Dental Hygiene Educators

Examination and Policy Updates for Dental Hygiene, Restorative and Local Anesthesia. Candidate Guides, Clinical Tutorials, and examination forms may be accessed via the Exam Preparation page.

Forums for Local Anesthesia, Dental Hygiene and Restorative Educators
Restorative Educator Workshop
Faculty Forms

Local Anesthesia, Dental Hygiene and Restorative

Information and Examination Updates for 2018

Student Pre-Exam Webinars

In 2017, WREB hosted countless dental hygiene pre-exam webinars for host sites and feeder schools that attend those sites. The feedback regarding these webinars has been extremely positive from both the faculty and students. If your school would be interested in joining a 2018 webinar please contact Robin Yeager at

Educator Forums

The forums include 2018 updates regarding Local Anesthesia, Dental Hygiene and Restorative examinations. These forums are typically held late fall through early spring and will assist those faculty who may need to answer questions from students regarding 2018 exam content as well as help with mock boards, if applicable. An email was sent to all directors on October 3 which included the registration form.

Hands-on Workshops for Dental Hygiene Clinical Instructors

We are very excited about providing intimate dental hygiene calibration workshops prior to each clinical exam. WREB will ask the directors to designate a clinical instructor from each program to attend the workshop at the host site where most students are taking the exam. For example, if most of your students are taking the dental hygiene clinical exam at Texas A & M then you could send an instructor to attend the workshop at Texas A & M the week of the exam.  The workshop will last 2 hours, is exclusively related to qualifying calculus (acceptance) criteria and error calculus (grading) criteria, and includes hands-on calibration exercises.

Examination Forms

Copies of all forms that students need to become familiar with will be available to download via the WREB website January 9, 2018. Original exam forms will be included in the exam packet students receive onsite during the Q & A session held prior to each exam.

Local Anesthesia Examination

WREB provides examinations for member states to assist in the licensure process.  However, not all state licensing boards require a local anesthesia examination for dental hygienists to administer local anesthesia. Some states require both a written and clinical exam while other states require only a written exam. We do wish to clarify that the burden of responsibility lies with the student to comply with the local anesthesia licensure requirements for any state in which they seek to practice.

Local Anesthesia Written

Students seeking licensure in a state that requires a local anesthesia written exam only should ask you to complete the new course certification form for written only. Those same students need to have completed the didactic portion of their course in the administration of local anesthetics prior to registering for the WREB Local Anesthesia Written Exam.

Local Anesthesia Clinical Examination

New-Online Candidate Tutorial

The online tutorial is intended to familiarize Local Anesthesia Candidates with examination criteria, the exam process and paperwork prior to taking the Local Anesthesia Clinical Examination. The 2018 tutorial can be found on the WREB website on January 9. We encourage all faculty and students to view this tutorial, particularly prior to attending the onsite Q & A session held prior to the clinical exam.

Critical Aspects of the Injection

We have combined two separate criteria into one for Critical Aspect Category (*4) “Angle and Depth” – Posterior Superior Alveolar (PSA) injection. It is an error if:

·         Needle not at 45-degree angle toward midline and/or needle not at 45-degree angle to occlusal plane

Onsite Clinical Question and Answer Session

An onsite question and answer session is held prior to the Local Anesthesia Clinical Examination and an optional clinic tour is also available.

Dental Hygiene Clinical Examination

Treatment Submission Acceptance

Students must submit one (1) quadrant, and have the option of submitting up to four (4) additional teeth if necessary, to fulfill the submission criteria.  They still have the option of submitting one submission (Sub. #1) or one submission plus an alternate submission (Sub. #2). An alternate submission is designed to save time if the first submission is unacceptable.

New- Examiners will evaluate the entire treatment submission. If 12 (twelve) qualifying subgingival deposits meeting the criteria are present within the submitted quadrant alone, the additional teeth will not be assigned for treatment.

If twelve (12) qualifying deposits are not present in the submitted quadrant, examiners will select only the additional teeth necessary to fulfill the criteria.


  • LR quadrant plus #2,3,4 are submitted. LR quadrant has twelve (12) qualifying surfaces. No additional teeth are required to fulfill the criteria. No additional teeth are assigned for treatment.
  • LR quadrant plus #2,3,4 are submitted. There are not enough qualifying surfaces on the molars in the LR quadrant. #2 (and/or #3) is assigned to fulfill the criteria.
  • LR quadrant plus #2,3,4 are submitted. There are not enough qualifying surfaces in the LR quadrant. #2, 3 and 4 are assigned to fulfill the criteria.

