Introduction
Becoming a licensed dentist in Canada is a rewarding journey—but for those who completed dental education abroad, it involves several defined steps, regulatory requirements, and preparation. This guide walks you through the process for internationally educated dentists, laying out the official pathways, credential verification, exams, and tips to start practising in Canada with confidence.
Understanding Accreditation & Eligibility
If your dental degree is from a dental program accredited by recognized bodies (for example, Canadian programs, or certain programs in the U.S., Australia, New Zealand, Ireland), then you are considered an “accredited-program graduate.” In such cases, you may be able to apply directly to the National Dental Examining Board of Canada (NDEB) Certification Process.
If your degree is from a non-accredited dental program (i.e. the institution is not recognized as meeting the accrediting standards that the NDEB accepts), you must complete the NDEB Equivalency Process first.
2. Credential Verification
Before sitting for licensing exams, your credentials need to be verified:
- Create an online profile with NDEBConnect.
- Submit required documents such as your original dental degree, transcripts (official, sealed or via electronic verification through accepted partners), identity documents, and proof of good standing/licensure if you have practised before.
- For those whose degree was obtained more than 5 years ago, there may be additional requirements such as a “Special Consideration Application.”
3. The NDEB Equivalency Process (for Non-Accredited Graduates)
If your degree is from a non-accredited program, you must complete the Equivalency Process, which comprises three assessments:
- Assessment of Fundamental Knowledge (AFK) – tests theoretical dental knowledge.
- Assessment of Clinical Judgement (ACJ) – evaluates decision making and clinical judgement skills.
- National Dental Examination of Clinical Competence (NDECC) (sometimes known / in the past ACS / skills assessment) – the hands-on / practical skills portion.
Once you have passed all required Equivalency assessments, you are eligible to enter the NDEB Certification Process (or straight to the necessary exam if you already hold an accredited degree).
4. The NDEB Certification Process
Regardless of whether you came in via the Equivalency Process or with an accredited degree, to become NDEB-certified, the key step is the Integrated OSCE (Objective Structured Clinical Examination). As of recent changes:
- The written exam has been replaced by a Virtual OSCE®; this exam assesses clinical reasoning, professional judgement, and decision-making skills.
- You must also submit proof of graduation. This includes official transcript showing the date the degree was conferred. For degrees from outside Canada, transcripts must be sent directly (sealed or via official electronic systems, where accepted).
5. Licensing and Provincial Regulatory Authority
After you receive your NDEB certificate:
- You then apply to the provincial or territorial dental regulatory authority in the province where you intend to work. Each province has its own registration/licensure body and may have additional requirements (such as jurisprudence/ethics courses, professional liability insurance, proof of language proficiency, etc.).
- In Ontario, for example, internationally trained dentists must also complete a Jurisprudence and Ethics course; provide proof of NDEB certification; submit identity, transcripts; and obtain professional liability insurance before being licensed.
6. Time, Costs, and Preparation Tips
- The time to complete the full process (credential verification + equivalency, if needed + certification exams + provincial licensing) typically ranges from 6 to 18 months, depending on your background (accredited vs non-accredited), how quickly you prepare, how many exam attempts are needed, etc.
- The total cost (fees for credential verification, exam fees, and related paperwork) can vary widely. According to NDEB, the cost from credential verification through certification is approximately CAD 12,600 (this can increase if exams must be retaken).
7. Tips for Success
- Prepare thoroughly for each component: theory, clinical judgement, hands-on skills. Simulation or mock exams are very helpful.
- Keep track of deadlines, document requirements, and ensure all transcripts / identity documents are verified and submitted correctly. Small mistakes (e.g. document not sealed, missing signatures) can delay the process.
- Stay up to date with changes in the NDEB and provincial regulatory body’s guidelines. Policies, exam formats, eligible accredited programs lists, etc., can change.
- Seek mentorship, join study groups, or training centres (like simulation training) which help you practice clinical skills in a realistic environment.
Conclusion
For internationally educated dentists, the path to becoming licensed in Canada involves several well-defined steps: confirming accreditation status, verifying credentials, completing equivalency exams if required, obtaining NDEB certification, and finally securing provincial licensure. While the process can be rigorous, with focused preparation, correct documentation, and support, many dentists have successfully navigated this path and are practising in Canada.
If you’re ready to take the next step, DSTC Dental Simulation Training Centre is here to help: with expert-led exam prep, simulation-based training, and personalized guidance to streamline your licensing journey.