CERTIFIED DENTAL TECHNICIAN

EXAMINATION HANDBOOK AND APPLICATION

 Dear Certified Dental Technician
Candidate:
Thank you for your interest in pursuing the CDT designation. You are to be
congratulated for your commitment to attain the highest standards of professional
excellence within the dental technology community.

You should know that this distinctive certification, when it is obtained, places you
among the elite group of dental technology professionals who hold this designation.
We, at the NBC Headquarters in Tallahassee, Florida, will be with you throughout the
process, providing guidance, information, study material and advice, which will help
you along the path to becoming a CDT.

This handbook contains the information you need in order to become a Certified
Dental Technician. For more information about the NBC, visit our website at www.
nbccert.org. The exam applications, order forms, and the exam schedules are also
available on the website.

Once again, you have made an excellent choice in pursuing the CDT designation and
we will be there to provide support for you along the way.

If you have any questions, please contact the NBC at [email protected] or call
(800) 684-5310.

325 John Knox Road, #L103, Tallahassee, FL 32303

(800) 684-5310 Toll Free • (850) 205-5626
(850) 222-0053 Fax • www.nbccert.org

This publication is intended solely for use by candidates interested in seeking certification with the National Board
for Certification in Dental Laboratory Technology. NBC reserves the right to amend the information contained in this
handbook. For the most up-to-date information concerning the examinations, please contact NBC.

Revised 12/1/2019

The materials in this document are protected under provisions of US Copyright law. Any unauthorized distribution,
reproduction or use by any means is strictly prohibited by law without prior written permission from the copyright owners.
 Revised 12/1/2019

Certified Dental Technician Examination

Handbook and Application
NBC Mission
The National Board for Certification in Dental Laboratory Technology provides professional
certification to both dental technicians and dental laboratories.

NBC Vision
NBC is dedicated to administering and promoting globally recognized certification programs to
assess the knowledge and skills of dental technicians and to review facility and staff training criteria
for dental laboratories.

S tat e m e n t o f N o n d i s c r i m i n at i o n
The Certified Dental Technician program is offered to all candidates that meet eligibility
requirements regardless of age, race, religion, gender, national origin, marital status or disability.

Am e r i c a n s w i t h D i s a b i l i t i e s Ac t f o r
E x a m i n at i o n C a n d i d at e s
No individual with a disability will be deprived of the opportunity to take the NBC examinations
solely by the reason of that disability. The NBC complies with the Americans with Disabilities
Act and will provide reasonable accommodations for candidates with disabilities. An application
requesting special accommodations and arrangements at regularly scheduled examinations must
be submitted at least thirty (30) days prior to the examination, in writing, to the NBC. The request
must include verification of the disability and the specific type of assistance needed. Please contact
the NBC for an application form, if needed.

Please read all sections of this handbook. Information can also be

found on the NBC website at www.nbccert.org. You can contact the NBC
Headquarters at [email protected] or (800) 684-5310.

325 John Knox Road, #L103, Tallahassee, FL 32303

(800) 684-5310 Toll Free • (850) 205-5626
(850) 222-0053 Fax • www.nbccert.org

© 2019 National Board for Certification in Dental Laboratory Technology

CDT Examination Handbook and Application

Certified Dental Technician

Examination Handbook and Applications

TA B LE OF C O N TE N TS
How to Become a Certified Dental Technician
What is Certification?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
What Are the Skill Standards?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
The Examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Annual Renewal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Overview of History, Regulation & Organization in Dental Laboratory Technology

Early History. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
First Commercial Dental Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
National Organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Beginning of Certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Government Regulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Related Organizations and Institutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Other Standards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Examination Application Process

Eligibility for Testing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Application Process and Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Written Exam Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Practical Exam Registration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Examination Cancellation/Rescheduling Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

About the CDT Examinations

Types of Examinations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Comprehensive Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Written Specialty Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Practical Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Examination References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Exam Preparation & Sample Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The NBC Examiners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
The Grading System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Notification of Grades. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Failing Grades. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Examination Content & Tasks

Comprehensive Written Exams. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Practical Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Appeals
Written Exam Appeal Policy & Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Practical Exam Appeal Policy & Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Application
CDT Examination Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Continuing Education Addendum. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

PAGE 2 Revised 12/1/2019 National Board for Certification in Dental Laboratory Technology
 CDT Examination Handbook and Application

How to Become a
Certified Dental Technician

WHAT IS C ERTIFI C ATIO N ?

Certification is the professional standard in dental laboratory technology. It is the means for the
dental profession, the dental laboratory industry and all others with an interest to identify dental
technicians and dental laboratories that have demonstrated their technical qualifications and their
commitment to maintaining high standards in dental technology.

The CDT Program is a national program. Since certification is voluntary, it represents not only
compliance with documented standards, but also a special personal commitment to quality and
professionalism. Each Certified Dental Technician (CDT) has met industry standards of required
knowledge and applied skills through the successful completion of examinations and compliance
with continuing technical and regulatory education requirements.

The CDT is recognized and endorsed by the National Association of Dental Laboratories (NADL),
the American Dental Association (ADA) and the American College of Prosthodontists (ACP). It
also receives outstanding support and participation from U.S. military services. The CDT program
adheres to national certification program standards.

For those engaged in the practice of dental technology, certification offers:

• An incentive to achieve proficiency;
• Criteria for maintaining continuing education;
• Improved career opportunities;
• Peer recognition; and
• Enhanced professional visibility.

For the dentist-client, certification offers:

• Reinforced credibility through the use of credentialed support services;
• A means to encourage proficiency and advancement; and
• An enhanced source of specialized expertise.

Finally, for the dental patient, dental technology certification could establish:
• An enhanced perception of the value of dental services; and
• A positive perception of (and respect for) the career of dental technology.

WHAT ARE THE S K ILL STA N DARDS ?

The goal of the CDT examination is to measure competence or the mastery of a predetermined
body of knowledge and the skills deemed to represent the successful, professional-level practice of
dental technology. To become a CDT, a technician must demonstrate their knowledge and applied
skills, from start to finish in their chosen specialty, in the manufacturing procedures common in
contemporary practice. There are six (6) specialties currently recognized by the NBC: Ceramics,
Complete Dentures, Crown & Bridge, Orthodontics, Partial Dentures and Implants.

continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 3
CDT Examination Handbook and Application

How to Become a Certified Dental Technician, continued.

THE EXA M I N ATIO N S

The examinations given by the NBC are the result of years of continuing development. Questions
on the tests originate with technicians in the field. Special task forces (comprised of technicians,
laboratory owners, educators and dentists) have been appointed by the NBC to conduct regular
reviews, revisions and updates of the exams. All examination content is also subject to ongoing
statistical analysis based on actual usage of exam questions as well as peer review to ensure
relevance to current practices in dental technology.

The following examinations must be passed successfully to become a Certified Dental Technician
(CDT):
• The Written Comprehensive examination (or the Written Recognized Graduate examination, if
eligible);
• The Written Specialty examination; and
• The Practical examination (in the same specialty area as the Written Specialty examination —
Ceramics, Complete Dentures, Crown & Bridge, Orthodontics, Partial Dentures or Implants.)

Candidates may sit for the examinations in any order but all three (3) exams must be passed
within four (4) years of the date that the first exam was passed.

A N N U AL RE N EWAL
In order to retain certification, CDTs are required to apply annually to the NBC for renewal. To
qualify for renewal, the CDT must attest that he or she has complied with the laws governing the
practice of dental technology and dentistry in the applicable state, must submit proof of specific
continuing education and must pay the renewal fee.

The current continuing education requirements are subject to change and are available by
contacting the NBC Headquarters. Various types of continuing education are required and may
include training on regulatory standards, infection control, scientific and/or technical topics and
general professional development topics. Some of the ways the continuing education requirement
may be met are through attendance at approved clinics, reading of accepted technical publications,
completion of college level credit courses, or the development of original technical clinics or papers.

Renewals are based on an annual renewal cycle. All new CDTs will be notified to which renewal
cycle they have been assigned upon certification. An invoice is sent out to every CDT seventy-five
(75) days prior to their certification renewal date.

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 CDT Examination Handbook and Application

Overview of History, Regulation &

Organization in Dental Laboratory
Technology

EARL Y HISTOR Y
Dental disease has been treated since the first prehistoric toothache. Primitive history recorded
incantations, chemical and vegetable plasters, and various rinses to treat oral pain. Substitutes
for natural teeth were made very early from the bones and teeth of animals and later from other
materials such as mother-of-pearl, ivory and jeweler’s enamel baked on carved bone or metal tooth
plates.

Until the mid-eighteenth century, medical doctors concerned

themselves little with the mouth. Dental ailments were treated
largely by laymen. Only a very small amount of medical literature
dealt with dental treatment until 1728, when a Frenchman, Pierre
Fauchard, published the first major text dealing with dentistry: Le
Chirurgien Dentiste. By incorporating into a single book everything
known about the science and art of dentistry, Fauchard established
a scientific basis for a new medical specialty and earned the title
“The Father of Modern Dentistry.”

Dentistry was brought to colonial America around 1766; George

Washington was among the most famous of early dental patients Set of dentures made for George
Washington by John Greenwood, 1798.
for whom prosthetic teeth were made. The various forms of dental
Courtesy of the Dr. Samuel D. Harris
treatments, techniques and materials used for the replacement of National Museum of Dentistry.
missing teeth soon started to evolve and expand.

FIRST C O M M ER C IAL DE N TAL LA B ORATOR Y

As the art and science of dentistry continued to develop, certain dentists developed special
processes and skills in fabricating prosthetic devices. Since these processes and skills were in
demand by other dentists, the practice of sending out laboratory work to those possessing the
processes began.

One doctor particularly noted for his prosthetic skills was Dr. W. H. Stowe who practiced in Boston.
Dr. Stowe eventually found that he had little time for his own dental practice after accepting
laboratory work from all the dentists who sought his services. In 1883, he began to separate his
dental practice from his laboratory services, accepting laboratory work only from a limited number
of dentists. However, the laboratory service was so successful that it suggested to him the potential
for a dental laboratory serving the profession at large.

In 1887, Dr. Stowe opened a dental laboratory in Boston. He was later joined by his cousin, Frank
F. Eddy. The laboratory, later to be known as Stowe and Eddy, is generally acknowledged to be the
first commercial dental laboratory in America separate from a private dental practice.

The establishment of commercial dental laboratories led quickly to the training of apprentices.
As these apprentices gained skills, they opened their own laboratories and the growth of the
continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 5
CDT Examination Handbook and Application

Overview of History, Regulation & Organization in Dental Laboratory Technology, continued.

commercial dental laboratory industry began. As more and more laboratories came under the
management of dental technicians, a decreasing number of dentists went into the business. By
1910, it is likely that dental technicians managed the majority of commercial dental laboratories.

The work and innovations of dental technicians became a significant influence in the development
of new prosthetic techniques and materials.

N ATIO N AL OR G A N I Z ATIO N
As the dental laboratory craft and industry grew, it was natural
that organizations should be formed. In 1950, there were
two national organizations representing the dental laboratory
industry, but no single unified organization. A group of dental
laboratory owners from throughout the country met in Chicago that year, and agreed to form a
national, federated association, similar in organization to the American Dental Association, with
state-level association components.

