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INBDE Practice Tests - Integrated National Board Dental Examination - Updated 2025

Master the Integrated National Board Dental Examination (INBDE) exam with 1500+ exam-like questions.

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Part 1: INBDE Practice Tests

Full-length INBDE practice tests that mirror the real Integrated National Board Dental Examination (INBDE) exam.

Each answer is explained in-depth to make the principles behind it crystal clear.

INBDE Practice Test 1

50 Questions

INBDE Practice Test 2

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INBDE Practice Test 3

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INBDE Practice Test 4

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INBDE Practice Test 5

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INBDE Practice Test 6

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INBDE Practice Test 7

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INBDE Practice Test 8

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INBDE Practice Test 9

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What is the INBDE Exam?

The INBDE (Integrated National Board Dental Examination) is a comprehensive licensing exam for dental students in the United States. It replaces the traditional NBDE Part I and Part II exams with a single, integrated test that evaluates both clinical knowledge and decision-making skills.

The exam is designed to assess whether candidates possess the competencies needed to safely practice dentistry. It focuses on real-world scenarios that blend biomedical, behavioral, and clinical sciences, helping ensure future dentists are prepared for the responsibilities of patient care.

Passing the INBDE is a key requirement for earning a dental license and moving forward in your dental career.

INBDE Exam Outline

The INBDE (Integrated National Board Dental Examination) is a comprehensive licensure exam that tests your ability to apply clinical knowledge and biomedical science in real-world dental settings. Administered by the Joint Commission on National Dental Examinations (JCNDE), the INBDE replaces the traditional NBDE Part I and II with a single, integrated exam.

The exam consists of 500 multiple-choice questions delivered in two formats:

  • Standalone Items: Direct questions testing foundational and clinical knowledge.

  • Case-Based Items: Scenarios involving patient histories, radiographs, and charts followed by related clinical questions.

The exam takes about 12 hours to complete and is administered at Prometric testing centers. All questions are computer-based and designed to reflect real patient care scenarios. Passing the INBDE is a requirement for dental licensure in the United States.

INBDE Exam Topics
Updated for 2025

Practice and Profession

100 Q

Oral Health Management

100 Q

Diagnosis and Treatment Planning

200 Q

The INBDE exam topics, as you can see above, are:

1. Diagnosis and Treatment Planning

  • This topic assesses a candidate’s ability to evaluate patient information, make accurate diagnoses, and develop appropriate treatment plans. It involves clinical reasoning, critical thinking, and prioritization of care based on medical history, symptoms, test results, and other patient factors. Candidates are expected to demonstrate sound decision-making across a variety of dental conditions and patient presentations.

 

2. Oral Health Management

  • This section focuses on the delivery of dental care that is safe, effective, and centered on the patient’s needs. It includes preventive care, risk assessment, and treatment strategies for maintaining and restoring oral health. Emphasis is placed on the ability to manage care throughout the life span and in collaboration with other healthcare professionals when needed.

 

3. Practice and Profession

  • This domain evaluates a candidate’s understanding of professional ethics, legal responsibilities, and the dentist’s role in the broader healthcare system. Topics include professionalism, communication, informed consent, cultural competence, and commitment to lifelong learning. Candidates must also show an awareness of public health principles and their role in improving community oral health.

Understanding these exam domains will help you organize your study efforts and align them with the real-world expectations of professional dental practice. Each question on the INBDE is designed to reflect the critical thinking and clinical reasoning required of a competent entry-level dentist.

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What Score is Needed to Pass the INBDE Exam?

The INBDE (Integrated National Board Dental Examination) is scored on a scaled range from 49 to 99, with 75 as the minimum passing score.

If you score 75 or higher, you will receive a "Pass"—but no numerical score will be reported. This is because the INBDE is designed to confirm whether you meet the national standard for entry-level dental competence, not to rank you against other test takers.

If you do not pass, you’ll receive a detailed performance report highlighting how you performed in each content area. This feedback is meant to help you identify areas for improvement before retaking the exam.

