The following educational requirements are necessary for the
board to approve and grant certification to a licensed dental hygienist in the
administration of local anesthesia:
(1) The course in the administration of local
anesthesia shall be provided by an accredited dental or dental hygiene
To participate in a
course in the administration of local anesthesia, a person shall do all of the
(a) Show evidence of current
qualification in cardiopulmonary resuscitation from a course provider approved
by the Wisconsin department of health services.
(b) Provide proof of possessing a license to
practice as a dental hygienist in this state, or having graduated from an
accredited dental hygiene program, or of being enrolled in an accredited dental
local anesthesia course shall have the following components and provide a
minimum of 21 hours of instruction:
Didactic instruction. Minimum of 10 hours, including but not limited to the
1. Provide proof of
possessing a license to practice as a dental hygienist in this state, or having
graduated from an accredited dental hygiene program, or of being enrolled in an
accredited dental hygiene program.
2. Basic pharmacology and drug
pharmacology and clinical properties of local anesthesia, vasoconstrictors, and
considerations for the administration of anesthesia.
5. Patient assessment for the administration
6. Selection and
preparation of armamentarium.
Recognition, management and emergency response to local
management and emergency response to systemic complications.
9. Ethical and legal
10. Techniques for
Experience in the clinical administration of local anesthesia. Minimum of 11
hours in the following techniques:
a. Posterior superior
b. Middle superior
c. Anterior superior
a. Inferior alveolar/lingual.
b. Mental/incisive nerve block.
c. Buccal nerve.
d. Periodontal ligament injection.
e. Intraseptal injection.
(c) Students performing
injections as part of the clinical coursework shall successfully perform all
local anesthesia injections on their classmates as well as perform at least one
successful inferior alveolar injection on a non-classmate patient. For those
licensed dental hygienists who are completing this course in the continuing
education environment, the injection on a non-classmate patient may be
performed in the office where the dental hygienist is employed, as long as the
employer-dentist agrees to supervise and submit verification of the successful
completion of the injection.
dentist licensed under ch. 447, Stats., shall be present in the facility and
available to both the patients and to the students of the class.
Wis. Admin. Code Dentistry Examining Board § DE 7.05
Cr. Register, October,
1999, No. 526, eff. 11-1-99; CR 11-035: am. (2) (a) Register July 2012 No. 679,