Overview of Regional and State Dental Hygiene Clinical Examinations
Overview of Regional and State Dental Hygiene Clinical Examinations
Overview of Regional and State Dental Hygiene Clinical Examinations
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September 2012 3<strong>Clinical</strong> Exams Accepted for Initial <strong>State</strong> LicensureCITACRDTSNERBSRTAWREBAlabamaColorado*KansasKentuckyLouisianaMississippiMissouri*MontanaNebraskaNorth CarolinaNorth DakotaOregonRhode Isl<strong>and</strong>TexasVirginiaWest VirginiaWisconsinWyomingCaliforniaDelawareIndependent*Kansas also acceptsclinical exams issued byCalifornia <strong>and</strong> Delaware.*Montana also accepts theclinical exam issued byCalifornia.AlabamaColoradoConnecticutGeorgiaHawaiiIdahoIllinoisIndianaIowa*KansasKentuckyMinnesotaMissouri*MontanaNebraskaNew MexicoNorth DakotaOhioOregonRhode Isl<strong>and</strong>South CarolinaSouth DakotaTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlabamaColoradoConnecticutDistrict <strong>of</strong> ColumbiaFloridaIdahoIllinoisIndiana*KansasKentuckyMaineMaryl<strong>and</strong>MassachusettsMichiganMissouri*MontanaNew HampshireNew JerseyNew MexicoNew YorkOhioOregonPennsylvaniaRhode Isl<strong>and</strong>South CarolinaTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlabamaArkansasColoradoConnecticutIllinoisIndianaKansasKentuckyMissouri*MontanaNew MexicoOhioOregonPennsylvaniaRhode Isl<strong>and</strong>South CarolinaTennesseeTexasUtahVirginiaWest VirginiaWisconsinWyomingAlabamaAlaskaArizonaCaliforniaColoradoConnecticutIdahoIllinoisIndianaIowa*KansasKentuckyMinnesotaMissouri*MontanaNebraskaNevadaNew MexicoNorth DakotaOhioOklahomaOregonRhode Isl<strong>and</strong>South DakotaTennesseeTexasUtahVirginiaWashingtonWest VirginiaWisconsinWyomingADHA defines Initial Licensure as state licensure sought immediately following graduation from an accredited dental hygiene program.Please note that recognizing jurisdictions <strong>and</strong> licensing requirements are subject to change. While this document is updated yearly,c<strong>and</strong>idates are encouraged to contact the <strong>State</strong> Board where they wish to seek licensure to confirm information.
<strong>Clinical</strong> <strong>Examinations</strong> Accepted for Initial Licensure4WAMTNDMEORMNNHVTCITAIDWYSDWIMINYMARICRDTSCANVUTCONEKSIAMOILINKYOHWVPAVADECTNJMDNERBSRTAAZNMOKARTNNCSCWREBTXMSALGAIndependentTesting AgencyAKLAFLMultiple TestingAgenciesD.C.Accepts NERBHIPlease note that recognizing jurisdictions <strong>and</strong> licensing requirements are subject tochange. While this document is updated yearly, c<strong>and</strong>idates are encouraged tocontact the <strong>State</strong> Board where they wish to seek licensure to confirm information.* Information is based upon individual calls to the respective <strong>State</strong> Boards <strong>of</strong> Dentistry.ADHA defines Initial Licensure as state licensure sought immediately following graduation from an accredited dental hygiene program.Date: September 10, 2012
March 2012 5Exam SchedulesCITACRDTSNERBSRTAWREBhttp://www.citaexam.com/https://www.crdts.orghttp://www.nerb.orghttp://www.srta.orghttp://www.wreb.orgFees$915.00$915.00$975.00 for both exams(<strong>Clinical</strong> AND Electronic)$900.00$960.00 – $1,250.00<strong>Clinical</strong> examplus site fees dependenton host institutionplus site fees dependenton host institution$525 - one exam(<strong>Clinical</strong> OR Electronic)$140 - Local Anesthesiaexamplus site fees dependenton host institution$270.00 - $350.00Local Anesthesia exam$70.00Computer exam$135 – Nitrous Oxideexam$485.00 - $530.00Restorative examRe-Examination Fees(host institution site feesincluded)As above plus additionalapplication feeAs above plus additionalapplication feeAll as indicated aboveplus additionalapplication feesAll as indicated aboveplus additionalapplication feesAll as indicated aboveplus additionalapplication feesThis summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.
