Download Lesson 13

Lesson 13
Dentists, Dental Technicians, and Dental Hygienist
WORK DESCRIPTION
Dentists diagnose, prevent, and treat problems of the teeth and tissues of the mouth. They
remove decay and fill cavities, examine x-rays, place protective plastic sealants on children's
teeth, straighten teeth, and repair fractured teeth. They perform corrective surgery of the gums
and supporting bones to treat gum diseases. Dentists extract teeth and make molds and
measurements for dentures to replace missing teeth. Dentists provide instruction in diet,
brushing, flossing, the use of fluorides, and other aspects of dental care, as well. They administer
anesthetics and write prescriptions for antibiotics and other medications.
Dentists use a variety of equipment including X-ray machines, drills, and instruments such as
mouth mirrors, probes, forceps, brushes, and scalpels.
Dentists in private practice oversee a variety of administrative tasks, including bookkeeping, and
buying equipment and supplies. They may employ and supervise dental hygienists, dental
assistants, dental laboratory technicians, and receptionists.
Most dentists are general practitioners who handle a wide variety of dental needs. Other dentists
practice in one of eight specialty areas. Orthodontists, the largest group of specialists, straighten
teeth. The next largest group, oral and maxillofacial surgeons, operates on the mouth and jaws.
The remainder specializes in pediatric dentistry (dentistry for children); periodontics (treating the
gums and the bone supporting the teeth); prosthodontics (making artificial teeth or dentures);
endodontics (root canal therapy); dental public health; and oral pathology (studying disease of the
mouth).
WORKING CONDITIONS
Most dentists work four or five days a week. Some dentists work evenings and weekends to meet
their patient's needs. Most full-time dentists work about 40 hours a week; some work more.
Younger dentists may work fewer hours as they build up their practice, while established dentists
often work fewer hours, as they grow older. A considerable number continue in part-time
practice beyond the usual retirement age.
Most dentists are solo practitioners, that is, they own their own businesses and work alone or with
a small staff. Some dentists have partners, and a few work for other dentists as associate dentists.
Dentists wear masks, gloves, and safety glasses to protect themselves and their patients from
infectious diseases like hepatitis.
EMPLOYMENT OPPORTUNITIES
There are approximately 200,000 dentists practicing in the United States. About nine out of 10
dentists are in private practice. Others work in private and public hospitals and clinics, and in
dental research.
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TRAINING, OTHER QUALIFICATIONS, AND ADVANCEMENT
All 50 States and the District of Columbia require dentists to be licensed. To qualify for a license
in most States, a candidate must graduate from a dental school accredited by the American Dental
Association's Commission on Dental Accreditation and pass written and practical examinations.
Candidates may fulfill the written part of the State licensing by passing the National Board Dental
Examinations. Individual States or regional testing agencies give the written and/or practical
examinations.
Currently, about 15 States require dentists to obtain a specialty license before practicing as a
specialist. Requirements include two to four years of postgraduate education, and, in some cases,
completion of a special State examination. Most State licenses permit dentists to engage in both
general and specialized practice. Dentists who want to teach or does research usually spend an
additional two to five years in advanced dental training in programs operated by dental schools or
hospitals.
Dental schools require a minimum of two years of college-level pre dental education. However,
most dental students have at least a bachelor's degree. Pre-dental education includes courses in
both the sciences and humanities. All dental schools require applicants to take the Dental
Admissions Test (DAT). They consider scores earn on the DAT, the applicants' overall grade
point average (GPA), science courses GPA, and information gathered through recommendations
and interviews when selecting students.
Dental school generally lasts four academic years. Studies begin with classroom instruction and
laboratory work in basic sciences including anatomy, microbiology, biochemistry, and
physiology. Beginning courses in clinical sciences, including laboratory technique courses, are
provided at this time. During the last two years, students treat patients, usually in dental clinics
under the supervision of licensed dentists. Most dental schools award the degree of Doctor of
Dental Surgery (D.D.S.). The rest award an equivalent degree, Doctor of Dental Medicine,
(D.M.D.).
Dentistry requires diagnostic ability and manual skills. Dentists should have good visual
memory, excellent judgment of space and shape, and a high degree of manual dexterity, as well
as scientific ability. Good business sense, self-discipline, communication skills, and the ability to
instill confidence are helpful for success in private practice.
