2015

CTP
2015
Comprehensive
Treatment
Planning
exam
candidate guide
Mission Statement
The mission of WREB is to develop and administer competency assessments
for State agencies that license dental professionals.
Copyright 2014 WREB
All rights reserved. No part of this manual may be used or reproduced in any form or by any means without
prior written permission of WREB.
This page intentionally left blank.
Examination Overview ....................................................................................................................... 1
Test Content ....................................................................................................................................... 1
Treatment Plans ................................................................................................................................. 2
Supplemental Questions and Tasks ................................................................................................... 3
Scoring ............................................................................................................................................... 3
Critical Errors ...................................................................................................................................... 3
Defnitions and Documentation Instructions ....................................................................................... 4
Clinical Attachment Measurement ...................................................................................................... 5
Classifcation of Periodontitis .............................................................................................................. 7
Suggested Abbreviations .................................................................................................................... 8
Charting .............................................................................................................................................. 9
References ...................................................................................................................................... 12
Periodontal Reference Material ........................................................................................................ 12
Guide to Interactive Features of the Exam ....................................................................................... 17
Taking the Exam at Pearson VUE .................................................................................................... 29
Non-Disclosure Agreement ......................................................................................................... 28
Scheduling your Comprehensive Treatment Planning Examination ........................................... 28
Scheduling an Appointment at Pearson VUE ............................................................................. 28
Payment Visa, MasterCard, AMEX and Debit Card ................................................................. 28
Confrmation of Appointment ...................................................................................................... 28
The Day of the Examination ....................................................................................................... 28
Taking the Exam ......................................................................................................................... 29
Exam Completion ....................................................................................................................... 29
Table of Contents
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1
COMPREHENSIVE TREATMENT PLANNING
Examination Overview
The Comprehensive Treatment Planning (CTP) examination is a computer-based examination administered by
Pearson VUE testing centers. The exam consists of three (3) patient cases of varying complexity, one of which
is a pediatric patient. For each case, Candidates assess patient history, photographs, radiographs, and clinical
information, create and submit a treatment plan, and then answer questions or perform tasks related to each
case. Candidates are allowed three (3) hours to complete the CTP exam. A 15 minute tutorial is provided prior
to the beginning of the examination.
Communication at any time with other individuals regarding the contents of the CTP examination is considered
unethical conduct.
The computer fle provides access to the following:
For each patient case:
Personal Profle that provides a brief overview of the patient
Patient Information form
Medical History
Dental Chart indicating existing restorations
Periodontal Chart, for adult patients, highlighting key periodontal fndings
Photographs showing intraoral and extraoral images of the patient
Radiographs of the patients dentition
Clinical fndings, located at the bottom of the medical history form, indicating conditions that cannot be
clearly determined from the images but would be found during a patient examination
And:
The CTP Candidate Guide
Space for recording the Candidates Treatment Plan submission
Space for recording the Candidates answers to specifc case questions
Test Content
The CTP examination is designed to integrate the various disciplines of dentistry as done in actual practice. The
following list indicates the major areas of dentistry that are tested on the exam:
Restorative Treatment
Single Units/Operative
Multiple Units
Fixed Prosthodontics
Interim Restorations
Removable Prosthodontics
Partial Dentures
Complete Dentures
Implant-Supported Restorations
2
Periodontal Treatment
Phase I (Non- Surgical) Therapy
Re-evaluation
Surgery/referral
Maintenance
Endodontic Treatment
Surgery
Exodontia
Pre-prosthodontic
Periodontal
Implant Placement
Prescription Writing
Pharmacy
Dental Laboratory
Follow-up/Prognosis/Maintenance
Diagnosis, Etiology and Treatment Planning are integrated throughout the exam and overlap the test specifcations
listed above. Also included are principles of pediatric dentistry, orthodontics, and specialist referrals when
appropriate.
Treatment Plans
The Candidate is required to develop a complete treatment plan for each assigned patient case. The treatment
plan can be edited or modifed until fnal submission. After fnal submission the treatment plan will be available for
review only; no further changes of the plan can be made. Following submission of the treatment plan, additional
questions or tasks related to the treatment of the patient become accessible. The treatment plan submitted by
the candidate will be available for review while navigating through these additional items, but cannot be modifed.
The treatment plan must:
Appropriately address the patients chief complaint or concern.
Include appropriate treatment modifcations if there are medical conditions that may affect the delivery of
dental care. If medications are required, the plan must include drug, dose, and directions for use.
Recommend additional diagnostic tests or specialist referrals as part of the treatment plan, if indicated.
If referring to a specialist, a diagnosis and proposed treatment must be indicated.
Contain a comprehensive and appropriately sequenced list of procedures that address the patients
dental needs.
Be succinct, organized, and readily interpreted.
Candidates are to consider only what they can actually see in the diagnostic records and what they are given
as clinical fndings. Pit and fssure occlusal, lingual, buccal or facial restorations are not to be included unless
there is an obvious cavitation on the photographs and/or radiolucency on the radiographs, or tactile evidence of
caries is noted in the Clinical Findings section of the patient record. Interproximal carious lesions must reach
the dentino-enamel junction radiographically in order to justify restoration.
Candidates must appropriately recommend treatment for caries, fractures, missing teeth, and defective or failing
restorations. Candidates are not required to specify the material but must specify whether the restoration will be
a direct or an indirect restoration. Bases, build-ups, pins, and posts need not be specifed in the treatment plan.
3
Oral Hygiene Instructions need not be listed on the treatment plan. It is assumed that oral hygiene instruction will
be provided for every patient. Topical fuoride application is not included in the defnition of dental prophylaxis.
Therefore, if indicated, fuoride should be listed separately.
Costs of dental treatment are not to be considered when developing the treatment plan. All patients are considered
to be cooperative and compliant unless otherwise noted.
Supplemental Questions and Tasks
Following submission of the treatment plan, additional questions or tasks related to the case are presented.
Candidates can navigate through and complete the remaining items in any order. It is not necessary to answer
questions in full sentences. Responses should be clear, succinct, and easily understood by an Examiner.
Scoring
Three Examiners grade each Candidates submission independently. Each treatment plan is evaluated on the
fve criteria listed below:
1. Treatment modifcations
2. Is the treatment plan inclusive?
3. Does the treatment plan exhibit overtreatment?
4. Is the treatment sequence appropriate?
5. Is the treatment plan concise, well organized, and easily interpreted?
For each parameter, the Examiner compares the Candidates submission to a WREB-developed answer key and
uses a fve (5) point scale to assign a score. Candidates responses to additional items are scored in a similar
manner. (Scoring criteria is listed on pages 10-11.)
The median (middle) score of the three Examiners for each of the fve categories (listed above) of the treatment
plan and each of the questions/tasks are added and averaged to obtain the overall score. Each category of the
treatment plan and each question are of equal value. An average score of 3.0 or higher is required for passing.
It is important to submit a response for every question or task; the lowest score is assigned to any question or
