St.Louis County
 
St. Louis City
 
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Dentistry as a Profession

 

Significant Points
  • Most dentists are solo practitioners.
  • Dentists usually complete at least 8 years of education beyond high school.
  • Employment is projected to grow about as fast as average, and most job openings will result from the need to replace the large number of dentists expected to retire.
  • Job prospects should be good.

Nature of the Work
Dentists diagnose, prevent, and treat problems with teeth or mouth tissue. They remove decay, fill cavities, examine x rays, place protective plastic sealants on children’s teeth, straighten teeth, and repair fractured teeth. They also perform corrective surgery on gums and supporting bones to treat gum diseases. Dentists extract teeth and make models and measurements for dentures to replace missing teeth. They provide instruction on diet, brushing, flossing, the use of fluorides, and other aspects of dental care. They also 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. They wear masks, gloves, and safety glasses to protect themselves and their patients from infectious diseases. 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. (These occupations are described elsewhere in the Handbook.)Most dentists are general practitioners, handling a variety of dental needs. Other dentists practice in any of nine specialty areas. Orthodontists, the largest group of specialists, straighten teeth by applying pressure to the teeth with braces or retainers. The next largest group, oral and maxillofacial surgeons, operates on the mouth and jaws. The remainder may specialize as pediatric dentists (focusing on dentistry for children); periodontists (treating gums and bone supporting the teeth); prosthodontists (replacing missing teeth with permanent fixtures, such as crowns and bridges, or with removable fixtures such as dentures); endodontists (performing root canal therapy); public health dentists (promoting good dental health and preventing dental diseases within the community); oral pathologists (studying oral diseases); or oral and maxillofacial radiologists (diagnosing diseases in the head and neck through the use of imaging technologies).

Working Conditions
Most dentists work 4 or 5 days a week. Some work evenings and weekends to meet their patients’ needs. Most full-time dentists work between 35 and 40 hours a week, but others work more. Initially, dentists may work more hours as they establish their practice. Experienced dentists often work fewer hours. Many continue in part-time practice well beyond the usual retirement age.Most dentists are solo practitioners, meaning that 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.

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, candidates must graduate from 1 of the 56 dental schools accredited by the American Dental Association’s (ADA’s) Commission on Dental Accreditation in 2004, and then must pass written and practical examinations. Candidates may fulfill the written part of the State licensing requirements by passing the National Board Dental Examinations. Individual States or regional testing agencies administer the written or practical examinations. Dental schools require a minimum of 2 years of college-level pre-dental education, regardless of the major chosen. However, most dental students have at least a bachelor’s degree. Pre-dental education emphasizes coursework in science, and many applicants to dental school major in a science such as biology or chemistry, while other applicants major in another subject and take many science courses as well. A few applicants are accepted to dental school after 2 or 3 years of college and complete their bachelor’s degree while attending dental school.All dental schools require applicants to take the Dental Admissions Test (DAT). When selecting students, schools consider scores earned on the DAT, applicants’ grade point averages, and information gathered through recommendations and interviews. Competition for admission to dental school is keen. Dental school usually lasts 4 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 techniques, also are provided at this time. During the last 2 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 (DDS). The rest award an equivalent degree, Doctor of Dental Medicine (DMD).Some dental school graduates work for established dentists as associates for 1 to 2 years 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 one immediately after graduation.In 2004, 17 States licensed or certified dentists who intended to practice in a specialty area. Requirements include 2 to 4 years of postgraduate education and, in some cases, the 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 conduct research usually spend an additional 2 to 5 years in advanced dental training, in programs operated by dental schools or hospitals. According to the ADA, each year about 12 percent of new graduates enroll in postgraduate training programs to prepare for a dental specialty. Dentistry requires diagnostic ability and manual skills. Dentists should have good visual memory, excellent judgment regarding space and shape, a high degree of manual dexterity, and scientific ability. Good business sense, self-discipline, and good communication skills are helpful for success in private practice. High school and college students who want to become dentists should take courses in biology, chemistry, physics, health, and mathematics.

Employment Quick Facts: Dentists
Dentists held about 156,000 jobs in 2010. Employment was distributed among general practitioners and specialists as follows:

 

Quick Facts: Dentists
2010 Median Pay $146,920 per year
$70.64 per hour
Entry-Level Education Doctoral or professional degree
Work Experience in a Related Occupation None
On-the-job Training Internship/residency
Number of Jobs, 2010 155,700
Job Outlook, 2010-20 21% (Faster than average)
Employment Change, 2010-20 32,200

 

About one third of dentists were self-employed and not incorporated. Almost all dentists work in private practice. According to ADA, 78 percent of dentists in private practice are sole proprietors, and 14 percent belong to a partnership. A few salaried dentists work in hospitals and offices of physicians.

Job Outlook

Employment of dentists is expected to grow by 21 percent from 2010 to 2020, faster than the average for all occupations. Dentists will continue to see an increase in public demand for their services as studies continue to link oral health to overall health.

Employment of dentists is projected to grow about as fast as average for all occupations through 2014. Although employment growth will provide some job opportunities, most jobs will result from the need to replace the large number of dentists expected to retire. Job prospects should be good as new dentists take over established practices or start their own. Demand for dental care should grow substantially through 2014. As members of the baby-boom generation advance into middle age, a large number will need complicated dental work, such as bridges. In addition, elderly people are more likely to retain their teeth than were their predecessors, so they will require much more care than in the past. The younger generation will continue to need preventive checkups despite treatments such as fluoridation of the water supply, which decreases the incidence of tooth decay. However, 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. Dentists will increasingly provide care and instruction aimed at preventing the loss of teeth, rather than simply providing treatments such as fillings. Improvements in dental technology also will allow dentists to offer more effective and less painful treatment to their patients.

Earnings
Median annual earnings of salaried dentists were $146,920 per year in May 2010. 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 do salaried dentists, and a relatively large proportion of dentists is self-employed. Like other business owners, these dentists must provide their own health insurance, life insurance, and retirement benefits.

Related Occupations
Dentists examine, diagnose, prevent, and treat diseases and abnormalities. Chiropractors, optometrists, physicians and surgeons, podiatrists, psychologists, and veterinarians do related work.

Sources of Additional Information

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For information on dentistry as a career, a list of accredited dental schools, and a list of State boards of dental examiners, contact:

  • American Dental Association, Commission on Dental Accreditation, 211 E. Chicago Ave., Chicago, IL 60611. Internet: http://www.ada.org/
For information on admission to dental schools, contact:
  • American Dental Education Association, 1400 K St., NW., Suite 1100, Washington, DC 20005. Internet: http://www.adea.org/
Persons interested in practicing dentistry should obtain the requirements for licensure from the board of dental examiners of the State in which they plan to work.To obtain information on scholarships, grants, and loans, including Federal financial aid, prospective dental students should contact the office of student financial aid at the schools to which they apply.

 

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