March 2012 6Liability InsuranceCITACRDTSNERBSRTAWREBPr<strong>of</strong>essional liabilityinsurance coverageincluded in applicationfee.Pr<strong>of</strong>essional liabilityinsurance coverageincluded in applicationfee.Pr<strong>of</strong>essional liabilityinsurance coverageincluded in applicationfee.Pr<strong>of</strong>essional liabilityinsurance coverageincluded in applicationfee.Pr<strong>of</strong>essional liabilityinsurance coverageincluded in applicationfee.Application RequirementsPro<strong>of</strong> <strong>of</strong> graduation froma Commission on <strong>Dental</strong>Accreditation (CODA)OR Commission on<strong>Dental</strong> Accreditation <strong>of</strong>Canada (CDAC)accredited dentalhygiene programORLetter <strong>of</strong> Certificationfrom program directorverifying c<strong>and</strong>idate issufficiently clinicallycompetent, in goodst<strong>and</strong>ing, <strong>and</strong>anticipated to fulfillschool requirements forgraduation prior to orwithin 45 days after thedate <strong>of</strong> the CITA exam.Pro<strong>of</strong> <strong>of</strong> graduation froman accredited dentalhygiene program ORLetter <strong>of</strong> Certificationcompleted by programdirector verifyinganticipated graduationdate within 60 days <strong>of</strong>examinationConfirmation <strong>of</strong> Trainingto Administer LocalAnesthesia, if c<strong>and</strong>idateintends to use localanesthetic.Pro<strong>of</strong> <strong>of</strong> CPR CertificationPro<strong>of</strong> <strong>of</strong> graduation from aCommission on <strong>Dental</strong>Accreditation (CODA) ORCommission on <strong>Dental</strong>Accreditation <strong>of</strong> Canada(CDAC) accredited dentalhygiene program ORWritten certification fromprogram director <strong>of</strong> CODAor CDAC accreditedprogram verifyingc<strong>and</strong>idate’s expectedgraduation within 45 days<strong>of</strong> scheduled clinical exam.Confirmation <strong>of</strong> Training toAdminister LocalAnesthesia, if c<strong>and</strong>idateintends to use localanesthetic.Pro<strong>of</strong> <strong>of</strong> CPR CertificationCopy <strong>of</strong> c<strong>and</strong>idate’sdiploma from aCommission on <strong>Dental</strong>Accreditation (CODA)accredited dental hygieneprogram ORLetter from programdirector, dean or schoolstating c<strong>and</strong>idate isacademically in goodst<strong>and</strong>ing <strong>and</strong> allowingc<strong>and</strong>idate to sit for exam.Confirmation <strong>of</strong> Training toAdminister LocalAnesthesia, if c<strong>and</strong>idateintends to use localanestheticPro<strong>of</strong> <strong>of</strong> CPR CertificationVerification <strong>of</strong>successful completion <strong>of</strong>a degree program (fordental hygiene exam) orcourse (for anesthesia<strong>and</strong> restorative exams)from an accrediteddental hygiene programORCertification <strong>of</strong>enrollment in finalsemester from theschool dean or dentalhygiene programdirector.Pro<strong>of</strong> <strong>of</strong> CPRCertificationThis summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.
March 2012 7Treatment Selection RequirementsCITACRDTSNERB *SRTAWREBC<strong>and</strong>idate must select6-8 teeth upon whichthe c<strong>and</strong>idate willdesignate twelve (12)surfaces <strong>of</strong> explorerdetectablesubgingivalcalculus for removal.Four <strong>of</strong> the teeth <strong>and</strong>at least 8 surfacesmust be in posteriorteeth; four <strong>of</strong> theseposterior surfacesmust be interproximal.Selected teeth musthave at least oneapproximating toothwithin a 2mm distance.Prohibitedtreatment selections (if inthe areas <strong>of</strong> selectedtreatment): Grade III furcations ormobility Severely decayed orfractured teeth Ortho brackets orbonded retainers Implants Partially erupted 3 rdmolars Retained deciduousteethC<strong>and</strong>idate must select6-10 teeth, includingno more than 3anteriors, with at least14 surfaces <strong>of</strong>qualifying subgingivalcalculus.Of the 14 qualifyingsurfaces, at least 9must be on posteriorteeth, <strong>and</strong> <strong>of</strong> those, atleast 3 surfaces mustbe on molars.Prohibitedtreatment selections (if inthe areas <strong>of</strong> selectedtreatment): Grade III or IVfurcations Grade III mobility Class IV periodontaldisease Ortho brackets orbonded retainers Implants Partially erupted 3 rdmolars Retained deciduousteeth C<strong>and</strong>idate must select6-10 permanent teethwith 12 surfaces <strong>of</strong>subgingival calculus. Of the 12 surfaces, 8must be on posteriors;5 must beinterproximal surfaces.Three <strong>of</strong> theseinterproximal surfacesmust be on molars. All posterior teeth musthave at least oneapproximatingposterior tooth within2mm distance. Selection must includethree pockets <strong>of</strong> 4mm<strong>of</strong> greater, each on adifferent tooth.NERB stronglydiscourages treatmentselections including: Probing depths >6mm Class III furcations ormobility Ortho brackets Faulty restorations Gross caries Implants Partially erupted 3 rdmolars Retained deciduousteeth Extensive veneersC<strong>and</strong>idate must selectone full quadrant <strong>and</strong>up to 4 additional teethwith a minimum <strong>of</strong> 12surfaces <strong>of</strong> qualifyingsubgingival calculus.The selected quadrantmust contain at least 6natural teeth; at leastone tooth in thequadrant must be apermanent molar withat least 1 proximalcontact.Of the 12 surfaces, amaximum <strong>of</strong> 6 can beon anterior teeth; aminimum <strong>of</strong> 5 onproximal posteriors<strong>and</strong> a minimum <strong>of</strong> 3must be on molars.C<strong>and</strong>idates areencouraged to avoidchoosing teeth withexcessive decay.C<strong>and</strong>idate must selectone full quadrant <strong>and</strong>up to 4 additionalteeth, including 1molar with a proximalcontact <strong>and</strong> at least 6natural teeth.Selection must includea minimum <strong>of</strong> 12surfaces <strong>of</strong> qualifyingsubgingival calculus. At least 3 <strong>of</strong> the 12surfaces must be onmolars; 5 surfaces onposteriors; no morethan 4 <strong>of</strong> the 12 maybe on maxillaryanteriors.Prohibitedtreatment selections (if inthe areas <strong>of</strong> selectedtreatment): Probing depths >6mm Class III furcations;Class III mobilityOrtho b<strong>and</strong>sOverhanging margins;temp. or faultysubgingivalrestorationsGross cariesCrowns with roughsubgingival marginsThis summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.
