
Is INBDE Getting Tougher? Data & Student Insights

Written By:
Dr. Sujit Pradhan
BDS, MBA

Stats By:
Mr. Rohan
Marketing Expert
Table of Content:
Introduction
The whisper network in dental schools is buzzing with a familiar question: “Is the INBDE exam getting tougher?” This anxiety is real and understandable. The Integrated National Board Dental Examination is a high-stakes test that stands between you and your career. But what does the data say, and how do you prepare for it in an ever-evolving landscape?

What Are the Official INBDE Pass Rates?
To answer whether the INBDE is “getting tougher,” it’s crucial to look at the numbers. The Joint Commission on National Dental Examinations (JCNDE) is responsible for the exam, and their reports provide the most reliable information.

INBDE Pass Rates: A Look at the Numbers
The INBDE results over the past five years tell an important story. Candidates from CODA-accredited schools (Regular DDS/DMD students) continue to perform strongly, with failure rates on first attempts staying under 5% (except for a small rise to 4.8% in 2024 due to a new scoring standard). On the other hand, non-accredited candidates (Foreign trained dentists) face much tougher odds, with failure rates between 16–39% on first attempts and over 50% on retakes.
Overall, the total failure rate dropped from 24.5% in 2020 to a historic low of 8.7% in 2023, before climbing back to 16.1% in 2024 with the new exam standards. This shows how exam trends shift — but also how preparation makes all the difference.


Comparing INBDE to the Old NBDE System
The sheer difference in these statistics is the first reason for the “is it getting tougher?” rumors. The NBDE Part I and Part II were often perceived as more rigorous, with Part II, in particular, being a significant hurdle for many students. The INBDE, by design, is a more integrated, pass/fail exam, and its higher pass rate suggests that the initial cut score was set with a different standard in mind.

However, the high pass rate comes with a caveat. The JCNDE implemented a 5-year roadmap to evaluate the new exam. In June 2024, the JCNDE officially implemented a new performance standard, increasing the level of rigor for the exam. This change is a direct response to the INBDE’s consistently high pass rates and aims to ensure the exam continues to uphold the standards required for safe, entry-level dental practice.
The Perception vs. Reality: Why Students Feel the INBDE is Getting Harder
Beyond the official changes, there are several reasons for the widespread feeling that the dental boards preparation is becoming more challenging.
- The Integrated, Clinical Focus: Unlike the old NBDE, which separated basic sciences (Part I) from clinical content (Part II), the INBDE is designed to integrate knowledge. This requires a different kind of studying—you can’t just memorize isolated facts. You must be able to apply foundational science principles to complex clinical scenarios. This clinical-reasoning heavy format can be a struggle for students who are used to rote memorization.
- The Evolving Question Bank: The INBDE is not a static exam. The question bank is constantly being updated with new questions, including unscored, experimental items. This means the exam you take will be different from the one your classmate took. This can lead to a perception of “random” or “niche” questions, which are often the experimental ones being tested for future use.
- The “Randomness” Factor: As many students on community platforms like Reddit point out, some questions seem to come from left field. While you can miss a significant number of questions and still pass, this unpredictability can be a major source of anxiety and make students feel less prepared than they actually are.

How to Conquer the INBDE Today
With the knowledge that the INBDE is evolving, your dental boards preparation strategy must adapt. It’s no longer enough to rely on outdated methods.
- A Strategic Study Plan: Avoid “over-studying” and focus on a high-yield, structured plan. This means dedicating your time to practice questions and understanding the logic behind them, not just passively reading textbooks.
- The Power of Practice Questions: This is, without a doubt, the most critical component of modern INBDE prep. The exam is built on case-based vignettes, so the only way to build your clinical reasoning skills is by doing thousands of practice questions that simulate the real exam experience.
- Leveraging the Right Resources: Choosing the right study tool can make all the difference. Solutions like Simpli Boards offer comprehensive INBDE Prep Courses that are specifically designed to address the challenges of the modern exam. Our platform focuses on the integrated, clinical format and provides high-yield practice questions that mirror the real test, saving you time and preventing burnout.
Ready to take control of your INBDE preparation? Explore Simpli Boards INBDE Prep Courses today and move from anxiety to confidence.
Frequently Asked Questions (FAQs)
The INBDE is a single, integrated exam that combines the content of the two-part NBDE. It emphasizes the application of foundational science to clinical scenarios, focusing on critical thinking and problem-solving.
The INBDE is a pass/fail exam. While a scaled score is calculated, a final grade of “Pass” is given to candidates who meet or exceed the performance standard. You will only receive a numeric score if you fail.
Based on feedback from successful test-takers, relying on a single, high-quality, and comprehensive resource like a reputable prep course and question bank is often the most effective strategy.
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