Understanding the NDEB Dental Equivalency Process for International Dentists

What Is the NDEB Equivalency Process

For internationally trained dentists, the NDEB Equivalency Process is the doorway into practising dentistry in Canada. It can feel long and unfamiliar at first, but once you understand the structure, everything becomes far more manageable. Think of this process as a series of checkpoints where you prove your knowledge, judgement and clinical ability before becoming eligible for licensure.

Why the Process Exists

Canada holds a very high standard for patient care. To ensure every dentist meets the same level of competency, the National Dental Examining Board created a system that evaluates international dentists fairly and consistently. The process doesn’t measure where you studied, only whether your skills match Canadian expectations.

How the Process Begins

Everything starts with submitting your credentials to the NDEB. Your documents are reviewed, verified and then approved. Once that step is complete, you can register for the first major exam. From this point on, you move through the pathway at your own pace.

The Three Core Exams

The equivalency process has three major exams. Each one tests a different dimension of your ability.

AFK
This exam checks your fundamental theoretical knowledge. It covers basic sciences and clinical dentistry. Many candidates spend months preparing because the AFK sets the tone for the rest of the journey.

ACJ
This exam focuses on clinical judgement. You interpret radiographs, diagnose conditions and create treatment plans. The questions look like real patient scenarios rather than purely academic material.

NDECC
This exam has 2 components to it. First is the hands on exam where you work on mannequins inside a simulated clinic (Clinical Skills). The second is the real life scenario setup and how to cope up with that (Situational Judgement). The goal is to show that you can perform dentistry safely, consistently and efficiently. Every detail matters including ergonomics, prep quality, communication, understanding patient history and time management.

What Happens After the Exams

Once you pass all three exams, you are left with the final exam which is Virtual OSCE. This is the final exam every aspiring dentist in Canada has to go through, be it Equivalency process or University Degree. After passing it, you qualify for licensure and can apply to practise. Each province may have its own registration requirements but the NDEB certificate is the universal standard.

How Long the Process Usually Takes

The timeline depends entirely on how quickly you prepare and when exam seats are available. Some candidates complete everything within 2 years while others take a longer route because of work commitments or personal responsibilities. The best approach is planning each step early and staying consistent.

A Quick View of the Journey

• Document submission
• Approval
• AFK exam
• ACJ exam
• NDECC exam
• Virtual OSCE
• Apply for your license

Each stage builds on the last. With each step you gain confidence, clarity and a stronger understanding of Canadian standards.

Editor’s Thoughts

The NDEB Equivalency Process is demanding but it is also a clear and predictable system. Thousands of dentists from around the world complete it each year and go on to successful careers across Canada. When you understand the structure and prepare with intention, the entire journey becomes far less overwhelming.