Dental Therapists: Expanding Access to Oral Healthcare

As the demand for dental care continues to grow, innovative approaches to oral healthcare delivery are becoming increasingly essential. One such approach is the utilization of dental therapists – primary oral health care practitioners who work under the supervision of dentists. This article explores the role of dental therapists, their scope of practice, and the evolving landscape of dental therapy authorization across the United States.

What is a Dental Therapist?

Dental therapists are trained to provide a range of preventive and restorative dental services, similar to a physician’s associate working with a physician. They are equipped to perform procedures such as dental cleanings, applying sealants and fluoride, taking x-rays, placing temporary fillings, and extracting loose teeth. Their goal is to expand access to care, particularly in underserved communities where access to dentists may be limited.

The History of Dental Therapy in the US

The concept of dental therapy originated with the Alaska Native Tribal Health Consortium in 2005, addressing the significant oral health disparities within Alaska Native communities. Since then, dental therapy has gained increasing acceptance in the US, with states and tribal nations authorizing its practice. The Commission on Dental Accreditation (CODA) approved education standards for dental therapy programs in 2015, further solidifying the profession’s legitimacy and growth.

Authorization of Dental Therapy by State

The authorization of dental therapy varies significantly across states. Some states have fully authorized dental therapy, while others have restrictions on the scope of practice or the settings in which dental therapists can work. As of early 2026, the authorization status ranges from full practice authority to no authorization at all. Explore the authorization status of dental therapists by state for detailed information on specific state laws and regulations.

The Role of the Dental Board of California

The Dental Board of California licenses and regulates dental professionals within the state, including dentists, registered dental assistants, and dental sedation assistants. The Board also issues permits for administering dental anesthesia and sedation, as well as for orthodontic and dental sedation assistants. The Board approves dental educational programs and courses required for practice, licensure, and continuing education, ensuring qualified professionals are practicing in California.

Dental Therapist Supervision

Dental therapists typically practice under varying levels of supervision by a licensed dentist. Supervision models can range from direct supervision, where the dentist is physically present during procedures, to indirect or general supervision, allowing for more autonomy. The specific supervision requirements are determined by state laws and regulations.

Finding Dental Professionals

If you are seeking a dental professional, including a dentist or dental assistant, resources like the ADA CareerCenter can assist you find qualified individuals nationwide.

Recent Updates and Regulations

As of March 18, 2026, the Dental Board of California issued a fraud alert. A new law (AB 82), effective January 1, 2026, prohibits healthcare providers from reporting prescriptions for testosterone or mifepristone to the Controlled Substance Utilization and Evaluation System (CURES). Existing records for these medications will be removed from CURES by January 1, 2027. More information about CURES is available through the California Attorney General’s office.

Key Takeaways

• Dental therapists are trained to provide a range of preventive and restorative dental services.
• The authorization of dental therapy varies significantly by state.
• Dental therapists work under the supervision of licensed dentists.
• The profession is growing in response to increasing demand for oral healthcare access.