This meeting marked the beginning of the National Association of Dental Laboratories (NADL),
which today represents more than 1,000 commercial laboratories nationwide. The stated mission of
NADL is, “NADL aggressively advances the dental laboratory technology industry and its members
through advocacy, education, standards and services.” NADL’s vision statement is, “NADL is the
dental laboratory industry’s respected authority, delivering the highest standards to ensure our
members are viewed as valued professionals on the dental health team.”

B E G I N N I N G OF
C ERTIFI C ATIO N
The early activities of NADL were concentrated in the areas
of recognition and education. In 1954, the NADL Education
Committee began the development of a certification program which
would set skill standards for the individual dental technician. The
following year, the NADL Executive Council elected seven persons
to the newly formed National Board for Certification in Dental
Laboratory Technology, which adopted policies and approved
examinations for the certification program. The first Certified
Dental Technician examinations were given in October of 1958, and
the first CDT designations were awarded in March of 1959.

The examinations undergo continual upgrading and revision. As of

CDT Magazine from March 1964 early 2018, over 5,000 technicians held CDT designations and over
with photo of exam candidates.
1,000 CDT examinations were given annually.

Visit www.nbccert.org/about-national-board-certification/certification-standards.cfm to learn more

on the certification program standards.

G O V ER N M E N T RE G U LATIO N S
The authority of state governments to regulate the health professions is well established. Every
state in the nation has exercised its authority over dental health services by enacting a Dental

PAGE 6 Revised 12/1/2019 National Board for Certification in Dental Laboratory Technology
 CDT Examination Handbook and Application

Practice Act, which establishes the basic relation between the dentist and the dental technician
or commercial dental laboratory. In general, these acts state that the fabrication and repair of
dental prosthetic appliances are included in the definition of the practice of dentistry and that no
unlicensed person may engage in any phase of such fabrication or repair unless it is at the direction
of a licensed dentist. The required “direction” normally means the written dental prescription
or work authorization of the dentist. The nature and format of the prescription is spelled out in
varying degrees of detail by the different state Dental Practice Acts.

All state dental practice laws specify the functions which the dentist may perform, and the
conditions under which he or she may perform them. Any unlicensed person found to perform
these functions directly for the public is engaged in the illegal practice of dentistry.

During the past few decades, additional regulation has been imposed on dental laboratories in the
form of occupational health and safety laws. These laws deal with the requirement for employers
to provide safe and healthy workplaces for their employees, and they are promulgated and
administered by both federal and state agencies, including the Occupational Safety and Health
Administration (OSHA).

While there are fewer than half a dozen states having more specific regulatory legislation governing
the operation of a commercial dental laboratory, there has long been a segment of the laboratory
industry desiring the enactment of registration or licensing laws. This is a state-level issue and the
decision to seek or oppose such legislation must remain in the hands of the respective states.

The National Board for Certification in Dental Laboratory Technology cannot participate in the
influencing of legislation. However, it does encourage the protection of public health and welfare
by maintaining the nationally recognized certification standards which form a solid foundation for
either statutory or voluntary regulation of dental technology.

Dental laboratory owners and managers must also be aware of applicable state and local laws
(zoning, taxation, etc.) which apply to all businesses.

RELATED OR G A N I Z ATIO N S A N D I N STIT U TIO N S

In addition to those obligations which are set by law, there are also groups
and institutions which are concerned with the maintenance of proper
ethical and technical relationships between the dentist and the dental
technician. These include dental schools, schools of dental technology,
dental societies and dental laboratory associations.

The role of the dental school goes beyond imparting scientific information
and skill to the dental student; it extends to giving students an
understanding of the many intangible factors that contribute to the making
of a professional person. Included in these factors are the fundamentals of ethics, which govern
the graduate’s conduct in practice and the relationship that must be maintained with auxiliary
personnel and commercial dental laboratories.

Dental technology schools have similar responsibilities in the educating and training of dental
technicians. The Commission on Dental Accreditation (CODA) issues accreditation. The dental
laboratory industry is represented in the accreditation process by having a representative on
the Commission, membership on its Dental Technology Education Committee, and numerous
consultants who take part in the onsite inspections required for program accreditation.

continued...

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CDT Examination Handbook and Application

Overview of History, Regulation & Organization in Dental Laboratory Technology, continued.

The roles of the American Dental Association and the National Association of Dental Laboratories
and their affiliated state-level associations include the establishment and maintenance of
professional ethics and standards of conduct for their members. They are also active in promoting
programs of continuing education for their members. Further, these organizations are primary
sources of legislative initiatives regarding the laws governing the practice of dentistry and dental
technology.

OTHER STA N DARDS

As with most professions and industries, there are both technicians
and dental laboratory owners/managers who desire to achieve and be
recognized for their advanced levels of professionalism.

For the laboratory owner/manager, the NBC administers the Certified

Dental Laboratory (CDL) program. The CDL program was created to promote and maintain a
recognition that will assist dental laboratories in their continuing efforts to improve the quality and
efficiency of the dental team’s service to the public. This is accomplished by:
• Promoting a means for identifying dental laboratories which meet specific standards
established for the certification program; and
• Encouraging dental laboratories to improve the quality and efficiency of their services and
facilities.

For more information about any of the programs offered by the NBC, please contact the NBC
Headquarters or refer to the NBC website at www.nbccert.org.

Examination Application Process

ELI G I B ILIT Y FOR C DT C e r t i f i c a t i o n e x a m s
All technicians applying for the CDT examinations must:
1. Have a working knowledge of the English language.
2. Be a high school graduate (or the documented equivalent).
3. Be of satisfactory ethical and legal standing as defined by the NBC’s disciplinary standards.
4. Meet the technical prerequisites required for testing.

For technicians who are not current participants in the NBC’s Recognized Graduate (RG) program,
the technical prerequisites for testing may be met by documenting at least five (5) years of
training and/or experience in dental technology. Time spent in on-the-job training (including formal
apprenticeships and training courses) or studying in a dental technology education program may be
counted towards this requirement.
• An exception is made for graduates of a two-year, ADA-accredited dental technology
education program. These candidates may apply for the CDT examinations after completion
of two (2) years of practical experience in addition to (and not concurrent with) their course
of study.

As of January 1, 2017, an additional pathway to becoming a CDT has been added,

whereby documented continuing education (CE) can substitute for education and/or experience.
For a detailed breakdown, please visit the Career Path to Becoming a CDT document at
www.nbccert.org/certificants/certified-dental-technician/cdt-application.cfm or the CE Addendum
on page 37.

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 CDT Examination Handbook and Application

For technicians who are current Recognized Graduates and have taken and passed their RG
examination within the last four (4) years, the technical prerequisites for testing may be met in one
of the following ways:
1. Recognized Graduates from two-year ADA-accredited programs may sit for the CDT
examinations without having to obtain additional education or on-the-job-experience, or
2. Recognized Graduates from non-ADA-accredited programs may sit for the CDT examinations
after obtaining at least three (3) years of on-the-job experience.

An RG may keep his or her designation indefinitely, pending that they maintain the renewal
requirements. However, the RG examination will only substitute for the Written CDT Comprehensive
examination for a four (4) year period. After four years, the RG must complete all three
examinations to earn certification.

To see the list of dental technology education programs currently approved by the ADA, please visit
their website at www.ada.org/en/coda.

A P P LI C ATIO N P RO C ESS A N D FEES

Eligibility to take the CDT examinations will be determined by the NBC upon receipt of a completed
application and payment of the examination fees.

The fee for all three (3) required exams is broken down as follows for any examinations after
December 31, 2019:
Written Comprehensive examination: $255
Written Specialty examination: $255
Practical examination: $555

Please note that the Practical examination fee includes a $50 one-time application fee. Candidates
who require a second attempt at the Practical exam may waive this application fee and will only be
assessed the $505 examination fee.

Candidates who require their Practical Exam molds to be shipped outside of the United States will
be responsible for covering the costs of international shipping. NBC will provide you with your total
after determining the shipping costs before proceeding with payment.

If any of the exams are not passed on the first attempt, a new application and fee must be
submitted before the candidate can retake the exam(s) in question.

W r i t t e n E x a m R e g i s t r at i o n
In order to offer a greater number of testing locations and more flexible scheduling, NBC
administers the CDT and RG written examinations utilizing computer-based testing with remote
proctoring. The requirements for computer-based testing (CBT) are as follows:
• Desktop computer or laptop (not tablet)
• Webcam, speakers and microphone (built-in or external)
• Connection to network with sufficient internet speed: at least 2 Mbps download speed and 2
Mbps upload. Candidates can check the speed of their internet speed at
https://www.speedtest.net/.
• Google Chrome Browser (not Internet Explorer) with pop-up blocker disabled
• Testing must take place in a private area
• Government issued photo ID matching your examination application
continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 9
CDT Examination Handbook and Application
Examination Application Process, continued.

Additional rules will be provided to the candidate by NBC and by the exam Proctor.

Once a candidate has been approved for online testing through NBC, they will receive an email
confirming they have been approved. Candidates must schedule and complete their examination
within thirty (30) days once they have been approved by NBC to test. Should a candidate not
schedule and complete their examination, they will forfeit all fees paid to NBC and must re-apply to
complete the examination.

Should a candidate wish to reschedule their scheduled examination, there will be no fee as long as
the examination date and time is at least 48 hours away. Should a candidate wish to reschedule
their examination within 48 hours of their scheduled examination time, a fee of $50 will be
assessed at the time of reschedule.

Should a candidate miss their scheduled examination, a fee of $100 will be assessed prior to
allowing the candidate to reschedule their examination. Should a candidate not reschedule and
complete their examination within their thirty (30) day testing window, they will forfeit all fees paid
to NBC and must re-apply to complete the examination.

Once a scheduled examination time begins, candidates are allotted a 15 minute grace period.
Should a candidate be more than 15 minutes late for their examination, the scheduled examination
window will close and the candidate will have missed their examination. A fee of $100 will be
assessed prior to allowing the candidate to reschedule their examination. Should a candidate not
reschedule and complete their examination within their thirty (30) day testing window, they will
forfeit all fees paid to NBC and must re-apply to complete the examination.

If a candidate wishes to retake a written examination, they must wait at least 30 days before re-
applying to take the written examination.

Because all communication for testing is electronic, candidates must maintain a valid email address
at all times. Please ensure you have whitelisted the following domains: examity.com, executiveoffice.
org and fasttestweb.com.

P r a c t i c a l E x a m R e g i s t r at i o n
For Practical exams, exam dates are tentative until thirty (30) days prior to the exam. Please call
the NBC to check on the expected status of exams prior to making travel arrangements. The NBC
reserves the right to cancel the exams if there are not enough candidates registered. If this occurs,
candidates are notified and rescheduled for the exam site listed as their second choice.

If an application is received well in advance of the registration deadline, candidates will receive an
email notifying them that their application has been received and indicating the date and ___location
for which they have been tentatively scheduled. The examination dates are confirmed thirty
(30) days prior to the exam date, after the registration deadline. Confirmation letters are mailed
approximately four (4) weeks prior to the exam with molds, instructions, directions and exam site
contact information.

