ADEX Dental Hygiene Examination: Computer Simulated Clinical Examination (CSCE OSCE)

American Board of Dental Examiners (ADEX; formerly administered as CDCA-WREB-CITA)

Format: Computer-based at Prometric; up to 120 items (varies by form); item types: multiple choice, multiple response, extended match, drop down, fill-in-the-blank, hot spot, drag and drop
Fee: $1,150
Passing standard: Scaled score of 75 or higher (100 points possible); reported pass/fail
Retakes: 10-day wait after a failed attempt; computer retake $275; both components must be passed within 18 months of the first attempt; three successive failures of the same part require restarting the whole series
Given by: Prometric test centers
Accepted by: All US jurisdictions except Delaware and Nebraska (ADEX acceptance map, last updated 3/6/2026)

Sections

Tutorial, 15 minutes
CSCE OSCE: 120 questions, 115 minutes

What it covers

Medical/Dental Assessment · 12%
Intra and Extra Oral Assessment and Charting · 27%
- Intra and Extra Oral Examination
- Dental and Periodontal Charting and Assessment
- Soft Tissue, Bone, and Tooth Abnormalities
Radiology/Imaging · 15%
Dental Hygiene Care Planning · 13%
Patient Care · 19%
- Periodontal Procedures
- Infection Control
- Medical Emergency Management
Dental Specialties and Pharmacology · 14%
- Dental Specialties
- Applied Pharmacology

Notes

fee_usd is the combined initial fee for both ADEX hygiene components (SPTCE + CSCE OSCE), plus facility fee and $150 typodont fee. 'items: 120' is the stated maximum.

Sources

Checked 2026-10-03.