March 2012 8Radiographic ComponentCITACRDTSNERB *SRTAWREBComplete Mouth Series(exposed within 2 years)with horizontal orvertical bitewings(exposed within 6months) reflectingcurrent clinicalconditionsRadiographs <strong>of</strong> poordiagnostic quality resultin point deductions <strong>and</strong>could affect patientacceptability.Complete Mouth Series(exposed within 3 years)with horizontal orvertical bitewings(exposed within 1 year)ORA panoramic radiograph(exposed within 3 years)<strong>and</strong> horizontal orvertical bitewings(exposed within 1 year)Radiographs are nongraded;howeverradiographs <strong>of</strong> poordiagnostic quality willaffect patientacceptability.Complete Mouth Series(exposed within 3 years)including bitewings(exposed within 1 year).Radiographs are nongraded;howeverradiographs <strong>of</strong> poordiagnostic quality willresult in point deductionor discontinuation <strong>of</strong>exam.Computer ComponentComplete Mouth Series(exposed within 3 years)with horizontal orvertical bitewings(exposed within 1 year).Radiographs are nongraded;howeverradiographs <strong>of</strong> poordiagnostic quality willaffect patientacceptability <strong>and</strong> canresult in failure <strong>of</strong> theexam.Horizontal or verticalbite-wings with anterior<strong>and</strong> posterior periapicalsthat include all teeth intreatment submission.Radiographs takenwithin 12 months; notnecessarily exposed byc<strong>and</strong>idate.Radiographs that do notmeet Evaluation Criterialisted in C<strong>and</strong>idate’sGuide are assessed afour point penalty.Pro<strong>of</strong> <strong>of</strong> c<strong>and</strong>idate’ssuccessful completion<strong>of</strong> the <strong>Dental</strong> <strong>Hygiene</strong>National BoardExaminationadministered by theJoint Commission onNational <strong>Dental</strong><strong>Examinations</strong>(JCNDE) is required.No computer-basedexam included.100 multiple-choice,simulated patientquestions - 2 hrs inlength.Taken at PrometricTesting Centers byappointment.No computer-basedexam included.Case-based examcontaining multiplechoice, multipleresponse <strong>and</strong>development <strong>of</strong> a careplan – 2 hours inlength.Taken at PearsonVUE Centers prior toclinical exam.This summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.
March 2012 9Administration <strong>of</strong> Local AnesthesiaCITACRDTSNERB *SRTAWREBLocal anestheticadministration is notpermitted.Topical anestheticadministration only.Admission <strong>of</strong> localanesthetic by c<strong>and</strong>idatepermitted as determinedby each state practiceact. Confirmation <strong>of</strong>local anesthesia trainingrequired.Qualified practitionermay administer local inlieu <strong>of</strong> c<strong>and</strong>idate.A subgingival anestheticgel may be used.Not evaluated as part <strong>of</strong>the exam.Admission <strong>of</strong> localanesthetic by c<strong>and</strong>idatepermitted asdetermined by eachstate practice act.Confirmation <strong>of</strong> localanesthesia trainingrequired.A subgingivalanesthetic gel may beused.Not evaluated as part <strong>of</strong>the exam.Admission <strong>of</strong> localanesthetic byc<strong>and</strong>idates who havesuccessfully completeda course on localanesthesia from aCODA accreditedprogram is permitted.Qualified practitionermay administer local inlieu <strong>of</strong> c<strong>and</strong>idate who isnot qualified toadminister.Administration <strong>of</strong> localanesthetic by c<strong>and</strong>idateis permitted.Successful completion<strong>of</strong> WREB Written <strong>and</strong><strong>Clinical</strong> LocalAnesthesia examinationrequired prior to theclinical exam.Qualified practitionermay administer local inlieu <strong>of</strong> c<strong>and</strong>idate.*Currently, NERB is the only agency that administers the American <strong>Dental</strong> <strong>Hygiene</strong> Licensing Examination (ADLEX), the dental hygieneexamination approved by the American Board <strong>of</strong> <strong>Dental</strong> Examiners, Inc (ADEX). ADEX is a private not-for-pr<strong>of</strong>it consortium <strong>of</strong> state <strong>and</strong> regionaldental boards throughout the United <strong>State</strong>s <strong>and</strong> its territories, whose mission is to provide the dental community with test construction <strong>and</strong>administration st<strong>and</strong>ardization for national uniform dental <strong>and</strong> dental hygiene clinical licensure examinations.Beginning in 2013, SRTA will administer the ADEX exam in place <strong>of</strong> the SRTA exam.This summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.
