaluated for calculus removal (5.5 points each).
    • Complete Calculus Removal (6 points possible): Evaluation of calculus removal on all remaining surfaces within assigned quadrant. Calculus remaining: 1 surface (-3 points); 2 or more surfaces (-6 points).
    • Periodontal Probing Measurement (12 points possible): 2 assigned teeth (1 anterior; 1 posterior); 6 measurements per tooth (DF, F, MF, DL, L, ML); 12 measurements evaluated (1 point each). Periodontal probing measurement grading allows for ±1 mm leeway.
    • Treatment Management: Candidates must effectively complete periodontal treatment without causing unwarranted hard or soft tissue damage to the simulated dentition and gingiva. Penalty points will be assessed for each area of tissue damage and subtracted from the total points accrued during the grading process.
    • Soft Tissue Damage — penalty point assessment criteria: One point deducted for each site of minor soft tissue damage, up to three (3) sites. The presence of four (4) or more minor soft tissue damage sites, or one major soft tissue damage site results in automatic failure [critical error].
    • Minor Soft Tissue Damage: Slight soft tissue trauma that is inconsistent with the procedure, including: a laceration/abrasion that is ≤ 3 mm; a laceration or injury that would not result in the need for suturing, periodontal packing, or further follow-up treatment.
    • Major Soft Tissue Damage: a laceration/abrasion that is > 3 mm and that would require sutures, periodontal packing, or further follow-up treatment; a laceration/injury that would result in exposure of alveolar bone, flap, or amputation of papilla; an unreported broken instrument tip in the sulcus or soft tissue.
    • Hard Tissue Damage — penalty point assessment criteria: One point deducted for each site of minor hard tissue damage, up to three (3) sites. The presence of four (4) or more minor hard tissue damage sites, or one major hard tissue damage site results in automatic failure [critical error].
    • Minor Hard Tissue Damage: Slight hard tissue damage that is inconsistent with the procedure or a pre-existing condition; may include all hard tissue surfaces that would not require additional definitive treatment.
    • Major Hard Tissue Damage: Major damage to the hard tissue that is inconsistent with the procedure and a pre-existing condition; may include all hard tissue surfaces that would require additional definitive treatment (e.g. a restoration).
  • Endodontic Examination — clinical component on a simulated patient manikin, up to three (3) hours: 1. Anterior procedure; 2. Posterior procedure; the procedures are graded and reported as a singular exam part. Rating levels: ACC = Adheres to Criteria; SUB = Marginally Substandard; DEF = Critical Deficiency.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Critical errors: Procedure not challenged; Wrong tooth/surface treated; Crown of the tooth has been reduced; Any part of the tooth is fractured during instrumentation or obturation; Any part of the tooth is perforated
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Access Opening — Placement — ACC (Adheres to Criteria): Placement of the access opening is on the lingual surface directly over the pulp chamber and allows for pulp horns to be fully removed and complete debridement of the pulp chamber and straight-line access to the root canal system. | DEF (Critical Deficiency): Placement of the access opening is NOT over the pulp chamber and/or does NOT allow complete debridement of the pulp chamber or access to the root canal system.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Access Opening — Size — ACC (Adheres to Criteria): A. The incisal aspect of the access opening is ≥ 2.0 mm from the incisal edge which provides for a fully supported incisal edge. B. The cervical aspect of the access opening is ≥ 3.0 mm from the lingual CEJ which provides for a fully supported cingulum. C. The widest portion of the preparation mesio-distally is ≤ 1/2 of the lingual surface which provides for fully supported marginal ridges (approximately 1.0 mm). D. Size of the access opening allows for complete removal of pulp horns. | DEF (Critical Deficiency): A. The incisal aspect of the access opening is < 2.0 mm from the incisal edge which compromises the incisal edge. B. The cervical aspect of the opening is < 3.0 mm from the lingual CEJ which compromises the cingulum. C. The preparation compromises the mesial and/or distal marginal ridge(s) (≤ 1.0 mm). D. The size of the access opening does NOT allow for removal of pulp horns.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Access Opening — Internal Form — ACC (Adheres to Criteria): From the lingual surface to the cervical portion, the internal form tapers to the canal opening with slight ledges. | DEF (Critical Deficiency): Internal form exhibits excessive gouges, which compromise the integrity of the tooth.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Canal Instrumentation — Cervical Portion — ACC (Adheres to Criteria): Canal is shaped to a continuous taper to allow adequate debridement and obturation and the cervical portion of the canal is of appropriate location and size to allow access to the apical root canal system. | DEF (Critical Deficiency): Cervical portion of the canal is grossly over-prepared affecting the integrity of the tooth structure.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Canal Instrumentation — Mid-Root Portion — ACC (Adheres to Criteria): Mid-root portion of the canal blends smoothly with the cervical portion without ledges or shoulders. | DEF (Critical Deficiency): Mid-root portion of the canal has significant instrumentation irregularities that will compromise obturation.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Canal Instrumentation — Apical Portion — ACC (Adheres to Criteria): Apical portion of the canal is prepared to the anatomical apex of the tooth or ≤ 2.0 mm short of the anatomical apex. | DEF (Critical Deficiency): A. Apical portion of the canal is over-prepared beyond the anatomical apex. B. Apical portion of the canal is transported to the extent that the apical portion of the canal is not instrumented. C. Apical portion is under-prepared > 2.0 mm short of the anatomical apex.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Root Canal Obturation — Overfill/Underfill — ACC (Adheres to Criteria): Root canal is obturated with gutta percha at the anatomical apex or ≤ 2.0 mm short of the root apex. | DEF (Critical Deficiency): A. Root canal is obturated with gutta percha > 0.5 mm beyond the anatomical apex. B. Root canal is obturated with gutta percha > 2.0 mm short of the anatomical apex.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Root Canal Obturation — Voids in Gutta Percha — ACC (Adheres to Criteria): Apical third of the obturation in the root canal is dense and without voids. | DEF (Critical Deficiency): A. There are significant voids throughout the obturation of the root canal. B. There is no gutta percha present in the root canal. C. A material other than gutta percha was used to obturate the canal.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Root Canal Obturation — Filled above/below CEJ — ACC (Adheres to Criteria): A. Gutta percha in the root canal is ≤ 3.0 mm apical to the CEJ when measured from the facial. B. Gutta percha and/or sealer is/are evident in the pulp chamber extending ≤ 2.0 mm coronal to the CEJ when measured from the facial. | DEF (Critical Deficiency): A. Gutta percha in the root canal is > 3.0 mm apical to the CEJ when measured from the facial. B. Gutta percha and/or sealer is/are evident in the pulp chamber extending > 2.0 mm coronal to the CEJ when measured from the facial. C. There is restorative material present in the pulp chamber.
