Dental Hygienists

• Most dental hygiene programs grant an associate degree; others offer a certificate, a bachelor’s degree, or a master’s degree.
• Dental hygienists rank among the fastest growing occupations.
• Job prospects are expected to remain excellent.
• More than half work part time, and flexible scheduling is a distinctive feature of this job.

Dental hygienists remove soft and hard deposits from teeth, teach patients how to practice good oral hygiene, and provide other preventive dental care. Hygienists examine patients’ teeth and gums, recording the presence of diseases or abnormalities. They remove calculus, stains, and plaque from teeth; perform root planing as a periodontal therapy; take and develop dental x rays; and apply cavity-preventive agents such as fluorides and pit and fissure sealants. In some States, hygienists administer anesthetics; place and carve filling materials, temporary fillings, and periodontal dressings; remove sutures; and smooth and polish metal restorations. Although hygienists may not diagnose diseases, they can prepare clinical and laboratory diagnostic tests for the dentist to interpret. Hygienists sometimes work chairside with the dentist during treatment.

Dental hygienists also help patients develop and maintain good oral health. For example, they may explain the relationship between diet and oral health or inform patients how to select toothbrushes and show them how to brush and floss their teeth.

Dental hygienists use hand and rotary instruments and ultrasonics to clean and polish teeth, x-ray machines to take dental pictures, syringes with needles to administer local anesthetics, and models of teeth to explain oral hygiene.

Flexible scheduling is a distinctive feature of this job. Full-time, part-time, evening, and weekend schedules are widely available. Dentists frequently hire hygienists to work only 2 or 3 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, and the use of appropriate protective devices when administering anesthetic gas. Dental hygienists also wear safety glasses, surgical masks, and gloves to protect themselves and patients from infectious diseases.

Dental hygienists must be licensed by the State in which they practice. To qualify for licensure in nearly all States, a candidate must graduate from an accredited dental hygiene school and pass both a written and clinical examination. The American Dental Association’s Joint Commission on National Dental Examinations administers the written examination, which is accepted by all States and the District of Columbia. State or regional testing agencies administer the clinical examination. In addition, most States require an examination on the legal aspects of dental hygiene practice. Alabama allows candidates to take its examinations if they have been trained through a State-regulated on-the-job program in a dentist’s office.

In 2004, the Commission on Dental Accreditation accredited 266 programs in dental hygiene. Most dental hygiene programs grant an associate degree, although some also offer a certificate, a bachelor’s degree, or a master’s degree. A minimum of an associate degree or certificate in dental hygiene is generally required for practice in a private dental office. A bachelor’s or master’s degree usually is required for research, teaching, or clinical practice in public or school health programs.

A high school diploma and college entrance test scores are usually required for admission to a dental hygiene program. Also, some dental hygiene programs prefer applicants who have completed at least 1 year of college. Requirements vary from one school to another. 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.

Dental hygienists should work well with others and must have good manual dexterity, because they use dental instruments within a patient’s mouth, with little room for error. High school students interested in becoming a dental hygienist should take courses in biology, chemistry, and mathematics.

Dental hygienists held about 158,000 jobs in 2004. Because multiple jobholding is common in this field, the number of jobs exceeds the number of hygienists. More than half of all dental hygienists worked part time—less than 35 hours a week.

Almost all jobs for dental hygienists were in offices of dentists. A very small number worked for employment services or in offices of physicians.

Employment of dental hygienists is expected to grow much faster than average for all occupations through 2014, ranking among the fastest growing occupations, in response to increasing demand for dental care and the greater utilization of hygienists to perform services previously performed by dentists. Job prospects are expected to remain excellent.

Population growth and greater retention of natural teeth will stimulate demand for dental hygienists. Older dentists, who have been less likely to employ dental hygienists, are leaving the occupation and will be replaced by recent graduates, who are more likely to employ one or even two hygienists. In addition, as dentists’ workloads increase, they are expected to hire more hygienists to perform preventive dental care, such as cleaning, so that they may devote their own time to more profitable procedures.

Median hourly earnings of dental hygienists were $28.05 in May 2004. The middle 50 percent earned between $22.72 and $33.82 an hour. The lowest 10 percent earned less than $18.05, and the highest 10 percent earned more than $40.70 an hour.

Earnings vary by geographic location, employment setting, and years of experience. Dental hygienists may be paid on an hourly, daily, salary, or commission basis.

Benefits vary substantially by practice setting and may be contingent upon full-time employment. According to the American Dental Association (ADA), almost all full-time dental hygienists employed by private practitioners received paid vacation. The ADA also found that 9 out of 10 full-time and part-time dental hygienists received dental coverage. Dental hygienists who work for school systems, public health agencies, the Federal Government, or State agencies usually have substantial benefits.

Other workers supporting health practitioners in an office setting include dental assistants, medical assistants, occupational therapist assistants and aides, physical therapist assistants and aides, physician assistants, and registered nurses.

For information on a career in dental hygiene, including educational requirements, contact:

• Division of Education, American Dental Hygienists Association, 444 N. Michigan Ave., Suite 3400, Chicago, IL 60611. Internet: http://www.adha.org/

For information about accredited programs and educational requirements, contact:

• Commission on Dental Accreditation, American Dental Association, 211 E. Chicago Ave., Suite 1814, Chicago, IL 60611. Internet: http://www.ada.org/

The State Board of Dental Examiners in each State can supply information on licensing requirements.

Source: Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2006-07 Edition,