task that is absent a response.
Equating procedures are used to address variation in diffculty among the various cases and forms of the
examination. Equating ensures that candidates of comparable competency are equally likely to pass the
examination.
Critical Errors
There are certain critical errors that result in failure of this exam regardless of the average accumulated score.
Critical errors are those likely to cause life-threatening harm to the patient.
Critical errors require validation by two Examiners independently, as well as agreement by the Lead Examiner.
4
Defnitions and Documentation Instructions
Gingivitis
Plaque-induced gingivitis is defned as infammation of the gingiva in the absence of clinical attachment loss.
Chronic periodontitis is defned as infammation of the gingiva extending into the adjacent attachment apparatus.
The disease is characterized by loss of clinical attachment due to destruction of the periodontal ligament and loss
of the adjacent supporting bone. Source: American Academy of Periodontology (www.perio.org).
Dental prophylaxis (prophy) means removal of plaque, calculus and stain, to control local irritational factors
and frequently involves scaling of coronal and subgingival surfaces of the teeth.
Application of fuoride is not included in the defnition of dental prophylaxis. It must be listed separately, if indicated.
Periodontal scaling and root planing (scaling/root planing or S/RP) means the therapeutic instrumentation of
the crown and root surfaces of teeth to remove plaque and calculus as well as cementum and dentin that is rough
or contaminated with toxins or microorganisms. Some soft tissue removal occurs with scaling and root planing.
Full-mouth or limited scaling and root planing is considered to include prophylaxis in those designated quadrants.
Periodontal treatment should be stated by quadrant, including number of teeth. Examples of this are:
Prophylaxis
S/RP 4 quads of 4 or more teeth
S/RP 4 quads of 1-3 teeth
Prophylaxis, S/RP: UR and LL 1-3 teeth
Prophylaxis, S/RP: UL 4 or more teeth
A decision to treat should be based on clinical attachment loss (CAL), periodontal pocket depth (PD), and
evidence of infammation (bleeding on probing).
Pocket Depth (PD) Measurements are provided for the six sites shown below:
Bleeding on Probing (BOP) will be designated on the chart by a red dot indicating sites which bleed within 30
seconds of probing.
Furcation Involvement will be noted where present and classifed as:
Class 1 (/\)
Incipient involvement: tissue destruction extends 1.0 mm but not more than 2.0 mm measured horizontally
from the most coronal aspect of the furcation.
Class 2 ()
Cul-de-sac involvement: tissue destruction extends deeper than 2.0 mm, measured horizontally from the
most coronal aspect of the furcation, but does not totally pass through the furcation.
Class 3 ()
Through-and-through involvement: tissue destruction extends through the entire furcation. A blunt instrument
passed between the roots can emerge on the other side of the tooth.
5
Mobility will be noted where present and classifed as follows:
Class 1
Total facial-lingual tooth movement of less than 1.0 mm.
Class 2
Total facial-lingual tooth movement from 1.0-2.0 mm, without movement in a vertical direction.
Class 3
Total facial-lingual tooth movement of more than 2.0 mm, and/or movement in a vertical direction
(i.e., depressible).
Cemento-Enamel Junction to Gingival Margin (CEJ-GM) is the distance in millimeters from the cementoenamel
junction (CEJ) to the gingival margin (GM). These measurements are taken at the same six sites used to record
probing depths.
Clinical Attachment Measurement
Clinical Attachment Level (CAL) is the distance from the Cemento-Enamel Junction (CEJ) in an apical direction
to the base of the pocket/sulcus. Pocket depth (PD) is measured from the sulcus base (location of the probe tip)
to the gingival margin (GM). The diagram illustrates examples of progressively increasing severity of periodontal
disease. A generic millimeter probe is in place showing actual CAL relative to the unchanging CEJ reference
point. In disease, the GM location may be unrelated to the apically migrating sulcus base, therefore CAL is used
to assess the presence and severity of periodontitis.
The diagram shows:
A Health (or normal) where the PD is coronal to the CEJ and there is no clinical attachment
loss (CAL).
B deepened PD with GM unchanged; CAL is the PD measurement less the GM to CEJ
distance.
C an even greater attachment loss, but since the GM is located at the CEJ, CAL is equal to
the PD.
D even greater attachment loss, and because of recession the GM is apical to the CEJ. In
this case CAL is the CEJ to the pocket base measurement (or recession measurement plus
PD measurement).
6
Once attachment loss measurements are calculated on a tooth-by-tooth basis, the diagnosis of disease severity
can be assigned.
Health = CAL of 0
Slight = CAL of 1.0 to 2.0 mm
Moderate = CAL of 3.0 to 4.0 mm