If an examination is taking place on a military base, NBC will contact candidates in order to obtain
the following information to ensure pre-approved base access: last name, first name, and middle
initial (as shown on driver’s license/ID card); date of birth; address; driver’s license number;
driver’s license state of issue; driver’s license expiration date; and vehicle information – make,
model, and license plate number. This information must be received at least 30 days prior to the
examination date.

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 CDT Examination Handbook and Application

If you are not a U.S. citizen, you will also be required to provide the following information: place of
birth; citizenship; passport number; company; and duty title. This information must be received at
least 60 days prior to the examination date. If this information is not provided within the necessary
time frame, NBC cannot guarantee base access and the candidate will be responsible for any
reschedule fees.

E x a m i n a t i o n C a nc e l l a t i o n /
R e s c h e d u l i ng P o l i cy
All candidates who have registered with the National Board for Certification in Dental Laboratory
Technology (NBC) to take the CDT examinations are expected to attend their examinations as
scheduled. In the unlikely event that a scheduling conflict or emergency situation arises, the NBC
adheres to the following rescheduling and cancellation policies:

W r i t t e n E x a m i n at i o n s
Candidates may reschedule their computer-based testing (CBT) examination to a different testing
window than originally outlined within their application at no charge by notifying the NBC in writing
prior to the published application deadline.

Candidates that fail to notify the NBC in writing prior to the published application deadline must get
special permission from the NBC to reschedule to a different testing window and if allowed to do so,
candidates will be charged a $25 administrative fee for each written examination.

Should a candidate wish to reschedule their scheduled examination, within their approved testing
window, there will be no fee as long as the examination date and time is at least 48 hours away.
Should a candidate wish to reschedule their examination within 48 hours of their scheduled
examination time, a fee of $50 will be assessed at the time of reschedule.

Should a candidate miss their scheduled examination, a fee of $100 will be assessed prior to
allowing the candidate to reschedule their examination. Should a candidate not reschedule and
complete their examination within their thirty (30) day testing window, they will forfeit all fees paid
to NBC and must re-apply to complete the examination.

Once a scheduled examination time begins, candidates are allotted a 15 minute grace period.
Should a candidate be more than 15 minutes late for their examination, the scheduled examination
window will close and the candidate will have missed their examination. A fee of $100 will be
assessed prior to allowing the candidate to reschedule their examination. Should a candidate not
reschedule and complete their examination within their thirty (30) day testing window, they will
forfeit all fees paid to NBC and must re-apply to complete the examination.

Once a candidate begins their scheduled session and is unable to complete their examination due
to the fault of Assessment Systems, Examity, or NBC, the candidate will be able to reschedule
at no charge. Once a candidate begins their scheduled session and is unable to complete their
examination due to fault of their own or technical issues (i.e. loss of internet connection, web cam
issues, etc.), the candidate must pay a fee of $50 before examination results will be released.

If a candidate wishes to retake a written examination, they must wait at least 30 days before re-
applying to take the written examination.

If a candidate does not complete their written examination during their testing window, they will
forfeit all payment, and may be rescheduled for another examination upon re-payment. No refund
will be given.

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CDT Examination Handbook and Application

Examination Application Process, continued.

P r a c t i c a l E x a m i n at i o n
Candidates may reschedule practical examinations by notifying the NBC in writing prior to the
published application deadline.

Candidates that fail to notify the NBC in writing prior to the published application deadline must get
special permission from the NBC to reschedule and if allowed to do so, candidates will be charged a
$100 administrative fee.

Rescheduled examinations must occur within one year of the originally scheduled examination;
otherwise candidates forfeit all related examination fees.

If a scheduled candidate does not show for the practical examination, they will forfeit all payment,
which includes application and examination fees, and may be rescheduled for another examination
upon re-payment. No refund will be given.

Em e r g e ncy S i t u a t i o n s
The NBC recognizes that there are sometimes unavoidable emergency situations which may
interfere with a candidate’s ability to attend a scheduled examination. In emergency situations you
should notify the NBC in writing as outlined above including supporting documentation if available
(hospital receipt, military orders, police report, etc.). Acceptable reasons for failing to appear for an
examination include but are not limited to death or serious illness, accident, jury duty or military
deployment.

If approved for an emergency situation, candidates are given a maximum period of one year within
which to pass the examination and retain credit for the testing fee previously paid; and that if such
deadline is not met, fees will be forfeited and new application and payment will be required before
testing can be approved.

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 CDT Examination Handbook and Application

About the CDT Examinations

T Y P ES OF EXA M I N ATIO N S
The goal of the CDT examinations is to measure competence or the mastery of a predetermined
body of knowledge and the skills deemed to represent the successful, professional-level practice of
dental technology. To become a CDT, a technician must demonstrate their knowledge and applied
skills, from start to finish in their chosen specialty, in the manufacturing procedures common in
contemporary practice.

Each of the CDT examinations must be passed successfully within a four (4) year period to become
a CDT. The candidate must test in the same specialty area for both the Written Specialty exam and
the Practical exam. The examinations may be taken in any order that the candidate desires.

THE W r i t t e n C O M P REHE N SI V E EXA M

Current Recognized Graduates that have taken and passed the RG examination within the last four
(4) years may waive the Comprehensive exam requirement, but all other technicians must pass
the Comprehensive exam before being recognized as a CDT. The Comprehensive examination is the
measure for basic knowledge in history, ethics and the various specialties.

The Comprehensive examination is a written multiple-choice test. There are 160 questions on the
exam, covering basic dental laboratory knowledge: oral anatomy, tooth morphology, materials
science, health & safety, fundamental theory and terminology across the specialties tested by the
NBC (Ceramics, Complete Dentures, Crown & Bridge, Orthodontics, Partial Dentures and Implants).

As part of NBC’s ongoing efforts to ensure that the questions included in its written examinations
are contributing to the reliability of the examinations, NBC includes an additional ten field test
questions embedded on each examination form. These ten questions are not graded, but instead
are used to gather statistical data to allow NBC to determine if the field test questions may be used
on future examinations. Using field test questions is a common practice in the certification and
licensure testing industry.

Candidates have up to two and three-quarter (2 3/4) hours to complete the examination; they may
use as much or as little of this time as they require.

THE WRITTE N S P E C IALT Y EXA M
The Written Specialty examination is a requirement for all CDT candidates. This exam tests a
candidates’ knowledge in his or her chosen specialty area.

The Written Specialty examination consists of eighty (80) multiple-choice questions. Each test item
will consist of a question and four (4) possible answers, or an incomplete statement and four (4)
possible ways to complete the statement. Of the four possible responses, the candidate must select
the best answer.

As part of NBC’s ongoing efforts to ensure that the questions included in its written examinations
are contributing to the reliability of the examinations, NBC includes an additional ten field test
questions embedded on each examination form. These ten questions are not graded, but instead
continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 13
CDT Examination Handbook and Application

About the CDT Examinations, continued.

are used to gather statistical data to allow NBC to determine if the field test questions may be used
on future examinations. Using field test questions is a common practice in the certification and
licensure testing industry.

Candidates have up to one and one-half (1 1/2) hours to complete the examination; they may use
as much or as little of this time as they require.

THE P RA C TI C AL EXA M
The Practical examination is a requirement for all CDT candidates. This exam is a hands-on exam
that requires candidates to demonstrate their competence over a range of procedures normally
associated with their respective specialties. The Practical exam consists of preliminary procedures
that must be performed in each candidates’ own laboratory prior to the exam date, plus specific
steps which must be completed under the observation of three (3) NBC Examiners at the exam
site.

Approximately four (4) weeks prior to the exam date, the NBC Headquarters provides candidates
with detailed instructions, molds from which the candidates must work and a Candidate
Identification Number. At the same time, candidates also receive contact information for the host
facility so that they may contact the host about any specific needs they may have, including site
soldering capabilities, available air hand piece connections or borrowing equipment (like porcelain
ovens). Whenever possible candidates should bring their own equipment and supplies to the exam
site (including porcelain furnaces and pumps, if needed). If this is impossible, candidates must
contact the host facility for permission to borrow the items needed. Neither the NBC nor the exam
host site can guarantee borrowed equipment or materials. Every effort will be made to assist
candidates, but there is no guarantee that the equipment will function correctly (or as candidates
are accustomed to) nor that time-critical equipment will be available only to a specific candidate.

On the day of the exam, candidates should arrive at about 7:00 am for an exam that begins at
7:45 am. Candidates must bring all preliminary work with them; verify their identity; locate the
work station that displays their Candidate Identification Number; and set up their materials and
equipment. The NBC Lead Examiner will give candidates specific information and instructions that
must be followed. These instructions will be simple, but are extremely important. Candidates
should be certain that they understand all instructions before proceeding with their examination.

Candidates have exactly five and one-quarter hours (5 1⁄4) to complete the examination; they
may use as much or as little of this time as they require. During this period, the NBC Examiners
will carry out specified security measures, monitor candidate work, and begin the evaluation of the
work done in the preliminary portion of the examination.

After 5 ¼ hours all candidates will be excused so that the NBC Examiners may perform their
evaluations. This process may take several hours depending on the number of candidates and
other factors, but typically ends by 7:00 p.m., at which time candidates will be asked to claim their
materials and equipment and depart the facility. It is strongly suggested that candidates who must
make flight arrangements plan to depart well after 7:00 pm on exam day, or the morning after the
exam.

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 CDT Examination Handbook and Application

EXA M i n a t i o n REFERE N C ES
The NBC examinations were developed on the basis of practice in the field and are not based on
a specific textbook or course of study. Therefore, many sources of information are appropriate for
study and review. The references listed in this publication must not be regarded as the only useful
publications. They should be considered only as representative sources of the types of information
covered by the examination.

There are several useful study materials available for purchase through the NADL’s online store
at www.nadl.org. The study materials that can be found there include, but are not limited to,
Visual Reference Guides (one per each specialty), an Examination Preparation Guide, and the
U.S. Air Force Manuals (which includes Dental Laboratory Technology, Basic Sciences, Removable
Prosthodontics, and Orthodontics (2005), Air Force Pamphlet 47-103, Volume One and Dental
Laboratory Technology, Fixed and Special Prosthodontics (2005), Air Force Pamphlet 47-103,
Volume Two).

The following references are in addition to those listed above and will be active for any examina-
tions offered by NBC after January 1, 2017. Most of these references can easily be purchased
through Quintessence Publishing.

