Local Anesthesia Written Review · Opens first

Review for the local anesthesia written exam

Many states that let hygienists give local anesthesia ask for a written exam after the course. This review covers the written part: pharmacology, dose calculations and anatomy, with a timed mock exam.

About the exam

Who gives it
ADEX and CRDTS each give a local anesthesia exam. Some states use their own.
CRDTS parts
A written exam, plus clinical PSA and IA injections on a patient where the state requires them.
What your state wants
Each state board decides which parts you need. Check yours before you register.
What we cover
The written part only. Injections are taught and checked in person in your approved course.

From crdts.org and adextesting.org, last checked October 2026. CRDTS local anesthesia (opens in a new tab) · ADEX dental hygiene exams (opens in a new tab)

What the review will cover

  • Anesthetic agents, vasoconstrictors and their maximum doses.
  • Dose calculations, worked step by step, with practice until they're automatic.
  • Head and neck anatomy for each injection, and what goes wrong when it's missed.
  • Medical history, contraindications and managing emergencies.
  • A timed mock exam.
See NBDHE Board Prep

An example lesson screen on dose calculations, worked in three steps: milligrams per milliliter from the percentage, milligrams per cartridge, then the maximum for this patient. Below it, a timed mock exam.

Example lesson screen. Real lessons are signed off by a licensed reviewer before they open.

Prices

Buy it on its own, or get it in the Hygiene License Pack with NBDHE Board Prep and ADEX CSCE OSCE Review.

Status: Opens first

Local Anesthesia Written Review

Local anesthesia written exams

$39for 6 months

Pharmacology, dose calculations and anatomy, with a timed mock exam.

Reach the readiness target, sit your exam and don't pass, and we extend your access for free.

Get notified when it opens

Pay in full, or over time with Affirm or Klarna at checkout.

Status: Opens first

Hygiene License Pack

NBDHE, ADEX CSCE OSCE and local anesthesia written

$347for 12 months

Every written and computer exam most new hygienists need, in 1 purchase.

  • NBDHE Board Prep
  • ADEX CSCE OSCE Review
  • Local Anesthesia Written Review
  • State law exam guide

Reach the readiness target, sit your exam and don't pass, and we extend your access for free.

Get notified when it opens

Pay in full, or over time with Affirm or Klarna at checkout.

Pass or we extend

If you reach the readiness target in your course, sit the exam while your access is active and don't pass, send us your official result within 30 days. We'll extend your access by the length of your plan, free, as many times as you need.

You can get a full refund within 7 days of buying if you've used less than 10% of the course. After that, the pass-or-extend promise applies instead of refunds.

How every question gets checked

Every lesson and question goes through the same 6 steps before you see it, and after.

  1. 1

    Named sources

    We start from the exam's published outline, named textbooks and other published sources.

  2. 2

    AI first draft

    AI drafts the lesson or question from those sources.

  3. 3

    Disagreements flagged

    Where sources disagree, it's flagged for the reviewer.

  4. 4

    Licensed sign-off

    A licensed dentist reviews and signs off every question before anything is published.

  5. 5

    You can flag it

    Every lesson and question will have a “Something's wrong here” button.

  6. 6

    Re-checked each season

    When an exam owner updates its outline or manual, the affected questions are reviewed again.

Enrollment opens in 2027

Get notified when enrollment opens

Leave your email and we'll write when enrollment and the free readiness diagnostics open, hygiene boards first.

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