    • Anterior Endodontic Procedure (Tooth #8: access preparation, canal preparation, and obturation) — Root Canal Obturation — Separated File — ACC (Adheres to Criteria): File is not separated; or, file is separated in the root canal but does not affect obturation of the root canal. | DEF (Critical Deficiency): A file is separated in the root canal and either prevents the obturation or allows obturation at a critically deficient level.
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Critical errors: Procedure not challenged; Wrong tooth/surface treated; Crown of the tooth has been reduced; Any part of the tooth is fractured during instrumentation or obturation; Any part of the tooth is perforated
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Access Opening — Placement — ACC (Adheres to Criteria): Placement of the access opening is over the pulp chamber allowing for debridement of the pulp chamber and straight-line access to the three root canals located in the tooth. | DEF (Critical Deficiency): Placement of the access opening is not over the pulp chamber and/or does not allow complete debridement of the pulp chamber or access to the 3 root canals.
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Access Opening — Size — ACC (Adheres to Criteria): Access opening is in the mesial triangular pit and central fossa of the tooth and the following are true: A. The mesial extent of the access preparation is ≥ 2.0 mm from the mesial marginal ridge. B. The buccal extent of the access preparation is ≥ 1.0 mm from the line bisecting the mesio-buccal and disto-buccal cusp tips. C. The distal extent of the access preparation is ≥ 1.0 mm mesial to the distal oblique groove. D. The palatal extent of the access preparation is ≥ 1.0 mm from the mesiolingual cusp tip. | DEF (Critical Deficiency): A. The mesial extent of the access preparation is < 2.0 mm distal to the mesial marginal ridge. B. The buccal extent of the access preparation is < 1.0 mm from the line bisecting the mesio-buccal and disto-buccal cusp tips. C. The distal extent of the access preparation is < 1.0 mm mesial to the distal oblique groove. D. The palatal extent of the access preparation is < 1.0 mm from the mesio-lingual cusp tip. E. The access size is too small: <2.5 mm at its widest mesio-distally and/or < 2.5 mm at its widest bucco-lingually.
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Access Opening — Depth/Roof Removal — ACC (Adheres to Criteria): The depth of the access preparation removes the entire roof of the pulp chamber. | DEF (Critical Deficiency): A. The pulpal floor at the center of the floor is > 10.0 mm deep when measured from the buccal cavosurface margin of the access preparation. B. The depth of the access preparation does not remove the roof of the pulp chamber to the extent that all pulp tissue can be removed.
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Access Opening — Internal Form — ACC (Adheres to Criteria): The internal form of the access preparation leaves ≥ 1.0 mm of supported lateral tooth structure at any point of the preparation and tapers to the canal orifices with no or slight gouges. | DEF (Critical Deficiency): The internal form of the access preparation leaves < 1.0 mm of lateral supported tooth structure at any point of the preparation and/or tapers to the canal orifices with gross ledges that will inhibit access to the root canal orifices.
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Treatment Management — Condition of Adjacent Tooth/Teeth — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/ or contact. | DEF (Critical Deficiency): There is gross damage to adjacent tooth/teeth, requiring a restoration.
    • Posterior Endodontic Procedure (Tooth #14: access preparation and canal identification) — Treatment Management — Condition of Surrounding Tissue — ACC (Adheres to Criteria): There is slight damage to simulated gingiva and/or typodont consistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure.
  • Fixed Prosthodontic Examination — clinical component on a simulated patient manikin, up to four (4) hours: 1. All-Ceramic Crown preparation (Central Incisor); 2. Zirconia Crown preparation (Premolar); 3. Zirconia Crown preparation (Molar). Rating levels: ACC = Adheres to Criteria; SUB = Marginally Substandard; DEF = Critical Deficiency.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Critical errors: Wrong tooth/surface treated; Procedure not challenged
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Cervical Margin and Draw — Margin/Extension — ACC (Adheres to Criteria): The cervical margin is ≤ 0.5 mm below [apical to] the simulated free gingival margin to ≤ 1.5 mm above [incisal to] the simulated free gingival margin. | SUB (Marginally Substandard): The cervical margin is over-extended > 0.5 mm below the simulated free gingival margin. | DEF (Critical Deficiency): A. The cervical margin is over-extended > 0.5 mm below the simulated free gingival margin, causing visual damage to the typodont. B. The cervical margin is under-extended by > 1.5 mm above the simulated free gingival margin.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Cervical Margin and Draw — Margin/Definition/Unbeveled — ACC (Adheres to Criteria): The cervical margin is continuous but may be slightly rough and may lack some definition. | DEF (Critical Deficiency): A. The cervical margin has no continuity and/or definition. B. The margin is beveled. C. The margin is cupped or J-shaped.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Cervical Margin and Draw — Margin/Cervical Width — ACC (Adheres to Criteria): The cervical margin is ≥ 0.5 mm but ≤ 1.5 mm in width. | SUB (Marginally Substandard): The cervical margin is > 1.5 mm but ≤ 2.0 mm in width. | DEF (Critical Deficiency): A. The cervical margin is > 2.0 mm in width. B. The cervical margin is < 0.5 mm in width.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Cervical Margin and Draw — Line of Draw — ACC (Adheres to Criteria): The path of insertion/line of draw deviates < 20° from the long axis of the tooth. | SUB (Marginally Substandard): The path of insertion/line of draw deviates 20° to < 30° from the long axis of the tooth. | DEF (Critical Deficiency): The path of insertion/line of draw deviates ≥ 30° from the long axis of the tooth.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Walls, Taper and Line Angles — Axial/Lingual Tissue Reduction — ACC (Adheres to Criteria): The axial/lingual tissue reduction is ≥ 1.0 mm but ≤ 2.0 mm. | SUB (Marginally Substandard): The axial/lingual tissue reduction is > 2.0 mm but ≤ 2.5 mm. | DEF (Critical Deficiency): A. The axial/lingual tissue reduction is > 2.5 mm. B. The axial/lingual tissue reduction is < 1.0 mm.