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© 1998 – 2020 National Dental Assisting Examining Board
Candidate Handbook
for the
NDAEB Written Examination
Revised January 2020

National Dental Assisting Examining Board 1
Introduction
This handbook provides information to candidates preparing to write the National Dental Assisting
Examining Board (NDAEB) Examination. While efforts have been made to ensure the information supplied
is accurate, you acknowledge the handbook and its contents are being provided to you on an “as is” basis
without any warranties, representations or conditions regarding its accuracy and that all risk associated with
its use is assumed by you. In no event will the National Dental Assisting Examining Board or its agents be
liable to you for any loss or damage arising, whether directly or indirectly, from your use of this handbook,
including any special, indirect or consequential damages, howsoever caused. Should discrepancies occur,
please notify the National Dental Assisting Examining Board office at Suite 204, 2283 St. Laurent Blvd,
Ottawa, ON, K1G 5A2. Telephone: (613) 526-3424.
In Canada, the regulation of the dental assisting profession lies within the jurisdiction of each province.
Provincial governments have mandated the responsibility to a provincial regulatory body called a College,
Board, Council or Association.
While the NDAEB will encourage all dental assisting regulatory bodies to recognize the NDAEB certificate
as the initial requirement for registration/certification/licensure/ listing in their province, acceptance of the
NDAEB certificate is completely at the discretion of the Canadian Dental Assisting Regulatory Authorities.
NDAEB Mission
The NDAEB’s mission is to assure individuals have met the current national baseline standard in the
knowledge and skills required by Canadian provincial or territorial regulatory authorities for recognition as
an intra-oral dental assistant.
Vision
The NDAEB will strive for excellence in the provision of valid and reliable national dental assisting
examinations.
Values
The NDAEB is committed to fairness, transparency and excellence in the services it provides to candidates,
stakeholders and the public.

2 CANDIDAT E HANDBO OK for the NDAEB WR IT T E N E XA MINAT IO N Revised January 2 0 2 0
Table of Contents
Introduction ......................................................................................................................................1
Application Requirements ................................................................................................................3
Fees...................................................................................................................................................4
Application Procedure ......................................................................................................................4
Application Withdrawal....................................................................................................................4
Testing Accommodations and Special Sittings .................................................................................5
Test Dates and Sites ..........................................................................................................................6
Examination Admission Requirements ............................................................................................6
Examination Duration ......................................................................................................................6
Examination Format and Test Blueprint ...........................................................................................6
FDI Tooth Numbering System..........................................................................................................7
Testing Agency .................................................................................................................................7
Passing Score ....................................................................................................................................7
Key Validation ..................................................................................................................................8
Examination Results .........................................................................................................................8
Examination Re-Writes ....................................................................................................................9
Examination Emergencies and Illnesses ...........................................................................................9
Examination Re-Scoring ..................................................................................................................9
Examination Appeals ......................................................................................................................10
Test Security ...................................................................................................................................10
References ...................................................................................................................................... 11
Exam Preparation ........................................................................................................................... 11
Conduct During the Exam ..............................................................................................................12
Domain Description for Dental Assisting .......................................................................................13
1. Conduct Appropriate to a Professional Setting ..........................................................13
2. Dental Sciences..........................................................................................................13
3. Clinical Support Procedures ......................................................................................14
4. Patient Records ..........................................................................................................15
5. Patient Care Procedures .............................................................................................15
6. Practice Management Procedures ..............................................................................21
7. Laboratory Procedures ...............................................................................................22
8. Preventative Procedures.............................................................................................22
Preamble – Sample Test Questions.................................................................................................25
Answer Key to Sample Questions ..................................................................................................37
Appendices .....................................................................................................................................36
Appendix A CDA’s Considerations re: Control of Radiation in the Dental Office .........................36
Appendix B Workplace Hazardous Materials Information System (2015) ....................................39
Appendix C Rules of Conduct and Exam Information...................................................................41

Application Requirements
Candidates must be deemed eligible to write the NDAEB Examination. Applicants, applying for
Examination, who have completed theoretical and clinical education in all National Core Skills from a
program of education recognized by the NDAEB, will be eligible for Examination. The National core skills
are outlined in the NDAEB Domain Description for Dental Assisting (see section contained in this
handbook). Effective June 1999, NDAEB policy requires that students complete their in-office practicum
before writing the NDAEB examination. The experience gained during in-office placements may be
advantageous as you prepare to write the examination.
Eligibility of Candidates from Canadian Dental Assisting Programs
Applicants applying for Examination, from Canadian dental assisting education programs which are
accredited by the Commission on Dental Accreditation of Canada (CDAC), or from non-accredited Canadian
dental assisting education programs which have been granted exam eligibility by the NDAEB, may register
for the NDAEB examination with proof of successful completion of education (no further verification
required).
Eligibility of International Applicants
Applicants educated outside Canada who have successfully completed an intra-oral dental assisting program,
or equivalent dental program such as dentistry or dental hygiene, who meet the theoretical and clinical
education requirements in the National core skills as outlined in the NDAEB Dental Assisting Domain
Description, may apply to write the NDAEB Examination. To be considered for eligibility to write the
NDAEB exam, the applicant must submit her/his academic credentials to a qualifications assessment service
acceptable to the NDAEB. (See the NDAEB website www.ndaeb.ca for details). Following receipt of a
report from an NDAEB approved agency, certified true copies of transcript and diploma, to be submitted
directly to the NDAEB by the candidate along with a completed Dental Assisting Course Work report, the
NDAEB Candidate Eligibility Assessment Committee (CEAC) will review all documents to determine the
applicant’s eligibility to write the NDAEB exam. In lieu of an agency report, proof of registration and exam
eligibility with the National Dental Examining Board of Canada (NDEB) is an acceptable alternative.
Note: The NDAEB requires graduates of a Dental Assisting program (or other formal allied dental health
care program) achieved outside of Canada, to provide a course outline, completed by the candidate’s
educational program, clearly indicating the mandatory core skills required for NDAEB exam eligibility were
included in that program. If an outline is not currently on file, the NDAEB will contact the program directly
to request a program survey on behalf of the candidate. The CEAC makes the final decision on candidate
eligibility. Applicants who do not meet the exam eligibility criteria will be required to complete formal
theoretical and clinical education upgrading in Canada prior to being granted exam eligibility. Fees for
credential review by an agency are separate from NDAEB exam fees and are the responsibility of the
applicant.
The written examination represents Part I of the mandatory two-part NDAEB certificate for international
applicants. Part II of the NDAEB certificate requires the successful completion of the NDAEB Clinical
Practice Evaluation (CPE) or education in lieu.

Fees
First Time Writer Exam Fee $525.00 (CAD only) • Rewrite Exam Fee $450.00 (CAD only)
Notes: 1. Exam fees include a $100 first time / $25 re-write non-refundable application fee.
2. Due to the cost of administration, the NDAEB does not reimburse overpayments of $20.00 or less.
3. A $150.00 (CAD only) assessment fee will apply to all international credential assessments
conducted by NDAEB for exam eligibility following receipt of an agency report and academic
records.
4. Fees charged by credentials assessment agencies such as ICES, IQAS or WES and licensing fees
charged by regulatory bodies or membership associations are separate from NDAEB exam fees.
Application Procedure
• Complete the NDAEB Exam application which is available on the NDAEB website (www.ndaeb.ca), download
and mail, courier or hand deliver to the NDAEB office in Ottawa. Be sure to provide a valid email address. You
MUST also enclose proof of completed dental assisting education (diploma or transcript for Level I and II if
taken separately) or a letter from the dental assisting school you are currently attending, confirming the expected
successful completion date of the program which must be before the date of the examination you are applying
for. Photocopies of academic documents must be full-size and of high quality. Poor quality copies of
documents will not be accepted and will delay your application registration.
• Enclose appropriate payment (first time or rewrite fee) payable to the NDAEB by money order or bank draft in
Canadian funds ONLY. (Personal cheques, cash, debit or credit cards or foreign currency will NOT be accepted).
• The completed application form, required documentation and payment must be received at the NDAEB business
office no later than 4:30 p.m. Eastern Time on the application deadline date. Incomplete or late applications
will be returned.
• Once the NDAEB receives and approves your examination application, you will receive an email directing you to
the Candidate Portal (https://candidates.ndaeb.ca) where you can access your registration letter and receipt
online.
• Candidates will receive an email approximately 2-3 weeks prior to the examination date directing them to the
Candidate Portal where they can access their Admission Letter. The letter will include the date, time and
site/location of the examination. To be allowed entry to the exam, candidates must present their Admission
Letter in printed format or on their smart phone screen, along with government issued photo ID. If you
have not received your admission letter notification email 7 days prior to the examination date, please contact the
NDAEB office and an email will be resent directing you to the Candidate Portal.
• Admission letters presented on a smartphone screen will be accepted, provided all information is clearly viewable
by the exam invigilator at your site. After showing your admission letter to the invigilator, you MUST turn off
your device which must remain off at all times until you sign out of the exam and depart the testing room.
Application Withdrawal
Exam applications may be withdrawn, however, candidates are assessed withdrawal fees as stated below. Candidates
who withdraw MUST inform the NDAEB business office in writing by mail, email (with signed letter attached) or
fax as soon as possible prior to the exam date. Applicants withdrawing from the examination due to circumstances
related to illness or emergency, MUST accompany their written notification of withdrawal with a verifiable
physician’s certificate or written verification provided by a religious leader or other such professional. Upon review
by the NDAEB, examination withdrawal fees may be waived, depending on the circumstances. The NDAEB
reserves the right to determine circumstances that qualify as grounds for withdrawal without financial penalty.

