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How to Become a Dentist in Canada

On February 25, 2021, the National Dental Examining Board of Canada (NDEB) announced significant changes to the Canadian dental equivalency process. This article has been updated to reflect those changes.

Becoming an accredited dentist in Canada is no easy feat. The road to practicing dentistry is an intricate, ever-evolving, yet rewarding process that requires highly specialized training and professional development. 

For internationally trained dentists seeking to practice dentistry in Canada, the rewards for getting through the examination process and obtaining your license are tremendous as Canada now ranks in the top five countries in the world to practice dentistry in terms of salary and quality of professional life. First-year associates in Canada start with salaries around $150,000 CAD, and the earning potential for senior associates and clinic owners is vast. 

Currently, there are three routes available that lead to becoming a dentist in Canada. One option is to attend a Canadian university as an undergraduate. If you are an internationally-trained dentist, you can navigate the NDEB process or take the university route by applying to a bridging program.

Let’s explore each route in further detail.

 

Pursuing a Dental Degree:

Admission and application requirements for dental school vary from one institution to another. It is important to contact the respective dental school admissions office to determine the specific admission requirements needed. As part of the admissions process, most Canadian dental schools require applicants to provide Dental Aptitude Test (DAT) scores administered by the Canadian Dental Association (CDA).

Luckily, Canada is home to a variety of prestigious dental schools across the country that prospective students can choose from. These include:

University of Alberta (School of Dentistry)

University of British Columbia (Faculty of Dentistry)

University of Manitoba (Faculty of Dentistry)

Dalhousie University (Faculty of Dentistry)

University of Toronto (Faculty of Dentistry)

The University of Western Ontario (School of Dentistry)

McGill University (Faculty of Dentistry)

Université de Montréal (Faculté de médecine dentaire)

Université Laval (Faculté de médecine dentaire)

University of Saskatchewan (College of Dentistry)

On average, the cost of obtaining a four-year undergraduate dental degree can vary from $50,000 to $200,000 CAD for domestic students and up to $360,000 CAD for international students. Tuition fees typically include both academic, non-academic, and dental instrument fees. However, tuition fees vary for universities, so it is best to do your research before filling out an application.

It’s important to note that registration for the DAT is not an application to dental schools but a step towards getting your foot in the door. Don’t be afraid to schedule a call with an advisor and find out what they’re looking for in successful candidates, such as extracurriculars.

 

The National Dental Examining Board of Canada (NDEB):

To begin the process with the National Dental Examining Board of Canada (NDEB), you must apply to be accepted into the Canadian Dentistry Equivalency Process. As long as you have a recognized degree, you should be accepted. Due to COVID-19, response times may vary on acceptances as there may be delays to the application process.

Once accepted, the first exam you will need to complete is the AFK (Assessment of Fundamental Knowledge). After you pass this exam, you have two options: you may continue the equivalency process and then take Assessment of Clinical Judgment (ACJ) followed by Assessment of Clinical Skills (ACS), or you may apply to a Canadian university and fulfill a two-year bridging program (more on this option below). 

Currently, candidates are allowed three attempts each to pass the AFK and ACJ examinations. Beginning in 2022, however, examinees may attempt the ACS an unlimited number of times within a five-year period. 

If you are successful in the equivalency process, you will then need to take the board exams (OSCE & Written) to get your licence to start practicing in Canada. These exams are a requirement to practice dentistry in Canada for all accredited candidates and Canadian university dental graduates. 

The NDEB equivalency process costs approximately $50,000 CAD, including course and exam fees. This amount may increase depending on how many attempts you need to pass. Here is a typical breakdown of the costs to expect when navigating the Canadian NDEB equivalency process:

The NDEB fee breakdown from Prep Doctors

*All prices are in Canadian dollars and reflect the fees as of April 2021. For the latest updates on NDEB exam fees, please visit the NDEB’s website.

