Free Practice Questions for Israel Dental Licensing

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Exam Review

Key Facts: Israel Dental Licensing Exam

2 Stages

Theoretical (A) then Practical (B)

Ministry of Health — dentistry licensing page

2 / year

Examination Rounds

Ministry of Health — dentistry licensing page

51+

Failing Score That May Be Appealed

Ministry of Health dentistry appeal procedure

30 Days

Appeal Window After Results

Ministry of Health dentistry appeal procedure

5 Years

Practice Abroad for Possible Exemption

Dentists Regulations (Conditions for Exemption from Examination), 5776-2016

100

Practice Questions in Bank

OpenExamPrep Practice Bank

The Israeli dental licensing examination has two stages: Stage A, a computer-delivered multiple-choice theoretical paper at Binyanei Ha'uma in Jerusalem, and Stage B, a practical examination about a month later at the Hebrew University-Hadassah Faculty of Dental Medicine. Both must be passed for a licence, and the rounds run twice a year. This 100-question set is independent English-language practice by OpenExamPrep across operative dentistry and endodontics, prosthodontics, periodontology, oral surgery and pathology, and paediatric dentistry and orthodontics; it supports Stage A study only and cannot replace Stage B practical training.

Sample Israel Dental Licensing Practice Questions

Try these sample questions to review concepts for the Israel Dental Licensing exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1According to Brännström's hydrodynamic theory of dentin hypersensitivity, what is the primary physical mechanism that triggers pain in response to thermal, tactile, or osmotic stimuli?

A.Rapid displacement of fluid within dentinal tubules that deforms nerve endings at the pulp-dentin border

B.Direct thermal denaturation of odontoblastic processes extending to the dentinoenamel junction

C.Release of substance P directly from exposed dentin crystals into the vascular pulp stroma

D.Piezoelectric current generated across the calcified collagen matrix stimulating pulpal C-fibers

Explanation: Brännström's hydrodynamic theory establishes that stimulus-induced fluid movement within open dentinal tubules creates mechanical shearing forces. This fluid displacement mechanically distorts the mechanoreceptors and A-delta nerve endings located in the subodontoblastic plexus of Raschkow, producing sharp, localized pain sensations.

2During composite resin restoration placement, which cavity configuration carries the highest configuration factor (C-factor) and therefore the greatest polymerization contraction stress and risk of marginal gap formation?

A.A class IV incisal angle restoration, where most of the restoration surface is free (unbonded) and the composite can flow during cure

B.A class II mesio-occlusal preparation, which has both an occlusal and a proximal free surface

C.A class V facial cervical preparation, which has a large free facial surface

D.A class I occlusal preparation, with five bonded walls and a single free occlusal surface

Explanation: The configuration factor (C-factor) is the ratio of bonded to unbonded (free) surfaces in a preparation. A class I occlusal cavity is bonded on five walls (pulpal, mesial, distal, buccal, lingual) and has only the occlusal opening free, giving the highest ratio of any classic preparation (5:1). With so little free surface, the shrinking composite cannot flow to relieve stress, so contraction stress is transferred to the adhesive interface and can debond margins or cause cuspal deflection. Incremental layering, a low-modulus liner, and slower cure protocols are used to manage it.

3Which histological difference characterizes reactionary tertiary dentin compared to reparative tertiary dentin?

A.Reactionary dentin is synthesized by surviving original post-mitotic odontoblasts in response to mild-to-moderate stimuli

B.Reactionary dentin forms only after complete destruction of the primary odontoblast monolayer and odontoblastoid cell differentiation

C.Reactionary dentin is completely atubular and resembles osteodentin with enclosed cellular lacunae

D.Reactionary dentin is produced exclusively in the root canal space following traumatic avulsion and replantation

Explanation: Reactionary dentinogenesis occurs when mild noxious stimuli (such as shallow slow-progressing caries or superficial cavity preparation) stimulate the surviving primary odontoblasts to secrete focal tertiary dentin. In contrast, reparative dentinogenesis requires the recruitment and differentiation of stem cells into odontoblast-like cells after the original odontoblasts have died.

4A 28-year-old patient presents with severe, spontaneous, throbbing pain in the mandibular right first molar that awakens them at night. Cold testing with ethyl chloride produces intense pain lingering for 45 seconds after stimulus removal. Periapical radiography demonstrates deep occlusal radiolucency approximating the pulp chamber with normal periodontal ligament space. What is the definitive pulpal diagnosis?

