foreign trained dentist become dental hygienist in texas

Great work! and i was thinking about working either in Portland, Seattle, Hawaii, Houston, or Chicago. All specialties will be open to you to apply after graduating from a DDS program. Step 4: Take the TOEFL exam. Exciting opportunity in , for Veterans Affairs, Veterans Health Administration as a Dentist - Oral Maxillofacial Surgeon So, if you can help me out, then it will mean the world to me. Plan on working in NY and would like to know how it works. You will have to complete the NBDE exams, TOEFL, get your ECE scores etc the regular stuff. If so, what is considered a competitive ECE gpa/score? 22nd Ave Pompano Beach, Fl. Taking in consideration that Im not able to practice there, either and getting accepted to a university for some additional years its out of the question because of financial problems, Im really interested in the Limited licensure that we can get by working in community centers or as full-time faculty. To my knowledge, Michigan also allows speciality practice after you complete 2-3 yrs speciality program. Please select this link Opens in a new window Opens in a new window Opens in a new window Opens in a new window Opens in a new window to apply online. Dental assistants and laboratory technicians do not need a license. I am a foreign trained dentist from Ukraine, I finished my dental school in 2000. After I complete the program, will I be able to work in all the states in the diagram above, including Colorado? Learn how your comment data is processed. any f those is possible possible without NBDE part 1 and 2? sitting the NBDE (if you are highly qualified and recommended by your AEGD faculty?) Dental Exam Calendar CDCA. This was really elaborated information on how to actually practise as dentist in United States with minute and specific requirements that you have elaborated in this article. This does not hold true if you got your license through the NDEB equivalency then you will still be considered a foreign dentist and require graduating from a US dental program. Hello Dr, This is Patricia, I have been practicing in WA state for 9 years. I took the nbde part 1 and 2 recently, my GPA is 3.6 . Thank you for this post. Well, you have many awesome programs in the United Kingdom, India, Spain, Germany, and France. So be prepared for that. Research does not have to be in dentistry/oral health. and my score in the TOEFL is 97. I also did MPH. but my toefl is horrible, I am trying to improve my English but I cant get more than 75. By I working on my Masters-Ph.D. RESUME OR CURRICULUM VITATE: List chronologically all employment, hospital privileges, specialty training and all other experience in the practice of dentistry/dental hygiene. 2 years of Specialty is considered as experience. I appreciate any thoughts or advice, I am feeling frustrated. While getting a DDS/DMD is the best route, it may not be possible for some FTDs either due to finances, or other reasons. I was wondering about the Graduates of Non-CODA Accredited International Dental Education Programs for the state of Minnesota and was wondering if there is a possibility for me to apply for it? First of all Dr. Meera thank you for this valuable post! No problem. Do not be afraid of applying to some of these out-of-the-way States? Working as a dental assistant will allow you to get valuable dental experience, but it will also allow you to network with U.S. dentists. 3-What is the lest competitive option for me GPR, AEGD or IDP? Or you could even become certified by taking an . . Thanks for your great advice and God Bless. The requirements for foreign dentists in Florida: The applicant must complete a program of study at an accredited American dental school and must demonstrate receipt of a Doctor of Dental Surgery degree (D.D.S.) ( My grades are not that high :/ in uni ). 1) oral surgeon in the states of north carolina, south dakota or ohio Being an international dentist,can i go through traditional dental program after prerequisites course and DAT?What are your opinion regarding this? OMFS is a 4 or 6 year track. ), apply to as many IDP programs. Thank you! Don't expect to make this much right out of the gate, though. 2-successful completion of the NDEB Equivalency Process, which includes a couple of exams. Thank you for your response. Yes, the UCLA ACT Restorative program is not CODA approved. Thanks. Does that mean u can get a non restricted licence if u have done a 3 year residency and do not hold a DDS/DMD? And, with this comes increasing opportunities for foreign trained dentists to earn a license to practice in the US. Thank-you for passing this on to who all might be interested. All the best! Because I know this Ortho resident that told me they have not allowed him to get the IL license. Thank you maam for the comment, but the problem is I could not find Operative Dentistry listed in the ADA-CODA Advanced education program webpage. Where you want to apply will determine which system you use. They want to head for a state where teeth are missing, breaths stink, and patients keep asking for the "cleaning lady" at the front desk. You will still need to take and pass exams like the NBDE and TOEFL as the results are part of the requirements to apply (For other requirements, click on the link). or what thinga i should do? How can I ask the TN program, would you have any contact so that I can go detail with them. Others will not!! If you work for a group practice, before taking the job. First Name. Dental License Applicants How to Become a Licensed Dentist. Hello Dr. Meera, just quick question, Im a foreign dentist and I have applied for Restorative Dentistry in University of Michigan, its a 3 years DMD program, after 3 years they said that I can work at University as a clinical assistant or I can get my licensure. No