licensure boards 2013-2014 or…how the profession eats its young each spring…

Licensure Boards2013-2014


Or…how the profession eats its young each spring…

Or…how the profession eats its young each spring…



Testing Agencies (CRDTS, WREB) administer the test…

STATES actually issue the license.

Testing Agencies (CRDTS, WREB) administer the test…

STATES actually issue the license.

What’s Coming Up ?What’s Coming Up ?

• CRDTS DS, Feb 14th, 15th (Patient)• WREB DS, March 13th-16th

• CRDTS DS, October 2014 (Manikin)• CRDTS ISP, October 2014• WREB ISP, August or November

2014

• CRDTS DS, Feb 14th, 15th (Patient)• WREB DS, March 13th-16th

• CRDTS DS, October 2014 (Manikin)• CRDTS ISP, October 2014• WREB ISP, August or November

2014

Information AvailableInformation Available

• WREB.ORG• CRDTS.ORG

• Schedules, Policies

• Manuals!

• WREB.ORG• CRDTS.ORG

• Schedules, Policies

• Manuals!

Licensure BoardsLicensure Boards

• Unjust ?• Unfair ?• Maybe so…but…• Unless you pass them…you cannot

practice what you have worked hard to learn!

• Unjust ?• Unfair ?• Maybe so…but…• Unless you pass them…you cannot

practice what you have worked hard to learn!


• Do not waste your time and energy complaining about the board situation!

• Direct all of your efforts toward taking these boards ONCE!

• Then join the rest of us in complaining if you wish

• Do not waste your time and energy complaining about the board situation!

• Direct all of your efforts toward taking these boards ONCE!

• Then join the rest of us in complaining if you wish


• This is not a school function…this is your responsibility

• Look for patients constantly• Work together for a backup pool• READ THE BOOK !

• This is not a school function…this is your responsibility

• Look for patients constantly• Work together for a backup pool• READ THE BOOK !

WREB OverviewWREB Overview• Operative Section • Class II amalgam• Class II composite• Indirect Cast Gold (inlay - 3/4 crown)• Class III composite

• Any two of the above• Only one may be a slot prep• Caries on unrestored proximal• NO MO’s on lower first premolars

• Operative Section • Class II amalgam• Class II composite• Indirect Cast Gold (inlay - 3/4 crown)• Class III composite

• Any two of the above• Only one may be a slot prep• Caries on unrestored proximal• NO MO’s on lower first premolars

WREB OverviewWREB Overview

• Endodontic Section Endodontic treatment (anterior tooth)• Endodontic treatment (posterior tooth)

• Access and condensation on anterior tooth and one canal on a multi-canal posterior tooth

• Extracted teeth mounted in Acadental ModuPro.

• Endodontic Section Endodontic treatment (anterior tooth)• Endodontic treatment (posterior tooth)

• Access and condensation on anterior tooth and one canal on a multi-canal posterior tooth

• Extracted teeth mounted in Acadental ModuPro.

WREB OverviewWREB Overview• Periodontal Section Diagnostic Section

(Computer Based)• Treatment Section (your patient)

• Prosthodontics Section• Computer Based

• Treatment Planning• Computer based

• Periodontal Section Diagnostic Section (Computer Based)• Treatment Section (your patient)

• Prosthodontics Section• Computer Based

• Treatment Planning• Computer based

WREB Changes for 2015!




• Treatment Section (your patient)

• NEW CTP Exam• 3 hours• Computer based• 3 cases (Complex, moderate,

pediatric)• Content in TP, Perio, Pros• Will happen earlier (fall 2014)

• Treatment Section (your patient)

• NEW CTP Exam• 3 hours• Computer based• 3 cases (Complex, moderate,

pediatric)• Content in TP, Perio, Pros• Will happen earlier (fall 2014)



• Each modification will be 0.5 penalty on prep grade

• In PATP define perio as insurance code. i.e. 1-3 teeth, 4 or more in a quad

• No anesthetic delivered until examiners on floor (7:30 AM)

• NO EFDA’s on operative exam

• Each modification will be 0.5 penalty on prep grade

• In PATP define perio as insurance code. i.e. 1-3 teeth, 4 or more in a quad

• No anesthetic delivered until examiners on floor (7:30 AM)

• NO EFDA’s on operative exam

CRDTSCRDTS

• Part II - Endodontics Exam (manikin)

• #14 artificial tooth access only• #8 artificial tooth - access,

instrumentation, obturation• Endo folks will schedule reviews

and practice session

• Part II - Endodontics Exam (manikin)

• #14 artificial tooth access only• #8 artificial tooth - access,

instrumentation, obturation• Endo folks will schedule reviews

and practice session

CRDTSCRDTS

• Part III - Fixed Prosthodontics Exam (manikin)

• #9 Ceramic crown preparation• #3 Cast gold crown preparation• #5 PFM crown preparation• “bridge factor” 3=5

• Part III - Fixed Prosthodontics Exam (manikin)

• #9 Ceramic crown preparation• #3 Cast gold crown preparation• #5 PFM crown preparation• “bridge factor” 3=5

CRDTSCRDTS

• Part IV – Periodontics Exam (patient)

• Diagnosis• SRP

• Part IV – Periodontics Exam (patient)

• Diagnosis• SRP

CRDTSCRDTS

• Part V – Restorative Exam (patient)

• Class III composite• Class II amalgam OR• Class II composite

• Part V – Restorative Exam (patient)

• Class III composite• Class II amalgam OR• Class II composite

Patient SelectionPatient Selection

• Most critical step• No matter how good the lesion

looks…it is only as good as the patient it is attached to!

