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Examining Board Confidential NDAEB


only • Do not copy or distribute

Candidate
Handbook
for the
Clinical Practice
Evaluation

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National Dental Assisting Examining Board

Introduction
The National Dental Assisting Examining Board has developed and maintains the Clinical Practice
Evaluation (CPE) to aid Canadian Dental Assisting Regulatory Authorities (CDARAs) in the
licensure/listing/ certification/registration of dental assistants in Canada. The purpose of the CPE is to
protect the public by confirming that persons entering the dental assisting profession possess the skills
necessary to perform their dental assistant duties safely and effectively.

Candidates applying for the CPE must successfully complete the NDAEB Written Examination or hold the
NDAEB Certificate by Transfer of Credentials (without examination) prior to being eligible for the CPE.

International applicants are advised the NDAEB certificate process consists of two parts: the written
examination, followed by the CPE. In lieu of the CPE, international applicants may choose to voluntarily
complete formal intra-oral dental assisting education at a Canadian institute. The institute’s graduates
must be eligible to write the NDAEB examination. Contact the NDAEB office or visit the NDAEB website:
www.ndaeb.ca for information regarding dental assisting education programs.

Candidates choosing voluntary education in lieu of CPE are advised that education completed at
programs that are not accredited by the Commission on Dental Accreditation of Canada will not meet
the regulatory requirements for most Canadian provinces. The Dental Assisting Regulatory Authority
(DARA) in candidates’ province may require graduates of Canadian nonaccredited programs to
successfully complete the CPE to be considered for licensure/certification/ registration. Candidates who
are uncertain as to their licensure status are advised to consult the DARA in the province they intend to
work in before enrolling in a non-accredited education program.

Candidates are advised that the decision to require the NDAEB certificate for provincial
licensure/certification/registration rests with the Canadian Dental Assisting Regulatory Authority
(CDARA). For regulatory information, contact the provincial DARA to confirm the need to hold the NDAEB
certificate before applying to the NDAEB.

A provincial exam and/or or clinical evaluation may be required in some jurisdictions. Candidates are
advised to seek licensure/listing/certification/ registration information from the provincial DARA in the
province in which they intend to seek employment. For DARA contact information, see the Registration
and Licensure area on the NDAEB website.

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National Dental Assisting Examining Board

Table of Contents
INTRODUCTION ............................................................................................................... I

TABLE OF CONTENTS................................................................................................... II

APPLICATION PROCESS .............................................................................................. 4


Eligibility ........................................................................................................................................ 4
Canadian Graduates ............................................................................................................................ 4
International Applicants (Including US graduates) ............................................................................... 4
How to Apply ................................................................................................................................. 4
Special Accommodations ............................................................................................................. 5
Evaluation Date and Confirmation ................................................................................................ 5
Fees .............................................................................................................................................. 6
CPE Withdrawal ............................................................................................................................ 6
Process ................................................................................................................................................ 6
Withdrawal Fees................................................................................................................................... 7

PREPARING FOR THE CLINICAL PRACTICE EVALUATION...................................... 8


Important Information .................................................................................................................... 8
Frequently Asked Questions......................................................................................................... 8
Q: Where do I report on evaluation day? ............................................................................................. 8
Q: What do I bring with me on evaluation day?.................................................................................... 8
Q: Is there an orientation session?....................................................................................................... 9
Q: Will I be permitted to ask questions during the orientation session? .............................................. 9
Q: Are visitors allowed?........................................................................................................................ 9
Q: How long does the evaluation take?................................................................................................ 9

CPE ADMINISTRATION ................................................................................................ 11


CPE Evaluators .......................................................................................................................... 11
Interaction Between Candidates and Evaluators ........................................................................ 11
Code of Conduct ......................................................................................................................... 11

CPE SKILLS AND OUTCOMES.................................................................................... 12


Skills ........................................................................................................................................... 12
Required Outcomes/Results ....................................................................................................... 12
Skill Evaluation ........................................................................................................................... 13
Process .............................................................................................................................................. 13
Evaluation Form: Procedure............................................................................................................... 14
Evaluation Form: Professional Practice ............................................................................................. 15

CPE RESULTS .............................................................................................................. 18


Timing ......................................................................................................................................... 18
Reporting to Regulatory Authorities ............................................................................................ 18
Unsuccessful CPE Evaluation .................................................................................................... 18

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National Dental Assisting Examining Board

Appeals ....................................................................................................................................... 18
Appeals Process ................................................................................................................................ 19

REGULATORY REQUIREMENTS ................................................................................ 20


Provincial Licensure/Listing/Certification/Registration ................................................................ 20
Returning to Practice .................................................................................................................. 20

COPYRIGHT & DISCLAIMER ....................................................................................... 21

APPENDIX A – EVALUATION FORMS ........................................................................ 22


Skill 1 .......................................................................................................................................... 22
Skill 2 .......................................................................................................................................... 24
Skill 3 .......................................................................................................................................... 26
Skill 4 .......................................................................................................................................... 28
Skill 5 .......................................................................................................................................... 30
Skill 6 .......................................................................................................................................... 31
Skill 7 .......................................................................................................................................... 33
Skill 8 .......................................................................................................................................... 34
Skill 9 .......................................................................................................................................... 36

APPENDIX B: PROFESSIONAL ATTIRE AND SAFETY ............................................. 37


Professional Attire....................................................................................................................... 37
Uniform ............................................................................................................................................... 37
Jewelry and Hair................................................................................................................................. 37
Safety .......................................................................................................................................... 37
Safety Glasses (clear glass only): ...................................................................................................... 37
Gloves ................................................................................................................................................ 37
Masks ................................................................................................................................................. 37
Personal Instruments and Supplies – Not Permitted.......................................................................... 37
Host Clinic Safety ............................................................................................................................... 38

APPENDIX C: DENTAL MATERIALS PROVIDED ....................................................... 39

APPENDIX D: NDAEB CODE OF CONDUCT .............................................................. 40

APPENDIX E: REFERENCES ....................................................................................... 42

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National Dental Assisting Examining Board

Application Process

Eligibility

Canadian Graduates
To be eligible for the CPE, applicants must:

Have achieved and be able to demonstrate a passing mark on the NDAEB Written Exam; or
Hold the NDAEB Certificate by Transfer of Credentials (*TOC)

Candidates should contact the Dental Assisting Regulatory Authority (DARA) in their province to confirm
the requirement for the NDAEB Certificate and Clinical Practice Evaluation.

International Applicants (Including US graduates)


International applicants wishing to attain the NDAEB certificate, including graduates of US dental
assisting programs, are required to successfully complete a two-part NDAEB certificate process which
includes the written exam, followed by the Clinical Practice Evaluation.

To be eligible for the CPE, international applicants must have achieved a passing mark on the NDAEB
Written Exam.

Note
International candidates may choose to voluntarily attend academic upgrading at a Canadian
dental assisting program in lieu (instead of) taking the CPE. Upgrading programs in lieu of CPE
must include all nine skills evaluated on the CPE. Programs accredited by the Commission on
Dental Accreditation of Canada are highly recommended for labour mobility purposes (i.e. the
program will be recognized in all eight regulated provinces and you may be eligible for
employment).

ー IMPORTANT: The DARA in your province may require graduates of nonaccredited


Canadian programs to successfully complete the CPE prior to
licensure/registration/certification (i.e. graduates of accredited programs are not required to
take the CPE).

ー Contact the DARA in your province to confirm provincial regulatory requirements before
enrolling in education programs in lieu of CPE.

How to Apply
The CPE application process involves completing and submitting (via mail, courier or personal delivery to
the NDAEB offices) a CPE application form, with a passport-sized photo and full payment. On the form,
candidates must also identify their preferred CPE location. The application form can be found on the
NDAEB website, under “Document Library”.

Spots are limited so register early! Registration for the CPE is on a first-come-first-served basis.
Each site can only take a limited number of candidates. Once the maximum number of registrants

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is received, all others will be placed on a waiting list for the next available session.
All applications must be received at the NDAEB office no later than 4:30 p.m. Eastern Time on
the application deadline date. Late applications will not be processed and will be returned to the
applicant. NDAEB does not accept applications by fax machine or email.
Registrations received in the NDAEB office will be time stamped, as evidence of the arrival date
and time.

Note: When first applying to take the CPE, candidates must apply for all nine skills required to complete
the CPE. Candidates may not apply for only some skills (a “partial CPE”) unless applying for re-evaluation
of individual skills (i.e. previously failed these skills) or if proof of education in lieu of certain CPE skills is
provided with the submitted application.

Candidates enrolled in education upgrading at the time of registration for partial CPE, must show proof
that their course/program will be completed prior to the date of the CPE to which they are applying. If
education is not completed prior to a candidate’s registered CPE, they will not be eligible to take the
CPE and will automatically be withdrawn. The application fee would not be reimbursed; other fees may
apply based on the days remaining until the CPE session. Please see the withdrawal fee schedule for
other potential fees.

Special Accommodations
The NDAEB considers all requests for special CPE accommodations (i.e. modification to the standard
CPE environment) on a case-by-case basis. Special accommodations can be (but not limited to) for
reasons of special needs, medical conditions or religion.

Requests for special accommodations must be made in writing, using the NDAEB “Request for
Special Testing Accommodations” form (available on the NDAEB website, under “Document
Library”)
Requests for special accommodations must be received at the NDAEB office no later than 4:30
p.m. Eastern Time on the application deadline date
The NDAEB “Request for Special Testing Accommodations” form (where candidates describe the
circumstances requiring special accommodation) must be supported by reports or other
documentary evidence and signed by a medical practitioner, psychologist or religious leader.
The NDAEB reserves the right to determine what conditions/situations constitute a valid request for
special accommodations. Candidates should note that, depending on the availability of clinics in
various locations in Canada, requests for special sitting dates due to religious reasons may not be
possible at every sitting.
Candidates previously approved for special accommodations with the written examination and/or
CPE session, must submit a new Request for Special Testing Accommodations Form with each
application, should they wish to have accommodations arranged.

Note: Prayer Times will be observed. On the “Request for Special Testing Accommodations” candidates
must state the time(s) required for prayer, and the duration, to facilitate scheduling by NDAEB staff.

Evaluation Date and Confirmation


The NDAEB schedules CPE sessions quarterly. Exact dates may vary at sites across Canada. Visit the
NDAEB website www.ndaeb.ca for details regarding dates, times and locations.

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Candidates who successfully register for the CPE, will receive an email 2-3 weeks before their scheduled
CPE session directing them to the candidate portal where they can access their Admission Letter. The
Admission Letter will confirm their scheduled evaluation date, time and place to report. To be allowed
entry to the clinic, candidates must present their Admission Letter in printed format or on their smart
phone screen, along with photo ID.

For scheduling reasons, candidates cannot change their selected evaluation site after the CPE
application deadline date.

Note: Due to clinic availability and the number of candidates applying, evaluations are usually scheduled
on weekends (Saturday and Sunday). Session dates may also include the preceding Friday or Monday
following the scheduled weekend. Within the CPE weekend, candidates are scheduled for one day only.

Also due to clinic availability and candidate numbers, evaluation dates at specific sites may change after
the application deadline. In such cases, the NDAEB will advise candidates as soon as possible. While
scheduling changes rarely occur, candidates should plan accordingly.

Fees
The NDAEB charges the following fees to take the CPE:

Five (5) skills to all nine (9) skills: $1300 ($1200 CPE fee + a non-refundable $100.00 (CAD)
application fee
Four (4) skills: $1200 ($1100 CPE fee + $100 non-refundable application fee)
Three (3) skills: $925 ($825 CPE + $100 non-refundable application fee)
Two (2) skills: $650 ($550 CPE fee + $100 non-refundable application fee)
One (1) skill: $375 ($275 CPE fee + $100 non-refundable application fee)

As demonstrated above, candidates registering for 5 or more skills are required to pay the full fee of
$1,300.00 (CAD).

Note:

Due to the cost of administration, the NDAEB does not reimburse overpayments of $20.00 or less.
Other fees for licensure/registration/certification in a province are not included in the CPE fees and
are determined by, and payable to, the Canadian Dental Assisting Regulatory Authority (CDARA).
Contact the CDARA for details on provincial licensing/registration/certification fees.
All costs associated with travel, accommodations, etc. to attend CPE session are the responsibility
of each candidate.

CPE Withdrawal

Process

Candidates may withdraw their CPE application at any time


All withdrawals must be signed by the applicant (or designated representative) submitted to the
NDAEB office in writing, before the CPE date, by either:
Email: office@ndaeb.ca OR

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National Dental Assisting Examining Board

Fax: 613-526-5560
All CPE application withdrawals are subject to a withdrawal fee

Prior to the CPE


In the event a candidate is unable to attend the CPE for medical or serious personal reasons, their
fees may be reimbursed, or the candidate may be registered for the next session without additional
charge, provided the candidate:
Notifies the NDAEB in writing, within 24 hours (exceptions to this may be evaluated on a case-by-
case basis), AND
Submits a letter from a physician or other professional, confirming the reason for failing to attend
the CPE no later than 30 days following the CPE date
Withdrawals for medical reasons or serious personal circumstances will not be assessed a
withdrawal fee, except for the non-refundable application fee. The NDAEB reserves the right to
determine what constitutes serious medical or personal circumstances prior to reimbursing fees.
Candidates registered for the CPE who simply fail to present without providing twenty-four (24)
hour’s written notice to the NDAEB, will be assessed the full fees for evaluation

During the CPE


Candidates experiencing a severe personal circumstance beyond their control that severely
disadvantages them immediately before or during the CPE, must do the following:

If the event occurs at the CPE site and/or during the evaluation:
Candidates must immediately notify their Session Facilitator or Evaluator
Candidates must submit a written signed letter to the NDAEB, documenting the event, within one
(1) week of this personal circumstance occurring. NDAEB may require further documentation to
support the candidate’s letter; this will be determined on a case-by-case basis

Candidates who do not follow the above procedures may not be eligible for future registration.

Withdrawal Fees
The application fee of $100.00 (CAD) (for full or partial/retake CPE) is non-refundable and applies to all
withdrawals – including applications withdrawn for medical reasons or serious personal circumstances.
The CPE fees for withdrawal are described below.

Withdrawal 31 days or more from CPE date = 25% of CPE fee (plus non-refundable application
fee)
Withdrawal 15-30 days from CPE date = 40% of CPE fee (plus non-refundable application fee)
Withdrawal 14 days or less from CPE date (or no-show at the CPE) = 100% of CPE fee (plus non-
refundable application fee)

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National Dental Assisting Examining Board

Preparing for the Clinical Practice Evaluation

Important Information
This Candidate Handbook and the orientation video contain detailed information regarding the
administration of the Clinical Practice Evaluation. Please review the information carefully before your
scheduled Clinical Practice Evaluation session. If you have questions, contact the NDAEB office
at: 613-526-3424 or by email: office@ndaeb.ca

Note: The orientation video and tray setup photos are available for viewing on the NDAEB website
www.ndaeb.ca. Candidates are advised that every effort is made to standardize equipment, instruments
and supplies at sites across Canada; however, some variations may occur. Similar items will be available
along with manufacturer’s instructions.

Frequently Asked Questions

Q: Where do I report on evaluation day?


A: Candidates will be notified, by email, to retrieve their Admission Letter from the NDAEB candidate
portal approximately 2 to 3 weeks prior to their evaluation date. The admission letter will include the date,
time and location of the Clinical Practice Evaluation. If a candidate has not received an email
notification to retrieve their Admission Letter within 10 days of their CPE, they must contact the
NDAEB office at 1-613-526-3424. Be prepared to provide a valid email address or fax number with
area code.

Q: What do I bring with me on evaluation day?


A: You MUST bring:

Government-issued photo ID such as driver’s license, passport or health card


Your Admission Letter in printed format or on your smart phone screen
A clinical uniform with no personal, college or dental clinic identifiers
Clinic shoes (closed toe and heel), socks/hosiery. These must be worn (a change area will be
available) at all times while in the clinic.
Mandatory safety glasses (clear glass only) or prescription glasses. These MUST be worn at all
times while in the clinic.
Note: Jewelry must be kept to a minimum.

Note: If you do not produce ID and do not bring the above items you will not be permitted into the
clinic, will not be evaluated and will forfeit your CPE and application fees.

You may NOT use aids such as textbooks, papers with notes or photos, or other items in the clinic.
Personal instruments and supplies are not permitted, with the exception of latex-free gloves and/or
masks. These will be provided for candidates, but candidates may bring their own if they prefer.

The use of electronics such as: cell phones, cameras, smartphones and watches, MP3 players,
Discmans, laptops or any other electronic device is strictly prohibited in the clinic, except to show your
Admission Letter to your Evaluator. All electronics must be turned off and remain off in the clinic.

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Devices must be stored out of view along with your identification and any other belongings such purses,
wallets, photo identification in your unit*. You may access your electronic devices and belongings from
your unit during the break time. Do not bring valuables, the NDAEB is not responsible for any lost or
stolen items.

Note: Candidates found using any electronic device in the clinic, will be escorted from the clinic and
awarded a failure on their evaluation.

* Each candidate is assigned to a unit (i.e. a dental chair / operatory unit) for the entire day (except for the
radiography skill). Each has a unit number associated with it, and storage for personal belongings.

Q: Is there an orientation session?


A: Yes. Candidates must be very familiar with the information in this handbook before arriving at the
CPE session. Additionally, candidates are advised to view the video on the NDAEB website
www.ndaeb.ca before reporting for the CPE session.

Candidates must plan to arrive on the day and time specified in the Admission Letter. If a candidate
is taking four (4) or more skills, the orientation will last one hour. If a candidate is taking three (3) or fewer
skills, the orientation will last 30 minutes.

The orientation session will include showing the Candidate Orientation video to remind candidates about
specific aspects of the CPE. It will also familiarize candidates with the manikin and equipment,
instruments and supplies. Candidates will be given an opportunity to operate equipment such as chairs,
dental lights delivery units, handpieces, oral evacuation and radiography exposure buttons. Instrument
trays and manufacturer’s instructions will also be available during this time. Candidates will not be
permitted to assemble or manipulate equipment and supplies or practice skills on the manikin during the
orientation session.

Note: the orientation will NOT be a tutorial or instructional session.

Candidates that arrive late (i.e. after the time on their Admission Letter and after the orientation session
begins) will not be given extra time to become familiar with the clinic, equipment and supplies.

Arriving late: Candidates arriving after the session begins may not be evaluated. The Session Facilitator
will determine if a candidate arriving late will be evaluated, based on factors at the site on that day.
Candidates arriving on the wrong day will not be admitted to the CPE session.

Q: Will I be permitted to ask questions during the orientation session?


A: Yes. Questions regarding the clinic facility, the operation of equipment and general evaluation
questions will be answered. Questions related directly to the performance of the skills being evaluated will
not be discussed or answered.

Q: Are visitors allowed?


A: No. Visitors are not permitted under any circumstances. Childcare is not available and arrangements
must be made by the candidate for childcare.

Q: How long does the evaluation take?


A: On average, candidates attending the full CPE (9 skills) should expect to be at the facility for
approximately six (6) hours, including the one-hour orientation. A break will be provided. You are advised

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to bring a light snack, bottled water or other drinks. Water/drinks and food cannot be consumed in the
clinic.

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National Dental Assisting Examining Board

CPE Administration

CPE Evaluators
Each candidate is assigned a primary Evaluator who will assess all skills for the candidate during the
session.

Evaluators have been educated to apply evaluation criteria in a standardized manner through a
process known as “calibration”.
In addition, a Session Facilitator will confirm all evaluation outcomes. This process ensures a
standardized evaluation for all candidates.
NDAEB Evaluators and Session Facilitators are highly trained. All CPE results are final.

Interaction Between Candidates and Evaluators


Evaluators will only permit the exchange of information directly related to the Clinical Practice Evaluation.
All other communication between candidates and evaluators is prohibited.

Candidates must refrain from discussions of a personal nature with Evaluators or others associated
with the CPE. Information regarding their educational background, such as school of graduation, or
other personal information should not be shared.

Code of Conduct
Candidates are expected to act professionally at all times.
Outbursts, offensive language or threats of any kind will not be tolerated. Session Facilitators will
may dismiss candidates (i.e. terminate their CPE and ask for their departure from the building) for
this type of behavior. Re-takes will not be granted, and future attempts to register for the CPE may
be denied
Please see the Code of Conduct in the Appendices, for a comprehensive description of expected
behaviour

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National Dental Assisting Examining Board

CPE Skills and Outcomes

Skills
Candidates will be evaluated on the following intra-oral skills performed on a manikin:

1. Exposing Digital Radiographic Images


2. Obtaining Preliminary Impressions for Study Casts
3. Applying and Removes Dental Dam
4. Selective Coronal Polishing
5. Applying Treatment Liner
6. Applying and Removing Matrix and Wedge
7. Applying Anti-Cariogenic Topical Fluoride Gel
8. Applying Pit and Fissure Sealant
9. Applying Topical Anesthetic

Required Outcomes/Results
Candidates are reminded that the CPE is intended to measure ability to perform each of the skills as the
operator. Evaluation forms will be used to record the candidates’ performance. Candidates will be
provided with an electronic copy of their evaluation results for each skill.

Evaluation forms are divided into two sections – “Procedure” and “Professional Practice”
Within each section, there are several criteria that candidates will be evaluated on
Candidates will be awarded either an “A” (acceptable) or “U” (unacceptable) for each criterion
Some criteria are “critical” – and others are not. A “critical” criterion is fundamental to performing
the skill adequately and safely. To successfully pass a skill, candidates must be awarded an “A” for
every critical criterion. One “U” on a critical criterion will mean failure of the entire skill.
In both sections, the critical criteria for each skill are indicated by a black “dot” between the A and
U columns. Candidates must pass all critical criteria to pass the skill.

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For example: In the skill “Applies and Removes Dental Dam”; if a “U” grade is awarded for the
criterion “Bow and wings are completely exposed on 17”, this will result in failure for this criterion.
In addition, because “Bow and wings are completely exposed on 17” is a critical criterion, it will
also result in failure of the “Applies and Removes Dental Dam” skill.
• All skills allow for a minimum of one re-attempt within the allotted time to correct errors that are not
related to patient safety (i.e. all criteria under “Professional Practice” except “Time Management).
• It is up to the candidate to tell the Evaluator if are finished or, if they feel they failed, that they would
like to re-do. Candidates will NOT be told if they passed or failed a skill; they must reflect on their
own performance and product, then self-assess. If the candidate chooses to reattempt the skill, the
candidate will be evaluated on their best product/attempt.

ー For example: In the skill “Applies and Removes Dental Dam”; if the candidate is awarded a
“U” grade for the critical criterion “Bow and wings are completely exposed on 17” during
their first attempt, but on their second attempt the error is corrected and an “A” grade is
awarded, the “A” grade will stand as this technical error is NOT related to patient safety.
Critical errors awarded a “U” grade under “Professional Practice” (those that would harm the
patient) at any time, on any attempt, will be awarded a “U” grade. This “U” grade will not be
reversed from a “U” grade to an “A” grade even if the error is corrected on a re-
attempt/reapplication.

ー For example: In the skill “Applies and Removes Dental Dam”; if the candidate is awarded
a “U” grade for the critical criterion “Safety floss is attached to any clamp being placed
in the mouth” on any attempt, the candidate will also be awarded a “U” grade for the
critical criterion “Performs the skill safely and with care”. This technical and patient
safety error cannot be corrected on a re- attempt of the skill. The “U” grade will stand even
if the error is corrected. This will result in failure of the skill “Applies and Removes Dental
Dam”.

To review the complete evaluation forms for each skill, please see Appendix A of this handbook.

Skill Evaluation

Process
This is a description of the start-to-end process for how skill evaluation will take place.

A treatment prescription will be provided for each skill. A maximum of five (5) minutes will be
permitted to read the prescription before beginning the procedure.
Candidates will be able to refer to the treatment prescription at any time during the performance of
the skill.
Treatment prescriptions will include the number of re-attempts/re-applications permitted within the
time limit. Where skills include a placement and removal (such as “Applies and Removes Dental
Dam”), both the successful placement and removal will be required during the stated time limit.
Candidates must follow the treatment prescription exactly.
The manufacturer’s directions (if applicable) may also be reviewed within the five (5) minutes that
are permitted to read the prescription. Candidates will be able to refer to the manufacturer’s
directions at any time during the performance of the skill.

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Candidates who are ready to proceed before the five minutes have expired, may advise their
Evaluator they are ready to start.
Candidates will be directed by their Evaluator to place their mask and put on their gloves.
Putting on gloves and placing the mask is not included in the allotted time for the skill. Once the
candidate advises their Evaluator they are ready to begin the skill, the timer will be started.
Candidates must advise their Evaluator when they are ready to have their work evaluated. At this
point, the timer will be stopped and the candidate will be directed to remove their gloves and mask.
If the candidate wishes to re-attempt/re-apply, in the allotted time, the candidate MUST inform
their evaluator BEFORE they leave the operatory. Candidates who do not request a re-
attempt/re-apply before leaving the operatory will not be permitted to return to make
adjustments to their work, even if time remains to complete the skill.
Candidates will be asked to leave the operatory/station to allow the Evaluators to evaluate the
product.
For the skills “Applies and Removes Dental Dam and Applies” and “Removes Matrix and Wedge”,
the candidate will be directed to, and evaluated on, the removal of the dental dam and matrix and
wedge BEFORE the reattempt/re-apply. This is for the benefit of the candidate.

Evaluation Form: Procedure


As described previously, skill evaluation forms are divided into two sections – “Procedure” and
“Professional Practice”.

This section describes what candidates should know about the “Procedure” criteria for performing the
skills, in the context of manikins as patients at the CPE. It addresses how the CPE will unfold using
manikins.

Exposing Digital Radiographic Images


Radiographic images will be exposed on a Dexter using the paralleling technique for periapical
images and the RINN bitewing equipment or tab for the bitewing, with phosphor storage plates
(PSPs).
Information specific to opening and closing the Dexter and activating the exposure button will be
provided. Candidates will NOT be given instruction or a demonstration on how to assemble the
RINN XCP equipment for image exposure.
Candidates must assemble their own RINN XCP paralleling equipment and place the PSPs into the
biteblock for the periapical and bitewing images. If the candidate chooses the bisecting technique
for the bitewing, they must place their own bitewing tab on the plate.
Three (3) size 2 PSPs and one (1) size 1 PSP will be provided. Two additional PSPs will be
provided for retake exposures.
Exposed images will be scanned by the NDAEB personnel in the presence of the candidate. There
is no requirement for candidates to have any knowledge of scanning equipment or dental software.
The clock is stopped during the time required to for NDAEB personnel to scan and mount the
candidate’s images.
Images will be mounted on the computer monitor by NDAEB personnel the way they were
exposed.

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National Dental Assisting Examining Board

Obtaining Preliminary Impressions for Study Casts


The impression trays that will be provided have been fitted for each manikin.

Applying and Removing Dental Dam


The clamp that will be provided has been fitted for each manikin.

Selective Coronal Polishing


Lead pencil will be used to create the stain on the manikin’s teeth. The stain will match the
prescription.

Applying and Removing Matrix Band and Wedge


The retainer, matrix band and wedge will be provided and has been fitted for each manikin.

Applying Anti-Cariogenic Agent - Topical Fluoride Gel


The anti-cariogenic agent will be applied to the teeth using the tray method. The fluoride trays that
will be used have been fitted for each manikin.
On the manikin, the anti-cariogenic agent adheres to plastic teeth and is difficult to remove with
suction. Candidates must demonstrate their knowledge of removing the excess anti-cariogenic
agent after the trays are removed from the mouth, but there is not an expectation that candidates
will be able to remove all of the excess fluoride from the plastic teeth.

Applying Pit and Fissure Sealant


The pit and fissure sealant will be applied to the prescribed tooth using cotton roll isolation.
Although the manikin does not salivate, candidates must demonstrate their knowledge of adequate
isolation and re-isolation without saliva contamination.

Applying Topical Anesthetic


On the manikin, the muccobuccal fold is located where the gingival tissues meet the hard plastic.

Evaluation Form: Professional Practice


This section describes what candidates should know about the “Professional Practice” criteria for
performing the skills, in the context of manikins as patients at the CPE. It addresses how the CPE will
unfold using manikins.

Infection Prevention
Candidates will not be required to wash their hands prior to placing their mask and putting on their
gloves.
No over gloves or barriers will be used.
Regardless of the style of uniform/scrubs/lab coat, gloves must be worn in compliance with
standard aseptic protocols.
Gloves must be worn throughout the prescribed treatment.
Masks must be worn throughout the prescribed treatment. Masks must be placed fully covering
the nose and mouth at all times. Masks may be re-worn and changed at the discretion of the

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candidate.
All aspects of infection prevention must be adhered to during the prescribed procedure while the
timer is running. Before the timer is started or after the timer is stopped, infection prevention is not
evaluated.
If an instrument or supply item is dropped on the floor, the timer will be stopped while the evaluator
replaces it. If any other break in asepsis occurs during the prescribed procedure at any time while
the timer is running, it is the responsibility of the candidate to correct the error.
If an instrument comes in contact with the candidate’s hair or uniform/scrubs/lab coat, breaking the
chain of asepsis, during the prescribed procedure at any time while the clock is running, the
candidate must request a new instrument. The clock will be stopped while the correction of the
asepsis error takes place. If a new instrument is not requested and the candidate continues to
work intra-orally, causing cross contamination, the candidate will receive a “U” grade for the
critical criterion “Maintains aseptic technique during the timed procedure” and “Performs the
skill safely and with care,” resulting in failure of the skill.
If the candidate rips their glove(s) or any part of their glove(s) come in contact with their hair or
uniform/scrubs/lab coat, breaking the chain of asepsis, during the prescribed procedure at any time
while the timer is running, the candidate must request an opportunity to re-glove. The clock will be
stopped while the correction of the asepsis error takes place. If a new glove(s) is not requested
and the candidate continues to work intra-orally, causing cross contamination, the candidate will
receive a “U” grade for the criteria “Maintains aseptic technique during the timed procedure”
and “Performs the skill safely and with care.”
Breaks in asepsis during the prescribed procedure at any time, while the timer is running, on any
attempts that are not corrected by the candidate will result in the awarding of a “U” grade under the
critical criteria “Maintains aseptic technique during the timed procedure” and “Performs the skill
safely and with care”. These patient safety errors cannot be corrected on re-attempts/re-
applications and will result in failure of the skill even if all other criteria are met.

Using a Fulcrum
A secure intra or extra oral fulcrum will be required when using all working instruments
(explorer, handpiece, burnisher, spoon excavator). An extra oral fulcrum includes a finger or hand
rest on the manikin’s hard/bony structures of the maxilla or mandible.
An intra oral “built-up” fulcrum will be acceptable.
A fulcrum will not be required when using a mouth mirror, articulating paper holder, cotton pliers,
liner applicator, Howe pliers, clamp forceps, cotton tip applicators, scissors, etch, sealant,
treatment liner syringes and/or Micro tip applicator. However, these items must be used in a safe
manner.
Failure to use a secure intra or extra oral fulcrum with working instruments at any point during the
prescribed procedure (explorer, handpiece, burnisher, spoon excavator) will result in the awarding
of a “U” grade under the critical criteria “Maintains secure intra or extra oral fulcrum with working
instruments” and “Performs the skill safely and with care”. This type of patient safety error cannot
be corrected on re-attempts/re-applications and will result in failure of the skill even if all other
criteria are met.
Failure to use other instruments in a safe manner will result in a “U” grade under the critical
criterion “Performs the skill safely and with care”. This type of patient safety error cannot be
corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria

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are met.

Performing the Skill Safely and withCare


Any negligent behavior that does or could result in injury to the patient or damage to the teeth will
be awarded a “U” grade under “Performs the skill safely and with care”. This patient safety
error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if
all other criteria are met.

Time Management
In order to receive an A-grade in this criterion, candidates are not required to perform every one of
the criteria. However, all critical criteria must be performed before the time limit.

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CPE Results

Timing
Candidates will receive an email notification from the NDAEB four to six weeks following the evaluation
date advising them that their results have been made available on the candidate portal. International
candidates who have successfully completed all requirements will have their NDAEB certificate forwarded
by regular mail.

Reporting to Regulatory Authorities


In the interest of public safety, the NDAEB will automatically release candidates’ CPE results, pass or fail,
to the Canadian Dental Assisting Regulatory Authority (CDARA) in the province in which the candidate
took the CPE – and may subsequently release pass/fail information to a CDARA in any province upon
request. The release of CPE results to third parties, other than a CDARA, will only be done with the
written consent of the candidate. Please refer to NDAEB privacy policy and the CPE application form for
details.

Unsuccessful CPE Evaluation


Candidates are asked to note the following items, if they are unsuccessful in passing any/all of their CPE
skills:

The NDAEB office and staff can NOT and will NOT discuss results with candidates
CPE results are final and will not be changed under any circumstances
Candidates who are unsuccessful may apply for re-evaluation at another CPE date. The same
CPE and application fees apply, whether a candidate is on their first, second or final CPE attempt
Candidates only need to be re- evaluated on the unsuccessfully-evaluated skills from previous
CPE attempt(s) (within the CPE timeline – see below for more details). Previous successfully-
evaluated skills will recorded as a “pass”
Candidates must successfully pass all CPE skills within 13 (thirteen) months of taking their initial
CPE session. Candidates failing to successfully complete the entire CPE within 13 (thirteen)
months of the initial attempt will be required to retake the entire CPE (all nine skills) or complete
educational upgrading in lieu in order to attain the NDAEB certificate or letter indicating successful
completion of the CPE.
Candidates may attempt all skills a maximum of three (3) times (initial CPE session and two
additional dates) before being directed to a Canadian dental assisting program for education
upgrading. Candidates will be responsible for all costs associated with education upgrading.

Appeals
Candidates who sit the NDAEB Clinical Practice Evaluation (CPE) may submit an appeal only if the
request is based on one or more of the following grounds for appeal:

Procedural grounds (e.g. if proper procedures, as described in this handbook, were not followed)
Environmental grounds (e.g. if a marching band was practicing in the same room as the CPE)

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Personal grounds (e.g. if approved special accommodations were not provided)

Appeals received for any other reasons will not be accepted and will not be heard by the Appeals
Committee.

Note: The NDAEB Appeals Committee rules on all appeals. Successful appeals will NEVER change a
“fail” grade to a “pass” and NEVER result in the issuing of the NDAEB Certificate. If successful, an appeal
may result in a re-evaluation at no cost to the candidate at the next available CPE session. In such cases,
the evaluation result in question may be expunged from the candidate’s file. All decisions by the Appeals
Committee are final and will not be revisited.

Appeals Process
The fee to submit an appeal is $200. Candidates must follow the process described below, in order to
have their appeal considered:

A request for appeal must:

ー Be made in writing and signed by the candidate

ー Be received by 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

ー Identify the appealed decision

ー State the reasons for appeal, including the basis and evidence of grounds for appeal
If the appeal is based on personal grounds, the submission must also include:

ー 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

ー If the personal grounds are not medical, other similar, professional third-party documentation
must be submitted
The appeal fee must accompany the written request for appeal. The NDAEB only accepts bank
drafts or money orders.
Before making a ruling, the NDAEB may contact the candidate to ask any pertinent follow-up
questions
The NDAEB will make a ruling on the appeal and prepare a written response within 90 days of the
date appearing on the candidate result letter. NDAEB rulings are final.
The candidate will be notified, by email, of the NDAEB’s written ruling that will be uploaded to their
Candidate Portal.

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Regulatory Requirements

Provincial Licensure/Listing/Certification/Registration
Provincial regulations apply to the dental assisting profession in most Canadian jurisdictions. The NDAEB
written exam and Clinical Practice Evaluation may only be part of the licensure/registration/certification
requirements in a province. You are advised to contact the DARA in your province for regulatory
information (see the NDAEB website www.ndaeb.ca – Registration & Licensure).

Returning to Practice
A CDARA may require a dental assistant to retake the CPE upon re-entry to practice after a lengthy
period away from the profession. Contact the CDARA for information.

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Copyright & Disclaimer


The NDAEB CPE Candidate Handbook and evaluation forms are protected by copyright ©.

While efforts have been made to ensure the accuracy of the information contained in this handbook, you
acknowledge that 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, incidental or consequential damages, howsoever caused.

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APPENDIX A – Evaluation Forms

Skill 1
Page 1 of the Skill 1 Evaluation Sheet

Skill 1: Exposes Digital Radiographic Images Eval. ID Fac. ID Candidate ID


ID.

Candidate Name:

Dexter Id/Serial Number:

Control films were available: Yes No Start Time: 45:00 Completion Time:

Evaluator's Initials: Session Facilitator's Initials:


Directions: You are required to expose four (4) digital radiographic images with phosphor storage plates (PSPs) for diagnostic
purposes on a manikin. Periapical images are exposed using the paralleling technique. The bitewing image is exposed using the RINN
bitewing equipment or tab. After exposing and viewing the first four (4) images, two additional exposures are permitted in the
allotted time. If re-exposing images of the same teeth you must expose and view each image prior to another exposure. A maximum of
forty-five (45) minutes is allowed to complete this skill.
§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Exposes Digital Radiographic Images
- Places lead apron A • U

- Assembles RINN equipment A • U

1. Mandibular central incisors Attempts 2 3


- 2/3 of the crowns of 31 and 41 A • U

- Apices of 31 and 41 A • U

- 2 mm of surrounding periapical tissues A • U


of 31 and 41

2. Maxillary molars, first quadrant Attempts 2 3


- 2/3 of the crowns of 16 and 17 A • U

- Apices of 16 and 17 A • U

- 2 mm of surrounding periapical tissues A • U


of 16 and 17

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Page 2 of the Skill 1 Evaluation Sheet

3. Maxillary premolars, second quadrant Remarks Attempts 2 3


- 2/3 of the crowns of 24 and 25 A • U

- Apices of 24 and 25 A U

- 2 mm of surrounding periapical
tissues of 24 and 25 A • U

4. Left premolar bitewing Attempts 2 3


- 2/3 of the clinical crowns of 24 and 34 and A • U
the presence of the alveolar crest between
maxillary 24 and 25 and between
mandibular 34 and 35

- Clear interproximal areas between 24 and 25 A • U

§2. PROFESSIONAL PRACTICE


Maintains Safety Remarks
- Maintains aseptic technique during the A • U
timed procedure

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

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Skill 2
Page 1 of the Skill 2 Evaluation Sheet

Skill 2: Obtains Preliminary Impressions for Study Casts Eval. ID Fac. ID Candidate ID

Candidate Name:

Start Time: 30:00 Completion Time:


Evaluator's Initials: Session Facilitator's Initials: Start Time: Completion Time:

Directions: You are required to obtain a set of preliminary impressions - one (1) maxillary and one (1) mandibular, suitable for study casts on
a manikin . Two (2) maxillary and two (2) mandibular impressions are permitted within the allotted time. A maximum of thirty (30) minutes is
allowed to complete this skill.

§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Takes maxillary impression: Attempts 2
- Mixes impression material to a smooth, A U
homogeneous mix
- Loads tray A U
- Inserts tray A U
- Sharp anatomical detail of all teeth is present A • U

- Sharp anatomical detail of the gingival A • U


margins is present

- Impression tray is centered A U


- The palate is reproduced A U
- Removes tray A U
Takes mandibular impression: Attempts 2
- Mixes impression material to a smooth, A U
homogeneous mix
- Loads tray A U
- Inserts tray A U
- Sharp anatomical detail of all teeth is present A • U

- Sharp anatomical detail of the gingival A • U


margins is present

- Impression tray is centered A U


- Removes tray A U

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Page 2 of the Skill 2 Evaluation Sheet

§2. PROFESSIONAL PRACTICE


Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

© 2001 - 2020 National Dental Assisting Examining Board. S2.P2

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Skill 3
Page 1 of the Skill 3 Evaluation Sheet

Skill 3: Applies and Removes Dental Dam Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Placement: Start Time: 25:00 Completion Time: Placement: Start Time: Completion Time:
Removal: Start Time: Completion Time: Removal: Start Time: Completion Time:

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Operative tooth:
Directions: You are required to place and remove a clamp and dental dam on a manikin. Unlimited attempts are permitted within the
allotted time. A maximum of twenty – five (25) minutes is allowed to complete this skill.

§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Applies the Dental Dam Attempts 2 3 4
- Punches dam 17 – 13 A • U

- Punches holes using correct size on punch A U


plate resulting in no bunching, stretching or
ragged edges (17 – 13)
- Punches dam resulting in vertical and A U
horizontal alignment
- Safety floss is attached to any clamp being A • U
placed in the mouth
- Places clamp on 17 to ensure it is stable A • U

- Places clamp on 17 to ensure it does not A • U


impinge/pierce tissue
- Bow and wings of clamp are completely A • U
exposed on 17
- Secures dental dam to frame A U

- Flosses dam septa below contacts in operating A U


field (17 – 13)
- Inverts dam in operating field (16 – 13) A U

- Shows no leakage around the operative A • U


tooth (15)
- Cuts dam septa A U
- Removes clamp and dam A • U
- Inspects dental dam and/or patient’s A U
mouth for missing pieces of dental dam,
flosses if necessary

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Page 2 of the Skill 3 Evaluation Sheet

§2. PROFESSIONAL PRACTICE


Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Maintains secure intra or extra oral fulcrum A • U


with working instruments

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

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Skill 4
Page 1 of the Skill 4 Evaluation Sheet

Skill 4: Selective Coronal Polishing Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Start Time: 20:00 Completion Time: Start Time: Completion Time:

Directions: You are required to complete a selective coronal polish and floss on a manikin. Specific teeth are marked for stain removal. Two
(2) attempts are permitted within the allotted time. A maximum of twenty (20) minutes is allowed to complete this skill.
§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate the A U
treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Selectively Polishes Attempts 2
- Uses prophy paste A U
- Uses indirect vision A U
- Uses lowest speed on slow speed handpiece A • U
- Uses light pressure with prophy cup A • U
- Polishes only prescribed coronal surfaces A • U

- Removes extrinsic stain (9 of 12 sites A • U


must be stain free)
- Flosses interproximally after polishing A U

- Rinses and suctions residual prophy paste A U


from surfaces of teeth
§2. PROFESSIONAL PRACTICE
Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Maintains secure intra or extra oral fulcrum A • U


with working instruments

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

List of teeth to be polished:


• Facial of 15 and 16 • Lingual of 25 and 26 • Facial of 41 and 42
• Lingual of 21 and 22 • Lingual of 33 and 34 • Facial of 44 and 45

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Page 2 of the Skill 4 Evaluation Sheet

Additional Comments:

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Skill 5
Skill 5 Evaluation Sheet

Skill 5: Applies Treatment Liner Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Start Time: 10:00 Completion Time: Start Time: Completion Time:

Operative tooth: 36
Directions: You are required to apply a light cured liner in a cavity preparation on a manikin. Two (2) attempts are permitted within the
allotted time. A maximum of ten (10) minutes is allowed to complete this skill.

§1. PROCEDURE
Position Client & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Applies Treatment Liner Attempts 2
- Applies liner in prescribed tooth A • U

- Applies liner in deepest area in the A • U


preparation on prescribed tooth

- Cures liner in prescribed A • U


tooth until set
§2. PROFESSIONAL PRACTICE
Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Maintains secure intra or extra oral fulcrum A • U


with working instruments

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

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Skill 6
Page 1 of the Skill 6 Evaluation Sheet

Skill 6: Applies and Removes Matrix Band and Wedge Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Placement: Start Time: 10:00 Completion Time: Placement: Start Time: Completion Time:

Removal: Start Time: Completion Time: Removal: Start Time: Completion Time:

Operative tooth: 46 MO

Directions: You are required to assemble, apply and remove a matrix band, retainer and wedge on a prepared tooth on a manikin. Unlimited
attempts are permitted within the allotted time. A maximum of ten (10) minutes is allowed to complete this skill.

§1. PROCEDURE
Position Patient & Equitpment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Applies Matrix Band and Wedge Attempts 2 3 4
- Assembles matrix band and retainer oriented A • U
to prescribed quadrant in posterior position

- Extends gingival edge of band beyond the A • U


gingival floor of the preparation and ensures the
matrix band remains beyond the occlusal edge
of the preparation on prescribed tooth
- Tightens matrix band around A • U
prescribed tooth

- Places the base of the wedge towards the A • U


gingiva from the mesial lingual side of the
prescribed tooth

- Places the wedge into the embrasure to hold A • U


and adapt the matrix band against the
gingival margin of the preparation on the
prescribed tooth

- Adapts gingival edge of matrix band at A • U


the gingival margin of preparation on
prescribed tooth

- Removes wedge, retainer and matrix band A • U


from prescribed tooth

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Page 2 of the Skill 6 Evaluation Sheet

§2. PROFESSIONAL PRACTICE


Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Maintains secure intra or extra oral fulcrum A • U


with working instruments

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

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Skill 7
Skill 7 Evaluation Sheet

Skill 7: Applies Anti-Cariogenic Topical Fluoride Gel Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Start Time: 10:00 Completion Time: Start Time: Completion Time:

Directions: You are required to apply an anti-cariogenic topical fluoride gel using the tray method on a manikin. Two (2) attempts are
permitted within the allotted time. A maximum of ten (10) minutes is allowed to complete this skill.

§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
- Patient seated upright A U
Intra Oral Inspection Attempts 2
- Treatment area inspected A U
Applies Anti-Cariogenic Topical Fluoride Gel
- Loads fluoride trays with topical fluoride gel A U
according to manufacturer's instructions
- Inserts fluoride trays A • U

- Places saliva ejector in mouth to minimize A • U


fluoride ingestion
- Times fluoride application according to A U
manufacturer's instructions
- Removes fluoride trays A U

- Suctions residual fluoride A • U

- Gives post-fluoride instructions A U

§2. PROFESSIONAL PRACTICE


Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

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Skill 8
Page 1 of the Skill 8 Evaluation Sheet

Skill 8: Applies Pit and Fissure Sealant Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Start Time: 30:00 Completion Time: Start Time: Completion Time:

Operative Tooth: 47
Directions: You are required to place a light cured pit and fissure sealant on the occlusal surface of a tooth on a manikin. Two (2) attempts
are permitted within the allotted time. A maximum of thirty (30) minutes is allowed to complete this skill.

§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
Tooth Preparation Attempts 2
- Uses pumice on prescribed tooth A U

- Cleans prescribed occlusal surface A U


with a prophy brush
- Rinses prescribed tooth A U

- Uses lowest speed on slow handpiece A • U

- Isolates and dries prescribed tooth (with A • U


isolators and/or cotton roll(s) only)

Applies Etch
- With isolation in place, applies and restricts A • U
acid etch to prescribed occlusal surface
- Etches prescribed tooth according to A U
manufacturer’s timing instructions
- With isolation and suction in place, thoroughly A • U
rinses prescribed tooth

- Re-isolates prescribed tooth while maintaining A • U


retraction intra-orally to avoid contamination

- With isolation in place, thoroughly dries A • U


etched surface on prescribed tooth

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Page 2 of the Skill 8 Evaluation Sheet

Applies Sealant Remarks


- With isolation in place, applies sealant on A • U
prescribed tooth
- With isolation in place, cures sealant on A • U
prescribed tooth until set

- Ensures sealant material on prescribed tooth A • U


covers all pits and fissures on the occlusal
surface with no void/deficiencies/bubbles
- Ensures sealant material has no A • U
extension to the interproximal surfaces on
prescribed tooth
- Checks interproximal surfaces on prescribed A U
tooth with dental floss

- Wipes sealant film off of prescribed tooth A U

- Marks occlusion on prescribed tooth with A U


articulating paper

§2. PROFESSIONAL PRACTICE


Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Maintains secure intra or extra oral fulcrum A • U


with working instruments

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

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Skill 9
Skill 9 Evaluation Sheet

Skill 9: Applies Topical Anesthetic Eval. ID Fac. ID Candidate ID

Candidate Name:

Evaluator's Initials: Session Facilitator's Initials:

Start Time: 10:00 Completion Time: Start Time: Completion Time:

Directions: You are required to apply topical anesthetic on two (2) injection sites on a manikin. Two (2) attempts per injection site are
permitted within the allotted time. A maximum of ten (10) minutes is allowed to complete this skill.

§1. PROCEDURE
Position Patient & Equipment Remarks
- Positions the dental equipment to facilitate A U
the treatment procedure and ergonomics
Intra Oral Inspection
- Treatment area inspected A U
1. Vestibular infiltration of tooth 21 Attempts 2
- Dries the oral mucosa for a vestibular A U
infiltration of tooth 21
- Places topical anesthetic for a vestibular A • U
infiltration of tooth 21
- Applies topical anesthetic according to A U
manufacturer’s timing instructions
2. Palatal injection of tooth 21 Attempts 2
- Dries the oral mucosa for a palatal A U
injection of tooth 21
- Places topical anesthetic for a palatal A • U
injection of tooth 21
- Applies topical anesthetic according to A U
manufacturer’s timing instructions
§2. PROFESSIONAL PRACTICE
Maintains Safety Remarks
- Maintains aseptic technique during the timed A • U
procedure

- Performs the skill safely and with care A • U

Time Management
- Completes procedure in allotted time A • U

Additional Comments:

© 2001 - 2020 National Dental Assisting Examining Board. 2020

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National Dental Assisting Examining Board

APPENDIX B: Professional Attire and Safety

Professional Attire

Uniform

Candidates must provide their own


Clinic uniforms with no personal, college or dental clinic identifiers. Clinic shoes (closed toe and
heel) and hosiery/socks must be worn in the clinic

Jewelry and Hair

Jewelry must be kept to a minimum for safety reasons


Hair must be kept back off the face for safety reasons

Safety

Safety Glasses (clear glass only):

Candidates must provide their own safety glasses or prescription glasses


Safety glasses (clear glass only) or prescription glasses MUST be worn at all times in the clinical
setting, including the radiography rooms and processing area
Candidates who refuse to wear safety glasses or prescription glasses will not be permitted to begin
the orientation or evaluation session

Gloves

NDAEB will provide gloves, Candidates are permitted to bring their own – GLOVES MUST BE
LATEX FREE ONLY
A new pair of treatment gloves will be required for each procedure
Treatment gloves will only be worn in the operatory setting and radiography rooms

Masks

Masks must be worn correctly completely covering the nose and mouth. Masks will be worn at
the chairside during intra-oral procedures and while exposing digital images. Masks can be re-worn
and changed at the discretion of the candidate

Personal Instruments and Supplies – Not Permitted

NDAEB will provide all equipment, instruments and supplies


Personal dental equipment, instruments and supplies will not be permitted

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National Dental Assisting Examining Board

Host Clinic Safety

• Rules and regulations regarding safety, security and administrative matters will be outlined by the
host facility Clinic Coordinator or Session Facilitator during the orientation tour. Candidates must
follow the facility’s rules.

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© 2001 – 2020 National Dental Assisting Examining Board
National Dental Assisting Examining Board

APPENDIX C: Dental Materials Provided


Candidates must use the instruments, equipment and supplies provided at the site. Dental dam punching
templates will not be provided.

Tray setup photos are available on the NDAEB website: www.ndaeb.ca (CPE) in MS PowerPoint format.

Note: Photos of the instruments and supply tray setups are generic. Evaluation sites may not provide
exact instrument and supply items as shown in the photos. Some items may be substituted for similar
instruments or materials. Manufacturer’s instructions will be provided.

The following is a generic list of some of the materials that will be provided at each site:

1. Jeltrate impression material (fast-set) with manufacturer’s instructions


2. Prophy paste (fine grit)
3. Light cured cavity liner, various brands with manufacturer’s instructions
4. One-minute anti-cariogenic topical fluoride gel with manufacturer’s instructions
5. Light cured pit and fissure sealant material with etchant, various brands, with manufacturer’s
instructions
6. Pre-dispensed topical anesthetic gel with manufacturer’s instructions

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© 2001 – 2020 National Dental Assisting Examining Board
National Dental Assisting Examining Board

Appendix D: NDAEB Code of Conduct


The NDAEB has the responsibility for the administration of national examinations of dental assistants in
Canada and the issuing of an NDAEB certificate.

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.

1. The purpose of the Code of Conduct (the Code) is to provide general statements of the principles
of ethical conduct and the consequences of unethical behaviour in order that the NDAEB,
regulators and dental assistants may fulfill their duty to the public and to the profession.

2. The integrity of the application process, the examination process and the possession of an
NDAEB certificate must be respected and maintained at all times.

3. Breaches of the provisions in the Code may be cause for disciplinary review and appropriate
action including but not limited to public disclosure.

Application Process
4. Persons making an application must provide authentic and timely documentation responsive to
NDAEB requirements.

5. Applications may be rejected if application documentation does not demonstrate the required
qualifications, or if the integrity of the application process is compromised in any manner
whatsoever.

6. A person whose application has been rejected because of compromising the application process
may not submit a subsequent application without the consent and permission of the NDAEB.

7. Without restricting the generality of sections 3, 4 and 5 the integrity of the application process will
have been compromised if a person does not disclose that their educational credentials for dental
assisting or other qualifying dental professions, issued by any exam eligible educational program
or other approved dental program licensing and/or regulatory authority, were; fictitious,
incomplete, suspended or cancelled prior to participating in the NDAEB examination or at any
time after the NDAEB has issued a NDAEB certificate.

Examination Process
8. The NDAEB will be guided by fairness and openness in the design and administration of its
examinations.

9. Candidates for an NDAEB examination must not compromise, in any manner whatsoever, the

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National Dental Assisting Examining Board

integrity of an examination by engaging in, or assisting another person to engage in dishonest or


behavior inconsistent with that of a reasonable person.

10. If it has been determined that a candidate, prior to or during an examination, has compromised
the integrity of an examination in any manner whatsoever, then the candidate may be dismissed
from the examination.

11. If a candidate is found to have committed an examination misconduct during the taking of
examination, then they may be dismissed from the examination and may not be eligible for a
subsequent examination without the consent and permission of the NDAEB.

12. Without restricting the generality of sections 12 and 13, a candidate shall be deemed to have
compromised the integrity of the Examination Process if, at any time, an attempt is made directly
or indirectly to contact for any reason Board Members, Examiners, Invigilators or Evaluators
outside of the confines of an Examination. Any communication by a candidate and the NDAEB, or
a person on behalf of a candidate must be made to or directed to the Registrar or their
designated staff member.

13. If a candidate is found to have committed an examination misconduct after the granting of a
NDAEB certificate, then any such certificate may be revoked.

NDAEB Certificate
14. Persons possessing an NDAEB certificate must, at all times, respect and maintain the integrity of
the Certificate.

15. NDAEB certificates must never be presented to the public or members of the profession in a
dishonest, fraudulent or deceitful manner. Any person found to have engaged in dishonest,
fraudulent or deceitful behaviour or misrepresented their status as an NDAEB certificate holder,
shall be subject to disciplinary action including, but not limited to, a prohibition on applying to take
the qualifying examination, alternatively revocation of a NDAEB certificate that has been issued.

General
16. Persons who have made an application or to whom an NDAEB certificate has been issued shall
respond promptly, truthfully and fully to any request for information by, and cooperate with, the
NDAEB in connection with any matter involving an application, examination or certificate issued
to that person or to another person.

17. In fulfilling its responsibilities to provide services to applicants, candidates, stakeholders and the
public, the NDAEB may communicate with Canadian provincial or territorial dental assisting
regulatory authorities, dental assisting education programs, the Canadian Dental Assistants
Association, the Canadian Dental Association, the Commission on Dental Accreditation of
Canada, provincial or territorial dental assisting associations, and the public. This communication
may include private disclosure and notice of a specific matter including but not limited to
disciplinary decisions or public disclosure and notice of a specific or general matter and any
possible disciplinary action.

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National Dental Assisting Examining Board

APPENDIX E: References

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:
978-1-49511-9311-4

Dental Assisting, A Comprehensive Approach, 5th Edition Delmar (2018), ISBN 978-1-305-96763-2

Modern Dental Assisting, 12th Edition, Torres and Ehrlich (2018), ISBN 978-0-323-43030-2

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