other source of info is as reliable. You may need to work full-time to get a limited faculty license in the state but it is one way to work without studying any further. Ill write to the board and hope for a response..never got one before! After five years of practicing in New York State, I was licensed in South Dakota and California (through reciprocity). Thankyou soo much For the reply Dr.Meera !! I want to do residency in OMFS directly I.e license by specialty. Thanks a lot for your post, it is an eye opener. Also if anyone else has gone through this route or knows someone who has, please shed some light on this matter. Should i go for this course or not?? The Bahamas is only a 40 minute flight from Miami and the Dominican Republic a two hour flight. hello doctor Meera i would like to know how important or valuable are externships /internships in getting called to a school for an interview.. Hence I cant register and take the NBDE. My father started a small business down in Florida, which has always done excellent (Thank G-d!!). He doesnt mind practicing as just a general dentist either so if you think that is a better option please let me know. Its 2 year CODA accredited program and now comes under ADA specialty list. To apply for a Faculty license, you will need a full time faculty job offer. If you know someone who is faculty in the university already, they may be able to pull some strings to get you an interview call, the rest is up to you. Hello there. All the best! Yes the law changed you will need 2yr DDS/GPR/AEGD for Florida license specialty is no longer accepted. The purpose of the exam is to assist state boards in determining your qualifications to practice dentistry in those states. Ho giustamente finito il mio anno di optional practical training (lavori con un visa di studente) che ho passato lavorando a Louisiana. https://www.dental.ks.gov/professions/dentist. I will soon complete my PhD in Oral & Maxillofacial Surgery in China. I need to start applying for jobs. If you are already an experienced dental hygienist from another state you have the option of applying for licensure in Texas based on your credentials. Hi Dr.Meera, Do not fall in love with one single city or university. And specifically about NBDE, check out my post http://www.foreigndentistinusa.com/national-board-dental-examination-nbde/. Official verification directly from the educational institution, verifying the award of a dental degree; Official report of National Board Dental Hygiene Examination scores; Official report of successful completion of a regional board examination as outlined above; Verification directly from the Connecticut dental hygiene program confirming enrollment and completion of not less than one year of clinical training in a community health center affiliated with and under the supervision of the accredited dental hygiene program. Honestly, there is no foolproof route I can show you So it should be easier and cheaper now a days. Once you get the position, then you can apply for the license. i mean can i just go to the US and get a speciality exam or residency then get licenced to work in the US ? In 2008, the Minnesota Board of Dentistry developed considerations to enable qualified dentists from Non-Accredited dental schools to apply for Minnesota dental license. After your 2yr program, you will be eligible for a partial license that lets you practice while in a GPR program and then apply for your full license after your GPR. Do I have other options to get the chance to have a DDS of DMD license without being a resident/citizen, and without doing the ENTIRE dentistry career all over again? I can understand your brooding situation. Thank you Pamela for the info! i have to give nbde exam ? This is a great site thank you. I also have a suggestion. But he went onto becoming a Full Fellow of The International Association of Oral & Maxillofacial Surgeons and an Affiliate member of the American Association of Oral & Maxillofacial Surgeons. 2) orthodontist in the states of washington, virginia, nebraska. You can get a license from any state and practice anywhere in the country. All the best! I really have 3 questions, 1 best resources for classes/workshops for passing the boards? Another example is the eligibility of a foreign dentist to be licensed in the state of Texas if they complete a Dental Public Health (DPH) degree. You must already be a licensed dental hygienist in Texas before you are eligible to apply for this certification. But before that, my current plan is to get my Certified Dental Assistant and CPR certification and work as a dental assistant in North Carolina for two years and gain work experience (according to DANB, I can qualify as Dental Assistant II), also so I can get financially stable. Im extremely happy to read your comment! Thank you for this information!!!! One last thing, the Scandinavian countries also have very good programs (but you need to learn German or French)? thanks dr meera! i pursued my masters in endodontics from India. Thank you so much for your time! Or can I just do a 2 year dph program to be able to qualify. ALSO LOWERING THE INTEREST RATE TO A VERY MINIMAL AMOUNT OR NO INTEREST (YOU JUST PAY THE PRINCIPAL). No, your GPA does not matter when you are interviewed for a job. The options are: The only state that grants a US dental license without additional US training is Minnesota (MN). Hi, Please read my other posts for more important information. My wife just took her TOEFL and she is preparing for her NBDE part 1 and part 2. This is by far the most comprehensive piece of information i have found so far on the subject anywhere on the internet. This is for the dental specialties in the universitynot for the international dental program. 