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Free Practice Questions for NZ Dental Therapy REX

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Key Facts: NZ Dental Therapy REX Exam

2 parts

A written examination of two papers plus a separate clinical examination

Dental Council of New Zealand - Dental therapists

C- pass

You must pass each of the two written papers with a grade of C- or better

Dental Council of New Zealand - Sit written examination

Written first

You must pass the written examination before sitting the clinical examination

Dental Council of New Zealand - Dental therapists

3 attempts / 3 years

Maximum of three attempts within three years to pass both parts

Dental Council of New Zealand - Examination eligibility criteria

Up to age 18

Dental therapy scope covers children and adolescents up to age 18

Dental Council Scopes of Practice (New Zealand Gazette)

10-12 weeks

Written examination results are normally emailed 10 to 12 weeks after the exam

Dental Council of New Zealand - Dental therapists

HPCA Act 2003

Registration is governed by the Health Practitioners Competence Assurance Act 2003

Dental Council of New Zealand

100

Free original written-paper practice questions provided here

OpenExamPrep

The New Zealand Dental Therapy Registration Examination is the Dental Council of New Zealand (DCNZ) route to registration in the dental therapy scope of practice for applicants without a prescribed qualification. It has a written part of two papers and a separate clinical part, and you must pass the written part (a C- or better in each paper) before sitting the clinical examination. Candidates get a maximum of three attempts within three years to pass both parts, with written results usually emailed about 10 to 12 weeks after the examination. The scope covers oral health care for children and adolescents up to age 18, including prevention, restorations of primary and permanent teeth, pulpotomy, stainless steel crowns and extraction of primary teeth. This 100-question bank provides original multiple-choice practice for the written papers across paediatric, restorative, clinical-science and regulatory topics.

Sample NZ Dental Therapy REX Practice Questions

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

1In the New Zealand dental therapy scope of practice, which patient group is a dental therapist authorised to treat without an additional scope?
A.Adults over 18 only
B.Children and adolescents up to age 18
C.Patients of any age referred by a dentist
D.Only patients under age 5
Explanation: The Dental Council of New Zealand dental therapy scope of practice covers oral health care for children and adolescents up to age 18. Treating adults requires a separate additional scope of adult care.
2A 6-year-old presents with a primary first molar showing deep caries with a small, pinpoint pulp exposure but no signs of irreversible pulpitis or abscess. The tooth is restorable. Which treatment is most appropriate?
A.Extraction of the tooth
B.Pulpotomy followed by a stainless steel crown
C.Direct composite restoration only, leaving the exposure
D.Referral for root canal therapy by a dentist
Explanation: A small pulp exposure in a restorable primary molar with no irreversible pulpitis is managed by pulpotomy, removing the coronal pulp and restoring with a stainless steel crown for durability. Both procedures are within the dental therapy scope.
3Using the FDI two-digit notation, what is the tooth number for the upper right primary central incisor?
A.11
B.51
C.61
D.81
Explanation: In FDI notation, primary teeth use quadrant digits 5 to 8. The upper right primary quadrant is 5 and the central incisor is tooth 1, giving 51.
4Which of the following is the primary mechanism by which topically applied fluoride helps prevent dental caries?
A.It kills all oral bacteria on contact
B.It promotes remineralisation and forms acid-resistant fluorapatite
C.It physically blocks the pits and fissures
D.It neutralises dietary sugars in the mouth
Explanation: Topical fluoride enhances remineralisation of early lesions and incorporates into enamel to form fluorapatite, which is more resistant to acid dissolution. It also inhibits bacterial metabolism at higher concentrations.
5A child swallows a large amount of fluoride toothpaste and develops nausea and vomiting. What is the most appropriate immediate first-aid measure for mild to moderate fluoride ingestion?
A.Give milk or calcium-containing fluid and monitor
B.Induce further vomiting repeatedly
C.Give a large dose of aspirin
D.Withhold all fluids until symptoms pass
Explanation: Milk or another calcium-containing fluid binds fluoride in the gut and soothes the stomach, reducing absorption in mild to moderate ingestion. Calcium forms insoluble calcium fluoride.
6Which legislation governs the registration and regulation of dental therapists in New Zealand?
A.Health and Disability Services Act 1993
B.Health Practitioners Competence Assurance Act 2003
C.Medicines Act 1981
D.Dental Act 1988
Explanation: The Health Practitioners Competence Assurance Act 2003 (HPCA Act) provides the framework under which the Dental Council registers and regulates dental therapists and other oral health practitioners in New Zealand.
7A fissure sealant is most appropriately placed on which surface and tooth type?
A.The smooth buccal surface of an incisor
B.The deep occlusal pits and fissures of a molar
C.The interproximal surface of a premolar
D.The root surface of an exposed canine
Explanation: Fissure sealants are placed in the deep pits and fissures of posterior teeth, especially molars, where plaque accumulates and the toothbrush cannot reach. They physically seal these vulnerable sites.
8When obtaining consent to treat a 7-year-old child, who is generally able to give legally valid consent for the dental treatment?
A.The child alone
B.The parent or legal guardian
C.The school principal
D.Any accompanying adult
Explanation: For a young child who lacks the maturity to consent, consent is given by the parent or legal guardian. The practitioner should still explain the treatment to the child in age-appropriate terms.
9Which dental material is most commonly used as the restorative material for a routine pulpotomy in a primary molar before a stainless steel crown is placed, or releases fluoride and bonds chemically to tooth structure?
A.Glass ionomer cement
B.Gold inlay
C.Porcelain veneer
D.Acrylic denture base
Explanation: Glass ionomer cement bonds chemically to tooth structure, releases fluoride and is commonly used to build up or base primary teeth, including after pulpotomy before a stainless steel crown. It is well suited to paediatric restorative care.
10At approximately what age do the permanent first molars (the '6-year molars') typically erupt?
A.Around 2 to 3 years
B.Around 6 to 7 years
C.Around 11 to 12 years
D.Around 17 to 21 years
Explanation: The permanent first molars typically erupt around age 6 to 7, earning the name '6-year molars'. They erupt distal to the primary second molars without exfoliating any primary tooth.