Some recent dental school graduates work for established dentists as associates for a year or two
in order to gain experience and save money to equip an office of their own. Most dental school
graduates, however, purchase an established practice or open a new practice immediately after
graduation. Each year about one-fourth to one-third of new graduates enroll in postgraduate
training programs to prepare for a dental specialty.
JOB OUTLOOK
Employment of dentists is expected to grow more slowly than the average for all occupations
through the year 2010. Nevertheless, job prospects should continue to improve because the
number of dental school graduates has dropped sharply since the early 1980's and is not likely to
increase through 2010. Dental school enrollments began dropping in 1979, as it became clear
that keen competition for patients had developed. This surplus of dentists is attributable to the
very large numbers of dental graduates that resulted from a Federal decision during the 1960's to
support expansion of the nation's dental schools.
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Demand for dental care should grow substantially through 2010. As members of the baby boom
generation advance into middle age, a large number will need maintenance on complicated dental
work like bridges. In addition, elderly people are more likely to retain their teeth than their
predecessors, so they will require much more care than in the past. The younger generation will
continue to need preventive checkups despite treatments like fluoridation of the water supply that
decrease the incidence of dental caries. Dental care will focus more on prevention, including
teaching people how to better care for their teeth. Dentists will increasingly provide care that is
aimed at preventing tooth loss--rather than just providing treatments, such as fillings.
Improvements in dental technology will allow dentists to provide more effective and less painful
treatment to their patients. However, the employment of dentists is not expected to grow as
rapidly as the demand for dental services. As their practices expand, dentists are likely to hire
more dental hygienists and dental assistants to handle routine services.
EARNINGS
Median annual earnings of salaried dentists are about $115,000. Earnings vary according to
number of years in practice, location, hours worked, and specialty. Self-employed dentists in
private practice tend to earn more than salaried dentists. A relatively large proportion of dentists
are self-employed. Like other business owners, these dentists must provide their own health
insurance, life insurance, and retirement benefits.
Questions:
What is the job description of a Dentist?
How many Dentists practice in the United States?
What are the requirements for entering a Dental School program?
What abilities must a Dentist possess?
What is the job outlook for becoming a Dentist?
What are the average earnings of a Dentist?
RELATED OCCUPATIONS
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Dentists examine, diagnose, prevent, and treat diseases and abnormalities. So do clinical
psychologists, optometrists, physicians, chiropractors, veterinarians, and podiatrists.
ADDITIONAL INFORMATION
For information on dentistry as a career and a list of accredited dental schools, contact:
American Dental Association, commission on Dental Accreditation, 211 E. Chicabo, Ave.,
Chicago, IL 60611
American Association of Dental Schools, 1625 Massachusetts Ave., NW., Washington, DC
20036
Dental Assistants
WORK DESCRIPTION
Dental assistants perform a variety of patient care, office, and laboratory duties. They work at a
chair side as dentists examine and treat patients. They make patients as comfortable as possible
in the dental chair, prepare them for treatment, and obtain dental records. Assistants hand dentists
instruments and materials and keep patients' mouths dry and clear by using suction or other
devices. Assistants sterilize and disinfect instruments and equipment; prepare tray setups for
dental procedures; provide postoperative instructions; and instruct patients in oral health care.
Some dental assistants prepare materials for making impressions and restorations, expose
radiographs, and process dental x-ray film as directed by a dentist. They may remove sutures,
apply anesthetic and carries-preventive agents to teeth and gums, remove excess cement used in
the filling process, and place rubber dams on the teeth to isolate them for individual treatment.
Those with laboratory duties make casts of the teeth and mouth from impressions taken by
dentists, clean and polish removable appliances, and make temporary crowns. Dental assistants
with office duties arrange and confirm appointments, receive patients, keep treatment records,
send bills, receive payments, and order dental supplies and materials.
WORKING CONDITIONS
Dental assistants work in a well-lighted, clean environment. Handling radiographic equipment
poses dangers, but they can be minimized with safety procedures. Dental assistants wear gloves
and masks to protect themselves from infectious disease like hepatitis and other diseases.
Dental assistants, like dentists, work either standing or sitting. Their work area is usually near the
dental chair, so that they can arrange instruments, materials, and medication, and hand them to
the dentist when needed. Most dental assistants have a 32 to a 40-hour work week that may
include work on Saturday or evenings.
EMPLOYMENT OPPORTUNITIES
Dental assistants hold about 200,000 jobs. Almost one out of three work part-time, sometimes in
more than one dentist's office. Almost all dental assistants work in private dental offices. Some
work in dental schools, private and government hospitals, State and local public health
departments, or in clinics.
