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Wyoming Dental Hygiene — Requirements & Free Practice

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Dental Hygienist License

Licence to practice dental hygiene in Wyoming under W.S. 33-15-120 and Board Rules Chapter 3.

Licensing authority: Wyoming Board of Dental Examiners · Application information

Dental hygiene licensure by endorsement

All of the following:

Application Review
Board Rules Chapter 3, Section 4(b): "If the ARC questions an applicant's competency, the ARC may request an applicant complete a clinical examination or other program." The examination is not identified; it is a discretionary condition.
Bls
Current Basic Life Support certification (Section 9(b)(ii)).
Competency Over Five Years
If out of clinical practice more than five years: a qualifying clinical examination within 12 months and 8 hours of hands-on clinical CE per year not practicing (Section 9(b)(vii)).
Competency Under Five Years
If out of active clinical practice less than five years: 800 hours of active clinical practice in the last 12 months, or a qualifying clinical examination within 12 months, or 8 hours of hands-on CE per year not practicing (Section 9(b)(vi)).
Education
Copy of the diploma from a CODA-accredited program (Section 9(b)(v)).
Eligibility
A dental hygiene licence in good standing in another jurisdiction whose licensure requirements are equivalent to Wyoming's (Chapter 3, Section 9(a)); verification of that active licence (Section 9(b)(iv)).
Fee
$200 application fee (Chapter 10, Section 4(c)(ii)).
Jurisprudence Exam
Jurisprudence examination: pass mark 80% (Chapter 3, Section 5(b)); wait one week to retest; after three failures, reasonable evidence of remediation before reexamination (Chapter 3, Section 5(c)-(d)).
Prior Exams
Evidence of passing the NBDHE and a clinical examination meeting Chapter 3, Section 8(b)(v) (Section 9(b)(iii)).
Srta
The Board's Clinical Examinations page states "Wyoming may accept SRTA"; SRTA has merged with CRDTS (www.srta.org now serves the CRDTS - SRTA page), so no separate SRTA examination is mounted.
Dental hygiene licensure by examination

All of the following:

Application Review
Board Rules Chapter 3, Section 4(b): "If the ARC questions an applicant's competency, the ARC may request an applicant complete a clinical examination or other program." The examination is not identified; it is a discretionary condition.
Bls
Current Basic Life Support certification (Chapter 3, Section 8(b)(ii)).
Clinical Competency
If out of clinical practice for more than one year: graduation from a CODA-accredited program in the preceding 12 months, or a qualifying clinical examination within the preceding five years plus 8 hours of hands-on clinical CE per year out of practice (Chapter 3, Section 8(b)(vi)).
Clinical Exam Content
The clinical examination must show passage of periodontics including an intra-oral/extra-oral assessment written exam, periodontal measurement, subgingival calculus detection and subgingival calculus removal in a clinical setting (Chapter 3, Section 8(b)(v)); the Board accepts patient-based or simulated patient (manikin) administrations.
Education
Official transcripts from a CODA-accredited dental hygiene program (Chapter 3, Section 8(b)(iii); W.S. 33-15-120(a)).
Eligibility
Not licensed in another jurisdiction, or licensed in a jurisdiction whose requirements are not equivalent to Wyoming's, or unable to meet other licensure methods (Chapter 3, Section 8(a)).
Fee
$150 application fee (Chapter 10, Section 4(c)(i)).
Jurisprudence Exam
Jurisprudence examination: pass mark 80% (Chapter 3, Section 5(b)); wait one week to retest; after three failures, reasonable evidence of remediation before reexamination (Chapter 3, Section 5(c)-(d)).
Srta
The Board's Clinical Examinations page states "Wyoming may accept SRTA"; SRTA has merged with CRDTS (www.srta.org now serves the CRDTS - SRTA page), so no separate SRTA examination is mounted.
Reinstatement after revocation, surrender, suspension, conditions or restriction
No examination is required for this applicant pathway.
Application Review
Board Rules Chapter 3, Section 4(b): "If the ARC questions an applicant's competency, the ARC may request an applicant complete a clinical examination or other program." The examination is not identified; it is a discretionary condition.
Documents
Application and fee, current BLS, evidence of compliance with the previous Board order, evidence of ability to practise safely and competently, and evidence of just cause for reinstatement (Chapter 3, Section 15(b)).
Eligibility
Wyoming dental hygiene licence revoked, surrendered, suspended, conditioned or restricted (Chapter 3, Section 15(a)).