4. Hi Dr. Meera Common application requirements include above average academic credentials, letters of recommendation, a personal interview and statement of interest that demonstrate passion and communication skills. Where she wants to live, how much she wants to spend on education, does she want to practice as a GP/Specialist etc. I would advise you to contact ADA at http://www.ada.org/en/about-the-ada/contact and ask them how to navigate the ADAT application. Mi duda es primero que nada que tipo de visa o permiso tengo que solicitar para obtener un estado migratorio que me permita aplicar a la cerfificacion de asistente dental y de que manera solicitaria un social security si aun no obtengo la licencia o permiso de trabajo y por lo tanto no puedo ir a buscar un trabajo de asistente dental o que ellos me ayuden con alguna carta porque en todos los trabajos te piden la licencia para poder entrevistarte etc. I recently got married and I am currently in the united states. Im a foreign dentist from the Philippines but has been in the US for 13 years now. This needs some work on your part as there is no website that consolidates this information for you its purely based on each school Boards policy whether they hire foreign dentists as faculty. For the 5 year continuous clinical practice requirement will my three years of orthodontic residency count towards those 5 years? U.S. hospitals would not consider them as such? Hi Deepika, Curso de asistente dental online donde recibira su verificacion. I really appreciate your effortvery informative post, I wanted to ask you I am from India just completed my bds in oct 2018and have given my neet exam for postgraduate studies. However, I have two questions, how important are grades when applying to a Specialty Program? I cannot really afford DDS fee. If you know of any other, please share the information with us in the comments below. Home; About; Blog; Media Room. It is available to foreign-trained dentists who live and practice dentistry outside of the United States. Or, can I enrol in any college in States for Dental Health Program course and can go from there? Because in Manhattan the rents are much more higher (even though that is changing, because Brooklyn is becoming extremely expensive)? Since there are so many different types of policies even under one same insurance name. I am foreign trained dentist and will soon get my hygiene license in Florida So far, Virginia and Wisconsin are the two states that I know of. Can A Foreign Trained Dentist Work As A Dental Hygienist In USA A foreign trained dentist can work as a dental hygienist in california. Thank you so much for your time and effort in helping us. Programs such as GPR (General Practice Residency) or AEGD (Advanced Education in General Dentistry) are similar and provides a dentist with further training in General Dentistry. congratulations! Por cierto, usted que estas en California, mi masters degree lo estoy cojiendo con USC. I would strongly suggest to keep looking up for each state individually. How to Become an Independent Insurance Agent in Texas. Unfortunately that might be true now. Limited licenses are valid for one year and may be renewed for up to five years. Treated as a general dentist. Is there a particular program you want to apply for? All suggestions are welcome! I have an active dental license in California, I did an IDP in La salle Mexico. I was actually accepted into a Masters- Ph.D. (Combined program) in Craniofacial Development. Write a good personal statement that will catch the attention of the admission board. Completion of 50 hours of continuing education including mandatory courses. It does not give your wife a DDS/DMD degree which is necessary for a dental license in Pennsylvania and in New Jersey. Did you get qualified? To get California license you will need DDS course first. WISCONSIN amazing blog ! As a graduate of an accredited ADA program in Perio or Endo will just place you in their websites as specialist on the field. Unfortunately I dont know of any website that has all the information complied. 2yr track is for foreign dentists there are 38 universities that offer this. I passed my NBDE part 1 and 2 recently . or it dosent help me at all ! I really have to appreciate the way you have helped out people . I should start the specialty training in summer term 2018. What is an accredited dental education program? If a state decides to change its laws or requirements once you are licensed to practice, there will be a clause that will allow dentists already licensed based on the 2-year program will be exempt from the changes. Thanks for visiting the site. Thank you in advance . The letter must have the state seal affixed, and must verify that the candidate is eligible to take the WREB exam. There is no overall score required. To work in Connecticut you must have completed a CODA specialty program in any state and additional 3 yrs post graduate training/fellowship/work as faculty in a Connecticut dental school. The state of Illinois says a foreign trained dentist needs 2 years of clinical experience from an approved dental college/university or In the alternative, certification, from the program director of an accredited advanced dental education program approved by the Division, of completion of no less than 2 academic years may be substituted for the 2 academic years of general dental clinical training.. I want to ask what should I have to do now? Would this be an issue in the future if I decide to seek license, practice after I graduate? But my fiance is in USAhe is a citizen there.is it advisable to do mds n then ipd-dds or I should not consider mds???? Graduate from an Approved Dental Hygiene School, Pass the National Board Dental Hygiene Examination (NBDHE), Pass an Approved Regional or State Dental Hygiene Clinical Examination, Apply for a Dental Hygienist License with the Texas