Severe = CAL of equal to or greater than 5.0 mm
Unhealthy Gingival Tissue is gingival tissue surrounding the tooth obviously appearing clinically infamed
(i.e., erythematous, edematous, ulcerative, cyanotic, etc.). Changes in gingival contours associated with clinical
signs of infammation should be considered unhealthy. Abnormal contours without infammation should be
considered healthy.
Radiographic Evidence of Horizontal Bone Loss is defned as bone loss that is parallel to an imaginary line
drawn from CEJ to CEJ of adjacent teeth. It is measured from 2.0 mm below the CEJ to the apex of the tooth,
based on the normal bone crest position. The normal position of the crest of the alveolar bone is no more than
2.0 mm apical to the CEJ.
Radiographic Evidence of Vertical Bone Loss is defned as an angular loss of bone along the side of the
tooth from the most coronal aspect of the interproximal bone as demonstrated in the illustration.
This slide illustrates vertical bone loss along the mesial surface of the
frst molar and horizontal bone loss between the premolars.
Periodontal Prognosis is the forecast of the likely response to treatment and the long-term outlook for
maintaining a healthy and functional dentition.
Good prognosis involves one or more of the following: health or slight CAL, adequate periodontal support,
no mobility, no furcation involvement, and control of etiological factors to assure the tooth would be relatively
easy to maintain, assuming full Patient compliance.
Fair prognosis involves one or more of the following: CAL to the point that the tooth could not be
considered to have a good prognosis, which would include slight or moderate CAL, and/or Class 1 mobility
or furcation involvement. The location and depth of the furcation would allow proper maintenance with full
Patient compliance.
Questionable prognosis involves one or more of the following: severe CAL resulting in a poor crown to
root ratio, poor root form, Class 2 furcations not easily accessible to maintenance, or Class 3 furcations,
Class 2 or 3 mobility, signifcant root proximity.
7
Hopeless prognosis involves one or more of the factors listed in questionable prognosis with inadequate
attachment to maintain the tooth in health, comfort and function. Extraction is suggested, as active periodontal
therapy (non-surgical or surgical) is unlikely to improve the current status of the tooth.
Classifcation of Periodontitis
Classifcation of periodontitis is based on rate of progression and severity of the disease.
Rate of Progression:
Chronic Periodontitis is usually characterized by infammation within the supporting tissues of the teeth,
progressive attachment and bone loss and pocket formation and/or recession of the gingiva. Its onset may
be at any age, but is most commonly detected in adults.
Distribution (extent) for chronic periodontitis:
Localized condition is equal to or less than 30% of sites involved.
Generalized condition is greater than 30% of sites involved.
Aggressive periodontitis is characterized by rapid attachment loss and bone destruction. Amounts of
microbial deposits are inconsistent with the severity of periodontal tissue destruction.
Severity of periodontal disease:
Gingivitis is defned as infammation of the gingiva characterized by the presence of one or more of the
following signs: changes in color, changes in the contour of gingival papillae and/or margins, and changes
in the consistency of the tissue.
Slight periodontitis is characterized by 1.0 or 2.0 mm CAL.
Moderate periodontitis is characterized by 3.0 or 4.0 mm CAL, possibly accompanied by an increase in
tooth mobility and furcation involvement.
Severe periodontitis is characterized by 5.0 mm or greater CAL, usually accompanied by increased tooth
mobility, furcation involvement and mucogingival defects.
8
Suggested Abbreviations
Use of the appended abbreviations is encouraged. These abbreviations are understood by Examiners and
will facilitate Examiner interpretation of the treatment plan. Abbreviations other than those listed may not be
understood by Examiners, resulting in a possible score reduction.
UL-Upper left UR-Upper right
LL-Lower left LR-Lower right
Restorative Designation
Surface/Area Type
O occlusal direct/indirect
M mesial crown
D distal inlay/onlay
L lingual implant
F facial bridge/FPD (specify teeth)
I incisal pontic
Other Abbreviations
S/RP scale & root plane
EXT extraction
RCT root canal therapy
CR crown
prophy dental prophylaxis
RPD removable partial denture (specify teeth replaced and rests)
SSC stainless steel crown
apico apicoectomy
re-eval (reassessment or re-evaluation after completion of a treatment phase)
Additional treatment for which abbreviations are not listed above should be described as succinctly as possible.
9
Charting
WREB recognizes the American System of tooth identifcation. Tooth numbers are recorded clockwise from the
rear of the upper right quadrant to the rear of the lower right quadrant: 1-32 for permanent teeth; A-T for primary
teeth.
Adult Chart
Right Left

Pediatric Chart
Right Left
10

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12
References
Antibiotics: Your Heart and Joints (Antibiotic Prophylaxis) - Dentist Version, http://www.ada.org/2583.aspx.
Guideline on Use of Local Anesthesia for Pediatric Patients, 2009, American Academy of Pediatric Dentistry.
Fundamentals of Operative Dentistry, 2006, (Summitt, Robbins, Hilton, Schwartz), Quintessence.
Treatment Planning in Dentistry, 2007, (Stefanac & Nesbit), Mosby Elsevier.
Periodontal Reference Material
1999 International Workshop for a Classifcation of Periodontal Diseases and Conditions. Annals of Periodontology.
1999;4:1.
Armitage, Gary. Development of a Classifcation System for Periodontal Diseases and Conditions. Annals of
Periodontology. 1999:4th edition.
American Academy of Periodontology Standard of Care.
Current Procedural Terminology for Periodontal and Insurance Reporter Manual. 9th edition.
13
Treatment Modifcations:
Antibiotic Prophylaxis (Amox. 2g. 1hr prior to procedure), avoid latex
Sequenced Treatment Plan:
#1 EXT (addressing the patients immediate complaint)
Prophylaxis LR
S/RP: UR and LL 1-3 teeth
S/RP: UL 4 or more teeth
#14 RCT (retreatment)
#19 RCT
#20 DO Direct
#3 MO Direct
#4 MOD Indirect
#27 F Direct
#30 MODF Direct
#12-14 bridge
#18 crown
#19 crown
#29 EXT Refer for implant placement
#32 EXT Refer to oral surgeon
#29 implant and crown
SAMPLE 1 TREATMENT PLAN
Sample Treatment Plan Formatting
NOTE: The following sample treatment plan does not relate to any specifc case.
S
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14
Treatment Modifcations:
Avoid Penicillin, Consultation with oncologist re: timing of treatment
Sequenced Treatment Plan:
Prophy
#9 cosmetic contouring (in lieu of restoration) (addressing the patients chief complaint)
#2 MO Direct
#6 DL Direct
#14 OL Direct
#15 O Direct
#31 O Direct
EXT #s 1, 16, 17, 32
Refer for orthodontic consultation regarding malocclusion
SAMPLE 2 TREATMENT PLAN
Sample Treatment Plan Formatting
NOTE: The following sample treatment plan does not relate to any specifc case.
S
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15
Treatment Modifcations:
Premedication with Amoxicillin (Amox. 50mg/kg 1hr before each appt.)
Sequenced Treatment Plan:
Prophy and Fluoride
#T MO Direct Restoration, band and loop space maintainer
#S Extract
#A MO Direct
#B SSC and pulpotomy
#C, F Direct
#I SSC and pulpotomy
#J MO Direct
#K MO Direct
#L DO Direct
Refer to orthodontist/pediatric dentist for evaluation of posterior cross-bite
SAMPLE 3 TREATMENT PLAN
Sample Treatment Plan Formatting
NOTE: The following sample treatment plan does not relate to any specifc case.
S
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ADDITIONAL QUESTIONS
SAMPLE QUESTIONS WITH ANSWERS THAT SCORED 5
Note: The following sample questions do not relate to any specifc case.
1. You estimate this patient will require 3-4 dental appointments. Write the prescription for prophylactic
antibiotic coverage for the patient.
2. List the reasons for an indirect full coverage restoration on tooth #19.
Fractured porcelain on the mesial, open contact, and food impaction
Large root canal access opening through the current crown
Recurrent caries (facial margin)
3. What risk factors may have contributed to the periodontal disease evident in this patient?
Smoking
Diabetes
Poor oral hygiene
Irregular professional dental care
4. List the reasons and provide the benefts to the patient for your proposed treatment and replacement for
tooth #12.
Reason (for removal):
- Possible root perforation
- Draining fstula
- Periodontal defect
- Poor long-term prognosis
Benefts (of implant placement):
- Conserves adjacent teeth
- Preserves bone
- Good long-term prognosis
17
Guide to Interactive Features of the Exam
This is an interactive computer examination. Access to information on the computer is needed to develop a
treatment plan. The following information provides an overview of the functions available. A tutorial available
online (www.wreb.org) shows how each function works. Review it carefully. An interactive tutorial at the beginning
of the exam provides the opportunity to practice using the functions before the actual timed exam begins.
Folders are displayed along the left of the viewing screen. These folders contain information needed to
develop the treatment plan. Candidates must determine the information needed, access the information, and
appropriately interpret it. To do this effciently requires navigation between folders. Practice with the tutorial
facilitates development of the skill needed to do this.

