New Hampshire State Requirements

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Radiography Requirements

To legally operate dental x-ray equipment and perform dental radiographic procedures under the direct supervision of a licensed dentist in New Hampshire, a dental assistant must meet the requirements shown below.

Dental Assisting Job Titles and Requirements for Each Level

  • Traditional Dental Assistant

    A traditional dental assistant in New Hampshire may perform basic supportive dental procedures specified by the state dental practice act under the direct or general supervision of a licensed dentist.

    There are no education or training requirements for this level of dental assisting. A traditional dental assistant is a dental assistant who is neither a Certified Dental Assistant nor a Graduate Dental Assistant.

  • DANB Certified Dental Assistant (CDA)

    Dental assistants who hold the national DANB CDA certification are qualified in the state of New Hampshire to perform the functions listed in section Den 401.02 of the rules of the New Hampshire Board of Dental Examiners. For some functions, CDA certificants must also have 400 hours of clinical dental assisting experience before performing the function.

    Learn more about DANB's Certified Dental Assistant (CDA) certification 

  • Graduate Dental Assistant

    Graduate Dental Assistants are authorized to perform the functions listed in section Den 401.02 of the rules of the New Hampshire Board of Dental Examiners. Dental assistants in New Hampshire can earn status as a Graduate Dental Assistant by graduating from a dental assisting program accredited by the Commission on Dental Accreditation (CODA).

    CODA-Accredited Dental Assisting Programs
  • Dental Assistant qualified to perform expanded functions

    To perform any expanded duty in New Hampshire, with the exception of restorative duties restricted to EFDAs, a dental assistant must:
    1. Be at least 18 years of age; AND
    2. Meet the specific prerequisites, course, certification, or experience requirements for each function as listed below:

    Introduction to Dental Assisting

    1. Be a Graduate Dental Assistant OR hold DANB’s CDA certification

    OR

    2a. Have at least 200 hours of clinical dental assisting experience prior to course, AND
    2b. Successfully complete a course or exam in Introduction to Dental Assisting meeting requirements established by rule of the NHBDE.


    Function: Infection control in the dental office

    1. Be a Graduate Dental Assistant OR hold DANB’s CDA certification

    OR

    2. Successfully complete a course or exam in infection control meeting requirements established by rule of the NHBDE

    (Note: The DALE Foundation's DANB ICE Review course meets this requirement. Successful performance on DANB’s Infection Control exam [ICE] also meets this requirement.)

    Function: Provisional crown and bridge restorations

    1a. Be a Graduate Dental Assistant OR hold DANB’s CDA certification, AND 
    1b. Successfully complete a course or exam in provisional crown and bridge restorations meeting requirements established by rule of the NHBDE.

    OR

    2a. Have at least 200 hours of clinical dental assisting experience prior to course,

    AND
    2b. Meet Introduction to Dental Assisting course requirements (see requirements above), AND
    2c. Qualify in infection control (see requirements above), AND 
    2d. Successfully complete a course or exam in provisional crown and bridge restorations meeting requirements established by rule of the NHBDE

    Function: Orthodontic duties

    1a. Be a Graduate Dental Assistant OR hold DANB’s CDA certification, AND
    1b. Successfully complete a course or exam in orthodontic duties meeting requirements established by rule of the NHBDE


    OR

    2a. Hold DANB's CDA certification or have at least 400 hours of clinical dental assisting experience prior to course, AND 
    2b. Meet Introduction to Dental Assisting course requirements (see requirements above), AND
    2c. Qualify in infection control (see requirements above), AND 
    2d. Successfully complete a course or exam in orthodontic duties meeting requirements established by rule of the NHBDE

    Function: Dental sealants

    1a. Be a Graduate Dental Assistant OR hold DANB’s CDA certification, AND 
    1b. Successfully complete a course or exam in dental sealants meeting requirements established by rule of the NHBDE


    OR

    2a. Have at least 400 hours of clinical dental assisting experience prior to course, AND 
    2b. Meet Introduction to Dental Assisting course requirements above, AND
    2c. Qualify in infection control (see requirements on prior page), AND 2d. Successfully complete a course or exam in dental sealants meeting requirements established by rule of the NHBDE



    Function: Coronal polishing

    1a. Be a Graduate Dental Assistant OR hold DANB’s CDA certification, AND
    1b. Have at least 400 hours of clinical dental assisting experience, AND
    1c. Successfully complete a course and exam in coronal polishing meeting requirements established by rule of the NHBDE 

    OR

    2a. Have at least 400 hours of clinical dental assisting experience, AND
    2b. Meet Introduction to Dental Assisting course requirements (see requirements above), AND
    2c. Qualify in infection control (see requirements on prior page), AND
    2d. Successfully complete a course and exam in coronal polishing meeting requirements established by rule of the NHBDE 

    Function: Monitoring nitrous oxide administration

    1a. Be a Graduate Dental Assistant OR hold DANB’s CDA certification, AND
    1b. Successfully complete a course and exam in nitrous oxide meeting requirements established by rule of the NHBDE, AND
    1c. Be currently certified in CPR

    OR

    2a. Hold DANB's CDA certification or have at least 400 hours of clinical dental assisting experience prior to course, AND
    2b. Meet Introduction to Dental Assisting course requirements (see requirements above), AND
    2c. Qualify in infection control (see requirements on prior page), AND
    2d. Successfully complete a course and exam in monitoring the administration of nitrous oxide anesthesia meeting requirements established by rule of the NHBDE, AND

    Function: In-office tooth whitening

    1a. Be a Graduate Dental Assistant OR hold DANB’s CDA certification, AND
    1b. Successfully complete a course or exam in in-office tooth whitening meeting requirements established by rule of the NHBDE 

    OR

    2a. Hold DANB's CDA certification or have at least 400 hours of clinical dental assisting experience prior to course, AND
    2b. Meet Introduction to Dental Assisting course requirements (see requirements above), AND
    2c. Qualify in infection control (see requirements above), AND
    2d. Successfully complete a course and exam in in-office tooth whitening meeting requirements established by rule of the NHBDE 

    State Requirements for Public Health Supervision

    To perform specified duties under public health supervision to assist a Certified Public Health Dental Hygienist (CPHDH), a dental assistant must meet Introduction to Dental Assisting course requirements and infection control in the dental office (see requirements above).

     

  • Expanded Function Dental Auxiliary

    To qualify to place, contour and adjust direct restorative materials within the oral cavity, one must register as an Expanded Function Dental Auxiliary (EFDA) with the New Hampshire Board of Dental Examiners (NHBDE). To register, one must:

    1. Be at least 18 years of age; AND

    2. Be a registered dental hygienist or a Graduate Dental Assistant or hold current DANB CDA certification, AND

    3. Have a minimum of 4,500 hours of dental clinical experience; AND

    4. Obtain a recommendation for the EFDA course from a NH-licensed dentist; AND

    5. Complete an EFDA course in dental restorations meeting requirements established by rule of the NHBDE; AND 

    6. Be currently certified in BLS-HCP;

    AND

    7. Apply to the NHBDE for an EFDA permit.

    (Note: A dental auxiliary qualified in these restorative functions in another jurisdiction may qualify for endorsement by the Board by presenting written documentation of equivalent training and a letter from a supervising dentist attesting to experience with direct restorations within the previous two years.)