icon-education Policies & Procedures

As part of the application process, applicants (candidates) are required to READ and acknowledge that they understand and assent to adhere to the following WREB Policies and Procedures:

Educational Requirements
Students or Graduates of U.S. or Canadian Dental Hygiene Schools

All exam candidates must provide proof of qualification verifying eligibility to attempt a WREB exam. (See  Application Process Proof of Qualification for acceptable forms of certification documentation.)

To be eligible to attempt the WREB Dental Hygiene Exam, candidates must meet one of the following requirements and provide the appropriate proof of qualification documentation:

  • STUDENTS: Current enrollment in a degree program at an ADA-accredited dental hygiene school**
  • GRADUATES: Successful completion of a degree program from an ADA-accredited dental hygiene school

**Graduating seniors may take the Dental Hygiene Exam during their final semester, with certification from the school dean or dental hygiene program director.

To be eligible to attempt the WREB Anesthesia and/or Restorative Exam(s), candidates must meet one of the following requirements and provide the appropriate proof of qualification documentation:

  • STUDENTS: Current enrollment in a degree program at an ADA-accredited dental hygiene school AND certification of successful completion of a local anesthesia and/or restorative course(s).
  • GRADUATES:  Successful completion of a degree program from an ADA-accredited dental hygiene school AND certification of successful completion of a local anesthesia and/or restorative course(s).
EFDA Restorative Applicants

WREB requires completion of a restorative course from an ADA-accredited or CODA-accredited U.S. or Canadian dental hygiene schools or EFDA programs. See EXCEPTIONS below. All exam candidates must provide proof of qualification verifying eligibility to attempt a WREB exam. (See See  Application Process Proof of Qualification for acceptable forms of certification documentation.)

EXCEPTIONS: The following states have approved restorative courses that are not offered at or through an accredited dental hygiene school or program. Be advised that these courses may not qualify for certification in any other state. Contact the state board or state designated licensing agency from which you are seeking licensure for their requirements.

New Mexico EFDA Candidates ONLY:  Completion of the Expanded Function Dental Auxiliary course approved by the New Mexico Board of Dental Health Care.

Washington EFDA Candidates ONLY: Completion of an Expanded Function Dental Auxiliary program or course approved by the Washington State Department of Health’s Dental Quality Assurance Commission.

Military Training (Washington Only):  As of September 9, 2011, Candidates with military training in the following areas are equivalent education to Washington State Expanded Function Dental Auxiliary.

Navy 1997-2007 – Expanded Function Program Curriculum

Navy 2007-Present – Advanced Dental Assistant Program Curriculum

Graduates of Non-U.S. or Non-Canadian Dental Hygiene Schools

Applicants who have graduated or will be graduating from a Non-U.S. or Non-Canadian school cannot apply online. Please contact the WREB office for registration information.

Application Process

Registration & Application Process
IMPORTANT:Applicants may create an online profile and upload a photo via wreb.org in advance of registration. Please complete the online profile BEFORE submitting any Mail-In Application.

Registration Process
Name: The name under which an applicant registers must match the first name, middle initial and last name (ex. Jan S. Doe) that appears on your valid identification (driver’s license, passport, etc.) as described in the WREB Candidate Guide. Candidate are required to present valid, non-expired identification (ID) prior to admittance into any WREB or Prometric exam.

Photograph: Applicants must upload and submit a digital photograph. The photo becomes an official component of the WREB Candidate Profile and is included on the Candidate ID Badge for the exam, and on score reports to schools and state licensing boards. The photograph must meet the following requirements:

  • Recent (taken in last 6 months and reflects your current appearance)
  • Discernible facial features
  • Passport-quality, includes head and shoulders only
  • Background should be solid, light-colored background
  • Professional attire (no swimwear; no visible logos or school name)

Signature: The applicant’s electronic signature is legally binding. The applicant acknowledges that they have read the WREB Dental Hygiene Candidate Guide and understands and assents to adhere to WREB’s policies and procedures.

Application Process
An applicant may choose to apply for a WREB exam via either Online Application or Mail-In Application. Applications are processed on a first come, first served basis, but Online Applications receive priority over Mail-In Applications.

