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Going to USA
By Vinod Miriyala BDS, MPH, Cert. (DPH), PEDO. (CAGS), Boston University


21st October 2001

Hello, I would like little bit more information about the licensing systems in US. I agree about
the suggestion about contacting each dental board. There has been recently lot of changes in
regard to licensing requirements. A recent one is that of California and its new reciprocity
laws.

There are about 11-12 states in US which have a different rule of giving a state license without
doing a DMD/DDS. But the catch is they require some other kind of two year clinical training
program like a clinical speciality or two years of AEGD or GPR programs which are like internish
programs in India. These states although require that you should have cleard the regional boards,
which are clinical exams and which you can take only after passing NDEB Part I and II.

One last thing about studying DMD/DDS in US for trained dentists is the some dental schools, such
as the one that was mentioned before in another mail (Florida) and a dental school in Chicago,
have a two year or little less than a two year program which only give you a certificate and not
a degree that is not recognised in other states to practice. Keep that in mind when you are
planning.

The best place to check out information regarding licensing information is provided on the web
site of American Dental Association (WWW.ADA.ORG) and also books published by that organisation.
you need to browse through the web site to find that information. Although I would stress that
you should check out the web site of each dental school if they have any "Advanced Standing
Program" for foreign trained dentists and also contact them through e-mail as the web sites are
not updated regularly. Also some dental schools have recently started those kind of programs.

Hope this information helps. Contact me if you need the names of some of the states which
do not require the DMD/DDS for foreign trained dentists to practice in those states.

VinodMiriyala, Boston University,

24th October 2001

Dear Collegues and friends,

I am sending this mail in response to the numerous mails I got in regard to the licensing
information in US. I will be replying directly to few people who do not require the
general information. Please bear with me.

In regards to the licensing requirements in US, let me make it clear that the colleges which
offer "Advanced Standing Program (DDS/DMD) to foreign trained dentists require atleast NDEB Part
I. Most of the dental schools which offer this program require atleast 83%. (It is Percentile not
Percentage, make sure you understand what Percentile basis is). To cut down the competition, the
number of applicants and various other reasons some dental schools are also asking for NDEB
Part II now.

US state boards do not care where you get your DDS/DMD as long as you get one they are satisfied.
Before giving the names of the states which donot require DDS/DMD to practice in their states, I
also need to let you know that there is a requiremnt in those states which could be said as
follows....

THESE STATES REQUIRE THAT A FOREIGN TRAINED DENTISTS SHOULD HAVE HAD ATTENDED
ATLEAST 2 YEARS OF ADVANCED TRAINING IN DENTISTRY IN US.... which would mean
the applicant either should have had completed a speciality program in dentistry which is
recognized(permitted) in US.

For example programs like AEGD and GPR....which brings me to a point where I need to explain what
these are for those who donot know what it is.

AEGD (Advanced Education in General Dentistry) is a university based one to two year program
which is similar to Internship in India. GPR (General Practice Residency) is similar to AEGD but
is "MOSTLY" in a hospital setting. As in US, the DMD/DDS program is only 4 years instead of 5
years as in India (whcih means US graduates of DDS/DMD) do not have to go through one year
internship at the end of there course to get an degree. This is the reason why for most dental
students opt for these programs  after DDS/DMD here in US for experience.

Now for the list of the states...

ARIZONA
DISTRICT OF COLUMBIA (D.C.)
FLORIDA
GEORGIA
ILLINOIS
KANSAS
MARYLAND
MICHIGAN
MISSISSIPI
WISCONSIN
NEW YORK
WASHINGTON


Please donot count on me for the current information about these state rules as they have been
changing a lot, may be there are new states which have been added to this list and also some of
the above mentioned states might have also changed the rules. The best way is contact them and
get a accurate information. Write an e-mail to the board...you might get most of the their
addresses from either ADA web site (www.ada.org) or do a web search.

One other state which I know of has its own licensing exam is Ohio and it does require DDS/DMD.
But it might require any licensing board. Once again donot count on me on which licensing board
it may accept.

California had a similar rule, but from Jan 2003, the state board requires a DMD/DDS to practice
in CA.

ADVANCED STANDING PROGRAM:

The dental schools which offer this program have increased in the recent past and also the number
of seats is also increasing. Similarly the competition is high and so they look for high scores
in NDEB exams.

Although ADA web site does not mention the new schools which offer the program, sending a e-mail
to the dental school admission office would not hurt. My experience has told me that every
admission office replies the e-mail regarding such information promptly. Rest depends
upon how busy they are in that time of the year.

