Dental Hygiene Licensure Maps - ADHA

Dental Hygiene Licensure Maps - ADHA
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Dental Hygiene Licensure Maps
Dental Hygiene Licensure Maps
Standards for Clinical Dental Hygiene Practice
Professional Resources
ADHA Publications
Educator Resources
Clinical Practice Resources
Welcome to your one-stop reference for information on dental hygiene licensure and renewal requirements for every state. Choose your map, select your state and visit the links provided for the most current and comprehensive details.
GET YOUR LICENSE
RENEW YOUR LICENSE
Made possible through a grant from CareQuest Institute for Oral Health.
Initial Licensure Map
Are you studying to be a dental hygienist or preparing to get your license for the first time? Reference this helpful map to discover the requirements based on where you plan to practice.
Dentist and Dental Hygienist (DDH) Compact Status
No Active Legislation
Legislation Pending
Legislation Enacted – Compact has Passed!
State
Entry Level Programs
Accepted Clinical Exams
Scope of Practice
State Rules + Regulations
State
AL
Entry Level Programs
Learn more >
License Required
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Alabama, dental hygienists work under direct supervision of a licensed dentist. They can perform certain procedures, but a dentist must make the final diagnosis before treatment begins,
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State Rules + Regulations
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State
AK
Entry Level Programs
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License Required
ADEX
CRDTS
WREB
Scope of Practice
In Alaska, dental hygienists are authorized to perform procedures under the general supervision of a licensed dentist. With an advanced practice permit, experienced dental hygienists can provide services without the presence, authorization, or supervision of a dentist.
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State Rules + Regulations
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State
AZ
Entry Level Programs
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License Required
ADEX
CRDTS
WREB
Scope of Practice
In Arizona, dental hygienists work under general supervision. with certification, they can place interim therapeutic restorations. Affiliated practice relationships allow qualified hygienists to provide care in community settings without a dentist present.
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State Rules + Regulations
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State
AR
Entry Level Programs
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License Required
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Arkansas, dental hygienists perform procedures under the supervison of a licensed dentist. With an appropriate certification, they may administer local anesthesia under the supervision of a dentist. Also, Collaborative Care Permits I and II, allowing qualified dental hygienists to provide services in public settings without the dentist's physical presence.
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State Rules + Regulations
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State
CA
Entry Level Programs
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License Required
ADEX
CRDTS
WREB
Scope of Practice
In California, dental hygienists perform therapeutic, preventive, and educational services under general supervision of a dentist. In addition, Registered Dental Hygienists in Alternative Practice (RDHAPs) can work independently in community settings. California also allows dental hygienists to administer local anesthesia and nitrous oxide under direct supervision.
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State Rules + Regulations
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State
CO
Entry Level Programs
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License Required
ADEX
CRDTS
SRTA
WREB
OSCE
Scope of Practice
In Colorado, dental hygienists have an expansive scope of practice, allowing them to operate independently without supervision of a dentist. They can also place interim therapeutic restorations (ITRs) and apply silver diamine fluoride.
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State Rules + Regulations
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State
CT
Entry Level Programs
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License Required
CRDTS
SRTA
WREB
NERB
Scope of Practice
In Connecticut, dental hygienists are to practice under direct supervision of a licensed dentist or have been practicing as a licensed dental hygienist for at least two years and are practicing in a public health facility, and comply with the requirements of subsection (e) as outlined in the rules and regulations.
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State Rules + Regulations
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State
DE
Entry Level Programs
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License Required
Delaware Practical Board Examination & Hygiene
Scope of Practice
In Delaware, dental hygienists practice under the general supervision of a licensed dentist, either in the office or in public institutions such as schools.
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State Rules + Regulations
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State
FL
Entry Level Programs
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License Required
ADEX
Scope of Practice
In Florida, dental hygienists perform various tasks in different settings, such as the office of licensed dentist , public health programs, and institutions under general supervision, as well as in health access settings. Also, they can provide services without supervision, such as, fluoride applications, and oral hygiene instruction. Qualified dental hygienists are also permitted to administer local anesthesia under direct supervision.
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State Rules + Regulations
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State
GA
Entry Level Programs
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License Required
ADEX
CRDTS
SRTA
Scope of Practice
In Georgia, dental hygienists primarily operate under the direct supervision of a licensed dentist. There are some conditions where they are allowed to practice under general supervision (schools, hospitals, clinics, public health programs, and nursing homes). With appropriate certification, dental hygienists are permitted to administer local anesthesia and use dental diode laser under the direct supervision of a licensed dentist provided certain criteria are met.
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State Rules + Regulations
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State
HI
Entry Level Programs
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License Required
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Hawaii, dental hygienists practice under the supervision of a licensed dentist. Also, with appropriate certification, they may administer local anesthesia under supervision. In public health setting, they may work under general supervision, providing education, screenings, and fluoride treatments. However, irreversible procedures and intra-oral block local anesthesia require direct supervision to ensure patient safety.
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State Rules + Regulations
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State
IL
Entry Level Programs
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License Required
ADEX
CRDTS
SRTA
CDCA-WREB-CITA-Credits
Scope of Practice
In Illinois, dental hygienists are allowed to perform procedures under the supervision of a licensed dentist. In dental office settings, they may operate under general supervison, provided the patient has been examined by the dentist within the past year and the dentist has authorized the procedures.
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State Rules + Regulations
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State
ID
Entry Level Programs
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License Required
CITA
CRDTS
CDCA
WREB
Scope of Practice
In Idaho, dental hygienists perform procedures under varying supervision levels. With certification, they may administer local anesthesia under general supervision. In public health settings they can work under general supervision.
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State Rules + Regulations
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State
IN
Entry Level Programs
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License Required
CRDTS
NERB
SRTA
CDCA-WREB-ADEX-Credits
Scope of Practice
In Indiana, dental hygienists are authorized to perform procedures under the direct or prescriptive supervision of a licensed dentist. A licensed dental hygienist may provide without supervision screening and referrals for any person in a public health setting. They may administer local dental anesthetics under the direct supervision of a licensed dentist if they completed board approved educational requirements and received a dental hygiene anesthetic permit.