Please be advised that space in all exams is limited. Once the maximum number of applications for a given location have been received additional applications will not be accepted. This may happen prior to the Application Deadline; therefore, applicants are encouraged to apply early. Any exam having an insufficient number of candidates by the Application Deadline may be subject to cancellation. If this happens, a candidate will receive a full refund of their examination fee(s).

Once an application is submitted, it is considered a contract with WREB. If a candidate fails to fulfill all requirements of the application, or is unable to take the exam, the refund policy applies.

Online Applications
To apply online, an applicant must pay with a valid credit card (Visa, Mastercard, Discover), upload a digital photo, and digitally sign the WREB Policy Agreement. After completing the Online Application, the applicant will receive a confirmation email. If this email is not received, please check your junk mail or spam folder prior to contacting WREB.

Applying online does not guarantee a space in the exam. It is the applicant’s responsibility to ensure that all application requirements are met. Applications will remain in a pending status until reviewed by WREB staff to ensure that the information is complete and that the applicant’s photo meets the required specifications. Only then can the applicant’s exam status be determined. Applicants will be notified of their status via email as soon as possible, but should allow up to 14 days for processing.

Mail-In Applications
For faster service, please apply online. If for some reason you cannot apply online, download the appropriate mail-in application below.

Please note: Mail-in applications will not be processed until open registration begins for a given exam. See WREB Examination Schedule for open registration dates and application deadlines. As per WREB policies, priority will be given to online applications.

Late Applications
The Application Deadline is the same whether applying online or by mail. Applications submitted after the Application Deadline are assessed a $100 late fee. Late applications are accepted on a space-available basis. If no space is available, a candidate’s application will be returned and full exam fee (including the late fee) refunded. Online Applications, submitted after the application deadline date, will be assessed a $100 late fee which is automatically added to the total exam fee and included in the credit card payment. Mail-In Applications received after the Application Deadline will be held and will not be processed until the $100 late fee is received.

E-Mail
To ensure receipt of all exam-related correspondence from WREB, please add the following to your email contacts: hygieneinfo@wreb.org.

Left-Hand Operatory

WREB cannot guarantee the availability of left-hand operatories. If the exam site host has left-hand operatories available, WREB will do its best to accommodate the request.

Scheduling Requests
Requests for special exam scheduling must be received in the WREB Office by no later than the Application Deadline for a given exam. Accommodation requests cannot be guaranteed due to a number of extenuating factors (e.g. volume of requests, number of days per exam type, etc.). All requests must be in writing (an email will suffice) and received prior to the exam’s Application Deadline in order to be considered.

Hygiene Clinical Exams:
You may share a Patient on the same clinical day only if you and another Candidate are paired in one of the following groups: AA/BB, CA/DB, or EA/FB, or on different clinical days. You are responsible for any inconvenience that may occur due to the sharing of Patients on the same exam day. If sharing a patient, include (1) the names of both candidates, (2) indicate whether the patient will be shared on the same day or different days, and (3) if a specific day is desired. The candidate is responsible for any inconvenience that occurs due to the sharing of patients on the same Clinical exam day. Be aware that patients treated in the morning may still be checking out early in the afternoon, which could conflict with being used by a different candidate that afternoon.

Local Anesthesia Clinical Exams:
Local anesthesia candidates may NOT share patients. If using a candidate as a patient, include (1) the names of both candidates, (2) indicate whether candidates are to be scheduled on the same day or different days, and (3) if a specific day is desired. (Once schedules are posted, local anesthesia candidates who have not requested scheduling accommodation may still use each other as patients if there are at least 60 minutes between their individually scheduled clinical examination times.)

Restorative Clinical Exams:
You may request 1) to be scheduled on a specific date, and/or 2) for a specific clinic entrance time (morning, mid-morning, or afternoon).

Persons with Disabilities: Special Accommodations Requests
Candidates:WREB makes every reasonable effort to offer the exam in a manner accessible to persons with disabilities in accordance with the Americans with Disabilities Act. Candidates who require special accommodations due to a disability should contact the WREB office before or immediately after applying online. A Special Accommodations Request Form must be completed. The appropriate professional (physician, psychologist, etc.) must sign the form specifying the accommodation requested and attesting to the specific need. The completed request and supporting documentation must be received in the WREB Office no less than 45 days prior to the exam.
Patients:Candidates whose patients have special needs or facility needs due to wheelchairs, etc. should notify WREB at the time of application. Patients in wheelchairs must be able to move from wheelchairs to the examining chairs. WREB cannot guarantee special accommodation, as each exam site school is different.