G E N ERAL REFERE N C ES C ERA M I C S a n d C ROW N &

Hohmann, Arnold and Hielscher, Werner B RID G E
Principles of Design and Fabrication in Prosthodontics Chu, Stephen J.; Devigus, Alessandro; Paravina,
Chicago, Quintessence Publishing, 2016 Rade; and Mieleszko, Adam
Fundamentals of Color: Shade Matching and
Mosby’s Dental Dictionary 3rd edition Communication in Esthetic Dentistry, 2nd edition
St. Louis, Mosby Publishing, 2014 Chicago, Quintessence Publishing, 2011

Nelson, DDS, MS, Stanley Hämmerle, Christoph; Sailer, Irena; Thoma, Andrea;
Wheeler’s Dental Anatomy, Physiology & Occlusion, Hälg, Gianni; Suter, Ana; and Ramel, Christian
9th edition Dental Ceramics: Essential Aspects for Clinical
St. Louis, Saunders Publishing, 2009 Practice
Chicago, Quintessence Publishing, 2008
O’Brien, William
Dental Materials and their Selection, 4th edition Kelly, J. Robert
Chicago, Quintessence Publishing, 2009 Ceramics in Dentistry: Principles and Practice
Chicago, Quintessence Publishing, 2016
United States Air Force Manuals 47-103
Volume One Basic Sciences, Removable Naylor, W. Patrick
Prosthodontics, and Orthodontics (2005), Intro to Metal-Ceramic Technology 2nd edition
Volume Two Fixed and Special Prosthodontics (2005) Chicago, Quintessence Publishing, 2009

C O M P LETE DE N T U RES
MacEntee, Michael
The Complete Denture: A Clinical Pathway 2nd
edition
Chicago, Quintessence Publishing, 1999

continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 15
CDT Examination Handbook and Application

Examination References, continued.

P ARTIAL DE N T U RES I M P LA N TS
Carr, Alan Babbush, DDS, MScD, Charles A.; Hahn, DDS, Jack
McCracken’s Removable Partial Prosthodontics 13th A.; Krauser, DMD, Jack T.; and Rosenlicht, DMD, Joel
edition L.
St. Louis, Mosby Publishing, 2015 Dental Implants: The Art and Science, 2nd Edition
Maryland Heights, MO, Saunders, 2011
ORTHODO N TI C S Misch, DDS, MDS, Carl E.
McNamara Jr., Dr. James A. Contemporary Implant Dentistry, 3rd edition
Orthodontics and Dentofacial Orthopedics St. Louis, MO, Mosby, Inc., 2008
Needham, MA Needham Press, 2001
Misch, DDS, MDS, Carl E.
Willison, CDT, Brian D. and Warunek, DDS, MS, Dental Implant Prosthetics, 2nd edition
Stephen P. St. Louis, MO, Mosby, Inc., 2014
Practical Guide to Orthodontic Appliances
Tonawanda, NY, Great Lakes Orthodontics Shafie, Dr. Hamid
Clinical and Laboratory Manual of Implant
Overdentures
St. Louis, MO, Blackwell Publishing Company, 2007

White, Graham E.
Osseointegrated Dental Technology
Quintessence Publishing, 1993

EXA M P RE PARATIO N & SA M P LE Q U ESTIO N S

Preparation for all of the exams leading to certification begins at the technician’s first introduction
to the dental laboratory. Ideally, it is a process of training, education, experience and continuing
education. In publishing this manual, the NBC is not attempting to teach the competencies
measured by its examinations, but rather to give technicians an understanding of examination
content, structure and procedures so that they may approach the CDT examinations with the
confidence that comes from knowing what to expect.

It is to each candidate’s advantage to plan, study and practice for their examinations. Candidates
are required to complete all parts of their examinations without assistance. Exam Proctors and NBC
Examiners may not define terms or answer questions relating to exam content.

The Comprehensive examination is designed to measure the equivalent of a formal education

in dental technology. Technicians who have on-the-job training or have learned their skills in
other settings may find it useful to review certain parts of various publications to broaden and/or
reinforce their understanding of dental technology. Technicians who have experience in narrowly
defined specialty areas should use the preparation for this examination as an opportunity to
broaden their theoretical knowledge to include fundamental concepts throughout the range of
specialties offered in dental laboratories.

For the Comprehensive exam and the Written Specialty exams, candidates will be instructed to read
the question carefully and select the best answer from the given answer choices.

Practical exam candidates should bring their preliminary work and should be prepared to complete
all other portions of their examination on-site. The Practical examinations are designed to enable
candidates to display their abilities by performing representative procedures that are normally

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 CDT Examination Handbook and Application

associated with practice in their respective specialties. Day-to-day, hands-on experience is the
primary preparation for this portion of the examination. In addition, candidates may be able to
improve their comfort and performance levels by studying, planning and practicing the required
steps prior to the exam date. To help reduce the stresses on exam day, candidates should ensure
their readiness by bringing or arranging for their equipment and materials and by having a plan. It
may also help candidates to realize that time management is important.

THE N B C EXA M I N ERS

The NBC Practical exams are evaluated at the exam ___location by three (3) NBC Examiners.
The NBC Examiners are selected by the NBC on the basis of their technical qualifications and
backgrounds; their education, training, geographical ___location and employment represent a diversity
of perspectives. They are specially trained and monitored by the NBC to achieve fair and uniform
grading standards throughout the country. They score using strict objectivity and are instructed to
make assessments on the basis of general acceptability rather than compliance with their personal
preferences and standards. All NBC Examiners are volunteers and they are not paid for their
services to the CDT program.

THE G RADI N G S Y STE M

Grading is not a comparative process. All grades are based on a standard that the NBC believes to
represent basic competence in dental technology and in each of the specialties represented.

Written examination passing scores are based upon the number of questions answered correctly –
scores are not rounded or averaged. Minimum passing scores are subject to change by the NBC.
All candidates will receive a copy of the current minimum passing scores with their examination
confirmation letter prior to the examination.

During the Practical exams, three (3) NBC Examiners will independently evaluate the work of
each candidate. Examiners will use their professional judgment when grading examinations
and may deduct points for any aspect of the exam which has been specified for grading when
they find it to be aesthetically, anatomically or functionally incorrect. Grade sheets completed
by the NBC Examiners at the exam site are returned to the NBC Headquarters for compilation
and determination of all candidates’ grades. Because the scores assigned from each of the NBC
Examiners are determined individually and because they are compiled for the determination of
the final grades, no single NBC Examiner can determine the final grade for any candidate. No
examination scores are available at the examination site.

With the instructions and the materials mailed to Practical exam candidates about thirty (30) days
before the exam date, there is a list of the items to be graded. In determining final grades, each
item is weighted according to what the NBC considers to be its criticality to the success of the
completed appliance or restoration. Candidates will see their score for each item when they receive
their grades. Further, each examination is divided into “subtests” representing the different types of
skills that are being tested. Each candidate must achieve a passing grade in each of these “subtest”
areas during the same exam administration to pass the Practical examination.

N OTIFI C ATIO N OF G RADES

For the written examinations candidates will be mailed their grades within four (4) weeks after
the examination. For the Practical exams, candidates will be mailed their grades within six (6)
weeks after the examination. Examination results are reported directly to each candidate in writing
and are otherwise held as confidential. Because results are sent by mail, it is important that all
continued...

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CDT Examination Handbook and Application
About the CDT Examinations, continued.

candidates maintain a current mailing address with the NBC Headquarters. Examination results are
not available by telephone or email. Candidates who have taken and passed all three examinations
can expect to receive their new CDT welcome packet within six (6) weeks.

FAILI N G G RADES
A candidate who is unsuccessful in any of the CDT examinations must repeat that entire
examination. Credit for passing the Comprehensive exam, the Written Specialty exam or the
Practical examination may be retained for up to four (4) years. From the date of passing the first
examination, the candidate has four (4) years to successfully pass the other required exams.
Candidates may repeat examinations one or more times as needed.

If a candidate wishes to retake a written examination, they must wait at least 30 days before re-
applying to take the written examination.

Examination Content & Tasks

Written Exams
The content on the Written Examinations is derived from the current NBC Job Task Outlines, which
are listed below and can be found on the NBC website under Certification Program Standards at
www.nbccert.org/about-national-board-certification/certification-standards.cfm.

The Comprehensive examination is a written multiple-choice test. There are 160 questions on the
exam, covering basic dental laboratory knowledge: oral anatomy, tooth morphology, materials
science, health & safety, fundamental theory and terminology across the specialties tested by the
NBC (Ceramics, Complete Dentures, Crown & Bridge, Orthodontics, Partial Dentures and Implants).

The Written Specialty examination consists of eighty (80) multiple-choice questions.

General B. Anatomy
(16 - 18% of general knowledge exam questions
A. Dental Laboratory Industry Regulations and on the Comprehensive exam are from this ___domain)
Scope of Practice
1. Identify occlusal requirements (e.g.
(9 - 11% of general knowledge exam questions on
bilateral posterior contacts, guidance,
the Comprehensive exam are from this ___domain)
lingualized)
1. Understanding Good Manufacturing 2. Differentiate types of occlusion (canine
Practices (GMPs), FDA CFR 21 Part 820 guidance, group function, malocclusion)
2. Practice under Federal guidelines, OSHA, 3. Identify tooth morphology
HIPAA, Customs and Border Protection 4. Identify growth and development of
(CBP) (e.g., labelling and disclosure) dentition
3. Interpret prescription and access case 5. Identify basic anatomic landmarks (e.g.
viability soft tissue and hard tissue)
4. Practice within the scope of state dental 6. Identify muscles of mastication and
practice act facial expression

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 CDT Examination Handbook and Application

7. Identify facial and cranial skeletal F. Working with Impressions and Models (e.g.,
anatomy Traditional or Digital)
8. Identify tooth coding systems (e.g. (10 - 12% of general knowledge exam questions
Universal, International, and Palmer) on the Comprehensive exam are from this ___domain)
C. Theory
1. Evaluate and validate impressions
(5 - 7% of general knowledge exam questions on
2. Understand model fabrication
the Comprehensive exam are from this ___domain)
3. Recognize contraindications for
1. Define dental terms using appropriate impression techniques and materials
terminology 4. Identify techniques for handling types of
2. Identify function and types of dental impressions
devices (e.g., appliances, prostheses, 5. Identify custom tray parameters
restorations)
G. Safe Working Practices
D. Maxillary and Mandibular Articulation
(16 - 18% of general knowledge exam questions
(6 - 8% of of general knowledge exam questions on the Comprehensive exam are from this ___domain)
on the Comprehensive exam are from this ___domain)
1. Identify equipment maintenance
1. Identify uses, types and components and safety requirements and PPE
of articulators (e.g. non-, semi-, fully- (verification and validation)
adjustable)
2. Perform infection control procedures
2. Identify mounting procedures (e.g. face
3. Use and maintenance of Safety Data
bows, etc.)
Sheet (SDS)
3. Identify bite registrations and/or jaw
4. Identify hazardous waste disposal
relation records
requirements (EPA)
E. Identify the types, processes, physical
5. Identification, handling and storage of
properties and handling characteristics of
hazardous materials (OSHA, Pictogram
dental lab materials
labelling)
(31 - 33% of general knowledge exam questions 6. Identify emergency preparedness (e.g.,
on the Comprehensive exam are from this ___domain) eye wash, fire blanket, first aid, fire
1. Gypsum products extinguishers, exit plan)
2. Waxes
3. Metals and alloys C ERA M I C S
4. Plastics, resins and composites (16-18% of specialty specific exam questions on
5. Separating materials the Comprehensive exam are from this ___domain)
6. Fluxes and antifluxes A. Perform Preliminary & Diagnostic Work Up
7. Alcohols (e.g., denatured and isopropyl) (10 - 12% of Ceramics exam questions are from
8. Acids and neutralizers this ___domain)
9. Wetting agents 1. Manufacture diagnostic cast from
10. Wax Solvents preliminary impression or digital file for
11. Abrasives and polishing agents case design
12. Laboratory gases 2. Evaluate case for various types of
13. Investments (e.g. casting, pressing, restorations
soldering, refractory) 3. Recognize contraindications for
14. Impression materials materials/case design
15. Ceramics (e.g., core and layering 4. Perform diagnostic wax up (e.g.,
materials) traditional, digital)
16. Weights and measure 5. Manufacture custom tray

continued...