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Walls, Taper and Line Angles — Axial Walls Smoothness/Undercut — ACC (Adheres to Criteria): The walls may be slightly rough and may lack some definition. | DEF (Critical Deficiency): There is an undercut, which, when blocked out, would compromise margin width criteria and/or is > 0.5 mm deep.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Walls, Taper and Line Angles — Taper — ACC (Adheres to Criteria): Taper is present, from nearly parallel to ≤ 12° per wall. | SUB (Marginally Substandard): There is excessive taper that is > 12° but ≤ 16° per wall. | DEF (Critical Deficiency): The taper is grossly over-reduced > 16° per wall.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Walls, Taper and Line Angles — Incisal Reduction — ACC (Adheres to Criteria): The incisal reduction is ≥ 1.0 mm but ≤ 3.0 mm. | SUB (Marginally Substandard): The incisal reduction is > 3.0 mm but ≤ 3.5 mm. | DEF (Critical Deficiency): A. The incisal reduction is > 3.5 mm. B. The incisal reduction is < 1.0 mm.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Walls, Taper and Line Angles — External/Internal Line Angles — ACC (Adheres to Criteria): External and/or internal line angles may be rounded but irregular. | DEF (Critical Deficiency): The external and/or internal line angles are excessively sharp with no evidence of rounding.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Walls, Taper and Line Angles — Lingual Wall Height — ACC (Adheres to Criteria): The lingual wall height is ≥ 1.0 mm. | DEF (Critical Deficiency): The lingual wall height is < 1.0 mm.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Treatment Management — Condition of Adjacent/Opposing Teeth — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/ or contact. | SUB (Marginally Substandard): A. Damage to adjacent tooth/teeth requires recontouring that changes the shape and/or position of the contact. B. Opposing hard tissue shows minimal evidence of damage and/or alteration inconsistent with the procedure. | DEF (Critical Deficiency): A. There is gross damage to adjacent tooth/teeth, requiring a restoration. B. There is evidence of gross damage and/or alteration to opposing hard tissue inconsistent with the procedure.
    • Prosthodontic Crown Preparation — Ceramic Incisor (All-Ceramic Crown preparation on a central incisor, Tooth #9) — Treatment Management — Condition of Surrounding Tissue — ACC (Adheres to Criteria): There may be slight damage to the simulated gingiva and/or typodont consistent with the procedure. | SUB (Marginally Substandard): There is iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Critical errors: Procedure not challenged; Wrong tooth/surface treated
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Margin/Extension — ACC (Adheres to Criteria): The cervical margin is ≤ 0.5 mm below [apical to] the simulated free gingival margin to ≤ 1.5 mm above [occlusal to] the simulated free gingival margin. | SUB (Marginally Substandard): The cervical margin is over-extended > 0.5 mm below the simulated free gingival margin. | DEF (Critical Deficiency): A. The cervical margin is over-extended > 0.5 mm below the simulated free gingival margin, causing visual damage to the typodont. B. The cervical margin is under-extended > 1.5 mm above the simulated free gingival margin.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Margin/Definition/Unbeveled — ACC (Adheres to Criteria): The cervical margin is continuous but may be slightly rough and may lack some definition. | DEF (Critical Deficiency): A. The cervical margin has no continuity or definition. B. The cervical margin is beveled. C. The cervical margin is cupped or J-shaped.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Margin Width — ACC (Adheres to Criteria): The cervical margin is > 0.5 mm but ≤ 1.5 mm in width. | SUB (Marginally Substandard): The cervical margin is > 1.5 mm but ≤ 2.0 mm in width. | DEF (Critical Deficiency): A. The cervical margin is > 2.0 mm in width. B. The cervical margin is < 0.5 mm in width.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Line of Draw — ACC (Adheres to Criteria): The path of insertion/line of draw deviates < 20° from the long axis of the tooth. | SUB (Marginally Substandard): The path of insertion/line of draw deviates 20° to < 30° from the long axis of the tooth. | DEF (Critical Deficiency): The path of insertion/line of draw deviates ≥ 30° from the long axis of the tooth.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Axial Tissue Removal — ACC (Adheres to Criteria): The axial tissue removal is ≥ 1.0 mm but ≤ 2.0 mm. | SUB (Marginally Substandard): The axial tissue removal is > 2.0 mm but ≤ 2.5 mm. | DEF (Critical Deficiency): A. The axial tissue removal is > 2.5 mm. B. The axial tissue removal is < 1.0 mm.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Axial Walls Smoothness/Undercut — ACC (Adheres to Criteria): The walls may be slightly rough and may lack some definition. | DEF (Critical Deficiency): There is an undercut, which, when blocked out, would compromise margin width criteria and/or is > 0.5 mm deep.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Taper — ACC (Adheres to Criteria): Taper is present, from nearly parallel to ≤ 12° per wall. | SUB (Marginally Substandard): There is excessive taper that is > 12° and ≤ 16° per wall. | DEF (Critical Deficiency): Taper is grossly over-reduced > 16° per wall.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Occlusal Reduction — ACC (Adheres to Criteria): Occlusal reduction is ≥ 1.0 mm but ≤ 2.0 mm. | SUB (Marginally Substandard): Occlusal reduction is > 2.0 mm but ≤ 2.5 mm. | DEF (Critical Deficiency): A. Occlusal reduction is > 2.5 mm. B. Occlusal reduction is < 1.0 mm.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Internal Line Angles — ACC (Adheres to Criteria): Internal line angles and cusp tip areas may not be completely rounded and may show a slight tendency of being sharp. | DEF (Critical Deficiency): The internal line angles or cusp tip areas are excessively sharp with no evidence of rounding.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Treatment Management — Condition of Adjacent/Opposing Teeth — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/or contact. | SUB (Marginally Substandard): A. Damage to adjacent tooth/teeth requires recontouring that changes the shape and/or position of the contact. B. Opposing hard tissue shows minimal evidence of damage and/or alteration inconsistent with the procedure. | DEF (Critical Deficiency): A. There is gross damage to adjacent tooth/teeth requiring a restoration. B. There is evidence of gross damage and/or alteration to opposing hard tissue inconsistent with the procedure.
