Dental Hygiene Local Anesthesia Certification Course

Clinical Session:  October 9, 10, 11, 2021
Online Study Period (Independent and Self-Paced):  July 7 - October 4, 2021
Location of clinical: Middlesex Community, College, 44 Middle Street, Lowell, MA. Dental Clinic.
Enrollment Period:   July 1 - mid August or until seats fill.  Call 1-800-818-3434 to enroll.  You may also email Ellen at
Please provide course # CAR 751-80 and a valid e-mail address, phone number, date of birth and home address.

Tuition: $1430 which includes online study, lunch, 3-day clinical, and clinical supplies. Liability insurance covered by MCC.

Online Study Period/3 Online Quizzes: Must be completed by October 4  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 hundreds 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 40-50 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.

COVID-19 update:  # of seats TBD.  MCC will provide level 3 masks, gloves, disposable gowns, and face shields.  Before clinic each student will be assessed for COVID-19 symptoms.  If students are feeling ill or present symptoms before or during  clinic, you will be asked to defer your seat and tuition to the next session.  

Pass/Fail course. Students must complete all requirements - partial credit will not 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 40-50 hours to complete. The online study and three online quizzes (75 % or above) must be completed by October 4 in order to participate in clinical. It is strongly recommended that participants begin the online study 6-8 weeks prior to clinical.

Tuition: $1430 which includes all clinical supplies, light breakfast and lunch. CDCA exam a separate fee.

Step 1:
Call 1-800-818-3434. Or, email Ellen at  Course # CAR 751-80.   Please provide a valid e-mail, phone number, date of birth and home address for course communication.

Step 2: Once you enroll please download the required forms below and fax, email  forms to Ellen at 
Please include a copy of your valid, current RDH license and CPR certification.

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.40-50 hours to complete. The online study with three quizzes (75 % or above) must be successfully completed by October 4 to participate in the 3-day clinical.  We recommend that participants begin the online study 6-8 weeks prior to clinical.

Questions: Call 781-280-3570 or

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 above 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 by the Massachusetts Workforce Express Fund. This pool of funding is designed for small business owners with less than 100 employees to provide training for employees. Tuition must be employer paid (not employee paid). Completed online application (link below) must be received 6-8 weeks in advance of the clinical training dates. If eligible/approved this fund will reimburse employers 50 % of the course tuition cost. For more information on this funding please contact Commonwealth Corporation at or call 617.717.6943.  Apply Online
The state approved course number for this course program is 1050556.


Program FAQ's

Last Modified: 3/3/21