2018 Descriptors:

Based on educator and Candidate feedback the qualifying calculus descriptors were modified in an effort to expand the Patient pool for Candidates.

Qualifying calculus must be subgingival. The following are descriptors of an acceptable deposit:

  • Distinct and easily detected with the explorer
  • Explorer easily catches on the upward or downward stroke
  • Definitive bulk, or nodular formation (may or may not catch)

The following are examples of non-qualifying calculus deposits:

  • Grainy or rough surface
  • Small spicule or light deposit


General Information 

If the required images are not present at Check-in, the Chief Examiner will not proceed with acceptance procedures until the required images are obtained.  The (45) minute Check-In deadline will not be adjusted.  It is in student’s best interest to have the required radiographs in advance to avoid late penalties.

Radiographic technique and diagnostic quality are not graded.  However, the density and contrast of the radiographs must be such that the anatomical structures and oral conditions can be evaluated by Examiners; at Patient acceptance and when evaluating the Periodontal Assessment section.

Non-diagnostic quality (too light/dark, indistinct) may result in a point deduction, if anatomical structures are not visible when grading the Periodontal Assessment.

Examiners utilize the radiographs to evaluate for the following:

  • Severity of bone loss
  • Furcation involvement
  • Temporary, faulty, and overhanging restorations
  • Gross caries which impact Patient comfort, grading or integrity of tooth structure
  • Subgingival crown margins
  • Presence of implants, supernumerary and deciduous teeth



  • University of North Carolina (UNC) periodontal probe with 1-12 mm (plastic-tipped and/or right-angle is not acceptable)

Administration of Local Anesthetic to Dental Hygiene Board Patient

Students taking the Dental Hygiene Examination are still required to send in the Local Anesthesia Course Certification form confirming they have completed both the didactic and clinical portions of the local anesthesia course no later than (3) weeks prior to the Dental Hygiene Exam.

Note: A Candidate who attempts the WREB Local Anesthesia Clinical Exam but is unsuccessful will not be permitted to administer local anesthetic to their Patient during the WREB Dental Hygiene Exam, if applicable.

Probing and Recession

Examiners will assign three (3) teeth in the treatment quadrant for which students are to record probing and recession measurements.

Periodontal Assessment Questions

Students utilize all their assessment records, including radiographs to answer the four (4) questions on the assigned tooth in the treatment quadrant. Question #3 is for the facial aspect of the assigned tooth only.

Onsite Question and Answer Session

A question and answer session will be held onsite prior to the examination and an optional clinic tour is also available. WREB’s extensive online Dental Hygiene Candidate Tutorial remains and will be available January 9.

Restorative Clinical Examination

No changes to the Restorative Examination.

Onsite Question and Answer Session

A question and answer session will be held onsite prior to the examination and an optional clinic tour is also available. WREB’s extensive online Restorative Candidate Tutorial remains and will be available January 9.

WREB Reminder – No Faculty Allowed Onsite During Exams

WREB does not permit faculty or educators to be present on the premises during the examinations. Enforcing this policy, will assure that the exam process is consistent from site-to-site and fair for all Candidates. Please note, this policy does not prohibit onsite faculty from working in their office, away from the reception area and examination clinics, while the exam is being administered.


Visit the WREB website or contact Robin Yeager with any questions.
(623) 209-5408

2018 Pre-Exam Candidate Webinars & Educator Webinar

WREB offers pre-exam webinars to educators and students in preparation for the Clinical Dental Hygiene examination. The hour-long webinars, presented via GoToMeeting, include a question and answer session.

Webinars may be scheduled for individuals or groups to accommodate all participants on a given date. Many schools have found webinars scheduled during their midday break to be most convenient for classroom viewing by both students and faculty.

Viewing requirements:  internet connection; computer access; telephone access; projection screen for classroom viewing, if applicable.

Contact to schedule your Pre-Exam Candidate Webinar or Educator Webinar!

Available Pre-Exam Candidate Webinar & Educator Webinar dates:

1/11 or 1/12

3/8 or 3/9

3/15 or 3/16

4/12 or 4/13

4/19 or 4/20

5/24 or 5/25

7/12 or 7/13

8/16 or 8/17

10/4 or 10/5