Dental School Abroad for American Students
By Muntasir Minhaz • Published Oct 22, 2024 • Study Abroad
Almost no dental school outside the United States holds full CODA accreditation, so a foreign dental degree usually will not let you sit state licensing exams directly. Most graduates need a CODA-accredited US advanced-standing completion program first.
CODA (Commission on Dental Accreditation) accredits nearly every dental program that matters for US licensure, and almost all sit inside the US
CODA runs an international accreditation track, but very few programs abroad currently hold it, so verify directly before enrolling anywhere
Foreign-trained dentists typically complete a 2-3 year US advanced-standing DDS/DMD program, then sit the INBDE
State dental boards, not CODA, issue your actual license, and requirements differ by state
Why dental school abroad works differently than medical school abroad
Medical schools abroad have a well-worn path back to US practice through ECFMG certification and USMLE. Dentistry does not have an equivalent widely used pathway, because the Commission on Dental Accreditation (CODA), the body that accredits US dental schools, extends full accreditation to only a small number of programs outside the United States. That gap changes the calculation for anyone considering dental school abroad with a plan to practice in the US.
What CODA accreditation controls
State dental boards license you based on graduating from a CODA -accredited predoctoral dental program and passing required licensing exams. Nearly every CODA-accredited predoctoral program sits inside the United States. Without that accreditation, a foreign dental degree alone typically will not qualify you to sit a state licensing exam.
CODA does run an international accreditation track
CODA offers a fee-based international accreditation pathway for established predoctoral dental programs outside the US, evaluated against the same standards as US programs. A preliminary review checks whether the program's educational model can plausibly prepare graduates for US practice before a program moves toward full accreditation. Very few programs abroad currently hold this status, so verify directly with CODA which specific international programs, if any, are currently accredited before you factor that into your decision. Do not take a school's own marketing claim about being US-recognized at face value.
Where Americans typically look
Caribbean dental schools market to US students the same way Caribbean medical schools do, and some UK, Irish, and other dental programs accept international students into five-year integrated dental degrees. Few, if any, currently hold CODA accreditation, so treat these primarily as a path to practicing dentistry outside the US, or as a first step toward a US advanced-standing program, rather than a direct route to a US license.
The realistic path back: advanced-standing completion programs
Most Americans who earn a dental degree abroad and want to practice in the US enroll in a US dental school's advanced-standing or international dentist program afterward. These programs, run by CODA-accredited US dental schools, typically take two to three years and let you complete US clinical requirements and coursework on top of your foreign dental education. Admission is competitive and selective, similar in difficulty to applying to dental school as a first-time applicant, and tuition runs high since these are short, intensive programs.
Licensing exams after you finish
Once you complete a CODA-accredited advanced-standing program, you sit the Integrated National Board Dental Examination (INBDE), the exam that replaced the older National Board Dental Examinations for testing dental knowledge nationally. From there, you still need to meet your target state's specific licensing requirements, which can include a state or regional clinical exam and jurisprudence testing. Requirements differ enough by state that you should confirm them with your target state dental board before choosing a completion program.
Should you do it
Dental school abroad can work if you plan to practice in that country, or if you go in clear-eyed about needing a US advanced-standing program afterward and budget for both the foreign degree and the completion program. It is a harder, longer, and more expensive route to a US dental license than attending a CODA-accredited US dental school directly, so weigh that against whatever made a foreign program attractive in the first place, whether cost, admission odds, or location.