Dental hygienists examine patients for signs of oral diseases, such as gingivitis, and provide preventive care, including oral hygiene. They also educate patients about oral health.

Duties

Dental hygienists typically do the following:

  • Remove tartar, stains, and plaque from teeth
  • Apply sealants and fluorides to help protect teeth
  • Take and develop dental x rays
  • Assess patients’ oral health and report findings to dentists
  • Document patient care and treatment plans
  • Educate patients about oral hygiene techniques, such as how to brush and floss correctly

Dental hygienists use many types of tools—including hand, power, and ultrasonic tools—in their work. In some cases, they use lasers. Hygienists remove stains with an air-polishing device, which sprays a combination of air, water, and baking soda. They polish teeth with a power tool that works like an automatic toothbrush. Hygienists also use x-ray machines to take pictures to check for tooth or jaw problems.

Dental hygienists talk to patients about ways to keep their teeth and gums healthy. For example, they may explain the relationship between diet and oral health. They may also advise patients on how to select toothbrushes and other oral care devices.

The tasks hygienists may perform, and the extent to which they must be supervised by a dentist, vary by state and by the setting in which the dental hygienist works. A few states allow hygienists with additional training, sometimes called dental therapists, to provide some restorative services, such as extracting primary teeth and placing temporary crowns.

Work Environment

Dental hygienists held about 214,000 jobs in 2021. The largest employers of dental hygienists were as follows:

Offices of dentists 94%
Offices of physicians         1
Government 1

Dental hygienists wear safety glasses, surgical masks, and gloves to protect themselves and patients from infectious diseases. When taking x rays, they follow procedures to protect themselves and patients from radiation.

Work Schedules

Many dental hygienists work part time. Dentists may hire hygienists to work only a few days a week, so some hygienists work for more than one dentist.

Education and Training

Dental hygienists typically need an associate’s degree in dental hygiene. Programs usually take 3 years to complete. All states require dental hygienists to be licensed; requirements vary by state.

Education

Dental hygienists typically need an associate’s degree in dental hygiene; they may also get a bachelor’s degree. Master’s degree programs in dental hygiene are available but are relatively uncommon. A bachelor’s or master’s degree usually is required for research, teaching, or clinical practice in public or school health programs.

Dental hygiene programs are often found in community colleges, technical schools, and universities. The Commission on Dental Accreditation, part of the American Dental Association, accredits more than 300 dental hygiene programs.

Programs typically take 3 years to complete and offer laboratory, clinical, and classroom instruction. Areas of study include anatomy, medical ethics, and periodontics, which is the study of gum disease.

High school students interested in becoming dental hygienists should take courses in biology, chemistry, and math. Most dental hygiene programs also require applicants to complete prerequisites, which often include college-level courses. Specific requirements vary by school.

Licenses, Certifications, and Registrations

Every state requires dental hygienists to be licensed; requirements vary by state. In most states, a degree from an accredited dental hygiene program and passing written and clinical examinations are required for licensure. To maintain licensure, hygienists must complete continuing education requirements. For specific requirements, contact your state’s Board of Dental Examiners.

Many jobs also require cardiopulmonary resuscitation (CPR) certification.

Personality and Interests

Dental hygienists typically have an interest in the Building, Helping and Organizing interest areas, according to the Holland Code framework. The Building interest area indicates a focus on working with tools and machines, and making or fixing practical things. The Helping interest area indicates a focus on assisting, serving, counseling, or teaching other people. The Organizing interest area indicates a focus on working with information and processes to keep things arranged in orderly systems.

If you are not sure whether you have a Building or Helping or Organizing interest which might fit with a career as a dental hygienist, you can take a career test to measure your interests.

Dental hygienists should also possess the following specific qualities:

Compassion. Sometimes patients are in extreme pain or have fears about undergoing dental work, and the hygienist must be sensitive to their emotions.

Detail oriented. Dental hygienists must follow specific rules and protocols to help dentists diagnose and treat a patient. In rare cases, dental hygienists work without the direct supervision of a dentist.

Dexterity. Dental hygienists must be good at working with their hands. They generally work in tight quarters on a small part of the body, using very precise tools and instruments.

Interpersonal skills. Dental hygienists must work closely with dentists and patients.

Physical stamina. Dental hygienists should be comfortable performing physical tasks, such as bending over patients for a long time.

Pay

The median annual wage for dental hygienists was $77,810 in May 2021. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $60,100, and the highest 10 percent earned more than $100,200.

In May 2021, the median annual wages for dental hygienists in the top industries in which they worked were as follows:

Offices of dentists $77,810
Offices of physicians         77,290
Government 64,110

Benefits, such as vacation, sick leave, and retirement contributions, vary by employer and may be available only to full-time workers.

Many dental hygienists work part time. Dentists may hire hygienists to work only a few days a week, so some hygienists work for more than one dentist.

Job Outlook

Employment of dental hygienists is projected to grow 9 percent from 2021 to 2031, faster than the average for all occupations.

About 16,300 openings for dental hygienists are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire. 

Employment

Demand for dental services is expected to increase as the large baby-boom population ages and as people keep more of their original teeth than in previous generations.

Studies linking oral health and general health, along with efforts to expand access to oral hygiene services, should continue to drive demand for preventive dental services, including those performed by hygienists. In addition, demand for dental hygienists is expected to grow as state laws increasingly allow dental hygienists to work at the top of their training.

For More Information

For information about educational requirements and available accredited programs for dental hygienists, visit

American Dental Hygienists’ Association

For information about accredited programs and educational requirements, visit

Commission on Dental Accreditation, American Dental Association

The State Board of Dental Examiners in each state can provide information on licensing requirements.

 

FAQ

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The career information above is taken from the Bureau of Labor Statistics Occupational Outlook Handbook. This excellent resource for occupational data is published by the U.S. Department of Labor every two years. Truity periodically updates our site with information from the BLS database.

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