
Becoming a dentist in the USA as an international student is a complex process that involves several steps and requirements. While the specific pathway one takes depends on their personal circumstances and career goals, there are some general guidelines and procedures that one must follow to obtain a license to practice dentistry in the USA. This includes meeting educational requirements, taking examinations, and gaining exposure to the field through extracurricular activities and community service.
| Characteristics | Values |
|---|---|
| Education | Graduate from a dental education program accredited by the Commission on Dental Accreditation (CODA) |
| Examination | Pass the National Board Dental Examination (NBDE) |
| Advanced Standing Programs | Join an advanced standing program to earn a US DMD/DDS degree |
| Residency | Apply for residency programs, but competition is high |
| Loans | Apply for federal loans if you're a green card holder; otherwise, apply for private student loans |
| English Language Proficiency | Complete the Test of English as a Foreign Language (TOEFL) for admission to dental programs |
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What You'll Learn

Requirements for international students
To become a licensed dentist in the USA as an international student, you must first graduate from a dental education program accredited by the Commission on Dental Accreditation (CODA). This is a basic requirement for all applicants for dental licensure in the USA. CODA-accredited programs are offered by US dental schools and typically take four years to complete.
If you have a dental degree from an institution not accredited by CODA, you will need to apply for an advanced standing dental education program. These programs are designed for internationally-trained dentists and are typically shorter than the traditional four-year D.M.D. or D.D.S. programs in the USA. Advanced standing programs allow international students to obtain a D.M.D. or D.D.S. degree within two to three years of study.
To be admitted to an advanced standing program, international students may be required to successfully complete the Test of English as a Foreign Language (TOEFL). Additionally, most states require graduates of international dental programs to obtain a D.M.D. or D.D.S. degree and complete additional general dentistry education at the predoctoral level.
After obtaining the required degree, you can proceed with applying for licensure in the USA. Each state sets its own licensure requirements, but all licensing boards use the National Board Dental Examinations (NBDE) to satisfy a major portion of their written requirements. The NBDE assesses your ability to understand fundamental concepts in biomedical, dental, and dental hygiene sciences and apply them in a problem-solving context.
It is important to note that applying for student loans as an international student in the USA is limited to green card holders or those with an American co-signer.
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The National Board Dental Examination
The NBDE consists of two parts, which are now integrated into one exam, the INBDE. NBDE I covers basic sciences and includes 400 multiple-choice questions on subjects such as Dental Anatomy and Occlusion. NBDE II is a two-day exam focusing on clinical dental topics. Since 2012, the NBDE has been graded on a pass/fail basis, with no scores issued unless the candidate has failed.
The Integrated National Board Dental Examination (INBDE) is a newer dental licensing exam that has replaced the former NBDE Part I and Part II exams. It is a two-day digital exam evaluating candidates' clinical skills and problem-solving abilities in dentistry. The exam is accepted in all US states and territories and is required for dental licensure in the country. The total administration time for the INBDE is twelve hours and 30 minutes, including breaks, a tutorial, and a post-exam survey. The exam is divided into two days, with the second day taking place within seven days of the first. INBDE Day 1 consists of 360 test items, including three sets of 100 standalone items and one set of 60 case questions. Day 2 includes 140 test items, featuring two sets of 70 case questions. The 500 exam questions cover the Domain of Dentistry, including Clinical Content and Foundation Knowledge areas.
The INBDE is scored on a scale of 49-99, with a score of 75 or above considered a pass. Candidates who fail will receive a performance report. The exam is administered by the Joint Commission on National Dental Examinations (JCNDE).
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Advanced standing programs
To be eligible for advanced standing programs, foreign-trained dentists must take the National Board Dental Examination (NBDE). The examination assesses the ability to understand fundamental concepts in biomedical, dental, and dental hygiene sciences, as well as the ability to apply them in a problem-solving context, such as a patient case.
The American Dental Education Association (ADEA) manages the Centralized Application for Advanced Placement for International Dentists (CAAPID). This program allows international dentists to submit a single application and set of credentials, which are then distributed by ADEA to all participating programs designated by the applicant.
The length of advanced standing programs varies, with some programs offering a 2-year course of instruction, while others may take 28 months or more to complete. Upon completion of an advanced standing program, graduates are eligible to take the clinical board examination required for licensure in any state in the United States.
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Residency programs
International students can pursue residency programs to become dentists in the USA. However, there are limited spots available, and the competition is intense. There are about 20 different residency programs, but not all of them are CODA-accredited (Commission on Dental Accreditation). It is recommended to apply for CODA-accredited programs, as they confer the status of a Board-certified specialist upon completion, which is a significant career advantage.
To be eligible for a residency program, international students must have a degree from a dental education program accredited by the American Dental Association Commission on Dental Accreditation (CODA). This can be achieved by completing an advanced standing program in the United States, which typically takes two to three years. These programs allow international students to obtain a D.D.S. or D.M.D. degree and are shorter than the traditional four-year programs.
Overall, while pursuing a residency program as an international student can be challenging due to limited spots and intense competition, it is a viable pathway to becoming a dentist in the USA. It offers the opportunity to gain specialized knowledge and skills and the potential to become a Board-certified specialist.
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Student loans
To become a dentist in the USA as an international student, you will need to obtain a license to practice dentistry in the US. This requires graduating from a dental education program accredited by the Commission on Dental Accreditation (CODA).
International students can apply for student loans to fund their dental education in the USA. The ability to apply for federal loans is limited to US citizens and green card holders, who can access loans with a low annual interest rate of 5-6%. Non-US citizens and non-green card holders can apply for private student loans, but these require an American co-signer and have a higher annual interest rate of up to 11.5-13%.
It is important to note that the requirements for dental licensure vary from state to state in the USA, so it is recommended to contact the specific state board of dentistry to verify the requirements. Most states require that graduates of international dental programs obtain additional general dentistry education and receive a D.D.S. or D.M.D. degree.
To increase your chances of securing funding, it is beneficial to have extracurricular activities and volunteer service on your application. US dental schools look favourably upon applicants who have demonstrated a commitment to improving themselves and their communities, as well as those with professional skills, leadership qualities, and diverse experiences.
There are various routes to obtaining a dental license in the USA as an international student. One option is to complete a CODA-accredited advanced standing program, which typically takes two to three years and allows individuals to earn a D.D.S. or D.M.D. degree. Another route is to apply for residency programs, either directly after graduating from dental school or by completing a US dental school program first. However, it is important to note that residency programs are highly competitive and have limited spots available.
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Frequently asked questions
To become a licensed dentist in the USA, international students must graduate from a dental education program accredited by the Commission on Dental Accreditation (CODA).
Advanced Standing Programs are condensed versions of the traditional DDS/DMD programs, which are usually 2-3 years in length.
The NBDE is the United States national dental examination for students and professionals in dentistry. It is required for licensure in the United States and assesses your ability to understand fundamental concepts in biomedical, dental, and dental hygiene sciences.
The application process for international students can vary depending on the institution. It is important to check with each institution for its specific admission requirements. The ADEA Centralized Application for Advanced Placement for International Dentists (CAAPID) allows international students to submit a single application that is distributed to all participating programs designated by the applicant.
US dental schools like to see applicants who are well-rounded and have contributed to their communities. Consider gaining exposure to research and getting involved in extracurricular activities and volunteer work.





























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