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State Rules + Regulations
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State
IA
Entry Level Programs
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License Required
ADEX AS ADMINISTERED BY CDCA WREB SRTA OR CITA
Scope of Practice
In Iowa, dental hygienists can perform procedures under the supervision of a licensed dentist. Also, they may administer local anesthesia and nitrous oxide sedation under direct supervision. In public health settings, they can work under public health supervision.
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State Rules + Regulations
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State
KS
Entry Level Programs
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License Required
OSCE
ADEX
Scope of Practice
In Kansas, dental hygienists perform procedures under general supervision provided the patient has been examined by the dentist within the past 12 months. Also, Kansas offers Extended Care Permits (ECP I, II, and III), allowed dental hygienist to provide services in community settings.
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State Rules + Regulations
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State
KY
Entry Level Programs
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License Required
ADEX
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Kentucky, dental hygienists perform procedures under direct or general supervision. Those with 2 or more years and 3,000 hours of experience can work under general supervision, provided the patient was examined by a dentist within seven months.
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State Rules + Regulations
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State
LA
Entry Level Programs
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License Required
ADEX
Scope of Practice
In Louisiana, dental hygienists are allowed to perform procedures under general supervision by a licensed dentist. However, in specific settings (schools or public institutions) hygienists can treat a patient without the dentist on-site, provided certain conditions are met.
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State Rules + Regulations
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State
ME
Entry Level Programs
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License Required
ADEX
CRDTS
SIMULATED PATIENT TREATMENT CLINICAL EXAMINATION (SPTCE)
Scope of Practice
In Maine, dental hygienists are allowed to perform procedures under direct supervision. With appropriate certification, they may also administer local anesthesia under general supervision and nitrous oxide analgesia under direct supervision. Also, Maine offers Independent Practice Dental Hygienist (IPDH).
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State Rules + Regulations
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State
MD
Entry Level Programs
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License Required
ADEX
NERB
CDCA-WREB-CITA-Credits
Scope of Practice
In Maryland, dental hygienists perform procedures under the supervision of a licensed dentist. With approriate Board recognition, they may also administer local anesthesia and nitrous oxide.
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State Rules + Regulations
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State
MA
Entry Level Programs
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License Required
ADEX
CITA
CDCA-WREB-Credits
Scope of Practice
In Massachusetts, dental hygienists are allowed to perform procedures under the supervision of a licensed dentist. With proper training and authorization, they may administer local anesthesia under direct supervision. Also, public health dental hygienists can operate in community settings without direct dentist supervision.
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State Rules + Regulations
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State
MI
Entry Level Programs
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License Required
ADEX
CDCA-WREB-CITA-Credits
Scope of Practice
In Michigan, dental hygienist perform procedures under the supervision of a licensed dentist. With appropriate training, they may also administer local anesthesia and nitrous oxide analgesia under the direct supervison of a dentist. Also, Michigan's Public ACT 161 program allows dental hygienist to provide preventive services in public or nonprofit settings.
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State Rules + Regulations
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State
MN
Entry Level Programs
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License Required
CRDTS
NERB
WREB
Scope of Practice
In Minnesota, dental hygienists are allow to perform procedures under varying levels of supervision. With appropriate training, they may also administer local anesthesia and nitrous oxide analgesia. Minnesota permits collaborative practice, allowing them to enter into agreements with licensed dentists to provide community service.
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State Rules + Regulations
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State
MS
Entry Level Programs
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License Required
DOES NOT SPECIFY "CLINICAL EXAM"
ADEX
SRTA
MS Jurisprudence Exam
Scope of Practice
Mississippi dental hygienists may practice under the direct supervision of a licensed dentist, with general supervision privileges applicable in private practice settings. Hygienists employed in public health programs and school settings, including those with the Mississippi State Board of Health, are not included in the general supervision provisions and continue to operate under direct supervision requirements.
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State Rules + Regulations
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State
MO
Entry Level Programs
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License Required
ADHLEX INCLUDES CSCE AND PTCE
ADEX
MO Jurisprudence Exam
CRDTS
Scope of Practice
In Missouri, dental hygienists must practice under the direct supervision of a licensed dentist in most traditional clinical settings. However, in designated public health settings—such as schools, long-term care facilities, and federally qualified health centers—dental hygienists may perform certain preventive services, including prophylaxis and fluoride treatments, under general supervision.
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State Rules + Regulations
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State
MT
Entry Level Programs
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License Required
ADEX
WREB
Scope of Practice
In Montana, dental hygienists are authorized to perform procedures under varying levels of supervision depending on the setting and their qualifications. With the proper certification, they may administer local anesthesia under the general supervision of a licensed dentist. Additionally, Montana offers a Limited Access Permit (LAP), which enables qualified dental hygienists to deliver specified preventive services—such as cleanings, sealants, and fluoride treatments—in public health settings without prior authorization or the physical presence of a dentist.
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State Rules + Regulations
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State
NE
Entry Level Programs
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License Required
ADEX
CRDTS
CDCA
WREB
Scope of Practice
In Nebraska, dental hygienists may perform procedures under different levels of supervision based on their training and credentials. With additional education and certification, they are permitted to prescribe mouth rinses, adjust dentures, and administer nitrous oxide. Those who qualify as Expanded Function Dental Hygienists (EFDHs) may also place simple restorations under indirect supervision.
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State Rules + Regulations
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State
NV
Entry Level Programs
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License Required
ADEX
WREB
Scope of Practice
In Nevada, dental hygienists work under dentist supervision. Nevada allows for an endorsement for the following items: local anesthesia, nitrous oxide, restorative dental hygiene, limited prescriptive authority, immunization administration, and also public health dental hygiene (with no dentist supervision or written agreement required- it is independent practice).
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State Rules + Regulations
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State
NH
Entry Level Programs
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License Required
ADEX
Scope of Practice
In New Hampshire, dental hygienists are authorized to perform procedures under various levels of supervision. With appropriate certification, dental hygienists may also administer local anesthesia and nitrous oxide/oxygen minimal sedation. Notably, certified public health dental hygienists can practice under public health supervision in community settings without the dentist.
