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Florida’s Dentist Shortage Leads to an Opening for Dental Therapy

With 65 of Florida’s 67 counties classified as dental deserts, lawmakers are considering a new dental therapist certification to expand access to care. While supporters argue the model is safe and effective, some dentists worry about training gaps and advocate for strengthening existing dental programs instead.

Florida is facing a critical shortage of dentists, with most of the state classified as a dental desert (ie, an area where access to oral healthcare is severely limited). In response, state lawmakers are advancing legislation to introduce a new type of mid-level practitioner: the dental therapist. The proposed certification would require 3 years of study post-baccalaureate degree to complete, allowing these professionals to perform routine procedures such as dental restorations and basic tooth extractions under the supervision of a dentist.

Supporters of the initiative, including Frank Catalanotto, DMD, president of Floridians for Dental Access, argue that dental therapists could bridge the gap in underserved communities. Catalanotto, who has written extensively on this midlevel practitioner, notes that dental therapists provide high-quality and safe care in a cost-effective manner. However, not all dentists are on board. Some suggest the focus should instead be on expanding training for dental hygienists and assistants.

A version of this model has already been implemented in other states and countries, showing promise in improving access to care. The debate now centers on whether Florida should follow suit or take a different approach to addressing its oral health crisis. As legislation moves forward, the future of dental therapy in Florida remains uncertain — but the need for solutions is undeniable. Click here to read more.

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