Official no-examination sources

Effective from 2026-05-26.

Relicensure after a lapsed licence

All of the following:

Application Review
Board Rules Chapter 3, Section 4(b): "If the ARC questions an applicant's competency, the ARC may request an applicant complete a clinical examination or other program." The examination is not identified; it is a discretionary condition.
Clinical Exam Applies
The clinical examination (within 12 months) plus 8 hours of hands-on clinical CE per year not practising apply only to an applicant who has not actively practised in five years (Chapter 3, Section 14(c)).
Documents
Relicensure application and fee, current BLS, 8 hours of CE for each year the licence has lapsed (Chapter 3, Section 14(b)).
Eligibility
Previously licensed in Wyoming and allowed the licence to lapse (Chapter 3, Section 14(a)).
Jurisprudence Exam
Jurisprudence examination: pass mark 80% (Chapter 3, Section 5(b)); wait one week to retest; after three failures, reasonable evidence of remediation before reexamination (Chapter 3, Section 5(c)-(d)).
Srta
The Board's Clinical Examinations page states "Wyoming may accept SRTA"; SRTA has merged with CRDTS (www.srta.org now serves the CRDTS - SRTA page), so no separate SRTA examination is mounted.
Biennial licence renewal

At least one of the following alternatives:

  • All of the following:

    • ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
    • ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
  • CRDTS Dental Hygiene Patient-Based Exam (assessment without a question bank)
  • CRDTS Dental Hygiene Simulated Patient Exam (practice unavailable)
Clinical Exam Applies
The clinical examination is required only after five years of inactive clinical practice (Chapter 3, Section 10(c)); other renewing licensees sit no examination.
Grace Period
Late renewal from January 1 to March 31 without practising until approved (Chapter 3, Section 12).
Reexamination
W.S. 33-15-120(d) lets the Board require reexamination for good cause when the hygienist has not practised or taught dental hygiene for the preceding five years.
Renewal
Licences expire December 31 of every odd-numbered year; renewal application and fee, current BLS, 16 hours of CE, and verification of active clinical practice within the preceding five years (Chapter 3, Section 10).
Srta
The Board's Clinical Examinations page states "Wyoming may accept SRTA"; SRTA has merged with CRDTS (www.srta.org now serves the CRDTS - SRTA page), so no separate SRTA examination is mounted.
Restoration of a lapsed licence (until December 31 of the year it lapsed)

At least one of the following alternatives:

  • All of the following:

    • ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
    • ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
  • CRDTS Dental Hygiene Patient-Based Exam (assessment without a question bank)
  • CRDTS Dental Hygiene Simulated Patient Exam (practice unavailable)
Clinical Exam Applies
A regional clinical examination is required only after five years of inactive clinical practice (Lapsed Hygiene Restoration Instructions; Chapter 3, Section 10(c)).
Documents
Restoration application, $190 fee, current BLS, and 16 hours of CE due in the prior year (Lapsed Hygiene Restoration Instructions).
Srta
The Board's Clinical Examinations page states "Wyoming may accept SRTA"; SRTA has merged with CRDTS (www.srta.org now serves the CRDTS - SRTA page), so no separate SRTA examination is mounted.
Window
Available until December 31 of the year the licence lapsed; afterwards relicensure applies (Chapter 3, Section 13(b); W.S. 33-15-120(c)).

ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE)

Provider
American Board of Dental Examiners; Prometric delivery
Format
Computer-based clinically based questions
Exam questions
Up to 120 items; pilot questions do not affect the final score
Passing score
Minimum scaled score 75; results reported as Pass/Fail
Examination outline
  • Medical/Dental Assessment (12%)
  • Intra and Extra Oral Assessment and Charting (27%)
    • Intra and Extra Oral Examination
    • Dental and Periodontal Charting and Assessment
    • Soft Tissue, Bone, and Tooth Abnormalities
  • Radiology/Imaging (15%)
  • Dental Hygiene Care Planning (13%)
  • Patient Care (19%)
    • Periodontal Procedures
    • Infection Control
    • Medical Emergency Management
  • Dental Specialties and Pharmacology (14%)
    • Dental Specialties
    • Applied Pharmacology
Examination sources

ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE)

This assessment does not have a question bank.

Provider
American Board of Dental Examiners
Format
Simulated patient treatment on maxillary and mandibular typodonts
Passing score
75 or greater; results reported as Pass/Fail for this part
Examination sources

CRDTS Dental Hygiene Patient-Based Exam

This assessment does not have a question bank.

