
How to become a dentist

Dentistry career overview
A career in dentistry offers much more than a lucrative salary and the opportunity to open your own clinic. Anyone who has felt the excruciating pain of an infected root canal, or who has lost an adult tooth in an accident, knows the value of a good dentist. This career is more than teaching clients the value of flossing. Dentist make a difference to the physical and psychological health of their clients – both by preventing teeth decay and ensuring a smile doesn’t come with embarrassment and shame.
Career opportunities for dentists are expanding as technology and specializations allow dentists to branch into new areas. Even so, every dentist begins at the same place: earning a doctoral degree in dentistry form an accredited dental school.
What is a DDS?
DDS is the acronym used for Doctor of Dental Surgery. This is the degree required to work independently as a dentist in the United States. Although they have different titles, a Doctor of Dental Medicine and a Doctor or Medicine in Dentistry (both using the acronym DMD) – are the same degree as the DDS.
How hard is it to become a dentist?
Dentistry requires disciplined study at both undergraduate and postgraduate level. There is a clear path into the profession and the option to move into various specialties. With the right qualifications it is relatively straightforward to become a working dentist.
How long does it take to become a dentist?
Becoming a dentist takes at least 8 years. It involves completing an undergraduate degree and attending dental school. Those who train in a specialty area can spend up to an additional 4 years in training and residencies.
What is the general job outlook for dentists?
The U.S. Bureau of Labor Statistics (BLS) expects the demand for dentists to grow by 8% annually through 2030. Approximately 5,000 openings for dentists should become available each year, with the greatest need occurring among general dentists, prosthodontists, orthodontists, and oral and maxillofacial surgeons.
Benefits of becoming a dentist
Whether through preventive care, improving aesthetics, or eliminating pain, dentists get a deep sense of personal satisfaction from their work because they are serving others.
The American Dental Education Association (ADEA) recently conducted a study on why dental students pursue this career. The reasons mentioned included:
- It provides flexibility and career independence as dentists can open their own practice.
- Dentists are usually respected members of the community.
- The salary is excellent at all experience levels.
- There is an opportunity to work creatively, especially for cosmetic dentists.
- Dentists get to engage in ongoing research and educate others with less experience.

Dental Program Overview
Dental school lasts 4 years. For the first 2 years, students study basic biological sciences and how the body functions. The final 2 years are mostly clinical.
How much is dental school?
A report by The American Dental Association (ADA) revealed that, in 2021 -22, the average cost for first-year dental school residents was $56,698. For non-residents the cost came to $74,866. Another study showed that in 2021 the average dental school debt was $284,900.
» Read: Calculating ROI – or the earning potential of a degree
Dentist schooling requirements
To attend dental school in the United States requires a bachelor’s degree. This does not need to be in dentistry as related fields are considered valuable in forming a knowledge base. Master’s degrees in dentistry are available, although typically chosen only by students hoping to stay in academia.
The main education requirement is to attend a doctoral level dentistry program that leads to a DDS, which is required for licensure.

7 steps to become a dentist
Step 1 — Take relevant subjects at high school
It is never too early to start thinking about your future career. Focus your energy on science and math. Shadowing a dentist can provide a better grasp of the job and may help you to decide whether dentistry is the career for you.
Step 2 – Get an undergraduate degree
Dental students need a bachelor’s degree before they enroll in dental school. This does not need to be in dentistry, it can be in a related science field – such as chemistry or biological science. A small percentage of schools offer pre-dentistry programs. These take an additional year and may come in the form of a combined bachelor and doctoral program.
After earning their bachelor’s, dental students who want a career in academia or dentistry research may choose to complete a master’s program. Jobs in these fields typically require a graduate degree, but not necessarily dental school.

