Dental Hygiene Local Anesthesia Certification Course

Local Anesthesia Certification Program for RDH
Course Number:  CAR 751 80

Online Study Period (Independent and Self Paced):
July 9 - October 7, 2024

Onsite Clinical Dates:  October 12, 13, 14, 2024
Time:  8am to 6pm

Location of 3 day clinical:
Middlesex Community, College, 44 Middle Street, Lowell, MA. Dental Clinic.

Enrollment Period:   July 1 - August 19 or until seats fill. 

Tuition: $1,650 which includes the online study, breakfast and lunch, 3-day clinical, and clinical supplies. Liability insurance covered by MCC.

Online Study Period/3 Online Quizzes: Must be completed by October 7 to participate in clinical.

Lead Instructor and Course Director: Debra November-Rider, RDH, MSDH
Supervising Dentist and MCC faculty:  Dr. Mary Terkoski, D.D.S.

This course is recommended for registered dental hygienists who would like to become certified in local anesthesia. Since 2005, MCC has prepared thousands of RDH to become certified in local anesthesia.

MCC complies with the Massachusetts Board of Registration in Dentistry regulations for the administration of local anesthesia. At completion, the RDH will be able to administer safe, effective, and painless local anesthesia with confidence and competence and be prepared to take the computerized CDCA exam. The course consists of a 50 hour on-line study (independent and self-paced) prior to clinical, interactive presentations, and a 3-day clinical in which students will have 30 injection experiences and a clinical final exam. Each participant will have 30 injections total - 3 of the following. Note: Plain Anesthetics used. No vasoconstrictors are added.

  1. Anterior Superior Alveolar (ASA)
  2. Middle Superior Alveolar (MSA)
  3. Posterior Superior Alveolar (PSA)
  4. Infraorbital (IO)
  5. Greater Palatine (GP)
  6. Nasopalatine (NP)
  7. Inferior Alveolar/Lingual
  8. Buccal
  9. Mental/Incisive
  10. Infiltrations (maxillary & mandibular)

Permit L information

The strength of this hands-on course is the amount of actual time you will administer injections to your classmates. Participants must sit as a patient. Upon successful completion, students will be awarded a certificate and 26 CEUs. Note: Partial credit cannot be awarded. 4:1 student to instructor ratio during clinical.

Pass or fail course. Students must complete all requirements - partial credit cannot be awarded. Students are required to submit appropriate forms: medical and dental history, consent form, student memo of understanding, copy of current CPR certification and RDH license prior to the online study. Please note that the online study is self-paced but takes approx. 50 hours to complete. The online study and three online quizzes (75 % or above) must be completed by the above date in order to participate in clinical. It is strongly recommended that participants begin the online study 6-8 weeks prior to clinical.

Enrollment and forms process:
Step 1:  Complete our enrollment form - link below
Course Number: CAR 751-80

Step 2: Once you complete our enrollment form above download the required forms (below). Email all forms to David 
Please also include a copy of your valid, current RDH license and CPR certification, along your signed MOU and consent form and completed medical history forms. 

Step 3: Once MCC receives all forms, you will receive an e-mail with log on instructions for the online study. The study is self-paced and takes approx. 50 hours to complete. The online study with three quizzes (75 % or above) must be successfully completed to participate in the 3-day clinical. 

We recommend that participants begin the online study 6-8 weeks prior to clinical.

Questions: email David at or call 781-280-3821 

Required paperwork/forms:
Local Anesthesia Consent Form
Medical History Form
Memo of Understanding
Copy of valid, current state RDH license
Copy of valid, current CPR certification

Refund Policy:
As stated in the student memo of understanding

Textbook Requirement: Handbook of Local Anesthesia, 7th edition by Stanley Malamed.  Note: The 6th edition may also be used for this course.  Please purchase at your preferred book vendor.  

Attention Massachusetts Small Business Owners:
This course is approved for The Massachusetts Workforce Express Course Fund through Commonwealth Corporation.  If qualified, Mass. employers can receive up to 100% tuition reimbursement for employers with less than 100 employees. 
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Last Modified: 6/26/24