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Free Practice Questions for Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare)

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Exam Review

Key Facts: Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare) Exam

6 hours

Theoretical test in two parts (patient cases with an English article, then MEQ), plus a break

Karolinska Institutet

8 stations

Practical test over two days: 4 OSCE and 4 preclinical phantom stations

Karolinska Institutet

5 / 3

Maximum attempts: five for the theoretical test, three for the practical test

Socialstyrelsen

5 years

Time to pass the whole test, counted from the first sitting

Socialstyrelsen

Kunskapsprov för tandläkare is run by Karolinska Institutet for Socialstyrelsen: a 6-hour computer-based theoretical test (patient cases with an English article, then an MEQ section), followed by eight practical stations over two days. Candidates have up to five theoretical and three practical attempts within five years. The test is in Swedish; this 100-question bank is an English-language MCQ study adaptation — not an official translation, format simulation, or substitute for writing/speaking/performance practice.

Sample Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare) Practice Questions

Try these sample questions to review concepts for the Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A bitewing radiograph of a 28-year-old patient shows a radiolucency confined to the outer half of the enamel on the distal surface of tooth 15. The surface is non-cavitated on clinical inspection. What is the most appropriate management?
A.A class II composite restoration now, before bacteria reach the enamel-dentin junction
B.Systemic amoxicillin for 7 days to eliminate acidogenic streptococci in the plaque
C.Tunnel preparation from the occlusal surface and a glass ionomer restoration
D.Non-operative care: oral hygiene advice, topical fluoride and radiographic follow-up
Explanation: A radiolucency in the outer half of the enamel (D1) without cavitation is an initial lesion that can be arrested. Minimal-intervention practice manages it non-operatively: interdental cleaning and oral hygiene advice, dietary counselling, topical fluoride (for example a fluoride varnish such as Duraphat, 22,600 ppm F) and radiographic follow-up at an interval set by the patient's caries risk.
2A 35-year-old asymptomatic patient presents with deep primary dentin caries on tooth 46. Sensibility testing with cold is normal and periapical radiography reveals radiolucency extending into the inner third of dentin without apical pathology. What is the rationale for performing stepwise excavation (stegvis exkavering) instead of complete one-step excavation?
A.It removes the need for any definitive composite or glass ionomer restoration
B.The zinc oxide–eugenol dressing sterilizes the root canal system
C.It lowers the risk of pulp exposure while the lesion arrests and tertiary dentin forms
D.It guarantees pulp survival, so later sensibility testing is unnecessary
Explanation: Stepwise excavation (stegvis exkavering) is indicated in deep caries lesions approaching the pulp in symptom-free vital teeth. Peripheral and superficial infected dentin is removed while leathery carious dentin is temporarily left pulpo-axially under a sealed dressing. This avoids immediate pulp exposure and gives the pulp-dentin complex time to lay down tertiary dentin before re-entry after several months, when the remaining dentin is drier and harder.
3An adult patient with dry mouth from Sjögren's syndrome has several new cervical and root caries lesions. Which home-care fluoride regimen is most appropriate to prescribe?
A.Standard sodium fluoride mouthrinse containing 0.05% NaF used once weekly
B.5,000 ppm F toothpaste (e.g. Duraphat 5 mg/g), two to three times daily
C.Fluoride-free calcium phosphate chewing gum only, to avoid systemic fluorosis in adults
D.Stannous fluoride gel applied exclusively once per calendar year in a custom tray
Explanation: Patients with high caries risk and compromised salivary clearance (such as severe hyposalivation or Sjögren's syndrome) benefit from high-fluoride dentifrice containing 5,000 ppm fluoride (Duraphat 5 mg/g) used 2–3 times daily. This provides elevated salivary fluoride bioavailability without systemic risks in adult patients.
4What is the main mechanism by which topical fluoride reduces caries progression?
A.Fluoride in plaque fluid slows demineralization and speeds remineralization
B.It dissolves the salivary pellicle so that bacteria cannot adhere
C.It raises the resting salivary pH above 9 so that acids are neutralized permanently
D.It stimulates odontoblasts to form secondary dentin within the enamel
Explanation: Fluoride's main cariostatic effect is topical and acts in the fluid phase. When fluoride is present in plaque fluid during an acid challenge, mineral can re-precipitate as fluorhydroxyapatite, whose critical pH is about 4.5 compared with about 5.5 for hydroxyapatite. Between pH 4.5 and 5.5 enamel loses hydroxyapatite but gains fluorapatite-like mineral, so net mineral loss falls, and when the pH rises fluoride speeds remineralization. Fluoride built into enamel during tooth development protects much less than fluoride kept constantly available in the mouth.