Candidates registered for examination and who fail to present for the sitting without providing twenty-four
(24) hours prior written notice to the NDAEB are assessed the full examination fee. In the event a candidate is
unable to attend the exam sitting for medical or serious personal reasons, their exam fees may be reimbursed,
or the candidate may be registered for the next session without additional charge, provided the candidate
submits a recent letter from a physician or other professional, confirming the reason for failing to attend the
exam. Candidates must submit their documentation to the NDAEB office no later than 30 days following the
exam date they did not attend in order to receive reimbursement or transfer at no cost to the next available
exam sitting. Applicants must reapply for another examination if their exam fees are reimbursed. Withdrawn
applications will NOT be held on file by the NDAEB and will be returned to the applicant.
Withdrawal Fees
Withdrawal received 15 days or more from exam date - $ 200.00*

Withdrawal received 14 days or less from exam date - Full fees will be assessed / non-refundable*
*The $100 first time / $25 re-write application fee is non-refundable and applies to all withdrawals
regardless of the circumstances causing the candidate to withdraw.
Testing Accommodations and Special Sittings
The NDAEB makes every reasonable effort to administer examinations in a manner that is fair and equitable
to all persons.
Testing accommodations or special sitting dates for religious reasons must be approved by the NDAEB.
Testing accommodations may include: extra time (time and one half = 6 hours); a quiet (separate) room; an
exam reader, an exam recorder (i.e., scribe), and/or computerized assistive technology such as Kurzweil.
Note: the duties of an exam reader are to read aloud the test questions to the candidate, not to coach the
candidate or to provide assistance that would help the candidate select the correct answers. Exam readers are
selected by the NDAEB and do not have a background in dental assisting, dentistry or a related field.
Candidates must understand that if requesting a recorder for special accommodations, the recorder, the
NDAEB and its agents assume no liability and are not responsible for ensuring the accuracy of the Written
Examination and/or Clinical Practice Evaluation (CPE) results. It is the candidate’s responsibility to ensure
their answers are recorded on the answer sheet according to the instructions given to the recorder.
Requests for special sittings and testing accommodations must be received in writing at the NDAEB office no
later than the application deadline date by submitting a signed special sittings/accommodations request form
(available at www.ndaeb.ca). Written verification of circumstances requiring special accommodations, e.g.
special needs related to learning disabilities or medical conditions must be supported by a report written and
signed by a regulated health care professional such as a psychiatrist, clinical psychologist or physician. The
report must include a statement confirming that the applicant has an ongoing, recognized disability that
requires testing accommodations. Note: reports supporting requests for testing accommodations based on
learning disabilities or similar conditions must have been dated within the last five years before the exam
application deadline date.
Special sitting dates for religious reasons must be supported in writing by a religious leader.
Prayer Times will be observed. Candidates must submit the “Request for Special Accommodations” form
stating the number of times required for prayer and the duration to facilitate scheduling by NDAEB staff.

Test Dates and Sites
The NDAEB Examinations are scheduled four (4) times per year on the last Saturday of March, June,
September, and the second Saturday in December. Testing centres are located in cities where recognized dental
assisting programs (full day programs) are operating.
Candidates may request an alternate, unscheduled testing centre at the time of application. The NDAEB
reserves the right to deny the opening of an unscheduled site.
Changes to exam sites cannot be made after the application deadline.
Note: Candidates may be required to write the exam on an alternate date (i.e. preceding Friday) due to site
availability and/or special testing accommodations.
Examination Admission Requirements
For admission to the testing centre on examination day, the candidate must:
• Arrive at the examination site at least fifteen (15) minutes early for registration (8:30 a.m.); however,
times may vary depending on the number of candidates writing. Refer to your admission letter for your
reporting time.
• Present the letter of admission provided on the NDAEB Candidate Portal (http://candidates.ndaeb.ca).
• Present one (1) piece of government issued photo identification with signature (eg: driver’s license
or passport).
• Bring two HB pencils and an eraser. Note: The NDAEB will NOT provide pencils and erasers.
Exam Duration
Candidates will be allowed a maximum of 4 hours to complete the examination unless extra time is granted by
the NDAEB to accommodate a candidate who has submitted a request for special testing accommodations
requiring extra time.
Directives to Candidates will be read at 8:45 a.m.

Exam Time 9:00 a.m. - 1:00 p.m.
Examination Format and Test Blueprint
The examination is composed of 200 multiple choice items and is available in French or English. Many of the
items found on the examination are case based (see vignette example later in this handbook). All test items
come from the NDAEB test item library. The percentage of items from each of the Domain Description
sections that constitutes the test blueprint is noted below. The variation of items encountered on each form of
the examination will match the distribution of items as identified in the test blueprint.

Test Blueprint
Section 1 Conduct Appropriate to a Professional Setting 5 - 10%

Section 2 Dental Sciences 7 – 12%
Section 3 Clinical Support Procedures 5 – 10%
Section 4 Patient Records 5 – 10%
Section 5 Patient Care Procedures 40 – 50%
Section 6 Practice Management Procedures 5 – 10%
Section 7 Laboratory Procedures 5 – 10%
Section 8 Preventive Procedures 15 – 20%
FDI Two-Digit Notation

FDI Tooth Numbering System Permanent Teeth
upper right upper left
The NDAEB uses the FDI Two - Digit
18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
Notation to identify teeth by number.
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
lower right lower left
Each patient’s mouth is divided into
quadrants: upper-right (Q1), upper-left (Q2),
lower-left (Q3) and lower-right (Q4). Deciduous teeth (baby teeth)
upper right upper left
For more information regarding the FDI
World Dental Federation visit their website 55 54 53 52 51 61 62 63 64 65
at www.fdiworldental.org 85 84 83 82 81 71 72 73 74 75
lower right lower left
Testing Agency
The National Dental Assisting Examining Board has a contractual agreement with the University of Alberta
for the provision of professional testing services. Among their responsibilities, the University of Alberta
guides the Written Exam Committee in the development of exam items, scores exam papers and conducts
statistical analyses following examinations to determine passing scores.
Passing Score
The NDAEB uses the modified Angoff standard setting method to set passing scores. This standard setting
method requires a panel of judges to review the items (questions) and to render judgment on expected
candidate performance on each item. On average, the passing score will vary between the low and mid 60s%
range, depending on the items (questions) appearing on each test paper. Less difficult forms of the exam tend
to have higher passing scores than more difficult exams. As a result, no candidate will be disadvantaged due
to having written a more difficult version of the exam. Likewise, no candidate will gain advantage due to
having taken a less difficult form of the exam.

Key Validation
Following each exam sitting, prior to the release of exam results to candidates, the Written Exam Committee
performs an exercise known as key validation. Key validation involves a statistical performance review of all
questions appearing on the examination. Key validation allows the Written Exam Committee to identify
specific questions where a high percentage of candidates answered the same question incorrectly. When this
occurs, committee members review the questions and answers to determine if:
1. the question was marked correctly

2. there is potentially more than one acceptable answer to the question
3. the question is free from ambiguity
4. the candidates failed to answer the question correctly
If key validation indicates that either 1, 2, or 3 above are the reasons for the statistical inconsistency, the
question is either remarked accordingly or deleted from the scoring.
Examination Results
• The University of Alberta scores all examinations and produces the statistical data required to
generate examination results.
• Candidates will receive an email notification from the NDAEB within six (6) weeks of the writing
date advising them that their results have been made available on the Candidate Portal.
• Examination results will not be given over the telephone, by email or other electronic means.
• Examination results will only be discussed with the candidate in general terms. Candidates requiring
detailed information or wishing to appeal must do so in writing. (See Exam Re-scoring and Appeals
section.)
• A diploma or final transcript verifying completion of the dental assisting education program, MUST
be provided to the NDAEB office prior to the release of the NDAEB Certificate.
Photocopies/scans of diplomas/transcripts must be straight, full-size, and of high quality.
Pictures or scans of documents that are slanted, low quality, or capturing distracting
background images will not be accepted and will delay the release of your certificate.
• The NDAEB will automatically release the exam results of all candidates, pass or fail, to the Canadian
Dental Assisting Regulatory Authority (CDARA) in the province in which the candidates wrote the
exam. Other CDARA may request exam results on individual candidates who did not write the exam
in their province. The NDAEB will release pass or fail exam results to any CDARA upon request. The
release of exam results to third parties, other than a CDARA, will only be released with the written
consent of the candidate. Please refer to NDAEB privacy policy for details.
Note: When reviewing the exam results letter, scores are reported in each of the 8 areas of the Domain (refer
to the Test Blueprint earlier in this handbook). As each of the 8 Domain areas is weighted differently (more
questions in some areas than others) overall scores cannot be determined by totaling the individual Domain
area scores and dividing by 8. All exam papers are scored electronically by the testing agency and failures
rescored by hand to ensure no error was made before releasing exam results to candidates.

Examination Re-Writes
Candidates who achieve a score below the passing score established for a particular exam may apply to
rewrite the exam. The NDAEB encourages unsuccessful candidates to re-write at the next available
sitting date.
Unsuccessful candidates may seek tutoring help from educational programs however the NDAEB assumes
no responsibility for assuring that these programs e.g. NDAEB exam preparation courses, will prepare
candidates for a successful examination.
Candidates will be permitted three (3) attempts on the NDAEB written examination. Candidates who are
unsuccessful following three attempts will be required to retake their entire dental assisting education (which
includes successfully completing all theoretical and clinical components) at a program accredited by the
Commission on Dental Accreditation of Canada (CDAC), or a program eligible through the NDAEB
curriculum assessment process, should they wish to rewrite the NDAEB exam. For provincial
licensure/registration purposes, the NDAEB recommends attending a program accredited by CDAC as not all
Canadian Dental Assisting Regulatory Authorities (CDARA) will recognize education completed at non-
accredited dental assisting programs.
Examination Emergencies and Illnesses

Candidates experiencing a severe personal circumstance beyond their control that severely disadvantages
them immediately before or during the examination, must do the following:
1. If the event occurs at the exam site and/or during the examination, candidates must immediately
notify their exam proctor.
2. If the event occurs at the exam site and/or during the examination, candidates must submit a written
signed letter to the NDAEB, documenting the event, within one (1) week of this personal
circumstance occurring.
3. Candidates who do not appear for the exam and/or experiencing medical emergencies or illnesses
immediately before and/or during the exam, must obtain medical documentation within one (1) week
of their scheduled exam.
Future consideration may not be given by the NDAEB to candidates who have not followed the prescribed
procedure.
Examination Re-Scoring
Candidates may submit a request to re-score their examination result.
REQUIREMENTS
1. Requests for an examination re-score must be received, in writing and signed by the candidate, at the
NDAEB office no later than 4:30 p.m. Eastern Time on the thirtieth (30th) day after the date of the
exam results letter.
2. The re-score fee must accompany the written request for re-scoring. The NDAEB only accepts bank
drafts or money orders.