TRAINING, OTHER QUALIFICATIONS, AND ADVANCEMENT
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Most assistants learn their skills' on-the-job, although many are trained in dental assisting
programs offered by community and junior colleges, trade schools, and technical institutes. Some
assistants are trained in Armed Forces schools. Assistants must be a dentist's third hand,
therefore, dentists look for people who are reliable, can work well with others, and have manual
dexterity.
The American Dental Association's Commission on Dental Accreditation has approved about 250
training programs. Programs include classroom, laboratory, and preclinical instruction in dental
assisting skills and related theory. In addition, students gain practical experience in dental
schools, clinics, or dental offices. Most programs take one year or less to complete and lead to a
certificate or diploma. Two-year programs offered in community and junior colleges lead to an
associate degree. All programs require a high school diploma or its equivalent for admission.
Some private vocational schools offer four to six-month courses in dental assisting, but the
Commission on Dental Accreditation does not accredit these.
Certification is available through the Dental Assisting National Board. Certification is an
acknowledgment of an assistant's qualifications and professional competence, but usually is not
required for employment. In several States that have adopted standards for dental assistants who
perform radiological procedures, completion of the certification examination meets those
standards. Candidates may qualify to take the certification examination by graduating from an
accredited training program or by having two years of full-time experience as a dental assistant.
In addition, applicants must have taken a course in cardiopulmonary resuscitation.
Without further education, advancement opportunities are limited. Some dental assistants
working the front office become office managers. Others, working chair sides, go back to school
to become dental hygienists.
JOB OUTLOOK
Employment of dental assistants is expected to grow faster than the average for all occupations
through the year 2010. Population growth, higher incomes, and greater retention of natural teeth
by middle-aged and older people will fuel demand for dental services. Also, dentists are likely to
employ more assistants, for several reasons. Older dentists, who are less likely to employ
assistants, will leave and be replaced by recent graduates, who are more likely to use one or even
two assistants. In addition, as dentists' workloads increase, they are expected to hire more
assistants to perform routine tasks, so they may use their own time more profitably.
Most job openings for dental assistants will arise from the need to replace assistants who leave
the occupation. Many assistants leave the job to take on family responsibilities, return to school,
or transfer to another occupation.
EARNINGS
The average weekly salary for a dental assistant working full-time is about $450 per week. The
middle 50 percent earn between $384 and $520 a week. According to the American Dental
Association, dental assistants who work 32 hours a week or more average about $450 a week; the
average hourly earnings for all dental assistants is $12.50.
RELATED OCCUPATIONS
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Workers in other occupations supporting health practitioners include medical assistants, physical
therapy assistants, occupational therapy assistants, pharmacy assistants, and veterinary
technicians.
Questions:
What do Dental Assistants do in the dental office?
How many Dental Assistants are there in the United States?
Where do Dental Assistants learn their skills?
Where is certification available for Dental Assistants?
What is the job outlook for Dental Assistants?
What are the average weekly earnings for Dental Assistants?
ADDITIONAL INFORMATION
Information about career opportunities, scholarships, accredited dental assistant programs, and
requirements for certification is available from:
American Dental Assistants Association, 203 N. Lasalle, Suite 1320, Chicago, IL 60601-1225
Commission on Dental Accreditation, American Dental Association, 211 E. Chicago Ave., Suite
1814, Chicago, IL 60611
Dental Hygienists
WORK DESCRIPTION
Dental hygienists provide preventive dental care and teach patients how to practice good oral
hygiene. Hygienists examine patients' teeth and gums, recording the presence of diseases or
abnormalities. They remove calculus, stain, and plaque from teeth; apply caries-preventive
agents such as fluorides and pit and fissure sealants; take and develop dental x-rays; place
temporary fillings and periodontal dressings; remove sutures; and polish and raconteur amalgam
restorations. In some States, hygienists administer local anesthetics and nitrous oxide/oxygen
analgesia, and place and carve filling materials.
Dental hygienists help patients develop and maintain good oral health. For example, they may
explain the relationship between diet and oral health, inform patients how to select toothbrushes,
and show patients how to floss their teeth. Some hygienists develop and promote community
dental health programs that may include teaching how to practice good oral hygiene. Dental
hygienists use hand and rotary instruments to clean teeth, x-ray machines to take dental pictures,
syringes with needles to administer local anesthetics, and models of teeth to explain oral hygiene.