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CDT Examination Handbook and Application
Examination Content & Tasks, continued.

B. Manufacture Master Cast (Traditional or 3. Identify the use of instruments and

Digital) equipment
(9 - 11% of Ceramics exam questions are from 4. Identify use and storage of acids
this ___domain) 5. Identify components of CAD/CAM
systems
1. Manufacture the master cast
6. Identify properties and application of
2. Identify and evaluate preparation
refractory and investment materials
designs
7. Identify properties and application of
3. Prepare the dies
ceramic materials
4. Articulate casts
8. Identify application of sealers, die
C. Manufacture Substructure for Ceramics
hardeners, spacers, and separating
(18 - 20% of Ceramics exam questions are from mediums
this ___domain)

1. Design substructure for ceramics (e.g., C O M P LETE DE N T U RES

traditional, digital) (16-18% of specialty specific exam questions on
2. Identify various manufacturing methods the Comprehensive exam are from this ___domain)
(e.g., traditional, digital)
A. Create Master Casts from Stock and/or
3. Select compatible materials for Custom Tray Impressions
manufacturing methods
(15 - 17% of Complete Dentures exam questions
4. Identify techniques for manufacturing
are from this ___domain)
methods
5. Evaluate restoration/substructure 1. Recognize contraindications for
6. Identify techniques for soldering/ materials/case design
welding, pre and post ceramic 2. Construct master cast
D. Ceramic Application & Contouring 3. Identify anatomical landmarks
(36 - 38% of Ceramics exam questions are from 4. Identify the requirements for a posterior
this ___domain) palatal seal
B. Design and Manufacture Record Base Plate
1. Select ceramic materials according to
& Occlusal Rim
prescription
2. Prepare surface for ceramic application (5 - 7% of Complete Dentures exam questions
are from this ___domain)
3. Apply opaque/liner
4. Layer ceramic material (e.g., traditional, 1. Identify the requirements for the
digital) manufacture of the base plate
5. Contour tooth morphology 2. Identify the requirements for the
6. Verify occlusion, contacts and excursions manufacture of the occlusal rim
7. Evaluate shade and characterization C. Select and Arrange Artificial Teeth
8. Stain and glaze techniques (16 - 18% of Complete Dentures exam questions
9. Finish and polish techniques are from this ___domain)
10. Evaluate the restoration for final 1. Index and articulate casts
acceptance 2. Select anterior and posterior denture
E. Selection and Application of Materials and teeth
Equipment for Ceramics
3. Set-up anterior and posterior denture
(21 - 23% of Ceramics exam questions are from teeth
this ___domain) 4. Create anatomical wax contours of the
1. Identify properties and application of denture base
pattern materials D. Process the Denture
2. Identify properties and applications of (14 - 16% of Complete Dentures exam questions
abrasives and polishing agents are from this ___domain)

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 CDT Examination Handbook and Application

1. Denture investment techniques 2. Evaluate case for various types of

2. Mold preparation techniques restorations
3. Processing techniques 3. Recognize contraindications for materials/
E. Finish & Polish Complete Denture case design
4. Perform diagnostic wax up (e.g.,
(15 - 17% of Complete Dentures exam questions
traditional, digital)
are from this ___domain)
5. Manufacture custom tray
1. Divest the denture B. Manufacture Master Cast (Traditional or
2. Remount the denture Digital)
3. Equilibrate (6 - 8% of Crown & Bridge exam questions are from
4. Construct a remount cast and index this ___domain)
5. Finish the denture
1. Manufacture the master cast
6. Polish the denture
2. Identify and evaluate preparation designs
F. Procedures for Repairs and Alterations for
3. Prepare the dies
Complete Dentures
4. Articulate casts
(13 - 15% of Complete Dentures exam questions
C. Design and Manufacture Patterns (Traditional
are from this ___domain)
or Digital)
1. Rebase denture (16 - 18% of Crown & Bridge exam questions are
2. Reline denture from this ___domain)
3. Repair denture
1. Determine method for creating pattern
4. Duplicate denture
2. Identify design parameters for fixed
5. Manufacture immediate denture restorations
G. Selection and Application of Materials and 3. Manufacture pattern for full contour
Equipment for Removable Prosthetics restoration
(14 - 16% of Complete Dentures exam questions 4. Manufacture pattern for post & core
are from this ___domain) 5. Manufacture pattern for ceramic
1. Understand properties and application of substructures
flexible materials 6. Manufacture pattern for bridges
2. Understand properties and application of 7. Manufacture pattern for pressed
waxes restorations
3. Understand properties and application of 8. Manufacture pattern for inlays/onlay
resins D. Manufacture Restoration
4. Understand safety protocols for the use (13 - 15% of Crown & Bridge exam questions are
and storage of hazardous materials from this ___domain)
5. Identify the use of instruments and
equipment (e.g., traditional, digital) 1. Select manufacturing method (e.g.,
traditional, digital)
2. Sprue and invest pattern
C ROW N A N D B RID G E
3. Burnout invested mold
(16-18% of specialty specific exam questions on
4. Cast/Press/Divest the restoration
the Comprehensive exam are from this ___domain)
5. Digital Manufacturing Techniques
A. Perform Preliminary & Diagnostic Work Up E. Finish and Polish the Restoration
(10 - 12% of Crown & Bridge exam questions are (20 - 22% of Crown & Bridge exam questions are
from this ___domain) from this ___domain)
1. Manufacture diagnostic cast from 1. Inspect the restoration for defects
preliminary impression or digital file for 2. Remove the sprues
case design
3. Seat restoration to die(s)

continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 21
CDT Examination Handbook and Application
Examination Content & Tasks, continued.

4. Finish the restoration 1. Identify deciduous and permanent

5. Refine contacts, occlusion and dentition
excursions 2. Identify the order of tooth eruption
6. Prepare surface for porcelain 3. Identify classes of occlusion (class I,II and
7. Polish the restoration III
8. Evaluate the restoration for final 4. Identify the types of malocclusion
acceptance 5. Identify the types of tooth movement
F. Perform Soldering & Welding B. Orthodontic Treatment & Appliances
(5 - 7% of Crown & Bridge exam questions are (16 - 18% of Orthodontics exam questions are
from this ___domain) from this ___domain)

1. Apply soldering/welding techniques 1. Differentiate between dental and skeletal

2. Solder/weld bridge components together treatments
3. Solder/weld connectors 2. Categorize types of appliances (passive,
4. Solder/weld attachments active, functional)
5. Perform repairs 3. Recognize contraindications for materials/
case design
G. Selection and Application of Materials and
Equipment for Crown & Bridge 4. Recommend orthodontic appliance design
5. Reset teeth in the cast for proper
(21 - 23% of Crown & Bridge exam questions are
alignment
from this ___domain)
6. Identify therapy appliances and related
1. Identify properties and application of federal regulatory requirements
pattern materials (e.g., orthodontic, splints, guards,
2. Identify properties and applications of deprogrammers, sleep apnea)
abrasives and polishing agents 7. Identify and manufacture study casts
3. Identify safety protocol for the use of C. Wire Components and Auxiliaries
flux materials
(21 - 23% of Orthodontics exam questions are
4. Identify safety protocol for use and from this ___domain)
storage of acids
5. Identify safety protocol for use and 1. Identify principles of bending wire
storage of laboratory gases 2. Identify and manufacture types of clasps
6. Identify and select restorative materials 3. Identify functions and uses of clasps
7. Identify components of CAD/CAM 4. Identify and manufacture springs
systems 5. Identify and place screws
8. Identify properties and application of 6. Identify and use coil spring (open &
refractory and investment materials closed)
9. Identify application of sealers, die 7. Identify and manufacture labial bows
hardeners, spacers, and separating 8. Identify and use components (bands,
mediums crowns, etc.)
10. Identify the use of instruments and 9. Embed components in acrylics
equipment
10. Understand application of wire bending
tools
ORTHODO N TI C S D. Acrylics, Composites, Plastics
(16-18% of specialty specific exam questions on (14 - 16% of Orthodontics exam questions are
the Comprehensive exam are from this ___domain) from this ___domain)
A. Growth and Development 1. Utilize vacuum/pressure formed materials
(11 - 13% of Orthodontics exam questions are 2. Apply acrylic using the sprinkle technique
from this ___domain) 3. Apply acrylic using the dough pack
technique (cold cured)

PAGE 22 Revised 12/1/2019 National Board for Certification in Dental Laboratory Technology
 CDT Examination Handbook and Application

4. Identify and utilize light cured materials B. Survey, Design and Preparation for
5. Identify and utilize heat cured materials Framework (Traditional or Digital)
6. Finish and polish appliances (25 - 27% of Partial Dentures exam questions are
7. Perform acrylic repair from this ___domain)
E. Soldering and Welding 1. Recognize contraindications for materials/
(14 - 16% of Orthodontics exam questions are case design
from this ___domain) 2. Identify major connectors (types and
functions)
1. Identify components of the soldering
3. Identify minor connectors (types and
process (e.g., flux, solder, anti-flux)
functions)
2. Solder an appliance
4. Identify direct retainers (types and
3. Weld an appliance functions)
4. Finishing and polishing of weld/solder 5. Identify indirect retainers
work
6. Determine ___location of rests
5. Perform metal repair
7. Determine types denture base retention
F. Selection and Application of Materials and
8. Identify types of attachments
Equipment for Orthodontics
9. Identify stress relievers and application
(16 - 18% of Orthodontics exam questions are
from this ___domain) 10. Identify techniques of surveying
11. Understand clasp selection
1. Identify and utilize finishing instruments
12. Understand application of blockout and
and equipment
relief
2. Identify and utilize vacuum/pressure
13. Perform bead line applications
forming equipment
14. Perform relief for acrylic retention
3. Identify properties and application of
gypsum products 15. Understand classification of partially
edentulous arches
4. Understand application of separating
mediums C. Manufacture Refractory Cast
5. Identify properties and application of (3 - 5% of Partial Dentures exam questions are
waxes from this ___domain)
6. Understand applications of abrasives and 1. Duplicate master cast
polishing agents 2. Transfer design
7. Understand safety protocol for use and
D. Manufacture Partial Dentures Frameworks
storage of hazardous materials
8. Identify the use of instruments and (10 - 12% of Partial Dentures exam questions are
equipment unique to Orthodontics from this ___domain)