SPECIALITY PROGRAMS:

Information regarding the recognised specialities in US is one that needs to be know if pursuing
that path. AEGD and GPR are also recognised specialities in US, but the program in a specific
school might not be. So before you apply, find out about their "Accreditation" status (which is
similar to recognition).

Web Site:

Regarding the feed back about a web site which was sent to me....

I have gone through the web site and found it very informative for a person who is planning a
career in US in dentistry. I would advice people to go through it and take it as a lead for
contacting people/dental schools/state boards. Please donot get confused with the information
provided in the web site regarding educational admission requiremnts to state licensing
requirements. There is a fine line between both of them. The web site is a very good
information site but might not give you the current up to date information and neither can I.

One more thing... the cost of studying DDS/DMD is high. The least average tution that you might
end up paying is around $ 1,00,000 (One Lakh Dollars). Some of the schools charge around $ 1,
50,000 thousand dollars also. The tution rates increase every year on an average about 5%.

Bank loans and financial help information is provided by the dental schools. The banks or lender
organizations ask for a co-applicant or a guarantorr who is  American Citizen or atleast a Green
Card holder who has a good credit.

This requirement is waived if you already have a green card or citizenship of US. The average
annual percentage of these loans range from 6.00% to 9.00% presently and is dependent upon the
Federal Interest rate or another Federal rates published quaterly in financial reports in US.
Also for the people who are either citizens are green card holders of US, are eligible to get
Federal Loan. The loans I have mentioned above are private loans. The federal loans charge a
annual percentage rate (APR) of around 5% presently.

APPLICANTS WHO HAVE HAD ALREADY MASTERS IN DENTISTRY FROM INDIA or
ANY OTHER COUNTRY:

The licensing rules remain the same for these specialists as mentioned for the BDS graduates. The
state rule does not change for specialists if they have done it in another country as for as I
know.

JOBS IN SAUDI AND ARAB COUNTRIES:

I have no idea about jobs in those countries. If anybody has an first hand experience please do
send it to everyone so that people who are interested would benefit.

RESEARCH OPPURTUNITES IN US:

It is a whole different issue and needs a different discussion and a lengthy e-mail like this. It
is not possible for me to send it in this mail. Hope you would understand.

NOTE: PLEASE DO NOT RELY ON THE INFORMATION PROVIDED AND CONTACT THE
CONCERNED PEOPLE/ORGANIZATIONS FOR COMPLETE, ACCURATE, UP TO DATE
INFORMATION. THIS INFORMATION IS PROVIDED TO YOU TO HELP YOU GUIDE
THROUGH THE PROCESS. I HAVE GONE THROUGH THIS AND DID NOT HAVE A IDEA
WHEN I STARTED. IT PROBABLY WOULD HAVE MADE A DIFFERENCE TO ME IF I HAD
KNOWN IT PRIOR TO COMING TO US.

IF you have questions about speciality programs I would be happy to answer in due course of time.

ONE THING FOR SURE--- If you plan to settle in US, I would recommend highly that you to do
the advanced standing DDS/DMD program. It pays to be a dentist in US for lifelong and it is the
best sure shot way to practice in US.

My personal experience says so. I am doing my second speciality in US and have good number of
friends and collegues who have gone through DDS/DMD and who are going through. I will try my best
to give you all the best information I can.

I would reply to your mails in due course of time (when ever I get time off from my clinics) and
would be glad to help my fellow collegues. Please bear with me.

I appreciate your feed back. Please do share any new information with this group

Thanks,

Vinod Miriyala BDS, MPH, Cert. (DPH), PEDO. (CAGS)
Boston University,

HIGHER EDUCATION IN USA - SERIES II
24th January 2002

This is after a long time that I am writing another mail regarding
education in US for Indian trained dentists(and other foreign trained
dentists). This time I am going to spend time in providing information about
speciality education in US and a new update about licensing requirements in
state of CA.

Speciality Programs in US:

Speciality programs in US in the field of dentistry of various types--
Clinical and non clinical. Clinical specialities include Prostho, Endo,
Operative, Perio, Pedo, Ortho, Oral Surgery, sometimes Oral radiology and
medicine, oral pathology and also Community dentistry. Non-clinical would be
graduate programs in Oral biology, some programs in Oral Medicine, Oral
Pathology and Community dentistry. I might have missed one or two...hard to
differentiate sometimes. Also included in clinical speciality programs are
AEGD (Advanced Education in General Dentistry) and GPR (General Practise
Residency). All the clinical specialty programs mentioned above and AEGD and
GPR have been recognised by the ADA (American Dental Association). There is
lot of impotance attached with the ADA recognition with these specialities
for various reasons (Licensing requirements for example).