5A 7-year-old child presents with newly erupted permanent first molars featuring deep, retentive occlusal fissures. The child has had previous carious lesions in primary molars. What is the evidence-based recommendation for caries prevention on these occlusal surfaces?
A.Prophylactic enameloplasty with a bur, then an amalgam filling
B.Professional tooth cleaning every two years and no other measures
C.Delay prevention until the second permanent molars erupt at about 12
D.Resin-based or glass ionomer fissure sealants on the deep fissures
Explanation: Pit and fissure sealants (fissurförsegling) are an evidence-based measure for the occlusal surfaces of permanent molars in children at increased caries risk; Swedish (SBU) and international systematic reviews show that they reduce occlusal caries. Sealing isolates deep, retentive fissures from cariogenic biofilm during the most caries-susceptible period after eruption.
6During a recall exam, a clinician observes a root surface lesion on tooth 33. The lesion is located 1 mm coronal to the gingival margin, has a dark brown-to-black appearance, feels hard and smooth under gentle tactile examination with a blunt probe, and shows no detectable plaque stagnation. How should this lesion be classified?
A.Active root caries that needs a glass ionomer restoration now
B.Non-carious abrasion from horizontal toothbrushing
C.Inactive (arrested) root caries; monitor without restoring
D.Extrinsic stain on sound root cementum
Explanation: Arrested (inactive) root caries lesions typically appear dark brown or black, feel firm, hard, and smooth upon gentle probing, and are situated in cleansable areas without active plaque accumulation. Inactive root caries does not require restorative preparation unless aesthetic or contour demands dictate it.
7In the ecological plaque hypothesis of dental caries, which ecological shift best explains the transition of the dental biofilm from health to cariogenicity?
A.A shift toward spirochetes caused by an alkaline subgingival redox potential
B.Excess salivary IgA suppressing the normal oral commensals
C.Loss of salivary buffering that lets enteric gram-negative bacilli colonize
D.Frequent sugar-driven pH drops that select acidogenic, aciduric species
Explanation: The ecological plaque hypothesis describes caries as an imbalance in the resident microflora driven by frequent carbohydrate exposure and sustained low environmental pH. This selects for aciduric (acid-tolerant) and acidogenic microorganisms, particularly Streptococcus mutans and Lactobacillus species, at the expense of benign commensals.
8When performing selective caries excavation in a vital permanent molar with deep dentinal caries, what is the recommended clinical endpoint for excavation on the peripheral cavity walls versus the pulpal wall?
A.Hard dentin on both the periphery and the pulpal wall, accepting exposure if needed
B.Hard dentin at the periphery; leathery or soft dentin may be left over the pulp
C.Soft dentin left at the enamel-dentin junction; pulpal wall cleared to bleeding
D.Dry high-speed diamond preparation to dehydrate all remaining dentin tubules
Explanation: In selective excavation to soft or firm dentin, the peripheral cavity margins must be excavated to hard, sound dentin to ensure a hermetic, bacterial-tight adhesive seal. Pulpo-axially over the vital pulp, leathery or soft dentin is intentionally left to avoid iatrogenic pulp exposure.
9A 22-year-old patient reports brief, sharp sensitivity in tooth 26 when drinking cold liquids. The pain subsides immediately within 2 seconds once the cold stimulus is removed. Radiography reveals an occlusal restoration with a defective margin but no periapical pathology. What is the most probable pulpal diagnosis?
A.Symptomatic irreversible pulpitis
B.Total pulpal necrosis
C.Reversible pulpitis
D.Asymptomatic apical periodontitis
Explanation: Reversible pulpitis (reversibel pulpit) is characterized by transient, sharp pain provoked by thermal (especially cold) or osmotic stimuli that ceases almost immediately upon removal of the stimulus. The pulp remains vital and structurally salvageable by removing the irritant and resealing the tooth.
10A 44-year-old patient presents with spontaneous, severe throbbing pain in the left mandible that woke them from sleep. Cold testing on tooth 36 elicits intense pain that lingers for more than 40 seconds. Percussion test is mildly tender. What is the definitive treatment plan for tooth 36?
A.High-dose ibuprofen and a desensitizing varnish at the gingival margin
B.Penicillin V for 7 days, then reassess the pulp
C.Indirect pulp capping and a temporary filling, with review in 6 months
D.Pulpectomy (pulpektomi) and root canal treatment under rubber dam
Explanation: The clinical presentation (spontaneous throbbing pain, night-waking, exaggerated and lingering response to cold) is diagnostic of symptomatic irreversible pulpitis (irreversibel pulpit). The definitive treatment is pulpectomy and root canal instrumentation under rubber dam isolation, followed by root canal filling.