In the event a candidate’s score is reversed through re-scoring making the candidate eligible for NDAEB
Certificate without re-examination, the NDAEB will refund the re-scoring fee and will issue the NDAEB
certificate where applicable.
Re-Scoring Fee: $150.00
Examination Appeals
Candidates who sit the NDAEB written examination may appeal their result. Requests for an appeal will
only be heard if the request is based on one or more of the following grounds for appeal:
1. Procedural grounds
2. Environmental grounds
3. Personal grounds
*Candidates experiencing any extenuating circumstances beyond their control, should notify the NDAEB
office in writing within one (1) week of the examination.
Appeals received for any other reason will not be accepted and will not be heard by the Appeals Committee.
REQUIREMENTS
1. A request for appeal of any result score and/or decision, and/or documented personal circumstance,
must be received, in writing and signed by the candidate, at the NDAEB office no later than 4:30p.m.
Eastern Time on the thirtieth (30th) day following the date appearing on the candidate result letter.
2. The request for appeal must:
a. Identify the appealed decision,
b. State the reasons for appeal, including the basis and evidence of grounds for appeal.
3. If the appeal is based on personal grounds, the submission must include official medical professional
documentation with the full name, office address, telephone number, and signature of the medical
professional confirming the nature of the appellant’s condition and whether in their professional
opinion the medical condition and/or matter may have impacted the candidate’s performance.
4. The appeal fee must accompany the written request for appeal. The NDAEB only accepts bank drafts
or money orders.
Note: The NDAEB Appeals Committee rules on all appeals. Successful appeals will not result in the issuing
of the NDAEB Certificate but may result in a rewrite at no cost to the candidate at the next available exam
sitting. In such cases, the exam score in question may be expunged from the candidate’s file. All decisions by
the Appeals Committee are final and will not be revisited.
Appeal Fee: $200.00
Test Security
The NDAEB maintains strict security of the content of the examination before, during and after the
examination. Please refer to the section “Conduct During the Exam” in this handbook.
All examination materials are protected by copyright ©. Duplication or copying of exam materials in
any manner is strictly prohibited.

References
Subject matter for exam questions is based on the NDAEB Domain Description for Dental Assisting
included in this Candidate Handbook. All exam questions are referenced to one of the publications listed
below. The NDAEB does not require candidates to purchase any specific textbook for study purposes. The
NDAEB may use any of the following reference materials to validate examination questions:
1. Clinical Practice of the Dental Hygienist, 12th Edition Wilkins (2017) ISBN 978-1-4511-9311-4
(Chapter 15: Dental Biofilm and Other Soft Deposits; Chapter 22: Dental Stains and Discolorations;
Chapter 23: Indices and Scoring Methods; Chapter 28: Oral Infection Control: Toothbrushes and
Toothbrushing; Chapter 29: Oral Infection Control: Interdental Care; Chapter 36: Fluorides; Chapter
37: Sealants; Chapter 44: Dentin Hypersensitivity; Chapter 45: Extrinsic Stain Removal; Chapter 46:
Tooth Bleaching); or
Intraoral Prevention Procedures and Practicum (Selected Chapters from Clinical Practice of the
Dental Hygienist, 12th Edition, By Esther M. Wilkins), Customer Edition, Wolters Kluwer Health
(2016), ISBN: 978-1-4511-9311-4
2. Dental Assisting, A Comprehensive Approach, 5th Edition Delmar (2018), ISBN 978-1-305-96763-2
3. Modern Dental Assisting, 12th Edition, Torres and Ehrlich (2018), ISBN 978-0-323-43030-2
WARNING!
THE NDAEB DOES NOT develop or sell PREP-EXAMS for candidates or schools.
Please also be advised, the NDAEB is in no way affiliated with any external source(s) advertising or offering
“NDAEB” sample or prep-exams. The ONLY available information regarding the examinations for the
National Dental Assisting Examining Board (NDAEB) in Canada, will be found directly on our official
website: www.ndaeb.ca.
Exam Preparation
ATTENTION
Candidates should pay particular attention to preparing for the NDAEB examination. It represents a
comprehensive examination of your entire dental assisting educational program. Adequate preparation
time and careful planning are the keys to success. The NDAEB exam is based on the Domain Description
for Dental Assisting. The Domain Description, in the section below, is the document that reflects the national
standards of practice established for dental assisting in Canada. Not all dental assisting educational programs
are exactly alike, therefore, it is recommended that the Domain Description and all Appendices in this
handbook be used as the main study guide, along with one of the dental assisting textbooks listed as a
reference in this handbook. While course notes may be helpful, using them alone will not adequately prepare
you for the NDAEB exam. The NDAEB requires that students complete their in-office practicums before
attempting to write the NDAEB examination. The experience gained during in-office placements may be
advantageous as you prepare to write the examination. Effective June 1999 this became policy.
Candidates who do not prepare adequately may not be successful on the NDAEB examination.

Conduct During the Exam

1. MINIMIZE BELONGINGS: Candidates are advised to minimize the personal belongings they bring
to the exam. Handbags, backpacks and outerwear will be stored in an area designated by the exam
administrator and cannot be accessed during the exam, including during washroom breaks. Access to
personal belongings will be denied until the candidate has completed the exam and signed out of the
testing room. This includes access to electronic devices (see below). The NDAEB and / or the institutions
where the exams are administered accept no responsibility for lost or stolen belongings. Exam candidates
are advised not to bring valuables to the exam site. Candidates do so at their own risk.
2. LATE ARRIVALS: Candidates arriving more than 30 minutes after the exam begins will not be
admitted. Candidates admitted to the exam room after the exam has commenced and not later than thirty
minutes after the start time will not be given extra time to complete the exam.
3. WATER IS PERMITTED: Clear plastic or other see through type bottles containing water only, ARE
permitted during the exam. Candidates are advised to take care when drinking as spoiled or ruined test
papers cannot be scored.
4. FOOD / SNACKS NOT PERMITTED: Food and/or snacks are NOT permitted in the exam room
except if approved by the NDAEB to accommodate special medical circumstances/conditions. Requests
to bring food into the testing room must be supported by a letter from a physician confirming the need for
periodic access to food during the exam due to documented medical reasons. Such requests must be
received at the NDAEB office by the exam application deadline date. Foodstuffs approved by the
NDAEB MUST NOT cause a distraction for other exam candidates resulting from smells or noise when
accessing or consuming the item.
5. ELECTRONIC DEVICES NOT PERMITTED: Cellular phones, pagers, calculators, computers,

electronic readers, scanners, cameras, Smart watches, or any other electronic device, are NOT permitted
in the exam room and MUST be stored in a bag to be left in an area designated by the invigilator. Glasses
will be checked to ensure they are not Smart glasses containing hidden cameras. All electronic devices
MUST be turned off and MUST remain off until candidates sign out of the exam and leave the exam
room. Anyone found accessing or using a device will be automatically expelled from the exam sitting
and will receive ZERO as their test score.
6. RE-ENTRY TO EXAM ROOM NOT PERMITTED AFTER SIGNING OUT: Candidates are not
permitted to reenter the classroom under any circumstances after they have signed out.

Domain Description for Dental Assisting

The Domain Description for Dental Assisting represents the knowledge, skills, attitudes and behaviours the
dental assistant should possess upon entry/re-entry into practice and is utilized for:
• Preparing candidates for the exam;

• Dental assisting education (curriculum development);
• Examination development and review.
The Domain Description reflects the national entry level standard established for dental assisting in Canada
as agreed upon by stakeholders of the profession.
1. CONDUCT APPROPRIATE TO A PROFESSIONAL SETTING (5-10% of 200 item exam)
1.1 Apply the principles of the Provincial/National Code of Ethics including self-reflection
as to personal competence to perform assigned, legal duties
1.2 Practice according to the principles of dental jurisprudence and Provincial regulatory
legislation regarding legal scope of practice
1.3 Apply time management, problem solving and critical thinking techniques
1.4 Apply effective communication techniques with patients, care givers, service providers
and dental health team members including written and electronic formats
1.5 Use professionally acceptable medical and dental terminology and abbreviations
1.6 Recognize signs of suspected physical, sexual and emotional abuse or neglect and
report suspected cases to the appropriate authority
1.7 Explain treatment to patients and/or caregivers and respond to questions to help resolve
concerns in accordance with the principles of obtaining informed consent
1.8 Apply privacy policies according to the Personal Information Protection and Electronic
Documents Act (PIPEDA) and provincial privacy laws to all communications
2. DENTAL SCIENCES (7-12% of 200 item exam)
2.1 ORAL ANATOMY

2.1.1 Describe, locate and identify structures of the oral cavity
2.1.2 Describe, locate and identify soft tissue landmarks of the oral cavity
2.1.3 Describe, locate and identify tooth anatomical landmarks
2.1.4 Describe, locate and identify the tissues and supporting structures of
the teeth
2.1.5 State the functions of teeth and their supporting structures
2.2 ANATOMY OF THE HEAD AND NECK

2.2.1 Identify and locate the bones of the head and describe their structure
and function
2.2.2 Identify anatomical landmarks of the head
2.2.3 Identify and describe the parts of the temporomandibular joint (TMJ), its
movements and disorders
2.2.4 Identify the muscles of the face and oral cavity and describe their function
2.2.5 Identify and locate the salivary glands and ducts and describe their
function

2.2.6 Identify and locate the sinuses

2.2.7 Identify and describe the innervations of the teeth and surrounding tissue
of mandibular and maxillary arches
2.2.8 Identify and locate the lymph nodes of the head and neck and describe
their functions
2.3 TOOTH DEVELOPMENT AND ERUPTION

2.3.1 Describe oral facial development including the teeth
2.3.2 Describe tooth eruption and exfoliation patterns
2.4 ORAL PATHOLOGY

2.4.1 Describe genetic, developmental and acquired anomalies/pathologies of the
hard and soft tissues of the oral cavity
2.4.2 Describe the etiology and progression of hard and soft tissue lesions
2.5 MICROBIOLOGY
2.5.1 Describe and identify diseases related to micro-organisms including
bacteria, spores, viruses, fungi, protozoa and prions
2.5.2 Describe the routes of disease transmission
2.6 PHARMACOLOGY
2.6.1 Describe the effects and interactions of non-prescription, prescription and
controlled drugs on patient care and safety issues
2.6.2 Explain the purpose and process of recording medications including
dosages and frequency taken
2.6.3 Explain the indications for pre-medication prior to dental treatment
2.6.4 Interpret information regarding medications taken for medical conditions
2.6.5 Explain the clinical indications for antibiotic prophylaxis prior to invasive
procedures
3. CLINICAL SUPPORT PROCEDURES (5-10% of 200 item exam)
3.1 PRINCIPLES OF ASEPSIS

3.1.1 Explain the rationale for infection prevention procedures in the dental
office
3.1.2 Explain approved methods for the prevention of disease transmission for
patients and dental healthcare providers including:
3.1.2.1 standard infection control procedures
3.1.2.2 sanitation, disinfection, sterilization and storage
3.1.2.3 quality assurance protocols for instrument processing
equipment and procedures in accordance with manufacturers’
instructions
3.1.2.4 personal protective equipment
3.1.2.5 immunization
3.1.3 Discuss the ethical and legal considerations of treating patients with
infectious diseases
3.1.4 Employ accepted safety standards for infection prevention and handling of
hazardous materials and substances in the workplace according to
Workplace Hazardous Materials Information System (WHMIS) and
Occupational Health and Safety Regulations

3.1.5 Employ ethical protocols for injury prevention, exposure control, post-
exposure first aid and maintenance of employee health records
3.1.6 Explain protocols used to reduce biofilm within dental unit waterlines and
evacuation systems
3.2 EQUIPMENT AND SUPPLIES

3.2.1 Identify, operate, and maintain dental instruments and equipment
3.2.2 Select and prepare supplies
3.3 TEAM ERGONOMICS

3.3.1 Apply principles of ergonomics in positioning the patient/operator/
dental assistant throughout all procedures
3.3.2 Apply the principles of instrument and material transfer to support
procedural efficiency and patient safety
3.3.3 Use appropriate instrumentation techniques to ensure procedural
efficiency and patient safety
4. PATIENT RECORDS (5-10% of 200 item exam)
4.1 Apply protocols to comply with legal requirements for maintaining and transferring
patient records/documents in both paper-based and electronic systems.
4.2 Complete and update patient records/documents using paper- based and electronic
systems to include:
4.2.1 personal history
4.2.2 health history
4.2.3 intra-oral/extra-oral examination
4.2.4 oral hygiene indices
4.2.5 diagnostic study models and bite registration
4.2.6 radiographs
4.2.7 photographs
4.2.8 vital signs
4.2.9 consent forms
4.2.10 care /treatment plan and progress notes/treatment records/medications
administered
4.3 Relate patient health history information to treatment
4.4 Use professionally acceptable terminology, charting symbols, abbreviations and tooth
numbering systems
5. PATIENT CARE PROCEDURES (40-50%)
5.1. OBTAIN VITAL SIGNS

5.1.1 Explain the rationale for obtaining vital signs
5.1.2 Describe procedures for measuring pulse, temperature, blood pressure,
and respiration with reference to “normal” ranges
5.1.3 Describe factors that affect vital signs
5.1.4 Obtain vital signs including blood pressure, pulse, respirations and
temperature

5.2 COLLECT DIAGNOSTIC INFORMATION

5.2.1 Assist with diagnostic procedures
5.2.1.1 State the types of and provide the rationale for performing
diagnostic procedures
5.2.1.2 Prepare and transfer equipment and supplies for diagnostic
procedures
5.2.2 Obtain preliminary impressions for study models
5.2.2.1 State the rationale for obtaining preliminary impressions and
bite registrations for the fabrication of study models
5.2.2.2 Select and prepare equipment and supplies specific to the
patient’s dentition and anatomy
5.2.2.3 Manipulate preliminary impression material
5.2.2.4 Obtain mandibular and maxillary preliminary impressions
following procedural steps
5.2.2.5 Evaluate impressions
5.2.2.6 Disinfect impressions
5.2.2.7 Prepare impressions for storage and pouring
5.2.2.8 Obtain, evaluate and disinfect simple bite registrations
5.2.2.9 Provide pre-operative, operative and post-operative
information/instructions
5.2.3 Produce digital and conventional film based radiographic images
5.2.3.1 Describe components of x-ray machines and their functions
5.2.3.2 Describe factors that affect the quantity and quality of the
x-ray beam
5.2.3.3 Describe composition of dental film and types of digital
imaging receptors
5.2.3.4 Describe components of the dental film packet and
their purposes
5.2.3.5 Describe care, storage and handling of dental films and
digital imaging receptors
5.2.3.6 Describe the biological effects of radiation exposure
5.2.3.7 Describe personal radiation monitoring devices
and procedures
5.2.3.8 Describe the types of radiographic images and the rationale
for their use
5.2.3.9 Provide pre-exposure information and instructions to
the patient
5.2.3.10 Apply principles of extra-oral and intra-oral radiographic
techniques
5.2.3.11 Select and prepare equipment and supplies
5.2.3.12 Expose prescribed radiographic images in accordance to
A.L.A.R.A. principles when using conventional film based
or digital radiography
5.2.3.13 Apply quality assurance standards
5.2.3.14 Process exposed conventional films
5.2.3.15 Explain causes and corrective measures for radiographic
image exposure, processing and handling errors
5.2.3.16 Describe radiographic image duplicating procedures

5.2.3.17 Evaluate radiographic images for technical quality,

accuracy and diagnostic acceptability
5.2.3.18 Describe the difference between radiolucent and radiopaque
5.2.3.19 Identify and describe anatomical landmarks and dental
anomalies on radiographic images
5.2.3.20 Mount, label and store/save radiographic images
5.2.3.21 Differentiate between direct and indirect digital imaging
5.3 EMERGENCY CARE

5.3.1 Assist with the assembly and maintenance of emergency supplies, drugs
and equipment
5.3.2 Assist in the prevention and management of dental office emergencies
5.3.3 Identify and interpret signs and symptoms of medical conditions which
may require emergency care
5.3.4 Assist in the management and treatment of dental emergencies
5.4 MANAGEMENT OF PATIENTS WITH SPECIAL NEEDS

5.4.1 Schedule appointments to accommodate patients with special needs
5.4.2 Adapt procedures according to patients’ physical needs and mobility
limitations
5.4.3 Provide information and instructions to patients and care givers with
consideration of their cognitive level and communication ability
5.5 ANAESTHESIA AND PAIN MANAGEMENT

5.5.1 Assist with the administration of topical and local anaesthetic
5.5.1.1 Identify precautions during application of topical and
administration of local anaesthetic
5.5.1.2 Describe injection techniques and locate injection sites
5.5.1.3 Describe signs and symptoms of adverse reactions
to anaesthetic
5.5.1.4 Describe procedure for application of topical and
administration of local anaesthetic
5.5.1.5 Prepare equipment and supplies for topical and local
anaesthetic administration
5.5.1.6 Monitor patient for signs of anxiety and adverse reactions
to anaesthetic
5.5.1.7 Apply techniques for the safe handling of needles
5.5.1.8 Manage needlestick injuries according to protocols
information/instructions for administration of topical and
local anaesthetic
5.5.2 Apply topical anaesthetic agents as prescribed
5.5.2.1 Select and prepare equipment and supplies for treatment
5.5.2.2 Prepare injection site and apply the topical anaesthetic
according to manufacturer’s instructions
5.5.2.3Assess tissue for adverse reactions and apply corrective
measures

5.5.3 Assist with sedation and general anaesthesia

5.5.3.1 Differentiate between levels of sedation and general
anaesthesia
5.5.3.2 Identify contra-indications for the administration of sedation
and anaesthesia and monitor patient for adverse reactions to
each
5.5.3.3 Describe signs and symptoms of adverse reactions to
anaesthesia and sedation
5.5.3.4Prepare equipment and supplies and monitor patient for signs
of adverse reactions related to sedation and anaesthesia
5.5.3.5Record and monitor vital signs before, during and after
sedation and anaesthesia
5.5.3.6 Provide verbal/written, pre-operative, operative, post-
operative and home care information/instructions
5.6 MOISTURE CONTROL TECHNIQUES

5.6.1 State indications and contra-indications for various moisture control
techniques
5.6.2 Select equipment and supplies, prepare for and assist with moisture control
5.6.3 Place and remove moisture control equipment and supplies
5.6.4 Apply and remove dental dam
5.6.4.1 Select and prepare equipment and supplies considering the
patient’s dentition and prescribed procedure
5.6.4.2 Assist with the application and removal of dental dam
5.6.4.3 Apply and remove dental dam following procedural steps
5.6.4.4 Evaluate dental dam placement and isolation effectiveness
5.6.4.5 Identify and correct dental dam positioning and isolation
errors
information/instructions
5.6.5 Position oral evacuation to maintain a dry operating field and
patient comfort
5.7 OPERATIVE DENTISTRY PROCEDURES

5.7.1 Identify cavity/restoration classifications
5.7.2 Use terminology associated with cavity preparation and restorations
5.7.3 Assist with the application of treatment liners
5.7.3.1 Describe the functions and benefits of liners, bases,
varnishes, cements and bonding materials and the indications
and contra-indications for their use
5.7.3.2 Describe the components of bonding systems, their uses,
effects and precautions
5.7.3.3 List the order of placement and location for treatment liners
5.7.3.4 Prepare, manipulate and transfer treatment liner, acid etchant
and bonding materials according to manufacturer’s
instructions

5.7.4 Apply treatment liners (no pulpal involvement), acid etch and
bonding materials.
5.7.4.2 Apply treatment liners, acid etchant and bonding materials
following procedural steps
5.7.4.3 Evaluate placement according to criteria and make
modifications as necessary
5.7.5 Assist with the application and removal of matrix systems and wedges
5.7.5.1 State the rationale for using matrix systems and wedges
5.7.5.2 Select and assemble matrix system and wedge(s) for
prescribed restorative procedures
5.7.5.3 Assist with placement and removal of matrix system and
wedge(s)
5.7.6 Apply and remove matrix system and wedge(s)
5.7.6.2 Apply matrix system and wedge(s) following procedural
steps
5.7.6.3 Evaluate placement according to criteria
5.7.6.4 Correct application errors
5.7.6.5 Remove matrix system and wedge(s) following procedural
steps
5.7.6.6 Evaluate removal according to criteria
5.7.7 Assist with preparation and placement of permanent restorative materials.
5.7.7.1 Describe the properties and explain the rationale for the use
of amalgam and tooth-coloured restorative materials
5.7.7.2 Prepare equipment and supplies and assist with amalgam
placement and finishing procedures, observing mercury
hygiene practice
5.7.7.3 Describe tooth-coloured restorative materials and their
polymerization
5.7.7.4 Prepare equipment and supplies and assist with placement
and finishing of tooth coloured restorative materials
5.7.8 Dispense and/or mix temporary restorative materials
5.7.8.1 Explain the rationale for using various types of temporary
restorative materials
5.7.8.2 Prepare equipment and supplies and assist with placement of
temporary restorative materials
5.7.9 Assist with tooth whitening techniques
5.7.9.1 State indications and contra-indications for whitening of vital
and non-vital teeth
5.7.9.2 Describe tooth whitening materials and techniques
5.7.9.3 Describe the complications which may result from tooth
whitening
5.7.9.4 Prepare equipment and supplies and assist with tooth
whitening


5.7.10 Assist with placement of dental implants
5.7.10.1 State indications and contra-indications for the placement
of the various types of dental implants
5.7.10.2 Describe the diagnostic tests and information necessary to
prepare for dental implant placement
5.7.10.3 Prepare equipment and supplies and assist with the
placement of dental implants
5.7.10.4 Describe complications that may arise from the placement
of dental implants
operative and home care instructions
5.8 ORAL AND MAXILLOFACIAL SURGICAL PROCEDURES

5.8.1 State indications and contra-indications for surgical procedures
5.8.2 Prepare equipment and supplies and assist with surgical procedure
5.8.3 Monitor patient’s condition prior to, during and after surgical procedures
5.8.4 Describe complications which may arise from surgical procedures and their
treatment
5.8.5 Provide verbal/written, pre-operative, operative, post-operative and home
care information/instruction
5.8.6 Perform suture removal
5.8.6.1 Identify various suture materials and techniques
5.8.6.2 Assess soft tissue for signs of healing, infection or post-
operative complications and record/report to dentist
5.8.6.3 Evaluate site to determine where to cut suture
5.8.6.4 Cut and remove suture
5.8.6.5 Provide patient with post-operative care instructions
following suture removal
5.9 ENDODONTIC PROCEDURES

5.9.1 State indications and contra-indications for endodontic procedures
5.9.2 Describe diagnostic tests to determine tooth vitality
5.9.3 Prepare equipment and supplies and assist with endodontic procedures in
both primary and permanent dentitions
5.9.4 Describe complications which may arise from endodontic procedures and
their treatment
care information/instructions

5.10 PERIODONTIC PROCEDURES

5.10.1 State indications and contra-indications for periodontic procedures
5.10.2 Describe periodontal screening and recording
5.10.3 Prepare equipment and supplies and assist with periodontic procedures
5.10.4 Describe complications which may arise from periodontic procedures and
their treatment
5.11 PROSTHODONTIC PROCEDURES

5.11.1 Differentiate between fixed and removable prostheses
5.11.2 State indications and contra-indications for fixed and removable
prostheses
5.11.3 Prepare equipment and supplies and assist with prosthodontic procedures
5.11.4 Describe the dental assistant’s role in coordinating the preparation,
packaging, delivery and reception of lab cases
5.11.5 Describe complications which may arise from prosthodontic procedures
and their treatment
5.12 ORTHODONTIC PROCEDURES

5.12.1 Describe and classify occlusion and malocclusion according to Angle’s
Classification
5.12.2 Use terminology associated with malaligned teeth and arches
5.12.3 Identify and describe factors affecting occlusion
5.12.4 Differentiate between fixed and removable orthodontic appliances
5.12.5 State indications and contra-indications for orthodontic treatment
5.12.6 Prepare equipment and supplies and assist with orthodontic procedures
5.12.7 Describe the dental assistant’s role in written and verbal communication
with the dental lab
5.12.8 Coordinate the preparation, packaging, delivery and reception of lab cases
5.12.9 Describe complications which may arise from orthodontic procedures and
their treatment
5.12.10 Provide verbal/written, pre-operative, operative, post-operative and
home care information/instructions
6. PRACTICE MANAGEMENT PROCEDURES (5-10% of 200 item exam)
6.1 Manage and maintain filing, recall and inventory systems in both paper-based and
electronic systems
6.2 Manage patient appointments, referrals and consultations
6.3 Manage and maintain financial records in both paper-based and electronic systems

7. LABORATORY PROCEDURES (5-10% of 200 item exam)
7.1 Process impressions, trim and finish models

7.2 Fabricate appliances and trays
7.3 Maintain supplies and instruments, operate equipment and manipulate materials
following protocols for safety and asepsis
8. PREVENTIVE PROCEDURES (15-20% of 200 item exam)
8.1 PROVIDE ORAL HYGIENE INSTRUCTION

8.1.1 Describe the periodontal disease process and the factors affecting its
development and progress
8.1.2 Describe the caries process and the factors affecting its development and
progress
8.1.3 Describe the indications, contra-indications, types, purposes and methods
of applying disclosing agents
8.1.4 List and describe oral hygiene indices
8.1.5 Apply the principles of instruction and learning to individuals and groups
8.1.6 Collect data to assess patient needs using methods such as: plaque/biofilm
indices, disclosing agents in addition to observation of tissue condition
8.1.7 Develop oral hygiene goals using patient centered approach
8.1.8 Select and demonstrate oral care aids specific to oral conditions to achieve
goals
8.1.9 Apply disclosing agents
8.1.10 Evaluate outcomes of oral hygiene instruction, provide feedback and
make necessary modifications
8.2 PROVIDE NUTRITIONAL COUNSELING RELATIVE TO ORAL HEALTH

8.2.1 List nutrients, their sources, functions and effects
8.2.2 Collect data to assess patient’s nutritional needs
8.2.3 Develop dietary goals using patient centered approach
8.2.4 Make dietary recommendations specific to oral health conditions utilizing
“Canada’s Food Guide for Healthy Living”
8.2.5 Evaluate nutritional counseling outcomes, provide feedback and make
recommendations and/or modifications
8.3 PERFORM SELECTIVE CORONAL POLISHING

8.3.1 State the rationale, indications and contra-indications for selective coronal
polishing
8.3.2 Differentiate between intrinsic and extrinsic stain
8.3.3 Describe the etiology of stains
8.3.4 Select and prepare equipment and supplies specific to the patient’s needs
8.3.5 Remove stain according to procedural steps
8.3.6 Evaluate selective coronal polishing outcomes and make any necessary
modifications

8.4 APPLY ANTI-CARIOGENIC AGENTS

8.4.1 State the rationale, indications and contra-indications for application
8.4.2 Describe the effects of anti-cariogenic agents on tooth structure
8.4.3 Describe methods for topical application of anti-cariogenic agents
8.4.4 Assess patient needs for appropriate anti-cariogenic agents selection
8.4.5 Select and prepare equipment and supplies for various types of anti-
cariogenic agents specific to the patient’s needs
8.4.6 Apply anti-cariogenic agents according to manufacturer’s instructions
8.4.7 Evaluate anti-cariogenic agent outcomes, provide feedback and make
necessary recommendations and/or modifications
8.5 APPLY PIT AND FISSURE SEALANTS

8.5.2 Describe sealant materials and their polymerization
8.5.3 Select and prepare equipment and supplies for prescribed treatment
8.5.4 Evaluate the effectiveness of various moisture control techniques
8.5.5 Prepare prescribed surfaces and apply sealant material according to
manufacturer’s instructions
8.5.6 Evaluate sealant placement according to criteria and make modifications if
required
8.6 APPLY DESENSITIZING AGENTS

8.6.2 Describe desensitizing agents and their mode of action
8.6.3 Select and prepare equipment and supplies for prescribed treatment
8.6.4 Prepare prescribed surfaces and apply material according to manufacturer’s
instructions
8.6.5 Evaluate the application of the desensitizing agent according to criteria and
make modifications if required
8.6.6 Provide verbal/written, pre-operative, operative, and post-operative and
home care information/instructions
8.7 PERFORM TOOTH WHITENING USING TRAYS

8.7.1 State the rationale, indications and contra-indications for patient use
8.7.2 Select and prepare equipment and supplies
8.7.3 Determine existing tooth shade prior to whitening
8.7.4 Demonstrate and deliver the product to the patient according to
manufacturer’s instructions
8.7.5 Identify and explain effects of improper use of whitening products

Terminology Used in the Domain Description
The following terms are used in the Domain Description:
1. Patient (s) – refers to: individuals, groups or community
2. Special Needs – refers to patients who require modifications in the approach to dental care including:
children, geriatric patients, pregnant women and patients who are medically, mentally or physically
compromised.
3. Dental Material/Biomaterials – are addressed as they pertain to specific procedures
Notes:
1. Digital Radiography – The NDAEB recognizes that not all educational institutions have digital
radiography facilities and therefore does not expect candidates to have clinical experience with digital
equipment. Items (questions) appearing on the NDAEB exam pertaining to digital radiography will be
based on entry level theoretical knowledge of process and equipment, referenced to the textbooks
listed in the candidate handbook.
2. Practice Management Procedures – The NDAEB recognizes that not all educational institutions
provide students with access to computerized dental office management systems/software. As a result,
items (questions) appearing on the NDAEB exam related to dental practice management procedures
will be based on entry level knowledge, referenced to the textbooks listed in the candidate handbook.

Preamble - Sample Test Questions
The following sample test items (questions) are examples of the kinds of questions candidates should be
prepared to answer on the NDAEB examination. Many, but not all, items in the test item library have been
developed in a vignette style where a description of a clinical situation precedes specific individual
questions. Matching items will also appear on the exam. The number of questions that relate to any given
scenario will usually vary from 3-6. The examination will also include stand alone items (those that have no
clinical scenario preceding them). Individual questions will cover a broad spectrum of the Domain
Description for Dental Assisting found in this handbook. All items in the test item library are updated
regularly to ensure they test to current standards. All items and their correct answers are referenced to the
Domain Description and to one of the current dental assisting textbooks commonly used in dental assisting
education in Canada as listed in this handbook.
Sample Test Questions
1. Stand alone items: A single multiple-choice item requiring the candidate to select best/correct answer.
Item 1 below is an example of a stand alone item.
2. Vignette: case-based items. These consist of a description of a case scenario (vignette) followed by a
number of associated items. Items 5–12 are a set of items all related to a common vignette.
3. Matching Items: consist of a vignette along with a set of answers and several associated items. Items
38 to 40 are examples of items related to the vignette and the set of answers. Each of the answers may
be used. Use the following sample questions to test your dental assisting knowledge and preparedness
for the NDAEB exam. Candidates should note that items appearing on the NDAEB exam may not be
exactly as shown below as some items may include photo images or vignettes of various lengths. Your
ability to successfully answer the questions below does not guarantee a passing mark on the NDAEB
exam. Study is required.
Sample Questions:
ITEM 1
In relation to dental radiography, which one of the following terms refers to the anatomical landmark used to
identify a maxillary canine periapical film?
1. Maxillary sinus.
2. Mental foramen.
3. Bifurcated roots.
4. Maxillary tuberosity.
Domain reference: 5.2.3.19

ITEM 2
Prior to exposing a dental radiograph/image, placement of the lead apron over the patient protects which one
of the following tissues?
1. Vascular.
2. Gonadal.
3. Muscular.
4. Digestive.
ITEM 3
A blood pressure cuff should be placed over which one of the following arteries?
1. Pulmonary.
2. Brachial.
3. Carotid.
4. Radial.
Domain reference: 5.1.2
ITEM 4
Which three factors are essential in order to produce accurate diagnostic casts?
1. Water to powder ratio, temperature of gypsum and force of mixing.

2. Water temperature, form of gypsum used and force of mixing.
3. Water to powder ratio, mixing time and water temperature.
4. Type of spatula used, vibration and water temperature.
Domain reference: 7.1
ITEM 5
What is the name of the adhesive film which retains bacterial colonies to the teeth?
1. Striae.
2. Pellicle.
3. Calculus.
4. Materia alba.

ITEM 6
Which one of the following radiographic images is most useful in detecting interproximal caries?
1. Panoramic.
2. Periapical.
3. Bite-wing.
4. Occlusal.
ITEM 7
Which one of the following fluids provides lubrication during the movements of the temporomandibular
joint?
1. Blood.
2. Saliva.
3. Synovial fluid.
4. Lymphatic fluid.
ITEM 8
What is the correct way to store scrap amalgam?
1. In a plastic waste container.

2. In a glass container filled with water.
3. In a metal container with sodium hypochlorite.
4. In a tightly closed mercury recycling container.
ITEM 9
In a steam sterilizer, the distilled water is converted to steam then condensed back into liquid water. What
happens to the condensed water?
1. It is drained from the sterilizer and discarded down the drain in the sink.
2. The sterilizer continues to convert the water to steam over and over.
3. It runs directly from the sterilizer into the sewage system.
4. It must be collected as contaminated liquid waste.

Vignette Based Sample Questions
VIGNETTE ITEMS 10 – 13
A patient presents to the dental office with concerns about sensitivity on a lower canine tooth. The dentist
performs an examination and diagnoses gingival recession and abrasion on the facial root surface of tooth
33. The patient has 100% dental insurance coverage for diagnostic, preventive and restorative services.
ITEM 10
What is the etiology of the sensitivity?
1. Exposed pulp.
2. Exposed dentinal tubules.
3. Hypersensitive dentogingival fibers.
4. Damaged periodontal ligament fibers.
ITEM 11
Which one of the following conditions could cause the tooth pathology?
1. Use of an abrasive dentifrice.

2. Fingernail biting.
3. A fibrous diet.
4. Bulimia.
ITEM 12
Which of the following terms refers to the dentist with regard to the dental insurance?
1. Carrier.
2. Provider.
3. Beneficiary.
4. Assignment.
ITEM 13
The patient should be encouraged to use a dentifrice containing fluoride and which other chemical agent?
1. Triclosan.
2. Gluteraldehyde.
3. Potassium nitrate.
4. Pyrophosphate salts.

A 24-year-old patient presents for an emergency exam. During the interview it is noted that he is a heavy
smoker and has been under a great deal of emotional stress. The clinical examination findings are: a biofilm
index of 3 with some ulceration of interdental papillae.
ITEM 14
Which one of the following gingival conditions does this patient have?
1. Herpetic gingivostomatitis.
2. Necrotizing periodontitis.
3. Aggressive periodontitis.
4. Pericoronitis.
ITEM 15
What is the recommended treatment for this patient?
1. Scaling and curettage, brushing and flossing twice per day, fluoride.
2. Debridement, careful brushing at home, warm water rinses.
3. Daily chlorhexadine rinses, stop smoking aids.
4. Gingivectomy.
ITEM 16
What does the biofilm index assigned to this patient mean?
1. No accumulated biofilm.
2. Marginal biofilm only.
3. Moderate biofilm levels that can be easily seen.
4. Heavy biofilm accumulations on both the tooth and gingival surfaces.
A 7-year-old falls down some stairs, and is immediately transported to a hospital dental facility. Clinical
examination of the injured area reveals that tooth 11 has a fracture with pulpal exposure and that 21 has been
avulsed. The patient’s father has the avulsed tooth.

ITEM 17
For the re-implantation of the tooth to have the highest success rate, how quickly should it be placed back
into the alveolus?
1. Within 30 minutes.
2. Within 45 minutes.
3. Within the first hour.
4. Within the first few hours.
Domain reference 5.3.4
ITEM 18
How should the avulsed tooth have been kept during transportation to the hospital?
1. In disinfectant.
2. Wrapped in wet gauze.
3. In a container of liquid fluoride.
4. Wrapped in a dry, sterile gauze or bandage.
ITEM 19
What would be used to stabilize the re-implanted tooth?
1. An acrylic splint.
2. Temporary cement.
3. A custom-fit mouthguard.
4. Polyvinyl siloxane or silicone.
ITEM 20
Which one of the following treatments would be correct for tooth 11?
1. Zinc-oxide-eugenol sedative restoration.

2. Glass ionomer base and stainless steel crown.
3. Calcium hydroxide pulp cap and interim resin restoration.
4. Desensitizing dentin sealer, pin-retained composite resin restoration.

A 75-year-old patient presents at the dental office with a fractured tooth 46. While reviewing the medical
history, the dental assistant notes that the patient has rheumatoid arthritis and type II diabetes. The clinical
examination also reveals generalized gingival recession, cervical tooth abrasion and several root caries.
ITEM 21
What is the main cause of this patient’s oral conditions?
1. Biofilm.
2. Calculus.
3. Medications.
4. Materia alba.
ITEM 22
Which one of the following complications is associated with the patient’s medical conditions?
1. Anaphylaxis.
2. Hypotension.
3. Xerostomia.
4. Vertigo.
ITEM 23
Which one of the following tooth brushing techniques should be recommended for this patient?
1. Fones.
2. Bass sulcular.
3. Rolling stroke.
4. Horizontal scrub.
ITEM 24
Due to the patient’s disclosed medical condition, the dental assistant may suggest which one of the following
oral health aids?
1. Interdental picks.
2. Waxed dental floss.
3. A modified toothbrush handle.
4. Antimicrobial mouth rinse to replace brushing.

A patient presents for a bridge preparation. The dentist administers the local anaesthetic then the dental
assistant takes an alginate impression of the lower left quadrant. Teeth 36 and 37 are missing and tooth 38
has drifted into the 37 position. The bridge will go from tooth 35 to tooth 38. The insurance plan provides
80% reimbursement for this type of treatment.
ITEM 25
In which direction has tooth 38 moved?
1. Distally.
2. Labially.
3. Mesially.
4. Lingually.
ITEM 26
What type of provisional restoration would be best for this patient?
1. Custom acrylic.
2. Zinc oxide eugenol.
3. Preformed aluminum.
4. Porcelain fused to metal.
ITEM 27
What will the alginate impression be used for?
1. An opposing arch model.

2. As a matrix for the provisional.
3. To design the anatomy of the retainers.
4. To determine the occlusal clearance required.
ITEM 28
How many units will the patient’s bridge consist of?
1. 2
2. 3
3. 4
4. 5

A patient presents for an emergency examination of tooth 16. The tooth has been sensitive to pressure for
several weeks and the patient indicates that it is getting worse. The dentist does an intra-oral examination and
prescribes a direct digital periapical radiograph of the area. The dental assistant is directed to assemble
equipment and supplies for pulp vitality testing.
ITEM 29
Where would the dental assistant place the sensor for the prescribed image?
1. At 90 degree angle to the long axis of the tooth.