In addition to exam fees, you will need to purchase materials (i.e. kits and reusable teeth) to practice dental procedures and techniques. It is also your responsibility to be fully equipped with all the required materials for the actual exam. 

At Prep Doctors, we provide specialized dental equivalency courses to help students prepare for each exam administered by the NDEB. Our classes consist of various materials and components, such as comprehensive mock exams, detailed textbooks, and extensive lectures. Find out more about our courses, including registration dates, below:

AFK Training Course

ACJ Training Course

ACS Training Course

OSCE & Written Training Course

 

Bridging Programs:

As we mentioned above, following the completion of the NDEB’s AFK exam, you have the option to enroll in a specialized bridging program offered by Canadian universities. These programs are designed to bridge the gap between international and Canadian dental training.

Bridging programs are held over five to six months, and after successful completion of the program, students can enroll directly into the third year of a four-year Doctor of Dental Surgery Program (DDS). Overall, a DDS degree program can take 2 to 2.5 years to complete.

If you’re looking to take a bridging course, there are some general qualifications that most Canadian universities require:

  • You must have completed a minimum four-year University dental program not recognized by the Commission on Dental Accreditation of Canada (CDAC).
  • You must have a relatively strong GPA (each university has its own GPA standard).
  • Be a Canadian citizen or have permanent residency status in Canada.
  • Provide proof of your English abilities. Students whose first language is not English may be required to write the Test of English as a Foreign Language (TOEFL), and the Test of Written English (TWE), or equivalent.
  • Complete the NDEB’s AFK exam with a high score (preferably 90% or more will greatly improve your chances of acceptance).

If you meet all the requirements for your chosen institution’s program, you will be contacted for an interview or to participate in a bench test.

It is important to note that not every university offers a bridging program. It is best to contact the institution of your choice to confirm its specified entry requirements.

The bridging program process can cost up to $90,000 CAD, but this price may vary depending on tuition fees as well as each institution’s non-refundable application fee. 

At Prep Doctors, we also provide courses that help prepare trainees for Canadian universities’ admission bench tests and interviews. Our courses offer trainees case-based training and practical scenarios designed to guide them through the interview processes at institutions including the University of Toronto and Western University, to name a few.

 

Remember:

Regardless of whichever route you choose, becoming a dentist in Canada is a huge commitment, both financially and in the amount of time needed (find out about financing options here). Always feel free to reach out to the school or institution of your choice to learn more information and weigh your options. 

To help give you the best information to make an informed decision, Prep Doctors offers scheduled tours of our campus and facilities, as well as demo classes and financial counselling. Our team is always available to answer any questions about the dental equivalency journey. So, please reach out to us through our Facebook page or email us at info@prepdoctors.ca. We are more than happy to help!

The NDEB Process vs. Bridging Programs: What’s the Difference?

As an internationally-trained dentist, there are two routes available when looking to become a licensed dentist in Canada. You have the option to apply to the National Dental Examining Board of Canada (NDEB) equivalency process or opt to enroll in an academic bridging program that’s offered at Canadian universities. 

Although each option has its benefits and challenges, it is important to understand what each option offers. So, what is the difference between the NDEB process and bridging programs?

 

Option 1: The NDEB Process:  

The most popular method for internationally-trained dentists is taking the National Dental Examining Board of Canada (NDEB) exams. The NDEB is a governing body that creates and administers assessments that identify the skills and knowledge needed to succeed in Canada’s dental job field. When opting to take this route you will have to appear for and clear 3 exams:

Assessment of Fundamental Knowledge (AFK)

Assessment of Clinical Judgement (ACJ)

Assessment of Clinical Studies (ACS) 

Once you have cleared these exams, the next step is to go through the NDEB’s certification process where you will need to clear two final exams:

OSCE 

Written

Before taking the exams, you will have to apply for the NDEB Equivalency Process by creating an online profile through the NDEB’s Online Portal.

