Note: Course outline is under review, there may be some revisions made.

Local Anesthetic and Pain Control

Certification Training for Dental Hygienists

The following curriculum was developed by the Department of Oral and Maxillofacial Surgery at Rutgers School of Dental Medicine to meet all the didactic and clinical requirements as set forth by the New Jersey State Board of Dentistry. Twenty hours of didactic and twelve hours of clinical training necessary for certification of a licensed Dental Hygienist in local anesthesia.

The didactic portion of this course will be in a format with problem-based learning sessions. During the clinical portion, participants will practice all injections on a manikin and then perform the required local anesthesia on patients in the Oral and Maxillofacial Surgery clinic.

Upon completion of this didactic curriculum, you should:

  • Be able to take a medical history and complete review of systems along with medical risk assessment of the patient.
  • Have necessary knowledge of Head and Neck anatomy and Neurophysiology for proper local anesthetic delivery.
  • Have knowledge of the pharmacology of Local Anesthetics, Vasoconstrictors and Analgesics.
  • Know how to properly prepare the necessary armamentatium.
  • Be aware of the complications of Local Anesthetic administration including recognition and management.
  • Understand how to treat common medical emergencies that occur in the dental office.

Upon completion of the clinical curriculum, you will be able to perform basic injection techniques of the Maxillary and Mandibular anesthesia. Prevent and manage Local Anesthesia and systemic complications.

Students are required to successfully pass both the course final exam and the North East Regional Board (NERB) Anesthesia Exam before being eligible to apply to the New Jersey State Board of Dentistry for the local anesthesia permit.


“Handbook of Local Anesthesia” Fifth Edition,
by Stanley F. Malamed
Published by Elsevier Mosby.
ISBN: 0-323-02449-1


  • Participants must submit a copy of their current Dental Hygienist license.
  • Participants must comply with the University Policy for “ Student Immunizations & Health Requirements” 00-01-25-40:00.
    See Exhibit A (on page 8) for “Clinical Activities, with Risk of Exposure to Blood or Potentially Infectious Body Fluids.”
  • The required HEALTH FORMS are available online by clicking here.  The Health Forms must be completed in full and cleared by Student Health Services before participants can start the clinical portion of the course.  These requirements can take substantial time to complete, so please obtain immunizations and required tests right away.
  • In order to process your Health Forms, you must also be registered in the course.  A minimum non-refundable deposit of $50 is required to hold a space in course. Click here for a printable REGISTRATION FORM.
  • Provide proof of Cardiopulmonary Resuscitation (CPR) certification at the Healthcare Provider or Professional Rescue level. Must be valid for duration of program.
  • Provide proof of active Health Insurance – please provide a copy of both sides of medical insurance card.


Department of Oral and Maxillofacial Surgery

PAMELA L. ALBERTO, DMD – Course Director
Associate Professor

HANI BRAIDY, DMD, Associate Professor

VICTOR PETRIELLA, DMD, BA, Assistant Professor


VINCENT B. ZICCARDI, DDS, MD, Professor and Chair

Limited Enrollment

Didactic: 3 Wednesdays -To Be Determined (TBD)
10 a.m. to 5 p.m. each day
Clinical Dates and Times (TBD)
at the Rutgers School of Dental Medicine
$TBD for Dental Hygienists
32 participation credit hours
Code: 19D09_HoldSpace <<- use this code to reserve a seat.

No fee required for reservation. Dates will be set when we have the minimum required number of participants to run the course.

Click Here to Register On-Line

Please feel free to contact us if you need help with your on-line account.
E-mail: — Phone: 973-972-6561
(Office hours are Monday to Friday, 8:30 a.m. – 4:30 p.m.)

Course Outline

Medical Assessment of Patient – 2 hrs.

  1. Medical History.
  2. Review of Systems.
  3. Pulmonary Evaluation.
  4. Cardiovascular Evaluation.
  5. Performing and Interpretation of Vital Signs.
  6. ASA Classification.
  7. Case-based Learning Session.

Management of Pain and Anxiety – 2 hrs.

  1. Physical and Psychological Evaluation
  2. Non-pharmacologic reduction of pain and anxiety.
  3. Neurophysiology.
  4. Evaluation of Anesthetic Choice.
  5. Analgesic Agents – Topical Anesthetics.

Head and Neck Anatomy – 2 hrs.

  1. Muscles of Mastication.
  2. Muscles of Facial Expression.
  3. Facial Spaces.
  4. Trigeminal Nerve.

Management of Medical Emergencies in the Dental Office – 4 hrs.

  1. Monitoring Vital Signs.
  2. Emergency Equipment and Preparedness.
  3. Recognition of Common Medical Emergencies and Treatment.
  4. Chest Pain /Cardiac Arrest.
  5. Allergy and Anaphylaxis.
  6. Hypotension.
  7. Syncopy.
  8. Basic Life Support.
  9. Management of Medical Emergencies Competency Exam.

Pharmacology of Local Anesthesia – 2 hrs

  1. Mechanism of Action.
  2. Classification.
  3. Metabolism.
  4. Recommended and Maximum Doses.
  5. Drug Interactions and Side effects.

Pharmacology of Vasoconstrictors – 2 hrs.

    1. Mechanism of Action.
    2. Use with Local Anesthetics.
    3. Specific Agents


  1. Toxicity.
  2. Recommended and Maximum Dosages.
  3. Contraindications.

Armamentarium – 1 hrs.

  1. The Syringe.
  2. The Needle.
  3. The Cartridge.
  4. Preparation of Armamentarium.

Techniques of Local Anesthesia – 4 hrs

  1. Techniques of Maxillary Anesthesia.
  2. Techniques of Mandibular Anesthesia.
  3. Basic Injection Techniques.
  4. Anatomical Considerations.
  5. Local Anesthesia Considerations.
  6. Case-based Seminar.

Complications and Legal Considerations – 1 hr.

  1. Local Complications.
  2. Systemic Complications.
  3. Legal Considerations.

Medical Assessment of Patient – 2 hrs.

  1. Medical History.
  2. Review of Systems.
  3. Pulmonary Evaluation.
  4. Cardiovascular Evaluation.
  5. Performing and Interpretation of Vital Signs.
  6. ASA Classification.
  7. Case-based Learning Session.

Clinical Program – 12 hrs.

Simulation Lab

  1. Manikin Practice Demonstration of:
    1. Migraine without aura.
    2. Migraine with aura.
  2. Manikin Practical.
    1. Infiltration in Maxilla and Mandible.
    2. Mandibular Nerve Block.
    3. Mental Nerve Block.
    4. Long Buccal Nerve Block.

Clinical Experience

  1. 25 monitored Administration of Local Anesthesia on Patients.