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BACKGROUND

Until the early 1900s, dental education was not standardized and there were "dentists" with and without formal training delivering care to patients. Licensure was initiated by states to protect the public from those practitioners without adequate education.
 
Many changes have occurred since the early 1900s in dental education, accreditation and licensure. For example, currently all states require graduation from a dental school accredited by the ADA Commission on Dental Accreditation, successful completion of a written national board examination and a state or regional clinical examination in order to be eligible for licensure.
The licensure process continues to evolve. In recent years, there has been a steady increase in the number of state dental boards that grant licensure by credentials and accept results from more than one regional examination for the purpose of initial licensure. Also, many state boards now accept results of National Board Part II in lieu of a separate written examination. Most importantly, all members of the examination community continue to work together to increase standardization of the examination and the examination process.

 
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