How to Advance (Advancement)
Dentists and aspiring dentists who want to teach or conduct research full time usually spend an additional 2 to 5 years in advanced dental training, in programs operated by dental schools or hospitals. Many private practitioners also teach part time, including supervising students in dental school clinics.
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.
Dentists held about 141,900 jobs in 2008. Approximately 15 percent of all dentists were specialists. About 28 percent of dentists were self-employed and not incorporated. Very few salaried dentists worked in hospitals and offices of physicians. Almost all dentists work in private practice. According to the American Dental Association, about 3 out of 4 dentists in private practice are solo proprietors, and almost 15 percent belonged to a partnership.
Employment is projected to grow faster than the average. Job prospects should be good, reflecting the need to replace the large number of dentists expected to retire.
Employment of dentists is projected to grow by 16 percent through 2018, which is faster than the average for all occupations. The demand for dental services is expected to continue to increase. The overall U.S. population is growing, and the elderly segment of the population is growing even faster; these phenomena will increase the demand for dental care. Many members of the baby-boom generation will need complicated dental work. 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 an overall increase in the dental health of the public over the last few decades. Recently, some private insurance providers have increased their dental coverage. If this trend continues, people with new or expanded dental insurance will be more likely to visit a dentist than in the past. Also, although they are currently a small proportion of dental expenditures, cosmetic dental services, such as providing teeth-whitening treatments, will become increasingly popular. This trend is expected to continue as new technologies allow these procedures to take less time and be much less invasive.
However, employment of dentists is not expected to keep pace with the increased demand for dental services. Productivity increases from new technology, as well as the tendency to assign more tasks to dental hygienists and assistants, will allow dentists to perform more work than they have in the past. As their practices expand, dentists are likely to hire more 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.
As an increasing number of dentists from the baby-boom generation reach retirement age, many of them will retire or work fewer hours and stop taking on new patients. Furthermore, the number of applicants to, and graduates from, dental schools has increased in recent years. Job prospects should be good, because younger dentists will be able to take over the work of older dentists who retire or cut back on hours, as well as provide dental services to accommodate the growing demand.
Demand for dental services tends to follow the business cycle, primarily because these services usually are paid for either by the patient or by private insurance companies. As a result, during slow times in the economy, demand for dental services can decrease; consequently, dentists may have difficulty finding employment, or if already in an established practice, they may work fewer hours because of reduced demand.
Median annual wages of salaried general dentists were $142,870 in May 2008. 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 salaried dentists.
Dentists who are salaried often receive benefits paid by their employer, with health insurance and malpractice insurance being among the most common. However, like other business owners, self-employed dentists must provide their own health insurance, life insurance, retirement plans, and other benefits.
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