Free Practice Questions for Iran Dental Specialty Board - Pediatric Dentistry

Exam-style questions and explanations by OpenExamPrep.

✓ No registration✓ No credit card

100+ Questions

100% Free

Loading practice questions...

Same family resources

Explore More Iran Dental Specialty Boards (دانشنامه تخصصی دندانپزشکی)

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.

Iran Dental Specialty Board — Endodontics (بورد اندودانتیکس)

Practice Questions100 questions

Iran Dental Specialty Board — Oral and Maxillofacial Surgery (بورد جراحی دهان، فک و صورت)

Practice Questions100 questions

Exam Review

Key Facts: Iran Dental Specialty Board - Pediatric Dentistry Exam

100

Total four-option multiple-choice questions on the national written board examination

Council for Dental and Specialized Education regulations

120 min

Total duration of the written examination session (1.2 minutes per question)

Sanjesh Pezeshki examination guidelines

70%

Written stage passing score (70/100) required to advance to the clinical oral/OSCE examination

Secretariat of the Council for Dental and Specialized Education

Negative marking score penalty: incorrect answers do not deduct points

Sanjesh Pezeshki official board exam instructions

1 time/yr

Annual national board administration frequency, traditionally held in late summer (Shahrivar)

Sanjesh Pezeshki annual examination schedule

The Iranian Dental Specialty Board in Pediatric Dentistry is the terminal certification examination administered annually by Sanjesh Pezeshki and the Council for Dental and Specialized Education. It consists of a 100-question, 100-minute written MCQ examination with no negative marking requiring a 70% score to qualify for the clinical OSCE and oral case-defense examination.

Sample Iran Dental Specialty Board - Pediatric Dentistry Practice Questions

Try these sample questions to review concepts for the Iran Dental Specialty Board - Pediatric Dentistry exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 4-year-old child presents for an initial dental examination. The child displays reluctance to accept treatment, appears uncooperative, sullen, and withdrawn, but does not exhibit overt tantrums or panic. According to the Frankl Behavioral Rating Scale, how is this child's behavior classified?

A.Negative (-)

B.Definitely negative (--)

C.Positive (+)

D.Definitely positive (++)

Explanation: Frankl 2 (Negative, -) is defined by reluctance to accept treatment, uncooperative behavior, sullenness, or withdrawal without extreme panic. The child avoids cooperation but does not exhibit forceful resistance.

2According to Piaget's stages of cognitive development, a 4-year-old child who believes that the dental handpiece is an alive creature that is angry because it makes loud noises is displaying which characteristic feature of their developmental stage?

A.Formal operational deductive reasoning

B.Animism in the preoperational stage

C.Centration in the concrete operational stage

D.Object permanence in the sensorimotor stage

Explanation: In Piaget's preoperational stage (ages 2 to 7 years), children exhibit animism, which is the belief that inanimate objects possess lifelike qualities, feelings, and intentions. Preoperational children also display egocentrism and magical thinking.

3Which cornerstone non-pharmacological behavior guidance technique, originally formalized by Addelston, involves verbal explanation in developmentally appropriate language, sensory demonstration in a non-threatening setting, and execution of the clinical procedure?

A.Protective stabilization

B.Aversive conditioning

C.Tell-Show-Do

D.Systematic desensitization

Explanation: Tell-Show-Do (TSD), introduced by Addelston in 1959, is the foundation of pediatric behavior guidance. It consists of 'Tell' (verbal explanation using age-appropriate euphemisms), 'Show' (demonstration of the visual, auditory, and tactile sensations), and 'Do' (completion of the procedure without deviating from the demonstration).

4What is the primary objective of the voice control technique in pediatric dental behavior guidance?

A.To intimidate the fearful child into total passivity through loudness

B.To punish an uncooperative child for disruptive motor behavior

C.To establish parental dominance over the child in the dental operatory

D.To gain the child's attention and avert disruptive or unsafe behavior

Explanation: Voice control is a deliberate alteration of voice volume, tone, or pace intended to establish communication authority, capture the child's immediate attention, avert disruptive or dangerous movements, and restore cooperative behavior. It is never used as an angry outburst or punishment.

