I’ve been a practicing dentist for over a decade, and I’ve watched generation after generation of dental students panic-Google their way through INBDE prep.
So instead of letting you sift through 47 different blog posts, 12 Reddit threads, and that one classmate who “swears they know a shortcut,” I’ve put everything you need right here.
It’s skimmable. Clear. With no fluff. Let’s get into your most-asked questions.
What is the INBDE?
The Integrated National Board Dental Examination is the U.S. licensure exam required to practice dentistry.
It’s one exam. Two days. ~500 questions.
It replaced NBDE Part I and II in 2020. (See discontinuation notice)
Administered by: The Joint Commission on National Dental Examinations (JCNDE)
Think of it as the national safety filter. If you pass, you’ve proven you can think like a competent, ethical dentist.
Why do I need to take the INBDE?
The U.S. takes dental patient safety seriously (as we should). The US wants to make sure only the “right” people get to perform dentistry. The INBDE is a way the US can identify who the “right” people are.
You’ll need the INBDE if you’re:
No INBDE = No license. No exceptions.
Who administers the exam?
The JCNDE, which operates under the American Dental Association (ADA).
This is the official source of truth (JCNDE).
How long is the INBDE?
Two days. About 12–13 hours total.
Day 1:
360 standalone multiple-choice questions
Day 2:
140 case-based questions with patient scenarios
It’s a marathon, not a sprint—more like running two 10Ks back-to-back than a single 5K.
How many questions are on the exam?
Around 500 total questions.
The exact number may vary slightly year to year.
Is the INBDE hard?
Short answer: Yes.
But not because it’s trying to trick you. JCNDE is trying to weed out book worms who can memorize vs. those who could actually practice dentistry. It is meant to be hard.
The INBDE is difficult because it tests:
- Integration of multiple disciplines
- Real clinical decision-making
- Ethical reasoning
- The ability to stay calm when a radiograph looks like abstract art
If you study the right way—focusing on concepts, not memorization—you’ll be fine.
What topics are covered in the INBDE?
The INBDE blueprint tests your ability to integrate biomedical, clinical, and behavioral sciences.
Topics include:
Official blueprint:
https://jcnde.ada.org/en/inbde/inbde-test-specifications
What’s the format like?
Standalone items:
Classic MCQs—choose the best answer.
Case-based items:
You’ll review patient histories, radiographs, symptoms, charting, and decide what’s clinically appropriate.
Example:
A 54-year-old patient with controlled Type II diabetes comes in with a draining sinus tract on #19… what do you do?
Your ability to integrate pathology, radiology, endo, ethics, and pharmacology all collide in one question.
How is the INBDE scored?
Pass/Fail.
Behind the scenes, your score ranges from 49–99, and 75 is passing.
You don’t see your number—you only see pass or fail.
Does the INBDE expire?
No.
Once you pass, your INBDE score is valid for life.
Some dental schools may prefer recent scores for admissions, but licensing boards do not require retesting.
How long does it take to get results?
Typically 2–3 weeks.
You’ll get an email the moment they’re ready.
How long should I study for the INBDE?
Most students study 3–6 months.
Longer if you’re:
- Working full-time
- Relearning U.S. biomedical concepts
- An international dentist adapting to U.S. terminology
- Someone who hasn’t touched neuroanatomy since Netflix still mailed DVDs
Shorter if you’re:
- Fresh from a strong didactic program
- Recently studied for NBDE Part I or II
- Very comfortable with clinical reasoning
How do I prepare effectively?
Here’s what works (and what I’ve seen actually move the needle):
Download the official blueprint
Start here:
→ https://jcnde.ada.org/en/inbde/inbde-test-specifications
Build a realistic study plan
3–6 months, 2–4 hours/day, plus mock exams.
Study for integration, not isolation
The INBDE tests how well you think clinically—not how fast you can memorize 1,000 pharmacology flashcards.
Practice with case-based questions
The more you train your clinical reasoning, the more confident you’ll feel.
Take mock exams
Simulate the INBDE exam with the exact timing and pressure.
What happens if I fail the first time?
You can retake it, but there are rules.
The JCNDE requires:
- Mandatory waiting periods between retakes – “must wait a minimum of 60 days between each unsuccessful INBDE attempt”. See page 23.
- A maximum number of attempts (currently five)
- Additional review after multiple failures
Full policy:
Read the full policy here.
Failing doesn’t mean you can’t be a dentist. It means you need a different study strategy.
Can international dentists take the INBDE?
Yes, absolutely.
People from India, Pakistan, Australia, Canada, the U.K and all over the world can apply.
You’ll need:
Note: Many advanced standing programs require INBDE scores as part of admissions.
How do I apply for the INBDE?
1 — Get your DENTPIN®
→ https://www.ada.org/en/education-careers/dentpin
2 — Confirm eligibility
Through your dental school or the JCNDE.
3 — Apply through the JCNDE portal
Submit required documents + fee. The fee is different depending on several factors.
4 — Schedule your exam through Prometric
The exams have year-round availability.
How much does the exam cost?
Usually $680–$750, depending on testing location and fees.
2025 INBDE Examination Fees, see page 24.
When can I schedule the exam?
It’s year-round. Schedule whenever you are ready.
The INBDE does not have fixed national dates. You pick a date through Prometric once your application is approved.
What should I bring on exam day?
- Two forms of valid ID (.e.g State drivers license and passport)
- Confirmation email (I highly suggest you print it out and bring it with you)
- Water + small snacks for breaks
- Comfortable clothing (I find testing centers are always freezing)
- Absolutely no study materials once you enter the building
See ADA information and Prometric notes.
Are there breaks during the exam?
Yes.
Prometric offers optional breaks between sections. Use them. Stretch, breathe, hydrate.
Are accommodations available?
Yes.
Students with documented disabilities can request accommodations through the ADA.
Where can I find official INBDE references?
Your primary sources: