2017 CPE Candidate Handbook - NDAEB · Candidate Handbook for the Clinical Practice Evaluation ... partial CPE unless applying for re-evaluation of individual skills or if proof of

Candidate Handbookfor the

Clinical Practice Evaluation

Revised January 2017

© 2010 – 2017 National Dental Assisting Examining BoardConfidential NDAEB only • Do not copy or distribute

© 2001 – 2017 National Dental Assisting Examining Board

1N a t i o n a l D e n t a l A s s i s t i n g E x a m i n i n g B o a r d

Introduction

The National Dental Assisting Examining Board has developed and maintains the Clinical Practice

Evaluation (CPE) to aid Canadian Dental Assisting Regulatory Authorities (CDARA) 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 Clinical Practice Evaluation 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

which are not accredited by the Commission on Dental Accreditation of Canada will not meet the

regulatory requirements for most Canadian provinces. The CDARA 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 CDARA 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 CDARA 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 CDARA in the

province in which they intend to seek employment. For CDARA contact information, see the Registration

and Licensure area on the NDAEB website.


2 CANDIDATE HANDBOOK fo r the CL INICAL PRACTICE EVALUATION Rev ised January 2017

Table of Contents

APPLICATION PROCESS ..............................................................................................................3

ELIGIBILITY ...................................................................................................................................3

Canadian Graduates .........................................................................................................3

InternationalApplicants (Including US graduates)...........................................................3

HOW TO APPLY..............................................................................................................................4

SPECIAL ACCOMMODATIONS....................................................................................................4

EVALUATION DATE AND CONFIRMATION..............................................................................4

FREQUENTLY ASKED QUESTIONS............................................................................................6

INTERACTION BETWEEN CANDIDATES AND EVALUATORS .............................................7

HOST CLINIC SAFETY, SECURITY AND ADMINISTRATIVE REQUIREMENTS.................7

WHAT SKILLS ARE EVALUATED ON THE CPE?......................................................................8

EVALUATOR TRAINING AND CALIBRATION..........................................................................9

REQUIRED OUTCOMES/RESULTS .............................................................................................9

INFECTION CONTROL..................................................................................................................9

USING A FULCRUM.....................................................................................................................10

AT THE COMMENCEMENT OF EACH PROCEDURE.............................................................12

AT THE COMPLETION OF EACH PROCEDURE......................................................................12

WHEN WILL I RECEIVE THE RESULTS OF THE CPE? ..........................................................12

REPORTING CPE RESULTS TO REGULATORY AUTHORITIES ...........................................13

RE-EVALUATION IF UNSUCCESSFUL.....................................................................................13

APPEALS .......................................................................................................................................13

SUBSEQUENT CPE REQUIREMENT AFTER INITIAL SUCCESSFUL COMPLETION .......14

PROVINCIAL LICENSURE/LISTING/CERTIFICATION/REGISTRATION ............................14

COPYRIGHT & DISCLAIMER ....................................................................................................14

APPENDIX A: EVALUATION CRITERIA...................................................................................15

APPENDIX B: CLINIC UNIFORMS, SAFETY GLASSES AND MASKS ................................29

APPENDIX C: DENTAL MATERIALS PROVIDED...................................................................30

APPENDIX D: REFERENCES......................................................................................................30

N a t i o n a l D e n t a l A s s i s t i n g E x a m i n i n g B o a r d


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Application Process

Eligibility

Canadian Graduates

To be eligible for the CPE, applicants must:

• Have achieved a passing mark on the NDAEB Written Exam; or

• Hold the NDAEB Certificate by Transfer of Credentials (*TOC).

Note: * The Transfer of Credentials (TOC) is no longer available. Effective January 1, 2003, all qualified

candidates wishing to attain the certificate must write the NDAEB examination.

1. Applicants may apply for the CPE before they receive their written exam results in order to meet CPE

deadlines. Applicants who are unsuccessful on the written exam will have their application withdrawn

by the NDAEB and their fees reimbursed (except for the non- refundable application fee).

2. Contact the CDARA 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:

1. International applicants may apply for the CPE before they receive their written exam results in order

to meet CPE deadlines. Applicants who are unsuccessful on the written exam will have their

applications withdrawn by the NDAEB and their fees reimbursed (except for the non- refundable

application fee).

2. International candidates may choose to voluntarily attend academic upgrading at a Canadian dental

assisting program. 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. NOTE: The CDARA may require graduates of

nonaccredited Canadian programs to successfully complete the CPE prior to

licensure/registration/certification. Contact the CDARA to confirm provincial regulatory

requirements before enrolling in education programs in lieu of CPE.

3. Contact the CDARA to confirm the requirement for the NDAEB Certificate.

CANDIDATE HANDBOOK fo r the CL INICAL PRACTICE EVALUATION Rev ised January 2017


4

How to Apply

• Submit a CPE application form, with passport size photo and full payment which 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. Candidates are encouraged to submit

applications up to six weeks in advance of the application deadline date.

Note: Candidates must apply for all skills required to complete the CPE. Candidates may not apply for

partial CPE unless applying for re-evaluation of individual skills or if proof of partial education in lieu of

CPE is submitted with the 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 their clinical evaluation. If education is not completed prior to a candidate’s registered CPE, they will

not be eligible and will automatically be withdrawn.

Special Accommodations

• Requests for special accommodations (form available on our website under Document Library) must

be received in writing at the NDAEB office no later than 4:30 p.m. Eastern Time on the application

deadline date. Written verification of the circumstances requiring special accommodation, eg. special

needs, medical conditions or religious reasons, must be supported by reports, or other documentary

evidence, 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 dependant 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.

Note: Prayer Times will be observed. Candidates must submit the form “Request for Special Testing

Accommodations” stating 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. Contact the

NDAEB office for details regarding dates, times and locations, or visit the NDAEB website

www.ndaeb.ca. Candidates 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.

Note: Due to scheduling purposes, candidates will not be permitted to change their selected evaluation site after

the application deadline date.

• Candidates must be aware that due to clinic availability and the number of candidates applying,

evaluations are usually scheduled on weekends, including Saturday and Sunday. Session dates may

also include the preceding Friday or Monday following the scheduled weekend. Please note: candidates

are scheduled for one day only. Candidates must also be aware that due to reasons beyond the

NDAEB’s control, 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. Contact the NDAEB or visit the website www.ndaeb.ca for details.



5

Fees

• The NDAEB charges a fee of $1200.00 (CAD) for the full evaluation, which includes a

non-refundable $100.00 (CAD) application fee ($1,100.00 + $100.00) and $200.00 (CAD) per skill

plus a $50.00 (CAD) application fee for retakes or initial evaluation of 5 or fewer skills. Candidates

registering for 6 or more skills are required to pay the full fee of $1200.00 (CAD).

• 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

the candidate.

Application Withdrawal

• Candidates may withdraw their CPE application subject to a withdrawal fee. Should you decide

to withdraw, please advise the NDAEB office in writing by fax immediately.

(Fax No: 1- 613- 526- 5560). Written notification of withdrawal must be signed by the applicant, or a

designated representative, and must be received by the NDAEB office prior to the CPE date.

• Candidates, registered for the CPE who fail to present without providing twenty-four (24) hours prior

written notice to the NDAEB, are assessed the full fees for evaluation. 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

submits a letter from a physician or other professional, confirming the reason for failing to attend the

CPE. Candidates must submit their documentation to the NDAEB office no later than 30 days

following the CPE date in order to receive reimbursement for medical or serious personal reasons.

• 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 personal circumstances prior to reimbursing fees.

Withdrawal Fees

• Withdrawal 45 days or more of CPE date = 10% of fee

• Withdrawal 15-44 days of CPE date = 25% of fee



• Withdrawal less than 24 hours of date or No Show = 100% of fee

Note:

• The application fee of $100.00 (CAD) (full CPE) and $50.00 (CAD) (retakes or initial evaluation of

5 or fewer skills) are non-refundable and applies to all withdrawals, including applications withdrawn

for medical reasons or serious personal circumstances.



6

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

1-613-526-3424 or by email: [email protected]

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

Evaluation Session – General Information

Q: Where do I report on evaluation day?

A: You will be emailed notification to retrieve your admission letter from the NDAEB candidate portal

approximately 2 to 3 weeks prior to your evaluation date. The admission letter will include the date, time and

location of your Clinical Practice Evaluation. If you have not received notification for your admission

letter within 2 weeks of your evaluation session, contact the NDAEB office at 1-613-526-3424. Be

prepared to provide a valid email address or fax number with area code and your admission letter will

be emailed or faxed to you.

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

A: You will require: government issued photo ID such as driver’s license, passport or health card and you

must present your Admission Letter in printed format or on your smart phone screen. Bring a clinical

uniform, including clinic shoes and mandatory safety glasses (clear glass only) or prescription glasses. A

change area will be available. Patient treatment gloves and masks will be provided; however, candidates may

bring their own gloves (LATEX FREE ONLY) to ensure a better fit. Candidates choosing to bring their

own gloves are advised to bring a full box as several changes will be required throughout the evaluation. An

area to store your belongings will be provided. NDAEB is not responsible for any lost or stolen items. Do

not bring valuables to the CPE session. Bottled water or other drinks and a snack are recommended.

Q: Is there an orientation session?

A: Yes. One (1) hour is allotted to familiarize all candidates reporting for testing of four (4) or more skills.

Thirty (30) minutes will be allotted for those candidates reporting for testing on three (3) or fewer skills. The

allotted time will allow candidates to familiarize themselves with the clinic facility, equipment, and supplies.

Candidates must be very familiar with the information in this handbook before arriving at the CPE session.

The orientation will NOT be a tutorial or instructional session. Candidates will be familiarized with the

manikin and equipment but will not be given instruction on how to perform the skill. Candidates arriving

after the orientation session begins will not be given extra time to become familiar with the clinic,

equipment and supplies.



7

Therefore, candidates should plan to arrive at the time specified in the admission letter. 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. During the orientation session, the candidate

orientation video will be shown. Candidates are advised to view the video on the NDAEB website

www.ndaeb.ca before reporting for the CPE session.

Q: Are visitors allowed?

A: No. Visitors are not permitted under any circumstances. Child care is not available and arrangements

must be made by the candidate for childcare.

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. Please note: the CPE is not a tutorial session. Questions related directly to the

performance of the skills being evaluated will not be entertained.

Q: How long does the evaluation take?

A: On average, candidates attending the full CPE (9 skills) will be expected to be at the testing facility for

approximately 5-6 ½ hours, including the one hour orientation.

Interaction Between Candidates and Evaluators

• Candidates will refrain from discussions of a personal nature with evaluators or others associated with

the CPE. This includes sharing information regarding your educational background, such as school of

graduation, or other personal information. Evaluators will not permit the exchange of information not

directly related to the Clinical Practice Evaluation.

• Candidates will be expected to act professionally at all times. Outbursts or offensive language will not

be tolerated. Session Facilitators will dismiss candidates for this type of behavior.

Host Clinic Safety, Security and Administrative Requirements

• 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 rules.

• The Clinic Coordinator or Session Facilitator will familiarize candidates with the clinic and

equipment. She/he will confirm if a candidate requires a left handed operatory or has a latex allergy.

Candidates will be given the opportunity to operate equipment such as lights, chairs, units,

handpieces, oral evacuation and radiography exposure buttons. Candidates will not be permitted to

assemble or manipulate equipment and supplies or practice skills on the manikin during the

orientation session.

• Safety glasses (clear glass only) or prescription glasses, masks and gloves are required and must be

worn correctly during the performance of all procedures on the manikin. Candidates who refuse to

wear safety glasses or prescription glasses will not be permitted to begin the evaluation session.



8

What Skills are Evaluated on the CPE?

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

1. Exposes dental radiographs

2. Obtains preliminary impressions for study casts

3. Applies and removes dental dam

4. Selective coronal polishing (Rubber Cup)

5. Applies treatment liner (No Pulpal Involvement)

6. Applies and removes matrix and wedge

7. Applies anti-cariogenic agent (Tray Method)

8. Applies pit and fissure sealant (Cotton Roll Isolation)

9. Applies topical anesthetic

(See Appendix A of this handbook for evaluation criteria)

Manikins as Patients

Exposes Dental Radiographs

• Radiographic films will be exposed on a manikin (Dexter) using radiographic equipment. Only

information specific to opening and closing the dexter, activating the exposure button and processing

films will be provided. Candidates will NOT be given instruction on how to prepare the manikin and

equipment for film exposure or film processing.

• Three (3) size 2 films and one (1) size 1 film will be provided. Film size can be changed upon request

to a maximum of six (6) films.

• Exposed radiographic films will be processed using either a daylight loader attached to the processor

or in a darkroom using a processor that does not have a daylight loader attached.

• Candidates MUST be capable of processing radiographic films using the daylight loader and

darkroom facilities without assistance or instruction.

Obtains Preliminary Impressions for Study Casts

• The impression trays provided have been fitted for your manikin.

Applies and Removes Dental Dam

• The clamp provided has been fitted for your manikin.

Selective Coronal Polishing (Rubber Cup)

• Lead pencil will be used to create the stain on the manikin’s teeth. This stain will match your

prescription.



9

Applies Anti-Cariogenic Agent (Tray Method)

• On the manikin, fluoride adheres to plastic teeth and is difficult to remove with suction. You must

demonstrate your knowledge of removing excess fluoride after the trays are removed from the mouth,

but there is not an expectation you will be able to remove all of the excess from the plastic teeth.

Applies Pit and Fissure Sealant (Cotton Roll Isolation)

• Although the manikin does not salivate, you must demonstrate your knowledge of adequate isolation

and re-isolation without saliva contamination.

Applies Topical Anesthetic

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

Evaluator Training and Calibration

• Evaluators have been trained to apply evaluation criteria in a standardized manner through a process

known as “calibration”.

• Each candidate is assigned a primary evaluator who will assess all skills for the candidate during the

session. In addition, a Session Facilitator will confirm all evaluation outcomes. This process ensures a

standardized evaluation for all candidates.

Required Outcomes/Results

• Candidates are reminded that the CPE is intended to measure your ability to perform each of the

skills as the operator. Candidates will be provided with a copy of their evaluations forms.

• Evaluation forms used to record the candidate’s performance are located in Appendix A. Evaluation

forms are divided into two sections – “Procedure” and “Professional Practice”. In both sections, the

critical criteria for each skill is indicated by a bold “dot” between the A and U columns (A . U).

To be successful, the candidate must be awarded an “A” (acceptable) in each and every critical

criterion. For example: In the skill “Applies and Removes Dental Dam”; if a final “U” grade is

awarded for “Bow and wings are completely exposed on 17” this will result in failure of the skill

“Applies and Removes Dental Dam”.

• All skills allow for a minimum of one re-attempt within the allotted time to correct errors that are not

related to patient safety. If the candidate chooses to reattempt the skill, the candidate will be

evaluated on their best product. 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 the second attempt the error is corrected, an “A”

grade is awarded for “Bow and wings are completely exposed on 17”, the “A” grade will stand as

this technical error is not related to patient safety.



10

• 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.

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.

Infection Prevention

All procedures will be performed on a manikin. For the purposes of evaluation:

• 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.

• The candidate will be directed by their Evaluator to put on gloves and mask prior to the start of

each skill. This will not be included in the allotted time for the skill.

• If a 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. For example, if a film or dental

dam clamp is dropped on the floor, the candidate must request an additional film or dental dam clamp

from the evaluator. In another example, if the candidate rips their glove during the prescribed

procedure at any time while the timer is running, the candidate must request an opportunity to re-

glove.

• Breaks in the chain of asepsis (infection prevention) during the prescribed procedure at any time,

while the timer is running, on any attempt that are not corrected by the candidate will result in

the awarding of a “U” grade under the critical criteria “Maintains aseptic technique without

breaks (including gloves and masks)” 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.

• Aseptic technique will not be required when processing radiographic films.

• Safety glasses (clear glass only) or prescription glasses must be worn at all times in the clinic and

radiography rooms and when processing radiographic films.

• Gloves must be worn at all times during the prescribed treatment and radiography rooms but will

not be required when processing radiographic films.

• Masks must be fully covering the nose and mouth at all times during the prescribed treatment and

in radiography rooms but will not be required when processing radiographic films. The mask can be

used for more than one skill and can be changed as necessary determined by the candidate.

• The candidate will be directed to remove their gloves and mask when leaving the operatory.



11

Using a Fulcrum

• A fulcrum provides assurance that instruments will not slip and traumatize the tissue in the mouth.

• Whenever possible, the fulcrum should be positioned on the same arch on which you are working,

preferably in the same quadrant.

• An intra oral “built-up” fulcrum will be acceptable.

• A secure intra or extra oral fulcrum will be required when using all working instruments

(explorer, handpiece, burnisher, spoon excavator). Extra oral fulcrum includes a finger or hand rest on

the manikin cheeks, chin and/or lips.

• 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

are met.

Performing the Skill Safely and with Care

• 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.



12

At the Commencement of Each Skill

• 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.

• If the candidate is ready to proceed before the five minutes have expired, she/he may advise the

evaluator and the skill will commence.

• Candidates will not be required to wash their hands prior to donning gloves.

• Candidates will be directed to place mask and gloves. Once the candidate advises their Evaluator they

are ready to begin the skill, the timer will be started. This will allow the candidates time to put on

their gloves on and mask prior to the timer starting, ensuring all of the stated time allowed is for the

completion of the skill itself.

• Candidates will be able to refer to the treatment prescription at anytime 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.