A.Reversible pulpitis

B.Symptomatic irreversible pulpitis

C.Pulp necrosis

D.Asymptomatic irreversible pulpitis

Explanation: Symptomatic irreversible pulpitis is clinically diagnosed by spontaneous, unprovoked pain and exaggerated responses to thermal stimuli that linger significantly (typically >15-30 seconds) after the stimulus is removed. Reversible pulpitis produces non-lingering transient pain, while pulp necrosis yields no thermal response.

5What is the primary rationale for utilizing 17% ethylenediaminetetraacetic acid (EDTA) as a final rinse prior to root canal obturation?

A.Chelation of calcium ions to dissolve the inorganic component of the smear layer and open dentinal tubules

B.Complete dissolution of organic necrotic tissue pulp remnants and bacterial biofilm matrix

C.Rapid oxidation and bleaching of chromogenic bacterial pigments within the dentin matrix

D.Coagulation of bacterial cell wall peptidoglycans through potent alkaline antimicrobial action

Explanation: Ethylenediaminetetraacetic acid (EDTA) at 17% is a polyamino carboxylic acid that chelates divalent calcium ions from hydroxyapatite, demineralizing and eliminating the inorganic debris of the endodontic smear layer. This opens dentinal tubules to permit deeper penetration of antimicrobial irrigants and endodontic sealers.

6According to the 2020 International Association of Dental Traumatology (IADT) guidelines, what is the recommended management and splinting duration for an avulsed mature permanent incisor that was replanted within 15 minutes of injury?

A.Flexible splint for 2 weeks, systemic antibiotics, and initiation of root canal treatment within 7-14 days

B.Rigid wire splint for 8 weeks, systemic corticosteroids, and immediate surgical apicoectomy

C.Flexible splint for 6 weeks with watchful waiting for spontaneous pulp revascularization

D.Semi-rigid splint for 4 weeks with immediate calcium hydroxide obturation on the day of replantation

Explanation: According to IADT 2020 guidelines, an avulsed closed-apex permanent tooth replanted immediately (<60 minutes extraoral dry time) requires a passive, flexible splint for 2 weeks to allow periodontal ligament reattachment. Because revascularization cannot occur in mature closed apices, endodontic therapy must be initiated within 7 to 14 days to prevent inflammatory root resorption.

7Why is the application of a 2% chlorhexidine digluconate re-wetting solution recommended following phosphoric acid etching in etch-and-rinse adhesive systems?

A.It dissolves remaining smear plugs to facilitate deeper resin tag penetration into peritubular dentin

B.It inhibits endogenous matrix metalloproteinases (MMPs) and cysteine cathepsins to preserve the hybrid layer

C.It accelerates free-radical conversion of dimethacrylate monomers during visible light activation

D.It neutralizes residual phosphoric acid to prevent chemical irritation of the underlying dental pulp

Explanation: Acid-etching of dentin exposes collagen fibrils and activates host endogenous enzymes, specifically matrix metalloproteinases (MMP-2, -8, -9) and cysteine cathepsins. Chlorhexidine acts as a potent non-specific MMP inhibitor through cation-chelating mechanisms, preventing hydrolytic degradation of denuded collagen fibrils within the hybrid layer over time.

8Which sensory nerve fibers are predominantly responsible for mediating the dull, throbbing, poorly localized, and lingering ache characteristic of advanced pulpal inflammation?

A.Myelinated A-beta fibers

B.Myelinated A-delta fibers

C.Unmyelinated C-fibers

D.Sympathetic postganglionic B-fibers

Explanation: Pulpal C-fibers are slow-conducting, unmyelinated nociceptors located deeply within the pulp core. They are activated by tissue injury, inflammatory mediators (bradykinin, histamine, prostaglandins), and hypoxia, transmitting burning, dull, aching, and poorly localized pain indicative of irreversible tissue damage.

9When preparing a class II cavity for a dental amalgam restoration on a mandibular first molar, why must the pulpal floor and gingival seat be prepared flat and perpendicular to the long axis of the tooth?

A.To satisfy retention form by resisting horizontal displacement under masticatory excursions

B.To satisfy resistance form by distributing axial occlusal forces uniformly across supporting dentin

C.To prevent secondary recurrent caries by eliminating the acid-soluble enamel rod aprismatic layer

D.To provide convenient access for mechanical condensed alloy burnishing without matrix distortion

Explanation: Resistance form in G.V. Black cavity preparation principles is designed to prevent fracture of both the restorative material and the remaining tooth structure under masticatory load. Flat pulpal and gingival floors perpendicular to occlusal vectors ensure even stress distribution across sound dentin and prevent shearing or wedging forces.

