Dental Programs

The Center for Corporate and Professional Education at Cape Cod Community College offers dental programs for dental assistants and licensed hygienists. 

Local Anesthesia Certificate Online for Registered Dental Hygienists

ONLINE from 9/22-11/2/2018 *Registration deadline 9/14/2018 
Course Code: WHD002-65
Instructor: Denise Bridges

Lab Course Code: WHD002L-65
Lab Dates: Sat. 11/3, Sun. 11/4, and Sat. 11/10 8:00am-5:00pm
Lab Location: Wilkins Family Dental Hygiene Clinic

Cost: $1199

This course will provide a comprehensive study of local dental anesthetics utilized in the
dental hygiene profession. During lecture and lab components, the participant will
learn to safely administer topical and local dental anesthetics.

Course # WHD002 is taught in two phases, and includes 11 hours of on-line pre-study exercises
and assignments, 12 hours of on-site didactic instruction, and 14 hours of on-site clinical instruction. It is specifically designed to provide the participant with the 35 hours of local anesthesia instruction required to prepare the participant to take the NERB Local Anesthesia Examination and obtain the “Permit L” Local Anesthesia licensure from the State of Massachusetts. (This course covers the Massachusetts Rules and Regulations 234 CMR 3.09-3.14, and the requirements for administration of local dental anesthetics by dental hygienists.)

Fee: The fee for each course listed above is $1,199.00 per person, (online component $549.00, lab component $650.00). The course is limited to 14 participants.

Payment may be made by check (made payable to Cape Cod Community College) or credit card at the time of registration. At the close of registration (deadline date), and once payment is received, participants will be notified by mail or e-mail and given his/her login name and password. This process may take several days. After receiving this information, the student will have access to the on-line pre-study course material.

Pre-Course Requirements (Documentation of the first four items is required prior to the start of the on site course):

  1. Current CPR certification*
  2. Proof of immunity to HBV by titer test*
  3. Personal Malpractice insurance coverage*
  4. Current state licensure*
  5. A medical history form is provided online and must be completed prior to attending this course.
  6. Each participant must be able to both receive and administer local anesthetic agents. These are standard requirements for all clinical activities.

*Copies must be sent to the following address prior to the start of the course:
Denise Bridges RDH, MHA
Dental Hygiene Program
Cape Cod Community College
2240 Iyannough Road
W. Barnstable, MA 02668

Online Pre-Study Expectations: This condensed course format reduces a full-semester course into 3 days of class attendance; therefore an online pre-study component is required. Extensive time must be devoted to the pre-study readings and DVD viewing in order to complete the additional 11 hours of exercises and assignments to successfully complete this course. The online pre-study preparation contains tests and exercises that must be completed prior to attending the on-site lecture and clinical sessions. Students are expected to have internet access, basic computing and web skills in order to complete this course. Registration is required at least 5 weeks prior to the on-site course starting date in order to allow access to the pre-study course material.

Certification: At the completion of this on-site course, participants will take a mock written NERB exam, and a clinical practicum which is pass or fail. One must receive a grade of 75 or better in the written exam combined with a pass clinical grade in order to receive certification of completion for local anesthesia training. A certificate of completion will not be issued to anyone with less than three full days of attendance; and / or has not satisfactorily completed the on-line or on-site course work requirements.

Required Text: Stanley Malamed, Handbook of Local Anesthesia, 6th Edition with accompanying DVD (available at CCCC bookstore)

Recommended Reading: Brand & Isselhard, Anatomy of Orofacial Structures
(available at CCCC bookstore)

To be completed prior to the on-site course:

  • Exercises and reading in the Blackboard pre-study component. (Printed from Moodle pre-study material).
  • Pre-test multiple choice questions.
  • Review text and DVD according the Blackboard course documents: Handbook of Local Anesthesia, 6th Ed. by Stanley Malamed

What to bring to class:

  • Completed Medical History (Printed from Moodle pre- study material).
  • Completed Informed Consent (Printed from Moodle pre- study material).
  • Clinic attire (long sleeve scrub top, scrub pants and clinical shoes). 
  • Safety Glasses
  • Latex-free Gloves
  • Face Masks
  • Bring online self-study workbook and all injections techniques, (printed from Moodle pre-study material).