About the NZ Dental Therapy REX Exam

The New Zealand Dental Therapy Registration Examination is the Dental Council of New Zealand (DCNZ) pathway for applicants who do not hold a prescribed qualification to gain registration in the dental therapy scope of practice. It has two parts: a written examination made up of two papers, and a separate clinical examination, and candidates must pass the written part before sitting the clinical part. The examination assesses the knowledge and skills required to provide oral health care to children and adolescents up to age 18, including caries prevention, fluoride and fissure sealant therapy, scaling and polishing, cavity preparation and direct restoration of primary and permanent teeth, pulpotomy and stainless steel crowns on primary teeth, and extraction of primary teeth. It also covers dental and oral anatomy, oral pathology, radiography, local anaesthesia, pharmacology, medical emergencies, infection control, ethics and the New Zealand regulatory framework under the Health Practitioners Competence Assurance Act 2003. Registration is governed by that Act, and some prescribed qualifications may carry scope exclusions until further training is completed.

Exam sponsor: Dental Council of New Zealand (DCNZ). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Two parts: a written examination of two papers covering the dental therapy scope of practice, followed by a separate clinical examination. The written part must be passed before the clinical part can be attempted.

Time Limit

The two written papers are sat on the scheduled examination date set by the Dental Council; results are usually emailed about 10 to 12 weeks after the examination.

Passing Score

A pass grade of C- or better is required in each of the two written papers to pass the written examination. Candidates have a maximum of three attempts within three years to pass both the written and clinical parts.

Exam / Certification Fees

An examination fee is payable to the Dental Council of New Zealand when applying for the written examination. The fee is set per sitting and reduces as more applicants enrol; repeat candidates reapply and pay again. Check the current DCNZ fees schedule for the exact amount.

Exam sponsor website

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

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.

30%

Paediatric and Preventive Oral Health

Child and adolescent oral health for patients up to age 18: caries risk assessment and the caries process, fluoride therapy and toxicity, fissure sealants, scaling and polishing for gingivitis, plaque control, dietary and oral hygiene advice, and oral health education and promotion. Practice covers eruption patterns, early childhood caries and behaviour management.

