Last year, the American Dental Association (ADA) introduced a new exam called the Advanced Dental Admission Test (ADAT). This was in response to the lack of scores from other standardized dental exams such as the National Board Dental Examination (NBDE) Part I/II and the dental colleges having switched to using a Pass/Fail system. Advanced dental/specialty programs are now signing up to use the ADAT as the means to quantitatively compare applicants in an objective manner. Therefore, foreign dentists applying to advanced dental programs and dental graduates applying to specialty programs may have to take this additional exam as a part of the admission process.