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The NBDE Part II is a comprehensive examination consisting of 500 items. For each discipline, approximately 80% of the items are stand-alone, while approximately 20% are interdisciplinary and case-based. A case consists of a patient scenario, patient history, and a set of discipline-based items relevant to the scenario. NBDE items are developed by test construction teams composed of subject-matter experts in accordance with examination specifications approved by the JCNDE.
The Universal/National System for tooth notation that has been adopted by the American Dental Association is used on all National Board Exams. This system is a sequential tooth numbering system, designating the permanent dentition (numbers 1-32), and the primary dentition (letters A-T).
In the June 2018 issue of the Journal of Periodontology the American Academy of Periodontology (AAP) published updates to its Classification of Periodontal and Peri-Implant Diseases and Conditions. Candidates completing examinations published through the Department of Testing Services—including those overseen by the Joint Commission on National Dental Exams or by the American Dental Association—continue to be based on the prior (i.e., 1999) AAP disease classification. Candidates will be notified when examinations are updated to reflect the new terminology.
Discipline-Based Component (400 items)
The exam items that comprise the discipline-based component are derived from the following disciplines:
1. Endodontics
2. Operative Dentistry
3. Oral and Maxillofacial Surgery/ Pain Control
4. Oral Diagnosis
5. Orthodontics/Pediatric Dentistry
6. Patient Management
7. Periodontics
8. Pharmacology
9. Prosthodontics
Case-Based Component (100 items)
The case-based component of the NBDE Part II presents items dealing with real patients. The patient cases are developed to include the following approximate distribution: adult patients – 70%; child patients – 30%. A minimum of 15% of case-based exam questions will address the medical management of compromised adults and children. A compromised patient is defined as a person whose health status requires modification of standard treatment. Each case presentation in the examination consists of:
1. synopsis of a patients health and social histories,
2. patient dental charting,
3. diagnostic radiographs, and
4. clinical photographs of the patient (when necessary).
Each case contains from 10 to 15 questions about various aspects of the patients dental care. These questions-- totaling 100 across all cases-- might derive from any of the biomedical sciences and clinical disciplines, including Patient Management. The proportion stemming from any particular discipline depends upon the nature of the case itself. For example, the case of an elderly adult might be based upon Maxillofacial Surgery/Pain Control, Prosthodontics, and Operative Dentistry, whereas a childs case might derive from Orthodontics, Pediatric Dentistry, and Patient Management. In responding to case-based items, the candidate must:
1. interpret the findings and information provided.
2. identify problems and make diagnoses.
3. select materials, technique, and armamentarium.
4. apply treatment.
5. evaluate progress and complications.
6. establish procedures for prevention and maintenance.
Endodontics* (36 items)
• Case Clinical Diagnosis, Case Selection, Treatment Planning, and Patient Management
• Basic Endodontic Treatment Procedures
• Procedural Complications
• Traumatic Injuries
• Adjunctive Endodontic Therapy
• Post-Treatment Evaluation
Operative Dentistry (44 items)
• Dental Caries
• Exam, Diagnosis, & Treatment Planning
• General Operative Procedures
• Preparation of Cavities
• Restoration of Prepared Cavities
Oral And Maxillofacial Surgery/Pain Control (52 items)
• Surgery
• Anxiety and Pain Control
• Medical Assessment and Emergency Care
• Treatment Plan
• Diagnosis
Orthodontics/Pediatric Dentistry (44 items)
• Individual Tooth Pathology
• Supporting Tissue Pathology
• Dentofacial Variations
• Behavior
• Systemic Pathology
Patient Management (53 items)
• Communication and Interpersonal Skills
• Anxiety and Pain Control
• Health Behavior Change
• Disabled and Medically Compromised
• Epidemiology
• Prevention of Oral Diseases
• Evaluation of Dental Literature
• Infection Control
• Materials and Equipment Safety
• Professional Responsibility/Liability
• Practice Management
Periodontics (46)
• Diagnosis
• Etiology
• Pathogenesis
• Treatment Planning
• Prognosis
• Therapy
• Prevention and Maintenance
Pharmacology (35 items)
• General Principles
• Central Nervous System
• Autonomic
• Cardiovascular
• Local Anesthetics
• Chemotherapy
• Endocrines/Immunosuppressants
• Analgesics
• Antihistamines and Autocoids
Prosthodontics (48 items)
• General Considerations
• Complete and Removable Partial Denture Prosthodontics
• Fixed Partial Prosthodontics