CDCA-WREB-CITA serves jurisdictions in the United States, Canada, Puerto Rico, and Jamaica in the pursuit of public health, safety, and welfare by ensuring that safe and competent dental care is provided by qualified dental practitioners. Once the three largest regional exam administration agencies, through our shared missions we combined to become one agency, with one mission: one national examination.
It is the vision of the CDCA-WREB-CITA to be the nationwide resource in the development, innovation, and administration of competency assessments for the oral health professions. To do this, we are:
- Committed to designing and administering assessments based on sound principles of testing and measurement.
- Pledged to excellence, integrity, and fairness.
- Committed to service, equity, and support for educational institutions and licensure candidates.
Why one examination
As an independent regional testing agency that administers the ADEX dental and dental hygiene clinical licensure examinations, CDCA-WREB-CITA sets uniform standards for excellence in testing administration.
A nationally accepted uniform examination meets the needs of candidates looking for initial licensure without limits, making licensure portable across jurisdictions throughout their careers. A national standard brings jurisdictions confidence in the performance abilities of incoming professionals.
CDCA-WREB-CITA is devoted to developing a psychometrically sound and legally defensible licensure examination consistent with current dental standards of care in an evolving environment. This commitment led us to develop the industry leader in simulated patient assessment, CompeDont™, and the SimProDH for use in dental hygiene assessments. We continue to develop streamlined processes that provide candidates with access to the tools they will need to be successful while also equipping examiners and educators with resources they can use to help facilitate the development of a national dental community.
ADEX Dental and Dental Hygiene Examinations evaluate candidates’ psychomotor skills and didactic performance for entry-level practice. The American Board of Dental Examiners (ADEX) is comprised of representatives from member jurisdictions’ boards. Nearly all US states participate.
ADEX Membership gives a recognizing state dental board direct involvement in the development and evolution of the examinations through committee appointments; and approval of the final form of the examinations in dentistry and dental hygiene. A strict development and review process begins with a regularly updated occupational analysis (OA) to ensure current practice and standards of care are represented. ADEX uses information from the OA to determine the content necessary to include in each examination.
With these ADEX-driven directives, CDCA-WREB-CITA develops examinations utilizing a team of subject matter experts. Then, psychometricians set discriminate values for candidate performance and determine the final score (pass or fail). Using this criterion, exams are piloted and evaluated. States who join CDCA-WREB-CITA extend invitations to board members to become examiners in this process.
Results must be demonstrative of psychometrically sound, valid expressions of readiness for the oral professions before being approved for use by ADEX.
|1968, Fifty-three different licensure exams for US states and jurisdictions. |
1969, The North East Regional Board of Dental Examiners (NERB) is founded.
|1976, The Western Regional Examining Board (WREB) is founded. |
2004-2005, The American Board of Dental Examiners (ADEX) is founded with representation from recognizing dental boards. ADEX is a test development organization, not a testing organization.
|2005, The Council of Interstate Testing Agencies, Inc. (CITA) is formed. The first ADEX Dental Examinations are delivered. |
2007, NERB administers it’s first ADEX Dental Exam.
2009, The first ADEX Dental Hygiene Examinations are delivered and is adopted by NERB.
|2015, ADEX approves Patient-Centered Curriculum Integrated Format examinations. |
2015, NERB becomes The Commission on Dental Competency Assessments (CDCA).
|April 2020 ADEX approves CompeDont™ simulated tooth.
August 3, 2021, CDCA and WREB merge to form CDCA-WREB and administer the ADEX exam as a single testing agency.
August 1, 2022, CDCA-WREB and CITA merge to become CDCA-WREB-CITA, simplifying the licensure process for schools, candidates and dental boards offering the universally accepted ADEX licensure standard throughout North America.
Board of Directors
CDCA-WREB-CITA member states as of August 2022