Some windows contain more information than can be viewed on the screen. To see all information, hold and drag
the mouse button on the scroll bar on the right of the screen.
18
After accessing the Charts and Images Folder, select the desired chart or image by clicking on the options at the
top of the screen.
Clicking on a photograph or radiograph will enlarge the image.
19
To expedite navigation, be familiar with the sextant views which show the periodontal chart, photographs and
radiographs simultaneously.
Choose and click on the desired sextant in the bar in upper right.
The appropriate sextant view will appear showing the periodontal chart, photographs and radiographs for that
sextant. To return to full-screen mode, click anywhere on the image.
20
To record your treatment plan, click on Treatment Plan on the left of the screen.
There are two sections to the plan. Treatment modifcations are recorded in the frst box.
The sequenced treatment plan is recorded in the second box. Use the right scroll button to scroll down for
additional lines.
21
To return to the case information, select the View Information button in the lower right. This will return to the
last screen opened.
After completing the treatment plan, select the Next button. This will take you to the questions for the case.
Once you select Next you will be locked out of the treatment plan, so be sure you are ready to move on. Your
treatment plan will be available for reference, but you will not be able to make any changes. All of the case
information will still be available.
Each question will appear at both the top and the bottom of the screen. Write your answer in the box as shown.
To return to the case fles, select View Information. Selecting the Question folder will return you to the question
box. If you wish to refer to your treatment plan, do so by selecting Show Treatment Plan. Selecting Next will
open the next question
You may select the Mark for Review box in the upper right corner of the screen to fag items to which you would
like to return before exiting the exam. After the last question for the case, a Review Screen allows you to review
any of the items. It will indicate items that you fagged for review.
After you have completed the Review Screen, select the End Review button. This will open the next case and
you will no longer have access to the frst case. Complete the second and third cases as you did the frst.
22
Patient Name:
Patient Information
Ethnicity:
Sex (gender): Male
Primary Language Spoken:
Other: Marital Status:
Age:
Single Married Divorced
Female
Caucasian African-American Hispanic
Personal History
If deceased, cause:
If deceased, cause:
Father:
Mother: Age and health of:
Does either parent have dentures? Mother Father
At what age:
Any history of immediate family with heart disease, lung disease, diabetes, etc.?
If yes, what family member:
Family History
Dental Concerns - Reason for Visit
Bleeding gums Lost flling Missing teeth Cleaning/Exam
Other:
Are you in pain? If so, where?
# of months since last visit: What procedure was done:


Past Dental Treatment
Fillings Crowns Extraction(s) Dentures
Mouth rinse:
Current Oral Hygiene Practices (frequency and type)
Frequency of cleaning/check-ups:
Frequency of fossing:
Frequency of brushing: Type of toothbrush and toothpaste:
Other:
Root Canal(s) Braces Implant(s) Other:
If yes, frequency:
Do you use: Tobacco Alcohol Caffeine Recreational drugs
Occupation:
Other refned carbohydrates/day:
# of diet drinks/day:
# of sugared drinks/day (juice, soft drinks, etc.):

Asian Native American Other
Demographics

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24
Height:
Do you have or have you ever experienced any of the following conditions?
Weight:
Are you allergic to any medicines, drugs, latex or other things?
If yes, please list:

Are you taking any medication, pills or drugs, prescribed or not?
If yes, please list and reason for use:

Patient Medical History
Repeat BP: Blood Pressure: Pulse:
Phone #: Physicians name:
No Yes
No Yes
Yes No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes No Yes No Heart Murmur Hepatitis/Jaundice
No Yes No Tuberculosis Psychiatric Care
No Yes No Bleeding Disorder Sexually Transmitted Disease
No Yes No High Blood Pressure Ulcers/Colitis
No Yes No Stroke Cancer
No Yes No Pacemaker Joint Replacement
No Yes No Valve Replacement Epilepsy/Seizures
No Yes No Heart Surgery HIV Positive
No Yes No Heart Condition Kidney/Renal Disease
No Yes No Rheumatic Fever Diabetes
Asthma/Lung/Respiratory Conditions


Patient Name:
Are you under the care of a physician at the present time or have you been treated by
a physician in the past six months?
If yes, for what condition:
Do you have any disease, condition or problem not listed above that we should know
about? If yes, please list:
Women only, are you pregnant?
If yes, expected due date:
No
Yes
No Yes
No Yes
No Yes Have you ever received intravenous bisphosphonates for bone cancer or severe
osteoporosis?

Clinical Findings:


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S
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PERIODONTAL EXAMINATION RECORD
27
EXISTING RESTORATION CHART
Adult Chart
Right Left

Pediatric Chart
Right Left
S
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28
TAKING THE EXAM AT PEARSON VUE
Non-Disclosure Agreement
Please note that by taking the computerized exam, you agree to the following non-disclosure agreement:
Applicant will not, at any time, directly or indirectly, use or disclose to any person or entity, except WREB and
its duly authorized offcers and employees, any of the questions or other information regarding this exam and
agrees to keep all such information confdential.
Scheduling your Comprehensive Treatment Planning Examination
Once you are enrolled in the CTP exam, you will be mailed an enrollment packet which includes a Comprehensive
Treatment Planning Dental Guide. You will also be emailed an enrollment letter which will contain your Eligibility
number and the designated time frame to take the exam. You must wait until you receive this information by email
to register for the exam. Please review the letter carefully to locate the ten (10) digit number beginning with a
W in the heading of the letter. Safeguard this information as it will be required to schedule your examination.

