Office of Continuing Education 


501 South Preston Street, Suite 240
Louisville, KY 40202-1701
Telephone: (502) 852-5077
Fax: (502) 852-3994

Nitrous Oxide Analgesia REFRESHER Course for Dental Hygienists

Course Director: Rebecca H. Mercke, RDH, DMD
Course Instructors: ULSD Faculty and Staff

Saturday, February 1, 2014

8:00 am - 10:00 am

(Sign-In: 7:30 am - 8:00 am)

Lecture and Hands On: 2 CEUs Nitrous Oxide

Education Method: Live Interactive Format

LOCATION: University of Louisville School of Dentistry - 501 South Preston Street
Louisville, KY 40202


This course is designed to review the knowledge and skills necessary to effectively administer nitrous oxide analgesia. The course will include classroom, laboratory, and clinical instruction. Participants will work in groups of two or three and administer nitrous oxide analgesia on each other. The Kentucky Board of Dentistry has approved this course for 2 CEUs in nitrous oxide sedation (1 hour didactic and 1 hour clinical). Upon successful completion of this course, participants will have completed the educational requirements for local anesthesia and nitrous oxide credentialing in Kentucky 201 KAR 8:562E, Section 11).


Upon completion of this course, participants should have an understanding of:

1. Determine the medical risk of administering a local anesthetic or nitrous oxide to a patient as well as the contraindications based on the patient’s medical problems.
2. Locate hard and soft tissue landmarks associated with the various local anesthetic injections.
3. Describe the neuro-anatomy of the trigeminal nerve.
4. Identify and assemble the armamentarium necessary for the administration of local anesthesia.
5. Demonstrate correct use of local anesthetic armamentarium.
6. Identify nerve, teeth, and soft tissue structures anesthetized with specific injections.
7. Discuss the pharmacology of local anesthetic agents and vasoconstrictors commonly used in dentistry.
8. Calculate the maximum safe dose of local anesthetic agents and vasoconstrictors for individual patients.

In addition, each participant will be required to complete a current medical history form (forms will be provided by the University of Louisville School of Dentistry). Attendance for all class, laboratory and clinical sessions is required. It is suggested that you wear scrubs. No open-toed shoes are permitted in the course.

Each participant will be expected to be both an operator and patient, unless a medical condition precludes the safe administration of local anesthesia. If you are unable to participate as a partner during the clinical portion, you must provide a replacement.

Each participant is expected to professionally contribute to the course. This is demonstrated wearing appropriate clinical attire, appropriately disinfecting, setting up and breaking down the operatory, following required infection control guidelines, evaluating medical histories of clinical partners, recording legal progress notes, etc.

Each participant must demonstrate competent administration of nitrous oxide sedation and local anesthesia for each of the stated injections according to state regulations.


Time Topics/Activity

7:30 am-8:00 am Sign-In
8:00 am - 9:00 am Patient medical history; record keeping; review of nitrous oxide sedation
9:00 am - 10:00 am Clinic: Administer nitrous oxide

1. Submit with registration copy of Dental Hygiene license.
2. Submit with registration copy of Liability Insurance.
3. Submit with registration copy of current CPR card, front and back.
4. Submit with registration copy of current/previous Local Anesthesia Certificate
5. Medical History Click here to open MedicalTriageForm.pdf Please print and complete and bring with you day of course

Professional office scrubs, closed-toed shoes and protective eyewear.

About Dr. Mercke:

Dr. Mercke is an assistant professor in the Department of Oral Health and Rehabilitation at the University of Louisville School of Dentistry. She is course director for the DMD Program’s Anxiety and Pain Control course and the Dental Hygiene Program’s Physical Diagnosis and Medical Management, Biology of the Head and Neck, Local Anesthesia, and Periodontics courses; additionally, she supervises the Dental Hygiene and DMD Recall Clinics. Other teaching experience has included Immunology, Anatomy and Physiology I and II, Human Biology, Medical Terminology, and Academic Success Seminars. Dr. Mercke is a graduate of Virginia Commonwealth University’s Dental Hygiene Program and the University of Louisville School of Dentistry. Her career in dentistry has exceeded 32 years and includes experience in private practice in Bluefield, Virginia and Louisville, Kentucky. Dr. Mercke is a member of the Kentucky Dental Association, and the American Dental Association.

All ULSD Faculty are licensed practitioners in the state of Kentucky. ULSD Faculty have no relevant financial relationships to disclose pertaining to this course.


  On-Line Registration by 1/29/2014 11:59 PM On-Site Registration (NOT AVAILABLE)
Nitrous Oxide Analgesia Refresher $195 Not Available
    Not Available

Register On-Line: (American Express, Discover, Mastercard or VISA only)


We reserve the right to cancel, modify date, revise course content, revise program faculty and activities. Pre-registered participants will be notified if a course is revised or cancelled, as warranted. In the event a course is cancelled, tuition will be refunded. 

All registrations are subject to the ULSD Cancellation Policy.

This is a 'limited' attendance course.

ULSD must receive your written request for cancellation not later than four weeks prior to course start date to process a refund. A $75 processing fee will be deducted from the refund. Course Registrants who are a 'NO-SHOW' forfeit course tuition.

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