    • Prosthodontic Crown Preparation — Zirconia Premolar (Zirconia Crown preparation, Tooth #5, as an anterior abutment for a 3-unit fixed dental prosthesis (bridge)) — Treatment Management — Condition of Surrounding Tissue — ACC (Adheres to Criteria): There may be slight damage to simulated gingiva and/or typodont consistent with the procedure. | SUB (Marginally Substandard): There is iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Critical errors: Procedure not challenged; Wrong tooth/surface treated
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Margin/Extension — ACC (Adheres to Criteria): The cervical margin is ≤ 0.5 mm below [apical to] the simulated free gingival margin to ≤ 1.5 mm above [occlusal to] the simulated free gingival margin. | SUB (Marginally Substandard): The cervical margin is over-extended > 0.5 mm below the simulated free gingival margin. | DEF (Critical Deficiency): A. The cervical margin is over-extended > 0.5 mm below the simulated free gingival margin, causing visual damage to the typodont. B. The cervical margin is under-extended > 1.5 mm above the simulated free gingival margin.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Margin/Definition/Unbeveled — ACC (Adheres to Criteria): The cervical margin is continuous but may be slightly rough and/or may lack some definition. | DEF (Critical Deficiency): A. The cervical margin has no continuity and/or definition. B. The cervical margin is beveled. C. The cervical margin is cupped or J-shaped.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Margin Width — ACC (Adheres to Criteria): The cervical margin is > 0.5 mm but ≤ 1.5 mm in width. | SUB (Marginally Substandard): The cervical margin is > 1.5 mm but ≤ 2.0 mm in width. | DEF (Critical Deficiency): A. The cervical margin is > 2.0 mm in width. B. The cervical margin is < 0.5 mm in width.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Cervical Margin and Draw — Line of Draw — ACC (Adheres to Criteria): The path of insertion/line of draw deviates < 20° from the long axis of the tooth. | SUB (Marginally Substandard): The path of insertion/line of draw deviates 20° to < 30° from the long axis of the tooth. | DEF (Critical Deficiency): The path of insertion/line of draw deviates ≥ 30° from the long axis of the tooth.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Axial Tissue Removal — ACC (Adheres to Criteria): The axial tissue removal is ≥ 1.0 mm but ≤ 2.0 mm. | SUB (Marginally Substandard): The axial tissue removal is > 2.0 mm but ≤ 2.5 mm. | DEF (Critical Deficiency): A. The axial tissue removal is > 2.5 mm. B. The axial tissue removal is < 1.0 mm.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Axial Walls Smoothness/Undercut — ACC (Adheres to Criteria): The walls may be slightly rough and may lack some definition. | DEF (Critical Deficiency): There is an undercut, which, when blocked out, would compromise margin width criteria and/or is > 0.5 mm deep.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Taper — ACC (Adheres to Criteria): Taper is present, from nearly parallel to ≤ 12°. | SUB (Marginally Substandard): There is excessive taper that is > 12° and ≤ 16°. | DEF (Critical Deficiency): The taper is grossly over-reduced > 16° per wall.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Occlusal Reduction — ACC (Adheres to Criteria): Occlusal reduction is ≥ 1.0 mm but ≤ 2.0 mm. | SUB (Marginally Substandard): Occlusal reduction is > 2.0 mm but ≤ 2.5 mm. | DEF (Critical Deficiency): A. Occlusal reduction is > 2.5 mm. B. Occlusal reduction is < 1.0 mm.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Walls, Taper and Line Angles — Internal Line Angles — ACC (Adheres to Criteria): Internal line angles and cusp tip areas may not be completely rounded and may show a slight tendency of being sharp. | DEF (Critical Deficiency): Internal line angles or cusp tip areas are excessively sharp with no evidence of rounding.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Bridge Factor — Path of Insertion/Line of Draw — ACC (Adheres to Criteria): The line of draw or path of insertion is direct or may require altering the path of insertion from a direct vertical axis to allow full seating. | DEF (Critical Deficiency): No line of draw or path of insertion exists through any plane of rotation without the removal of additional tooth structure in the apical 2/3 of either/both of the preparations.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Treatment Management — Condition of Adjacent/Opposing Teeth — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/or contact. | SUB (Marginally Substandard): A. Damage to adjacent tooth/teeth requires recontouring that changes the shape and/or position of the contact. B. Opposing hard tissue shows minimal evidence of damage and/or alteration inconsistent with the procedure. | DEF (Critical Deficiency): A. There is gross damage to adjacent tooth/teeth, requiring a restoration. B. There is evidence of gross damage and/or alteration to opposing hard tissue inconsistent with the procedure.
    • Prosthodontic Crown Preparation — Zirconia Molar (Zirconia Crown preparation, Tooth #3, as the posterior abutment for same 3-unit fixed dental prosthesis (bridge)) — Treatment Management — Condition of Surrounding Tissue — ACC (Adheres to Criteria): There may be slight damage to simulated gingiva and/or typodont consistent with the procedure. | SUB (Marginally Substandard): There is iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the simulated gingiva and/or typodont inconsistent with the procedure.
    • 3-SUB Rule: If examiners independently confirm three marginally substandard over-preparation criteria on the same procedure, then the procedure will be determined to be critically deficient, and the candidate will fail that procedure.
  • Anterior Restorative Examination — clinical component on a simulated patient manikin, up to three (3) hours: Class III preparation and restoration of carious lesion on a maxillary incisor; graded and reported as a separate exam part; preparation and restoration must be challenged together. Rating levels: ACC = Adheres to Criteria; SUB = Marginally Substandard; DEF = Critical Deficiency; 3-SUB rule applies to highlighted over-preparation criteria.
