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The Center for Corporate and Professional Education

Dental Hygiene Continuing Education

Local Anesthesia Certification Program for Registered Dental Hygienists


with Denise Bridges

Calendar Apr 17, 2021

This course will provide 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.

Course # WHD002 is taught in two phases, and includes 11 hours of on-line pre-study exercises and assignments, 12 hours of remote didactic instruction, and 14 hours of on-site (COVID-19 restrictions and guidelines applied) 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 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: The fee for each course listed above is $1,199.00 per person, (online component $549.00, lab component $650.00). The course is limited to 14 participants. Payment may be made by check (made payable to Cape Cod Community College) or credit card at the time of registration. At the close of registration (4/9/2021), and once payment is received, participants will be notified by mail or e-mail and given his/her login name and password. This process may take several days. After receiving this information, the student will have access to the on-line pre-study course material.

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

  1. Proof of immunity to HBV by titer test*
  2. Personal Malpractice insurance coverage*      
  3. Current state licensure*      
  4. A medical history form is provided online and must be completed prior to attending this course.   
  5. 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 DVD 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 with accompanying DVD (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 Blackboard pre-study component. (Printed from Moodle pre-study material).   
  • Pre-test multiple choice questions.     
  • Review text and DVD according to the Blackboard 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).

It is strongly recommended that you register at least one month prior to onsite course dates as it may take up to one month to complete the on-line pre-study course work. 

Please contact Denise Bridges by e-mail,, or by phone, 508.362.2131 x4733, with questions about this course. 

Students are eligible for 35 CEUs (11 for online portion and 24 for lab portion of the course). 

Resources for professional liability insurance:

  1. Healthcare Providers Service Organization – or 800.982.9491
  2. Chicago Insurance Company (Affiliated with ADHA) – or 800.503.9230

This course is offered in a remote learning capacity. Zoom guidance and instructions will be provided prior to the start of the course.  

Payment plan available: $600 deposit plus 5 payments of $99.83, paid every two weeks. Final payment of $99.85.

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