CareerExplorer’s step-by-step guide on how to become an orthodontist.
Is becoming an orthodontist right for me?
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High School
According to the U.S. Bureau of Labor Statistics, high school students considering a career as an orthodontist should take courses in biology, anatomy, organic and inorganic chemistry, physics, and mathematics.
Bachelor’s Degree
Before they are admitted to dental school and train as an orthodontist, students must complete pre-dental requirements as an undergraduate. While some programs will accept students with a minimum of two years of undergraduate education, most prefer to admit applicants with a Bachelor’s Degree.
Although there is no subject major requirement to enter dental school, most students follow a science-focused curriculum that prepares them to take the Dental Acceptance Test or DAT (See Step 3, below). Typical curricula encompass both classroom and lab components in biology, organic and inorganic chemistry, and physics. Dental school admissions committees also look for training in anatomy, biochemistry, psychology, and mathematics. Business, foreign language, humanities, and social science courses – while not directly related to the field – often make applicants stronger candidates.
Among common degree choices for prospective orthodontists are a Bachelor’s in medical science or a Bachelor’s in nursing science.
To research dental education programs accredited by the American Dental Association’s (ADA) Commission on Dental Accreditation (CODA), click on this link:
https://www.ada.org/en/coda/find-a-program/search-dental-programs#t=us&sort=%40codastatecitysort%20ascending
Dental Admission Test (DAT)
In addition to submitting GPA and transcript information, undergraduate students must pass the Dental Admission Test or DAT, also referred to as the Dental Acceptance Test and Dental Aptitude Test. All schools have a minimum score requirement.
The Dental Admission Test (DAT) is composed of four sections:
Survey of the Natural Sciences
Biology – 40 questions
General Chemistry – 30 questions
Organic Chemistry – 30 questions
Perceptual Ability
Six different problem sets designed to test perceptual ability, specifically in the areas of three-dimensional manipulation and spatial reasoning
Reading Comprehension
Three academic essays, each of which is followed by questions about the passage’s content
Quantitative Reasoning
Basic mathematics skills, with emphasis placed on algebra, critical thinking, fractions, roots, and trigonometric identities
Studying Resources and Practice Exams
There are many test-prep books, guides, and courses available to help applicants prepare for the DAT. The most popular and widely available resources are available through the Kaplan and Princeton Review.
https://www.princetonreview.com/medical/dat-test-prep
Everything you need to know about the DAT
http://www.adea.org/GoDental/Application_Prep/The_Admissions_Process/DAT_(Dental_Admission_Test).aspx#sthash.BU5p5rEs.dpbs
Dental School
Before you can become an orthodontist, you must become a dentist.
Most dental schools use the American Dental Education Association’s website for the application process.
http://www.adea.org/
Students generally submit their applications during the summer after their junior year of Bachelor’s studies, when they have their final DAT scores. Admissions committees take the following into consideration when evaluating dental school applicants:
DAT scores
GPA
Letters of recommendation
Personal statement
Interview
Experience shadowing at a dental office
Dental school is four years of intense study. In the first two years, students focus on scientific coursework that will prepare them for the clinical components of later years. These science courses go into great depth and detail, and challenge students to memorize and understand systems of the body that may be affected by their work as a dentist.
During the second half of dental school, while learning the clinical aspects of dentistry, students will be under the direct supervision of an instructor/licensed dentist. They will be required to walk through every procedure presented to them, answer questions about patients and procedures, and respond to feedback from observers.
Students graduate from dental school with either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD). The DDS and DMD degrees are essentially the same.
Dental Licensure
To be granted a dental license, candidates must graduate from a CODA-accredited dental school, pass the National Board Dental Examination (NBDE), and pass a clinical exam administered by the state or by a regional testing agency.