✔️ Passing Score: 75 or above (on a scale of 49–99)
📬 If you pass: You receive a “Pass” result—no number score is provided.
If you fail: You get a content breakdown to guide your preparation.

Aim for thorough understanding and clinical reasoning skills across all major exam topics - Diagnosis and Treatment Planning, Oral Health Management, and Practice and Profession - to confidently meet or exceed the passing standard.

How do I register for the INBDE exam?

To register for the INBDE (Integrated National Board Dental Examination), follow these steps:

📝 Step 1: Obtain a DENTPIN®

​A DENTPIN® (Dental Personal Identifier Number) is required for all dental examinations.

  • If you've previously taken the DAT or applied to dental school, you may already have a DENTPIN®.

  • If not, you can create one through the ADA's DENTPIN portal.

📘 Step 2: Review the INBDE Candidate Guide

Before applying, thoroughly read the INBDE Candidate Guide. It contains essential information on eligibility, exam policies, and testing procedures.

📄 Step 3: Submit Your Application

  • Apply for the INBDE through the JCNDE application portal.

  • The exam fee is $810, payable by credit or debit card.

  • Ensure that the name on your application matches exactly with your government-issued ID to avoid issues on test day.

🏫 Step 4: Verify Eligibility (for Non-CODA Programs)

If you are attending or have graduated from a dental school not accredited by the Commission on Dental Accreditation (CODA):

📧 Step 5: Receive Eligibility Confirmation

After your application is processed, you'll receive an eligibility email from the JCNDE. This email confirms that you're approved to schedule your exam.

📅 Step 6: Schedule Your Exam with Prometric

  • Visit the Prometric scheduling portal to choose your exam date and location.

  • Use your DENTPIN® as your eligibility ID during the scheduling process.

  • It's recommended to schedule your exam 60 to 90 days in advance to secure your preferred date and location

⏰ Additional Tips

  • You have a six-month window to take the exam after receiving your eligibility confirmation.

  • The INBDE is a two-day exam, but the days do not need to be consecutive.

  • Ensure all personal information is accurate and matches your identification documents to prevent any issues on exam day.

What do I need to know before I register for the INBDE exam?

Before registering for the INBDE (Integrated National Board Dental Examination), here are the most important things you need to know:

📌 1. You Need a DENTPIN®

  • A DENTPIN® is your unique ID number for all U.S. dental exams.

  • If you've taken the DAT or applied to dental school before, you likely already have one.

  • If not, you can register for free at the ADA DENTPIN page.

📌 2. Eligibility Requirements

You must be:

  • A student or graduate of a CODA-accredited dental program, or

  • A student/graduate of a non-CODA program with approved documentation.

  • Non-CODA applicants must submit a Certification of Eligibility Form signed by their school.

📌 3. Know the Exam Format

  • The INBDE is a single, integrated exam over two days, totaling up to 12 hours and 30 minutes.

  • It includes both Standalone items and Case-based questions.

  • The exam covers three main content areas:
    ✅ Diagnosis and Treatment Planning
    ✅ Oral Health Management
    ✅ Practice and Profession

📌 4. Fees and Payment

  • The exam fee is $810, paid online during the application.

  • This fee is non-refundable, so make sure you’re ready before applying.

📌 5. Scheduling and Test Centers

  • Once approved, you’ll receive an eligibility email.

  • You’ll then schedule your exam through Prometric.

  • Plan ahead – seats can fill up fast, especially near graduation season.

📌 6. Review the Candidate Guide

  • Read the INBDE Candidate Guide from the website carefully.
    It contains essential info about exam rules, accommodations, and procedures.

When should I register for the INBDE exam?

You should register for the INBDE (Integrated National Board Dental Examination) as early as possible, ideally 6 months before your desired test date. This advance planning helps ensure you secure your preferred test dates and locations, especially during peak periods like summer and graduation season.

 

🗓️ Recommended Registration Timeline

  • Apply Early: Begin your application process at least 6 months in advance of your intended exam date.

  • Schedule Promptly: Once your application is approved and you receive your eligibility confirmation, schedule your exam 60 to 90 days before your desired test date through Prometric.

