
General Dentistry or Specialization? How New Dentists Can Make the Right Choice
Starting a career in dentistry is no small feat. After years of rigorous education, clinical practice, and the grind of passing boards, new dentists face a crucial decision that will shape their professional path for years to come. Should you stick to general dentistry, offering services for a wide range of patient needs, or specialize in one of the many types of dentistry fields?
This is a question with no one-size-fits-all answer. Your decision will depend on your interests, financial goals, and work-life balance preferences. If you’re weighing the options between general dentistry and specialization, this guide is for you. We’ll explore the key factors to consider, the benefits and challenges of both paths, and how each opens doors to thriving opportunities within the world of dentist jobs.
Exploring the Journey to Becoming a Dentist
General dentists are the backbone of dentistry. They diagnose and treat common oral health problems in patients of all ages. From cleanings to fillings, crowns, and root canals, general practice covers a broad spectrum of services. About 80% of dentists in the U.S. pursue general dentistry, making it one of the most sought-after categories in the field.
What Does Specializing Entail?
Specialization in dentistry means acquiring additional education and training to focus on a specific field. By choosing a specialization, you can pursue areas such as prosthodontics, orthodontics, periodontics, oral surgery, or even pediatric dentistry. While specializing narrows your scope of practice, it allows for mastery and expertise in highly specific areas of oral health, paving the way for lucrative and rewarding roles in dentistry jobs.
Factors to Help You Decide
1. Your Interests and Passions
Do you enjoy the variety of tasks that general dentistry offers? Or do you feel drawn to focusing on a particular aspect of oral health? Your innate preferences play a significant role in determining the most fulfilling path.
For example, if creating perfect smiles excites you, orthodontics might be worth exploring. If you’re driven by surgical precision, oral surgery could be the better fit. Think about what brings you the most satisfaction and joy during your clinical rotations.
2. Financial Considerations
Becoming a specialist often comes with a high upfront cost. Additional training means extending your time in school and adding to student debt. However, specializations can lead to much higher earning potential depending on the type of dentistry field you choose.
According to the Bureau of Labor Statistics, specialists like oral surgeons and orthodontists can earn double or even triple the median salary of general dentists. On the flip side, if financial stability is a priority right after graduation, a general dentistry role might offer quicker returns on investment.
3. Time Investment
Specialization demands an additional two to six years of graduate-level training, often involving highly competitive residencies. This can delay your entry into full-time practice.
However, sticking to general dentistry allows you to start working immediately, build experience, and even explore opportunities such as locum tenens dentist jobs, which offer excellent flexibility and exposure to diverse clinical settings.
4. Work-Life Balance
Specialists often have more structured hours and fewer emergencies compared to general practitioners, who may find themselves managing late-night or weekend patient care needs. However, the trade-off is that specialists might face higher pressure to meet specific patient outcomes or administrative demands.
The Pros and Cons of General Dentistry
Advantages
- Versatility: Offers a wide variety of clinical tasks and keeps your day-to-day practice dynamic.
- Financial Returns: You can start earning sooner and gradually grow your practice.
- Flexibility: Opportunities to work in private practice, corporate DSOs, or even as a locum tenens dentist.
- Broad Skills Development: A well-rounded approach to patient care.
Challenges
- Competition: With 80% of dentists entering general dentistry, standing out may require exceptional patient service or niche offerings.
- Scope Limitations: Certain complex cases will require patient referral to a specialist.
The Pros and Cons of Specialization
Advantages
- Expertise: Specialization builds credibility and positions you as an authority in your field.
- Higher Earnings: Specialists typically enjoy significantly greater earning potential.
- Focused Practice: Provides the opportunity to master and refine specific skills.
- Less Routine Work: Focus on challenging, high-stakes cases rather than repetitive procedures.
Challenges
- Higher Costs and Debt: Extra years of education can substantially increase student loans.
- Longer Time to Start Practice: You’ll be in training for several additional years.
- Narrower Patient Base: Specializations may limit your services to a smaller subset of patients.

A Guide to Essential Dental Specialties
If you’re considering specializing, there are several types of dentistry fields to choose from. Here’s a closer look at a few popular options:
Orthodontics
Focus on straightening teeth and aligning jaws using braces, retainers, and other corrective devices. This field has high demand and excellent financial reward.
Oral and Maxillofacial Surgery
Deal with more complex surgical cases, including dental implants, facial reconstruction, and the treatment of oral cancers. Perfect for dentists drawn to a high-pressure surgical environment.
Periodontics
Specialize in gum disease treatment and dental implant placement. This is ideal for professionals interested in preventative care and oral health maintenance.
Pediatric Dentistry
Address the oral health needs of children, from infancy through teen years. It’s a rewarding field for dentists who enjoy working with kids and families.
Prosthodontics
Focus on restoring and replacing teeth through advanced techniques like crowns, bridges, and dentures.
Endodontics
Dive deep into root canal therapy and treatment of diseases related to the tooth pulp. This area is rewarding for dentists who enjoy detailed and technically challenging work.
Still Undecided? Here’s How to Test the Waters
1. Gain Real-World Experience
If you’re unsure about which route to take, consider locum tenens dentistry jobs. These flexible roles allow you to work in a variety of settings and explore what facets of the profession resonate most with you.
2. Shadow Professionals
Spend time with both general dentists and specialists to observe their day-to-day lives.
3. Speak to a Mentor
Connect with experienced dentists to gain insights into the pros and cons of each career path.
4. Evaluate Your Strengths
Reflect on your clinical strengths and personality traits. For example, if you’re meticulous and enjoy taking your time, a specialization like endodontics or oral surgery may be fitting.
Take Charge of Your Dentistry Career
Whether you choose general dentistry or a specialization, the key is to pursue a path that aligns with your goals and passions. Both options come with rewarding opportunities to make a lasting impact on patients' lives.
And if flexibility and variety sound appealing, locum tenens roles might be the perfect steppingstone to help you explore your options. With access to diverse settings and patient populations, these jobs allow you to hone your skills while keeping your career options open.
Need help navigating the next steps? Explore dentist jobs with AMN Healthcare and discover opportunities that align with your career goals and lifestyle!