Louisiana Dental Hygiene — Requirements & Free Practice
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Dental Hygiene License
Louisiana license to practice dental hygiene issued by the Louisiana State Board of Dentistry under R.S. 37:764; issued by examination, by credentials, or by credentials for Louisiana residents (R.S. 37:51 et seq.).
Licensing authority: Louisiana State Board of Dentistry · Application information
License by credentials
All of the following:
At least one of the following alternatives:
At least one of the following alternatives:
All of the following:
- ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
- ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
- Louisiana Dental Hygiene Jurisprudence Examination
- Application
- Notarized application with the non-refundable $830 fee.
- Background Check
- Fingerprint criminal background check; NPDB self-query.
- Clinical Exam Failures
- Not failed any clinical licensure examination three or more times, unless the full board votes to overcome the prohibition (LAC 46:XXXIII.706.A.6).
- Clinical Exam Open Set
- Any initial clinical licensure examination taken in a United States jurisdiction that included a hand skills assessment is accepted (LAC 46:XXXIII.706.A.5); the application states: "If you completed an examination other than ADEX, you must have that examining agency send proof of your successful completion of its examination."
- Continuing Education
- Continuing education completed as required by every state of current licensure (LAC 46:XXXIII.706.A.15).
- Cpr
- Current BLS for healthcare providers or equivalent.
- Dental School Graduate Alternative
- R.S. 37:764(C), incorporated through LAC 46:XXXIII.706.A.1, lets a CODA-accredited dental school graduate rely on the Joint Commission dentistry examination instead of the dental hygiene examination; that examination is not mounted.
- Education
- Graduation from a CODA-accredited dental hygiene school (application Rev. 05/07/2025; LAC 46:XXXIII.103.B).
- Good Standing
- Endorsed in good standing by every state of licensure, no pending criminal charges, no unresolved complaints, liability-insurance and malpractice disclosures (LAC 46:XXXIII.706.A.7-19).
- Interview
- Personal interview before the board if deemed necessary (LAC 46:XXXIII.706.A.16).
- Jurisprudence Score Validity
- Jurisprudence test scores are valid for one year.
- Other State License
- Currently possesses a nonrestricted dental hygiene license in another state (LAC 46:XXXIII.706.A.3).
- Practice History
- At least 1,000 hours per year of full-time dental hygiene practice for the preceding year, or one year of full-time dental hygiene teaching immediately before applying (LAC 46:XXXIII.706.A.4).
- References
- Three affidavits of recommendation from unrelated professional associates (LAC 46:XXXIII.706.A.13).
License by credentials louisiana resident
All of the following:
At least one of the following alternatives:
All of the following:
- ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
- ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
- Louisiana Dental Hygiene Jurisprudence Examination
- Application
- Notarized application with the non-refundable $830 fee.
- Background Check
- Fingerprint criminal background check; NPDB self-query; no disqualifying criminal record (R.S. 37:52(A)(5)).
- Clinical Exam Open Set
- Any clinical licensing examination completed at some point in the licensure history that included a hand skills assessment is accepted (R.S. 37:52(D); application Rev. 05/15/2025); an examination other than ADEX is proven by its examining agency.
- Cpr
- Current BLS for healthcare providers or equivalent.
- Other State License
- Currently holds a nonrestricted dental hygiene license in good standing in another U.S. state or territory, held for at least one year, with no disciplinary charges pending (R.S. 37:52(A)(1)-(6)).
- Residency
- Must currently reside in Louisiana and prove residency with a Louisiana driver's license or ID, voter registration card, homestead exemption, or proof or promise of Louisiana employment (R.S. 37:52(A)(8), 37:53; application Rev. 05/15/2025). A license based on employment proof is valid for six months unless another proof is supplied.
License by examination
All of the following:
At least one of the following alternatives:
All of the following:
- ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
- ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
- Louisiana Dental Hygiene Jurisprudence Examination
- Age
- At least eighteen years of age (R.S. 37:764(A)(1)).
- Application
- Notarized application with the non-refundable $180 fee and a recent photograph.
- Background Check
- Fingerprint criminal background check scheduled after the application is received (R.S. 37:764(D); LAC 46:XXXIII Chapter 18).
- Clinical Exam Failures
- No candidate is licensed after failing any clinical licensing examination a total of three times, unless the full board overcomes the prohibition under LAC 46:XXXIII.1711.F.
- Clinical Exam History
- Applicants who completed dental hygiene school more than six months before applying must have CDCA-WREB-CITA, SRTA and CRDTS each certify their examination history (application Rev. 01/13/2025).