Candidate Responsibility Policy
It is the candidate’s responsibility to ensure that all application requirements are met and that all required items are received in the WREB Office. IF ALL REQUIRED ITEMS ARE NOT RECEIVED IN THE WREB OFFICE THREE WEEKS PRIOR TO THE FIRST DAY OF THE CLINICAL EXAMINATION, A CANDIDATE FORFEITS THE OPPORTUNITY TO ATTEMPT THE EXAMINATION AND RECEIVES NO REFUND.***

*** This policy does not include the course certification if applying for the Local Anesthesia or Restorative Exam(s) prior to completion of a local anesthesia or restorative course(s). If a candidate’s application is accepted and the course is subsequently cancelled, or if a candidate is unsuccessful in completing the course, the refund and cancellation policies apply as explained in the Refunds and Cancellations section of the WREB website.

Exception: Local anesthesia and/or restorative courses ending less than three weeks prior to the first day of the exam may bring their course completion certificate (signed with school seal affixed) to the exam site. The candidate must notify the WREB Office, in writing, of their intent. (If a candidate fails to bring proper certification to the examination site, they will not be permitted to attempt the examination. The candidate will be listed as a “No Show Candidate” and the examination fee forfeited.) At the examination site, the WREB Site Coordinator will collect and verify the certification documentation before giving a candidate permission to attempt the exam.

Proof of Qualification
Proof of qualification is required to be eligible to attempt a WREB exam. Candidates may be enrolled in an exam prior to providing proof of qualification documentation; however, the proof of qualification must be received in the WREB Office by the Document Deadline, which is approximately three weeks prior to the first day of a given exam. Candidates who do not provide the appropriate proof of qualification by this date forfeit their Clinical examination attempt and fees.

ACCEPTABLE PROOF OF QUALIFICATION DOCUMENTATION FROM AN ADA-ACCREDITED DENTAL HYGIENE SCHOOL OR UNIVERSITY CONSISTS OF ONE OF THE FOLLOWING:

DENTAL HYGIENE CANDIDATES

  • STUDENTS ONLY:  An original Course Certification Form, signed by the dean/director with school seal affixed, indicating candidate’s course completion date.
  • STUDENTS AND GRADUATES:  An original letter (on school stationary), signed by the dean/director with the school seal affixed, indicating the candidate’s projected dental hygiene graduation date or the degree earned.
  • GRADUATES:  A copy of the candidate’s Diploma or Official School Transcript indicating the dental hygiene degree earned.

LOCAL ANESTHESIA AND/OR RESTORATIVE CANDIDATES

  • STUDENTS ONLY: An original Course Certification Form, signed by the dean/director with school seal affixed, indicating candidate’s course completion date.
  • STUDENTS AND GRADUATES:  An original letter (on school stationary) or an original certificate of course completion, signed by the dean/director with the school seal affixed, indicating the candidate’s course completion date.
  • GRADUATES:  A copy of the candidate’s Official School Transcript indicating the dental hygiene degree earned with the local anesthesia and/or restorative course(s) highlighted.
Examination Content & Information

Exam Content & Information
Refer to the respective WREB Candidate Guide(s) for more information.

Local Anesthesia Examination:  a two-part exam:  Written and Clinical.  Overall successful completion of the WREB Local Anesthesia Examination requires passing scores in both the Written Exam and the Clinical Exam.

  • The Local Anesthesia Written examination is a multiple-choice exam administered by Prometric Testing Centers. This exam MUST be attempted within the assigned 45-day testing timeframe which is no less than 15 days prior to the Clinical examination. In order to attempt the Clinical Exam, a candidate must successfully complete (passing score of 75 or above) the Written Exam within the specified testing timeframe or both their Clinical exam attempt and registration fees will be forfeit. See the WREB Local Anesthesia Candidate Guide for more information.
  • The Local Anesthesia Clinical examination requires two nerve block injections—an IA and a PSA.

