A: WREB is a regional testing agency, not a licensing board. Each state is different in its requirements for licensure. Some require Hygiene only, while others require Local Anesthesia and Restorative. Contact the state board or state designated licensing agency from which you are seeking licensure for their requirements.
A: WREB does not provide course or program information. Visit the ADA.org or ADHA.org websites for a list of accredited dental hygiene schools.
A: You may apply for any available WREB exam for which you are qualified by utilizing either the Online Application via the Schedule page of the WREB Website or by the Mail-In Application. Applying online does not guarantee a space in the exam. It is your responsibility to ensure that all specified application requirements are met. See Application Policies & Procedures on the WREB Website for more information.
A: No, you must pay the exam fees at the time of registration. Online applicants must use a credit card. WREB accepts Visa, Master Card or Discover only. You should verify that you have sufficient credit available to cover the entire exam fee. Multiple credit cards cannot be used. Applicants applying by mail must pay with a cashier’s check or money order only.
A: It is not necessary to wait for the certification prior to registering for an exam. You may register for an exam now and send proof of qualification later. However, your proof of qualification must be received no less than three weeks prior to the first scheduled day of the exam, or you will be cancelled from the exam and no refund will be given. See Application Policies & Procedures on the WREB Website for more information.
A: It could mean that: 1) the Student Hold is in effect for that exam; or 2) the exam has sold out in advance of the Application Deadline.
A: For each exam site, WREB holds in reserve a finite number of spaces for graduating students of the exam site school’s current year dental hygiene program. Those students have until 11:59pm Arizona Time of the specified date to register. If they fail to register by that time, those seats previously held in reserve will become available to the general public on a first-come, first-served basis. Availability, if any, will be reflected almost immediately on the WREB Website.
A: Special accommodations are available under certain circumstances. WREB will provide reasonable accommodations, auxiliary aids, or services, provided the requested accommodations would not fundamentally alter the measurement of the skills or knowledge the exam is intended to test. Requests must be received 45 days prior to the first day of the exam. For complete information refer to “Special Accommodations Information” section on the WREB website.
A: An Eligibility Number is required to schedule your Local Anesthesia Written Exam which is not available until after your Written Exam application has been processed by WREB Staff. Once received, it is strongly recommended that you call Prometric as soon as possible to schedule your Local Anesthesia Written Exam; however, it may take up to 24 hours for Prometric to receive the information. Be advised that you MUST successfully attempt (pass) the Written Exam within the testing timeframe specified in your Examination Authorization Letter or risk forfeiture of your Clinical exam attempt and registration fees. See the WREB Local Anesthesia Candidate Guide for more information.
A: Yes, so that we may attempt to schedule you both accordingly. All requests must be in writing (an e-mail will suffice) prior to the exam’s Application Deadline in order to be considered. Please understand that while we make every effort to accommodate Candidate scheduling requests, we cannot guarantee accommodation due to a number of extenuating factors (e.g. volume of accommodation requests, number of days per exam type, operatory availability, etc.). See Application Policies & Procedures on the WREB Website for more information.
A: No, schedules are arranged in the best interest of all Candidates taking into consideration the number of exam participants, space availability, and number of days per exam type. Schedules are made to give Candidates the optimum open block time and to maintain flow in the grading area and CANNOT be changed.
A: Yes, candidates are required to present valid, non-expired government-issued photo identification (ID) prior to admittance into any Prometric Test Center. For Prometric Test Center identification requirements, please visit www.prometric.com or call 800-490-6550.
A: Yes, candidates are required to present two (2) valid, non-expired photo identification (ID) prior to admittance into any WREB exam. See the WREB Exam Security and Identification Verification section of the WREB Candidate Guide for more information.
A: WREB performs a thorough check and confirmation of exam results prior to release. Preliminary results for Local Anesthesia, Hygiene and Restorative Clinical exams are given onsite. However, official results are provided after processing in the WREB Office. Candidates will be notified via e-mail when official results are posted. Candidates may then view their official results on the WREB Website via secure login.
A: Individual state boards administer the jurisprudence exam. You should contact the appropriate state board for details.
A: Generally, official exam results will be available online within one (1) week of the last scheduled day of the examination. You will be able to print your WREB Success Memo from the WREB Website via your secure login. As of 2010, access to official results is available for up to a year from your Clinical test date.
Although WREB sends exam results reports to each of our Member State Boards, you will need to include a copy of your WREB examination results with your application for licensure. If a State Board requires additional information regarding your exam results, you may visit the Scoring Information and Reports page for descriptions of the various reports available.
A: No, an Eligibility Number is required to schedule your Local Anesthesia Written Exam which is not available until after your application has been processed by the WREB Staff. Once received, it is strongly recommended that you call Prometric as soon as possible to schedule your Local Anesthesia Written Exam; however, it may take up to 24 hours for Prometric to receive the information. Be advised that you must attempt the Local Anesthesia Written Exam within the testing timeframe specified in your Witten Examination Authorization Letter. See the WREB Local Anesthesia Candidate Guide for more information.
