What Do You Have to Do to Become a Dentist?

The path to becoming a dentist requires years of focused academic preparation and professional training, beginning long before a prospective student ever applies to a dental school. Dentistry is a healthcare profession dedicated to diagnosing and treating diseases and conditions of the oral cavity and maxillofacial area, demanding both scientific knowledge and meticulous manual dexterity. This career path involves multiple distinct stages, each requiring commitment to academic excellence, standardized testing, and hands-on clinical experience.

Laying the Educational Foundation

The journey starts with completing an undergraduate degree, which typically takes four years. Dental schools do not require a specific major, but most successful applicants major in a science field to manage the prerequisite coursework. These requirements generally include a minimum of two semesters each of General Biology, General Chemistry, Organic Chemistry, and Physics, often with associated laboratory components.

Maintaining a high grade point average (GPA) is important, with dental schools closely scrutinizing both the overall GPA and the science GPA. Competitive applicants frequently aim for a science GPA of 3.4 or higher. Beyond academics, non-classroom preparation is mandatory, including extensive shadowing of practicing dentists to gain firsthand exposure to the profession. Many schools recommend applicants complete at least 100 hours of shadowing, alongside volunteer work and community service.

Excelling on the Dental Admission Test

Near the end of the undergraduate period, applicants must complete the Dental Admission Test (DAT), a standardized, computer-based exam accepted by all U.S. dental schools. The DAT assesses a student’s readiness for dental school through four main sections.

The Survey of Natural Sciences section assesses knowledge in Biology, General Chemistry, and Organic Chemistry. The Perceptual Ability Test (PAT) measures spatial reasoning and visual acuity, focusing on tasks like angle discrimination and three-dimensional visualization. The exam also includes a Reading Comprehension section and a Quantitative Reasoning section, which tests mathematical problem-solving skills. Students typically take the DAT during their junior year of college or the summer immediately following, ensuring their scores are available early in the application cycle.

Navigating the Dental School Application Process

The formal application for dental school is submitted through the centralized service known as the American Dental Education Association’s Application Service (AADSAS). This system allows an applicant to complete a single application distributed to all designated dental schools. The application process begins nearly a full year before the anticipated start of the program, with submissions beginning in early June.

The AADSAS application requires the submission of official transcripts, official DAT scores, and a personal essay detailing the motivation for pursuing a career in oral health. Letters of evaluation are mandatory, often required from science faculty members and a practicing dentist who has observed the applicant’s shadowing experience. Because most dental schools use a rolling admissions process, submitting a completed application early in the cycle increases the chance of receiving an interview invitation.

Successful applicants are invited for an interview, which can be conducted virtually or in person, allowing the school to assess non-cognitive qualities like communication, maturity, and professionalism. Following the interview, dental schools begin extending offers of admission, often clustered around a national notification date in mid-December. Admitted students must decide on a program, submit any required deposit, and prepare for professional school.

Earning Your Dental Degree (DDS or DMD)

Students enter a four-year professional program that culminates in either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree. These two titles are functionally equivalent, representing the same curriculum and educational requirements; the difference is a matter of institutional tradition. The four years of dental school are generally divided into two distinct phases of study.

The first two years are dedicated to didactic and preclinical instruction, focusing on the biomedical sciences. Students take courses in subjects such as anatomy, physiology, biochemistry, pathology, and pharmacology, often alongside medical students in some institutions. The focus then shifts to preclinical laboratory work, where students develop manual skills by practicing restorative and surgical procedures on manikins and simulators.

The final two years are spent in extensive clinical rotations, where students transition to providing comprehensive care to actual patients under the direct supervision of faculty. This hands-on phase requires students to diagnose oral health issues and execute treatment plans across the full scope of general dentistry. This experience develops the competency and confidence required to practice independently after graduation.

Achieving Licensure and Certification

Graduating from an accredited dental school is a prerequisite, but it does not grant the legal right to practice; this requires achieving a state-specific license. The process involves passing a standardized national written examination, which has largely transitioned from the historical National Board Dental Examination (NBDE) to integrated curriculum assessments. The clinical licensure examination is the more challenging requirement, verifying a graduate’s practical skills.

Most states accept the ADEX Dental Examination, administered by the CDCA-WREB-CITA testing agency. This exam involves multiple components, including computer simulations, objective structured clinical examinations (OSCE), and hands-on procedures performed on manikins or patients. Finally, every state requires graduates to pass a jurisprudence examination, which tests knowledge of the specific laws and regulations governing the practice of dentistry within that jurisdiction.

Considering Specialization and Post-Graduate Training

Many new graduates enter general practice, but a portion chooses to pursue advanced training in a recognized dental specialty. Specialization requires the completion of a residency program that typically lasts an additional two to six years beyond dental school. The length of training varies depending on the chosen field.

Specialties such as Pediatric Dentistry and Endodontics often require two to three years of residency, while Orthodontics and Periodontics generally require three years. Oral and Maxillofacial Surgery (OMFS) is the longest path, with programs ranging from four to six years, the latter often resulting in both a dental and a medical degree. Securing a residency position requires a strong academic record, research experience, and demonstrated aptitude in the specific specialty area.

Maintaining Professional Competency

Once licensed, the license must be renewed on a continuous cycle to maintain the legal right to practice. Renewal cycles vary by state but commonly occur every two or three years. To qualify for renewal, dentists must complete a mandated number of continuing education (CE) credits.

The required hours can range significantly, with many states requiring 40 to 60 hours of CE per renewal cycle. These educational activities ensure that practitioners remain current with the latest scientific, technological, and clinical advancements. Many states also mandate specific courses, such as those covering infection control, pain management, or state-specific dental practice laws.