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Anesthesia by Hygienists

Be sure to include the fee of $50 with your completed application

A licensed dentist may delegate to a licensed dental hygienist the administration of block and infiltration anesthesia and nitrous oxide analgesia under the direct supervision of a dentist KRS 313.060 Section (10) if the dental hygienist completes the following requirements and receives a certificate of verification from the board:

(a) Formal training from a dental or dental hygiene school accredited by the Commission on Dental Accreditation;

(b) A minimum of thirty-two (32) hours covering all of the following topics, including but not limited to anatomical considerations, basic injunction technique, basic placement technique, nitrous oxide administration, recordkeeping, armamentarium exercise, local anesthesia and nitrous oxide, techniques of maxillary anesthesia, techniques of mandibular injections, partner injections and partner administration of nitrous oxide, neurophysiology, pharmacology of local anesthetics and nitrous oxide, pharmacology of vasoconstrictors, physical and psychological evaluation, local and systemic complications, and contraindications;

(c) A minimum of two (2) hours of clinical education for nitrous oxide administration with successful completion of administration, monitoring, and removal of nitrous oxide on at least two (2) patients;

(d) A minimum of twelve (12) hours demonstrating mastery of local anesthesia applications and successful completion of at least three (3) injections each of all maxillary and mandibular injection sites; and

(e) A score that exceeds seventy-four percent (74%) on a written examination administered after coursework and clinical training.

(11) The board shall approve all continuing education courses and require them for individuals holding anesthesia registration for over one (1) year without practical application. The courses shall be developed and implemented by dental education institutions accredited by the Commission on Dental Accreditation.

Under the regulation in 201 KAR 8:562 Section 11, requirements for Local Anesthesia Registration are specified as follows:

(1) An individual who has completed a course of study in dental hygiene at a board-approved CODA accredited institution on or after July 15, 2010, which meets or exceeds the education requirements as established in KRS 313.060(10) shall be granted the authority to practice local anesthesia upon the issuance by the board of a dental hygiene license.

(2) An individual licensed as a hygienist in Kentucky and not subject to disciplinary action who desires to administer local anesthesia and does not qualify to do so under Section 12(1) of this administrative regulation shall complete a training and education course as described in KRS 313.060(10).

(3) The training and education course shall be offered by at least one (1) of the following institutions in​ Kentucky:
(a) University of Louisville School of Dentistry;
(b) University of Kentucky College of Dentistry;
(c) Western Kentucky University Dental Hygiene Program; and
(d) Kentucky Community Technical College System Dental Hygiene Programs.

(4) Training received outside of Kentucky shall be from a CODA accredited dental or dental hygiene school and shall meet the requirements established in KRS 313.060(10).

(5) Once the required training is complete the applicant shall:
(a) Complete the Dental Hygiene Local Anesthesia Registration Application; and
(b) Pay the fee required by 201 KAR 8:520.

(6) Individuals authorized to practice under this provision shall receive a license from the board indicating registration to administer local anesthesia.

(7) A licensed dental hygienist shall not administer local anesthesia if the licensee does not hold a local anesthesia registration issued by the board.

(8) Any licensed dental hygienist holding a local anesthesia registration from the board who has not administered block anesthesia, infiltration anesthesia, or nitrous oxide analgesia for one (1) year shall complete a board approved refresher course prior to resuming practice of that specific technique.

The license renewal portal for dental hygienists will open mid-October of 2022 and remain active through the close of the year. Please continue to check this page for further updates as we get closer to the renewal period​.​​

Practicing Dental Hygiene in Kentucky

Please use the links below or to the left to obtain more information on how to obtain or renew a Kentucky dental hygiene license, obtain local anesthesia & nitrous oxide certification, obtain general supervision privileges, or obtain a charitable limited dental hygiene license.

​Public Health Registered Dental Hygienists

The document below is the dental hygiene regulation which passed successfully through the Administrative Regulation Review Subcommittee July 10, 2012. 201 KAR 8:562 Sec.15

Requirements for Public Health Registered Dental Hygienist Registration

  1. An individual licensed as a hygienist in Kentucky and not subject to disciplinary action who desires to practice as a public health registered dental hygienist shall:
    • Submit a completed Public Health Registered Dental Hygienist Application;
    • Meet the requirements established in KRS 313.040(8);
    • Document through payroll records, employment records, or other proof that is independently verifiable, the dates and hours of employment by a dentist in the practice of dental hygiene that demonstrate the required two (2) years and 3,000 hours of experience; and
    • During each renewal cycle, successfully complete a live three (3) hour course that has been approved by the board on the identification and prevention of potential medical emergencies that shall include, at a minimum, the following topics:
      • Medical history, including American Society of Anesthesiologists (ASA) classifications of physical status;
      • Recognition of common medical emergency situations, symptoms, and possible outcomes;
      • Office emergency protocols; and
      • Prevention of emergency situations during dental treatments.
    An individual authorized to practice pursuant to subsection (1) of this section shall receive a certificate from the board indicating registration to practice as a public health registered dental hygienist.
  2. A public health registered dental hygienist desiring to maintain certification as a public health registered dental hygienist shall be required to complete at least five (5) hours of continuing education in the area of public health or public dental health during each renewal cycle.
  3. Pursuant to KRS 313.040(8)(c), a public health registered dental hygienist may practice in a government-created public health program at the following sites:
    • Local health departments;
    • Public or private educational institutions that provide Head Start, preschool, elementary and secondary instruction to school aged children under the jurisdiction of the State Board of Education, and that have an affiliation agreement with the health department of jurisdiction;
    • Mobile and portable dental health programs under contract with a governing board of health; and
    • Public or private institutions under the jurisdiction of a federal, state, or local agency.
  4. A public health registered dental hygienist shall perform dental hygiene services only under the supervision of the governing board of health, as required by KRS 313.040(3)(b), as established in KRS 313.040(8), and as identified by the Department for Public Health Practice Reference.
    • These services shall be limited to preventative services.
    • The public health registered dental hygienist shall only treat a patient who is in the ASA Patient Physical Status Classification of ASA I or ASA II as established in the current edition of Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, American Dental Association.
    • The informed consent shall be required prior to preventative services and shall include:
      • The name of the public health entity, including the name of the dentist, that assumes responsibility and control;
      • An inquiry as to the current dentist; and
      • A statement that services are provided by a dental hygienist without the direct supervision of a dentist.
    • This administrative regulation shall not preclude a Kentucky-licensed dentist from directly participating in a public health program referenced in subsection 4(a), (b), (c), or (d) of this subsection.