The Local Anesthesia Examination is not part of the ADEX exam series. It is an optional examination offered to any eligible candidate who wishes to take the exam as part of the certification process to administer local anesthesia. The CDCA-WREB-CITA Local Anesthesia examination can be challenged with a computerized exam only, or in two parts both computerized and clinically based.

Local anesthesia candidates are responsible for understanding the examination requirements to obtain licensure in each state. Only register for the exam sections you need.

The majority of states that require an exam for a local anesthesia license will accept the Didactic Examination.

Alaska, Arizona, Montana, Washington, and Idaho require both a Didactic and Clinical Examination.



Didactic (Computer-Based) Simulated Examination

The timed examination is 60 minutes and is given at a testing center. Multiple-choice items are both discipline and case-based and have only one correct response. Up to five (5) field test questions are included, but not calculated in your final score. A maximum of 100 points is possible on the Local Anesthesia Computer-Based Didactic Examination. A final score of 75.00 or higher is required to pass. In addition to the Computer-Based Didactic Examination manual below, candidates are advised to read the “Candidate Guide.”

Didactic Examination Manual

Clinical Examination

Clinical local anesthesia is a patient-based examination. The clinical examination evaluates a candidate’s ability to utilize professional judgment and knowledge to competently administer both an Inferior Alveolar (IA) and a Posterior Superior Alveolar (PSA) nerve block injection on a patient. Candidates must successfully complete the computerized examination before challenging the patient-based clinical examination. In addition to the manual below which includes information on both the Computerized and Clinical portions, candidates are required to read the “Candidate Guide.”

Didactic/Clinical Exam Manual & Forms

Clinical Exam Calendar

Candidates who need to take a clinical examination can find a schedule below.  Click here to log into your candidate profile to register.

To avoid any additional fees we suggest making your account at least one week prior to the registration deadline.

Any request to change your exam site or to be added to an exam after the exam registration deadline needs to be submitted via Contact Us and will incur a $100 material procurement fee.

Scheduling requests must be submitted through contact us before the registration deadline. While scheduling requests are not always granted, we try our best to accommodate you.

Note: Outside candidates are only allowed in exams that say “Outside Candidates Accepted”


Frequently Asked Questions

Find answers to the most common questions on topics such as applying for ADEX and other exams, sample OSCE questions, how to get score reports, attempt limits, and more.