Orthodontic programs need GRE scores in most cases. Oral surgery programs
need a DMD/DDS degree, but I have come across 2 programs in Oral Surgery
which are accepting foreign trained dentists (University of New York at
Sunny Buffalo....I think). But there seems to be a catch...the foreign
trained dentist needs Green Card atleast for the New York program. Endo
program is as competitive as Ortho program. Ortho and Endo programs are
mostly taken by dentists having DMD/DDS traditionally. There are certain
dental schools which have offered those positions to foreign trained for
many years, but my assumption is the dentist has good recommendations and
experience in those fields.

Pediatric....is becoming difficult now a days. Last year there were 2000
applicants for 121 positions through out US. Pediatric positions are present
in both Dental school settings and other hospital settings. Traditionally
the positions that go for foreign trained dentists are dental school based.
The Govt. of US supports most of Pedo programs in US and thus require a
green card and DMD/DDS. But exceptions are always there and people have done
it. ONE GOLDEN RULE OF THUMB is that rules and regulations have been broken
in exceptional cases (that need not necessary means that the student/dentist
is exceptional in academics). Recommendations and experiences in US are most
valuable in those cases and have worked 100%. Perio, Prostho, Operative are
relatively easy to get in when comapred to Ortho, endo and Pedo. That does
not mean that you will get it...it is a relative comparision. Sometimes
there are positions unfilled in certain specialities (even Ortho and endo)
that have been given away to foreign trained dentists even though they donot
want to due to administrative reasons and/or iatrogenic reasons.
Community dentistry is becoming pretty much for DMD/DDS and green card
dentists like Pediatric dentistry for reasons of funding from US government.
One way to get around it is do a Masters in Public Health and then do a one
year residency in Dental Public Health programs that are RECOGNISED by the
ADA. RECOGNITION of the PROGRAM is very important for licensing, as there
are programs that donot have the recognition status and are in the process
of recognition. It is similar to India in regards to recogniton but the
value and rules are much stringent. So do not take a risk in accepting a
position in those schools. There have been certain programs that were
stripped off of their recognition due to their performance. So it is good to
look at each programs recogntition history.

I have received mails regarding working opportunities for people who have
community dentistry degree from India (I guess). You might have faculty
opportunities in those cases...but remember you need to have good research
experience and/or good recommendations (preferably from US). If you have
good experience in teaching and research in any speciality from India or any
other country then there are chances of getting a faculty positions...but
once again there needs to be contacts in those dental schools. There is a
great shortage of faculty in dental schools in US in many departments. As
pay is lower than private practice graduates from US donnot go for it
specially after having an average debt of $70,000 - $1,20,000 (national
figures....approximatey).

CA licensing regulations:

New licensing regulations are going to be introduced in July of 2002 to
practice in CA. Also I have heard that the deadline for licensing exams for
CA have been extended to 2005. The new regulations are like this:

California has just enacted a new law that allows licensing of
out-of-state dentists by credential (i.e., they have been licensed and
in clinical practice or a full-time faculty member in an accredited
dental education program in another state for a minimum of 1,000 hours
per year for at least 5 years preceding application for licensure by
credential in California).

The clinical practice requirement will be considered met: (1) if the
applicant has completed a residency training program (general practice
residency, advanced education in general dentistry, or ADA-recognized
specialty) accredited by the ADA, in which case the applicant may
receive credit for 2 of the 5 years; or (2) if the applicant provides
proof of at least 2 years of clinical practice or receives 2 years of
credit as defined in (1), he/she may commit to completing the remainder
of the 5-year requirement by practicing full-time in a primary care
clinic, or teaching or practicing full-time in an accredited dental
education program.  After working in one of these settings for 3 years,
they are eligible for full licensure.

The law takes effect July 1, 2002.  Anyone interested in seeing the text
of the law can find it at
.

------------------------------------------------------------------------

I will try to write some more information soon about speciality education in
US. I did get some mails regarding dental education (DDS/DMD) in US. I have
already written once about that and also there is enough information for
people who are looking for such information on Dental India web site and
also cross references where provided about other web sites recently. Please
do check them out. One specific web site which provided excellent
information was from  a dentist of Pakistan origin who is in New York.

------------------------------------------------------------------------
Disclaimer: The above inforamtion is provided upon the request of subscribes
to DentalIndia web site. This information is accurate upto the knowledge of
the author, Dr.Vinod Miriyala. This is in no way complete and accurate
information. This information should be utilized by readers as a starting
point.
------------------------------------------------------------------------

Vinod Miriyala BDS,MPH,DPH (Cert.),(CAGS)Pediatric Dentistry
Boston
Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves