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- 199
- Dentists
-
- (D.O.T. 072, except .117)
-
- Nature of the Work
-
- 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 also 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 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.
-
- 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 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,
- operate on the mouth and jaws. The remainder specialize 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 diseases of the
- mouth).
-
- Dentists wear protective garments to avoid transmission of diseases.
-
- Working Conditions
-
- Most dentists work 4 or 5 days a week. Some dentists work evenings
- and weekends to meet their patients' needs. Most full-time dentists
- work about 40 hours a week; some worked 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 well 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
-
- Dentists held about 183,000 jobs in 1992. About 9 out of 10
- dentists are in private practice. Others work in private and public
- hospitals and clinics, and in dental research.
-
- 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 2
- to 4 years of post graduate 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 do research usually spend an additional 2 to 5
- years in advanced dental training in programs operated by dental
- schools or hospitals.
-
- Dental schools require a minimum of 2 years of college-level
- predental education. However, most dental students have at least a
- bachelor's degree. Predental education includes courses in both the
- sciences and humanities.
-
- All dental schools require applicants to take the Dental Admissions
- Test (DAT). They consider scores earned on the DAT, the applicants'
- overall grade point average (GPA), science course GPA, and
- information gathered through recommendations and interviews when
- selecting students.
-
- Dental school generally 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
- technique courses, 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
- (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, communiciation
- skills, and the ability to instill confidence are helpful for
- success in private practice. High school students who want to
- become dentists should take courses in biology, chemistry, physics,
- health, and mathematics.
-
- 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 2005. 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 2005. Dental school
- enrollments began dropping in 1979, as it became clear that keen
- competition for patients had developed. This surplus of dentists
- was 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.
-
- Demand for dental care should grow substantially through 2005. As
- members of the baby boom generation advance into middle age, a large
- number will need maintenance on complicated dental work like
- bridges. Plus, 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
- check-ups despite treatments like fluoridation of the water supply
- which decrease the incidence of dental caries. Furthermore, many
- people, who presently can not afford the dental care they need, will
- seek more dental care as disposable income rises.
-
- However, the employment of dentists is not expected to grow as
- rapidly as the demand for dental services. Many dentists do not
- have as many patients as they would like and could take on more.
- Also, as their practices expand, dentists are likely to hire more
- dental hygienists and dental assistants to handle routine services
- that they now perform themselves.
-
- Replacement needs create relatively few job openings for dentists
- since dentists tend to remain in the profession beyond the usual
- retirement age.
-
- Earnings
-
- The net median income of dentists in private practice was about
- $90,000 a year in 1992, according to the American Dental
- Association. Net median income of those in specialty practices was
- about $130,000 a year, and for those in general practice, $85,000 a
- year. Dentists in the beginning years of their practice often earn
- less, while those in mid-careers earn more.
-
- 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.
-
- Related Occupations
-
- Dentists examine, diagnose, prevent, and treat diseases and
- abnormalities. So do clinical psychologists, optometrists,
- physicians, chiropractors, veterinarians, and podiatrists.
-
- Sources of Additional Information
-
- For information on dentistry as a career and a list of accredited
- dental schools, contact:
-
- SELECT Program, Department of Career Guidance, American Dental
- Association, 211 E. Chicago Ave., Chicago, IL 60611.
-
- American Association of Dental Schools, 1625 Massachusetts Ave.
- NW., Washington, DC 20036.
-
- The American Dental Association also will furnish a list of State
- boards of dental examiners. Persons interested in practicing
- dentistry should obtain the requirements for licensure from the
- board of dental examiners of the State where they plan to work.
-
- Prospective dental students should contact the office of student
- financial aid at the schools to which they apply for information on
- scholarships, grants, and loans, including Federal financial aid.
-