- Clinical Exam Window
- Apply within three years of passing the ADEX dental hygiene examination (R.S. 37:764(D); LAC 46:XXXIII.1711.C; application Rev. 01/13/2025).
- Cpr
- Current AHA BLS for healthcare providers, American Red Cross Professional Rescue course, or equivalent (R.S. 37:764(A)(6)).
- Dental School Graduate Alternative
- Under R.S. 37:764(C) a graduate of a CODA-accredited dental school who passed the Joint Commission on National Dental Examinations examination for dentistry (instead of the dental hygiene examination) may apply for a dental hygiene license; that dentistry examination is another profession's examination and is not mounted.
- Education
- Graduation from a dental hygiene school approved by the board / accredited by the Commission on Dental Accreditation (R.S. 37:764(A)(4); LAC 46:XXXIII.103.B, 1711.A.3).
- Jurisprudence Score Validity
- Jurisprudence test scores are valid for one year; the jurisprudence exam may be scheduled only after the application and fee are received (application Rev. 01/13/2025).
- Work Authorization
- U.S. citizen or valid and current legal authority to reside and work in the United States (R.S. 37:764(A)(2)).
Renewal
- Continuing Education
- Continuing education for relicensure of dental hygienists (LAC 46:XXXIII Chapter 16, §1613).
- Cpr
- Current CPR Course "C" BLS for Health Care Providers or equivalent (R.S. 37:770(A)(3)).
- Cycle
- Nonrestricted licenses are renewed biennially and expire on December 31 of the renewal period (LAC 46:XXXIII.409.A; R.S. 37:770(C)).
- Fee
- Biennial renewal fee (R.S. 37:770(A)(1); LAC 46:XXXIII.419).
- Late Renewal
- Failure to renew by February first of the renewal year leads to notice of revocation for nonpayment (R.S. 37:770(D)).
Official no-examination sources
Effective from 2026-08-30.
- La. R.S. 37:770, Renewals; requirements
R.S. 37:770(A)(3)
- La. R.S. 37:770, Renewals; requirements
R.S. 37:770(D)
- Louisiana Administrative Code, Title 46, Part XXXIII (Dental Health Profession)
LAC 46:XXXIII.409.A
- Louisiana Administrative Code, Title 46, Part XXXIII (Dental Health Profession)
LAC 46:XXXIII.1601.A
Reinstatement after nonrenewal revocation
All of the following:
- Application
- Completed application with certification of competency and good character, all required fees, and a personal interview if deemed necessary (LAC 46:XXXIII.114.A.1-3).
- Cpr
- Current AHA health care provider CPR, American Red Cross professional rescue course, or equivalent (LAC 46:XXXIII.114.A.4).
- Denial
- The board may refuse reinstatement for misrepresentation, discipline elsewhere, or causes in R.S. 37:775-777 (LAC 46:XXXIII.114.B).
- Jurisprudence When
- The jurisprudence examination is required when the license has been inactive or the licensee has not practiced for one year or greater (LAC 46:XXXIII.124.J via §114.A.5).
- Remediation
- Other applicable provisions of LAC 46:XXXIII.124: board evaluation of all areas of dental hygiene the licensee is authorized to perform, by written and/or clinical examinations of an entity of the board's choosing (not identified), fingerprint background check after one year of inactivity, one-half of the continuing education requirement within 120 days, and any remediation the board prescribes.
Reinstatement or reissuance after discipline
All of the following:
- Continuing Education
- Completion of required continuing education if the suspension exceeded one year (R.S. 37:783(C)).
- Costs
- Payment of all costs or fines and a reinstatement or relicensing fee (R.S. 37:783(B), (C)).
- Ethics Course
- After a suspension of three months or more, a course in ethics as determined by the board (LAC 46:XXXIII.124.E).
- Jurisprudence When
- R.S. 37:783(C) permits reissuance "without an examination"; the board's rule LAC 46:XXXIII.124.J requires the jurisprudence examination whenever the license has been inactive or the licensee has not practiced for one year or greater.
- Restrictions
- Any restrictions are set out in an addendum to the reinstated or reissued license (R.S. 37:783(A)); other remediation under LAC 46:XXXIII.124 at the board's discretion.
Return to active practice
All of the following:
- Background Check
- Fingerprint background check when inactive one year or greater (LAC 46:XXXIII.124.I).
- Continuing Education
- One-half of the continuing education requirement, including a board-approved CPR course, within 120 days of reinstatement or return (LAC 46:XXXIII.124.J).