  • Eligibility Window: After approval, you have a 6-month window to take the exam. If you don't schedule and take the exam within this period, your application and fee will be forfeited.

Preparing for Your INBDE Test Day

Whether you’re taking the INBDE exam at a test center in the U.S. or abroad, being properly prepared with the required identification, materials, and procedures is essential for a smooth experience.

✅ What to Bring on Test Day:

You must bring two valid forms of identification:

  • Primary ID: Must be government-issued, current (not expired), and include your name, recent photograph, and signature (e.g., passport, driver’s license).

  • Secondary ID: Must include your name and signature (e.g., credit card, student ID).

⚠️ The name on your IDs must exactly match the name used during exam registration.

You will not need to bring pencils or calculators—these are provided electronically within the Prometric testing software.

🧑‍💻 Test Center Guidelines

The INBDE is administered in person at authorized Prometric testing centers. Here's what to expect:

  • Arrive Early: Arrive at least 30 minutes before your scheduled appointment to allow time for check-in and security screening.

  • Security Procedures: You will undergo ID verification, biometric scans (e.g., fingerprinting), and a personal belongings check. All personal items, including electronics and watches, must be stored in a locker.

  • Breaks: There are optional, unscheduled breaks. Time spent on breaks counts toward the total exam time, so plan wisely.

💻 Testing Environment

  • Quiet and Monitored: Testing rooms are monitored by surveillance and proctors at all times.

  • No Notes or External Materials: Scratch paper and pencils will be provided and collected afterward.

  • Digital Tools Provided: An on-screen calculator and digital noteboard will be available during the exam.

 

📋 Before Exam Day

  1. Confirm Your Appointment via the Prometric website. Check the address, parking, and check-in requirements.

  2. Review the INBDE Guide from the Joint Commission on National Dental Examinations (JCNDE) to understand the rules, test structure, and candidate responsibilities.

  3. Understand the Rescheduling Policy: You may reschedule or cancel your test, but strict deadlines and fees apply.

Are there any prerequisites for taking the INBDE exam?

Yes, there are a few important prerequisites for taking the INBDE (Integrated National Board Dental Examination):

✅ 1. Educational Eligibility

You must meet one of the following criteria:

  • Be currently enrolled in a Commission on Dental Accreditation (CODA)-accredited dental school program in the U.S. or Canada.

  • Be a graduate of a CODA-accredited dental program.

  • Be a graduate of a non-CODA-accredited dental program (foreign dental school), and meet eligibility requirements.

✅ 2. DENTPIN Registration

Before applying, you must obtain a DENTPIN® (Dental Personal Identifier Number) through the ADA's DENTPIN portal. This unique ID is required for all testing-related processes.

✅ 3. Application Approval

  • Students in U.S. or Canadian CODA-accredited schools must have their eligibility verified by their school.

  • Graduates of foreign programs must submit official ECE reports and get approval from JCNDE before registering.

✅ 4. Application and Fee Submission

Once eligible, you’ll need to complete your INBDE application and pay the exam fee (currently $845 as of 2025) via the ADA portal.

What happens if I don’t pass the exam?

If you don’t pass the INBDE (Integrated National Board Dental Examination), don’t worry—many candidates retake the exam successfully. Here’s what to expect and how to move forward:

📄 1. You’ll Receive a Performance Report

You’ll get a detailed score report showing how you performed in each content area. This report is only sent if you don’t pass and is designed to help you identify your weak areas so you can improve for your next attempt.

🔁 2. You Can Retake the Exam

  • You can retake the INBDE after a mandatory 90-day waiting period.

  • You are allowed a maximum of 5 attempts.

  • Each retake requires reapplying and paying the full exam fee.

🧠 3. Use Your Score Report to Study Smarter

Focus your preparation on the topics where you scored lowest.
Consider using:​

  • Online courses

  • Review books

  • Practice tests

  • Study groups

📝 4. Reapply When Ready

Once you feel prepared:

  • Log in to the ADA Candidate Portal

  • Reapply and schedule your exam

  • Be sure to allow time for your application to be processed

Don’t rush the retake. Take time to review, practice, and build confidence. Many candidates pass the INBDE on their second or third try—with the right strategy, you can too.