    • Preparation: Anterior Composite (Class III Composite Preparation) — Critical errors: Wrong tooth/surface treated; Unrecognized exposure
    • Preparation: Anterior Composite (Class III Composite Preparation) — External Outline Form — Outline Extension — ACC (Adheres to Criteria): The facial wall, if broken, may extend < 1.0 mm beyond the contact area. The outline form dimension is ≤ 3.0 mm incisal gingivally. | SUB (Marginally Substandard): A. The incisal cavosurface margin is over-extended so that the integrity of the incisal angle is compromised. B. The facial wall extends > 1.0 mm but ≤ 2.0 mm beyond the contact area. C. The outline form dimension is > 3.0 mm but ≤ 5.0 mm incisal gingivally. | DEF (Critical Deficiency): A. The incisal angle is unnecessarily removed or fractured. B. The facial wall extends > 2.0 mm beyond the contact area. C. The outline form dimension is > 5.0 mm incisal gingivally.
    • Preparation: Anterior Composite (Class III Composite Preparation) — External Outline Form — Gingival Clearance — ACC (Adheres to Criteria): The gingival clearance is ≤ 1.0 mm. | SUB (Marginally Substandard): The gingival clearance is > 1.0 mm but ≤ 2.0 mm. | DEF (Critical Deficiency): The gingival clearance is > 2.0 mm.
    • Preparation: Anterior Composite (Class III Composite Preparation) — External Outline Form — Margin Smoothness/Continuity/Bevels — ACC (Adheres to Criteria): The cavosurface margins may be slightly irregular. Enamel cavosurface margin bevels, if present, are ≤ 1.0 mm in width. | SUB (Marginally Substandard): The cavosurface margin is rough and severely irregular. Enamel cavosurface margin bevels, if present, are > 1.0 mm in width, are not uniform, or are inappropriate for the size of the restoration.
    • Preparation: Anterior Composite (Class III Composite Preparation) — External Outline Form — Sound Marginal Tooth Structure — ACC (Adheres to Criteria): There may be a small area of unsupported enamel which is not necessary to preserve facial aesthetics. | SUB (Marginally Substandard): The cavosurface margin does not terminate in sound natural tooth structure. | DEF (Critical Deficiency): A. There is explorer-penetrable decalcification remaining on the cavosurface margin. B. There are large or multiple areas of unsupported enamel which are not necessary to preserve facial aesthetics.
    • Preparation: Anterior Composite (Class III Composite Preparation) — Internal Form — Axial Walls — ACC (Adheres to Criteria): MAX CENTRALS: The depth of the axial wall extends ≤ 2.0 mm in depth from the cavosurface margin. MAX LATERALS: The depth of the axial wall extends ≤ 1.0 mm in depth from the cavosurface margin. | SUB (Marginally Substandard): MAX CENTRALS: The depth of the axial wall extends > 2.0 mm but ≤ 3.0 mm in depth from the cavosurface margin. MAX LATERALS: The depth of the axial wall extends > 1.0 mm but ≤ 2.0 mm in depth from the cavosurface margin. | DEF (Critical Deficiency): MAX CENTRALS: The depth of the axial wall extends > 3.0 mm in depth from the cavosurface margin. MAX LATERALS: The depth of the axial wall extends > 2.0 mm in depth from the cavosurface margin.
    • Preparation: Anterior Composite (Class III Composite Preparation) — Internal Form — Internal Retention — ACC (Adheres to Criteria): If used, rounded internal retention is placed in the dentin of the gingival and incisal walls just axial to the DEJ as dictated by cavity form. Retention is tactilely and visually present. | SUB (Marginally Substandard): When used, retention is excessive and undermines enamel, or jeopardizes the incisal angle, or encroaches on the pulp.
    • Preparation: Anterior Composite (Class III Composite Preparation) — Internal Form — Caries — ACC (Adheres to Criteria): All caries removed. | DEF (Critical Deficiency): Caries has not been accessed and/or remains in the preparation.
    • Preparation: Anterior Composite (Class III Composite Preparation) — Treatment Management — Adjacent Tooth Damage — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/or contact. | SUB (Marginally Substandard): Damage to adjacent tooth/teeth requires re-contouring that changes the shape and/or contour and/or contact. | DEF (Critical Deficiency): There is gross damage to adjacent tooth/teeth which requires a restoration.
    • Preparation: Anterior Composite (Class III Composite Preparation) — Treatment Management — Soft Tissue Damage — ACC (Adheres to Criteria): The soft tissue is free from damage or there is tissue damage that is consistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the soft tissue inconsistent with the procedure and pre-existing condition of the soft tissue.
    • Restoration: Anterior Composite (Class III Composite Restoration) — Critical errors: Restoration is debonded and/or movable in the preparation; Restoration is fractured
    • Restoration: Anterior Composite (Class III Composite Restoration) — Margin Integrity and Surface Finish — Margin Excess/Deficiency — ACC (Adheres to Criteria): A. No marginal deficiency. There is no evidence of pits and/or voids at the cavosurface margin. B. The restoration-tooth interface may be detectable visually or with the tine of an explorer. | SUB (Marginally Substandard): A. DEFICIENCY: The restoration-tooth interface is detectable visually or with the tine of an explorer, and there is evidence of marginal deficiency ≤ 0.5 mm, which can include pits and/or voids at the cavosurface margin. B. EXCESS: There is evidence of marginal excess ≤ 1.0 mm in thickness perpendicular to the tooth surface (overhang) and/or extending laterally beyond the margin of the preparation ≥ 1.0 mm but ≤ 2.0mm. There is flash with or without contamination underneath, but it is not internal to the cavosurface margin and could be removed by polishing or finishing. | DEF (Critical Deficiency): A. There is evidence of marginal deficiency of > 0.5 mm, to include pits and voids at the cavosurface margin, and/or there is an open margin, and/or there is internal contamination at the interface between the restoration and the tooth. B. There is a marginal excess > 1.0 mm in thickness perpendicular to the tooth surface (overhang) and/or extending laterally beyond the margin of the preparation > 2.0 mm (excluding bonding agent or unfilled resin).
    • Restoration: Anterior Composite (Class III Composite Restoration) — Margin Integrity and Surface Finish — Adjacent Tooth Structure — ACC (Adheres to Criteria): There is no or minimal evidence of unwarranted or unnecessary removal, modification, or recontouring of tooth structure adjacent to the restoration (Enameloplasty). | DEF (Critical Deficiency): There is gross enameloplasty.
