How to Become a Dental Hygienist in ColoradoLicense Requirements & Costs (2026)

CPR/BLS Certification Required

Background Check Required

Local Anesthesia Permit (optional, no additional fee with license)

Interim Therapeutic Restoration (ITR) Permit (optional, no additional fee)

Colorado is arguably the most progressive state in the nation for dental hygienist practice: no supervision is required, hygienists may own their own practices, and the state was the first to authorize dental hygiene diagnosis in the scope of practice. Unlike most states, NO jurisprudence exam is required for initial licensure. The Local Anesthesia Permit and ITR Permit carry no additional fees. The renewal fee structure uniquely includes mandatory Peer Assistance ($32) and Legal Defense Fund ($2) surcharges.

Colorado requires NO supervision for dental hygienist practice - one of the most independent practice environments in the nation.

Dental hygienists may own their own practices in Colorado.

Colorado was the first state to specifically authorize dental hygiene diagnosis as part of scope of practice.

No jurisprudence exam required for initial licensure (only for reinstatement of expired license).

Local Anesthesia Permit and ITR Permit have no additional fee when obtained with license.

Renewal fees include mandatory Peer Assistance Fee ($32), Portal Fee ($2), and Legal Defense Fund ($2).

Grace period for renewal extends through April 30 after February 28 expiration.

Dental hygienist scope of practice is expanding rapidly across states. Direct access, local anesthesia, nitrous oxide administration, and restorative functions vary significantly by state and may have changed since this data was last verified. Always confirm current scope with your state dental board.