March 2012 10Exam ScoringCITACRDTSNERBSRTAWREBScore <strong>of</strong> 75% or higheron each required topass:<strong>Dental</strong> <strong>Hygiene</strong> NationalBoard Exam ANDCITA <strong>Clinical</strong> Exam: Oral Evaluation 5 pts Perio probing 8 pts Calculus Detection24 pts SubgingingivalCalculus removal48 pts SupraginfivalDeposit revoval5 ptsTotal -- 100 ptsPenalty pts may beassessed for: TreatmentSelections that donot meet thedescribed criteria Infection controlinfractions Patient management<strong>and</strong> treatmentinfractionsScore <strong>of</strong> 75% or higherrequired to pass:Patient-Based Exam: Extra/Intraoralassessment 14 pts Perio Probing 12 pts SubgingivalCalculus removal56 pts SupragingivalDeposit removal6 pts Tissue Management12 ptsTotal -- 100 ptsPenalty pts may beassessed for: Treatment Selectionsthat do not meet thedescribed criteria Violation <strong>of</strong> st<strong>and</strong>ardsas defined inC<strong>and</strong>idates GuideA Critical Error <strong>of</strong> tissuetrauma will result infailure <strong>of</strong> the exam.Score <strong>of</strong> 75% or higheron each required topass:Computer Simulated<strong>Clinical</strong> ExaminationANDPatient Treatment<strong>Clinical</strong> Examination: Calculus detection36 pts Calculus Removal36 pts Pocket depthmeasurement18 pts Plaque/stain/supraremoval6 pts Hard <strong>and</strong> S<strong>of</strong>tTissue Management4 ptsTotal -- 100 ptsPenalty pointdeductions arecumulative <strong>and</strong> may beassessed for violations<strong>of</strong> st<strong>and</strong>ards <strong>and</strong>behaviors as defined inC<strong>and</strong>idate’s Manual.Score <strong>of</strong> 75% or higherrequired to pass:<strong>Clinical</strong> Examination:Includes judgment <strong>and</strong>clinical skills Case Presentation5 pts Calculus Detection18 pts Calculus Removal63 pts Minor tissue trauma3 pts PeriodontalAssessment 9 pts Final CasePresentation 2 ptsTotal -- 100 ptsMajor tissue trauma or amajor infection controlviolation will result inloss <strong>of</strong> all points.Score <strong>of</strong> 75% or higherrequired to pass:<strong>Clinical</strong> Examination: Probing depths/Recession 25 pts Calculus Removal/Tissue trauma75 ptsTotal -- 100 ptsPoints may be deductedfor X-ray penalty Unacceptable ptselection Tissue trauma Calculus removalerrors Inaccurate perioassessment late patient check-inor check-out.This summary is intended for general comparison only. For specific exam protocol, procedure, requirements <strong>and</strong> forms, please refer to thecomplete C<strong>and</strong>idate’s Manual for each examination or contact the agency responsible for the administration <strong>of</strong> the examination.
March 2012 11Contact InformationCITACRDTSNERBSRTAWREB1003 High House RoadSuite 101Cary, NC 275131725 SW Gage Blvd.Topeka, KS 666048484 Georgia AvenueSuite 900Silver Spring, MD 209104698 Honeygrove Rd.Suite 2Virginia Beach, VA 2345523460 North 19 th Ave.Suite 210Phoenix, AZ 85027Phone:(919) 460-7750Phone:(785) 273-0380Phone Number:(301) 563-3300Phone:(757) 318-9082Phone:(602) 944-3315Fax:(919) 460-7715Fax:(785) 273-5015Fax Number:(301) 563-3307Fax:(757) 318-9085Fax:(602) 371-8131Email:Info@citaexam.comEmail:info@crdts.orgWebsite:www.nerb.orgEmail:help@srta.orgEmail:generalinfo@wreb.orgWebsite:www.citaexam.comWebsite:www.crdts.orgAll inquiries/commentsmust be submitted inwriting to the NERBCentral Office.Website:www.srta.orgWebsite:www.wreb.orgInformation compiled by:The American <strong>Dental</strong> Hygienists’ Association, Division <strong>of</strong> Education444 North Michigan Avenue, Suite 3400Chicago, IL 60611312-440-8930education@adha.net
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