College of Dental Hygienists of Ontario
The College of Dental Hygienists of Ontario regulates the practice of dental hygiene in the interest of the overall health and safety of the public of Ontario.

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Canadian Performance Exam in Dental Hygiene

The Canadian Performance Exam in Dental Hygiene (CPEDH) is a practical examination that assesses an applicant’s clinical skills. The purpose of this exam is to ensure that all candidates possess the breadth and depth of clinical skills to safely and effectively enter professional dental hygiene practice in Canada.

The CPEDH is a two-part performance-based assessment, which will assess the competency of an entry-to-practice dental hygienist's knowledge and/or skills in both a simulated-based setting and in an authentic clinical context delivered over two days.

The examination will evaluate a broad range of clinical skills and issues such as a candidate’s ability to demonstrate proficiency in the dental hygiene process of care, including:

  • Infection prevention and control
  • Communication skills
  • Collection, documentation and analysis of data to identify oral health risks and client needs
  • Dental hygiene diagnosis
  • Dental hygiene treatment planning
  • Instrument selection
  • Detection and removal of supra and sub gingival calculus
  • Tissue care
  • Client management
Please note: applicants who graduate from a Canadian or American accredited program are exempted from sitting the Canadian Performance Exam in Dental Hygiene. For more information about the Canadian Performance Exam in Dental Hygiene, please email us at