    • Restoration: Anterior Composite (Class III Composite Restoration) — Contour, Contact and Occlusion — Interproximal Contact — ACC (Adheres to Criteria): Interproximal contact is visually closed, and the contact is adequate in size, shape, or position but may demonstrate little resistance to dental floss. | DEF (Critical Deficiency): A. The interproximal contact is visually open or concave/irregular, allowing for food impaction. B. The interproximal contact will not allow floss to pass.
    • Restoration: Anterior Composite (Class III Composite Restoration) — Contour, Contact and Occlusion — Centric/Excursive Contacts — ACC (Adheres to Criteria): When checked with articulating paper, all centric and excursive contacts on the restoration are consistent in size, shape, and intensity with such contacts on other teeth in that quadrant. | SUB (Marginally Substandard): When checked with articulating paper, the restoration is in hyper-occlusion, making it inconsistent in size, shape, and intensity with the occlusal contacts on surrounding teeth, and it requires adjustment. | DEF (Critical Deficiency): There is gross hyper-occlusion so that the restoration is the only point of occlusion in that quadrant.
    • Restoration: Anterior Composite (Class III Composite Restoration) — Treatment Management — Adjacent Tooth Damage — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/ or contact. | DEF (Critical Deficiency): There is evidence of gross damage and/or alteration to adjacent and/or opposing hard tissue inconsistent with the procedure.
    • Restoration: Anterior Composite (Class III Composite Restoration) — Treatment Management — Soft Tissue Damage — ACC (Adheres to Criteria): The soft tissue is free from damage, or there is tissue damage that is consistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the soft tissue inconsistent with the procedure and pre-existing condition of the soft tissue. 1 of 1
  • Posterior Restorative Examination — clinical component on a simulated patient manikin, up to three and a half (3.5) hours: Class II preparation and restoration of carious lesion on a mandibular molar or premolar; all candidates complete a Composite Posterior Restorative procedure (amalgam is not an option); graded and reported as a separate exam part. Rating levels: ACC = Adheres to Criteria; SUB = Marginally Substandard; DEF = Critical Deficiency; 3-SUB rule applies to highlighted over-preparation criteria.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Critical errors: Wrong tooth/surface treated; Unrecognized exposure
    • Preparation: Posterior Composite (Class II Composite Preparation) — External Outline Form — Proximal Clearance — ACC (Adheres to Criteria): Proximal contact is either closed or visibly open, and, at the height of contour, proximal clearance may extend ≤ 1.0 mm beyond either one or both proximal walls. | SUB (Marginally Substandard): Proximal clearance at the height of contour extends > 1.0 mm but ≤ 2.0 mm beyond either one or both proximal walls. | DEF (Critical Deficiency): Proximal clearance at the height of contour extends > 2.0 mm beyond either one or both proximal walls.
    • Preparation: Posterior Composite (Class II Composite Preparation) — External Outline Form — Gingival Clearance — ACC (Adheres to Criteria): The gingival clearance is visually open but ≤ 1.0 mm. | SUB (Marginally Substandard): The gingival clearance is > 1.0 mm but ≤ 2.0 mm. | DEF (Critical Deficiency): A. The gingival clearance is > 2.0 mm. B. The gingival contact is not visually open.
    • Preparation: Posterior Composite (Class II Composite Preparation) — External Outline Form — Outline Shape/Continuity/Extension — ACC (Adheres to Criteria): The outline form may be sharp and irregular | SUB (Marginally Substandard): The outline form is inappropriately over-extended, compromising the remaining marginal ridge and/or cusp(s). | DEF (Critical Deficiency): The outline form is grossly over-extended, compromising and undermining the remaining marginal ridge to the extent that the cavosurface margin is unsupported by dentin and/or the width of the marginal ridge is ≤ 1.0 mm.
    • Preparation: Posterior Composite (Class II Composite Preparation) — External Outline Form — Isthmus — ACC (Adheres to Criteria): The isthmus may be between 1.0 mm - 2.0 mm in width but ≤ 1/3 the intercuspal width. | SUB (Marginally Substandard): The isthmus is > 1/3 the intercuspal width but ≤ 1/2 the intercuspal width. | DEF (Critical Deficiency): The isthmus is > 1/2 the intercuspal width or the isthmus width is < 1.0 mm.
    • Preparation: Posterior Composite (Class II Composite Preparation) — External Outline Form — Cavosurface Margin — ACC (Adheres to Criteria): The external cavosurface margin meets the enamel at 90°; The gingival floor is flat, smooth, and perpendicular to the long axis of the tooth. | SUB (Marginally Substandard): The proximal cavosurface margin deviates from 90° and is likely to jeopardize the longevity of the tooth or restoration. This would include unsupported enamel and/or excessive bevel(s).
    • Preparation: Posterior Composite (Class II Composite Preparation) — External Outline Form — Sound Marginal Tooth Structure — ACC (Adheres to Criteria): The cavosurface margin terminates in sound tooth structure. | SUB (Marginally Substandard): The cavosurface margin does not terminate in sound tooth structure. | DEF (Critical Deficiency): A. There is explorer-penetrable decalcification remaining on the cavosurface margin. B. There are large or multiple areas of unsupported enamel which are not necessary to preserve facial aesthetics.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Internal Form — Axial Walls — ACC (Adheres to Criteria): MOLARS: The depth of the axial wall extends ≤ 2.0 mm in depth from the cavosurface margin. PREMOLARS: The depth of the axial wall extends ≤ 1.5 mm in depth from the cavosurface margin. | SUB (Marginally Substandard): MOLARS: The depth of the axial wall extends > 2.0 mm but ≤ 3.0 mm in depth from the cavosurface margin. PREMOLARS: The depth of the axial wall extends > 1.5 mm but ≤ 2.0 mm in depth from the cavosurface margin. | DEF (Critical Deficiency): MOLARS: The depth of the axial wall extends > 3.0 mm in depth from the cavosurface margin. PREMOLARS: The depth of the axial wall extends > 2.0 mm in depth from the cavosurface margin. MOLARS & PREMOLARS: The depth of the axial wall is entirely in enamel.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Internal Form — Pulpal Floor — ACC (Adheres to Criteria): The pulpal floor depth is ≥ 1.0 mm but ≤ 3.0 mm in all areas; there may be remaining enamel. | SUB (Marginally Substandard): The pulpal floor depth is > 3.0 mm but ≤ 4.0 mm from the cavosurface margin. | DEF (Critical Deficiency): A. The pulpal floor is > 4.0 mm from the cavosurface margin. B. The pulpal floor depth is < 1.0 mm.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Internal Form — Caries — ACC (Adheres to Criteria): All caries removed. | DEF (Critical Deficiency): Caries has not been accessed and/or remains in the preparation.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Internal Form — Retention — ACC (Adheres to Criteria): Retention, when used, is well defined, in dentin, and does not undermine enamel. | SUB (Marginally Substandard): Retention, when used, undermines the enamel.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Internal Form — Proximal Box Walls — ACC (Adheres to Criteria): The proximal walls are parallel or convergent occlusally but may be slightly divergent and are not likely to jeopardize the longevity of the tooth or restoration. | SUB (Marginally Substandard): The proximal walls are too divergent.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Treatment Management — Adjacent Tooth Damage — ACC (Adheres to Criteria): Any damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/ or contact. | SUB (Marginally Substandard): Damage to adjacent tooth/teeth requires re-contouring that changes the shape and/or contour and/or contact. | DEF (Critical Deficiency): There is gross damage to adjacent tooth/teeth which requires a restoration.
