ADEX Dental Hygiene Exam Prep for U.S.-Trained Candidates

Hands-on preparation for the clinical portion of the ADEX Dental Hygiene exam, the Simulated Patient Treatment Clinical Examination (SPTCE). You’ll train on exam-style manikins and typodonts in Williamsburg, VA, with individualized feedback and a timed mock exam, so you walk in knowing exactly what to expect. ADEX exam prep is Day 2 of our two-day Clinical Cohort, or it can be built into a Private 1:1 program scheduled around your exam.

Small group or one-on-one · 2 days hands-on + 11 hours online · 27 CE hours · From $2,695

What the ADEX SPTCE Covers: Calculus Detection, Probing, and Tissue Management

The SPTCE is the hands-on, manikin-based part of the ADEX Dental Hygiene exam. Examiners grade your clinical skills and judgment in three areas:

  • Calculus detection and removal on your assigned teeth

  • Accurate periodontal pocket depth measurement

  • Tissue management, working without trauma to the gingiva

Returning hygienists may remember this exam as the MTCE. ADEX now administers it as the SPTCE.

Who This Course Is For

First-Time ADEX Candidates: Recent Dental Hygiene Graduates

Your program taught you the skills. This course shows you how the exam grades you. You’ll practice to the published ADEX criteria under exam timing, so the format and pace feel familiar before test day.

Retaking the SPTCE After an Unsuccessful Attempt

If you didn’t pass, you’ll get focused feedback on the exact skills that cost you points, and a plan to correct them before your next attempt. ADEX requires a waiting period after a failed attempt, so choose a session that falls between your results and your retake date.

Returning to Practice: Lapsed or Inactive RDH Licenses

If your state requires a clinical exam to reinstate your license, this course rebuilds your hands-on skills and prepares you for the exam format. If you only need a skills refresh, see our dental hygiene refresher courses.

U.S.-Trained Dentists Pursuing RDH Licensure

Your dental training gives you a strong foundation, but the hygiene exam has its own criteria. This course focuses on hygiene instrumentation and what ADEX examiners look for. Confirm your eligibility with your state board before you register for the exam.

What’s Included

The Online Core and Clinical Days

Clinical Day 1: Core Clinical Skills, 8 Hours

  • Private skills assessment

  • Vital signs

  • Radiography: sensor placement, technique, image review and safety

  • Manual instrumentation

  • Ultrasonic instrumentation

  • Sharpening and instrument care

  • Ergonomics and positioning

  • Probing and charting

  • Private debrief with a written plan

  • Calculus detection and removal on your assigned teeth using the manikin used on ADEX exams

  • Accurate periodontal pocket depth measurement and recording

  • Tissue management: working without trauma to the gingiva

  • Your instructor watches your technique and corrects it in real time

  • You learn where you’re losing points and how to fix it before exam day

  • A full run-through on the manikin under exam timing, graded against the published ADEX criteria

  • A private review of your mock exam results

  • A written plan for what to practice before your exam, so you know how to self-correct on exam day

Online Courses, 11 Hours

Clinical Day 2: ADEX Exam Prep, 8 Hours

  • Infection Control and OSHA (2 hrs)

  • Pharmacology Refresher (1 hr)

  • The Anxious Patient on Meds: SSRIs/SNRIs, Bruxism, Bleeding and Epinephrine (1 hr)

  • Medical Emergencies, with its own certificate (3 hrs)

  • Perio Staging, Grading and Protocols (2 hrs)

  • Documentation, Ethics and HIPAA (1 hr)

  • Ergonomic Ultrasonic Scaling (1 hr)

You can add up to 18 hours of online electives chosen for your goals, such as GLP-1 medications, diabetes drugs, vaping, and peri-implant care. Finish the online core at least one week before your first clinical day.

When to Train for Your ADEX Exam

Plan to train 1 to 6 weeks before your exam, close enough that your skills are fresh, with time left to practice what you learn. ADEX sessions run each spring, ahead of the busiest exam season. Choose the session that falls in that window for your exam date.

  • Testing in the spring? Join a Clinical Cohort ADEX session.

  • Testing at another time of year? Private 1:1 is scheduled around your exam date.

  • Not registered yet? Choose your exam site and date first, then pick your session.

How It Works

  1. Register for your ADEX exam. Choose an exam site that’s open to outside candidates and note your exam date.

  2. Choose your format. Join a Clinical Cohort ADEX session that falls 1 to 6 weeks before your exam, or book Private 1:1 around your date. Not sure which fits? Take the 2-minute intake.

  3. Finish your online courses at least one week before your first clinical day.

  4. Train hands-on. Two full clinical days in Williamsburg, VA, ending with a timed mock exam, a private performance review and a written plan for your final practice before exam day.

Two Ways to Prepare

Clinical Cohort, ADEX track, $2,695: Day 1 covers core clinical skills, and Day 2 is ADEX exam prep, in a small group of up to 6 on set dates timed to the spring exam season. 27 CE hours.

Private 1:1, ADEX focus, from $3,495: ADEX exam prep built into your two one-on-one clinical days, scheduled around your exam date. 27 CE hours.

Not preparing for the ADEX? See our dental hygiene refresher courses. Internationally trained dentists, see ADEX Exam Prep for Foreign Trained Dentists.

What This Course Does Not Include

This course prepares you for the clinical SPTCE only. It does not cover the Computer Simulated Clinical Examination (CSCE), the computer-based part of the ADEX Dental Hygiene exam series.

ADEX Dental Hygiene is also a separate exam from the ADEX dental exam taken by dentists. ADEX now administers the exams formerly offered through CDCA-WREB-CITA.

Kelly Tanner, PhD, RDH

Meet Your Mentor

30 years of clinical expertise, academic leadership, and a proven track record of transforming dental professionals.

What Sets Dr. Tanner Apart

When you enroll, you’re getting more than a course. You’re getting mentorship from someone who has shaped dental hygiene education nationally and led clinical programs at the highest levels.

  • Proven Academic Leadership

    Dr. Tanner has served as Program Director, Clinical Coordinator, and faculty member at multiple accredited institutions, and is currently a contributing faculty member at Creighton University School of Dentistry. She has helped launch and lead dental hygiene programs, trained faculty, and overseen clinical curriculum.

  • Clinical Expertise with Real-World Perspective

    With 30 years in practice, she understands the day-to-day challenges hygienists face and how to elevate your skills in ways that feel doable and effective.

  • Trusted Industry Consultant

    Collaborates with top companies to deliver training on the most current techniques, tools, and technologies in dentistry.

  • Published Thought Leader

    Lead contributor for DrBicuspid and author in Teledentistry and Peak Performance, shaping national conversations around dental hygiene and professional growth.

  • Award-Winning Educator

    Honored with numerous accolades, including the ADHA & Johnson & Johnson Award for Excellence in Dental Hygiene, the Denobi Award, and recognition by Dentistry Today as a Top Dental Consultant for 6 years in a row.

Frequently Asked Questions

Ready to Walk Into Your ADEX Exam Prepared?

See the upcoming ADEX sessions, or take the 2-minute intake and I’ll recommend the right format for your exam date.