 

How long does the licensure last, and what are the renewal requirements?

The INBDE itself does not grant a license - it is a one-time licensure exam that fulfills part of the requirements to become a licensed dentist in the United States. Once you pass the INBDE, you must apply for licensure through the state dental board where you wish to practice.

🦷 Dental Licensure Duration & Renewal:

  • Licensure Duration: Dental licenses are issued by individual U.S. states and typically must be renewed every 1 to 3 years, depending on the state.

  • Renewal Requirements:

    • Continuing Education (CE): Most states require dentists to complete a specific number of CE hours during each renewal cycle.

    • License Renewal Application & Fee: Dentists must submit a renewal application and pay a fee to maintain an active license.

    • Additional Requirements: Some states may require CPR certification, proof of malpractice insurance, or a clean disciplinary record.

​The INBDE score does not expire, but licensure maintenance is governed by the state, so be sure to check the specific requirements of your state dental board.

What are the common challenges dentists face in their work?

Dentistry is a rewarding profession, but it also presents several challenges that dental professionals must navigate throughout their careers. Here are some of the most common:

 

1. Physical Strain

  • Long hours in static, awkward postures can lead to back, neck, and hand pain.

  • Repetitive movements may increase the risk of musculoskeletal disorders.

2. Patient Anxiety

  • Many patients experience dental fear or anxiety, which can complicate treatment.

  • Managing nervous or uncooperative patients requires strong communication and empathy skills.

3. Business Management

  • Dentists in private practice must manage staff, budgets, insurance claims, and compliance with regulations.

  • Balancing clinical duties with administrative responsibilities can be stressful.

4. Keeping Up with Advances

  • Continuous learning is necessary to stay current with evolving technologies, materials, and treatment protocols.

  • Time and financial investment in continuing education and equipment are ongoing demands.

5. High Responsibility and Risk

  • Dentists are responsible for accurate diagnoses and effective treatment plans, often under tight schedules.

  • Mistakes or complications can lead to patient dissatisfaction, reputational damage, or legal issues.

6. Work-Life Balance

  • The demands of running a practice or working in a busy clinic can limit personal time.

  • Burnout is a risk, especially for those who do not set clear boundaries.

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How to Study for the INBDE Exam:
A Comprehensive Guide

Preparing for the INBDE exam can be challenging, but with the right tools and mindset, you can go in confidently and succeed.  In this guide, you’ll find practical study techniques, essential resources, and expert tips designed to help you master the material and pass the INBDE exam with ease.

1. Understand the INBDE Exam Structure

The Integrated National Board Dental Examination (INBDE) is a comprehensive, one-part licensure exam that evaluates the clinical knowledge and decision-making skills of dental students. It is designed to assess your ability to apply foundational knowledge to patient care.

The exam includes:

  • Multiple-Choice and Case-Based Questions: Most questions are case-based, requiring you to interpret patient information and make clinical judgments. These are presented as long-form patient scenarios followed by multiple related questions.

  • Standalone Items: These are independent questions not connected to a patient case but still test your understanding of key concepts.

The INBDE covers integrated content from biomedical, behavioral, and clinical sciences and is taken over two days, totaling approximately 12.5 hours.

Understanding the structure of the INBDE is crucial for organizing your study plan and focusing on real-world clinical application rather than memorization alone.

2. Gather the Right Study Materials

To ensure a comprehensive study experience, invest in high-quality study materials:

  • Online Practice Tests: Familiarity with the INBDE exam format is key. Practice tests help you build confidence, improve time management, and identify weak areas. On our platform, you can access 10 full-length practice tests FREE for 7 days — a risk-free opportunity to sharpen your skills before the real exam.
    ➡️ Start Practicing Now at www.exam-review.com

  • Flashcards: Flashcards are a proven tool for memorizing medical terminology, vocabulary, and core science concepts. Use our INBDE-specific flashcard sets, or create your own based on the subjects required by your program. Quick, focused review sessions with flashcards can boost recall and reinforce key facts.