1. Understand application of patterns (e.g.,

P ARTIAL DE N T U RES traditional, digital)
(16-18% of specialty specific exam questions on 2. Understand requirements for spruing
the Comprehensive exam are from this ___domain) (e.g., traditional, digital)
3. Invest the pattern
A. Create Master Casts from Stock and/or
Custom Tray Impressions 4. Eliminate the pattern
5. Identify casting techniques
(6 - 8% of Partial Dentures exam questions are
from this ___domain)
6. Divest casting
7. Finish and polish framework
1. Construct master casts
E. Select and Arrange Artificial Teeth and
2. Identify anatomical landmarks Process
3. Index casts
(9 - 11% of Partial Dentures exam questions are
4. Articulate casts from this ___domain)

continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 23
CDT Examination Handbook and Application
Examination Content & Tasks, continued.
1. Select appropriate teeth 8. Understand application of solder and flux
2. Set-up and arrange appropriate teeth materials
3. Create anatomical wax contours of the 9. Understand safety protocol for the use
denture base and storage of hazardous materials
4. Identify processing equipment, materials 10. Understand application of flexible RPD
& techniques materials
5. Deflask RPD 11. Understand application of CAD/CAM
F. Finish and Polish Partial Denture Base processes
12. Identify use of instruments and
(9 - 11% of Partial Dentures exam questions are
equipment (e.g., traditional, digital)
from this ___domain)

1. Identify equipment and materials Imp l a n t s

2. Identify the techniques and procedures (16-18% of specialty specific exam questions on
3. Divest the partial denture the Comprehensive exam are from this ___domain)
4. Identify and correct processing errors
A. Perform Preliminary and Diagnostic Work Up
5. Finish the partial denture
(20 - 22% of Implants exam questions are from
6. Polish the partial denture
this ___domain)
G. Procedures for Repairs and Alterations for
Partial Dentures 1. Differentiate between implant
technologies
(11 - 13% of Partial Dentures exam questions
are from this ___domain) 2. Categorize and identify case design
options
1. Identify techniques for soldering 3. Understand osseointegration and
2. Identify techniques for welding biocompatibility
3. Finish and polish after alterations 4. Understand correlation between bone
4. Perform repairs and additions density and load bearing capability
5. Understand process for altered (split) 5. Understand occlusal considerations for
cast technique fixed or hybrid restorative options
6. Reline a partial denture 6. Understand occlusal considerations for
7. Rebase a partial denture removable restorative options
8. Understand process for immediate 7. Recognize contraindications for
partial denture materials/case design
H. Selection and Application of Materials and 8. Plan and construct case diagnostics
Equipment 9. Recommend final case design
(18 - 20% of Partial Dentures exam questions 10. Manufacture guide stent (radiographic/
are from this ___domain) surgical)
1. Identify properties and application of B. Manufacture the Master Cast
gypsum products (10 - 12% of Implants exam questions are from
2. Identify properties and application of this ___domain)
refractory and investment materials 1. Identify custom tray options and assess
3. Identify application of separating impression for acceptance
mediums 2. Identify, select, and assemble implant
4. Identify properties and application of parts
waxes 3. Manufacture soft-tissue cast
5. Identify properties and application of 4. Articulate casts
resins
5. Design and construct verification jig
6. Identify properties and application of
alloys C. Manufacture Removable Prosthesis
7. Understand application of abrasives and (8 - 10% of Implants exam questions are from
polishing agents this ___domain)

PAGE 24 Revised 12/1/2019 National Board for Certification in Dental Laboratory Technology
 CDT Examination Handbook and Application

1. Construct baseplate and occlusal rim 3. Design restoration (e.g., traditional,

2. Identify and understand implant digital)
attachments 4. Manufacture restoration (e.g.,
3. Manufacture implant retained denture traditional, digital)
D. Manufacture Bar/Substructure F. Manufacture Abutment and Cement-
Retained Restoration
(15 - 17% of Implants exam questions are from
this ___domain) (14 - 16% of Implants exam questions are from
this ___domain)
1. Identify and understand implant retained
1. Identify and select components
options
2. Understand path of insertion and
2. Identify and understand implant bar emergence profile
attachments 3. Design restoration (e.g., traditional,
3. Identify and understand load bearing digital)
parameters 4. Manufacture restoration (e.g.,
4. Identify and understand angle correction traditional, digital)
at fixture levels G. Selection and Application of Materials and
5. Design and manufacture bar/ Equipment
substructure (e.g., traditional, digital) (9 - 11% of Implants exam questions are from
6. Verify and fit bar/substructure this ___domain)
7. Correct discrepancies (e.g., weld, solder, 1. Select and operate manufacturing
remake) equipment
E. Manufacture Screw-Retained Fixed or 2. Identify the use of instruments
Removable (Hybrid) Restoration 3. Understand federal regulatory
(16 - 18% of Implants exam questions are from requirements governing implant
this ___domain) abutment design and manufacturing
4. Identify components of CAD/CAM
1. Identify and select components
systems
2. Understand path of insertion and
emergence profile

P RA C TI C AL EXA M
The Practical examination is a hands-on exam that requires a candidate to demonstrate their
competence over a range of procedures normally associated with their chosen specialty. The
Practical exam consists of preliminary procedures that must be performed in the candidate’s own
laboratory prior to the examination date, plus specific steps which must be completed under the
observation of the NBC Examiners at the exam site.

The following breakdown gives a general outline of the Practical Exams, including the preliminary
work and onsite work.

C ERA M I C S
In the preliminary part of this test, candidates must pour casts, fabricate individual removable
dies and mount their casts on semi-adjustable articulators according to the written instructions.
Candidates must fabricate a metal coping and a three unit-substructure using the material of their
choice. Coping and substructure may be fabricated using traditional or digital methods and should
be finished as specified in the written instructions.

At the test site, candidates are instructed to complete:

• a wax pattern for a veneer.
• a PFM crown with porcelain butt margin.
• a three unit posterior bridge. continued...

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 25
CDT Examination Handbook and Application
Examination Content & Tasks, continued.

In the Ceramics test, candidates’ grades are reported in in three parts: (1) the model and die work,
metal finishing and waxing steps; (2) the veneer and the PFM crown; and (3) the three unit bridge.

C O M P LETE DE N T U RES
In advance of the examination day, candidates must pour and mount casts on semi-adjustable
articulators according to NBC instructions. They must then setup and process a complete set of
maxillary and mandibular dentures. At the test site, they will:
• Make and finish a maxillary custom tray;
• Arrange 1 x 28 anatomical teeth in full balance, using the previously mounted casts;
• Wax and Contour the 1 x 28 setup;
• Make two denture repairs (one tooth replacement and one fracture repair);
• Make a maxillary stabilized baseplate and wax an occlusal rim on it.

Candidates’ grades are grouped into three sub-tests. One sub-test consists of the grades on the
setup accomplished at the test site; another covers all of the preliminary procedures; and the third
includes all other procedures on the examination.

C ROW N & B RID G E

In the preliminary part of this test, candidates must pour casts, fabricate individual removable
dies and mount their casts on semi-adjustable articulators according to the written instructions.
Candidates must fabricate a full contour three-unit metal bridge, which may be fabricated using
traditional or digital methods, leaving it unfinished as specified in the written instructions.

At the test site, candidates will:

• wax a substructure.
• wax a full contour three-unit bridge.
• solder/laser weld, finish and polish the segmented 3-unit bridge.

In the Crown & Bridge test, candidates’ grades are reported in three parts: (1) the preliminary
assignments; (2) the waxing assignments; and (3) the metal work.

I M P LA N TS
In the preliminary part of this test, candidates must pour casts, with appropriate soft tissue
material, for both fixed and removable tasks according to the written instructions.

They will be required to construct a custom abutment which may be fabricated using traditional
or digital methods. Candidates are also required to construct a baseplate over attachments and a
verification jig to fit a multi-implant situation according to the written instructions.

At the test site, candidates are instructed to complete:

• a full contour wax up over a custom abutment.
• a matrix and a full contour wax up for a screw retained bridge.
• a stable wrap-around bar substructure to fit the provided stent.
• a 1 x 14 set up and wax up over attachments.

PAGE 26 Revised 12/1/2019 National Board for Certification in Dental Laboratory Technology
 CDT Examination Handbook and Application

In the Implant test, candidates’ grades are reported in three parts: (1) the preliminary
assignments; (2) the screw retained and cement retained assignments; and (3) the bar design and
the 1x14 set up and wax up assignments.

ORTHODO N TI C S
Prior to the examination, candidates in the Orthodontics specialty need only prepare their casts
using the NBC test molds. All other assignments, the fabrication of three appliances, are done at
the test site:
• One Hawley-type appliance
• One removable modified mandibular unilateral sagittal appliance
• One fixed mandibular lingual arch.

In the Orthodontics test, candidates’ grades are reported in four parts: Each appliance represents
one sub-test score.

P ARTIAL DE N T U RES
The preliminary portion of the Partial Dentures examination requires candidates to pour several
sets of casts, survey and design maxillary and mandibular frameworks, make refractory casts and
make one chrome partial framework casting, unfinished. At the test site, candidates are instructed
to:
• Survey and design, according to given specifications, one maxillary and one mandibular
framework and prepare the casts for duplication;
• Weld or solder a wrought wire clasp to a framework that is brought to the test;
• Make wax patterns on two refractory casts fabricated in the preliminary portion of the
examination;
• Finish and polish the casting that is brought to the test site.

In the Partial Dentures test, candidates’ grades consist of four parts: (1) the preliminary work; (2)
design; (3) waxing; and (4) metal work.

Materials and specific instructions for the examination will be mailed to candidates approximately
four (4) weeks before the exam date. The candidate instruction booklet should be read by each
candidate immediately upon receipt. All of the instructions should be followed carefully and
completely.

The Practical examination candidate instruction booklet for each specialty is made up of four (4)
parts:
1. A list of materials to bring to the exam site.
2. Instructions for pouring casts and other procedures which must be done in advance of the
exam date.
3. A complete list of the procedures you will be asked to perform at the examination.
4. The standards that will be applied in evaluating the examination and the specific items that
will be graded.

The NBC uses both the U.S. Postal Service and parcel delivery services. This makes it imperative
that all candidates maintain a correct, current street address and mailing address on file with the
NBC Headquarters. If a candidate relocates and fails to notify the NBC on a timely basis, resulting
delays and/or the cost of new exam materials will be the candidate’s responsibility.

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 27
CDT Examination Handbook and Application

Written Exam Appeal Policy & Procedures

P r o c e d u r a l App e a l :
If during a written exam, you believe and can provide valid evidence that any circumstance,
event, or procedure during the test had an adverse effect on your ability to successfully complete
the written examination, or that you experienced unfair treatment, please let the Proctor know
immediately before the end of the examination. The Proctor will log your initial comments and
return them to NBC headquarters. A written complaint must be created during the test. Any
comments regarding circumstances, events, or procedures that are not logged during the test may
not be considered for appeal.

You must also notify NBC headquarters in writing of your request for a procedural appeal within
48 hours (or two business days) after the test date. Your written request for appeal should include
a detailed description of the circumstance, event, or procedure that affected your performance on
the examination.

The complaint and supporting information shall be reviewed to determine if unsatisfactory

examination conditions did exist. Upon determination that a candidate did not have a “fair”
opportunity to take the written exam under acceptable conditions, a solution will be developed
with the candidate based on the particular situation. If it is determined that the conditions were
acceptable, the candidate has the option to appeal to the Board of Trustees. Notice of the final
decision for procedural appeals shall be provided in writing to the appellant within 3-4 weeks of
submission. In the event that additional time is needed, the appellant will be notified in writing.