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State Rules + Regulations
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State
NJ
Entry Level Programs
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License Required
CDCA
Scope of Practice
With the appropriate certification, dental hygienists in New Jersey may administer local anesthesia under direct supervision. In designated settings such as public health programs or school-based clinics, they may also work under general supervision, allowing them to provide care without the dentist physically present. However, independent practice is not permitted, and all services must remain under a dentist’s overall direction.
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State Rules + Regulations
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State
NM
Entry Level Programs
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License Required
ADEX
CRDTS
SRTA
WREB
NERB
Scope of Practice
In New Mexico, dental hygienists can perform procedures under various levels of supervision based on their certification and experience. With appropriate training, they may administer local anesthesia under indirect supervision, and after meeting additional requirements—such as completing a set number of supervised cases—they may administer local anesthesia under general supervision, allowing them to do so without the dentist physically present. New Mexico also offers a Collaborative Practice model, where qualified dental hygienists can enter into a collaborative agreement with a consulting dentist to provide preventive services, such as cleanings and fluoride treatments, in public health settings like schools and community clinics without direct dentist oversight.
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State Rules + Regulations
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State
NY
Entry Level Programs
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License Required
ADEX
CDCA
Scope of Practice
In New York, dental hygienists perform procedures under varying levels of supervision. Under general supervision, dental hygienists can provide services such as prophylaxis, radiographs, and patient education, as long as a licensed dentist has authorized the procedure and is available for consultation. In some cases, they may also work under personal supervision, where the dentist must be present in the office and personally authorize and review the work. Additionally, New York allows for collaborative practice agreements, enabling dental hygienists to provide preventive services in certain settings, such as public health programs, without the dentist being physically present, as long as specific conditions are met. However, independent practice is not permitted, and dental hygienists must always operate within the parameters of their supervisory arrangements.
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State Rules + Regulations
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State
NC
Entry Level Programs
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License Required
ADEX
CITA
Scope of Practice
In North Carolina, dental hygienists perform procedures under the supervision of licensed dentists. With appropriate certification, they are permitted to administer local anesthetics by infiltration and block techniques under the direct supervision of a licensed dentist.
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State Rules + Regulations
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State
ND
Entry Level Programs
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License Required
ADEX
CITA
CRDTS
CDCA
WREB
Scope of Practice
In North Dakota, dental hygienists perform procedures under dentist supervision. With certification, they may administer local anesthesia under direct supervision. Qualified hygienists can also obtain permits for expanded functions.
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State Rules + Regulations
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State
OH
Entry Level Programs
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License Required
CITA
CRDTS
SRTA
CDCA
WREB
NERB
Scope of Practice
In Ohio, dental hygienists perform procedures under dentist supervision. With certification, they may administer local anesthesia and nitrous oxide under direct supervision. Through the Oral Health Acess Supervision Program (OHASP), experienced hygienists can provide care in public health settings without a dentist present.
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State Rules + Regulations
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State
OK
Entry Level Programs
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License Required
ADEX
CRDTS
WREB
Scope of Practice
In Oklahoma, dental hygienists perform procedures under direct or general supervision. Under direct, they may administer local anesthesia and nitrous oxide. With general supervision, experienced hygienists (2 + years) may provide care in public health settings with the dentist present.
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State Rules + Regulations
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State
OR
Entry Level Programs
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License Required
ADEX
CDCA
CRDTS
WREB
Scope of Practice
In Oregon, dental hygienists perform procedures under various supervision levels. With certification, they can administer local anesthesia under general supervision and nitrous oxide under indirect supervision. Additionally, the Expanded Practice Permit (EPP) allows qualified hygienists to work without direct dentist supervision in community settings, such as schools or public health programs, where they can provide preventive care and other services independently.
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State Rules + Regulations
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State
PA
Entry Level Programs
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License Required
CITA
CRDTS
SRTA
WREB
NERB
Scope of Practice
In Pennsylvania, dental hygienists perform procedures under general supervision, while local anesthesia requires direct supervision. Public Health Dental Hygiene Practitioners may work without supervision in schools and public health settings.
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State Rules + Regulations
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State
RI
Entry Level Programs
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License Required
ADEX
Scope of Practice
A dental hygienist may perform procedures under general supervision of the dentist. A dental hygienist qualified to administer local anesthesia shall do so only under the indirect supervision of a licensed dentist.
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State Rules + Regulations
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State
SC
Entry Level Programs
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License Required
ADEX
CRDTS
SRTA
Scope of Practice
In South Carolina, dental hygienists perform procedures under general supervision. Direct supervision is required for local anesthesia. Independent practice is not permitted.
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State Rules + Regulations
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State
SD
Entry Level Programs
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License Required
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In South Dakota, dental hygienists perform procedures under general supervision, meaning they can treat patients of record as long as the dentist has authorized the procedures and will evaluate the patient within 13 months. With a collaborative agreement and specific experience, dental hygienists can also provide services in community settings, such as schools or public health programs, with the dentist's oversight and presence as required.
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State Rules + Regulations
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State
TN
Entry Level Programs
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License Required
ADEX
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Tennessee, dental hygienists provide services under general supervision as long as the patient was examined by a dentist within the last 11 months. Direct supervision is required for procedures like administering local anesthesia and nitrous oxide. However, dental hygienists are not authorized to diagnose, prescribe, or perform surgical procedures.
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State Rules + Regulations
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State
TX
Entry Level Programs
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License Required
ADEX
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Texas, dental hygienists perform procedures under supervision of a licensed dentist. With appropriate training, they may administer local anesthesia and nitrous oxide sedation under direct supervision. Also, dental hygienists may use lasers in their practice under direct supervision (with proper training).
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State Rules + Regulations
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State
UT
Entry Level Programs
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License Required
ADEX
CRDTS
SRTA
CDCA-WREB-CITA-Credits
Scope of Practice
In Utah, dental hygienists perform procedures under general supervision. They can administer local anesthesia under general supervision and nitrous oxide sedation under indirect supervision. Greater autonomy is allowed in public health settings. With certification, they can also perform restorative dental hygiene and Botox injections.
