Can you work as a dental assistant without being certified in Texas?

Answered by Phillip Nicastro

In Texas, it is possible to work as a dental assistant without formal certification or training. However, it is important to note that the scope of practice for dental assistants without certification is limited compared to those who hold a dental assistant license. While it is possible to gain employment as an entry-level dental assistant without certification, obtaining a dental assistant license can greatly enhance your career prospects and earning potential.

There are three types of dental assistant licenses available in Texas: Registered Dental Assistant (RDA), Registered Dental Assistant in Extended Functions (RDAEF), and Registered Dental Assistant in Orthodontics (RDAO). Each license has specific requirements and allows for different levels of responsibilities and duties.

To obtain the RDA license, which is the basic level of dental assistant certification, you must complete a Board-approved dental assisting program or have at least 6,000 hours of on-the-job training under the direct supervision of a licensed dentist. Additionally, you need to pass the Texas State Board of Dental Examiners (TSBDE) Jurisprudence Assessment and the national DANB certification exam.

The RDAEF license is an advanced level certification that allows dental assistants to perform additional functions beyond those permitted by the basic RDA license. These functions may include placing and contouring restorations, taking impressions, and placing and removing rubber dams. To obtain the RDAEF license, you must have an active RDA license, complete a Board-approved RDAEF course, and pass the RDAEF examination.

The RDAO license is specific to dental assistants working in orthodontics. It allows dental assistants to perform orthodontic procedures under the direct supervision of a licensed dentist. To obtain the RDAO license, you must have an active RDA license, complete a Board-approved RDAO course, and pass the RDAO examination.

In addition to the three dental assistant licenses, there are also three advanced certificates available in Texas: Nitrous Oxide Monitoring, Pit and Fissure Sealants, and Dental Radiology. These certificates can further expand your skills and job opportunities within the dental field.

While it is possible to work as a dental assistant without certification in Texas, obtaining a dental assistant license can provide you with more comprehensive training, a broader scope of practice, and potentially higher wages. It is worth considering the benefits of pursuing formal education and certification in order to advance your dental assisting career.