5During the administration of local anesthesia to a cooperative 6-year-old child, the dentist asks the child to elevate their foot off the chair and wiggle their toes while humming a favorite song. Which behavior guidance mechanism is primarily being utilized?

A.Negative reinforcement

B.Emotional flooding

C.Distraction

D.Contingent escape

Explanation: Distraction is a behavior guidance technique that diverts the patient's attention away from an uncomfortable or anxiety-provoking sensation toward an engaging visual, auditory, cognitive, or motor task. Asking a child to wiggle toes or count aloud during an injection shifts focus and decreases pain perception.

6A healthy 5-year-old child weighing 20 kg requires local anesthesia for restorative treatment. According to AAPD guidelines, what is the maximum recommended dose (MRD) of 2% lidocaine with 1:100,000 epinephrine for this patient?

A.88 mg (approximately 2.4 cartridges)

B.140 mg (approximately 3.8 cartridges)

C.60 mg (approximately 1.6 cartridges)

D.40 mg (approximately 1.1 cartridges)

Explanation: The maximum recommended dose (MRD) for lidocaine in pediatric patients according to the AAPD is 4.4 mg/kg (2.0 mg/lb), with an absolute maximum of 300 mg. For a 20 kg child: 20 kg × 4.4 mg/kg = 88 mg. Since each 1.8 mL cartridge of 2% lidocaine contains 36 mg of lidocaine (34 mg in a 1.7 mL cartridge), 88 mg corresponds to approximately 2.4 cartridges (or ~2.5 cartridges for 1.7 mL).

7A pediatric patient inadvertently receives a toxic overdose of an amide local anesthetic. Which physiological sequence accurately reflects the classic central nervous system progression of local anesthetic systemic toxicity (LAST)?

A.Coma and apnea occurring immediately without preceding cortical signs

B.Persistent euphoria followed exclusively by peripheral motor neuropathy

C.Immediate cardiovascular collapse without any central nervous system manifestations

D.Lightheadedness, circumoral numbness, restlessness, and seizures, followed by generalized CNS and respiratory depression

Explanation: Local anesthetic systemic toxicity (LAST) follows a classic biphasic progression in the central nervous system. Initial signs stem from the selective blockade of cortical inhibitory pathways, resulting in subjective symptoms (metallic taste, circumoral tingling, auditory tinnitus, dizziness) and excitatory motor signs (muscle twitching, shivering, generalized tonic-clonic convulsions). This is rapidly followed by generalized CNS depression (lethargy, unconsciousness, respiratory arrest) and secondary cardiovascular collapse.

8Which pharmacological characteristic distinguishes 4% articaine with 1:100,000 epinephrine from other common amide local anesthetics used in pediatric dentistry?

A.It has an ester chain replacing the amide linkage entirely

B.It contains a thiophene ring and an ester group, allowing rapid hydrolysis by plasma carboxyesterases

C.It possesses an exclusively hepatic metabolism with a 4-hour elimination half-life

D.It is contraindicated in all children younger than 12 years of age

Explanation: Articaine is unique among amide local anesthetics because it contains a thiophene ring (which enhances lipid solubility and tissue diffusion) and an additional ester side chain. Approximately 90-95% of articaine is rapidly hydrolyzed in the bloodstream by plasma carboxyesterases into inactive articainic acid, resulting in a short elimination half-life of 20-30 minutes and reduced systemic accumulation.

9Why is 3% mepivacaine plain (without vasoconstrictor) associated with an increased risk of toxicity in young children when used for extensive pediatric restorative appointments?

A.It is inherently more cardiotoxic per milligram than bupivacaine

B.It has a higher concentration (30 mg/mL), produces mild vasodilation, and undergoes rapid systemic uptake in the absence of a vasoconstrictor

C.It is metabolized into toxic aniline derivatives that induce methemoglobinemia

D.It has an extremely low toxic threshold of only 1.0 mg/kg

Explanation: 3% mepivacaine contains 30 mg of anesthetic per mL (compared to 20 mg/mL in 2% formulations), meaning a single 1.8 mL cartridge delivers 54 mg. Lacking epinephrine, it lacks local vasoconstriction, allowing more rapid systemic absorption into the bloodstream, reaching higher peak plasma concentrations quickly in small children with low body weight.