G r a d e App e a l :
Candidates who take the written examination receive a written report of the points awarded to
each content area. If a candidate feels there has been an error in reporting the reading of the
answer sheets, the candidate should submit a written request for a score review to verify accuracy
in the calculation. If accurate, grades will not be altered.

You must notify NBC headquarters in writing of your request for a grade review within two weeks
after the receipt of examination results. Notice of the final decision for grade appeals shall be
provided in writing to the appellant within 2-3 weeks of submission.

Q u e s t i o n C o mm e n t s :
For all CDT written examinations, a candidate is allowed to make comments pertaining to the
examination items. Candidate comments must be logged during the examination using the
instructions provided by the Proctor.

Comments will only be accepted if completed during the examination. All comments are reviewed
by subject matter experts, designated by the appropriate examination committee, throughout the
year. While responses to comments are not provided back to the candidate, the comments will be
used to help ensure the maintenance of the examinations.

All appeals are dealt with in a constructive, impartial, and timely manner. Submission, investigation
and decision on appeals shall not result in any discriminatory actions against the appellant.
Please submit appeals to:
NBC Exam Appeals
325 John Knox Rd., Ste# L-103, Tallahassee, FL 32303
Fax: (850) 222-0053 Email: [email protected]
Updated May 2018

PAGE 28 Revised 12/1/2019 National Board for Certification in Dental Laboratory Technology
 CDT Examination Handbook and Application

Practical Exam Appeal Policy & Procedures

P r o c e d u r a l App e a l :
If during a practical exam, you believe and can provide valid evidence that any circumstance,
event, or procedure at the test site had an adverse effect on your ability to successfully complete
the practical examination, or that you experienced unfair treatment or grading, please let the Lead
Examiner know immediately before you leave the test site. The Lead Examiner will log your initial
comments and return them to NBC headquarters. If you are uncomfortable speaking with the Lead
Examiner or one of the other Examiners, you should note your comments on your exit form. Either
way, a written complaint must be created at the test site. Any comments regarding circumstances,
events, or procedures at the test site that are not logged at the test site may not be considered for
appeal.

You must also notify NBC headquarters in writing of your request for a procedural appeal within
two weeks of the test date. Your written request for appeal should include a detailed description of
the circumstance, event, or procedure that affected your performance on the examination.

The complaint and supporting information shall be reviewed to determine if unsatisfactory

examination conditions did exist. Upon determination that a candidate did not have a “fair”
opportunity to take the practical exam under acceptable conditions, a solution will be developed
with the candidate based on the particular situation. If it is determined that the conditions were
acceptable, the candidate has the option to appeal to the Board of Trustees. Notice of the final
decision for procedural appeals shall be provided in writing to the appellant within 3-4 weeks of
submission. In the event that additional time is needed, the appellant will be notified in writing.

G r a d e App e a l :
Candidates who take the practical examination receive a detailed written report of the percentage
grades assigned to each evaluated aspect of their test materials. If a candidate feels there has been
an error in reporting the percentage grade for one or more specific line items in the report, the
candidate should submit a written request for a score review to verify accuracy in the calculation
and reporting of the specific line item(s). If accurate, grades will not be altered but the candidate
may appeal for a retake.

Consideration of grade appeals will NOT include requests for additional points, exceptions or
revisions to the standards, or re-submission or re-evaluation of examination assignments that have
been removed from the security of the test site.

You must notify NBC headquarters in writing of your request for a grade review within two weeks
after the receipt of examination results. Notice of the final decision for grade appeals shall be
provided in writing to the appellant within 2-3 weeks of submission.

All appeals are dealt with in a constructive, impartial, and timely manner. Submission, investigation
and decision on appeals shall not result in any discriminatory actions against the appellant.
Please submit appeals to:
NBC Exam Appeals
325 John Knox Rd., Ste# L-103, Tallahassee, FL 32303
Fax: (850) 222-0053 Email: [email protected]
Updated August 2017

National Board for Certification in Dental Laboratory Technology Revised 12/1/2019 PAGE 29
NATIONAL BOARD FOR CERTIFICATION | All Certified Dental Technician Examinations Application
Certified Dental Technician
Examinations Application
This application should be used for candidates applying to take all CDT examinations. This includes the
Comprehensive exam, the Written Specialty exam and the Practical exam.

ELI G I B ILIT Y FOR C DT C ERTIFI C ATIO N EXA M S

All technicians applying for the CDT examinations must:
1. Have a working knowledge of the English language.
2. Be a high school graduate (or the documented equivalent).
3. Be of satisfactory ethical and legal standing as defined by the NBC’s disciplinary standards.
4. Meet the technical prerequisites required for testing.
For technicians who are not current participants in the NBC’s Recognized Graduate (RG) program, the
technical prerequisites for testing may be met by documenting at least five (5) years of training and/
or experience in dental technology. Time spent in on-the-job training (including formal apprenticeships
and training courses) or studying in a dental technology education program may be counted towards this
requirement.
• An exception is made for graduates of a two-year, ADA-accredited dental technology education
program. These candidates may apply for the CDT examinations after completion of two (2)
years of practical experience in addition to (and not concurrent with) their course of study.
As of January 1, 2017, an additional pathway to becoming a CDT has been added, whereby documented
continuing education (CE) can substitute for education and/or experience. For a detailed breakdown,
please visit the Career Path to Becoming a CDT document at www.nbccert.org/certificants/certified-
dental-technician/cdt-application.cfm or the CE Addendum on page 37.

For technicians who are current Recognized Graduates and have taken and passed their RG examination
within the last four (4) years, the technical prerequisites for testing may be met in one of the following
ways:
1. Recognized Graduates from two-year ADA-accredited programs may sit for the CDT examinations
without having to obtain additional education or on-the-job-experience, or
2. Recognized Graduates from non-ADA-accredited programs may sit for the CDT examinations after
obtaining at least three (3) years of on-the-job experience.

An RG may keep their designation indefinitely, pending that they maintain the renewal requirements.
However, the RG examination will only substitute for the Written CDT Comprehensive examination for a
four (4) year period. After four years, the RG must complete all three examinations to earn certification.

A P P LI C ATIO N I N STR U C TIO N S

1. Type or print all answers clearly in ink.
2. Use extra sheets of paper if more space is needed for requested information.
3. Be honest, accurate and thorough in completing all sections of this application. The National
Board for Certification in Dental Laboratory Technology (NBC) reserves the right to reject any
application if the NBC has evidence that the applicant has made a false or misleading statement
in the application or any supporting documents.
4. Payment is due with this application. The check or money order, payable to the National Board
for Certification, must be in the amount of the application and examination fee for this candidate
only. The NBC also accepts Visa, MasterCard and American Express.
5. The NBC Headquarters should receive all applications by the published deadline. Any late
applications must be accompanied by the late fee and are subject to NBC approval. Applications
are accepted in the order in which they are received, up to the capacity of each exam site.
6. Practical exam dates are tentative until thirty (30) days prior to the exam. Please call the NBC to
check on the expected status of exams prior to making travel arrangements. The NBC reserves
the right to cancel the exams if there are not enough candidates registered.
7. Once an exam has been confirmed, candidates are required to attend their selected
examination. Failure to do so may result in the forfeiture of all examination fees. Please read the
CDT Examination Handbook for additional details about rescheduling and cancellations.

All CDT candidates should thoroughly read the CDT Examination Handbook for further details
and information regarding certification and procedures.
30
Revised 12/1/2019
 NATIONAL BOARD FOR CERTIFICATION | All Certified Dental Technician Examinations Application
Application for Certified Dental Technician
All CDT Examinations
For Office Use Only: Date______________________________

Candidate#_ _______________________ Site#_____________________________

Approved__________________________ Exam_____________________________

I . A P P LI C A N T I N FOR M ATIO N
 Dr.  Mr.  Mrs.  Ms.  Miss  Other___________________

Name_____________________________________________________________________________
(First) (Middle Initial) (Last)
(as shown on government issued ID)

Street Address______________________________________________________________________

_________________________________________________________________________________

City_ ________________________________________ State_________________ Zip_____________

Home or Cell Phone_____________________________ FAX__________________________________

Work Phone___________________________________ Email*________________________________

Date of Birth_ ______________________________________________________________________

*Required

II . W r i t t e n EXA M SELE C TIO N

(if you are not taking a Written exam, skip this section)

 Written Comprehensive Exam

 January Testing Window (Dec. 20th deadline)  July Testing Window (June 20th deadline)
 February Testing Window (Jan. 20th deadline)  August Testing Window (July 20th deadline)
 March Testing Window (Feb. 20th deadline)  September Testing Window (Aug. 20th deadline)
 April Testing Window (March 20th deadline  October Testing Window (Sept. 20th deadline)
 May Testing Window (April 20th deadline)  November Testing Window (Oct. 20th deadline)
 June Testing Window (May 20th deadline)  December Testing Window (Nov. 20th deadline)

continued...

31
Revised 12/1/2019
NATIONAL BOARD FOR CERTIFICATION | All Certified Dental Technician Examinations Application All Certified Dental Technician Examinations Application, continued.

 Written Specialty Exam (choose a specialty below)

 Complete Dentures  Partial Dentures  Crown & Bridge  Ceramics  Orthodontics  Implants

 January Testing Window (Dec. 20th deadline)  July Testing Window (June 20th deadline)
 February Testing Window (Jan. 20th deadline)  August Testing Window (July 20th deadline)
 March Testing Window (Feb. 20th deadline)  September Testing Window (Aug. 20th deadline)
 April Testing Window (March 20th deadline  October Testing Window (Sept. 20th deadline)
 May Testing Window (April 20th deadline)  November Testing Window (Oct. 20th deadline)
 June Testing Window (May 20th deadline)  December Testing Window (Nov. 20th deadline)
Candidates must schedule and complete their examination within 30 days once they have been
approved by NBC to test. Testing windows run from the first day of each month through the last day of
each month. Registration deadlines are the 20th of the month prior to your desired testing window.

Applications may not be accepted after the deadline specified for an exam without NBC approval and a
late fee of $25 per written examination.

III . P r a c t i c a l E x a m S e l e c t i o n
(if you are not taking the Practical exam, skip this section)

1. Please check the box next to the practical examination specialty in which you will be testing.
 Complete Dentures  Partial Dentures  Crown & Bridge  Ceramics  Orthodontics  Implants

2. Preferred Examination Location/Date (refer to www.nbccert.org for exam schedule):

City_ ________________________________________ Date_ ________________________________

Exam applications are processed in the order in which they are received. If the exam ___location of your
choice is full, the NBC will notify you and ask that you make another selection. Applications may not be
accepted after the deadline specified for an exam without NBC approval and a late fee of $50. Check
with the NBC prior to making your travel arrangements in case there is a cancellation.

