NDEB ACJ study materials
NDEB ACJ study resources

NDEB ACJ case studies

NDEB ACJ · Put your knowledge to work in context.

The Assessment of Clinical Judgement (ACJ®) is one of the examinations in the NDEB Equivalency Process, the route to certification for dentists who graduated from a dental degree program that is not recognized by the Commission on Dental Accreditation of Canada (CDAC). Candidates who completed a degree from a university authorized by that country's government to award such degrees, but whose program is not CDAC-recognized, follow the Equivalency Process. The NDEB ACJ case studies are 5 cases and about 2,497 words.

1

The Patient Who Wants Everything Done Today

A 42-year-old man presents with a chief complaint that a lower right molar 'broke off' two days ago. He has not slept well due to a dull ache that is now keeping him awake.

587 words, about 3 min
2

The Bleeding That Won't Stop After a Simple Extraction

A 68-year-old woman undergoes extraction of tooth 36 under local anesthesia. The procedure is uncomplicated, but 40 minutes after placement of a gauze pack she continues to ooze bright red blood from the socket.

509 words, about 3 min
3

The Failing Bridge and the Question of What to Replace

A 55-year-old woman presents with a three-unit fixed partial denture replacing tooth 25, supported by teeth 24 and 26. She reports that food traps under the pontic and that the bridge feels loose.

489 words, about 2 min
4

The Anxious Child and the Question of Sedation

A 6-year-old boy is brought by his mother for treatment of a large carious lesion on tooth 74 with associated pulpal involvement. He has no medical conditions and takes no medications.

474 words, about 2 min
5

The Medically Complex Patient Needing an Extraction

A 70-year-old man requires extraction of tooth 47 due to a non-restorable fracture. His medical history includes a myocardial infarction 18 months ago, stable angina, hypertension, and type 2 diabetes.

438 words, about 2 min