Dental Hygiene Local Anesthesia Certification Course

Online Study Period (Independent and Self Paced):
July 6 - October 2, 2023

Onsite Clinical Session:  October 7, 8, 9, 2023
8:00am to 6pm

Location of clinical: Middlesex Community, College, 44 Middle Street, Lowell, MA. Dental Clinic.
Enrollment Period:   24 seats. Enrollment begins July 1 - August 22. To enroll Email Ellen
Tuition: $1550 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 2, 2023  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 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/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.

Tuition: $1550 which includes all clinical supplies, a light breakfast and lunch. CDCA exam is a separate fee.

Enrollment and forms process:
Step 1: 
To enroll email Ellen: 
Please provide full name, home address, date of birth, cell phone, and preferred email address for course communication

Step 2: Once you enroll please download the required forms (below). Email forms to Ellen at 
Please also include a copy of your valid, current RDH license and CPR certification, along your MOU, consent and 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: 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 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; 50% reimbursement for employers with 100+ employees (up to $3,000 per employee). Funding and approval is through Comm. Corporation. The state approved course number for this course program is 1050556.  Express Fund Information


Program FAQ's

Last Modified: 5/24/23