Once you have created your profile, you will need to submit the following documents to be approved by the NDEB:

– Government-Issued Photo Identification

– Proof of Name Change/Difference in name if applicable

– Translation of Proof of name change/difference in name, if applicable

– Final Dental Diploma/Degree

– Translation of Academic Records, if applicable

– Internship Completion Certificate, if applicable

 

You will need to arrange to have a Confirmation of Degree completion form and your academic records sent to the NDEB by your university.

For those who are looking for a quicker route in obtaining dental equivalency, the NDEB process is the ideal option.

The shortest time in which this process can be completed is 1.5 years, provided you clear the exams on the first try. The NDEB allows you 3 attempts each exam to get a passing score. It is important to note that you must score at least 75% on each exam in order to advance to the next exam. 

Although you can prepare for the exams on your own, Prep Doctors helps with preparing trainees for the exams. Prep Doctors can help with that as well as provide you with the confidence and knowledge that will help you adapt to the landscape of Canadian dentistry. 

For more information on our NDEB equivalency courses, click here

 

Option 2: Academic Bridging Program

In Canada, there are specialized bridging programs offered by universities that focus on bridging the gap between international training and Canadian training. After successful completion of this program, students are able to transition into the third year of a four-year Doctor of Dental Surgery Program (DDS). These programs can be anywhere from 2-3 years in duration. 

So how does one get into a bridging program? Well, similar to the NDEB route, you will need to complete the NDEB’s AFK exam. However, there are some distinct differences in the qualifications that are required of a trainee.

Trainees looking to take the bridging program route must have the following:

 

– Canadian citizen or permanent resident

– Graduated from a four-year university program (not recognized in Canada) 

– Relatively strong GPA (Every university has its own grading scale)

– Must have cleared an English proficiency test

– Appeared for the Assessment of Fundamental Knowledge (AFK) exam (85% or higher)

 

Bridging programs are offered by Canadian universities by various names but generally have the same qualifications and program aspects. These programs include:  

– University of British Columbia – International Dental Degree Completion Program

– University of Toronto – International Dentist Advanced Placement Program (IDAPP)

– University of Manitoba – International Dentist Degree Program

– University of Western Ontario – Internationally Trained Dentists (ITD) Program

 

Canadian universities are incredibly competitive when it comes to this route due to the limited amount of dental programs in Canada, especially compared to other job fields. So when applying for a bridging program, besides having a relatively high score on the AFK exam, you must also write an essay and have a resume of extracurriculars that show you’re a well-rounded candidate. 

A common question is, “what kind of extracurriculars do universities typically look for?”. Well, extracurriculars can include a wide range of activities including volunteering, sports and community service. It is also extremely beneficial to have some dental shadowing and clinical hours under your belt as well. 

If your application meets these requirements, the university will invite you to an interview or conduct a bench test. 

At Prep Doctors, we have courses that help to prepare for various universities’ interview processes. Check out our courses below:

University of Toronto | Admissions Course

Universities Admissions Course | Western, Manitoba, Alberta

 

Pricing

When researching your options, it is no doubt that pricing plays a big part in helping to determine what your final decision will ultimately be. Taking the NDEB route can cost upwards of CAD 50,000 depending on how many attempts as well as exam fees. Tuition fees for bridging programs can vary, depending on the university. It is important to note that there is a non-refundable application fee when applying for any bridging program. For a full breakdown of prices, check out our blog: How to Become a Dentist in Canada.

 

So, which one should you choose?

Figuring out which route is best for you depends on what will work best for your situation. If you’re looking to complete your equivalency in a shorter amount of time or the cheapest overall route, the NDEB route is your best option. However, if you do achieve a high score on the AFK exam, although the more expensive route, applying for the university route is an option to consider. 

If you ever have any questions or you’re just looking for a bit of clarification, Prep Doctors is always here to help. Whether on our Facebook page, through email at feedback@prepdoctors.ca or by phone (+1 855-397-7737), we’re more than happy to help craft the best path for you!

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