  • Video Tutorials: Visual learners can benefit tremendously from watching video tutorials when preparing for the INBDE. While the exam is not skills-based, it heavily emphasizes clinical reasoning through patient cases. Video guides on topics like oral pathology, pharmacology, and patient management can make complex material more digestible. Platforms like YouTube host a variety of dental education channels—look for those that focus specifically on INBDE preparation for the most relevant and targeted support.

3. Master Key INBDE Concepts

Focusing on the core topics of the INBDE will help you build the clinical reasoning skills and scientific knowledge needed to succeed on the exam:

  • Diagnosis and Treatment Planning: Review how to assess patient cases, interpret diagnostic findings, and determine appropriate treatment options.

  • Oral Health Management: Understand how to manage various oral conditions, recognize systemic health connections, and apply preventive care strategies.

  • Practice and Profession: Study ethical decision-making, legal responsibilities, cultural competence, and effective communication within the dental team and with patients.

Each topic is designed to reflect real-world patient care, so focus on applying knowledge, not just memorizing facts. Mastering these areas will strengthen your clinical judgment and prepare you for the integrated format of the INBDE.

4. Practice Skills in a Realistic Setting

Although the INBDE does not include a hands-on clinical skills test, it is a case-based exam that assesses your ability to apply knowledge in practical, patient-centered scenarios. To prepare effectively, practice applying what you learn in realistic settings:

  • Work with case studies to simulate patient interactions, diagnosis, and treatment planning.

  • Review radiographs, images, and clinical scenarios to strengthen your visual diagnostic skills.

  • Participate in group study sessions or mock exams to discuss reasoning and compare approaches.

  • Use digital resources or simulations that mirror the integrated format of the INBDE.

Actively engaging with real-world examples helps you build clinical judgment, reinforce concepts, and improve decision-making under pressure—essential for INBDE success.

5. Take Practice Exams Regularly

Practice exams are one of the most effective ways to prepare:

  • Timed Practice Tests: Simulate real exam conditions by timing yourself. This can improve your pacing and manage test-day anxiety.

  • Analyze Your Results: After each practice test, review your incorrect answers to identify your weaknesses. Focus on these areas in your future study sessions.

  • Set Goals: Aim to improve your score with each practice test, working toward a passing score for your state.

Start your free 7-day trial and get 10 realistic tests to track your progress and build confidence. Practice regularly, focus on key areas, and be ready for test day! Try it now at exam-review.com/free-trial-inbde.

6. Create a Study Schedule

Staying organized is key to exam success. Try creating a study schedule that:

  • Allocates Time by Topic: Break down study sessions by topic (e.g., one session on Diagnosis and Treatment Planning, another on Oral Health Management).

  • Mixes Learning Methods: Switch between reading, practicing skills, and taking practice tests to keep your study sessions interesting.

  • Includes Breaks: Taking short breaks during study sessions keeps you refreshed and reduces burnout.

Ideally, give yourself at least 2 months to prepare thoroughly. This timeframe allows you to cover all topics at a comfortable pace.

7. Use Memory Aids for Quick Recall

Memory aids like mnemonics and acronyms can simplify complex topics. Here are a few examples:

  • SOAP for Patient Notes: Subjective, Objective, Assessment, Plan — a structured method for clinical documentation.

  • SNOWCAP for Caries Risk: Sugar intake, Night-time feeding, Oral hygiene, White spots, Cavities, Appliances, Plaque level.

  • FORS for Diagnosis: Findings, Options, Risks, Solutions — helps organize clinical reasoning.

Using these memory aids can help you recall information more easily during the test.

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Conclusion

To prepare for the INBDE exam, the best approach is a mix of studying key concepts and practicing with exam-like questions. Regular practice helps you get comfortable with the exam format, time limits, and question types, so you feel confident on test day.

With ExamReview, you have access to a variety of INBDE practice tests that look and feel like the real thing. Our platform lets you track your progress, focus on areas you need to improve and build the skills you need to pass. Get ready for success—practice with ExamReview and head into your INBDE exam feeling confident!

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