To participate in the Assessment of Clinical Skills (ACS), you must have passed the Assessment of Fundamental Knowledge (AFK).
Log on to your online profile to register for an assessment.
Format and Content
The ACS is a two-day assessment during which you perform a series of dental procedures on simulated patients (manikins) in a clinical setting.
Each day you will receive:
- A typodont, labelled with your ID number mounted in a manikin on a dental chair.
- A list of teeth for practice preparations.
- A detailed list of required procedures specifying tooth numbers and surfaces.
You will also receive a scheduled time to perform the Rubber Dam Requirement.
During the assessment, you will be required to perform the following:
- Class II amalgam preparation.
- Class III composite resin preparation.
- Full metal crown preparation.
- Metal-ceramic (porcelain fused to metal) crown preparation.
- Endodontic access preparation on a molar tooth.
- Direct Class II composite resin restoration on a pre-prepared* tooth
- Direct Class IV composite resin restoration on a pre-prepared* tooth
- Class II amalgam restoration on a pre-prepared* tooth.
- Provisional crown restoration for a pre-prepared* metal-ceramic (porcelain fused to metal) crown preparation on Day 2 of the assessment. The original unprepared tooth will be in the typodont used on Day 1 of the assessment.
- Rubber dam application
* a pre-prepared tooth will be supplied.
Participants will also be evaluated on the following:
- Record keeping.
- Infection control and material hygiene.
ACS Protocol and Orientation
The ACS Protocol contains important information regarding the assessment. This document should be read carefully.
Download the June 2019 ACS Protocol in PDF format.
The NDEB has created a short orientation video for the ACS. This video should be watched by any participant registered to take the assessment.
The NDEB frequently receives questions and wants to supply all participants with the following information regarding the Assessment of Clinical Skills (ACS).
- The use of prefabricated or stock stents made of acrylic or putty for the Class IV Composite Restoration Requirement is permitted.
- The use of prefabricated stents as reduction guides for crown preparations is permitted.
- Rotating teeth using instruments such as forceps or pliers is not permitted.
- The use of contactEZ strips for the Dental Dam Requirement is not permitted.
- Gluing fractured teeth is not permitted. All fractured teeth must be reported to invigilators. Intentionally damaging teeth is misconduct.
- Intentionally tearing gloves is misconduct.
- The use of loud timers that may disturb other participants is not permitted.
- Using composite materials to repair damaged assessment teeth or damaged adjacent teeth is not permitted.
Each ACS location may have different handpiece connections. The handpiece connections document provides images and descriptions of the handpiece connections at Canadian Faculties of Dentistry.
The ACS is administered at Faculties of Dentistry in Canada and in New Zealand. Although the clinics use standard dental equipment, each of the dental clinics are different and may use slightly different equipment.
The NDEB is aware that some Faculties of Dentistry offer clinic orientation sessions through their Continuing Education Departments. You must contact the Faculties directly to inquire if they are offering an orientation session. Contact information can be found under the Reference Material and Resources section. The NDEB does not endorse or recommend any program for the purpose of preparing participants for NDEB examinations or assessments.
You will receive a grade for each requirement as determined by the evaluation criteria for the requirement and the “Grade Derivation Grid”. The final result will be determined using the “Final Result” Grade Derivation Grid.
In order to pass the ACS you must obtain:
Eight or more grades of A / A+ and no E grade
Nine or more grades of A / A+ and no more than one E grade
The Grade Derivation Grid can be found in the ACS Protocol.
You can take the ACS a maximum of three times.
Viewing ACS Typodonts
Book a viewing time
If you have taken the NDEB Assessment of Clinical Skills (ACS) and would like to view your typodonts in person, go to BOOK NOW to book your appointment. Typodont viewings are optional and not required if you want to appeal the result of your ACS.
Appointment times are available weekly, from Tuesday to Thursday. Refer to the “During your appointment” section below for more information.
Appointments are booked on a first come, first served basis. A non-refundable fee of $100.00 CAD will be charged for each booking. If a person will be coming with you to your appointment, or a representative will be coming on your behalf, this information must be provided at the time you book your appointment. You will receive confirmation of your appointment by email. For assistance with booking an appointment email email@example.com.
When booking, you must use the email address provided on your NDEB online profile and include your NDEB ID number. If an invalid NDEB ID number is entered in the online scheduler your appointment may be cancelled.
Only one appointment per participant is permitted. Appointment times are available for 10 weeks from the date the results are released. Only participants who received a failing grade can schedule an appointment to view their typodonts. Participants with a pass result are not eligible to view their typodonts.
One person may accompany you during your appointment. If you are unable to come to the NDEB office to view your typodonts, you may send one representative in your place. If there is a change in the name of the person that will be accompanying you or your representative, you must notify our office by email at firstname.lastname@example.org no later than five business days prior to the appointment.
The NDEB office is in a secure building; therefore, no unauthorized persons will be permitted in the building. Government issued photo identification must be presented upon entering the building. The name appearing on the identification must match our records. No children are permitted to accompany you during your appointment.
Late arrivals will not receive additional time for time lost.
If you need to cancel your appointment, you must cancel through the online scheduler. Once your appointment is cancelled, you can schedule a new appointment. Each time you book an appointment, you will be charged the ACS Typodont Viewing fee. The typodont viewing fee is non-refundable.
Prior to your appointment
About five days before your appointment, you will receive an email providing you with an electronic copy of the following documents:
- Participant Identification Card
- Time Delay Forms
- Invigilator Notes
- Infection Control Grading Form
- Record of Procedure Requirement
- Dental Dam Grading Form
- Photographs of the evaluation session, if applicable
During your appointment
Appointments are normally 1.5 hours long. At the beginning of the appointment, an NDEB staff person will provide you with detailed instructions on what you can bring into the viewing room. All personal belongings must be placed in designated area and cannot be accessed during your viewing. If you have a camera, it must be placed on the table prior to the start of the viewing.
You will be provided with:
- An electronic copy of the documents previously emailed to you
- A plastic perioprobe
- A light
- Paper to take notes
- Pens or pencils
- The ACS Protocol
During your appointment you are permitted to take notes and pictures. You are permitted to bring loops but cannot have a light attached to the glasses. You are not permitted to:
- Remove teeth from the typodonts
- Take videos/film
- Have metal instruments
- Take impressions
- Use dental floss
- Use articulating paper
- Use putty
- Excessively rub or blow on the typodonts
- Use sandpaper (your hands will be checked before the viewing starts)
Staff will not respond to assessment related questions. The NDEB reserves the right to record all typodont viewings.
Food and drink are not permitted in the viewing room. If you require a break during the viewing, notify the NDEB staff person.
At the beginning of your appointment, you or your representative will be required to sign a form, confirming that you have read and understand these NDEB policies.
Approximately one week after your appointment, you will receive an email providing you with an electronic copy of your Typodont Viewing Incident Form, if applicable.
For more information on the appeals process, visit the Appeals section of our website.