Brooke Kuecker graduated from Lake Area Technical Institute with an associate's degree and worked as a licensed advanced dental assistant in South Dakota. To become a licensed advanced dental assistant in South Dakota, one must complete an accredited dental program, pass the Dental Assisting National Board exam, or have certification from another state approved by the South Dakota Board of Dentistry. Additional training and permits are required for advanced dental assistants to perform tasks like anesthesia under a dentist's supervision.