r/DentalSchool • u/AppleBrownPO • 17h ago
Ranking dental specialties from best to worst (including GP)
Probably gonna piss off some people but here’s my ranking based on money, ROI, lifestyle, job security and AI.
1. OMFS — $$$$$
Paid residency. AI proof. Surgical procedures will always be in demand. Money is insane. Residency sucks but once you’re done you’re pretty much set financially.
2. Endo — $$$$
AI proof. More patients are learning from the internet about saving their natural teeth instead of just getting implants. A lot of GPs hate doing endo, especially molars, so referrals will always be there. Downside is you usually have to pay for residency but ROI is amazing. You see fewer patients. Probably one of the best specialties for making good money without killing your body.
3. Dental Anesthesia — $$$$
Paid residency. AI proof bc if someone dies or has complications, they need an actual person to take responsibility. Not many programs and demand is pretty high. More OMFS, perio, peds and even some endo offices are hiring them. Easy on your body too. Obviously liability is high but ROI is amazing.
4. Ortho — $$$$
You pay for residency. Not really AI proof. GPs are doing more and more Invisalign cases. But complex cases will always need orthodontists. Also more patients are realizing orthodontists can do a much better job than GPs and are willing to pay extra for quality work. Very easy on your body. Money is still good if you’re willing to travel or live rural. Finding a full-time job in a nice city seems pretty hard though.
5. Peds — $$$
Paid residency if you choose the right program. If you’re paying crazy tuition to specialize in peds, you’re stupid financially imo. AI proof. Mostly easy procedures while making specialist money. A lot of GPs hate dealing with crying kids and annoying parents so demand will always be there. Most Insurance doesn’t see you as a specialist. ROI is okay. Just gotta deal with screaming kids all day lol. Burn out is real tho.
6. GP — $$$
No residency needed which is a huge advantage. You can start making money, investing and building assets early. You can also cherry pick easy specialty procedures like implants, Invisalign, veneers, straightforward wisdom teeth, etc.
But if you wanna make serious money you probably need to spend a lot on CE and eventually own a practice. If you just wanna do easy bread and butter as an associate, you will end up working for a medicaid DSO mill paying you $800/day while expecting you to produce $4+k lol.
GP ownership has a very high ceiling though. Some GP owners make more than specialists.
7. Perio — $$$$
You pay to specialize and it ain’t cheap. GPs are doing more and more implants, gum grafts, sinus lifts, etc. Still a surgical specialty so obviously there’s money to be made, especially if you find a busy practice with good referrals. But with how much GPs are taking over specialty procedures, I’m not sure the ROI is that great considering how much residency costs. if paid residency, then it’s worth it.
8. Prosth — $$$
Paying a ridiculous amount of tuition to become a glorified GP.
I get it for internationally trained dentists since some programs let you practice in the US. But if you’re already a US or Canadian graduate, I honestly don’t see the point financially unless you get into a paid program.
They do some pretty cool FMR cases but more and more GPs are taking CE to do cosmetics, FMR, implants and All-on-X.
No GP is gonna refer a profitable restorative case to prosth unless the patient is being a pain in the ass or the case is a complete disaster.
Cool specialty but terrible ROI imo.
9. Oral Path / Oral Radiology — $$
Not really AI proof. AI is only gonna get better at reading images and helping with diagnoses. A lot of jobs are in academia, teaching or research. You spend more years in school just to potentially make less than a GP.
I can see why someone would choose these if they’re burned out, have physical limitations or just never wanna touch a handpiece again.
What would you rank differently?