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Evergreen California guide

What continuing-education, renewal, and permit rules do California dentists need?

Use this guide when you need the California renewal numbers, mandatory courses, permit-maintenance expectations, or first-renewal exceptions.

Last verified June 10, 2026

Reviewed by Mahtab Mansour, DDS on April 25, 2026 · re-verification in progress

Direct answer

  • Dentists generally need 50 CE units, but the first renewal is exempt from CE.
  • Mandatory California topics and current BLS expectations matter alongside the raw unit count.
  • Permit maintenance is part of the renewal picture, so do not separate CE questions from the permit facts that travel with them.
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High-yield California rules for this topic

Continuing education, auxiliaries, and license renewal

California dental licenses expire on the last day of the licensee's birth month, in even or odd years matching their birth year, with renewal conducted online via BreEZe. Excess continuing education units do not carry over to the next cycle.1 Dentists must complete 50 CE units per biennial cycle, maxing out at 20 percent (10 units) for self-benefit or practice management courses. The mandatory core consists of four Board-required courses: the California Dental Practice Act (2 units every cycle), Infection Control (2 units every cycle), a specific California opioid prescribing course (2 units every cycle, mandated under 16 CCR §1016), and a current Basic Life Support course (creditable up to 4 CE units).2 1 Online-only courses are not accepted for the BLS requirement — the course must include a live, in-person skills practice session, a skills test, and a written examination.1 This repeating state-level opioid course is distinct from the federal one-time MATE Act training.

License maintenance carries unforgiving deadlines and strict delegation rules. There is no grace period for late renewals; practicing with an expired license is a criminal offense, a $325 delinquency fee applies after 30 days, and a license not renewed within 5 years is automatically cancelled, forcing the provider to reapply as a new applicant.1 Senate Bill 1453 also codified strict training timelines for dental auxiliaries: employers must ensure that unlicensed dental assistants complete a Board-approved 8-hour infection control course prior to performing any basic supportive dental procedures involving potential exposure to blood or saliva.3

Memorize it: "50-2-2-2-BLS / 5-year-cancel / 8-hr-prior" — 50 total units, 2 DPA, 2 IC, 2 CA-Opioid, plus current hands-on BLS; 5 years until cancellation; DA needs 8-hour IC course prior to blood/saliva exposure.

Footnotes

  1. A7 Dental Board of California — continuing education, renewal, and permit-maintenance guidance. https://dbc.ca.gov/licensees/dentist_continuing_education.shtml 2 3 4

  2. A61 16 CCR §1016 — continuing education repeating opioid course mandate. https://www.dbc.ca.gov/about_us/lawsregs/index.shtml

  3. A38 California Business & Professions Code §1750 — dental assistant definition, basic supportive dental procedures, and infection-control prerequisites. https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=BPC&sectionNum=1750.

Primary sources

A7 continuing education, renewal, and permit-maintenance guidanceA9 HSC section 123110 patient inspection, copies, form/format, fees, and unpaid-balance ruleA11 BPC section 2290.5 telehealth consent and parityA12 DCA CURES overviewA13 DCA CURES mandatory-consultation flyer and exemptionsA15 BPC sections 1680, 1684.1, 1684.5, and related enforcement and patient-of-record provisions; BPC §§1800-1808 (dental corporations); Corporations Code §13400 et seq. (Moscone-Knox)A19 current Board anesthesia and sedation permit frameworkA20 SB 1453 alert for anesthesia and sedation changes effective 1/1/2025A21 BPC section 651 advertising rules and prohibitionsA24 HSC section 11158.1 opioid counseling requirementsA27 Family Code sections 6922 and 7002/7050 minor self-consent and emancipationA28 BPC section 654.3 patient financing and third-party credit arrangementsA29 Civil Code section 51 Unruh Civil Rights ActA30 BPC section 1683.1 telehealth provider identification and disclosuresA31 BPC section 1683.2 complaint-waiver prohibitionA32 BPC section 688 electronic prescribing and exemptionsA37 BPC section 1700 current license, permit, and registration displayA38 BPC section 1750 dental assistant definition, BSDP, and infection-control prerequisitesA39 16 CCR section 1018.05 reporting convictions and related reportable eventsA40 BPC section 1682 anesthesia informed consent and pediatric warning languageA49 Cobbs v. Grant (1972) California informed-consent material-risk and reasonable-patient frameworkA50 Truman v. Thomas (1980) duty to disclose material risks of refusing recommended testing or treatmentA51 Arato v. Avedon (1993) California limits and context for informed-consent disclosureA52 Probate Code sections 4683, 4711, and 4712 plus AB 2338 surrogate decisionmaker framework for adults lacking capacityA57 Family Code section 6550 Caregiver's Authorization Affidavit for relative caregivers authorizing minor medical and dental careA59 Senate Bill 351 (2025) — Corporate Practice of Dentistry restrictions on private equity and hedge funds; effective 1/1/2026A60 Assembly Bill 82 (2025); HSC §11165(k) — CURES reporting exemptions for testosterone and mifepristone effective 1/1/2026A61 16 CCR §1016 — continuing education requirements for dentists, including biennial 2-unit California opioid prescribing courseA62 Dentist and Dental Hygienist Compact (DDHC) — California compact integration timeline (compact privileges not yet active in 2026)A63 Assembly Bill 116 Health Omnibus — elimination of state-funded full-scope Medi-Cal dental benefits for undocumented adults age 19+ effective 7/1/2026A73 BPC section 1647.31 minimal sedation of patients under age 13 — PMS, GA, or pediatric-endorsed MS permit requiredA80 BPC §1647.2 (SB 501, operative 1/1/2022; amended by SB 1453 eff. 1/1/2025) — pediatric moderate sedation on patients under 13: at least two support personnel plus operating dentist and one personnel member with current PALS-and-airway-management certification