10A 9-year-old child sustains a traumatic blow to the maxillary central incisor 2 hours prior to presentation. Examination reveals an uncomplicated crown fracture involving enamel and dentin without pulpal exposure. The tooth is non-mobile and non-tender to percussion. What is the most biological emergency management?

A.Immediate root canal instrumentation followed by apexification with mineral trioxide aggregate (MTA)

B.Prophylactic Cvek partial pulpotomy to prevent delayed aseptic necrosis

C.Sealing the exposed dentin tubules with a dentin bonding agent and composite resin to protect the pulp

D.Full-coverage stainless steel crown placement under general anesthesia

Explanation: In uncomplicated crown fractures without pulpal exposure, the primary objective is to seal the exposed dentinal tubules against bacterial penetration, preventing microleakage and secondary pulpal inflammation. Immediate restoration with an adhesive bonding agent and composite resin or glass ionomer provides a hermetic seal while allowing continued root development in immature teeth.

About the Israel Dental Licensing Exam

The Israel Dentistry Licensing Examination (בחינת רישוי ממשלתית ברפואת שיניים) is the statutory national licensing examination mandatory for dental graduates seeking to practice dentistry in the State of Israel. Established pursuant to the Dentists Ordinance [New Version], 5739-1979 (פקודת רופאי השיניים [נוסח חדש], התשל"ט-1979) and the Dentists Regulations (Licensing Examination), 5752-1992, the exam evaluates candidates across five comprehensive disciplines: Operative Dentistry & Endodontics, Prosthodontics & Dental Materials, Periodontology & Prevention, Oral & Maxillofacial Surgery and Pathology, and Pediatric Dentistry & Orthodontics. The official examination is administered in Israel; this 100-question practice bank is an independent English-language adaptation created by OpenExamPrep to provide rigorous clinical preparation reflecting the published blueprint.

Exam sponsor: Ministry of Health — Dental Health Division (משרד הבריאות - אגף בריאות השן). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Stage A (theoretical): computer-delivered multiple-choice paper at the International Convention Center (Binyanei Ha'uma), Jerusalem. Stage B (practical): hands-on examination roughly one month later at the Hebrew University-Hadassah Faculty of Dental Medicine, open only to candidates who passed Stage A. Both stages are required for licensure, and the examination is run by the Dental Health Division with the Medical Professions Licensure Division.

Time Limit

Not published by the Ministry of Health; Stage A sittings begin at 10:00 on the published date

Passing Score

Reported as pass/fail by the examination committee; failing candidates who score 51 or above may inspect the paper and appeal within 30 days

Exam / Certification Fees

Statutory fee paid separately for each stage through the government payments service; the amount is not published on the licensing page

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

25%

Operative Dentistry, Cariology & Endodontics

Caries biology, cavity preparation design, modern dental bonding systems (total-etch vs self-etch), composite resins, pulp physiology, diagnostic testing, root canal instrumentation, irrigants (NaOCl, EDTA), obturation techniques, and management of traumatic dental injuries (IADT).

25%

Prosthodontics, Occlusion & Dental Materials

Biological and mechanical principles of tooth preparation for fixed prostheses, margin designs, elastomeric and hydrocolloid impression materials, removable partial denture clasp mechanics, major and minor connectors, complete denture border molding and balanced articulation, and occlusal concepts.

20%

Periodontology & Preventive Dentistry

Periodontal anatomy and gingival architecture, microbial dental biofilm, AAP/EFP 2018 staging and grading of periodontitis, non-surgical scaling and root planing mechanics, local and systemic antimicrobials, periodontal flap designs, mucogingival surgery, and preventive fluoride regimens.

15%

Oral & Maxillofacial Surgery, Pathology & Medicine

Exodontia and surgical elevator mechanics, local anesthetic pharmacology (amides, esters, vasoconstrictor limits), management of anesthesia complications, fascial space spreading infections (Ludwig's angina), oral mucosal diseases (leukoplakia, lichen planus, pemphigus), and odontogenic cysts and benign neoplasms.

15%

Pediatric Dentistry & Orthodontics

Management of primary dentition caries, vital pulp therapies (pulpotomy with MTA/ferric sulfate vs pulpectomy), space maintenance appliances, development of occlusion, Angle's malocclusion classification, cephalometric evaluation (SNA, SNB, ANB), and interceptive orthodontic treatments.