Step 3 — Pass the dental admission test
All 66 dental schools in the United States require students to pass the Dental Admission Test (DAT). Students can take the test year-round at any prometric center.
The DAT consists of:
- 40 items in quantitative reasoning
- 50 items in reading comprehension
- 90 items in perceptual ability
- 100 items in survey of the natural sciences
Students are advised to schedule the exam during their junior year of college, or in the summer between their junior and senior years. The typical study time is 250 hours. The Amercian Student Dental Association offers several suggestions to help students prepare:
- study with a fellow student and hold each other accountable
- avoid spending too much time memorizing small details; the DAT mainly tests fundamental concepts
- take at least 2 practice exams
- create a study calendar and allow additional time for challenging topics
» Read: The demand for language diversity in healthcare
Step 4 — Apply to dental school
Dental schools prefer candidates who have completed the following coursework at undergraduate level:
- 2 semesters/3 quarters of biology with a laboratory component
- 2 semesters/3 quarters of general chemistry with a laboratory component
- 2 semesters/3 quarters of organic chemistry with a laboratory component
- 2 semesters/3 quarters of physics with a laboratory component
Be sure to check the schools you are considering are accredited. This ensures the program meets the rigorous standards of an outside agency. The Commission on Dental Accreditation (CODA) is the accrediting body for the 66 dental schools in the U.S.

Step 5 — Go to dental school
It takes a minimum of 4 years to complete a Doctor of Dental Surgery (DDS) or Doctor of Medicine in Dentistry (DMD).
Students take several science courses in the first year, such as biochemistry, anatomy, and oral histology. These provide an understanding of scientific concepts and how they apply to dentistry.
Typical second-year courses include:
- oral radiology
- regional anesthetics
- dental pathology
- ethics in dental practice
Third-year students participate in classes that simulate scenarios of working dentists. Courses include treatment planning, oral surgery, implant dentistry, and principles of public health.
Fourth-year students usually focus on coursework and clinical practices in the specialty area they plan to pursue. They also study previous courses in more depth. Most dental schools require students to complete a minimum of 2,000 hours of supervised clinical practice.
Jobs students can pursue upon graduation include:
-
Prosthodontist
Median salary: 186K US$Prosthodontists replace lost teeth or remove teeth that are causing the patient problems. They are experts in crowns, bridges, and dentures.
-
Orthodontist
Median salary: 194K US$Orthodontists work with patients who have tooth alignment problems. They analyze the alignment issue and decide on the right course of action.
-
Endodontist
Median salary: 202K US$These dentists work with pulp, soft tissue, and nerves surrounding the teeth. They are also able to perform more standard dental procedures.
Step 6 — Get a dental license
Each state has its own requirements for licensure. These typically include passing a background check and getting CPR certification.
All 50 states require dental students to pass the National Board of Dental Examinations (NBDE). The exam consists of 2 parts, covering clinical procedures, dental sciences, and industry ethics. Students receive the exam date information after the NBDE has processed their application.
Step 7 —Specialize in a specific area of dentistry
Students need to decide on a specialty by their third year. They take coursework related to this specialty during their fourth year.
Dental school staff can help students to find a residency in their specialty area. Residencies take up to 4 years, and the dentists-in-training remain under supervision throughout.
The National Commission on Recognition of Dental Specialties and Certifying Boards recognizes 12 dental specialties:
- Anesthesiology
- Endodontics
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Radiology
- Oral and Maxillofacial Surgery
- Oral Medicine
- Orthodontics
- Orofacial Pain
- Pediatric
- Periodontics
- Prosthodontics
- Public Health
Dentist salary and demand
Dentists, General salary information by state
When available we provide 2020 state level salary information from the Bureau of Labor Statistics showing 10th, 50th, and 90th percentile earnings to provide the range of salary experienced by each career. Salary data is aggregated from the actual reported income of the US labor force, and is considered the most trustworthy data source for salary information.
When available we provide 2020 state level salary information from the Bureau of Labor Statistics showing 10th, 50th, and 90th percentile earnings to provide the range of salary experienced by each career. Salary data is aggregated from the actual reported income of the US labor force, and is considered the most trustworthy data source for salary information.
The nominal salary is the unadjusted salary paid.
The real salary is adjusted to consider the purchasing power by state. We multiply the nominal salary by a state purchasing parities index to indicate the relative value of salaries by state. For instance, while New York or California might pay the highest nominal salary, these states are relatively expensive and so the real value of the salary is often less than a cheaper to live in state with a lower nominal salary.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alabama
- 10th percentile: $94,290
- 50th percentile: $168,840
- 90th percentile: $208,000
Highest salary states
Alabama
$168,840
Average salary
Alaska
$208,000
Average salary
Minnesota
$200,630
Average salary

