Tennessee dental hygienist license
What Tennessee requires to license a dental hygienist, what a licensed hygienist may do, and how to keep the license current, taken from Tennessee Board of Dentistry and state code pages.
| Licensing board | Tennessee Board of Dentistry Source: publications.tnsosfiles.com, checked 2026-10-29. |
|---|---|
| How to apply | Application instructions are in Board rule 0460-03-.01. Applicants obtain the application form from the Board Administrative Office and file all documents and fees together. Open the page Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Education | Graduation from a dental hygiene program approved or provisionally approved by the Commission on Dental Accreditation (CODA), with the certificate of graduation and transcript sent directly by the school. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| National written exam | The National Board Dental Hygiene Examination is required for anyone who graduated from a dental hygiene program after 1972. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Clinical exam | Any Board-approved clinical examination, including those offered by the Southern Regional Testing Agency (SRTA) and the Western Regional Examining Board (WREB). Source: publications.tnsosfiles.com, checked 2026-10-29. |
| State law exam | Applicants must pass the Tennessee Board of Dentistry Ethics and Jurisprudence examination. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Fees | Licensure application fee of $86.25 plus a $10.00 state regulatory fee. Criteria approval (reciprocity) applicants also pay a $37.50 criteria licensure fee. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Licensed in another state | Hygienists licensed in another state may apply by criteria approval (reciprocity) with an active license in good standing elsewhere and active practice for three of the five years immediately before applying. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Local anesthesia | Allowed with Board certification, earned through a CODA program that teaches local anesthesia to clinical competency, a Board-approved course, or an equivalent out-of-state course. Administered only under direct supervision of a dentist. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Nitrous oxide | Hygienists may administer and/or monitor nitrous oxide after completing a Board-approved certification course and receiving Board certification. Administration requires direct supervision of a dentist. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Supervision and direct access | Hygienists practice only under direct and/or general supervision while employed by a licensed dentist. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Renewal | The renewal due date is the last day of the month in which the licensee's birthday falls. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Continuing education | 30 hours of Board-approved continuing education per two calendar year cycle, with at least 2 hours on chemical dependency. Source: publications.tnsosfiles.com, checked 2026-10-29. |
| Background check | Applicants must have the result of a criminal background check sent to the Board directly from the vendor named in the application materials. Source: publications.tnsosfiles.com, checked 2026-10-29. |
Rules and fees change. Confirm with Tennessee Board of Dentistry before you rely on them.
Licensed hygienists in Tennessee earn a median $40.69 an hour ($84,640 a year). See Tennessee pay by metro.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, all industries.
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