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State Rules + Regulations
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State
VT
Entry Level Programs
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License Required
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Vermont, dental hygienists typically perform procedures under direct supervision. With the appropriate certification, hygienists can administer local anesthesia under direct supervision as well. Additionally, Public Health dental hygienists with at least three years of experience are eligible to provide care in community settings—such as schools and public health programs—without the dentist physically present.
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State Rules + Regulations
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State
VA
Entry Level Programs
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License Required
ADEX
SRTA
CDCA-WREB-CITA-Credits
Scope of Practice
In Virginia, dental hygienists perform procedures under direct supervision. With the proper certification, they can administer local anesthesia and nitrous oxide under direct supervision as well. Additionally, remote supervision enables dental hygienists in public health settings to provide care, such as preventive services, without the dentist being present.
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State Rules + Regulations
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State
WA
Entry Level Programs
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License Required
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
A dental hygienist may perform several procedures under general supervision of the dentist and others under close supervision. Under appropriate supervision, the placing of restorations and administration of anesthesia and nitrous oxide are included in the full dental hygiene license even if a dental hygienist will not be doing these procedures.
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State Rules + Regulations
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State
DC
Entry Level Programs
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License Required
NERB
ADEX
Scope of Practice
In Washington, D.C., dental hygienists are permitted form therapeutic procedures under the general supervision of a licensed dentist. Under direct supervision, they may also monitor nitrous oxide, administer local anesthesia (with proper authorization).
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State Rules + Regulations
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State
WV
Entry Level Programs
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License Required
ADEX
WREB
Scope of Practice
In West Virginia, dental hygienists perform procedures under general supervision. With two years and 3,000 hours of experience, they may provide care for up to 15 days without a dentist present. Public health practice permit holders can work in community settings without prior dental exams, provided they have a collaborative agreement and refer patients for an exam within six months.
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State Rules + Regulations
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State
WI
Entry Level Programs
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License Required
ADEX
CITA
CRDTS
SRTA
CDCA
WREB
Scope of Practice
In Wisconsin, dental hygienists perform procedures under direct supervision. They can provide services in public health settings under general supervision. Local anesthesia requires direct supervision. Hygienists cannot diagnose, perform surgery, or prescribe medications.
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State Rules + Regulations
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State
WY
Entry Level Programs
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License Required
CDCA-WREB-CITA
CRDTS
Scope of Practice
In Wyoming, dental hygienists typically perform procedures under direct supervision. However, under general supervision, they are permitted to provide services in public health settings. The administration of local anesthesia must still occur under direct supervision, and dental hygienists are not authorized to diagnose conditions, perform surgical procedures, or prescribe medications.
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State Rules + Regulations
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RDH License Renewal Map
Every state has its own requirements and renewal process. Deadlines, continuing education requirements and fees are tied to the specific licensing board in for the state in which you are practicing. Take a look at the map below as a guideline for your state and find links to each licensing board website to learn more details.
Dentist and Dental Hygienist (DDH) Compact Status
No Active Legislation
Legislation Pending
Legislation Enacted – Compact has Passed!
State
Renewal Cycle
Hours/ Cycle
Fees
Special Requirements
Scope of Practice
Link
State
AL
Renewal Cycle
Renewals begin August 1
Hours/Cycle
12 hrs/ year
Fees
$75
Special Requirements
• CPR and infectious disease are required every 2 years
• Maximum of 4 hours may be on the topics of insurance, government regulations, tort liability, and/or risk management, and a
• Maximum 3 hours may be on practice management, annually.
Scope of Practice
In Alabama, dental hygienists work under direct supervision of a licensed dentist. They can perform certain procedures, but a dentist must make the final diagnosis before treatment begins,
Link
State
AK
Renewal Cycle
Renew 60 days before license expires
Hours/Cycle
20
Fees
$200 (addl. $60 for restorative)
Special Requirements
• CPR (up to 4 hrs)
Addt. 2 hours for Restorative permit
Scope of Practice
In Alaska, dental hygienists are authorized to perform procedures under the general supervision of a licensed dentist. With an advanced practice permit, experienced dental hygienists can provide services without the presence, authorization, or supervision of a dentist.
Link
State
AZ
Renewal Cycle
Renew within 30 days after the licensee's birth month every third year
Hours/Cycle
45
Fees
$325
Special Requirements
3 hrs. CPR healthcare provider
3 hrs. infectious disease
3 hours in one or more of the following areas: chemical dependency, tobacco cessation, ethics, risk management, or Arizona dental jurisprudence every three years
Scope of Practice
In Arizona, dental hygienists work under general supervision. with certification, they can place interim therapeutic restorations. Affiliated practice relationships allow qualified hygienists to provide care in community settings without a dentist present.
Link
State
AR
Renewal Cycle
Renew on January 1 of even numbered years
Hours/Cycle
40
Fees
$100
Special Requirements
CPR
1 hr. infection control every 2 yrs
Scope of Practice
In Arkansas, dental hygienists perform procedures under the supervison of a licensed dentist. With an appropriate certification, they may administer local anesthesia under the supervision of a dentist. Also, Collaborative Care Permits I and II, allowing qualified dental hygienists to provide services in public settings without the dentist's physical presence.
Link
State
CA
Renewal Cycle
Renew license every two years by the last day of the month of their birthday
Hours/Cycle
25 (RDHAP: 35)
Fees
$300
Special Requirements
CPR/BLS (max 4hrs.)
2 hrs. infection control.
2 hrs. CA Dental Practice Act
Scope of Practice
In California, dental hygienists perform therapeutic, preventive, and educational services under general supervision of a dentist. In addition, Registered Dental Hygienists in Alternative Practice (RDHAPs) can work independently in community settings. California also allows dental hygienists to administer local anesthesia and nitrous oxide under direct supervision.
Link
State
CO
Renewal Cycle
Renew license by the end of February of even numbered years.
Hours/Cycle
30
Fees
Renewal $90
Peer Assistance – $32.00
Portal Fee – $2.00
Legal Defense Fund – $2.00
Total = $126
Special Requirements
BLS (max. 2 hrs.)
