EF2-ITR Program 20223 2024 (Current EFs)

We are Dental Board of California Approved with an Approval # EF 013. We provide a comprehensive program with 318 hours of instruction, combining online lectures, hands-on laboratory, and live patient clinical experiences; a Certification program for existing RDAEFs


Current existing RDAEFs

Applicant entry requirements for this program are as follows:

  • Hold a current RDAEF1
  • Have a driver’s license or photo ID
  • California Radiation Health and Safety certification
  • Coronal Polish certification
  • Pit & Fissure Sealant certification
  • 2 Hour Dental Practice Act
  • 2 Hour Infection Control
  • Proof of Liability Insurance Coverage 
    • Option 1: (ADAA) American Dental Assistants Association
    • Option 2: (HPSO) Healthcare Providers Service Organization
  • CPR-BLS certification for healthcare providers through the American Red Cross or American Heart Association
  • Currently employed with a minimum of 1 year or verification from the previous employer.
  • Verification from a health professional that the student has been immunized against Hepatitis B and Rubella (MMR-measles, mumps, rubella vaccine) and evidence of a negative tuberculin test within six months of application or adequate follow-up in the case of a positive test.


  • Submit program application 
  • The $3000 Kit deposit is non-refundable on instrumentation day
  • Externship Extramural Facility Instruction for Supervising Dentists
    Mandatory attendance is required for all supervising dentists on orientation day. The supervising dentist must take and complete the mandatory 6-hour CE Teaching Methodology for the clinical evaluation workshop AND sign the externship/ supervising dentist contract for the RDAEF course.


Our program offers existing RDAEF1s an affordable opportunity to complete their education and qualify for licensure to perform procedures such as:


Each course is broken into four modules that must be completed for credit in the course; a module usually consists of our Blended online discussion board, chapters of reading, some short-answer reading response questions, and an additional assignment that could be a case study, or a short paper or an assignment that applies to the subject matter presented in the reading, quizzes, and final written exam.

  • Dental Instruments, 6th Edition (Provided)
  • Dental Materials, 3rd Edition (Provided)
  • Wheeler's Dental Anatomy, Physiology, and Occlusion, 10th Edition (Optional)
  • Endodontics, 5th Edition (Optional)
  • Contemporary Fixed Prosthodontics, 5th Edition (Optional)
  • Craig's Restorative Dental Materials, 14th Edition (Optional)


A deposit will cover all course materials, textbooks, and online program fees. Although, students will be responsible for the purchase of their own magnification loupes, typodont, and bench mount. All students are required to have access to a laptop, computer, or tablet for the online presentations, assignments, study materials, quizzes, discussion board, Skype, and email for correspondence or posted on our online Blended Learning Canvas. You will need access to a computer to complete the required homework assignments.

*Please see Section 1753.6 of the California Business and Professions Code

Existing RDAEFs
This 318-hour program updates existing RDAEFs (who were licensed prior to January 1, 2010) in the new, allowable procedures for RDAEFs described above. Participants who successfully complete this program will be eligible to take the RDAEF exam, and upon successful completion, they will be able to perform all of the expanded duties approved for currently licensed California RDAEFs.

Current RDAEFs will NOT need a supervising dentist as they will not be participating as an existing RDAEF.


The total length of the program: Nine (9) months

This RDAEF course meets state board-approved instruction needs for the new RDAEF licensure. The course consists of three aspects:

  • Didactic: (home study/online/in-class lectures) Students will learn the theoretical aspects relating to RDAEF duties and procedures.
  • Laboratory: Students will learn the step-by-step procedures of the RDAEF through laboratory experience with a typodont.
  • Clinical: Students will be required to complete the qualified in-office treatment of clinical patients, under supervising DDS. A state board requirement for students to complete the course.

Program Module Agenda:


OCTOBER 8, 2023






October 21 & 22,

November 11, 12, 18 & 9

December 9, 10, 16 & 17


  • Regulations: Dental Assisting scope of practice
  • Dental sciences and materials related to course procedures
  • Oral Health assessment includes Intra and extraoral tissue evaluation, occlusal and myofunctional evaluation, and charting in traditional and community health project settings.
  • Wax carvings/tooth morphology – 4 check offs


January 13 & 1, 27 & 28

February 10 & 11,17 & 18

March 9 & 10, 24 & 25

  • Placement and finishing of Classifications - 1,2,3,4,5, and 6 direct restorations for the pediatric and adult population
  • Polish and contour existing amalgam restorations
  • Composite restorations
  • Matrix bands and isolation



April 6 & 7, 20 & 21- temporary crown

May 11 & 12- RDP / Impressions, 20 & 21- *facial anatomy and forensics with Starla Ewan

June 8 & 9- Cementations

Advanced Esthetic Provisional - Temporary Crown

  • 6 unit anterior provisional involving #6, #7, #8, #9, #10, #11
  • Veneer #9, 3-unit bridge on #11, #12, #13 and Single-unit crown #3
  • Empress preparation - # 3 MODL Onlay
  • HD silicone-prepped models
  • Vacuum-formed polypropylene copings for the prepped silicone models
  • Rigid urethane with no preps used for preliminary 
  • Impression taking for tooth-borne prostheses
  • Adjustment and cementation of permanent indirect restorations of ceramic, PFM, and stainless steel
  • Cementation of endodontic points 




June 22 (clinical) & 23 (lab and written) - final

July 20 & 21- remedial


Module D: August 2024 (2 weekends)

August 10 & 11 

Interim Therapeutic Restoration (ITR) Technique Program for the RDAEF2

Dental Board of California Approval # ITR 04

California law specifies that ITRs can be placed after the diagnosis and direction of the supervising dentist to stabilize a tooth with a cavitated lesion until the dentist determines that additional treatment is required. ITRs provided by allied dental professionals must be completed with hand instrumentation only and must not require dental anesthesia to complete.

Bases and liners.

ITR Certification for the RDAEF2

Effective 1/1/2015, RDAEFs licensed on or after 1/1/2010 became authorized to perform two (2) additional duties in both a dental office setting or in a public health setting, head start program, preschool program, or community clinic. Those duties are:

  • (1) Expose emergency radiographs upon the direction of the dentist.
  • (2) If the dental auxiliary is a registered dental assistant in extended functions, a registered dental hygienist, or a registered dental hygienist in alternative practice, determine and perform radiographs for the specific purpose of aiding a dentist in completing a comprehensive diagnosis and treatment plan for a patient using telehealth, as defined by Section 2290.5, for the purpose of communication with the supervising dentist pursuant to Sections 1753.55, 1910.5, and 1926.05. A dentist is not required to review patient records or make a diagnosis using telehealth.
  • (3) Perform extra-oral duties or functions specified by the dentist.
  • (4) Perform mouth-mirror inspections of the oral cavity, to include charting of obvious lesions, malocclusions, existing restorations, and missing teeth.
    • (b) For purposes of this section, “patient of record” refers to a patient who has been examined, has had a medical and dental history completed and evaluated, and has had oral conditions diagnosed and a written plan developed by the licensed dentist.


EFs certified in ITR may perform these duties without direct supervision using the standards and protocols set by the dentist.

Required Prerequisites:

  • Current BLS Certification (American Red Cross or American Heart Association: Healthcare Provider course only) – Please bring a copy of your certification card with you on the day of the course.
  • Must show evidence of current, active status as a Registered Dental Assistant in Extended Functions, licensed on or after 1/1/2010

What are the Dental Board Requirements for the RDAEF2 candidates?

RDAEF2 will be required to sit and pass Dental Board administered written and practical examinations. This examination will include:

  • Successful completion of two of the following procedures on a simulated patient head mounted in appropriate position and accommodation an articulated typodont in an enclosed intra-oral environment or mounted on a dental chair in a dental operatory
    • Place, condense, and carve an amalgam restoration
    • Place and contour a nonmetallic direction restoration
    • Polish and contour an existing amalgam restoration
  • Passage of a state-administered written examination.


Photographing, recording, or videotaping any Dental Specialties Institute's program is not allowed without advance written permission From time to time, a photographer may be present and taking photographs of various courses, instructors, and attendees for marketing and advertising purposes. Participants not wishing to be photographed should inform the course director or photographer.

Course clinical Dates may be subject to change

Program Type: Classroom


Registration Fee:

Regular Price: $20,000.00

Discounted Price: $13,500.00

Orientation (Please see below for scheduled program dates)
October 8th, 2023
9:00 am - 3:00 pm

Instrumentation Kit Assignment Assignment
October 21st, 2023
9:00 am - 5:00 am