2. Away from the tooth, near the vault of the palate.
3. Vertically positioned, as close to the tooth as possible.
4. Horizontally positioned, slightly away from the mylohyoid ridge.
ITEM 30
What radiolucent structure would the dental assistant expect to see near the apex of the fractured tooth?
1. Lamina dura.
2. Maxillary sinus.
3. Zygomatic arch.
4. Parotid salivary gland.
ITEM 31
Which one of the following teeth would be best as the control tooth for the pulp vitality test?
1. 17
2. 15
3. 26
4. 46
ITEM 32
The cold test for the tooth causes an intense pain that does not resolve for a few minutes. What diagnosis is
most probable?
1. Normal pulp.
2. Necrotic pulp.
3. Reversible pulpitis.
4. Irreversible pulpitis.

Matching type sample questions:
A dental assistant must be able to self-correct errors made during dental dam punching and placement. From
the list of errors below, chose the one that best matches the scenario given in the item. Each error may be
used once, more than once or not at all.
1. Holes are punched too large.

2. Arch is punched too flat.
3. Holes are punched too far apart.
4. Arch is punched too curved.
33. Bunching and stretching on lingual of dam when placed.
34. Folding occurs on the facial aspect of completed dam.
35. Inversion of the dam is impossible, resulting in leakage throughout.
36. Excess dam material is present between all exposed teeth.
37. Bunched dam material on the mesial and distal of the operative tooth results in the handpiece catching
and tearing the dam septa.
A dental assistant is responsible for performing rubber cup polishing. Patients present with many types of
stains. From the list of stains below, select the one that best matches the description given. Each type of stain
may be used once, more than once or not at all.
1. Orange.
2. Yellow.
3. Tobacco.
4. Chlorhexadine.
38. Black tenacious deposits are present in pits and fissures, on enamel and on restorations.
39. A non-smoker presents with yellow-brown stains on interproximal and cervical areas of the teeth, as
well as on restorations, dorsal surface of the tongue and within retained biofilm.
40. A 12-year-old patient presents with stains on the buccal surfaces of maxillary permanent molars and
lingual surfaces of lower anterior teeth. The recorded biofilm index is 2.

Answer Key to Sample Questions:
Item 1: 1 Item 21: 1

Item 10: 2 Item 30: 2
Item 11: 1 Item 31: 3
Item 12: 2 Item 32: 4
Item 13: 3 Item 33: 2
Item 14: 2 Item 34: 4
Item 15: 2 Item 35: 1
Item 16: 4 Item 36: 3
Item 17: 1 Item 37: 3
Item 18: 2 Item 38: 3
Item 19: 1 Item 39: 4
Item 20: 3 Item 40: 2

Appendix A
Canadian Dental Association’s Considerations re: Control of Radiation in the Dental Office
Considerations re: Control of X-Radiation in Dentistry
Introduction
Since the Federal Government maintains jurisdiction over the standards of the construction and functioning
of x-ray equipment, while its installation, registration and office design criteria for its use are promulgated by
provincial legislatures, any guidelines developed by CDA for the use of x radiation in the dental office
should not deal specifically with legislative areas, but rather set forth guidelines which reflect and demand
professional competence and judgement.
General Guidelines
1. All x-ray equipment, and its accessories, must conform to the Federal requirements of the Radiation
Emitting Devices Act and the Food and Drugs Act.
2. All equipment installation and room design criteria must conform to provincial regulations. In the
absence of existing provincial regulations in any particular jurisdiction, the dentist should refer to
Health Canada Safety Code 30.
3. All operators should possess an adequate knowledge of the physics and potential hazards of x
radiation, and be able to produce consistent radiographs of diagnostic quality, keeping the dose to the
patient as low as reasonably achievable (ALARA). All operators should be licensed or certified
according to the standard recognized by the provincial licensing body.
4. A quality assurance program should be established in all aspects of radiological practice in the dental
office on a regular basis in accordance with provincial regulations.
5. It is highly desirable that the operator/owner request a radiology technologist, radiation physicist or
similarly qualified person to perform a regular inspection of the x-ray equipment to assess radiation
output and "normalize" the x ray taking system. This is to ensure that existing exposure and
processing conditions are producing clinically acceptable radiographs with an acceptable exposure
range.
6. An exposure guideline chart should be fixed near the control panel of the x-ray machine describing
the exposure factors to be used on that machine for children, adults and edentulous patients.
7. The dentist should view radiographs under optimal conditions. A magnifying glass with a variable
intensity viewer is desirable. Extraneous light should be minimized.
8. It is highly desirable that dentists enroll in continuing education in the many aspects of diagnostic
radiology, physics of radiology and radiation biology.

Protection for Female Operators
Any female operator who suspects or knows she is pregnant must be assured that for the duration of her
pregnancy her work duties are compatible with the recommended dose limits. In general, there is no reason
to remove pregnant operators, or other pregnant staff members, from their duties of operating dental x-ray
equipment.
Operators in Training and Students
1. Students in radiography training programs must not expose a patient to x rays except under
supervision of a qualified operator, i.e. a licensed dentist or operator qualified through certified
training, and licensed by the respective provincial authority.
2. For operators-in-training and students, the recommended radiation dose limits for the public apply.
3. Deliberate radiation exposure of an individual must not be performed solely for training purposes.
General Guidelines for Office Personnel
1. A room must not be used for more than one x-ray procedure simultaneously, unless adequate shielding
is provided between x-ray machines.
2. Persons not essential to the radiologic procedure must not be in the room during patient exposure.
3. Operators should not be in the room at the time of exposure. If an operator must be in the room with
the patient during the exposure, he or she should preferably use appropriate shielding. If an operator
must stay in the room and cannot otherwise use a shield, the operator should stand between 90º and
135º to the primary beam and at least 3 meters from the subject being radiographed. In a dental office,
continual and routine use of a lead apron for an operator is not indicated.
4. The dental film should be fixed in position by the patient or by use of a holding device. Operators
should not hold the film in position or be in the room during exposure unless there is no other way to
obtain the radiograph. If operators must hold the film in position, they should use appropriate
shielding.
5. If parents or escorts are called to assist, appropriate shielding should be worn by those persons.
6. The x-ray housing should not be held by the operator during operation.
7. All dental personnel involved in the taking and processing of radiographs should wear personal
dosimeters to ensure that the current radiologic practice is not exposing them to radiation exceeding
acceptable limits as defined in Safety Code 30. If continuous use is not felt to be necessary, periodic
use is recommended.
8. Under normal circumstances there should be no radiation recorded on the dosimeter badge. Where
personnel are recording radiation levels on a regular basis, steps must be taken to investigate and
correct the situation.

Guidelines to Protect the Patient
The exposure to the patient should be kept as low as reasonably achievable, but at the same time providing
an adequate radiological examination capable of providing an accurate diagnosis.
1. The prescription of a radiologic examination by a licensed dentist must be based on a clinical

examination for the purpose of obtaining information not readily available from other sources.
2. The justification for taking dental radiographs must be determined by a need to obtain specific
information which could contribute to diagnosis or the formation of a treatment plan rather than
utilizing the concept of the routine periodic examination with or without examining the patient. The
taking of radiographs on request by third parties for administrative purposes only are not
recommended.
3. One should determine if any recent radiographs are available and see if those are adequate.
4. When a patient changes dentists and diagnostic information is sought which might have been
available on previous radiographs, then the new dentist should attempt to obtain such radiographs,
rather than routinely issue a new prescription for radiographs.
5. The number of radiographs required should be kept to the minimum, consistent with obtaining the
required diagnostic information.
6. Operators should select films of a speed and quality that will permit the production of radiographs of
an acceptable diagnostic quality with minimum exposure of the patient to radiation.
7. The quality of radiographs should be monitored routinely to ensure that diagnostic requirements are
met.
8. The decision to repeat radiographs should not be based on ideal technical requirements, but rather on
a lack of required diagnostic information.
9. Appropriate shielding should be used when exposing patients to radiation.
10. The x-ray beam for radiographs should be collimated so that it irradiates only the minimum area
necessary for the examination.
X Rays and the Pregnant Patient
There is no medical contra-indication to taking dental radiographs of a pregnant patient. However elective
procedures may be deferred until after the pregnancy at the patient’s request.

X Rays and Patients Who Have Received Radiation Therapy
There is no medical contra-indication to taking dental radiographs on patients who are receiving or who have
had radiation therapy.
Conclusion
The frequency of a radiological examination is a matter of clinical judgement. The selection of equipment
and techniques used is the decision of a dentist. The aim of these guidelines is to ensure that dental offices
comply with the ALARA principle and keep the amount of patient radiation exposure at as low a level as
possible given current accepted radiological practice.
Approved
Canadian Dental Association Board of Directors
February 2005
Appendix B
WHMIS 2015 - Globally Harmonized System (GHS)
The Workplace Hazardous Materials Information System (WHMIS) is a legislated system to provide
information on the dangers and safe handling of materials used in the workplace. WHMIS was modified in
2015 to become “WHMIS 2015” and was redeveloped to include the Globally Harmonized System of
Classification and Labelling of Chemicals (GHS). This new system provides information for Canadian
workers using hazardous materials and products in the workplace. The goal of WHMIS 2015 is to reduce
injury and disease by communicating specific health and safety information about hazardous products and
materials to workers. Suppliers, employers, and workers can use this information to reduce their exposure to
hazardous products.
The goal of the Global Harmonized System (GHS) is to standardize the set of rules for classifying hazardous
products, so the same format and content for labels and Safety Data Sheets (SDS) – formally Material Safety
Data Sheets (MSDS) – is adopted and used worldwide.
Benefits of WHMIS 2015/GHS Include:
1. Providing improved, consistent hazard information to workers.

2. Encouraging the safe handling and use of hazardous products.
3. Promoting better emergency response.
4. Making it easier and less expensive for companies to comply.
5. Making international trade easier.
6. Reducing the cost of regulation and enforcement.