Dental Hygiene Examination:

  • The Dental Hygiene Clinical examination consists of evaluation of:  patient selection; interpretation of the Patient’s health status (medical history, oral health history, vital signs); diagnostic quality and technique of radiographs; calculus detection; assessment and recording of periodontal pocket measurements; assessment and recording of gingival recession; calculus removal and tissue management; and professional judgment.

Restorative Examination:

  • The Dental Hygiene Restorative Clinical examination consists of the placement, carving and finishing of one (1) Class II amalgam and one (1) Class II composite restoration on a typodont. The assignment consists of one mesiocclusal (MO) and one distocclusal (DO) maxillary and mandibular Acadental molar preparation (provided by WREB).

Prometric Information For Local Anesthesia Written Exam
Candidates must register for the Local Anesthesia Written Examination via the WREB website. You will be notified via email once authorized to contact Prometric to schedule the Written exam. See the WREB Local Anesthesia Candidate Guide)for more information.

As appointments are limited, WREB strongly recommends contacting Prometric as soon as authorization is available to schedule your Written exam within the assigned testing timeframe at the most convenient location. Once scheduled, you will receive an email confirmation of your appointment from Prometric, in addition to their cancellation policy and other pertinent information.

For Prometric Testing Center locations, identification requirements, cancellation policy or appointment scheduling, please visit www.prometric.com or call 800-490-6550.

Appointment Rescheduling or Cancellation Timeline Additional Fee Collected by Prometric
30 or more days prior to appointment No Charge
29-3 days prior to appointment $25
2 days or less $55

 

Refer to the Testing Center Regulations page of the Frequently Asked Questions section of the Prometric website for information regarding acceptable forms of identification.

Insurance – Professional Liability
AAIC Insurance Company, through the Professional Protector Plan in cooperation with WREB, will extend WREB professional liability coverage to enrolled Candidates at no charge during the exam. The limit amounts are $1,000,000/$3,000,000 for the patient-based portion of the WREB Local Anesthesia and Dental Hygiene exams. WREB will forward the names and addresses of all Candidates to AAIC. Coverage provided is limited to your scheduled examination date only.

Armamentarium
A candidate must furnish all instruments and materials, including high- and low-speed handpieces. A candidate may supply and use an ultrasonic device as an adjunct to calculus removal. A chair, operatory, typodont rod post (Restorative exams only) and certain expendable materials are furnished at the exam site. Please refer to the WREB Candidate Guide(s) for further information. Some sites provide equipment rental. Please refer to the Exam Site Information for Candidates packet on the WREB Website for information pertaining to equipment rental, materials provided, etc. at the exam site.

Examination Schedules
A candidate will receive their exam schedule approximately three to four weeks prior to the first scheduled date of the clinical exam. Once schedules are generated they will not be changed. Schedule information is not available by phone and will be released only if a candidate’s proof of qualification documentation is on file in the WREB office.

Exam Results
WREB performs a thorough check and confirmation of the examination results prior to release. Official results are generally posted within 72 hours of the last date of the scheduled clinical examination at a given location. Local Anesthesia Written examination results are typically posted daily, with the exception of weekends and holidays. Once posted, Candidates will receive an email containing results retrieval instructions. Please do not contact the WREB office regarding examination results as staff cannot divulge this information over the telephone or through e-mail.

Re-Examination
If eligible, a candidate who fails the Dental Hygiene, Local Anesthesia (Written or Clinical) or Restorative exam(s) may register for re-examination via online or mail-in application. WREB requires remediation after multiple unsuccessful attempts. Special restrictions may apply if a candidate has failed an exam two (2) or more times. Please contact the individual state boards for their requirements.

Local Anesthesia candidates have up to twelve (12) months from their initial attempt to retest the portion of the exam in which they were unsuccessful. If a candidate does not apply for and successfully complete (passing score) 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 (75 or above) and the Clinical Exam.

Onsite re-examination fees may be paid via credit or debit card displaying the MasterCard, Visa, American Express or Discover logo or via cashier’s check or money order. Cash and personal checks are not accepted. Refer to the Application Policies & Procedures Exam Fees section of the WREB website for more information.

