What Dental Hygienist School Is Really Like

For Elizabeth Graves, a registered dental hygienist, the first challenge of dental hygiene school was getting accepted.

Getting accepted into dental school was very challenging, Graves said. The dental hygiene program at (Erie Community College) is very competitive.

The next two years were a bigger challenge as she faced long days balancing a heavy workload with clinical training. In the end, she earned an associate of applied science in dental hygiene.

Today, Graves is a registered dental hygienist. She also runs a dental health education website, Take Home Smile.

So what’s dental hygiene school like? Let’s ask Graves.

Graves’ program had two types of days: 12-hour and nine-hour days. A 12-hour day had classes in the morning and evening plus six hours in the clinic. A nine-hour day had three hours of clinic time plus classes in the morning and evening.

Sounds busy, right? That’s because it was, Graves said.

It’s a very large workload crammed into each semester, Graves said. I personally excelled in the clinic more than in the classes.

Graves’ dental hygiene program curriculum included general education, biomedical sciences, and dental sciences. It was intense for Graves to balance lectures, laboratory training, weekly assignments, and group projects.

There is an incredible amount of studying and dedicated reading and note-taking, Graves said. You have your sciences of the whole body and mouth, including learning diseases and medications. You also have to learn instrumentation, how to use the instruments, and ergonomics in the chair.

Graves felt most comfortable in the clinic. It was the most hands-on part of her program and an opportunity to see what being a dental hygienist is really like.

In the clinic, you start off very slowly, Graves said. You first go over exams inside and outside of the mouth, charting, and gathering medical histories. Every step of seeing patients in the clinic is checked by a professor, making the appointments long.

Graves’ clinic training was the real deal. She examined patients for signs of oral disease, cleaned their teeth, and recommended self-care strategies — all the skills a dental hygienist needs.

Graves said the bonus was giving care to people who needed it most. Erie and many other dental schools offer free or low-cost care to their communities.

I enjoyed the clinic portion of school and interacting with patients, Graves said. I also really enjoyed giving free dental care to people who may not be able to afford it in private offices.

After graduating, it took Graves about a month to feel comfortable with day-to-day tasks and a little longer to feel confident presenting her treatment plans. But she consistently struggled with the physical demands of the job.

I wish I knew of the sustainability of the career over time, Graves said. It’s a very physically demanding job and takes a huge toll on the back, shoulders, and wrists. It is not a sustainable career to work 40 hours a week until retirement.

Graves also wishes she knew more about dental hygienists’ pay and benefits. According to the Bureau of Labor Statistics, dental hygienists earned a median of $77,810 in May 2021. But employee benefits are not always a given.

A lot of (dental hygiene) jobs also do not come with benefits such as health insurance or disability insurance, Graves said. In some areas of the United States, the pay can also be pretty low for a full-time career.