Key Elements of WHMIS 2015
1. Classification
➢ Hazardous groups and classes
➢ WHMIS Labels
➢ Safety Data Sheets (SDS)
➢ WHMIS Education & Training
2. Education for Workers

➢ What topics should be covered during education/training of workers?
3. Employer Responsibilities
➢ What are the employer’s responsibilities?
Note: When preparing for the NDAEB Written Examination, candidates are directed to visit the
WHMIS website directly for more information on the topics mentioned above
(http://whmis.org/#whmis-resources).
Candidates are encouraged to review the following documents which are available to download from
the WHMIS 2015 website :
➢ WHMIS 2015 Pictograms (source: Canadian Centre for Occupational Health and Safety, CCOHS)
➢ WHMIS 2015 Labels (source: Canadian Centre for Occupational Health and Safety, CCOHS)
➢ WHMIS 2015 Fact Sheet (source: Canadian Centre for Occupational Health and Safety, CCOHS)
If you are not able to click on the links above, please visit: http://whmis.org/#whmis-resources. The listed
documents can be found in the “Guide/Poster/Publication” and “FAQ/Fact Sheet/Flyer” document Type,
under the Resources section.

Appendix C
Rules of Conduct During the Examination
Each candidate must comply with the rules of conduct during the examination. Candidates who do not or
whose conduct is considered disruptive or inappropriate will be required to return all examination material to
the Test Invigilator and leave the examination room. Further, the individual will not be permitted to re-enter
the examination room to complete the exam. In this circumstance the candidate’s examination will receive a
failing grade and no refund will be issued.
Rules of Conduct
1. Memorize your NDAEB Exam Registration Number # stated on your Letter of Admission.
2. On exam day candidates must bring 2 HB pencils and an eraser.
3. You are permitted a maximum of 4 hours to complete the examination unless you have been granted
a special accommodation (extra time) by the NDAEB. Note: Test Invigilators will be advised by the
NDAEB of any special accommodations granted.
4. During the exam, time remaining will be posted as follows: 3 hrs remain, 2 hrs, 1 hr, 30 min,
& 15 min.
5. Personal belongings must be left with the Invigilator. The use of electronics such as: cell phones,
pagers, cameras, Blackberries, MP3 players, Discmans, calculators, laptops and any other electronic
device is strictly prohibited. All such items must be turned off and remain off during the entire
exam sitting. Such electronic devices must be stored in your bag away from your desk in a location
designated by the exam invigilator. Electronic devices cannot be accessed during the exam sitting
under any circumstances, including during washroom breaks. Likewise, papers, books or other items
are not permitted, except those provided by the Test Invigilator. Anyone using any electronic device
during the exam will be escorted from the exam room and awarded a score of zero on their
exam paper.
6. You may NOT use aids such as books or paper while taking the examination.
7. Only one person at a time is allowed out of the room for washroom breaks. All bags must remain in
the classroom and cannot be taken to the washroom. Electronic devices will not be taken to the
washroom or removed from your bag until the exam is over and you have signed out of the testing
room. Please raise your hand and remain seated until you are excused by the Test Invigilator.
8. Upon completion of the examination, deliver the exam booklet and answer sheet to the Test
Invigilator. Ensure that the invigilator records your time out on the attendance sheet.
9. Once you have completed the examination and have left the test room you will not be re-admitted
under any circumstances. Ensure you take all personal belongings and leave the examination area,
including adjacent corridors.

10. YOU are responsible for protecting the integrity of your answers. If cheating is detected or evidence
of cheating is disclosed at the time answer sheets are being scored, those involved, whether they are
copiers or those copied from, will receive a failing grade on the exam. This warning notice will not be
repeated, but will be in effect and applicable to all parts of the examination.
11. If you have any problems on the day of the exam please call the NDAEB office at 613-526-3424.
Please read the Candidate Handbook carefully.
IMPORTANT
1. Ensure that your name and registration number are properly recorded on the front cover of your
examination booklet. Do not tear the BOOKLET apart.
2. Ensure that your name, registration number and examination booklet number are properly recorded on
your answer sheet.
3. DO NOT MARK THE ANSWER SHEET ANYWHERE EXCEPT IN THE ANSWER

CIRCLES.
4. The answer sheets are read/scored by optical scanner. To record your answer, follow the
instructions below exactly:
a) To indicate a response, BLACKEN the appropriate circle with your pencil. Your response must
be DEFINITE and BLACK, otherwise the optical scanner may not sense it, resulting in an
unanswered or omitted item.
b) To change a previously recorded response you MUST ERASE the response completely
(DO NOT CROSS IT OUT). If the erasure is incomplete, the optical scanner may sense both
responses which will be treated as incorrect.
5. Only responses recorded on the answer sheet will be scored. DO NOT mark your responses in the
examination booklet with the intention of transferring them later to the answer sheet. You will NOT
be given extra time to record or transfer responses from the examination booklet to the answer sheet if
time has expired. It is recommended that you start to answer the items at once rather than reading
through the paper first and then beginning to record your answers as you may run out of time.
6. All items are equally weighted. Correct responses are worth 1 mark; incorrect responses are worth
zero marks.
7. It is to your advantage to answer every item even if you are not completely satisfied that you know
the correct answer. There is no penalty for guessing.
8. Any item which is omitted, that is, for which no answer circle has been shaded in, will be treated as
incorrect.
9. Any item which has more than one response selected, that is, more than one answer circle has been
shaded in on the answer sheet, will be treated as incorrect.

10. If you think an item is misprinted or incorrect, answer the item to the best of your ability with the
information provided. The item, along with other items which do not perform well statistically, will be
identified for review prior to final scoring (key validation). Such items may be rekeyed or if found
unreliable, deleted from the final scoring.
11. Failure to return the complete examination booklet and/or a properly completed answer sheet
will result in a mark of zero.
12. You are not permitted to copy items from the test booklet for any reason. Attempts to remove
exam items from the test centre will be considered cheating which will result in a score of zero
on your exam and further consequences will apply.
13. Candidates will receive an email notification from the NDAEB within six (6) weeks of the
writing date advising them that their results have been made available on the Candidate Portal.
IDENTIFICATION OF EXAMINATION BOOKLETS AND ANSWER SHEETS
1. Confirm that your name and registration number are properly recorded on the front cover of your
examination booklet. Do not tear the BOOKLET apart.
2. On your personalized Answer Sheet provided, ensure your NAME (surname and given name),
NDAEB ID number, date and exam location (city) are correct. If an error has been made, advise the
invigilator immediately.
3. When recording your answers on the answer sheet, fill in the bubbles using an HB pencil. Be sure to
fill the bubble in completely as light circles or other marks cannot be recognized by the
computer/scanner when your answer sheet is scored. This may result in a failing grade on the exam.
Instructions for filling in the remainder of the answer sheet are provided on the following pages.
EXAMPLE:

THE EXAMINATION
This examination contains:
Single Answer "A" type items
These items have a stem and four options, of which only ONE is correct.
EXAMPLE
Which one of the following methods best communicates empathy to a patient?
1. Using negative reinforcement when a patient displays fear.

2. Attempting to understand the patient from his/her own perspective.
3. Making fun of the patient’s fears.
4. Attempting to educate the patient about fear.
For the above example the correct answer is option number 2, and would be marked thus on the
answer sheet.
1 3 4
NOTE: Some items utilizing specialized pictorial material (i.e. Graphs, Charts, etc.) may be distributed
throughout this test booklet.

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What is the purpose of the candidate handbook?

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What are the NDAEB's mission and vision?

What are the NDAEB's mission and vision?

© 1998 – 2020 National Dental Assisting Examining Board

NDAEB Written Examination

Revised January 2020

© 1998 – 2020 National Dental Assisting Examining Board

© 1998 – 2020 National Dental Assisting Examining Board

Eligibility of Candidates from Canadian Dental Assisting Programs

Eligibility of International Applicants

© 1998 – 2020 National Dental Assisting Examining Board

© 1998 – 2020 National Dental Assisting Examining Board

Withdrawal received 15 days or more from exam date - $ 200.00*

Testing Accommodations and Special Sittings

© 1998 – 2020 National Dental Assisting Examining Board

Test Dates and Sites

Changes to exam sites cannot be made after the application deadline.

Examination Admission Requirements

Directives to Candidates will be read at 8:45 a.m.

Examination Format and Test Blueprint

© 1998 – 2020 National Dental Assisting Examining Board

Section 1 Conduct Appropriate to a Professional Setting 5 - 10%

FDI Two-Digit Notation

© 1998 – 2020 National Dental Assisting Examining Board

1. the question was marked correctly

© 1998 – 2020 National Dental Assisting Examining Board

Examination Emergencies and Illnesses

© 1998 – 2020 National Dental Assisting Examining Board

Re-Scoring Fee: $150.00

Appeal Fee: $200.00

© 1998 – 2020 National Dental Assisting Examining Board

© 1998 – 2020 National Dental Assisting Examining Board

Conduct During the Exam

5. ELECTRONIC DEVICES NOT PERMITTED: Cellular phones, pagers, calculators, computers,

© 1998 – 2020 National Dental Assisting Examining Board

Domain Description for Dental Assisting

• Preparing candidates for the exam;

1. CONDUCT APPROPRIATE TO A PROFESSIONAL SETTING (5-10% of 200 item exam)

2. DENTAL SCIENCES (7-12% of 200 item exam)

2.1 ORAL ANATOMY

2.2 ANATOMY OF THE HEAD AND NECK

© 1998 – 2020 National Dental Assisting Examining Board

2.2.6 Identify and locate the sinuses

2.3 TOOTH DEVELOPMENT AND ERUPTION

2.4 ORAL PATHOLOGY

3. CLINICAL SUPPORT PROCEDURES (5-10% of 200 item exam)

3.1 PRINCIPLES OF ASEPSIS

© 1998 – 2020 National Dental Assisting Examining Board

3.2 EQUIPMENT AND SUPPLIES

3.3 TEAM ERGONOMICS

4. PATIENT RECORDS (5-10% of 200 item exam)

5. PATIENT CARE PROCEDURES (40-50%)

5.1. OBTAIN VITAL SIGNS

© 1998 – 2020 National Dental Assisting Examining Board

5.2 COLLECT DIAGNOSTIC INFORMATION

© 1998 – 2020 National Dental Assisting Examining Board

5.2.3.17 Evaluate radiographic images for technical quality,

5.3 EMERGENCY CARE