Examination sources

CRDTS Dental Hygiene Simulated Patient Exam

Examination outline
  • Extra/Intra Oral Assessment OSCE — 16 scorable items, 1 point each, 16 maximum points
    • Identify gross head and neck anatomy, variations of normal anatomy, palpation techniques used to examine head and neck extraoral and intraoral structures, and atypical or abnormal findings, whether pathologic or non-pathologic
    • Extraoral — Head, Face, and Neck: asymmetry, infected piercings, swellings, lesions
    • Extraoral — Lymph Nodes, TMJ: description of location, restricted opening
    • Intraoral — Oral Mucosa/Lips and Supporting Structures: lesions, chemical/physical irritations, tattoos, swellings, hematomas, nodules
    • Intraoral — Alveolar Ridge: lesions, chemical/physical irritations, exostosis, torus/tori, tattoos, swellings, hematomas, nodules
    • Intraoral — Palate and Oral Pharynx (tonsils and tonsillar pillars): torus, lesions, chemical/physical irritation, other significant findings
    • Intraoral — Tongue: hairy tongue, fissured tongue, loss of papilla, geographic tongue, glossitis, nodules, lesions
    • Intraoral — Floor of the Mouth: ankyloglossia, hematomas, lesions, tattoos, other significant findings
  • Calculus Detection — 12 scorable surfaces, 1 point each, 12 maximum points
    • Explore 12 random assigned surfaces on the maxillary arch and accurately record presence (Y/Yes) or absence (N/No) of calculus on each surface
    • The maxillary arch is for calculus detection only, not scaling; deposits detected on a line angle are marked on the closest interproximal surface
  • Scaling/Subgingival Calculus Removal — 12 scorable surfaces, 5 points each, 60 maximum points
    • Candidate selects the right or left mandibular quadrant during the initial online application; examiners evaluate 12 surfaces in the selected quadrant
    • Because evaluated surfaces are unknown, explore all subgingival surfaces in the selected quadrant and remove subgingival calculus so no deposits are detectable with an 11/12 explorer; detectable subgingival calculus is a scaling error
    • Supragingival deposit/stain removal is not part of this examination, so rubber cup polishing is not needed or required
  • Periodontal Probing — 12 scorable measurements, 1 point each, 12 maximum points
    • On two randomly assigned teeth in the selected treatment quadrant, chart simulated gingival sulcus/pocket depths within ±1 mm to the nearest mm on six aspects of each tooth: MF, F-midpoint, DF, ML, L-midpoint, and DL
    • Record periodontal measurements after scaling; direct facial and lingual readings are at tooth midpoint with probe parallel to root surface and long axis; interproximal readings place the shank against the contact point and tip slightly into the col; if no contact, place at proximal midpoint and record the same facial and lingual measurement; use light pressure to position the tip to sulcus depth
Examination sources

