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The National Board Dental Hygiene Exam (NBDHE) is a state-licensing test to become a practicing dental hygienist. Success on the National Board Dental Hygiene Exam is a requirement to practice dental hygiene in the United States. The exam tests students on their understanding of dental, biomedical, and dental hygiene sciences and assesses their ability to apply this information in a problem-solving context. Students may take the NBDHE no sooner than four months before they are to receive a dental hygiene diploma and must obtain certification of approval for testing from the director of their program.

NBDHE is a computer-based exam that is administered at Pearson VUE testing centers located throughout the United States, its territories, and Canada. The center is equipped with video surveillance cameras and Pearson staff members are trained to diligently observe test-takers. Candidates taking the NBDHE will be provided a dry erase board and a dry erase marker to use as scratch space during the exam. Candidates can electronically schedule their own testing time and date throughout the year.

Administering the NBDHE takes approximately 9 hours, including an optional hour-long lunch break. Candidates must report to their testing centers 30 minutes before the exam starts and complete a 15-minute exam tutorial. Candidates will then be given three and a half hours to complete 200 discipline-based items. This first session will cover many skills, including use of preventive agents, assessing patient characteristics, and interpreting radiographs. After the hour-long optional lunch break, a second four-hour long session will contain 150 patient-case items. Items on the exam will cover topics that dental hygienists must know to perform their duties and the American Dental Association Universal/National tooth notation system will be used. A 15-minute post-survey will follow the examination.

Students who pass the exam will get a certificate published by the Joint Commission on National Dental Examinations (JCNDE).

To prepare for the exam, the JCNDE recommends using textbooks and lecture notes as primary study materials but they have also released past versions of the NBDHE for review.

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