Scope of Practice
In Colorado, dental hygienists have an expansive scope of practice, allowing them to operate independently without supervision of a dentist. They can also place interim therapeutic restorations (ITRs) and apply silver diamine fluoride.
Link
State
CT
Renewal Cycle
Annually in birth month
Hours/Cycle
162YRS
Fees
$105
Special Requirements
CPR
1 hr min. Infection Control
1 hr min. Cultural Competency
Scope of Practice
In Connecticut, dental hygienists are to practice under direct supervision of a licensed dentist or have been practicing as a licensed dental hygienist for at least two years and are practicing in a public health facility, and comply with the requirements of subsection (e) as outlined in the rules and regulations.
Link
State
DE
Renewal Cycle
Renew by May 1 of even numbered years
Hours/Cycle
24
Fees
$110 (confirmed)
Special Requirements
CPR
2 hrs. infection control.
Scope of Practice
In Delaware, dental hygienists practice under the general supervision of a licensed dentist, either in the office or in public institutions such as schools.
Link
State
FL
Renewal Cycle
Renew license no later than midnight Eastern time on February 28
Hours/Cycle
24
Fees
$80
Special Requirements
CPR (not included)
2 hrs. domestic violence every 3rd biennium.
2 hrs. medical error.
Scope of Practice
In Florida, dental hygienists perform various tasks in different settings, such as the office of licensed dentist , public health programs, and institutions under general supervision, as well as in health access settings. Also, they can provide services without supervision, such as, fluoride applications, and oral hygiene instruction. Qualified dental hygienists are also permitted to administer local anesthesia under direct supervision.
Link
State
GA
Renewal Cycle
December of odd years
Hours/Cycle
22
Fees
$85
Special Requirements
CPR (apply to CE total)
1 hour legal and ethics
2 hours infection control
Scope of Practice
In Georgia, dental hygienists primarily operate under the direct supervision of a licensed dentist. There are some conditions where they are allowed to practice under general supervision (schools, hospitals, clinics, public health programs, and nursing homes). With appropriate certification, dental hygienists are permitted to administer local anesthesia and use dental diode laser under the direct supervision of a licensed dentist provided certain criteria are met.
Link
State
HI
Renewal Cycle
December of odd years
Hours/Cycle
20
Fees
$164
Special Requirements
BLS/CPR (max. 4 hrs., does not count towards clinical courses.)
Ethics (2 hrs.)
Scope of Practice
In Hawaii, dental hygienists practice under the supervision of a licensed dentist. Also, with appropriate certification, they may administer local anesthesia under supervision. In public health setting, they may work under general supervision, providing education, screenings, and fluoride treatments. However, irreversible procedures and intra-oral block local anesthesia require direct supervision to ensure patient safety.
Link
State
IL
Renewal Cycle
September 30 every 3 years
Hours/Cycle
36
Fees
$150
Special Requirements
CPR
Sexual harassment (1 hr.) one-hour course during every three-year license renewal period
Implicit bias (1 hr.)
Scope of Practice
In Illinois, dental hygienists are allowed to perform procedures under the supervision of a licensed dentist. In dental office settings, they may operate under general supervison, provided the patient has been examined by the dentist within the past year and the dentist has authorized the procedures.
Link
State
ID
Renewal Cycle
March 31 of odd years
Hours/Cycle
30
Fees
$130
Special Requirements
CPR (apply to CE total)
Scope of Practice
In Idaho, dental hygienists perform procedures under varying supervision levels. With certification, they may administer local anesthesia under general supervision. In public health settings they can work under general supervision.
Link
State
IN
Renewal Cycle
March 1st of even years
Hours/Cycle
19
Fees
$70
Special Requirements
CPR (up to 2 hrs.)
2 hrs. Law & Ethics
Max 5 hrs. of Professional Management can be applied (not required)
Scope of Practice
In Indiana, dental hygienists are authorized to perform procedures under the direct or prescriptive supervision of a licensed dentist. A licensed dental hygienist may provide without supervision screening and referrals for any person in a public health setting. They may administer local dental anesthetics under the direct supervision of a licensed dentist if they completed board approved educational requirements and received a dental hygiene anesthetic permit.
Link
State
IA
Renewal Cycle
August 31 of odd years
Hours/Cycle
30
Fees
$150 (addt. $25 for local anesthesia permit)
Special Requirements
CPR (up to 3 hrs.)
Abuse identification/reporting (every 3 years)
Infection control (1 hr.)
Jurisprudence (1 hr.)
Scope of Practice
In Iowa, dental hygienists can perform procedures under the supervision of a licensed dentist. Also, they may administer local anesthesia and nitrous oxide sedation under direct supervision. In public health settings, they can work under public health supervision.
Link
State
KS
Renewal Cycle
December 1 - Even numbered licensees: even years, Odd numbered licensees: odd years
Hours/Cycle
30
Fees
$131
Special Requirements
CPR (up to 4 hrs. towards CE)
1 hr. ethics
Scope of Practice
In Kansas, dental hygienists perform procedures under general supervision provided the patient has been examined by the dentist within the past 12 months. Also, Kansas offers Extended Care Permits (ECP I, II, and III), allowed dental hygienist to provide services in community settings.
Link
State
KY
Renewal Cycle
Every two years; December 31 of even numbered years
Hours/Cycle
30
Fees
$110
Special Requirements
CPR (does not count toward hours)
Min. 3 hrs. of medical emergency CE for RDH w/general supervision privileges and public health RDHs.
Scope of Practice
In Kentucky, dental hygienists perform procedures under direct or general supervision. Those with 2 or more years and 3,000 hours of experience can work under general supervision, provided the patient was examined by a dentist within seven months.
Link
State
LA
Renewal Cycle
December every year
Hours/Cycle
20
Fees
$200
Special Requirements
CPR (required for general supervision up to 3 hrs. credit)
Scope of Practice
In Louisiana, dental hygienists are allowed to perform procedures under general supervision by a licensed dentist. However, in specific settings (schools or public institutions) hygienists can treat a patient without the dentist on-site, provided certain conditions are met.