Oregon
$197,640
Average salary
Massachusetts
$197,260
Average salary
Idaho
$192,010
Average salary
South Dakota
$190,220
Average salary
The fastest growth states
Idaho
+34.3%
Texas
+31.7%
New York
+21%

Washington
No data provided.
Tennessee
No data provided.
Maryland
No data provided.
Louisiana
No data provided.
Future outlook
Future Outlook Projections are taken from the Projections Management Partnership (PMP). The PMP is funded by the Department and Labor, Employment and Training Administration, with direct support from the Bureau of Labor Statistics. The PMP provides data-driven projections of future workforce needs.
National
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
95,920
Dentists, General total employment
5,300
Annual openings include jobs available due to both an increase in demand, and regular employee turnover (retirees, career switchers, etc.).
7.7%
The estimated increase in jobs (2018-2028) is the increase in total jobs expected and does not consider employee turnover.
To provide context to estimated job growth, we employ a “fire and ice” system, which compares projected career growth to the national average of 5.2%, as follows:
<-10% = 3 ices |
Btwn -5 to -9.9% = 2 ices |
Between -5% to-.1% = 1 ice |
between 0- 5.5% = neutral |
Between 5.5%-10% = 1 fire |
Between 10-20% = 2 fire |
>20%=3 fires |
At the state level, we simply sort the states from fastest growing to slowest within the particular career, or 1st to 50th.
Last five years employment and salary
We utilize historic annual BLS salary and total employment statistics to create a trend line which illustrates the job market over time for a particular career.
National
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
National
Average Wage | Total employment |
---|---|
2016: $153,900 | 105,620 |
2017: $151,440 | 110,400 |
2018: $151,850 | 113,000 |
2019: $155,600 | 110,730 |
2020: $158,940 | 95,920 |
Paying for dental school
Students can complete the Free Application for Federal Student Aid (FAFSA) application to discover whether they are eligible for federal loans or grants. There are more than 5,000 scholarships available, some of which are specific to dental school. Most schools have a financial aid office, where counselors are available to answer questions on financial aid.
» Read: How to budget as a student
Types of jobs in dentistry
Not all dentistry graduates work directly with patients. The field offers various career paths, including:
Academic
Dentists in academia don’t only teach, but usually work in private practice and participate in clinical research at the same time.
Private practice
These dentists usually work directly with patients. Some have their own practice, others prefer not to have the additional responsibility on top of treating patients.
Public health
These dentists research topics that affect entire populations. The fluoridation of water came about due to the work of public health dentists.
Research
These dentists spend most of their time on research. For example, they might study optimal ways to detect tooth decay, and report their findings to dentistry boards.
Frequently asked questions about dentistry
Why should I become a dentist?
Dentistry is a well-paid career that can have a huge impact on the lives of patients. Dentists can own their own practice, giving them flexibility over their own schedule.
What degree do I need to become a dentist?
First you need to complete a bachelor’s in a science-related field. After this you can attend dental school, where you can either study a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DDM).
How much do dentists make?
According to the U.S. Bureau of Labor Statistics, dentists make an average salary of $163,220 per year. This figure can increase with further specialization.
Interview with a dentist
Additional resources
The academy offers continuing education opportunities for dentists at all levels.
A leading education and advocacy group for dentists and dental students.
International Association for Dental Research
This association provides members with access to current research, publications, and awards.
Offers links to all state dental associations, for dentists and students to keep up with local legislation and requirements.