Admission Test for Dental Hygiene (ATDH)

The ATDH is an admission test for individuals  interested in pursuing a career in dental hygiene. The ATDH should be taken before entering a dental hygiene education program in the United States. 
About ATDH

The Admission Test for Dental Hygiene is a nationally administered standardized admission test for individuals applying to dental hygiene programs. It is administered to understand the skill levels of applicants and used to assist with admissions decisions. Find additional information about the test in the ATDH Candidate Guide.

The Admission Test for Dental Hygiene is administered to understand the skill levels of applicants.
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Available ATDH Resources

Review the provided guide and practice test before taking the test. After reading all the materials, apply and schedule your appointment. 

ATDH Resources

Find everything you need to know about taking the test before you apply.
Learn everything you need to know about taking the test in 2025.
Review the types of questions and question format used for the test.
Read for guidance on using the ATDH to inform admission decisions.
Candidates can retrieve an existing DENTPIN or register for a new one. 
Apply for the ATDH

Ready to begin? Make sure to review the available resources and read the ATDH guide before submitting your application.

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Get my scores

See your ATDH score report, learn how to interpret the results or request an audit.

Recent and Forthcoming Updates

Please download and check Recent and Forthcoming Updates to Examinations and Tests (PDF) often as you prepare for your  examination.

Frequently Asked Questions

What scores are possible on the ATDH? 
ATDH scores range from 200 to 500.
Are there quick facts or a snapshot of the ATDH?
The ATDH Quick Facts sheet is under development and will be available soon.
How long will my results be accepted by dental hygiene programs?
The ATDH is designed to accurately assess candidates' knowledge and skills at the time of administration.  Candidate knowledge and skills can increase or decrease after administrations occur (e.g., if additional coursework is undertaken, or if material is simply forgotten, respectively). It is up to each program to decide whether test results are recent enough for admission purposes. 
 
When will the examination be administered?
Effective September 1, 2023, DTS implemented year-round testing for the ATDH Program. Under year-round testing, a candidate may attempt the ATDH on any day of the year for which they can secure a testing appointment, provided they meet eligibility criteria. Please refer to the ATDH Candidate Guide (PDF) for more details. 
Can I get a fee waiver?

Fee waivers for 2024 are available and application information is provided below. 

In documented cases of severe financial hardship, a limited number of partial fee waivers are available to ATDH examinees each calendar year (January - December). The partial fee waiver covers 50% of the ATDH fee. The partial fee waiver does not apply to any charges associated with rescheduling/canceling a test date or score reporting after the time of initial application. Partial fee waivers are granted on a first-come, first-served basis to eligible examinees who have submitted the required documents. An examinee is eligible to request a partial fee waiver if each of the following criteria are met:

  • First-time examinee
  • Has not previously received a partial fee waiver
  • U.S. citizen or resident alien
  • Has demonstrated financial hardship
  • Received financial aid from their school
 You can request a fee waiver by singing in to your DENTPIN.

Once you have signed in, select ‘Submit Request’ and then ‘Waiver Request.’

You will be prompted to select the test for which you are requesting a waiver. Select ‘ATDH.’

The ATDH Program will review all partial fee waiver requests and make the final approval/denial decision. After the partial fee waiver request is reviewed, you will receive an email notification of the decision and instructions for submitting an ATDH application online. Please allow up to 10 business days for review of all partial fee waiver requests.
 
Where can I find helpful review materials?
Candidates interested in preparing for the ATDH may download the ATDH practice questions (PDF). The intent of the practice questions is to help candidates understand the types of questions that will be asked on the ATDH. 

Also, available to download is a list of reference text (PDF). 
 
The review materials for the DAT may be helpful in reviewing for the ATDH. Download a list of DAT reference books (PDF). 
 
As I take the exam, will the questions change based on how I answer them?
No. the ATDH is not an adaptive examination. Questions will not increase or decrease in difficulty based on whether questions are answered correctly. 
How do you protect my personal information?

Review the ATDH Program Use of Personal Information and Privacy Policy, which includes: 

  • The Biometric Data Privacy Policy
  • Personal information used and disclosed in connection with the ATDH
  • Uses and Disclosures of Personal Information in Connection with the ATDH
  • Privacy and Security 

You can also contact the ADA Department of Testing Services at atdh@ada.org for more information.  

ATDH Webinars

The Admission Test for Dental Hygiene (ATDH)

This webinar provided important information concerning the fast-growing ATDH, its validity, reliability, and fairness, and how dental hygiene programs can take advantage of this important new tool for use in admission procedures.

View the webinar about the ATDH

Webinar for Program directors 

This webinar was presented for Dental Hygiene Program Directors, and includes the following topics: 

  • ATDH purpose and Governance
  • ATDH Development and Validity Evidence
  • Examination Content 
  • ATDH Administration 
  • ATDH Scoring and Score Reporting 

View the Program Director webinar

Webinar for ATDH Candidates 

This webinar was designed for candidates who will be taking the ATDH, with the goal of helping such candidates prepare for the examination. It included the following topics: 

  • Introduction to the ATDH Candidate Guide 
  • Topics covered by the examination
  • ATDH practice questions
  • Administration schedule and procedures
  • Partial fee waiver
  • Q & A 

Watch the ATDH Candidate webinar

  

Additional ATDH information

Perceptual Ability Test Section

Review the instructions (PDF) associated with Perceptual Ability Test questions.

Examinee Information Report

The ATDH was first administered in September 2021. The information provided in this report reflects the most recent data collected. The Examinee Information Report (PDF) contains information about examinees, such as:

  • Self-reported gender
  • Ethnicity
  • Whether they spoke English as a first language
  • State of residence
  • Science and math-related courses taken in high school and college
  • Completed college courses, years of college completed, review courses taken 
  • Anticipated enrollment year for their dental hygiene program

Updates

Download information below from the March 2023 ADEA Section on Dental Hygiene Education

ATDH Presentation

A presentation on the Admission Test for Dental Hygiene program was  on June 5, 2022 at the ADEA Allied Dental Program Directors' Conference


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