- Evaluation
- Inactive three months to one year: evaluation at the board's prerogative; not practiced one year or more: evaluation and case-by-case remediation. Hygienists are evaluated on all authorized areas of dental hygiene by written and/or clinical examinations of an entity of the board's choosing, which the rule does not identify (LAC 46:XXXIII.124.C, D, F, H).
- Jurisprudence When
- Required when the license has been inactive or the licensee has not practiced for one year or greater (LAC 46:XXXIII.124.J).
- Retired Volunteer Conversion
- A retired volunteer licensee returning to active status who has not practiced in the preceding year is subject, at the board's discretion, to LAC 46:XXXIII.124 (R.S. 37:764.1(H)).
Temporary Dental Hygiene License
Temporary dental hygiene license under LAC 46:XXXIII.120.B for license-by-credentials applicants; issued for no longer than six months at a time and valid for no longer than one year in total.
Licensing authority: Louisiana State Board of Dentistry · Application information
Temporary license military
All of the following:
At least one of the following alternatives:
At least one of the following alternatives:
All of the following:
- ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
- ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
- Louisiana Dental Hygiene Jurisprudence Examination
- Documentation
- Proof of a current nonrestricted license in good standing in another jurisdiction, no discipline, and either military specialty training with active duty orders to Louisiana or honorable discharge within 12 months, or, for a spouse, the member's active duty status, the marriage and orders to Louisiana (LAC 46:XXXIII.120.C, D).
- Eligibility
- A license-by-credentials applicant under R.S. 37:3651: a military-trained hygienist, or the spouse of an active duty military member, who does not meet the practice requirement of LAC 46:XXXIII.706.A.4.a-b and applies for a temporary license to fulfill it (LAC 46:XXXIII.120.B.2, C, D).
- Other Requirements
- Must first apply for a license by credentials by meeting all other requirements listed in §706 (LAC 46:XXXIII.120.C, D).
- Term
- Issued for no longer than six months at a time and never valid for longer than one year (LAC 46:XXXIII.120.G, I).
Temporary license pending credentials
All of the following:
At least one of the following alternatives:
At least one of the following alternatives:
All of the following:
- ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE) (practice unavailable)
- ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE) (assessment without a question bank)
- Louisiana Dental Hygiene Jurisprudence Examination
- Application
- Must be accompanied by the license-by-credentials application and fees (LAC 46:XXXIII.120.E).
- Clinical Exam Open Set
- As on the license-by-credentials route, any initial U.S. clinical licensure examination with a hand skills assessment is accepted (LAC 46:XXXIII.706.A.5).
- Eligibility
- A license-by-credentials applicant who has met all criteria of LAC 46:XXXIII.706 before the next regularly scheduled board meeting and has requested and paid the temporary license fees (LAC 46:XXXIII.120.B.1).
- Revocation
- May be revoked for causes in R.S. 37:777, a §707 denial, or failure to prove Louisiana practice (LAC 46:XXXIII.120.J).
- Term
- Issued for no longer than six months at a time; a temporary dental hygiene license is never valid for longer than one year; practice must be in Louisiana (LAC 46:XXXIII.120.F-I).
ADEX Dental Hygiene Computer Simulated Clinical Examination (CSCE OSCE)
- Provider
- American Board of Dental Examiners; Prometric delivery
- Format
- Computer-based clinically based questions
- Exam questions
- Up to 120 items; pilot questions do not affect the final score
- Passing score
- Minimum scaled score 75; results reported as Pass/Fail
Examination outline
- Medical/Dental Assessment (12%)
Intra and Extra Oral Assessment and Charting (27%)
- Intra and Extra Oral Examination
- Dental and Periodontal Charting and Assessment
- Soft Tissue, Bone, and Tooth Abnormalities
- Radiology/Imaging (15%)
- Dental Hygiene Care Planning (13%)
Patient Care (19%)
- Periodontal Procedures
- Infection Control
- Medical Emergency Management
Dental Specialties and Pharmacology (14%)
- Dental Specialties
- Applied Pharmacology
Examination sources
- ADEX Dental Hygiene CSCE OSCE Candidate Manual, Version 20260722
p.5, CSCE OSCE CONTENT
- ADEX Dental Hygiene CSCE OSCE Candidate Manual, Version 20260722
cover, exam season and version
- ADEX Dental Hygiene CSCE OSCE Candidate Manual, Version 20260722
p.5, Exam Scoring
- ADEX Dental Hygiene CSCE OSCE Candidate Manual, Version 20260722
cover and p.4, ADEX examination series
- ADEX Dental Hygiene CSCE OSCE Candidate Manual, Version 20260722
p.8, Exam Appointment Scheduling, Rescheduling or Cancellation
ADEX Dental Hygiene Simulated Patient Treatment Clinical Examination (SPTCE)
This assessment does not have a question bank.