Scheduling an Appointment at Pearson VUE
You will need to make an appointment with Pearson VUE to take the exam. The exam must be completed
during your assigned time frame. It is strongly recommended that the exam be scheduled with Pearson VUE
immediately upon receiving your Candidate eligibility number. Delay in scheduling the exam may result in not
being able to take the exam at your preferred time or on your preferred day.
By Phone
Please use the toll-free number listed on your enrollment letter to contact Pearson VUE and schedule your
examination by phone. The Pearson VUE representative will confrm your name, address, phone number
and email address. It is important that you confrm your eligibility number for the exam with the Pearson VUE
representative.
Via the Internet
You may arrange your exam appointment online. You will create a Pearson VUE web account and visit the
website to set an appointment for the exam. Your eligibility number will be required.
Payment Visa, MasterCard, AMEX and Debit Card
Payment for the exam via credit or debit card is required at the time you schedule your appointment.
Confrmation of Appointment
You will receive a confrmation email of your appointment after you complete the scheduling process. The
confrmation will include payment approval, testing center location and other important information. Please print
this confrmation and keep with your other exam information.
The Day of the Examination
Be on Time
Please arrive at the Pearson VUE center a minimum of 30 minutes prior to your scheduled appointment
to accommodate the Check-In procedure. If you are unfamiliar with the testing center location or the area,
please allow adequate travel time. If you arrive after your scheduled start time, you will not be allowed to test
and will forfeit your examination fee.
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Bring Your Identifcation
You will be required to provide two (2) valid, current forms of identifcation. One is considered your primary
ID. The primary ID must have your photo and signature, and the name on the ID MUST match the exact
name, including initials, as provided to WREB and Pearson VUE. Acceptable primary IDs are: government-
issued U.S. drivers license, passport, military ID, alien registration card, government-issued ID, school ID or
employee ID. Any ID used MUST ft the requirements above, no exceptions.
A secondary ID must also be provided and must have your name and signature. Acceptable forms of
secondary ID are: social security card, bank credit card, bank ATM card, library card or any form of primary
ID that was not used as the primary ID upon Check-in. Secondary IDs must be current and must match the
exact name as provided to the testing agency and to Pearson VUE.
If you fail to provide identifcation as required, you will not be allowed to test and your examination fee will
be forfeited.
Taking the Exam
Check-In
Upon arrival at the Pearson VUE testing center, the administrator will document your identifcation by
performing a palm scan and/or taking your fngerprint, requesting your signature, and taking your photograph.
All personal items must be left outside of the testing room, including all electronic devices, watches, wallets,
hats, purses, bags, coats, notes and books. Lockers are available at the facility, if needed. It is recommended
you do not bring visitors, as they are not permitted to wait for you in the waiting area or contact you during
the examination.
Testing
A Pearson VUE administrator will assign you a workstation and help you log on to the computer to begin
the examination. An administrator continuously monitors the testing area. If you experience any computer-
related issues during the exam, raise your hand and an administrator will help you resolve the issues. The
Pearson VUE administrator will help you with computer-related issues but will not answer questions related
to examination content.
Exam Completion
Once you complete the examination and before you leave the workstation, an administrator will confrm that
you have correctly ended the examination. You will then receive a confrmation report from Pearson VUE that
confrms you have completed the exam. Please keep this confrmation report for your records. Your examination
results will be transmitted to WREB for scoring.
It is WREB policy to notify you of exam results as soon as possible. Results will be posted online and can be
accessed with your Candidate login and password. It is very important that you save your login information so
that you may access your results. You will receive an e-mail notice once your results are available.
Exam results are confdential and will not be given over the telephone, the fax machine or by e-mail. They will
only be posted to your secure WREB login online.
Helpful Links:
WREB www.wreb.org
Pearson VUE www.pearsonvue.com
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2015 Comprehensive Treatment Planning Exam Candidate Guide
Copyright 2015 WREB
23460 N. 19th Avenue, Suite 210
Phoenix, Arizona 85027
phone: 602-944-3315
www.WREB.org
dentalinfo@wreb.org