About the Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare) Exam

Kunskapsprov för tandläkare is the knowledge test for dentists educated outside the EU/EEA who want a Swedish licence. Karolinska Institutet runs it on behalf of Socialstyrelsen, in Swedish: a computer-based theoretical test with patient cases and an MEQ section, followed by a practical test of OSCE and preclinical phantom stations. This page offers independent English-language practice for the knowledge areas the test covers.

Exam sponsor: Karolinska Institutet (on behalf of Socialstyrelsen). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Theoretical test (Inspera, KI Campus Solna or Flemingsberg): 6 hours plus a break in two parts — patient cases with an English scientific article, then an MEQ section. Practical test, after the theoretical test is passed: eight stations over two consecutive days — four OSCE stations and four preclinical phantom stations.

Time Limit

6 hours plus a break (theoretical test); two consecutive days (practical test)

Passing Score

Pass mark set in advance for each theoretical sitting, so it varies; practical stations assessed against set criteria

Exam / Certification Fees

No examination fee published (SEK 990 Socialstyrelsen application fee for the earlier education review)

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.

20 practice questions

Cariology and endodontics

Caries management, fluorides, excavation strategies, pulp diagnosis and root canal treatment.

15 practice questions

Periodontology

Classification, stepwise treatment, regeneration, risk factors and peri-implant disease.

15 practice questions

Prosthodontics, occlusion and TMD

Fixed and removable prosthodontics, dental materials, tooth wear and TMD.

15 practice questions

Oral surgery and oral medicine

Surgical complications, mucosal lesions, MRONJ and suspected oral cancer.

15 practice questions

Odontological radiology

Technique, artefacts, radiation protection and interpretation.

10 practice questions

Paediatric dentistry and orthodontics

Trauma, space management, MIH and interceptive orthodontics.

10 practice questions

Pharmacology and legislation

Anaesthetics, analgesics, antibiotic prophylaxis and Swedish dental care rules.

Preparing for the Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare) Exam

What You Need to Know

  • Passing score: Pass mark set in advance for each theoretical sitting, so it varies; practical stations assessed against set criteria
  • Assessment: Theoretical test (Inspera, KI Campus Solna or Flemingsberg): 6 hours plus a break in two parts — patient cases with an English scientific article, then an MEQ section. Practical test, after the theoretical test is passed: eight stations over two consecutive days — four OSCE stations and four preclinical phantom stations.
  • Time limit: 6 hours plus a break (theoretical test); two consecutive days (practical test)
  • Exam / certification fees: No examination fee published (SEK 990 Socialstyrelsen application fee for the earlier education review) 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

Sweden Dentist Knowledge Test (Kunskapsprov för tandläkare): Suggested Study Strategy

1Work through KI's published past theoretical papers to practise patient-case and MEQ reasoning in Swedish.
2Use Socialstyrelsen's national guidelines for adult dental care, which are available electronically during the theoretical test.
3Practise reading English scientific articles critically, since Part 1 includes one sent out before the test.
4Know the Swedish framework for dental care: Tandvårdslagen, the state dental care subsidy, antibiotic stewardship, radiation protection and reports of concern for children.
5Rehearse clinical communication and preclinical procedures on a phantom head for the OSCE and preclinical stations.

Frequently Asked Questions

How is the knowledge test structured?

The theoretical test is taken on computer in Inspera at KI Campus Solna or Flemingsberg and lasts 6 hours plus a break. Part 1 has patient cases covering odontology and adjacent subjects such as pharmacology, anatomy and general medicine, plus a scientific article in English sent out beforehand. Part 2 is an MEQ section of longer patient cases in which you cannot go back to change answers. After passing, you take a practical test of eight stations over two consecutive days: four OSCE stations and four preclinical stations on a phantom patient.

What is the pass mark?

Karolinska Institutet sets the pass mark for each theoretical sitting in advance through a standard-setting assessment, so it varies between sittings. The assessment criteria are described in KI's detailed information about the test.

How do I register?

Registration for the theoretical test is always open and closes about five weeks before each sitting; Socialstyrelsen checks each registrant's eligibility. Only candidates who have passed the theoretical test can register for the practical test, which has a limited number of places allocated by priority rules.

How many attempts do I get?

Five attempts at the theoretical test and three at the practical test, and the whole test must be passed within five years of your first sitting. A missed sitting without notice counts as a used attempt. If you use all attempts without passing, you need to choose another route to a licence.

Is the test available in English?

No. The test is in Swedish, although Part 1 includes a scientific article in English. This bank is an English-language multiple-choice study adaptation: it helps you review the knowledge areas but is not an official translation, and it cannot simulate the written case answers, the MEQ or the practical stations.