What is a “Competitive” INBDE Score?

Unlike the previous two-part board exams, the INBDE provides a single score that is pass/fail.1 However, for those aiming for a career beyond general practice, a “competitive” performance is key. While the passing threshold is the official goal for licensure, a high level of confidence in your knowledge is essential for two reasons:
- Safety Margin: A safe pass ensures you have a comprehensive understanding of the material and minimizes the risk of failing the exam, which can cause significant delays in your career.
- Specialty Programs: Residency and advanced education programs, especially highly competitive ones, may review your board score and performance to gauge your clinical knowledge. Demonstrating mastery can set you apart from other applicants. Your goal should be to be so well-prepared that you not only pass but do so with a score that showcases a deep understanding of dentistry.
The Integrated Nature of the INBDE
The INBDE is designed to test your ability to connect foundational biomedical science with practical clinical decision-making. It’s not enough to simply memorize facts about anatomy or pharmacology. You must be able to apply that knowledge to complex patient scenarios.
The exam’s structure reflects this integration. Questions often present a clinical case and require you to draw on knowledge from multiple disciplines to arrive at a diagnosis, a treatment plan, or a risk assessment.2 For example, a question might present a patient with an oral lesion and require you to consider microbiology, pathology, and therapeutics to choose the correct course of action. Mastering this integration is the single most important strategy for INBDE success.
Mastering Clinical Case Questions
The vast majority of the INBDE consists of clinical case questions. These are often lengthy, multi-part, and require a systematic approach to solve. To master them, follow these steps:
- Read the Vignette Carefully: Start by thoroughly reading the patient case. Pay close attention to details about the patient’s medical history, chief complaint, clinical findings, and radiographs.3 Highlight key terms and values.
- Identify the Core Question: After reading the case, determine what the question is truly asking. Are you being asked to identify a diagnosis, choose a treatment, or select the next step in patient management?
- Formulate a Hypothesis: Based on the information provided, form a working hypothesis. What is the most likely diagnosis? What are the key differential diagnoses?
- Evaluate the Options: Carefully review the answer choices. Use your knowledge to eliminate incorrect options, focusing on the most likely answer based on the clinical evidence in the case.
- Practice, Practice, Practice: The best way to improve your ability to handle case questions is through practice. Use question banks that mimic the style and complexity of the INBDE. The more you practice, the better you’ll become at recognizing patterns and making quick, informed decisions.
The MTP Method for INBDE Success
Modern Test Prep (MTP) has developed a proven method for INBDE success that directly addresses the unique challenges of the exam’s integrated, case-based format. Our system is built on three core pillars:
- Active Recall: Rather than passive memorization, our approach focuses on active recall. We use spaced repetition and targeted practice to ensure you’re not just reading information but actively retrieving it from your memory.4
- Personalized Question Banks: We provide personalized question banks tailored to your specific needs. Our system analyzes your performance to identify your weaknesses and delivers questions that target those areas, ensuring you’re studying efficiently and effectively.
- 1-on-1 Mentorship: Our 1-on-1 mentorship is the single greatest advantage we offer. You’ll work directly with an expert who can provide tailored guidance, explain complex concepts, and help you refine your test-taking strategies. This personalized support is invaluable for navigating the exam’s challenges.
Testimonials from Puerto Rico

Our method has a proven track record of success with dental graduates from Puerto Rico. Here’s what some of our recent students have to say:
“I felt lost and overwhelmed trying to connect everything for the INBDE. The MTP team helped me organize my thoughts and provided a clear path to success. Their personalized approach was exactly what I needed.” – Dr. Carlos R.
“The MTP question bank was incredible. It felt just like the real exam, and the explanations were so clear. I’m so grateful for the help I received; I couldn’t have passed without them.” – Dr. Sofía A.
Common Pitfalls and How to Avoid Them
Even with a solid plan, many students fall into common traps that can derail their success. Be mindful of these pitfalls:
- Poor Time Management: The INBDE is a long exam. Failing to manage your time effectively can lead to rushing through questions or running out of time.5 Practice timed blocks of questions to build your pacing.
- Misinterpreting Questions: It’s easy to jump to conclusions, but the INBDE often includes subtle details that change the correct answer. Read every question stem and every answer choice carefully before making a selection.
- Test Fatigue: The INBDE is a marathon, not a sprint.6 Practice taking full-length exams to build your stamina and learn how to manage mental and physical fatigue on test day.7