National Board Dental Hygiene Examination

Examination outline
  • Discipline-Based Component — Scientific Basis for Dental Hygiene Practice (61 items)
    • Anatomic Sciences
    • Anatomic Sciences — Anatomy
    • Anatomic Sciences — Anatomy — Head and neck anatomy
    • Anatomic Sciences — Anatomy — Dental anatomy
    • Anatomic Sciences — Anatomy — Dental anatomy — General anatomy
    • Anatomic Sciences — Anatomy — Dental anatomy — Root anatomy
    • Anatomic Sciences — Anatomy — Histology and Embryology
    • Anatomic Sciences — Physiology
    • Anatomic Sciences — Biochemistry and Nutrition
    • Anatomic Sciences — Microbiology and Immunology
    • Anatomic Sciences — Pathology
    • Anatomic Sciences — Pathology — General
    • Anatomic Sciences — Pathology — Oral
    • Anatomic Sciences — Pharmacology
  • Discipline-Based Component — Provision of Clinical Dental Hygiene Services (115 items)
    • Assessing Patient Characteristics
    • Assessing Patient Characteristics — Medical and dental history
    • Assessing Patient Characteristics — Head and neck examination
    • Assessing Patient Characteristics — Periodontal evaluation
    • Assessing Patient Characteristics — Oral evaluation
    • Assessing Patient Characteristics — General
    • Obtaining and Interpreting Radiographs
    • Obtaining and Interpreting Radiographs — Principles of radiophysics and radiobiology
    • Obtaining and Interpreting Radiographs — Principles of radiologic health
    • Obtaining and Interpreting Radiographs — Technique
    • Obtaining and Interpreting Radiographs — Recognition of normalities and abnormalities
    • Obtaining and Interpreting Radiographs — General
    • Planning and Managing Dental Hygiene Care
    • Planning and Managing Dental Hygiene Care — Infection control (application)
    • Planning and Managing Dental Hygiene Care — Recognition of emergency situations and provision of appropriate care
    • Planning and Managing Dental Hygiene Care — Individualized patient education
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Planning of individualized instruction
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Dental caries
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Periodontal disease
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Oral conditions
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Anxiety and pain control
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Recognition and management of compromised patients
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Diagnosis
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Treatment plan
    • Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Case presentation
    • Planning and Managing Dental Hygiene Care — Individualized patient education — General
    • Performing Periodontal Procedures
    • Performing Periodontal Procedures — Etiology and pathogenesis of periodontal diseases
    • Performing Periodontal Procedures — Prescribed therapy
    • Performing Periodontal Procedures — Prescribed therapy — Periodontal debridement
    • Performing Periodontal Procedures — Prescribed therapy — Surgical support services
    • Performing Periodontal Procedures — Prescribed therapy — Chemotherapeutic agents
    • Performing Periodontal Procedures — Prescribed therapy — General
    • Performing Periodontal Procedures — Reassessment and maintenance (e.g., implant care)
    • Using Preventive Agents
    • Using Preventive Agents — Fluorides - systemic and topical
    • Using Preventive Agents — Fluorides - systemic and topical — Mechanisms of action
    • Using Preventive Agents — Fluorides - systemic and topical — Toxicology
    • Using Preventive Agents — Fluorides - systemic and topical — Methods of administration
    • Using Preventive Agents — Fluorides - systemic and topical — Methods of administration — Water fluoridation
    • Using Preventive Agents — Fluorides - systemic and topical — Methods of administration — Self-administered
    • Using Preventive Agents — Pit and fissure sealants
    • Using Preventive Agents — Other preventive agents
    • Providing Supportive Treatment Services
    • Providing Supportive Treatment Services — Properties and manipulation of materials
    • Providing Supportive Treatment Services — Polishing natural and restored teeth
    • Providing Supportive Treatment Services — Making of impressions and preparation of study casts
    • Providing Supportive Treatment Services — Other supportive services (e.g., tooth desensitization)
    • Providing Supportive Treatment Services — General
    • Professional Responsibility
    • Professional Responsibility — Ethical principles, including informed consent
    • Professional Responsibility — Regulatory compliance
    • Professional Responsibility — Patient and professional communication
    • Professional Responsibility — General
  • Discipline-Based Component — Community Health/Research Principles (24 items)
    • Promoting Health and Preventing Disease Within Groups
    • Participating in Community Programs
    • Participating in Community Programs — Assessing populations and defining objectives
    • Participating in Community Programs — Designing, implementing, and evaluating programs
    • Analyzing Scientific Literature, Understanding Statistical Concepts, and Applying Research Results
  • Case-Based Component (150 items involving 12 to 15 dental hygiene patient cases)
    • Cases present information dealing with adult and child patients and may involve geriatric, adult-periodontal, pediatric, special needs, medically compromised, and other patient types; a medically compromised patient is one whose health status may require modification of standard treatment or special consideration.
    • Patient information is presented by means of patient histories, dental charts, radiographs, and clinical photographs.
    • Assessing patient characteristics
    • Obtaining and interpreting radiographs
    • Planning and managing dental hygiene care
    • Performing periodontal procedures
    • Using preventive agents
    • Providing supportive treatment service
    • Professional responsibility
Examination sources

Wyoming Jurisprudence Examination (Dentistry and Dental Hygiene)

Provider
Wyoming Board of Dental Examiners
Format
Closed-book examination
Time limit
1 hour
Passing score
80%
Examination outline
  • Wyoming Dental Practice Act (W.S. Title 33, Chapter 15)
  • Board Rules Chapter 1: General Provisions
  • Board Rules Chapter 3: Requirements for Licensure and Renewal
  • Board Rules Chapter 4: Dental Practice
  • Board Rules Chapter 5: Anesthesia Administration and Sedation Permit Procedures
  • Board Rules Chapter 6: Code of Ethics for Dentists
  • Board Rules Chapter 7: Dental Auxiliaries
  • Board Rules Chapter 9: Grounds for Discipline
  • Board Rules Chapter 11: Practice and Procedures for Applications
  • Board Rules Chapter 12: Practice and Procedures for Discipline Matters
Examination sources