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The Center for Corporate and Professional Education

Dental Hygiene Continuing Education

Local Anesthesia Certification for Registered Dental Hygienists


with Denise Bridges

Calendar May 30, 2022

Dates: Online study dates to be announced soon
Clinical Lab Dates: Sat./Sun., Dates TBD; 8am-5pm

Course Schedule
Please add yourself to our Wait List and you will be contacted when the schedule is confirmed. 

This course provides a comprehensive study of local dental anesthetics utilized in the dental hygiene profession. During lecture and lab components, the participant will learn to safely administer topical and local dental anesthetics. All students will be required to provide proof of COVID-19 vaccination to participate in this course. 

Course # WHD002 is taught in two phases, and includes 11 hours of online pre-study exercises and assignments, 12 hours of on-site didactic instruction, and 14 hours of on-site clinical instruction. It is specifically designed to provide the participant with the 35 hours of local anesthesia instruction required to prepare the participant to take the NERB Local Anesthesia Examination and obtain permit the “Permit L” Local Anesthesia licensure from the State of Massachusetts. (This course covers the Massachusetts Rules and Regulations 234 CMR 3.09-3.14, and the requirements for administration of local dental anesthetics by dental hygienists.) 

Fee: Total cost for this course is $1,199. per person and the course is limited to 14 participants. 

Once payment is received and registration is processed, participants will be notified by e-mail and provided with a login name and password. This process may take several days. After receiving this information, the student will have access to the online pre-study course material. 

Pre-Course Requirements (Documentation of the first four items is required prior to the start of the onsite course):

  1. * Current CPR certification
  2. * Proof of immunity to HBV by titer test
  3. * Personal Malpractice insurance coverage
  4. * Current state licensure
  5. A medical history form is provided online and must be completed prior to attending this course.
  6. Each participant must be able to both receive and administer local anesthetic agents. These are standard requirements for all clinical activities. 

*Copies must be sent to the following address prior to the start of the course:

Denise Bridges RDH, MHA
Dental Hygiene Program
Cape Cod Community College
2240 Iyannough Road
W. Barnstable, MA 02668

Online Pre-Study Expectations: This condensed course format reduces a full-semester course into 3 days of class attendance; therefore an online pre-study component is required. Extensive time must be devoted to the pre-study readings and video viewing in order to complete the additional 11 hours of exercises and assignments to successfully complete this course. The online pre-study preparation contains tests and exercises that must be completed prior to attending the on-site lecture and clinical sessions.

Students are expected to have internet access, basic computing and web skills in order to complete this course. Registration is required at least 5 weeks prior to the on-site course starting date in order to allow access to the pre-study course material.  

Certification: At the completion of this on-site course, participants will take a mock written NERB exam, and a clinical practicum which is pass or fail. One must receive a grade of 75 or better in the written exam combined with a pass clinical grade in order to receive certification of completion for local anesthesia training. A certificate of completion will not be issued to anyone with less than three full days of attendance; and/or has not satisfactorily completed the on-line or on-site course work requirements. 

Required Text: Stanley Malamed, Handbook of Local Anesthesia, 6th Edition (available at CCCC bookstore). 

Recommended Reading: Brand & Isselhard, Anatomy of Orofacial Structures (available at CCCC bookstore). 

To be completed prior to the on-site course: Exercises and reading in the Moodle pre-study component. (Printed from Moodle pre-study material).   Pre-test multiple-choice questions.  Review text and videos according to the course documents: Handbook of Local Anesthesia, 6th Ed. by Stanley Malamed. 

What to bring to class: 

  • Completed Medical History (Printed from Moodle pre- study material).   
  • Completed Informed Consent (Printed from Moodle pre-study material).  
  • Clinic attire (long sleeve scrub top, scrub pants and clinical shoes)
  • Safety Glasses
  • Latex-free Gloves
  • Face Masks

Bring online self-study workbook and all injections techniques, (printed from Moodle pre-study material).  

Please feel free to contact:

Denise Bridges at, or by phone at 774.330.4371, with any questions regarding this course. 

Resources for professional liability insurance:

  1. Healthcare Providers Service Organization 1-800-982-9491
  2. Chicago Insurance Co. (Affiliated with ADHA)
  3. 1-800-503-9230   

Covid-19 Policy
Cape Cod Community College will provide personal protective equipment such as level 3 or higher face masks, face shields, level 2 gowns and nitrile gloves. The Dental Hygiene clinic at Cape Cod Community College has updated H-VAC and HEPA filtered air exchange units in compliance with CDC guidelines. The clinic is also equipped with EOS external suction units for the elimination of aerosols.

Class Format
Hybrid Course. Lab sessions are offered in-person at Cape Cod Community College. Masks are required indoors and all students will be required to provide proof of COVID-19 vaccination to participate in this course. Requests for reasonable accommodation, including requests for a medical or religious exemption, will be considered consistent with applicable laws, legal guidance, and College policy. 

Student COVID-19 Vaccination Requirement
Starting January 2022 all students that plan on taking classes in-person on campus, or intend on using in-person support services on campus, must be fully vaccinated for COVID-19. This vaccination required applies to students taking credit and noncredit course(s). If you plan on taking online classes, classes led by Zoom, or if you are an employer requesting off-site training exclusively, proof of vaccination will not be required. Learn more at:

Local Anesthesia Refresher (WHD007-63)


with Denise Bridges

Calendar Aug 21, 2022 at 1 pm

This hands-on local anesthesia course will focus on updating skills in delivering injections. Time will be spent on the Inferior Alvelor Injection, Posterior Superior Alveolar injection and helpful injection technique tips for infiltration and nerve blocks. In order to register for this course, participants must hold current Massachusetts Permit Licensure. Participants must be able to serve as patients and receive as well as administer local anesthesia. 3 CEU's will be awarded upon completion.

You will learn to:
• Practice on our new state of the art local anesthesia simulator program
• Perform local anesthesia techniques commonly used by dental hygienists
• Practice nerve block injections such as inferior alveolar/lingual, mental, greater palatine, nasopalatine
• Learn about new anesthetic products

All participants must bring to class:
• Current Dental Hygiene and Permit L licenses
• Clinical attire (scrub tops and pants, clinical shoes, gloves and safety glasses)

Who Should Attend?
Registered Dental Hygienists in need of continuing education credits (CEU's). Participants must hold current Massachusetts Permit Licensure.

Instructor: Denise Parker-Bridges RDH, MHA

Location: CCCC Main Campus, 22240 Iyannough Road, West Barnstable


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