10At the conclusion of nitrous oxide/oxygen inhalation sedation, 100% oxygen must be administered for at least 5 minutes. What clinical complication is this protocol specifically designed to prevent?

A.Malignant hyperthermia

B.Acute pulmonary edema

C.Severe respiratory alkalosis

D.Diffusion hypoxia

Explanation: Because nitrous oxide has very low blood solubility, it exits the bloodstream into pulmonary alveoli very rapidly when inhalation ceases. If room air is breathed immediately, the outpouring of N2O dilutes alveolar oxygen and carbon dioxide, leading to transient arterial hypoxemia known as diffusion hypoxia. Post-operative administration of 100% oxygen for 3-5 minutes prevents this phenomenon.

About the Iran Dental Specialty Board - Pediatric Dentistry Exam

The Iranian Dental Specialty Board Examination in Pediatric Dentistry (آزمون دانشنامه تخصصی دندانپزشکی کودکان) is the terminal qualification examination for pediatric dentists in the Islamic Republic of Iran. Administered annually in Tehran by the National Center for Health Assessment (Sanjesh Pezeshki) in collaboration with the Council for Dental and Specialized Education under the Ministry of Health and Medical Education (MOHME), board certification is required for specialist hospital privileges and university faculty appointments. Eligibility requires the successful completion of an accredited 3-year post-graduate residency program in Pediatric Dentistry at an Iranian dental school or verified foreign equivalent, along with passing the Specialty Certificate Examination (گواهینامه تخصصی). The national written board examination consists of 100 multiple-choice questions administered over 100 minutes without negative marking. The examination content is drawn from the internationally recognized reference textbooks designated by the national board curriculum committee, primarily Dentistry for the Child and Adolescent (McDonald and Avery) and Pediatric Dentistry: Infancy through Adolescence (Nowak and Casamassimo), along with the clinical guidelines of the International Association of Dental Traumatology (IADT) and the American Academy of Pediatric Dentistry (AAPD). The examination blueprint covers six core domains: Child Development, Behavior Guidance & Pharmacological Management (~20%); Primary & Young Permanent Tooth Pulp Therapy (~20%); Traumatic Dental Injuries in Primary & Mixed Dentition (~20%); Restorative Dentistry, Esthetics & Stainless Steel Crowns (~15%); Space Maintenance, Interceptive Orthodontics & Dental Anomalies (~15%); and Special Healthcare Needs Patients & Hospital Dentistry (~10%). This question bank is an independent English-language multiple-choice study adaptation authored by OpenExamPrep. It offers 100 high-yield practice questions accompanied by in-depth pedagogical explanations and itemized distractor rationales to help pediatric dental residents and international graduates master core board concepts. The official Iranian specialty board examination is conducted in Persian; this bank is neither an official translation nor a simulation of the official paper, and is not affiliated with or endorsed by Sanjesh Pezeshki or the Ministry of Health and Medical Education.

Exam sponsor: Council for Dental and Specialized Education & Sanjesh Pezeshki (دبیرخانه شورای آموزش دندانپزشکی و تخصصی و مرکز سنجش آموزش پزشکی). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The Iranian Pediatric Dentistry Specialty Board Examination is conducted annually in two mandatory phases under the authority of the Council for Dental and Specialized Education and the National Center for Health Assessment (مرکز سنجش آموزش پزشکی - Sanjesh Pezeshki). Stage 1 is the Written Examination (آزمون کتبی دانشنامه), consisting of 100 four-option multiple-choice questions administered in a single 100-minute session with no negative marking. Candidates must achieve a minimum score of 70% (70 out of 100) to pass the written stage. Stage 2 is the Practical and Oral Examination (آزمون شفاهی و عملی دانشنامه), which includes an Objective Structured Clinical Examination (OSCE), radiographic and clinical photography interpretation, comprehensive case defenses, treatment planning simulations, and pediatric dental laboratory assessments. Both stages must be passed to earn board certification (Daneslnameh-ye Takhasosi) and eligibility for academic faculty appointments.