The NBDE consists of two parts and takes three days to complete:
NBDE I
400 multiple choice questions emphasizing basic sciences:
Human Anatomy, Embryology, and Histology
Biochemistry and Physiology
Microbiology and Pathology
Dental Anatomy and Occlusion
NBDE II
Requires two days and focuses on clinical dental topics:
Endodontics
Operative Dentistry
Oral and Maxillofacial Surgery/Pain Control
Oral Diagnosis
Orthodontics and Pediatric Dentistry
Patient Management, including Behavioral Science, Dental Public Health, and Occupational Safety
Periodontics
Pharmacology
Prosthodontics
The website of the Joint Commission on National Dental Examinations (JCNDE) provides detailed information on the National Board Dental Examination.
https://www.ada.org/en/jcnde/examinations/nbde-general-information
State-administered clinical exams
For the most up-to-date information, use this link to visit state board websites:
https://www.ada.org/en/education-careers/licensure/licensure-dental-students/state-dental-boards
Orthodontics Residency
After earning their DDS or DMD, dentists who wish to become an orthodontist must complete an orthodontics residency accredited by the ADA’s Commission on Dental Accreditation. During two or three years as a resident, future orthodontists learn the skills required to both manage tooth movement (orthodontics) and guide facial development (dentofacial orthopedics).
There are two systems used to find these postdoctoral programs. The Postdoctoral Application Support Service (PASS) and the Postdoctoral Dental Matching Program (MATCH) provide a standard format that allows applicants to fill out just one application to apply to multiple programs. Candidates need high National Board Dental Examination scores to secure a residency. Click the link below for more information.
https://portal.passweb.org/
Depending on their career goals, orthodontics residents can earn a Master’s or Ph.D. in orthodontics or a Master’s in oral science or oral biology.
Orthodontist Licensure
The requirements to practise as an orthodontist vary from state to state. In most states, a dental license allows you to practice both general dentistry and orthodontics. Other jurisdictions issue separate licenses for a specialty practices. Contact your state’s dental board to find out which license(s) you need before you can begin your practice.
Certification (optional)
Orthodontists can become certified by the American Board of Orthodontics. The voluntary certification is awarded after candidates pass written and clinical exams. Recertification is required every ten years.
You can take the written exam after completing eighteen months of your residency. If you pass it, you qualify to take the clinical exam.
For details, visit https://www.americanboardortho.com/
How to become an Orthodontist
The three components of an orthodontist’s education are a Bachelor’s Degree, dental school, and an orthodontics residency.
Undergraduate studies encompass the humanities, science, and math courses required for acceptance to dental school. During their junior year, students sit for the Dental Admission Test (DAT). This standardized test measures knowledge of the natural science, perceptual ability, reading comprehension, and quantitative reasoning. In addition to test score, other factors that determine acceptance include GPA, letters of recommendation, and involvement in volunteer and extracurricular activities.
The first two years of dental school focus on classroom and lab work in anatomy, microbiology, biochemistry, physiology, clinical science, and laboratory techniques. Coursework covers local anesthesia; periodontology, the study of oral disease and health; and radiology. It is generally in their second year of dental school that students begin to consider an orthodontics residency program. During the last two years, they treat patients under the supervision of licensed dentists. Toward the end of dental school, students also take business courses to prepare for running their own practice.
After earning their Doctor of Dental Medicine (DMD) or Doctor of Dental Surgery (DDS) Degree and passing the National Board Dental Examination (NBDE), aspiring orthodontists apply for a postdoctoral residency in orthodontics. Residencies that are accredited by the American Dental Association’s (ADA) Commission on Dental Accreditation (CODA) are composed of classroom, clinical, and research elements. According to ADA, they include training in applied and radiographic anatomy, biomechanics, physics, biostatistics, research design, orthodontic technique, diagnosis, and treatment planning and development. To become a practising orthodontist, dentists must complete their orthodontics residency and pass state mandated licensing exams. Most states administer a single exam that covers both general dentistry and orthodontics. Some, however, require a separate license for each practice.