At the Completion of Each Skill

• The candidate must advise the evaluator when she/he is ready to have their work evaluated.

• The candidate will be asked to leave the operatory/station to allow the evaluators to evaluate the

product. Candidate will be directed to remove their gloves and mask when leaving the operatory.

• If the candidate wishes to re-attempt/re-apply, the candidate MUST inform the evaluator BEFORE

they leave the operatory. 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 re-attempt/re-apply.

• Candidates who have completed a skill, advised the evaluator they are ready to have their work

evaluated and have left the operatory, will not be permitted to return to make adjustments to their

work, even if time remains to complete the skill.

When Will I Receive the Results of the CPE?

• 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. Paper copies of results will no longer be mailed to

candidates.



13

Reporting CPE Results 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. Other CDARA may request CPE results on individual candidates who did not

take the evaluation in their province. The NDAEB will release pass or fail CPE results to the CDARA

in any provincial jurisdiction upon request by the CDARA. 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.

Evaluation if Unsuccessful

• Candidates who are unsuccessful may apply for re-evaluation. Please see information regarding

application and fees elsewhere in this handbook.

• Candidates will be given credit for successful completion of skills on previous sessions and will be

re-evaluated only on the skills not successfully completed on previous attempt(s).

• Candidates must be successful on all skills within 13 (thirteen) months of the initial evaluation

session. Candidates failing to successfully complete the entire CPE within 13 (thirteen) months of the

initial attempt will be required to retake the entire evaluation (all skills) or complete educational

upgrading in lieu in order to attain the NDAEB certificate or letter indicating successful completion of

the CPE.

• A candidate 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

• Unsuccessful candidates have the right to appeal. Appeals must be submitted in writing to arrive at

the NDAEB office no later than 4:30 p.m. (Eastern Time), 30 days following the date appearing on

the results letter. A $150.00 (CAD) appeal fee must accompany the letter of appeal. The NDAEB

accepts bank draft or money order payments only.

• In the event the appeal is granted, the unsuccessful attempt will be expunged from the candidate’s file.

The $150.00 (CAD) appeal fee will be reimbursed and the candidate will be afforded another re-

evaluation at no cost to the candidate at the next available CPE session. Candidates must demonstrate

competence by successfully performing all skills on the CPE.

• Candidates are advised that NDAEB policy does not permit the issuing of the NDAEB certificate,

and/or letter confirming successful completion of the Clinical Practice Evaluation (CPE) if the appeal

is granted.

• If the appeal is denied, the original result will stand. All decisions by the Appeals Committee are final

and will not be revisited.



14

Subsequent CPE Requirement after Initial Successful Completion

• A Canadian Dental Assisting Regulatory Authority (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.

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

provincial Canadian Dental Assisting Regulatory Authority (CDARA) for regulatory information.

(See the NDAEB website www.ndaeb.ca – Registration & Licensure).

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 B

Clinic Uniforms, Safety Glasses or Prescription Glasses, Gloves and Masks

Clinic Attire: (Candidates must provide their own)

• Clinic uniforms with no personal, college or dental clinic identifiers. Clinic shoes (closed toe and

heel) and hosiery 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 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 clinic,

including the radiography rooms and processing area.

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.

• Treatment gloves will not be required when processing radiographic films.

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 radiographs. Masks can be re-worn and

changed when necessary as determined by the candidate.

• Masks will not be required when processing radiographic films.

Personal Instruments and Supplies – Not Permitted

• NDAEB will provide all instruments, equipment and consumable supplies.

• Candidates must bring their own clinic uniforms and safety glasses (clear glass only) or prescription

glasses and may bring their own gloves (latex free only).

• Personal dental instruments, equipment and supplies will not permitted.



30

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. Prophy paste (without fluoride)

4. Light cured cavity liner, various brands with manufacturer’s instructions

5. One minute fluoride gel with manufacturer’s instructions

6. Light cured pit and fissure sealant material with etchant, various brands, with

manufacturer’s instructions

7. Pre-dispensed topical anesthetic gel with manufacturer’s instructions

Appendix D

References

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).

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: 978-1-4963-6215-5

2. Dental Assisting, A Comprehensive Approach, 4th Edition Delmar (2013), ISBN 978-1-1115-4298-6

3. Modern Dental Assisting, 11th Edition, Torres and Ehrlich (2015), ISBN 978-1-4557-7451-7

Documents

2017 CPE Candidate Handbook - NDAEB · Candidate Handbook for the Clinical Practice Evaluation ... partial CPE unless applying for re-evaluation of individual skills or if proof of