Time Limit

100 minutes

Passing Score

70%

Exam / Certification Fees

Set annually by the Ministry of Health and Medical Education, payable online via sanjeshp.ir during official board registration

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

20%

Child Development, Behavior Guidance & Pharmacological Management

Psychological milestones across infancy, early childhood, and adolescence; Frankl behavioral rating scale; non-pharmacological techniques including Tell-Show-Do, positive reinforcement, voice control, communicative distraction, and protective stabilization; pediatric local anesthesia dosages, anatomical landmarks, and toxicity thresholds; nitrous oxide/oxygen inhalation sedation; enteral moderate sedation protocols; and hospital operating room general anesthesia.

20%

Primary & Young Permanent Tooth Pulp Therapy

Diagnostic evaluation of the primary and immature permanent pulp complex; indirect and direct pulp capping indications and materials; vital pulpotomy using mineral trioxide aggregate (MTA), ferric sulfate, and calcium silicate cements; primary tooth pulpectomy techniques and resorbable zinc oxide-eugenol / iodoform pastes; apexogenesis and partial pulpotomy (Cvek technique); apexification strategies; and regenerative endodontic procedures (REPs).

20%

Traumatic Dental Injuries in Primary & Mixed Dentition

IADT trauma guidelines for concussion, subluxation, luxations (lateral, extrusion, intrusion), and avulsion; differential management in primary versus immature permanent teeth; root fractures, alveolar fractures, and crown-root injuries; flexible versus rigid splinting durations; pulp canal obliteration; inflammatory and replacement root resorption; and prevention of developmental sequelae in permanent germ development.

15%

Restorative Dentistry, Esthetics & Stainless Steel Crowns in Children

Contemporary caries management, risk assessment tools (CAT, CAMBRA), professional fluorides and silver diamine fluoride (SDF), resin infiltration of non-cavitated lesions, glass ionomer and resin-modified glass ionomer restorative protocols, preformed stainless steel crown tooth preparation and the Hall Technique, and anterior esthetic crowns (strip composite crowns, pediatric zirconia).

15%

Space Maintenance, Interceptive Orthodontics & Dental Anomalies

Development of the primary, mixed, and permanent dentitions; leeway space and arch length analysis; unilateral and bilateral fixed space maintainers (band-and-loop, distal shoe, transpalatal arch, Nance appliance, lingual arch); management of anterior and posterior crossbites; ectopic eruption of permanent first molars; interceptive extraction protocols; and diagnosis and management of dental anomalies.

10%

Special Healthcare Needs Patients & Hospital Dentistry

Pediatric dentistry for children with physical, developmental, neurodevelopmental (autism spectrum disorder, cerebral palsy), and hematologic disorders (hemophilia, von Willebrand disease); management of pediatric oncology patients before, during, and after chemo/radiation therapy; antibiotic prophylaxis for infective endocarditis; cleft lip and palate multidisciplinary care; and pediatric hospital protocols.

Preparing for the Iran Dental Specialty Board - Pediatric Dentistry Exam

What You Need to Know

Passing score: 70%
Assessment: The Iranian Pediatric Dentistry Specialty Board Examination is conducted annually in two mandatory phases under the authority of the Council for Dental and Specialized Education and the National Center for Health Assessment (مرکز سنجش آموزش پزشکی - Sanjesh Pezeshki). Stage 1 is the Written Examination (آزمون کتبی دانشنامه), consisting of 100 four-option multiple-choice questions administered in a single 100-minute session with no negative marking. Candidates must achieve a minimum score of 70% (70 out of 100) to pass the written stage. Stage 2 is the Practical and Oral Examination (آزمون شفاهی و عملی دانشنامه), which includes an Objective Structured Clinical Examination (OSCE), radiographic and clinical photography interpretation, comprehensive case defenses, treatment planning simulations, and pediatric dental laboratory assessments. Both stages must be passed to earn board certification (Daneslnameh-ye Takhasosi) and eligibility for academic faculty appointments.
Time limit: 100 minutes
Exam / certification fees: Set annually by the Ministry of Health and Medical Education, payable online via sanjeshp.ir during official board registration Official sources

