Dental Assistants

• Job prospects should be excellent.
• Dentists are expected to hire more assistants to perform routine tasks so that they may devote their own time to more complex procedures.
• Most assistants learn their skills on the job, although an increasing number are trained in dental-assisting programs; most programs take 1 year or less to complete.

Dental assistants perform a variety of patient care, office, and laboratory duties. They work chairside as dentists examine and treat patients. They make patients as comfortable as possible in the dental chair, prepare them for treatment, and obtain their dental records. Assistants hand instruments and materials to dentists and keep patients’ mouths dry and clear by using suction or other devices. Assistants also sterilize and disinfect instruments and equipment, prepare trays of instruments for dental procedures, and instruct patients on postoperative and general oral health care.

Some dental assistants prepare materials for impressions and restorations, take dental x rays, and process x-ray film as directed by a dentist. They also may remove sutures, apply topical anesthetics to gums or cavity-preventive agents to teeth, 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, clean and polish removable appliances, and make temporary crowns. Dental assistants with office duties schedule and confirm appointments, receive patients, keep treatment records, send bills, receive payments, and order dental supplies and materials.

Dental assistants should not be confused with dental hygienists, who are licensed to perform different clinical tasks.

Dental assistants work in a well-lighted, clean environment. Their work area usually is near the dental chair so that they can arrange instruments, materials, and medication and hand them to the dentist when needed. Dental assistants must wear gloves, masks, eyewear, and protective clothing to protect themselves and their patients from infectious diseases. Assistants also follow safety procedures to minimize the risks associated with the use of x-ray machines.

About half of dental assistants have a 35- to 40-hour workweek, which may include work on Saturdays or evenings.

Most assistants learn their skills on the job, although an increasing number are trained in dental-assisting programs offered by community and junior colleges, trade schools, technical institutes, or the Armed Forces. Assistants must be a second pair of hands for a dentist; therefore, dentists look for people who are reliable, work well with others, and have good manual dexterity. High school students interested in a career as a dental assistant should take courses in biology, chemistry, health, and office practices.

The Commission on Dental Accreditation within the American Dental Association (ADA) approved 265 dental-assisting training programs in 2005. 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 1 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, and some require science or computer-related courses for admission. A number of private vocational schools offer 4-month to 6-month courses in dental assisting, but the Commission on Dental Accreditation does not accredit these programs.

Most States regulate the duties that dental assistants are allowed to perform through licensure or registration. Licensure or registration may require passing a written or practical examination. States offering licensure or registration have a variety of schools offering courses—approximately 10 to 12 months in length—that meet their State’s requirements. Other States require dental assistants to complete State-approved education courses of 4 to 12 hours in length. Some States offer registration of other dental assisting credentials with little or no education required. Some States require continuing education to maintain licensure or registration. A few States allow dental assistants to perform any function delegated to them by the dentist.

Individual States have adopted different standards for dental assistants who perform certain advanced duties, such as radiological procedures. Completion of the Radiation Health and Safety examination offered by the Dental Assisting National Board (DANB) meets those standards in more than 30 States. Some States require completion of a State-approved course in radiology as well.

Certification is available through DANB and is recognized or required in more than 30 States. Other organizations offer registration, most often at the State level. Certification is an acknowledgment of an assistant’s qualifications and professional competence and may be an asset when one is seeking employment. Candidates may qualify to take the DANB certification examination by graduating from an ADA-accredited dental assisting education program or by having 2 years of full-time, or 4 years of part-time, experience as a dental assistant. In addition, applicants must have current certification in cardiopulmonary resuscitation. For annual recertification, individuals must earn continuing education credits.

Without further education, advancement opportunities are limited. Some dental assistants become office managers, dental-assisting instructors, or dental product sales representatives. Others go back to school to become dental hygienists. For many, this entry-level occupation provides basic training and experience and serves as a steppingstone to more highly skilled and higher paying jobs.

Dental assistants held about 267,000 jobs in 2004. Almost all jobs for dental assistants were in offices of dentists. A small number of jobs were in the Federal, State, and local governments or in offices of physicians. About 2 out of 5 dental assistants worked part time, sometimes in more than one dental office.

Job prospects for dental assistants should be excellent. Employment is expected to grow much faster than average for all occupations through the year 2014. In fact, dental assistants is expected to be one of the fastest growing occupations over the 2004-14 projection period.

In addition to job openings due to employment growth, numerous job openings will arise out of the need to replace assistants who transfer to other occupations, retire, or leave for other reasons. Many opportunities are for entry-level positions offering on-the-job training.

Population growth and greater retention of natural teeth by middle-aged and older people will fuel demand for dental services. Older dentists, who have been less likely to employ assistants, are leaving the occupation and will 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 that they may devote their own time to more complex procedures.

Median hourly earnings of dental assistants were $13.62 in May 2004. The middle 50 percent earned between $11.06 and $16.65 an hour. The lowest 10 percent earned less than $9.11, and the highest 10 percent earned more than $19.97 an hour.

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 assistants employed by private practitioners received paid vacation time. The ADA also found that 9 out of 10 full-time and part-time dental assistants received dental coverage.

Other workers supporting health practitioners include medical assistants, occupational therapist assistants and aides, pharmacy aides, pharmacy technicians, and physical therapist assistants and aides.

Information about career opportunities and accredited dental assistant programs is available from:

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

For information on becoming a Certified Dental Assistant and a list of State boards of dentistry, contact:

• Dental Assisting National Board, Inc., 676 North Saint Clair St., Suite 1880, Chicago, IL 60611. Internet: http://www.danb.org/

For more information on a career as a dental assistant and general information about continuing education, contact:

• American Dental Assistants Association, 35 East Wacker Dr., Suite 1730, Chicago, IL 60601. Internet: http://www.dentalassistant.org/

For more information about continuing education courses, contact:

• National Association of Dental Assistants, 900 South Washington St., Suite G-13, Falls Church, VA 22046.

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