- Provider
- American Board of Dental Examiners
- Format
- Simulated patient treatment on maxillary and mandibular typodonts
- Passing score
- 75 or greater; results reported as Pass/Fail for this part
Examination sources
- ADEX Dental Hygiene SPTCE Candidate Manual, Version 20260716
p.4, Examination Overview, B
- ADEX Dental Hygiene SPTCE Candidate Manual, Version 20260716
p.5, Performance Expectations
- ADEX Dental Hygiene SPTCE Candidate Manual, Version 20260716
p.5, Result Details
- ADEX Candidate Guide, Version 20260727
p.12, Exam Registration & Fees
Louisiana Dental Hygiene Jurisprudence Examination
- Provider
- Louisiana State Board of Dentistry
- Format
- Written test of true/false and multiple choice questions
- Exam questions
- 100
- Passing score
- 75 correct answers
Examination outline
- Louisiana Dental Practice Act (R.S. 37:751 et seq.)
- LAC 46:XXXIII Chapter 1. General Provisions
- LAC 46:XXXIII Chapter 2. Teledentistry
- LAC 46:XXXIII Chapter 3. Dentists
- LAC 46:XXXIII Chapter 4. Fees and Costs
- LAC 46:XXXIII Chapter 7. Dental Hygienists
- LAC 46:XXXIII Chapter 8. Complaints, Investigation, and Informal Resolution
- LAC 46:XXXIII Chapter 9. Formal Adjudication
- LAC 46:XXXIII Chapter 12. Transmission Prevention of Hepatitis B Virus, Hepatitis C Virus, and Human Immunodeficiency Virus
- LAC 46:XXXIII Chapter 13. Dental Laser and Air Abrasion Utilization
- LAC 46:XXXIII Chapter 15. Anesthesia/Analgesia Administration
- LAC 46:XXXIII Chapter 16. Continuing Education Requirements
- LAC 46:XXXIII Chapter 17. Licensure Examination
- LAC 46:XXXIII Chapter 18. Criminal History Records Information
Examination sources
- Louisiana Administrative Code, Title 46, Part XXXIII (Dental Health Profession)
LAC 46:XXXIII.1711.B.1
- Louisiana Administrative Code, Title 46, Part XXXIII (Dental Health Profession)
LAC 46:XXXIII.706.A.2
- Louisiana State Board of Dentistry, Laws and Rules page
Jurisprudence Examination paragraph
- Louisiana State Board of Dentistry, Laws and Rules page
Disclaimer paragraph
- Louisiana State Board of Dentistry, Application for Dental Hygiene License by Examination
Jurisprudence examination, tested material
- Louisiana Dental Practice Act, R.S. 37:751 et seq. (Louisiana State Board of Dentistry compilation)
R.S. 37:751(F)
- Louisiana State Board of Dentistry, Application for Dental Hygiene License by Examination
Jurisprudence examination, test format and passing score
- Louisiana State Board of Dentistry, Application for Dental Hygiene License by Examination
Jurisprudence examination, score validity
- Louisiana State Board of Dentistry, Application for Dental Hygiene License by Examination
Jurisprudence examination, scheduling
National Board Dental Hygiene Examination
Examination outline
Discipline-Based Component — Scientific Basis for Dental Hygiene Practice (61 items)
- Anatomic Sciences
- Anatomic Sciences — Anatomy
- Anatomic Sciences — Anatomy — Head and neck anatomy
- Anatomic Sciences — Anatomy — Dental anatomy
- Anatomic Sciences — Anatomy — Dental anatomy — General anatomy
- Anatomic Sciences — Anatomy — Dental anatomy — Root anatomy
- Anatomic Sciences — Anatomy — Histology and Embryology
- Anatomic Sciences — Physiology
- Anatomic Sciences — Biochemistry and Nutrition
- Anatomic Sciences — Microbiology and Immunology
- Anatomic Sciences — Pathology
- Anatomic Sciences — Pathology — General
- Anatomic Sciences — Pathology — Oral
- Anatomic Sciences — Pharmacology
Discipline-Based Component — Provision of Clinical Dental Hygiene Services (115 items)
- Assessing Patient Characteristics
- Assessing Patient Characteristics — Medical and dental history
- Assessing Patient Characteristics — Head and neck examination
- Assessing Patient Characteristics — Periodontal evaluation
- Assessing Patient Characteristics — Oral evaluation
- Assessing Patient Characteristics — General
- Obtaining and Interpreting Radiographs
- Obtaining and Interpreting Radiographs — Principles of radiophysics and radiobiology
- Obtaining and Interpreting Radiographs — Principles of radiologic health
- Obtaining and Interpreting Radiographs — Technique
- Obtaining and Interpreting Radiographs — Recognition of normalities and abnormalities
- Obtaining and Interpreting Radiographs — General
- Planning and Managing Dental Hygiene Care
- Planning and Managing Dental Hygiene Care — Infection control (application)
- Planning and Managing Dental Hygiene Care — Recognition of emergency situations and provision of appropriate care
- Planning and Managing Dental Hygiene Care — Individualized patient education