Using Our Practice Resources

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

Iran Dental Specialty Board - Pediatric Dentistry: Suggested Study Strategy

1Master the International Association of Dental Traumatology (IADT) guidelines: trauma accounts for ~20% of the board examination. Be certain of exact splinting durations, timing of pulp vitality reassessment, and crucial differences in management between primary luxations and permanent tooth avulsions.

2Understand pulpal biology and vital pulp therapy materials in depth: know the specific histological actions, success rates, and indications for MTA, calcium silicate cements (Biodentine), ferric sulfate, and formocresol in primary teeth, as well as regenerative endodontics protocols (REPs) in immature permanent teeth.

3Calculate pediatric drug and local anesthetic maximum recommended dosages (MRD) accurately: know the mg/kg limits for lidocaine, articaine, and mepivacaine, as well as sedation drug monitoring standards according to AAPD/AAP guidelines.

4Distinguish space maintainer indications based on developmental stages and timing: master mixed dentition analyses (Moyers and Tanaka-Johnston), leeway space preservation, and indications/contraindications for distal shoes versus band-and-loops versus lingual holding arches.

5Review management of special healthcare needs children: know the updated AHA/AAPD infective endocarditis antibiotic prophylaxis regimens, clotting factor replacement targets for hemophilia patients undergoing dental surgery, and dental clearance timelines for pediatric oncology patients.

Frequently Asked Questions

What is the structure of the Iranian Pediatric Dentistry Specialty Board Examination?

The examination consists of two consecutive stages: a written examination (آزمون کتبی) comprising 100 multiple-choice questions (MCQs) administered over 100 minutes, followed by a clinical practical and oral examination (آزمون شفاهی و عملی) that includes an OSCE, clinical case defense, radiographic interpretation, and treatment planning simulations. A candidate must achieve at least 70% on the written stage to advance to the oral/practical stage.

What are the primary reference textbooks for the Iranian Pediatric Dentistry Board Exam?

The official curriculum established by the Council for Dental and Specialized Education primarily references Dentistry for the Child and Adolescent by McDonald and Avery, and Pediatric Dentistry: Infancy through Adolescence by Nowak and Casamassimo, along with the official clinical practice guidelines of the International Association of Dental Traumatology (IADT) and the American Academy of Pediatric Dentistry (AAPD).

Is there negative marking on the Iranian Pediatric Dentistry Board written exam?

No. Unlike Iranian university entrance examinations (Konkur), there is no negative marking on the Dental Specialty Board written examination. Incorrect responses receive zero points without penalizing correct answers; candidates are strongly advised to answer all 100 questions.

What is the difference between the Specialty Certificate (Govahinameh) and Specialty Board (Daneslnameh)?

The Specialty Certificate (Govahinameh-ye Takhasosi) certifies that the resident has completed all clinical and academic requirements of the 3-year specialty training program and is authorized to practice as a specialist in Iran. The Specialty Board (Daneslnameh-ye Takhasosi) is the higher national honor examination; passing both the written and oral/practical stages grants national board certification, which is mandatory for holding university academic faculty positions and leadership appointments in tertiary medical centers.

What are the passing criteria for the written and oral board examinations?

In the written stage, examinees must score at least 70% (70 out of 100). Only candidates meeting this threshold are permitted to sit for the practical/oral board exam, where a passing grade of 70% is also required to be awarded the Board Diploma (Daneslnameh).

Is this OpenExamPrep question bank an official Sanjesh Pezeshki product?

No. This question bank is an independent English-language MCQ study adaptation authored by OpenExamPrep for conceptual review and test practice. The official examination is administered exclusively in Persian by Sanjesh Pezeshki in Iran, and this prep material is neither an official translation nor sponsored, endorsed, or affiliated with Sanjesh Pezeshki or the Iranian Ministry of Health and Medical Education.