A: Prometric is responsible for the technical administration of the Local Anesthesia Written Exam. If you experience technical difficulties, contact the designated Prometric Administrator or Floor Technician right away.
A: Not necessarily. An attempt can result in success despite not having answered all of the questions. However, a score of 75 or higher is required for successful completion of the Local Anesthesia Written Exam.
A: Exam results are posted daily. Once posted, candidates will receive an e-mail containing instructions on how to retrieve their exam results. Please DO NOT contact the WREB office in regard to results posting. The Local Anesthesia Written Exam is graded independently of the Local Anesthesia Clinical Exam. However, successful completion of the Written Exam is required prior to attempting the Clinical Exam.
A: No, per WREB Policy, candidates must successfully complete (pass) the Local Anesthesia Written Exam before attempting the Local Anesthesia Clinical Exam. You might be able to re-test the Written exam depending upon the testing timeframe for the Clinical exam in which you are enrolled. Be advised that you MUST successfully attempt (pass) the Written Exam within the testing timeframe specified in your Examination Authorization Letter or risk forfeiture of your Clinical exam attempt and registration fees. See the WREB Local Anesthesia Candidate Guide for more information.
A: The Local Anesthesia Written Exam is graded independently of the Local Anesthesia Clinical Exam. However, successful completion of both exams is required in order to receive an overall passing score. Candidates who have multiple unsuccessful attempts of the Local Anesthesia exam should refer to the Remediation Policy & Forms section of the WREB Website for more information.
A: This is up to you and the patient. But as you are directed into the clinic prior to your assigned examination time in order to set up and prepare to perform the injections, it is helpful if the patient is told to be there at least an hour or more ahead of the scheduled time.
A: Blood pressure is to be taken within an hour of the assigned clinical examination time. It does not have to be taken in the clinic. It can be taken in the patient waiting area or reception area or wherever your hearing is not impaired. It greatly aids exam flow if you take the BP before entering the clinic, so that examiners are not kept waiting.
A: Examiners will check the patient for sores/puncture marks, for maxillary second molars and a premolar in each mandibular quadrant, and review the patient’s medical history. After the examiners have accepted the patient, you will be instructed to apply topical to both sites. (This is not an observed/graded procedure.)
A: Dropping a drop of anesthetic solution ahead of the needle as it is advanced is not part of PERFORMANCE EXPECTATIONS. If you have been taught this method to possibly increase patient comfort, you must use your own clinical judgment. In this instance, examiners do not tell you when to proceed or how many drops are enough. However, “Amount” is a graded criterion and if too much anesthetic is deposited prior to reaching the target site and aspirating, you will fail the exam. (See the Critical Aspects of Injection section of the WREB Local Anesthesia Candidate Guide.)
A: If bone is prematurely contacted so that the needle does not reach the appropriate depth, you must use your own clinical judgment and either reposition or withdraw the syringe and re-penetrate (making an adjustment in the insertion site). You have three attempts to penetrate, before you are stopped and failed. An attempt occurs each time the syringe/needle is withdrawn from tissue and reinserted.
A: Information on the school/test site’s procedures and protocols are available on the WREB Website and should be viewed prior to the exam. Infection control is reviewed during the tour prior to the Candidate Orientation. The school guidelines are to be followed exactly. Ask questions during the tour if you are unclear as to the requirements. See Exam Site Information for Candidates for more information.
A: The patient will be rejected, which constitutes failure of the exam. The examiners use landmark teeth to evaluate proper technique. “All landmark teeth must be present in the event that an injection needs to be repeated on the other side.” The requirement of maxillary second molars and a premolar in each mandibular quadrant for patient acceptability is not intended to limit the patient pool or in any way disadvantage you. Actually, having the ‘landmark’ teeth present should help you perform passing injections.
A: No, there is no penalty for positive aspiration. However, you will not pass the injection if you do not recognize and handle a positive aspiration properly. Refer to the WREB Anesthesia Candidate Guide for the proper procedure for handling positive aspirations. In the event of a second positive aspiration at the same injection site, you will be asked to withdraw the needle and the injection will be graded as performed.
A: Eligible candidates may pay $250 for the onsite retake of their Local Anesthesia Clinical examination with a credit or debit card displaying the Visa, MasterCard, Discover or American Express logo. WREB also accepts cashier’s checks or money orders for onsite retakes as well.
A: Unsuccessful candidates have up to twelve (12) months from their initial Clinical Exam attempt to retest the portion of the exam in which they were unsuccessful. If a candidate does not apply for and successfully complete a re-examination attempt within twelve (12) months of their initial Clinical Exam attempt, both the Written and Clinical exams MUST be retested. Overall successful completion of the WREB Local Anesthesia Examination requires passing scores in both the Written Exam and the Clinical Exam. See Application Policies & Procedures on the WREB Website for more information.
