Passing the NDECC exam (National Dental Examining Board of Canada Clinical Exam) is a huge milestone for international dentists. After months (or years) of practice, stress, and expenses, it feels like crossing the finish line. But in reality, the journey to becoming a licensed dentist in Canada doesn’t end here.

Here’s what life looks like after NDECC and the important steps every international dentist should know.

1. Completing OSCE Exam and getting the NDEB Certification

Once you pass the NDECC exam, you need to clear the last exam i.e. OSCE Course and still need to complete the NDEB certification process. This includes:

• Submitting documents and results for final approval.
• Receiving your official NDEB certificate, which confirms you’re now eligible to register as a dentist in Canada.

Tip: Don’t delay your paperwork. The sooner you complete this, the sooner you can move on to the next step—provincial licensing.

2. Provincial Dental Licensing

Dentistry in Canada is regulated at the provincial and territorial level. Even after NDEB certification, you cannot practice until you are licensed by the province where you want to work.

Each province has its own dental regulatory authority (College of Dental Surgeons). You will need to:

• Apply for registration.
• Pay licensing fees.
• Submit proof of liability insurance and NDEB certification.

Tip: Check the provincial licensing body’s website early. Requirements and fees differ between Ontario, British Columbia, Alberta, and other provinces.

3. Finding Your First Job as a Dentist in Canada

This is where many international dentists feel both excitement and anxiety. After years of exams, it’s finally time to practice—but the Canadian job market is competitive.

Challenges:

• Most dental clinics prefer candidates with Canadian experience.
• Networking is often more important than applying online.
• Salary expectations can vary widely, depending on the province and city.

Opportunities:

• Associate dentist roles in clinics.
• Community health centers or government-funded dental programs.
• Teaching or research positions for those interested in academics.

Tip: Start networking before you finish your exams. Attend dental association events, connect with other dentists, and consider working as a dental assistant or hygienist while waiting for your license.

4. Financial Planning and Student Loans

Life after NDECC also means dealing with the financial side. Many international dentists spend $50,000–$100,000+ on the Canadian dental equivalency process, including exam fees, materials, and living costs.

Tip:

• Negotiate fair contracts as an associate dentist.
• Avoid rushing into low-paying jobs out of fear.
• Take financial advice if you’re planning to open your own dental practice in the future.

5. Building Your Long-Term Career in Canada

Getting licensed is just the beginning. Canada offers multiple career paths for dentists beyond just working in a private clinic.

• Specialization:Orthodontics,  Endodontics, Periodontics, and more (through accredited Canadian programs).
• Academia: Teaching at dental schools or conducting research.
• Entrepreneurship: Opening your own dental practice or dental business.
• Public health: Working in government or non-profit organizations to expand dental care access.

Tip: Think about your career goals early. Many dentists choose to work as associates first to gain experience, then branch out into their preferred path.

6. The Emotional Transition

Finally, don’t forget the emotional journey. After years of study and pressure, many dentists feel both relief and uncertainty. Adjusting to professional life in Canada takes time.

Tip: Stay connected with the community of international dentists in Canada. Join local dental associations, attend conferences, and keep learning. The relationships you build now can shape your future career.

Final Thoughts

Passing the NDECC exam is not the end—it’s the beginning of a new professional chapter. Life after NDECC means completing certification, securing provincial licensing, finding the right job, and planning your financial and career future.

For an international dentist in Canada, the path may be long, but the reward of building a respected, stable career in dentistry is worth every step.