I V . LA N G U A G E RE Q U IRE M E N T
Do you read, speak and write the English language?  Yes  No

V . LE G AL RE Q U IRE M E N T
Have you been convicted of illegal practice of dentistry?  Yes  No

VI. F o r m a l ED U C ATIO N
1. Did you graduate from high school or the equivalent (such as earning a GED)?  Yes  No
2. List post-secondary studies and degree(s) earned, if any:

Name of Institution Courses or Major Degree Earned Year of Graduation

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

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V II . C O N TI N U I N G ED U C ATIO N
Candidates that are interested in certification that do not have the required five (5) years’ of experience
and/or education, have the option to submit continuing education to substitute for experience.
1. Do you have the required five (5) years’ of experience and/or education?  Yes  No
(if yes, proceed to section VIII; if no, answer the question below)
2. Enclosed you will find the following completed documents:
 Continuing Education Log (required – see Pg. 38)
 Mentorship Attestation Signatures (if claiming mentorship – see Pg. 39)

V III . A P P LI C A N T ’ S C U RRE N T E M P LO Y M E N T
1. Present Employer_________________________________________________________________

2. Position Title:_____________________________________________________________________

 Owner  Laboratory Manager  Department Manager  Technician

 Other________________________________________________________________________
3. Business Address__________________________________________________________________

_________________________________________________________________________________

City_ ________________________________________ State_________________ Zip_____________

4. Date of Employment__________________________  Full-time  Part-time (hrs. per week____)

5. Name and title of present supervisor_ _________________________________________________

6. Brief description of the work you do___________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

7. Are you responsible for supervising the performance of other technicians or production personnel on a
daily basis?  Yes  No

7. Are you regularly or occasionally responsible for the instruction or training of other technicians?
 Yes  No

continued...

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All Certified Dental Technician Examinations Application, continued.

Ix. A P P LI C A N T ’ S P RE V IO U S E M P LO Y M E N T
The NBC requires that CDT applicants have at least five years of education and/or employment in dental
technology, unless the applicant is a Recognized Graduate (see Eligibility for CDT Certification Exams).
You must supply such information as the NBC might need to verify compliance with this requirement —
including the complete mailing addresses and names of employers and supervisors. This requirement
is interpreted to mean five (5) years of full-time employment (at least 35 hours per week) and
additional credit is not awarded for formal education concurrent with employment claimed towards this
requirement.

1. Most Recent Employer______________________________________________________________

Business Address_________________________________________________________________

_ _____________________________________________________________________________

City_ _____________________________________ State_________________ Zip_____________

Telephone:_________________________________

a. Dates employed:
from (month and year)_______________________ until (month and year)___________________

 Full-time  Part-time (hrs. per week____)

b. Job title and brief description of duties performed_____________________________________

_ _____________________________________________________________________________

_ _____________________________________________________________________________

_ _____________________________________________________________________________

c. Name of Supervisor_____________________________________________________________

2. Employment prior to position listed above ______________________________________________

Business Address_________________________________________________________________

_ _____________________________________________________________________________

City_ _____________________________________ State_________________ Zip_____________

Telephone:_________________________________

a. Dates employed:
from (month and year)_______________________ until (month and year)___________________

 Full-time  Part-time (hrs. per week____)

b. Job title and brief description of duties performed_____________________________________

_ _____________________________________________________________________________

_ _____________________________________________________________________________

c. Name of Supervisor_____________________________________________________________

Please use additional pages if needed to report at least five years of dental technology training,
education and experience.

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 NATIONAL BOARD FOR CERTIFICATION | All Certified Dental Technician Examinations Application
X. A P P LI C A N T ’ S AFFIDAV IT
I have read and understand the CDT examination handbook and application. I agree to submit to testing
for certification according to the requirements and procedures specified by the NBC.

I agree to indemnify and hold harmless the NBC, its Trustees, officers, employees and agents, and the
institution where the CDT examination is administered from any and all liability for injury or damages
suffered by me, or which I might cause to others, during the course of taking my examination.

I agree to abide by the laws and regulations which govern the practice of dentistry and the practice of
providing dental laboratory technology services, restorations and services to the dental profession.

I affirm that all statements made by me in this application are true and correct to the best of my
knowledge. I understand that any misrepresentation of facts made in this application for testing or in
future applications to the NBC for certification testing or renewal, or in my personal claim to certification
(use of the CDT designation and logo), may be found cause for suspension or denial of certification or
eligibility for certification testing.

I understand that NBC operates its examinations with specific procedures that ensure the integrity of
the examination process. I understand that if I fail to follow NBC’s policies and procedures that my
examination results will not be valid and I would be required to retest at my own expense.

Any application submitted hereafter will be considered an addendum to this application.

I hereby verify that I have ____ years of education and/or employment in dental laboratory technology.

Applicant’s Signature___________________________________________ Date_____________________________

continued...

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XI . PAY M E N T
 Written Comprehensive Exam — $255  Written Specialty Exam — $255

 Practical Exam — $555
Total $________________

Any applications submitted after the published deadline must be accompanied by a late fee of $100
($25 per written exam and $50 for the Practical exam) and are subject to NBC approval.
Candidates who require their Practical Exam molds to be shipped outside of the United States will be
responsible for covering the costs of international shipping. NBC will provide you with your total after
determining the shipping costs before proceeding with payment.

 Enclosed is Check #_________ in the amount of $____________________ payable to the NBC.

 Please charge my credit card  VISA  MC  AMEX Amount $________________

Credit Card #___________________________________ Exp._____________ CCV Code*___________

* Credit Card Verification (CCV Code): This is the 3-digit number that appears on the reverse side of your credit card. For American
Express cards only, this is the 4-digit number on the front of your card.

Cardholder Name_______________________________ Signature_ ____________________________

Billing Address______________________________________________________________________

Phone_____________________________________________________________________________

The fees published in this application are subject to change. For more information about testing & other
programs please visit our website at www.nbccert.org.

Please send completed application and fee to:

NBC
325 John Knox Road, #L103
If you have not signed your application
Tallahassee, FL 32303
or
enclosed the required fees, your (850) 222-0053 Fax
application will not be processed.

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 NATIONAL BOARD FOR CERTIFICATION | All Certified Dental Technician Examinations Application
Continuing Education Addendum
( V II . C o n t i nu i ng E d uc a t i o n C o n t i nu e d )

Candidates that are interested in certification that do not have the required five (5) years’ of
experience and/or education, will have the option to submit continuing education to substitute
for experience. 75 hours of continuing education will substitute for one year of experience.

1) To sit for an examination a candidate must have:

• At least four years of experience and 75 hours of CE

• At least three years of experience and 150 hours of CE
• At least two years of experience and 225 hours of CE

2) Continuing Education Breakdown - This continuing education log must be included with
the examination application to document continuing education in lieu of experience. Candidates
will be required to report the titles, dates, locations, and speakers of their continuing education
courses, and total the full amount for the application to be accepted. Additionally, candidates
will be asked to link their areas of study back to the NBC Job Task Outlines. A sample row has
been completed as an example.

I M P ORTA N T N OTES :
• The continuing education hours can be a combination of different types of training,
including, but not limited to, live conferences, workshops, seminars, or other in-
person meetings, online training, webinars, in-lab training programs, mentorship, or
self-study.
• A maximum of 1/3 of all hours can be claimed as self-study (this amounts to 25
hours for each 75 hours reported).
• A maximum of 1/3 of all hours can be claimed through a mentorship program (this
amounts to 25 hours for each 75 hours reported). Mentorship is only permitted if
managed by a certified individual; CDT, DMD, DDS, etc.
• A minimum of 1/3 of all hours must be approved by one of the following: NBC,
ADA-CERP, or AGD (this amounts to 25 hours for each 75 hours reported). The NBC
Director of Certification may use discretion on allowing other continuing education
credits approved by alternative organizations.

Please use the continuing education log example to assist in filling out the CE log on the next
page. For additional documentation of CE, please make as many copies of the page as needed.

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N B C c o n t i nu i ng e d uc a t i o n l o g
**Speaker/ Approved ***Job Task #
*Type Title Date Location
Mentor By Outline Hours

FDA, Implants/  NBC

 CE
Bennett Napier,  ADA-CERP
 Self-Study Abutments and 9/25/15 Destin, FL Implants - G3 1
 Mentorship CAE  AGD
Audits  Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

 NBC
 CE
 ADA-CERP
 Self-Study
 AGD
 Mentorship
 Not Approved

Total CE:
*CE includes live conferences, workshops, seminars, or other in-person meetings, online training,
Total Self Study:
webinars, in-lab training programs, etc.
Total
**If claiming mentorship, please fill out the mentorship attesting signatures on the following page.
Mentorship:
***To link your area of study back to the NBC Job Task Outlines, please visit pages 18-25 in the CDT
Handbook or www.nbccert.org/about-national-board-certification/certification-standards.cfm. Subtotal:

You may request an electronic copy of the CE log by emailing [email protected].

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Continuing Education Addendum, continued.

M e n t o r s h i p A t t e s t i ng S i gn a t u r e s
(Only complete this affidavit if you are claiming mentorship on your CE log)

As a CDT applicant claiming continuing education through mentorship, you must obtain an attesting
signature(s) from your mentor(s).

To the attesting persons:

Your signature below testifies that the mentorship claimed by the applicant in the Continuing Education
Log is true and correct to the best of your knowledge. Mentorship is only permitted if managed by a
certified individual; CDT, DMD, DDS, etc. Your signature below also testifies that as the applicant’s claimed
mentor, you meet the designation requirements.

Signature________________________________________ Signature________________________________________

Name___________________________________________ Name___________________________________________
(please print) (please print)
Credential:  CDT  DMD  DDS  Other:_________ Credential:  CDT  DMD  DDS  Other:_________

Date____________________________________________ Date____________________________________________

Mailing address_ __________________________________ Mailing address_ __________________________________

_______________________________________________ _______________________________________________

Telephone________________________________________ Telephone________________________________________

Fax _ ___________________________________________ Fax _ ___________________________________________

Email___________________________________________ Email___________________________________________

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 Notes

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
 CHECKLIST
HAVE YOU:

 read this handbook in its ENTIRETY?

 COMPLETELY filled out the application(s)?
 SIGNED the application affidavit?
 enclosed the appropriate FEE(S)?
 kept a COPY of the entire application for your records?

WE RECOMMEND THAT YOU KEEP THIS CANDIDATE

HANDBOOK FOR REFERENCE THROUGHOUT THE
ENTIRE APPLICATION AND EXAMINATION PROCESS.
This handbook contains information about how to become nationally certified in dental
laboratory technology. To avoid problems in processing your application, it is important
that you follow the guidelines outlined in this handbook and that you comply with
the required deadlines. If you have questions about the policies, procedures or
processing of your certification after reading this handbook, please go to our website
at www.nbccert.org, or email us at [email protected]. Additional copies of this
handbook may be obtained by emailing [email protected], by calling
(800) 684-5310 or by sending a written request to the NBC at the address below.

325 John Knox Road, #L103, Tallahassee, FL 32303

(800) 684-5310 Toll Free • (850) 205-5626
(850) 222-0053 Fax • www.nbccert.org
325 John Knox Road, #L103, Tallahassee, FL 32303
(800) 684-5310 Toll Free • (850) 205-5626
(850) 222-0053 Fax • www.nbccert.org