North Carolina State Requirements

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Radiography Requirements

To legally operate dental x-ray equipment and perform dental radiographic procedures in North Carolina, a dental assistant must meet the requirements shown below.

  • Radiography Requirements

    A dental assistant must:

    1.  Pass the national DANB Certified Dental Assistant (CDA) exam, OR

    2.  Pass a radiological equivalency exam recognized by the North Carolina State Board of Dental Examiners. The equivalency exam may be taken by an assistant who can show evidence of seven hours of instruction in the production and use of dental x-rays and an educational program of not less than seven hours in clinical dental radiography, OR

    3.  Successfully complete a CODA-accredited dental assisting program, OR

    4.  Qualify as a DA II (see DA II requirements below)

    Learn more about DANB's Certified Dental Assistant (CDA) Certification
    CODA-Accredited Dental Assisting Programs

Dental Assisting Job Titles and Requirements for Each Level

  • Dental Assistant I (DA I)

    A Dental Assistant I (DA I) in North Carolina is an individual who may perform basic supportive dental procedures under the direct control and supervision of a licensed dentist.

    To qualify to monitor patients under nitrous oxide, a DA I must:

    1.  Successfully complete a North Carolina Board-approved seven-hour course in nitrous oxide-oxygen conscious sedation.

  • Dental Assistant II in Training (DA II in Training)

    A Dental Assistant II in Training (DA II in Training) is an individual who is participating in on-the-job training to become a DA II. Training consists of at least two years (3,000 hours) of chairside assisting, during which period the assistant may be trained and allowed to perform the functions of a DA II under the direct control and supervision of a NC licensed dentist.

    A DA II in Training may not monitor patients under nitrous oxide, take radiographs, or coronal polish until he or she successfully completes the required courses in these topics.

  • Dental Assistant II (DA II)

    To perform expanded functions under the direct supervision of a licensed dentist in North Carolina, one must be classified as a DA II. To qualify as a DA II, one must:

    1.  Hold a current Cardiopulmonary Resuscitation (CPR) certification, AND

    2a.  Successfully complete a CODA-accredited dental assisting program or one academic year or longer in a CODA-accredited dental hygiene program, or

    2b.  Complete full-time employement and experience as a chairside assistant for two years (3,000 hours) of the preceding five, radiography training as required by law, and a three-hour course in dental office emergencies, and a three-hour course in sterilization and infection control, OR

    2c.  Pass the national DANB Certified Dental Assistant (CDA) exam.

    To qualify to perform coronal polishing, a DA II must:
    1.  Successfully complete a seven-hour (three hours of didactic and four hours of clinical) coronal polishing course meeting North Carolina Board requirements.

    To qualify to monitor patients under nitrous oxide, a DA II must:
    1.  Successfully complete a North Carolina Board-approved seven-hour course in nitrous oxide-oxygen conscious sedation.

    Learn more about DANB's Certified Dental Assistant (CDA) Certification
    CODA-Accredited Dental Assisting Programs