A group of attentive listeners take notes in a conference room


The Renewal of Certification (ROC) examination is based on contemporary general knowledge topics in pediatric dentistry. 

  • 50 multiple-choice questions
  • Open book, web-based examination
  • Successful completion of the examination is based on 80% correct answers
  • Can be accessed multiple times, but must be completed within a 48-hour period
  • 8 domains

What to Expect

The ROC examination is designed to provide evidence of cognitive expertise based on performance on an examination.   

The exam link will appear on your online portal on December 1 of your 10th year. The examination may be taken as often as needed, but must be successfully completed prior to November 30 of that year. 

Successful completion of the ROC Examination will complete the 10-year requirement and 10 hours of CE will be awarded in the diplomate's CE transcript.


Smiling man in white lab coat and gloves looks at the camera - he's most likely a dentist

Examination Blueprint

The ROC Exam covers the following 8 domains, click here for a detailed list of domains and subdomains.  

  1. Microbiology (6 items)
  2. Prevention and anticipatory guidance (7 items)
  3. Craniofacial growth and developing dentition and occlusion (7 items)
  4. Restorative dentistry and oral rehabilitation (6 items)
  5. Oral diagnosis/oral pathology/oral medicine (7 items)
  6. Special health care needs (4 items)
  7. Child development/behavior guidance (7 items)
  8. Pulp therapy/orofacial trauma (6 items)



  • AAPD Reference Manual
  • AAPD The Handbook of Pediatric Dentistry
  • Contemporary Orthodontics
  • Dentistry for the Child and Adolescent
  • Pediatric Dentistry Infancy Through Adolescence
  • Pediatrics Journal of the American Academy of Pediatrics
  • National Center for Biotechnology Information
  • Pediatric Dentistry and Journal of Dentistry for Children, AAPD
  • Handbook of Pediatric Dentistry
  • Journal of the American Dental Association
  • Nelson Textbook of Pediatrics