Link
State
ME
Renewal Cycle
January 1 odd years
Hours/Cycle
30
Fees
$140
Special Requirements
CPR
Scope of Practice
In Maine, dental hygienists are allowed to perform procedures under direct supervision. With appropriate certification, they may also administer local anesthesia under general supervision and nitrous oxide analgesia under direct supervision. Also, Maine offers Independent Practice Dental Hygienist (IPDH).
Link
State
MD
Renewal Cycle
Between May 1 and June 30. For licenses ending in odd numbers, renew on odd years. For licenses ending in even numbers, renew on even years.
Hours/Cycle
30
Fees
$182
Special Requirements
Abuse and neglect up to 2 hrs. (every other cycle).
Implicit Bias (one time)
Scope of Practice
In Maryland, dental hygienists perform procedures under the supervision of a licensed dentist. With approriate Board recognition, they may also administer local anesthesia and nitrous oxide.
Link
State
MA
Renewal Cycle
March 31 of odd years
Hours/Cycle
20
Fees
$60 (+$30 local anes)
Special Requirements
CPR
Infection control
Scope of Practice
In Massachusetts, dental hygienists are allowed to perform procedures under the supervision of a licensed dentist. With proper training and authorization, they may administer local anesthesia under direct supervision. Also, public health dental hygienists can operate in community settings without direct dentist supervision.
Link
State
MI
Renewal Cycle
Renew license every three years. The rewnewal date is based on the date of the initial license.
Hours/Cycle
36
Fees
$78
Special Requirements
CPR
Infection control (1 hr.)
Pain Management (2 hrs.)
Human trafficking (one time)
Implicit Bias (1 hr. per year of license cycle equaling 3 hours total)
Ethics & Jurisprudence (1 hr.)
Scope of Practice
In Michigan, dental hygienist perform procedures under the supervision of a licensed dentist. With appropriate training, they may also administer local anesthesia and nitrous oxide analgesia under the direct supervison of a dentist. Also, Michigan's Public ACT 161 program allows dental hygienist to provide preventive services in public or nonprofit settings.
Link
State
MN
Renewal Cycle
Biennially. End of birth month in even or odd year linked to birth year.
Hours/Cycle
25
Fees
$200
Special Requirements
CPR towards CE
Infection control (2 hrs.)
Scope of Practice
In Minnesota, dental hygienists are allow to perform procedures under varying levels of supervision. With appropriate training, they may also administer local anesthesia and nitrous oxide analgesia. Minnesota permits collaborative practice, allowing them to enter into agreements with licensed dentists to provide community service.
Link
State
MS
Renewal Cycle
Renew every two years on even numbered years
Hours/Cycle
20
Fees
$100/year
Special Requirements
CPR (up to 4 hrs.; up to 8 hrs. advanced CPR)
Scope of Practice
Mississippi dental hygienists may practice under the direct supervision of a licensed dentist, with general supervision privileges applicable in private practice settings. Hygienists employed in public health programs and school settings, including those with the Mississippi State Board of Health, are not included in the general supervision provisions and continue to operate under direct supervision requirements.
Link
State
MO
Renewal Cycle
November of even years
Hours/Cycle
30
Fees
$100
Special Requirements
CPR
Scope of Practice
In Missouri, dental hygienists must practice under the direct supervision of a licensed dentist in most traditional clinical settings. However, in designated public health settings—such as schools, long-term care facilities, and federally qualified health centers—dental hygienists may perform certain preventive services, including prophylaxis and fluoride treatments, under general supervision.
Link
State
MT
Renewal Cycle
March; yearly
Hours/Cycle
36
Fees
$140
Special Requirements
CPR
Scope of Practice
In Montana, dental hygienists are authorized to perform procedures under varying levels of supervision depending on the setting and their qualifications. With the proper certification, they may administer local anesthesia under the general supervision of a licensed dentist. Additionally, Montana offers a Limited Access Permit (LAP), which enables qualified dental hygienists to deliver specified preventive services—such as cleanings, sealants, and fluoride treatments—in public health settings without prior authorization or the physical presence of a dentist.
Link
State
NE
Renewal Cycle
Renew by March 1 of odd numbered years
Hours/Cycle
30
Fees
$110
Special Requirements
CPR (Max 4 hrs.)
Infection control (2 hrs. minimum)
Scope of Practice
In Nebraska, dental hygienists may perform procedures under different levels of supervision based on their training and credentials. With additional education and certification, they are permitted to prescribe mouth rinses, adjust dentures, and administer nitrous oxide. Those who qualify as Expanded Function Dental Hygienists (EFDHs) may also place simple restorations under indirect supervision.
Link
State
NV
Renewal Cycle
Renew by March/April of each year with a deadline of June 30
Hours/Cycle
30
Fees
$300
Special Requirements
CPR
Infection control (4 hrs.)
Bio-terrorism (4 hrs.)
Scope of Practice
In Nevada, dental hygienists work under dentist supervision. Nevada allows for an endorsement for the following items: local anesthesia, nitrous oxide, restorative dental hygiene, limited prescriptive authority, immunization administration, and also public health dental hygiene (with no dentist supervision or written agreement required- it is independent practice).
Link
State
NH
Renewal Cycle
Renew every two years
Hours/Cycle
20
Fees
$198
Special Requirements
CPR (up to 3 hrs. every biennium)
Min. 2 hours of infection control
2 hrs. in Medical Emergency Training
Scope of Practice
In New Hampshire, dental hygienists are authorized to perform procedures under various levels of supervision. With appropriate certification, dental hygienists may also administer local anesthesia and nitrous oxide/oxygen minimal sedation. Notably, certified public health dental hygienists can practice under public health supervision in community settings without the dentist.
Link
State
NJ
Renewal Cycle
License expires on December 31 of odd numbered years
Hours/Cycle
20
Fees
$120
Special Requirements
CPR (3 hrs.)
Infection control (1 hr.)
Ethics and Law (1 hr.)
Opioids (1 hr.)
Scope of Practice
With the appropriate certification, dental hygienists in New Jersey may administer local anesthesia under direct supervision. In designated settings such as public health programs or school-based clinics, they may also work under general supervision, allowing them to provide care without the dentist physically present. However, independent practice is not permitted, and all services must remain under a dentist’s overall direction.