Special Accommodations

​WREB, in accordance with the Americans with Disabilities Act, will provide reasonable and appropriate accommodations for candidates with documented disabilities.

Candidates with disabilities who require accommodations while taking the WREB exam may apply to WREB for consideration of the accommodations by submitting the Special Accommodations Request Form no later than 45 days prior to the exam.

Remediation Policy & Forms

Candidates who have multiple unsuccessful attempts are required to obtain remediation in the areas of failure prior to receiving permission to re-attempt the examination. For more information, see the appropriate remediation policy below.

Cancellations and Refunds

IT IS YOUR RESPONSIBILITY TO ENSURE THAT A WRITTEN NOTIFICATION OF CANCELLATION IS RECEIVED IN THE WREB OFFICE.  Notification of cancellation may be sent via e-mail, fax or overnight mail.  Exam fees cannot be transferred to a later exam (except in cases of a documented medical emergency–see details below).  Once an applicant has submitted an application, the following refunds and cancellation policies apply.

  1. A written cancellation received in the WREB Office before or on the Application Deadline of the exam receives a full refund minus a $150 processing fee.*
  2. A written cancellation received in the WREB Office after the Application Deadline and up to three weeks prior to the first day of the exam receives a 50% refund.*
  3. A written cancellation received in the WREB Office less than three weeks prior to the first day of the exam (Document Deadline) receives no refund.

* LOCAL ANESTHESIA CLINICAL EXAM EXCEPTION: A written cancellation request of a Local Anesthesia Clinical exam received in the WREB Office after the Application Deadline and up to three weeks prior to the first day of the Clinical exam will be charged not less than $150 processing fee and may receive up to a 50% refund. For example, a Local Anesthesia Clinical exam with a registration fee of $325 would receive a refund of $162.50. Whereas a Local Anesthesia Clinical exam with a registration fee of $270 would receive a refund of $120.

LOCAL ANESTHESIA WRITTEN EXAM EXCLUSION: Per WREB Policy, a candidate who is 1) unsuccessful in their attempt, or 2) does not attempt, or 3) does not re-attempt the Local Anesthesia Written exam within the assigned timeframe will forfeit their Local Anesthesia Clinical exam attempt and registration fees and is not eligible for a refund.

COMPUTERIZED EXAM EXCLUSION: For Prometric Testing Center cancellation policy or appointment scheduling, please visit www.prometric.com for more information.

NOTE:  Candidates who do not provide the appropriate proof of qualification by the specified Document Deadline date will forfeit their Clinical examination attempt and fees. See the Proof of Qualification section of the Policies & Procedures page of the WREB website for more information.

MEDICAL EMERGENCY CANCELLATION POLICY: Exceptions may be made only in the case of a documented medical emergency occurring after the final deadline. In such cases, fifty (50) percent of the exam fee may be transferred to a future exam within the next 12 months upon receipt of appropriate documentation of the medical emergency and approval by the WREB Board of Directors.  Documentation of the medical emergency must be received within 30 days of the emergency occurring or a transfer of funds will not be considered.

In the case of a medical emergency occurring after the final deadline, a compromise policy has been adopted. Both WREB and the candidate will incur a financial loss, but neither will have to bear 100 percent of the loss. The candidate must submit documentation (depending on the emergency) in one of the following ways: (a) a letter from the treating physician (typed on the physician’s letterhead stationery and mailed directly from the treating physician to WREB, attesting to the specific medical condition which results in the inability of the candidate to attend the exam); or (b) records from the emergency room; or (c) a copy of the death certificate of an immediate family member.

This documentation will be reviewed on a case-by-case basis by the WREB Board of Directors. If it is determined the documentation warrants an exception to the published cancellation policy, WREB will transfer fifty (50) percent of the exam fee to a new exam scheduled within twelve months of the cancelled exam. Refunds or complete transfers to another exam will not be considered.

Licensure

The Western Regional Examining Board is a testing agency only and does not issue licenses. Successful completion of the WREB examination does not constitute licensure in any state. Questions regarding licensing and reciprocity should be directed to the state board where licensure is sought.

Appeal Process

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