Preparing for the Israel Dental Licensing Exam

What You Need to Know

Passing score: Reported as pass/fail by the examination committee; failing candidates who score 51 or above may inspect the paper and appeal within 30 days
Assessment: Stage A (theoretical): computer-delivered multiple-choice paper at the International Convention Center (Binyanei Ha'uma), Jerusalem. Stage B (practical): hands-on examination roughly one month later at the Hebrew University-Hadassah Faculty of Dental Medicine, open only to candidates who passed Stage A. Both stages are required for licensure, and the examination is run by the Dental Health Division with the Medical Professions Licensure Division.
Time limit: Not published by the Ministry of Health; Stage A sittings begin at 10:00 on the published date
Exam / certification fees: Statutory fee paid separately for each stage through the government payments service; the amount is not published on the licensing page Official sources

Using Our Practice Resources

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Israel Dental Licensing: Suggested Study Strategy

1Master diagnostic endodontic testing: memorize the precise differentiation between reversible pulpitis, symptomatic irreversible pulpitis, asymptomatic irreversible pulpitis, and pulp necrosis based on cold, EPT, and percussion tests.

2Thoroughly understand dental materials chemistry: focus on the difference between total-etch 3-step adhesives and self-etch 1-step systems, setting reactions of addition silicones vs condensation silicones, and polymerization shrinkage vectors.

3Know the 2018 AAP/EFP classification system cold: be able to stage periodontitis (Stage I to IV based on interdental CAL and radiographic bone loss) and grade periodontitis (Grade A, B, or C based on progression rate and risk factors like smoking and diabetes).

4Review local anesthesia maximum recommended doses (MRD): calculate exact milligram and cartridge limits for 2% lidocaine with 1:100,000 epinephrine (4.4 mg/kg up to 300-500 mg) and 4% articaine with 1:100,000 epinephrine (7.0 mg/kg).

5Memorize the International Association of Dental Traumatology (IADT) trauma guidelines: know the splinting durations for avulsion (2 weeks flexible splint), subluxation (2 weeks), alveolar fracture (4 weeks), and root fractures (4 weeks to 4 months).

6Understand RPD biomechanical principles: master the function of rests, minor connectors, guide planes, indirect retainers (fulcrum line mechanics in Kennedy Class I and II), and reciprocal clasp arm positioning.

Frequently Asked Questions

What is the format of the Israeli dental licensing examination?

It has two stages. Stage A (שלב א') is a theoretical multiple-choice paper delivered on computer at the International Convention Center (Binyanei Ha'uma) in Jerusalem; the Ministry of Health publishes the dates and procedure but not the item count or duration. Stage B (שלב ב') is a practical examination held about a month later at the Hebrew University-Hadassah Faculty of Dental Medicine. Only candidates who pass Stage A may sit Stage B.

Who has to take the examination, and is there an exemption?

Both Israeli graduates and graduates of recognised foreign dental schools register for and sit Stage A and then Stage B; the Ministry of Health describes the same two-stage route for each group. Dentists who have practised clinical dentistry abroad for at least five years at an appropriate professional level may apply for exemption under the Dentists Regulations (Conditions for Exemption from Examination), 5776-2016.

When are the 2026 sittings and what is the fee?

The examination runs twice a year. Stage A is scheduled for 13.04.2026 and 10.09.2026, with Stage B on 18-19.06.2026 and 04-07.10.2026. Registration closes on the portal about six weeks before each stage and the statutory fee must be paid at least 14 days before the examination through the government payments service; the Ministry publishes the amount in its fee schedule rather than on the licensing page.

Can a failing result be appealed?

Yes. Candidates who fail with a score of 51 or above may register for the published review session, inspect their examination, and submit an appeal within 30 days of the results being published to the personal portal. The Dental Health Division publishes the appeal procedure separately.

In what language is the examination taken?

The examination is translated into several languages, and candidates who want to sit in a language other than Hebrew must request the translation when they register; languages for which no request is filed are not translated. This practice bank is an independent English-language study adaptation by OpenExamPrep, not an official translation of any examination.

Does this question bank prepare for Stage B?

No. These 100 multiple-choice questions cover the knowledge tested in Stage A - operative dentistry and endodontics, prosthodontics, periodontology, oral surgery and pathology, and paediatric dentistry and orthodontics. Stage B assesses hands-on clinical procedures and can only be prepared for with supervised practical training.