• Look in your own patient pools• Family and Friends• KARMA!

• Most critical step• No matter how good the lesion

looks…it is only as good as the patient it is attached to!

• Look in your own patient pools• Family and Friends• KARMA!

Patient SelectionPatient Selection• Operative CRDTS• Class II• Class III• Radiographic caries at least 1/2 of the way

through enamel (Digital or F speed)• Proximal contact intact, virgin surface• Occlusal contact on tooth• May have occlusal restoration*• Lesion on other proximal may need to be

included.

• Operative CRDTS• Class II• Class III• Radiographic caries at least 1/2 of the way

through enamel (Digital or F speed)• Proximal contact intact, virgin surface• Occlusal contact on tooth• May have occlusal restoration*• Lesion on other proximal may need to be

included.

Patient SelectionPatient Selection• Operative WREB• Class II• Class II• Radiographic caries must reach dentin! • Proximal contact intact, virgin surface• Occlusal contact on tooth• May have occlusal restoration*• Lesion on other proximal may need to be

included.

• Operative WREB• Class II• Class II• Radiographic caries must reach dentin! • Proximal contact intact, virgin surface• Occlusal contact on tooth• May have occlusal restoration*• Lesion on other proximal may need to be

included.

Patient Selection/CRDTS*




• When using digital images…• ½ way to dentin qualifies• The board logic is that ½ way to

dentin on digital films IS evidence of caries to the DEJ ?!

• When using digital images…• ½ way to dentin qualifies• The board logic is that ½ way to

dentin on digital films IS evidence of caries to the DEJ ?!

Patient Selection

WREB

Patient Selection

WREB

Things to do NOW!Things to do NOW!

• Become familiar with exam• Stay tuned for more info/exam changes• wreb.org• crdts.org• Read the manual (on web site)• Look for patients (for you and others!)• Consider Op comps as practice

• Become familiar with exam• Stay tuned for more info/exam changes• wreb.org• crdts.org• Read the manual (on web site)• Look for patients (for you and others!)• Consider Op comps as practice

http://wreb.org/

http://wreb.org/

NOW MORE THAN EVER!

NOW MORE THAN EVER!

• Check with the individual states regarding which exam they accept!• You are licensed by the

state, not the testing agency

• Check with the individual states regarding which exam they accept!• You are licensed by the

state, not the testing agency

Which board to take?Which board to take?

• First Consider the state you want to practice in

• Then consider state of family, significant other.

• Otherwise consider the pros and cons of the each board

• First Consider the state you want to practice in

• Then consider state of family, significant other.

• Otherwise consider the pros and cons of the each board

WREBWREB• PROS• Proven exam ?

2015• One time event• More candidate

friendly• Less of a time

issue during exam

• PROS• Proven exam ?

2015• One time event• More candidate

friendly• Less of a time

issue during exam

• CONS• 3 day pressure cooker• Exam in March• Fewer states

accepting• Need real endo teeth*• Retake opportunities

near or after graduation

• Some uncertainty regarding states that accept exam

• Grading rubric

• CONS• 3 day pressure cooker• Exam in March• Fewer states

accepting• Need real endo teeth*• Retake opportunities

near or after graduation

• Some uncertainty regarding states that accept exam

• Grading rubric

CRDTSCRDTS• PROS

• Stress split over three sessions

• Multiple retake opportunities for each section

• Over in February with retake possibilities prior to graduation

• Many states in one exam

• NO Written Exam!

• PROS• Stress split over

three sessions• Multiple retake

opportunities for each section

• Over in February with retake possibilities prior to graduation

• Many states in one exam

• NO Written Exam!

• CONS• General board stress

over longer time period

• More rigid schedule• More time pressure

during patient day• Politics may change

accepting states

• CONS• General board stress

over longer time period

• More rigid schedule• More time pressure

during patient day• Politics may change

accepting states

General ConceptsGeneral Concepts• Procedures are not difficult!• Organization and Preparation is

critical• Plan…Plan…Plan• Not the time to make statements• fashion, political, other

• You do not want to be dinner time conversation for the examiners!

• Procedures are not difficult!• Organization and Preparation is

critical• Plan…Plan…Plan• Not the time to make statements• fashion, political, other

• You do not want to be dinner time conversation for the examiners!

General ConceptsGeneral Concepts• Infection Control• Eye Protection• Neatness• Patient Positioning• Polite, accurate communication with

examiners (remember they are not faculty!)

• Better is the worst enemy of good…don’t dink!

• Infection Control• Eye Protection• Neatness• Patient Positioning• Polite, accurate communication with

examiners (remember they are not faculty!)

• Better is the worst enemy of good…don’t dink!

Be Prepare

d

Be Prepare

d

Questions ?Questions ?

• Read those books• If something is unclear…e-mail

me and I will try to help• Hunt for Patients!• Plan…Plan…Plan

• Read those books• If something is unclear…e-mail

me and I will try to help• Hunt for Patients!• Plan…Plan…Plan

What Now?What Now?

• Everybody…Start Planning, reading the book, and hunting patients

• Organize among your class for a back up pool

• Check the web sites often…look for updated manuals

• Everybody…Start Planning, reading the book, and hunting patients

• Organize among your class for a back up pool

• Check the web sites often…look for updated manuals

licensure boards 2013-2014 or…how the profession eats its young each spring…

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