25%

Restorative Dentistry and Extractions

Cavity classification and preparation, direct restoration of primary and permanent teeth, dental materials such as glass ionomer, composite resin and amalgam, pulpotomy, stainless steel crowns on primary teeth, and extraction of primary teeth including indications, technique, healing and complications. Practice covers isolation, matrix use and post-operative care.

20%

Clinical Sciences and Pharmacology

Dental and oral anatomy, tooth notation, eruption and exfoliation, oral pathology and soft-tissue lesions, dental radiography and radiation protection, local anaesthesia and its complications, pharmacology of analgesics, antibiotics and topical agents, and recognition and management of medical emergencies in the dental setting.

25%

Regulation, Ethics and Infection Control

The DCNZ scopes of practice and practice standards, the Health Practitioners Competence Assurance Act 2003, informed consent and capacity, patient records and privacy, scope exclusions, infection prevention and control including sterilisation and standard precautions, and professional ethics and conduct.

Preparing for the NZ Dental Therapy REX Exam

What You Need to Know

  • Passing score: A pass grade of C- or better is required in each of the two written papers to pass the written examination. Candidates have a maximum of three attempts within three years to pass both the written and clinical parts.
  • Assessment: Two parts: a written examination of two papers covering the dental therapy scope of practice, followed by a separate clinical examination. The written part must be passed before the clinical part can be attempted.
  • Time limit: The two written papers are sat on the scheduled examination date set by the Dental Council; results are usually emailed about 10 to 12 weeks after the examination.
  • Exam / certification fees: An examination fee is payable to the Dental Council of New Zealand when applying for the written examination. The fee is set per sitting and reduces as more applicants enrol; repeat candidates reapply and pay again. Check the current DCNZ fees schedule for the exact amount. Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

NZ Dental Therapy REX: Suggested Study Strategy

1Read the DCNZ dental therapy scope of practice carefully so you know exactly which procedures, age limits and any scope exclusions apply before sitting the written papers.
2Master the primary dentition: eruption and exfoliation timing, tooth notation, pulpotomy indications and stainless steel crown placement, since paediatric restorative care is core to the scope.
3Know fluoride thoroughly, including recommended concentrations, application methods and the signs and management of acute fluoride toxicity.
4Practise medical emergency recognition and first-line management (anaphylaxis, syncope, hypoglycaemia, asthma) because these appear across registration examinations.
5Review infection prevention and control standards, including instrument sterilisation, standard precautions and single-use items, as these are frequently tested regulatory topics.
6Study the Health Practitioners Competence Assurance Act 2003 and DCNZ standards on consent, records and professional conduct so you can apply the New Zealand regulatory framework, not just clinical facts.

Frequently Asked Questions

What is the New Zealand Dental Therapy Registration Examination?

It is the Dental Council of New Zealand (DCNZ) examination that applicants without a prescribed qualification sit to register in the dental therapy scope of practice. It has a written part of two papers and a separate clinical part.

How is the written examination structured and graded?

The written examination consists of two papers covering the dental therapy scope of practice. To pass you must achieve a grade of C- or better in each of the two papers, and you must pass the written part before sitting the clinical part.

How many attempts do I get?

Candidates have a maximum of three attempts within three years of first sitting to pass both the written and clinical parts. If you repeat the examination you must reapply and pay the examination fee again.

What age group does the dental therapy scope cover?

In New Zealand the dental therapy scope of practice covers oral health care for children and adolescents up to age 18, including prevention, restorations of primary and permanent teeth, pulpotomy, stainless steel crowns and extraction of primary teeth.

When will I get my written examination results?

The Dental Council normally issues written examination results by email about 10 to 12 weeks after the examination date. You must pass the written part before you can sit the clinical examination.

Are these official DCNZ examination questions?

No. These are original OpenExamPrep multiple-choice questions modelled on the dental therapy scope of practice and DCNZ standards. They are study practice for the written papers, not the official examination content.