Administration of Nitrous Oxide by the Dental Hygienist



Is the course approved? Yes, the course is approved by the Tennessee Board of Dentistry. 

Do I receive continuing education credit for the course?  Yes, you will receive 14 hours of continuing education credit.

Who is eligible?  Applicants must be licensed dental hygienists in the State of Tennessee.

How is the course organized? The course has a didactic portion and a clinical portion.  Much of the didactic material will be provided online.   Go to "see a sample" at the top of the page to get a feel for the online portion. 

What type of computer equipment will I need? Any computer with an internet connection will be adequate for this course, but a high speed internet connection for your computer is highly desirable. In addition you will need to have the computer program Adobe Reader installed if you don't have it already.  It is free.  Just go to

Where will the clinical portion be held?  The clinical portion is held at different locations.  Go to "register" to see the locations.

Who are the instructors?  The principle clinical instructor is Dr. William Johnson, a dental educator with 18 years of teaching experience.   Dr. Johnson may be assisted by other dentists or dental hygiene instructors who hold administration and monitoring certification.

Can I see the course before I start?  Sure.  Go to "see a sample" above.  You can see how the course is organized and how easy it is to use.

When is the course offered? There are several dates to choose from.  Go to "register" at the top of the page to see the dates. 

How much does it cost?  The fee for the course is $300. 

What if I cannot pay immediately? Your spot in the course is not reserved until you pay, so it is to your advantage to pay immediately.  If special circumstances exist, contact us so arrangements can be made.

If we do not hear from you and we do not receive payment within 14 days, we will assume you changed your mind and your registration information will be deleted.

Remember, your spot in the class will not be reserved until payment is received.


What is your refund policy?  You will receive a full refund (minus a $25 processing fee) if you cancel at least 30 days before the course.  You will receive a 50% refund f you cancel less than 30 days before the course.

How do I register for the course?  Simply go to register at the top of this page.

Do I have to take a test afterwards?  There is a written test taken the day you take the course.  If you pass, you will be issued a new certificate from the Board of Dentistry with administration and monitoring of nitrous oxide certification added to your license. Once you receive the certificate, you will be authorized to immediately begin administering nitrous oxide/sedation to patients.

Do I have to contact the Board of Dentistry afterwards?  No, we will take care of that.  The  Board of Dentistry will issue you an administering and monitoring certificate in 2 to 4 weeks after the course is taken.

Do I need to bring anything to the course?  No, everything will be provided.

What will I learn?  After completing this course, you will be able to;

bulletAdhere to Tennessee laws that pertain to nitrous oxide administration and monitoring,
bulletCompare the physiological to the psychological aspects of pain,
bulletDescribe the organization and function of the adult and pediatric respiratory system,
bulletDescribe the organization and function of the adult and pediatric circulatory system,
bulletEvaluate conditions noted on medical histories that may require alterations in care,
bulletTake vital signs and evaluate the results,
bulletDescribe the condition of a patient in each of the four stages of anesthesia,
bulletRecognize the signs and symptoms of light, moderate, and deep analgesia,
bulletManipulate the controls on the nitrous oxide equipment to properly titrate the dose of nitrous oxide, Discuss the physical and chemical properties of nitrous oxide,
bulletList the possible side effects of nitrous oxide analgesia,
bulletRecognize the reported sexual phenomena and hallucinatory effects associated with nitrous oxide use,
bulletRecognize the potential for abuse of nitrous oxide,
bulletRecognize signs that a patient is experiencing an adverse reaction to nitrous oxide, 
bulletDescribe the procedure of induction and termination of nitrous oxide analgesia,
bulletRecognize potential life threatening situations related to nitrous oxide analgesia,
bulletRespond to potential life threatening situations related to nitrous oxide analgesia,
bulletIdentify risks and potential hazards of long term exposure to nitrous oxide,
bulletOutline methods of reducing unnecessary exposure to nitrous oxide by dental staff, List the indications and contraindications for nitrous oxide analgesia,
bulletProvide post operative instructions to patients who have received nitrous oxide analgesia,
bulletSummarize the American Society of Anesthesiology recommendations for the use of nitrous oxide analgesia.