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How to become a licensed dental hygienist in Hawaii. Degree required: Two-year CODA-accredited dental hygiene degree (Associate's degree minimum). NBDHE: required. Local anesthesia permitted. Total initial fees: $120-$188. Verified 2026-03-08. Data verified 2026-03-08. Source: LicenseMap (getlicensemap.com).
Dental Hygienist
Governing Authority
Hawaii Board of Dentistry, Department of Commerce and Consumer Affairs (DCCA), Professional and Vocational Licensing Division
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Two-year CODA-accredited dental hygiene degree (Associate's degree minimum)
Degree Required
Required
NBDHE
Required
Clinical Exam
$120-$188
Total Initial Fees
20 hrs
CE Hours
Allowed
Local Anesthesia
Degree Required
CODA-Accredited Program Required
Program Details
2 years minimum
Program Length
Required
NBDHE (National Board)
Required
Clinical Exam
Not Required
Jurisprudence Exam
National Board Exam (NBDHE)
VerifiedExam Name
National Board Dental Hygiene Examination (NBDHE)
Passing Score
75%
Exam Format
350 multiple-choice questions, computer-based
Clinical Exam
VerifiedAccepted Clinical Exams
State-Specific Exam
No state-specific exam; manikin-based exams accepted from all four regional agencies since January 25, 2021
Official Title
Licensed Dental Hygienist
Requirements
CODA-accredited degree, NBDHE, clinical exam (CRDTS/WREB/CDCA/SRTA), local anesthesia certification
Supervision
Direct supervision for local anesthesia; general supervision for patients of record with existing treatment plan
Additional Requirements
Permitted Procedures
VerifiedAllowed
Local Anesthesia
Not Allowed
Nitrous Oxide
Not Allowed
Restorative Duties
Not Allowed
Laser Use
Notes
Hawaii REQUIRES local anesthesia certification (intra-oral infiltration and block) as a prerequisite for licensure - this is unique among states. Local anesthesia must be administered under direct supervision of a dentist. The practice of dental hygiene includes removal of hard and soft deposits and stains from crown and root surfaces to the depth of the gingival sulcus, polishing natural and restored surfaces, and application of preventive chemical agents. General supervision permitted for patients of record who have an existing treatment plan.
Permitted Supervision Arrangements
VerifiedGeneral Supervision
Dentist authorizes procedures but need not be present
Direct Supervision
Dentist must be present in the facility
Indirect Supervision
Dentist has authorized procedures and is available
Unsupervised Practice
Hygienist can practice independently without a dentist
Notes
Direct supervision required for local anesthesia administration (only those categories listed in the course content submitted to the board). General supervision permitted for patients of record who have had an examination by the licensed dentist and have an existing treatment plan.
| Fee | Amount |
|---|---|
Application Fee Application fee varies by year of application | $188 (even-numbered year) / $120 (odd-numbered year) |
License Fee | Included in application fee |
Renewal Fee Biennial renewal | $164 (active) / $12 (inactive) |
Total Initial Fees Application fee only; exam fees paid separately to testing agencies | $120-$188 |
Renewal & CE Requirements
Verified2 years (biennial); expires December 31 of odd-numbered years
Renewal Period
20 hrs
CE Hours Required
CE Topics
Renewal Fee
$164 (active) / $12 (inactive)
Biennial
Regulatory Board
Dental hygienist licenses must be renewed on schedule. Most states require continuing education covering infection control, CPR/BLS, ethics, and clinical topics relevant to dental hygiene practice.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
Reciprocity Type
Endorsement with requirements
Transfer Details
Hawaii accepts out-of-state dental hygienist licenses. Applicants must meet all Hawaii-specific requirements including local anesthesia certification, NBDHE, and an accepted clinical exam.
Additional Requirements for Transfer
Dental hygienist license reciprocity varies by state. Many states offer licensure by credentials or endorsement for hygienists with active licenses in other states, though additional exams or documentation may be required.
CPR/BLS Certification Required
Background Check Required
Local anesthesia certification in intra-oral infiltration and block anesthesia (REQUIRED for initial licensure)
HDHA sponsors certification courses but Board-approved courses from other providers are acceptable
Hawaii is one of the only states that REQUIRES local anesthesia certification (intra-oral infiltration and block anesthesia) as a prerequisite for initial licensure rather than offering it as an optional scope expansion. Application fees vary based on whether you apply during an even-numbered year ($188) or odd-numbered year ($120). The inactive license renewal fee is remarkably low at just $12 biennial.
Hawaii is unique in REQUIRING local anesthesia certification (intra-oral infiltration and block) as a prerequisite for initial licensure, not just as an optional add-on.
Hawaii accepts all four major regional clinical exams: CRDTS, WREB, CDCA, and SRTA.
Manikin-based exams from all four agencies have been accepted since January 25, 2021.
Application fees vary by whether you apply in an even or odd-numbered year.
Inactive license renewal is only $12 biennial.
The state's island geography creates unique access-to-care challenges.
Explore requirements for other professional licenses in Hawaii.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#16 of 51
Cost
#12 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Dental Hygienists (SOC 29-1292)
Entry Level
$85,690
25th percentile
Median
$96,770
+3% vs. national avg ($94,260)Experienced
$99,480
75th percentile
Wage Distribution (Annual)
1,060 employed in this state
Source: BLS OEWS – Dental Hygienists (May 2024)
National employment projections for 2024-2034
Projected Growth
+4.7%
Average GrowthNew Jobs
+10,200
over 10 years
Annual Openings
12,200
per year (avg.)
218,200 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Dental Career Ladder+212% salary growth potential
You are here
Dental Hygienist
$96,770
Associate/bachelor's in dental hygiene + NBDHE
Dental assisting program (9-12 months)
$44,870
You are here
Dental Hygienist
Associate/bachelor's in dental hygiene + NBDHE
$96,770
DDS/DMD degree (4 years) + INBDE
$139,990
Salary data from BLS OEWS May 2024 for this state. Career paths represent common advancement routes — actual progression may vary. Bureau of Labor Statistics — Occupational Outlook Handbook
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: 112–226 weeks
Timeline estimated from licensing requirements on this page.
4–8 weeks
Estimated processing time
Study guides and practice tests for the NBDHE licensing exam.
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Hawaii requires a Two-year CODA-accredited dental hygiene degree (Associate's degree minimum) from a CODA-accredited program. The NBDHE is required. Dental hygienists may administer local anesthesia. All licensing is managed through the Hawaii Board of Dentistry, Department of Commerce and Consumer Affairs (DCCA), Professional and Vocational Licensing Division.
Requirements vary by state. Always verify current requirements with your state dental board.