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Nitrous Oxide Monitoring


REGISTRATION INSTRUCTIONS: 1. Submit registration form. 2. Complete payment link and enrollment forms- you will receive these via email within 24 hours of submitting registration. 3. Once we receive your enrollment forms and your course fee payment, we will then open the course for you within 24 hours. You will log in with the username and password you created when registering and you will then see your course listed under your profile. If your office/employer is paying for your certification course, please email us at to provide the best contact (email) for who we need to send the course fee payment link to.


This course is approved by the Tennessee Board of Dentistry. You will receive 5 hours of continuing education credit when you successfully complete this course.

You must have an RDA number to register. Your RDA license MUST be ACTIVE to take this course.

Outline of the course: The course is divided into nine topics. Each topic includes a multimedia presentation and practice quiz. There are suggested learning activities that should be completed in the office to assure you master the course materials. There are also additional readings and videos that you will access within the course.

All practice quizzes require a 100%  to pass.  Once you complete all learning activities and quizzes, you will be able to take the final exam. The final exam requires a 75% to pass.  Once you have passed the final exam, you will be able to print your certificate.

Upon completion DSSTN will submit your completion form to The Board of Dentistry, on your behalf. You will need to login to your TN Lars Account and apply to have the certification added to your license. See Detailed Instructions Below:

  1. Visit the TN Lars website: Click Here:
  2. Log in to your account
  3. From the drop-down menu select “Application to Add One or More Certifications”
  4. Click on SELECT
  5.  There will be a series of screens, continue to click NEXT until you come to the screen that asks you to select which Certification you wish to add.
  6.  You will check the box for Nitrous Oxide Monitoring, then click NEXT
  7. Continue to click NEXT until you come to the screen to review your information.
  8. When you come to the screen that asks you to attach a document, you will just click NEXT at the bottom of the page.  You do NOT need to upload any forms during your application process.  (We will be submitting your Final Completion Form to the Board on your behalf).
  9. At the bottom of the page, you will click on SUBMIT
  10. It will then ask if you have been truthful, you will click on the circle that says YES, then click SUBMIT

Items you will need to complete this course: A computer and an internet connection will be suitable for this course. We highly recommend  a high speed internet connection.  You will also need Adobe Reader installed. You can download it for free here:

Cost of the course: $150.00

Refund policy: We adhere to our refund policies listed in the course catalog.

Course Objectives.  Upon completion of this course, you will be able to:

  1. Understand and follow Tennessee laws pertaining to administration and monitoring of nitrous oxide
  2. Analyze the differences between physiological and psychological aspects of pain
  3. Characterize the function and structure of the respiratory system
  4. Characterize the function and structure of the cardiovascular system
  5. Name and understand the four stages of anesthesia
  6. Observe and comprehend the signs and symptoms of light, moderate, and deep analgesia
  7. Describe and understand the chemical and physical properties of nitrous oxide
  8. Classify the possible side effects of nitrous oxide analgesia
  9. Understand and determine signs that a patient is experiencing an adverse reaction to nitrous oxide
  10. Understand and recall the procedure of induction and termination of nitrous oxide
  11. Recognize potential risks of long-term exposure to nitrous oxide
  12. Describe and follow methods to reduce unnecessary exposure to nitrous oxide in a dental office setting
  13. Identify contraindications for nitrous oxide analgesia
  14. Identify and understand the functions of nitrous oxide monitoring equipment
  15. Educate patients regarding nitrous oxide administration
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