Registration Process:
Download and complete our registration form. Payment may be made by check (made out to Cape Cod Community College) or credit card. At the close of registration (deadline date), and once payment is received, participants will be notified by mail or e-mail and given his/her login name and password. This process may take several days. After receiving this information, the student will have access to the online pre-study course material.

It is strongly recommended that you register at least one month prior to onsite course dates as it may take up to one month to complete the on-line pre-study course work.

Refund Policy:
Please read our registration and refund policy before registering for classes. 

Please contact Denise Bridges by e-mail,, or by phone, 508.362.2131 x4733, with questions about this course. 

Students are eligible for 35 CEUs (11 for online portion and 24 for lab portion of the course). 

Resources for professional liability insurance:

  1. Healthcare Providers Service Organization – or 800.982.9491
  2. Chicago Insurance Company (Affiliated with ADHA) – or 800.503.9230


Local Anesthesia Refresher Course: A Hands-On Approach

Date: Sat. 10/20/2018; 1-4pm, 1 session *Postponed until Winter due to low enrollment
Location: Maureen M. Wilkens Hall, Room G8, 2240 Iyannough Road, West Barnstable
Instructor: Denise Bridges
Course Code: WHD007-65

Cost: $219 (eligible for 3 CEUs)
Register Now

If you are a RDH with a Permit L and would like to have faculty oversee your injection techniques, this class is for you. We will review maxillary and mandibular nerve blocks. Specific injection techniques will be determined by participants. The goal of this course is to become more comfortable with injection techniques that you have already learned, or to troubleshoot any barriers you have encountered. This course will include three hours of clinical instruction.

This course will review and refresh the skills and knowledge required for the safe and effective administration of local anesthesia for pain control, and provides an overview of the Permit L certification course. Participants will learn how to select appropriate anesthetic agents, prepare local anesthetic equipment, and practice sharps safety. Anatomical landmarks for each injection will be located on a skull and attendees will practice standard injection techniques.

*This course is a review and is not intended to satisfy the requirements to obtain the Permit L.

Required Forms:
In order to participate you must have your Massachusetts Permit L, and sit as a patient for this hands-on course. Please enroll by using the registration form below.

*Once enrolled please submit the following copies of documentation:
RDH license, CPR certification, Permit L, medical history (download form), and consent form (download form)

*Massachusetts Dental Hygiene License and Permit L required for course participation.

Email documentation to

1. Identify head and neck structures involved in maxillary and mandibular injection techniques
2. Identify the nerves involved in achieving local anesthesia
3. Review the pharmacology of local anesthetics and vasoconstrictors
4. Prepare the basic armamentarium for delivering local anesthesia
5. Review sharps safety and needle stick prevention
6. Practice basic injection techniques for local anesthesia administration

Onsite Course Dates:
All classes will be held in the Dental Hygiene Clinic located in the Wilkins South Building.

It is strongly recommended that you register at least one month prior to on-site course dates. Enrollment or Questions: Call 508-375-5010. Ask for course # WHD007. Please include the course dates and semester when registering. Include your e-mail address in the registration information. Registration Form

Class size is limited to 14 participants.


Community Dental Health Coordinator Certificate (CDHC)

ONLINE from 9/4/18 - 8/24/19
Instructors: Denise Bridges and Melissa Leite
Course Code: WHD011-64

Cost: $2,200

Due to generous donations from the American Dental Association, the Massachuetts Dental Society, and the Cape Cod District Dental Society, 10 students will be eligible for a 50% tuition scholarship. The tuition for the certificate program after the awarded scholarship will be $1100.00. Scholarships available on a first-come, first-serve basis to the first ten students submitting a completed registration packet, (see list of forms below).

Registration Process: (Please fill out all of the forms listed below)

All four forms must be completed for application to be accepted and to be considered for scholarship. For more information and available scholarships, please contact Elaine Madden, Dental Hygiene Program Director, at 774-330-4628. If you have any questions, please contact Mary Conklin, Program Coordinator, at 508-375-5010.

What is a Community Dental Health Coordinator?

CDHCs are community health workers with dental skills, and they are members of the dental team. They focus on case management, navigation, oral health education and promotion, motivational interviewing and community mapping. Their expertise links patients into available, but underutilized, dental care. The CDHC can manage behaviors that frequently accompany dental treatment, such as fear and anxiety. By carefully explaining how dental disease starts and the various dental ways to prevent and treat it, parents gain the understanding of their important role in safeguarding their child’s oral health. While a CDHC may perform preventative services under the supervision of a dentist, such as sealants and topical fluoride applications, one of their most important roles is helping patients navigate the health care system. CDHCs encourage regular oral health services for special populations such as pregnant women, teething infants, diabetics and the elderly.

The Community Dental Health Coordinator (CDHC) program at Cape Cod Community College provides students with a practical and theoretical basis for assisting in the reduction of disparities in dental health. The CDHC can perform preventative services and community-based outreach duties. In addition to oral health promotion and disease prevention, they can interact directly with populations who are at risk for dental disease, but are unsure of how to access a dental program.

CDHCs are trained to interact, with cultural competence, in the dentally underserved communities in which they work. They understand people, language, and barriers to oral health in those communities; in many cases they already know the people with whom they will work. CDHC training focuses on community outreach, coordination of care, educational and social interventions in the community, and prevention.

The CDHC online program is taught in phases over the course of one year, and includes a 60-hour internship. The fees for books are not included in cost of the program.

The CDHC curriculum is designed to inculcate seven core competencies:

  1. Developing and implementing community-based oral health prevention and promotion programs.
  2. Knowledge and skills required to prioritize population and patient groups.
  3. Knowledge and skills required to provide individual preventative services based on approved plans.
  4. Knowledge and skills required to collect diagnostic data.
  5. Knowledge and skills required to perform a variety of clinical supportive treatments.
  6. Knowledge and skills required for administrative procedures.
  7. Knowledge and skills required to temporize dental cavities in preparation for restorative care by a dentist.

Scholarships may be available for students who need financial support to complete the program. For more information, contact Elaine Madden, Dental Hygiene Program Director, at 774-330-4628. 

Advanced Instrumentation and Sharpening Course for Dental Hygienists 

Date: Thurs. 11/1/2018, 5:30-9:30pm, 1 session
Location: Hyannis Center, 540 Main Street, Hyannis
Instructor: Diana Tashjian & Paulette Zaniboni
Course Code: WHD012-65

Cost: $159
Register Now

Part one: Introduction and review of the design characteristics of area-specific curettes and step-by-step instruction for using these instruments to remove subgingival calculus deposits. The attendees will have the opportunity to practice intraoral and extraoral fulcrums and different instrumentation strokes.

Part two: In disease, the root surfaces are exposed to biofilm requiring for instrumentation techniques for these surfaces. Effective instrumentation of these surfaces requires the clinician to have a good knowledge of root morphology. In this course, root morphology will be reviewed, and attendees will use extraoral fulcrums and review strategies to improve hand and power scaling.

Learning Objectives:

  • Compare and contrast standard curettes, extended shank curettes, miniature curettes, and micro-miniature curettes.
  • Review sharpening skills
  • Advanced intraoral and etxraoral fulcrums.
  • Identify instruments that are appropriate for root instrumentation.
  • Identify proper adaptation and angulation for instrumentation strokes.
  • Instrumentation strokes: Vertical, Horizontal and Oblique.
  • Select the correct working-end of an area-specific curette for use with horizontal strokes in mesial and distal root concavities (toe-down or toe-up position).
  • Horizontal strokes at the distofacial and distolingual line angles.
  • Instrumentation of the furcation areas.

What to bring with you to class:

  • Instruments: Set of Gracey’s; 1/2 or 5/6, 7/8, 11/12, and 13/14.
  • Bring one extra instrument that you want to learn about
  • Loupes or Safety glasses
  • Gloves (optional)
  • Sharpening card or stone


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