Dental Assistant Training Requirements and Programs North Carolina

State specific dental assistant training requirements and programs for North Carolina, including links to important governing body websites and course providers.  Find dental assistant schools in North Carolina.

North Carolina has two classifications of Dental Assistants

  1. Dental Assistant I
  2. Dental Assistant II

North Carolina does NOT certify assistants. Classification is based on experience and/or training as listed below. It is up to the employer to verify an assistant’s qualifications and determine if he/she is a DAI or DAII.

At either level of classification, to qualify to monitor patients under nitrous oxide, a dental assistant must complete a 7-hour Board-approved course in nitrous oxide-oxygen conscious sedation, unless included in ADA-accredited program.

Dental Assistant I

A Dental Assistant I is the most basic level of dental assisting in North Carolina.  A Dental Assistant I may perform basic supportive tasks under the direct control and supervision of a licensed dentist.

Dental Assistant I’s must successfully pass a radiography equivalency exam. This exam may be challenged after completing “seven hours of instruction in the production and use of dental x-rays and an education program of not less than seven hours in clinical dental radiology.” You must be able to prove that you have the minimal amount of training to be eligible to take the radiology equivalency exam, or you may take a course prior to taking the exam. Any Board approved radiography course is acceptable and any approved course’s final examination is recognized as the equivalency exam.

Does North Carolina offer reciprocity for out-of-state radiography education?  North Carolina does allow dental assistants to qualify to take x-rays if they have taken a radiography course out-of-state, but only after satisfactorily completing an equivalency exam in North Carolina.  (see above)

Dental Assistant II

A Dental Assistant II who completes the training below may take radiographs without any further examination.

To be classified as a Dental Assistant II, an assistant must meet one (1) of the following criteria:

1) successful completion of:

  • a) an ADA-accredited dental assisting program and current certification in CPR; or
  • b) one academic year or longer in an ADA-accredited dental hygiene program, and current certification in CPR

2) successful completion of:

  • a) full-time employment and experience as a chairside assistant for two years (3,000 hours) of the preceding five, during which period the assistant may be trained in any dental delivery setting and allowed to perform the functions of a Dental Assistant II under the direct control and supervision of a licensed dentist;
  • b) a 3-hour course in sterilization and infection control;
  • c) a 3-hour course in dental office emergencies;
  • d) radiology training consistent with G.S. 90-29(s)(12); and
  • e) current certification in CPR

3) successful completion of the certification examination administered by the Dental Assisting National Board, and current certification in CPR.

Helpful Links:

You may find additional information through these links to your state’s official dental board page, or one of our sponsors.

North Carolina State Board of Dental Examiners –