- Planning and Managing Dental Hygiene Care — Individualized patient education — Planning of individualized instruction
- Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases
- Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Dental caries
- Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Periodontal disease
- Planning and Managing Dental Hygiene Care — Individualized patient education — Provision of instruction for prevention and management of oral diseases — Oral conditions
- Planning and Managing Dental Hygiene Care — Individualized patient education — Anxiety and pain control
- Planning and Managing Dental Hygiene Care — Individualized patient education — Recognition and management of compromised patients
- Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies
- Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Diagnosis
- Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Treatment plan
- Planning and Managing Dental Hygiene Care — Individualized patient education — Dental hygiene treatment strategies — Case presentation
- Planning and Managing Dental Hygiene Care — Individualized patient education — General
- Performing Periodontal Procedures
- Performing Periodontal Procedures — Etiology and pathogenesis of periodontal diseases
- Performing Periodontal Procedures — Prescribed therapy
- Performing Periodontal Procedures — Prescribed therapy — Periodontal debridement
- Performing Periodontal Procedures — Prescribed therapy — Surgical support services
- Performing Periodontal Procedures — Prescribed therapy — Chemotherapeutic agents
- Performing Periodontal Procedures — Prescribed therapy — General
- Performing Periodontal Procedures — Reassessment and maintenance (e.g., implant care)
- Using Preventive Agents
- Using Preventive Agents — Fluorides - systemic and topical
- Using Preventive Agents — Fluorides - systemic and topical — Mechanisms of action
- Using Preventive Agents — Fluorides - systemic and topical — Toxicology
- Using Preventive Agents — Fluorides - systemic and topical — Methods of administration
- Using Preventive Agents — Fluorides - systemic and topical — Methods of administration — Water fluoridation
- Using Preventive Agents — Fluorides - systemic and topical — Methods of administration — Self-administered
- Using Preventive Agents — Pit and fissure sealants
- Using Preventive Agents — Other preventive agents
- Providing Supportive Treatment Services
- Providing Supportive Treatment Services — Properties and manipulation of materials
- Providing Supportive Treatment Services — Polishing natural and restored teeth
- Providing Supportive Treatment Services — Making of impressions and preparation of study casts
- Providing Supportive Treatment Services — Other supportive services (e.g., tooth desensitization)
- Providing Supportive Treatment Services — General
- Professional Responsibility
- Professional Responsibility — Ethical principles, including informed consent
- Professional Responsibility — Regulatory compliance
- Professional Responsibility — Patient and professional communication
- Professional Responsibility — General
Discipline-Based Component — Community Health/Research Principles (24 items)
- Promoting Health and Preventing Disease Within Groups
- Participating in Community Programs
- Participating in Community Programs — Assessing populations and defining objectives
- Participating in Community Programs — Designing, implementing, and evaluating programs
- Analyzing Scientific Literature, Understanding Statistical Concepts, and Applying Research Results
Case-Based Component (150 items involving 12 to 15 dental hygiene patient cases)
- Cases present information dealing with adult and child patients and may involve geriatric, adult-periodontal, pediatric, special needs, medically compromised, and other patient types; a medically compromised patient is one whose health status may require modification of standard treatment or special consideration.
- Patient information is presented by means of patient histories, dental charts, radiographs, and clinical photographs.
- Assessing patient characteristics
- Obtaining and interpreting radiographs
- Planning and managing dental hygiene care
- Performing periodontal procedures
- Using preventive agents
- Providing supportive treatment service
- Professional responsibility
Examination sources
- JCNDE NBDHE 2026 Candidate Guide
pp. 5-7, NBDHE Test Specifications Prior to Update
- JCNDE NBDHE 2026 Candidate Guide
p. 17, Scoring of Examination
- JCNDE NBDHE 2026 Candidate Guide
p. 24, Application Procedures