Link
State
NM
Renewal Cycle
License expires every three years on June 30
Hours/Cycle
45
Fees
$340
Special Requirements
CPR/BLS
Infection control (1 hr. or more)
Scope of Practice
In New Mexico, dental hygienists can perform procedures under various levels of supervision based on their certification and experience. With appropriate training, they may administer local anesthesia under indirect supervision, and after meeting additional requirements—such as completing a set number of supervised cases—they may administer local anesthesia under general supervision, allowing them to do so without the dentist physically present. New Mexico also offers a Collaborative Practice model, where qualified dental hygienists can enter into a collaborative agreement with a consulting dentist to provide preventive services, such as cleanings and fluoride treatments, in public health settings like schools and community clinics without direct dentist oversight.
Link
State
NY
Renewal Cycle
Renewal is every three years based on the expiration date of your license
Hours/Cycle
24
Fees
$88
Special Requirements
CPR (must be live)
Infection control (every 4 yrs.)
Child abuse training (2 hrs.)
Scope of Practice
In New York, dental hygienists perform procedures under varying levels of supervision. Under general supervision, dental hygienists can provide services such as prophylaxis, radiographs, and patient education, as long as a licensed dentist has authorized the procedure and is available for consultation. In some cases, they may also work under personal supervision, where the dentist must be present in the office and personally authorize and review the work. Additionally, New York allows for collaborative practice agreements, enabling dental hygienists to provide preventive services in certain settings, such as public health programs, without the dentist being physically present, as long as specific conditions are met. However, independent practice is not permitted, and dental hygienists must always operate within the parameters of their supervisory arrangements.
Link
State
NC
Renewal Cycle
Renew licenses annually with proper payment by January 1 of each year
Hours/Cycle
6 CE hours each year as well as a valid CPR certification
Fees
$106
Special Requirements
CPR (does have to have a live hands on component to be valid)
At least once every 2 years, one of the 6 required hours must be on Mental Health/Substance Use/Burnout CE for Dental Providers.
Dental hygienists who administer local anesthetics must maintain current CPR training and annually complete 2hr. of approved continuing education.
Scope of Practice
In North Carolina, dental hygienists perform procedures under the supervision of licensed dentists. With appropriate certification, they are permitted to administer local anesthetics by infiltration and block techniques under the direct supervision of a licensed dentist.
Link
State
ND
Renewal Cycle
License expires on December 31 of odd numbered years
Hours/Cycle
16
Fees
$165
Special Requirements
CPR
Infection control (2 hrs.)
2 hrs. of ethics or jurisprudence.
2 hrs. in sedation if you hold an anesthesia permit.
2 hrs. restorative if you hold a restorative permit.
Scope of Practice
In North Dakota, dental hygienists perform procedures under dentist supervision. With certification, they may administer local anesthesia under direct supervision. Qualified hygienists can also obtain permits for expanded functions.
Link
State
OH
Renewal Cycle
Renew license every two years
Hours/Cycle
20
Fees
$144
Special Requirements
CPR/BLS
Min 2 hrs. Opioid training
Scope of Practice
In Ohio, dental hygienists perform procedures under dentist supervision. With certification, they may administer local anesthesia and nitrous oxide under direct supervision. Through the Oral Health Acess Supervision Program (OHASP), experienced hygienists can provide care in public health settings without a dentist present.
Link
State
OK
Renewal Cycle
Renew license every year by December 31
Hours/Cycle
20/2yrs
Fees
$100
Special Requirements
CPR (No online CPR)
Ethics (min 1 hr.)
Scope of Practice
In Oklahoma, dental hygienists perform procedures under direct or general supervision. Under direct, they may administer local anesthesia and nitrous oxide. With general supervision, experienced hygienists (2 + years) may provide care in public health settings with the dentist present.
Link
State
OR
Renewal Cycle
Renewal application must be submitted by September 30 every other year depending if your license was established in odd numbered years or even numbered years
Hours/Cycle
24 (expanded practice permit requires 36)
Fees
$230 (There is no fee for use of lasers)
Special Requirements
CPR
Infection Control (certificate must delineate the difference in hours between OSHA and infection control (2 hrs.)
Medical emergencies (3 hrs.)
Cultural Competency (2 hrs)
Scope of Practice
In Oregon, dental hygienists perform procedures under various supervision levels. With certification, they can administer local anesthesia under general supervision and nitrous oxide under indirect supervision. Additionally, the Expanded Practice Permit (EPP) allows qualified hygienists to work without direct dentist supervision in community settings, such as schools or public health programs, where they can provide preventive care and other services independently.
Link
State
PA
Renewal Cycle
License expires March 31 of every odd numbered year
Hours/Cycle
20
Fees
$59 (local anes. $59)
Special Requirements
CPR
Max 3 hours on communication skills
Child abuse recognition and reporting (2 hrs.)
If DH holds a local anesthesia permit, they must complete 3 CE hours in this subject.
Scope of Practice
In Pennsylvania, dental hygienists perform procedures under general supervision, while local anesthesia requires direct supervision. Public Health Dental Hygiene Practitioners may work without supervision in schools and public health settings.
Link
State
RI
Renewal Cycle
License expires biennually on June 30 of even numbered years
Hours/Cycle
20
Fees
$65 (Local anes. $70)
Special Requirements
BLS/ CPR (up to date)
Infection Control (1 hr. every year)
Scope of Practice
A dental hygienist may perform procedures under general supervision of the dentist. A dental hygienist qualified to administer local anesthesia shall do so only under the indirect supervision of a licensed dentist.
Link
State
SC
Renewal Cycle
Renew every two years
Hours/Cycle
14
Fees
*$80 (+$10 for infiltration anesthesia certification)
Special Requirements
CPR (once every two (2) years.
Sterilization and Infection Control (2 hrs.)
Scope of Practice
In South Carolina, dental hygienists perform procedures under general supervision. Direct supervision is required for local anesthesia. Independent practice is not permitted.