    • Preparation: Posterior Composite (Class II Composite Preparation) — Treatment Management — Soft Tissue Damage — ACC (Adheres to Criteria): The soft tissue is free from damage, or there is tissue damage that is consistent with the procedure | DEF (Critical Deficiency): There is gross iatrogenic damage to the soft tissue inconsistent with the procedure and pre-existing condition of the soft tissue.
    • Restoration: Posterior Composite (Class II Composite Restoration) — Critical errors: Restoration is debonded and/or movable in the preparation; Restoration is fractured
    • Restoration: Posterior Composite (Class II Composite Restoration) — Margin Integrity and Surface Finish — Margin Excess/Deficiency — ACC (Adheres to Criteria): A. No marginal deficiency. There is no evidence of pits and/or voids at the cavosurface margin. B. The restoration-tooth interface may be detectable visually or with the tine of an explorer. | SUB (Marginally Substandard): A. DEFICIENCY: The restoration-tooth interface is detectable visually or with the tine of an explorer, and there is evidence of marginal deficiency ≤ 0.5 mm, which can include pits and/or voids at the cavosurface margin. B. EXCESS: There is evidence of marginal excess ≤ 1.0 mm in thickness perpendicular to the tooth surface (overhang) and/or extending laterally beyond the margin of the preparation ≥ 1.0 mm but ≤ 2.0mm. There is flash with or without contamination underneath, but it is not internal to the cavosurface margin and could be removed by polishing or finishing. | DEF (Critical Deficiency): A. There is evidence of marginal deficiency of > 0.5 mm, to include pits and voids at the cavosurface margin, and/or there is an open margin, and/or there is internal contamination at the interface between the restoration and the tooth. B. There is a marginal excess > 1.0 mm in thickness perpendicular to the tooth surface (overhang) and/or extending laterally beyond the margin of the preparation > 2.0 mm (excluding bonding agent or unfilled resin).
    • Restoration: Posterior Composite (Class II Composite Restoration) — Margin Integrity and Surface Finish — Adjacent Tooth Structure — ACC (Adheres to Criteria): There is no or minimal evidence of unwarranted or unnecessary removal, modification, or recontouring of tooth structure adjacent to the restoration. | DEF (Critical Deficiency): There is gross enameloplasty.
    • Restoration: Posterior Composite (Class II Composite Restoration) — Contour, Contact and Occlusion — Interproximal Contact — ACC (Adheres to Criteria): Interproximal contact is visually closed, and the contact appears adequate in size, shape, or position, but may demonstrate little resistance to dental floss. | DEF (Critical Deficiency): A. The interproximal contact is visually open or concave/irregular, allowing for food impaction. B. The interproximal contact will not allow floss to pass.
    • Restoration: Posterior Composite (Class II Composite Restoration) — Contour, Contact and Occlusion — Centric/Excursive Contacts — ACC (Adheres to Criteria): When checked with articulating paper, all centric and excursive contacts on the restoration are consistent in size, shape, and intensity with such contacts on other teeth in that quadrant. | SUB (Marginally Substandard): When checked with articulating paper, the restoration is in hyper-occlusion, making it inconsistent in size, shape, and inten- sity with the occlusal contacts on surrounding teeth, and it requires adjustment. | DEF (Critical Deficiency): There is gross hyper-occlusion so that the restoration is the only point of occlusion in that quadrant.
    • Restoration: Posterior Composite (Class II Composite Restoration) — Treatment Management — Adjacent Tooth Damage — ACC (Adheres to Criteria): Any minimal damage to adjacent tooth/teeth can be removed with polishing without adversely altering the shape of the contour and/or contact. | DEF (Critical Deficiency): There is evidence of gross damage and/or alteration to adjacent and/or opposing hard tissue inconsistent with the procedure.
    • Restoration: Posterior Composite (Class II Composite Restoration) — Treatment Management — Soft Tissue Damage — ACC (Adheres to Criteria): The soft tissue is free from damage, or there is tissue damage that is consistent with the procedure. | DEF (Critical Deficiency): There is gross iatrogenic damage to the soft tissue inconsistent with the procedure.
Examination sources

Integrated National Board Dental Examination

Provider
Joint Commission on National Dental Examinations (JCNDE); administered at Prometric test centers
Format
Computer-based multiple-choice examination administered over two days; each item has at least three but not more than five response options, only one of which is the correct or best option
Exam questions
500 items: Sections 1-3 of 100 standalone items each, Section 4 of 60 case-based items, Sections 5 and 6 of 70 case-based items each
Time limit
12 hours 30 minutes total administration time over two days, including the optional tutorial, scheduled breaks, and post-examination survey
Passing score
Scale score of 75 (scale scores range from 49 to 99); results reported as pass or fail
Exam fee
$890 examination fee (purchased individually)
Examination outline
  • Diagnosis and Treatment Planning — includes all aspects of diagnosis, assessment, interpretation of laboratory results, physical evaluation of structure, appearance and function, as well as background, characteristics, circumstances, underlying conditions and psychological, social or behavioral influences to derive an accurate diagnosis and treatment plan, as well as identify reasonable and safe treatment alternatives for any patient (Clinical Content areas 1-15) (36%)
    • CC 1. Interpret patient information and medical data to assess and manage patients.
