Training, Other Qualifications, and Advancement for Dental Assistants

Most assistants learn their skills on the job, though some are trained in dental assisting programs offered by community and junior colleges, trade schools, technical institutes, or the Armed Forces. Assistants must be a dentist's "third hand"; therefore, dentists look for people who are reliable, can 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 American Dental Association's Commission on Dental Accreditation approved 248 dental assisting training programs in 2000. 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 a typing or science course for admission. Some private vocational schools offer 4- to 6-month courses in dental assisting, but the Commission on Dental Accreditation does not accredit these.

Some states regulate the duties dental assistants may complete 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. 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 medical duties, such as radiological procedures. Completion of the Radiation Health and Safety examination offered by the Dental Assisting National Board, Inc. (DANB) meets those standards in 31 States. Some states require the completion of a state-approved course in radiology as well.

Certification is available through DANB and is recognized or required in 20 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 seeking employment. Candidates may qualify to take the DANB certification examination by graduating from an accredited training 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. Recertification is offered annually for applicants who have earned 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 stepping stone to more highly skilled and higher paying jobs.