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WORKING CONDITIONS
Flexible scheduling is a distinctive advantage of this job. Full-time, part-time, evening, and
weekend work is widely available. Dentists frequently hire hygienists to work only two or three
days a week, so hygienists may hold jobs in more than one dental office.
Dental hygienists work in clean, well-lighted offices. Important health safeguards include strict
adherence to proper radiological procedures, compliance with recommended aseptic technique,
and use of appropriate protective devices when administering nitrous oxide/oxygen analgesia.
Dental hygienists wear safety glasses, surgical masks and gloves to protect themselves from
infectious disease such as hepatitis and AIDS. The occupation is one of several covered by the
Consumer-Patient Radiation Health and Safety Act of 1981, which encourages the States to adopt
uniform standards for the training and certification of individuals who perform medical and
dental radiological procedures.
EMPLOYMENT OPPORTUNITIES
Dental hygienists hold about 110,000 jobs. Because multiple job holding is common in this field,
the number of jobs greatly exceeds the number of hygienists. About fifty percent of all dental
hygienists usually work part-time, less than 35 hours a week. Almost all dental hygienists work
in private dental offices. Some work in public health agencies, school systems, hospitals, and
clinics.
TRAINING, OTHER QUALIFICATIONS, AND ADVANCEMENT
Dental hygienists must be licensed by the State in which they practice. To qualify for licensor, a
candidate must graduate from an accredited dental hygiene school and pass both a written and a
clinical examination. The American Dental Association Joint Commission on National Dental
Examinations administers the written examination that is accepted by all States and the District of
Columbia. State or regional testing agencies administer the clinical examination. In addition,
most States require examinations on legal aspects of dental hygiene practice. Alabama allows
candidates to take its examination if they have been trained through a State-regulated on-the-job
program in a dentist's office.
The Commission on Dental Accreditation accredited about 200 programs in dental hygiene.
Although some programs lead to a bachelor's degree, most grant an associate degree. Five
universities offer masters' degree programs in dental hygiene. An associate degree is sufficient
for practice in a private dental office. A bachelor's or master's degree is usually required for
research, teaching, or clinical practice in public or school health programs.
About half of the dental hygiene programs prefer applicants who have completed at least one year
of college. Some of the bachelor's degree programs require applicants to have completed two
years. However, requirements vary from school to school. These schools offer laboratory,
clinical, and classroom instruction in subjects such as anatomy, physiology, chemistry,
microbiology, pharmacology, nutrition, radiography, histology (the study of tissue structure),
periodontology (the study of gum diseases), pathology, dental materials, clinical dental hygiene,
and social and behavioral sciences.
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Dental hygienists should work well with others, particularly patients who may be under stress.
Dental hygienists must have manual dexterity because they use dental instruments with little
room for error within a patient's mouth.
JOB OUTLOOK
Employment of dental hygienists is expected to grow much faster than the average for all
occupations through the year 2010 in response to increasing demand for dental care. Demand
will be stimulated by population growth, greater retention of natural teeth by middle-aged and
elderly people and rising real incomes. Additional job openings will result from the need to
replace workers who leave the occupation.
Dentists are likely to employ more hygienists for several reasons. Older dentists, who are less
likely to employ dental hygienists, will leave and be replaced by recent graduates who are more
likely to do so. In addition, as dentists' workloads increase, they are expected to hire more
hygienists to perform preventive dental care such as cleaning, so they may use their own time
more profitably.
Enrollments in dental hygiene programs have been on the rise recently after declining during the
1980's. Unless the number increases sharply, however, opportunities are expected to remain very
good.
EARNINGS
Geographic location, employment setting, and education and experience affect earnings of dental
hygienists. Dental hygienists who work in private dental offices may be paid on an hourly, daily,
salary, or commission basis. According to the American Dental Association, dental hygienists
who work 32 hours a week or more average $609 a week, the average hourly earnings for all
dental hygienists is $18.50.
Benefits vary substantially by practice setting, and may be contingent upon full-time
employment. Dental hygienists who work for school systems, public health agencies, the Federal
government, or State agencies usually have substantial benefits.
Questions:
What kinds of procedures are done by Dental Hygienists in the dental office?
What are the prerequisites for entrance into a Dental Hygienist program?
What is the job outlook for Dental Hygienists?
What are the weekly earnings for Dental Hygienists?
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ADDITIONAL INFORMATION
Contact: American Dental Hygienists Association, 444 N. Michigan Ave., Suite 3400, Chicago,
IL 60611
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