A: No, if testing at another exam site, you will have to complete both injections.
A: Only examiners can disqualify a surface. If there is a localized area(s) in the quadrant that has a pocket depth of >7mm, the examiners will disqualify that surface as a qualifying surface. If there are 12 qualifying surfaces elsewhere in the quadrant, that shouldn’t be a problem. You are not penalized if there are pocket depths >6mm. The criteria for pocket depths only applies to qualifying surfaces.
A: No, the limitation is only on the mandibular anterior teeth–a maximum of four qualifying surfaces may be from canine to canine or from canine to central incisor.
A: No, the purple Clinical Success Memo is acceptable documentation only if the anesthesia exam immediately precedes your dental hygiene exam. If your hygiene exam is more than a week after your anesthesia exam, you will receive an Official WREB Success Memo (accessed online via secure login) to post at your operatory, which allows you to administer local anesthetic to your patient at the exam.
A: No, candidates are not eligible to administer local anesthetic to their hygiene clinical board patient if their success memo is over twelve months old. The only exception is if the candidate is still a student who has been administering under clinical supervision as part of their accredited hygiene degree program.
A: No, candidates whose state does not require a local anesthesia exam for licensure are not required to take WREB’s Local Anesthesia examination. However, proof of qualification documentation is required in order to administer local anesthetic to your patient during the WREB Hygiene Clinical Exam. See the WREB Dental Hygiene Candidate Guide for more information.
A: See the corresponding Exam Site Information for Candidates packet for the specific exam site at which you are enrolled for practitioner availability. If the exam site host does not provide a practitioner, contact the local dental (ADA.org) or dental hygiene (ADHA.org) component in your city or state for assistance.
A: It is your responsibility to accurately and effectively interpret patient qualification criteria. Therefore, other professionals (including faculty) should not determine your patient’s acceptability for the examination. To avoid the possibility of loss of clinic time and points, read and re-read the Patient Criteria and Criteria for Oral Conditions sections of the WREB Dental Hygiene Candidate Guide to make sure that you understand the requirements for patient acceptance.
A: If the extraction has had time to heal, and your patient meets the prescribed criteria, you should be able to use the same quadrant. It is recommended that you indicate on the Patient Submission Form that the tooth was recently extracted.
A: If the 3rd molar is fully-erupted or supra-erupted and does not have tissue covering the occlusal surface and is part of your submission, it may be used as a proximal contact. See Dentition under Criteria for Oral Conditions in the WREB Dental Hygiene Candidate Guide for more information.
A: WREB does not sell instruments nor rent equipment. Refer to the Exam Site Information for Candidates for equipment rental information as well as a list of materials provided at a specific exam site.
A: The handle may be plastic, resin or metal of a comfortable diameter for the clinician.
A: The mirror must be a #4 or #5 front-surface mirror and may be double-sided.
A: The probe must be a UNC 12, not a right-angled instrument. Whatever is on the other end is irrelevant. However, the patient’s tray must contain the three instruments specified in the WREB Dental Hygiene Candidate Guide: #4 or 5 front surface mouth mirror; 11/12 ODU double-ended explorer; and UNC-12 periodontal probe.
A: The UNC probe is divided into 1-12 increments. Begin by counting the increments on the probe. The bottom of the first heavier line is 4mm and the top of that line is 5mm. The next increment or line would be six. If you do this, you should end at 12, which is the top black line.
A: Eligible candidates may pay $700 for the onsite retake of their Hygiene Clinical examination with a credit or debit card displaying the Visa, MasterCard, Discover or American Express logo. WREB also accepts cashier’s checks or money orders for onsite retakes as well.
A: Yes, it may make you feel more comfortable during the exam using a familiar triturator or amalgamator. Also, see Exam Site Information for Candidates for a list of equipment and materials provided at the specific exam site.
A: Inform the Chief Examiner immediately. The Chief Examiner will replace the prepped tooth with the same assignment.
A: WREB does not have any restrictions regarding previously used typodonts. However, you are encouraged to carefully check the gingiva for lacerations or tears, and the teeth and preps for scarring. Be sure to replace any damaged gingiva or teeth prior to the examination to avoid incurring any trauma penalties at Check-Out grading. See Typodont Criteria in the WREB Restorative Candidate Guide.
A: Bonding adhesive/primer may be used for placement of the composite material during the Restorative Exam but must not cover the surface of the finished restoration.
A: Yes, but you will not be allowed to re-enter until cleanup time is announced.
A: Know the dental anatomy of the teeth you are submitting; practice your restorations on a typodont. Read and re-read the WREB Restorative Candidate Guide as accurate interpretation of the prescribed criteria is your responsibility.
A: Eligible candidates may pay $440 for the onsite retake of their Hygiene Clinical examination with a credit or debit card displaying the Visa, MasterCard, Discover or American Express logo. WREB also accepts cashier’s checks or money orders for onsite retakes as well.