NBDE Part I

NBDE Part I (National Board Dental Examination, Part I)

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About this exam

NBDE Part I is the first of the two written examinations in the National Board Dental Examination sequence, administered by the American Dental Association's Joint Commission on National Dental Examinations. It is a multiple-choice, discipline-based exam that most U.S. dental students sit for during the preclinical years, and passing it is a requirement that state dental boards and many dental schools use as part of licensure and advancement decisions. Because it is a board exam rather than a classroom exam, it rewards integrated, conceptual knowledge across biomedical and dental sciences rather than isolated fact recall.

The exam is organized into four broad content areas: anatomic sciences; biochemistry and physiology; microbiology and pathology; and dental anatomy and occlusion. Preparation works best when it runs alongside, not after, the corresponding coursework. Build a study calendar that revisits each discipline at least twice, use spaced retrieval with large question sets to expose weak areas early, and reserve the final weeks for timed mixed-discipline practice and review of missed items. Treat any published logistics - item counts, appointment length, fees, scoring, and retake rules - as information to confirm directly with the ADA and your school, since those details are updated periodically and were not verifiable from the source consulted for this page.

What you'll study

Common questions

About NBDE Part I preparation

What is the NBDE Part I?

It is the first written examination in the National Board Dental Examination series, administered by the ADA's Joint Commission on National Dental Examinations. It is a multiple-choice exam covering biomedical and dental sciences, and passing it is typically one requirement that state boards and dental schools factor into licensure and academic progression decisions.

Who should take it, and when?

Most candidates are dental students in the preclinical portion of their program, usually after the basic science courses that the exam tests. Exact eligibility and timing requirements are set by your dental school and your state board, so confirm the schedule with your academic office rather than relying on secondhand timelines.

What content does the exam cover?

The four content areas are anatomic sciences; biochemistry and physiology; microbiology and pathology; and dental anatomy and occlusion. Questions are discipline-based and often require applying a concept rather than recalling a single fact, so a strong foundation in the underlying basic sciences matters more than memorizing isolated details.

How many questions are there, and how long is it?

Those specifics are set by the ADA and change periodically; they could not be verified from the source consulted for this page, so no item count or time limit is stated here. Check the ADA's testing pages and your school's board preparation materials for the current format before you plan your pacing strategy.

How hard is it, and what is a passing score?

Difficulty is best judged relative to your own basic science background, since the exam assumes mastery of coursework many candidates took a year or more earlier. Passing standards are established by the administering body and are not stated here because they could not be verified. Your school can tell you how its students typically perform.

Can I retake it if I do not pass?

Retake rules, waiting periods, and any limits on attempts are set by the ADA and by individual state boards, and they are not stated here because they could not be verified. Ask your school's board advisor and check the ADA's testing pages before you need that information, not after.

What is the biggest mistake candidates make in preparing?

Treating it as a memorization sprint in the final month. The exam spans four disciplines, and candidates who cram one subject at a time tend to lose the earlier material. Start early, cycle back through each discipline repeatedly, and use missed practice questions as a diagnostic tool rather than just a score.

In what order should I study the subjects?

Follow your curriculum where possible: anatomy and physiology first, biochemistry alongside, then microbiology and pathology, with dental anatomy and occlusion woven in throughout since it rewards steady, repeated exposure. If you are studying after coursework is finished, front-load the disciplines you did least recently and revisit all four weekly.

What materials should I use?

Use your course notes and standard dental and biomedical textbooks as the content backbone, then add large volumes of practice questions to test retrieval under exam conditions. Commercial review courses vary widely in quality; evaluate any resource by whether it explains why wrong answers are wrong, not by how many questions it advertises.

How do I verify current exam logistics?

Go to the ADA's education and testing pages and to your dental school's board office. Fees, appointment length, scoring, and retake policy are administrative details that are revised from time to time, and the version communicated by the ADA and your school is the one that governs your application.