    • CC 2. Identify the chief complaint and understand the contributing factors.
    • CC 3. Perform head and neck and intraoral examinations, interpreting and evaluating the clinical findings.
    • CC 4. Use clinical and epidemiological data to diagnose and establish a prognosis for dental abnormalities and pathology.
    • CC 5. Recognize the normal range of clinical findings and distinguish significant deviations that require monitoring, treatment, or management.
    • CC 6. Predict the most likely diagnostic result given available patient information.
    • CC 7. Interpret diagnostic results to inform understanding of the patient’s condition.
    • CC 8. Recognize the manifestations of systemic disease and how the disease and its management may affect the delivery of dental care.
    • CC 9. Recognize the interrelationship between oral health and systemic disease, and implement strategies for improving overall health.
    • CC 10. Select the diagnostic tools most likely to establish or confirm the diagnosis.
    • CC 11. Collect information from diverse sources (patient, guardian, patient records, allied staff, and other healthcare professionals) to make informed decisions.
    • CC 12. Formulate a comprehensive diagnosis and treatment plan for patient management.
    • CC 13. Discuss etiologies, treatment alternatives, and prognoses with patients so they are educated and can make informed decisions concerning the management of their care.
    • CC 14. Understand how patient attributes (e.g., sex, age, race, ethnicity, and special needs), social background and values influence the provision of oral health care at all stages of life.
    • CC 15. Interact and communicate with patients using psychological, social, and behavioral principles.
  • Oral Health Management — includes all aspects of patient care delivery, including provision and modification of treatment, handling of complications, intervention outcomes assessment, and all developments that arise in the course of managing a patient’s oral health care (Clinical Content areas 16-38) (42%)
    • CC 16. Prevent, recognize, and manage medical emergencies (e.g., cardiac arrest).
    • CC 17. Prevent, recognize, and manage dental emergencies.
    • CC 18. Recognize and manage acute pain, hemorrhage, trauma, and infection of the orofacial complex.
    • CC 19. Prevent, diagnose, and manage pain during treatment.
    • CC 20. Prevent, diagnose, and manage pulpal and periradicular diseases.
    • CC 21. Prevent, diagnose, and manage caries.
    • CC 22. Prevent, diagnose, and manage periodontal diseases.
    • CC 23. Prevent, diagnose, and manage oral mucosal and osseous diseases.
    • CC 24. Recognize, manage, and report patient abuse and neglect.
    • CC 25. Recognize and manage substance abuse.
    • CC 26. Select and administer or prescribe pharmacological agents in the treatment of dental patients.
    • CC 27. Anticipate, prevent, and manage complications arising from the use of therapeutic and pharmacological agents in patient care.
    • CC 28. Diagnose endodontic conditions and perform endodontic procedures.
    • CC 29. Diagnose and manage the restorative needs of edentulous and partially edentulous patients.
    • CC 30. Restore tooth function, structure, and esthetics by replacing missing and defective tooth structure, while promoting soft and hard tissue health.
    • CC 31. Perform prosthetic restorations (fixed or removable) and implant procedures for edentulous and partially edentulous patients.
    • CC 32. Diagnose and manage oral surgical treatment needs.
    • CC 33. Perform oral surgical procedures.
    • CC 34. Prevent, diagnose, and manage developmental or acquired occlusal problems.
    • CC 35. Prevent, diagnose, and manage temporomandibular disorders.
    • CC 36. Diagnose and manage patients requiring modification of oral tissues to optimize form, function and esthetics.
    • CC 37. Evaluate outcomes of comprehensive dental care.
    • CC 38. Manage the oral esthetic needs of patients.
  • Practice and Profession — includes the understanding, implementation and monitoring of effective systems, procedures, and policies that support professional practice integrity, quality control and self or organizational performance assessment, as well as systems, procedures, and policies that enable skillful integration of new knowledge, products and technology, and that minimize risk and enhance the quality of care provided or improve community oral health (Clinical Content areas 39-56) (22%)
    • CC 39. Evaluate and integrate emerging trends in health care.
    • CC 40. Evaluate social and economic trends and adapt to accommodate their impact on oral health care.
    • CC 41. Evaluate scientific literature and integrate new knowledge and best research outcomes with patient values and other sources of information to make decisions about treatment.
    • CC 42. Practice within the general dentist’s scope of competence and consult with or refer to professional colleagues when indicated.
    • CC 43. Evaluate and utilize available and emerging resources (e.g., laboratory and clinical resources, information technology) to facilitate patient care, practice management, and professional development.
    • CC 44. Conduct practice activities in a manner that manages risk and is consistent with jurisprudence and ethical requirements in dentistry and healthcare.
    • CC 45. Recognize and respond to situations involving ethical and jurisprudence considerations.
    • CC 46. Maintain patient records in accordance with jurisprudence and ethical requirements.
    • CC 47. Conduct practice related business activities and financial operations in accordance with sound business practices and jurisprudence (e.g., OSHA and HIPAA).
    • CC 48. Develop a catastrophe preparedness plan for the dental practice.
    • CC 49. Manage, coordinate, and supervise the activity of allied dental health personnel.
    • CC 50. Assess one's personal level of skills and knowledge relative to dental practice.
    • CC 51. Adhere to standard precautions for infection control for all clinical procedures.
    • CC 52. Use prevention, intervention, and patient education strategies to maximize oral health.
    • CC 53. Collaborate with dental team members and other health care professionals to promote health and manage disease in communities.
    • CC 54. Evaluate and implement systems of oral health care management and delivery that will address the needs of patient populations served.
    • CC 55. Apply quality assurance, assessment, and improvement concepts to improve outcomes.
    • CC 56. Communicate case design to laboratory technicians and evaluate the resultant restoration or prosthesis.
Examination sources