The use of simulation for education of medical emergency teams, competence assessment and systems/process improvement in the acute care setting has been well published. According to the American Dental Association, 12% of programs on managing medical emergencies included a practical or hands-on component, and no opportunities for the entire dental team to practice together in their clinic with their own medical emergency kit and response protocols. Although infrequent, medical emergencies do occur in dental offices. These high-risk, low-frequency emergencies provide a perfect opportunity for simulation. A 2.5 hour workshop was developed and implemented at 19 clinics. The workshop focused on the management of angina, cardiac arrest, syncope, hypoglycemia, and anaphylaxis. During the didactic portion, team roles were identified, contents of the emergency kit were reviewed and key medical management of the identified emergencies discussed. This was followed by four simulations. During the simulation, a moderate-fidelity mannequin was placed in the chair in the treatment room and staff responded to one of the emergencies discussed during the didactic component. Actions were observed by a facilitator and discussed during the post-simulation debrief session. Utilizing simulations in the actual dental setting provide opportunities to maximize patient safety by identifying and correcting potential latent conditions, updating and standardizing the emergency kit equipment and medications, and providing dental professionals with an opportunity to practice these high-risk, low-frequency events.