Link
State
SD
Renewal Cycle
Renew every two years in even numbered years beginning October 1 - November 30
Hours/Cycle
75
Fees
$95/year (+Continuing ed fee of $20)
Special Requirements
CPR (up to 15 hrs. every 5 yrs.)
5 hrs. of dental radiography every 5 yrs. (Max of 20 hrs.)
Scope of Practice
In South Dakota, dental hygienists perform procedures under general supervision, meaning they can treat patients of record as long as the dentist has authorized the procedures and will evaluate the patient within 13 months. With a collaborative agreement and specific experience, dental hygienists can also provide services in community settings, such as schools or public health programs, with the dentist's oversight and presence as required.
Link
State
TN
Renewal Cycle
Two year cycle from January 1 of an odd year to December 31 of an even year
Hours/Cycle
30
Fees
$75 (state regulatory fee $10)
Special Requirements
CPR
2 hrs. of chemical dependency.
Scope of Practice
In Tennessee, dental hygienists provide services under general supervision as long as the patient was examined by a dentist within the last 11 months. Direct supervision is required for procedures like administering local anesthesia and nitrous oxide. However, dental hygienists are not authorized to diagnose, prescribe, or perform surgical procedures.
Link
State
TX
Renewal Cycle
License must be renewed biennually and no later than midnight on the day the license is due to expire
Hours/Cycle
24
Fees
$226
Special Requirements
CPR and OSHA do not count toward CE
Jurisprudence every 4 yrs. (does not count towards CE)
Human trafficking prevention
Scope of Practice
In Texas, dental hygienists perform procedures under supervision of a licensed dentist. With appropriate training, they may administer local anesthesia and nitrous oxide sedation under direct supervision. Also, dental hygienists may use lasers in their practice under direct supervision (with proper training).
Link
State
UT
Renewal Cycle
License expires on May 31 of even numbered years
Hours/Cycle
30
Fees
$47
Special Requirements
CPR (does not count towards CE)
Practice Management (Max 3 hrs.)
Scope of Practice
In Utah, dental hygienists perform procedures under general supervision. They can administer local anesthesia under general supervision and nitrous oxide sedation under indirect supervision. Greater autonomy is allowed in public health settings. With certification, they can also perform restorative dental hygiene and Botox injections.
Link
State
VT
Renewal Cycle
Renew license every two years on September 30, licenses expire on the last day of the licensee's birth month. If the licensee's birth year is an even number, their license will expire during even numbered years. If the licensee's birth year is an odd numbered year, their license will expire during odd numbered years.
Hours/Cycle
18
Fees
$198 Professional Health Program fee $28)
Special Requirements
Emergency Office Procedures
Scope of Practice
In Vermont, dental hygienists typically perform procedures under direct supervision. With the appropriate certification, hygienists can administer local anesthesia under direct supervision as well. Additionally, Public Health dental hygienists with at least three years of experience are eligible to provide care in community settings—such as schools and public health programs—without the dentist physically present.
Link
State
VA
Renewal Cycle
Renew in the licensee's birth month each year
Hours/Cycle
15
Fees
$75
Special Requirements
CPR
If DH monitors patients under sedation, they require 4 hours of CE in this area every 2 years.
Scope of Practice
In Virginia, dental hygienists perform procedures under direct supervision. With the proper certification, they can administer local anesthesia and nitrous oxide under direct supervision as well. Additionally, remote supervision enables dental hygienists in public health settings to provide care, such as preventive services, without the dentist being present.
Link
State
WA
Renewal Cycle
Renew license every year on the licensee's birthday
Hours/Cycle
15
Fees
$70
Special Requirements
CPR/BLS (must contain hands-on portion)
One time suicide prevention course
2hr health equity course must be completed once every 4 years
Scope of Practice
A dental hygienist may perform several procedures under general supervision of the dentist and others under close supervision. Under appropriate supervision, the placing of restorations and administration of anesthesia and nitrous oxide are included in the full dental hygiene license even if a dental hygienist will not be doing these procedures.
Link
State
DC
Renewal Cycle
Renew license on licensee's month of birth of each odd numbered year
Hours/Cycle
20
Fees
$136(+$25 local anesthesia)
Special Requirements
CPR
2 hrs. infection control.
2 hrs. LGBTQ cultural competency
1 hr. ethics
Scope of Practice
In Washington, D.C., dental hygienists are permitted form therapeutic procedures under the general supervision of a licensed dentist. Under direct supervision, they may also monitor nitrous oxide, administer local anesthesia (with proper authorization).
Link
State
WV
Renewal Cycle
Renew every two years by February 1 of every even numbered year
Hours/Cycle
20/2 years
Fees
$70
Special Requirements
CPR
Infection Control or Substance Abuse or Tobacco Cessation or Occupational Hazards (2 hrs. in one area)
General Supervision Permit: Office Emergencies (3 hrs.)
Public Health Permit: Office Emergencies and Public Health Content (3 hrs. for each)
Scope of Practice
In West Virginia, dental hygienists perform procedures under general supervision. With two years and 3,000 hours of experience, they may provide care for up to 15 days without a dentist present. Public health practice permit holders can work in community settings without prior dental exams, provided they have a collaborative agreement and refer patients for an exam within six months.
Link
State
WI
Renewal Cycle
Renew license every two years on September 30 on odd numbered years
Hours/Cycle
12
Fees
$60
Special Requirements
CPR (up to 2 hrs.)
Min. 2 hrs. of infection control.
Scope of Practice
In Wisconsin, dental hygienists perform procedures under direct supervision. They can provide services in public health settings under general supervision. Local anesthesia requires direct supervision. Hygienists cannot diagnose, perform surgery, or prescribe medications.
Link
State
WY
Renewal Cycle
Renew license every two years on odd numbered years
Hours/Cycle
16
Fees
$190
Special Requirements
CPR (do not count toward CE total)
WY Rules & Regs
Scope of Practice
In Wyoming, dental hygienists typically perform procedures under direct supervision. However, under general supervision, they are permitted to provide services in public health settings. The administration of local anesthesia must still occur under direct supervision, and dental hygienists are not authorized to diagnose conditions, perform surgical procedures, or prescribe medications.
Link
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