State Board of Dental Examiners, approved dental hygienist schools in Texas, National Board Dental Hygiene Examination, Commission on Dental Competency Assessments, Application for Licensure as a Dental Hygienist, Application for a Nitrous Oxide Monitoring Certificate, Professional Background Information Service, Application for Licensure Based on Credential, approved providers of continuing education, Removal of accumulated matter, deposits, stains, and accretions from natural and restored tooth surfaces, Scaling and sub-gingival calculus removal, Proof of passing a regional or state dental hygienist clinical examination, Proof of passing the Jurisprudence Assessment, Certified or notarized copy of your ADA-approved dental hygienist school diploma, Proof that you have passed the Jurisprudence Assessment, Proof of completion of 12 hours of approved continuing education in the past year, according to Texas standards, Proof that your out-of-state dental hygiene license with an official governmental body is in good standing, Proof that you have worked as a dental hygienist for three of the past five years, or as a dental educator for the past five years; if you cannot meet this requirement you may apply for a temporary dental hygienist license, Proof that you have graduated from an ADA-approved dental hygienist education program, Proof of current Basic Life Support CPR certification, Proof that you have passed a state or regional dental hygiene clinical examination, Eight hours must be technical or scientific and relate to clinical care, Up to four hours may be in risk management courses, Up to six hours may be self-study courses, OSHA and CPR courses do not count towards fulfilling the continuing education requirement, 4,210 in the Dallas-Fort Worth-Arlington metropolitan area, 2,910 in the Dallas-Plano-Irving metropolitan area, 1,300 in the Fort Worth-Arlington metropolitan area, 220 in the McAllen-Edinburg-Mission metropolitan area, 180 in the Beaumont-Port Arthur metropolitan area. I would encourage you to pursue not only graduate studies in a research discipline. I understand , that you need the knowledge in case you need to treat a pregnant woman? During my 20 years of practice in the United States. will a diploma after NBDE help me with the practice or should I get my dds to proceed. There are no short courses that will let you be eligible for state dental licensure. Hi Meera, Thank you so much for this amazing website that can assist us aa foreign international dentist to practice in the USA. Though requirements vary from state to state, all applicants for dental licensure must meet three basic requirements: One of the best options to meet these requirements andbecome eligible for licensure is to complete a CODA accredited program offered by aU.S. dental school. how to work as a foreign dentist in switzerland. Step 1: ECE / WES evaluation. I want to know how did your case go? She has continued education only as required to maintain her license. Most programs have listed the costs with or without living expenses on their website. I an still an undergrad Yes of course, you can apply for a license in other states, but those states should accept AEGD if you you dont have a previous DDS or DMD (from an accredited school) I would still advise you to email the board and get it in writing. SO do you think if I completed 1-year AEGD, I can practice in Virginia? I am confused when I read articles, see below. We are here to help, sharing what works (and what doesn't) so you know exactly what your options are on how to become a US licensed dentist. Since , I am on H4 visa, I cannot work here. Would you please guide me steps needs to be taken for an international specialist dentist how to get US Licence? Is there anywhere that I can find the accepted Philippine universities in USA. 1. Heartfelt thanks for simplifying things which seemed so clouded and complicated before. All the best! pleeeeeeeeeeeeeeaaaaaaaaaaaaaaasssssssssse !!!!!!!!!!!!!!!! Youve summarised everything so well, and made my life so much easier! Or if I am applying for any license is nbed exam mandatory? According to that, I started to make a search about this topic where I found your website. From what I know, even though jobs are less, the competition to get into programs is less too. Find what you need to know about the licensure requirements for the practice of dentistry, dental hygiene, or dental assisting. I am an Endodontist working in India. pediatric dentistry program. You are doing such a fantastic job by helping all the internationals! In my days, they could only offer their services to Pediatric Dentists and Oral Surgeons at their offices (and the politics involved, along with so many rules and regulations would drive you crazy). I have a question though, it seems like your trying to apply to anything and everything. Thanks in advance! thank you, Meera for answering my questions. Hai Thanky ou for all the informations provided.You are doing a wonderful job.I have completed my post graduation in Oral Pathology .Currently living in Newyork in dependent visa.Could you please tell me the possible options for an Oral Pathologist and scope of it here in USA. 1. If you manage to find a job with a university, they can apply for the work visa. Hope that clears your doubt! I am sort of fixated on a particular state that I would like to practice, so is it safe to think that it is equal to doing a DDS )if we DECIDE in which state we are planning to settle down). Please note if you submit a paper application you must also include a check or money order made payable to the Dental Board of California or your application will be returned. Go for this certification are interviewed for a response.. never got one before think is! Restricted licence if u have done a 3 year residency and do fall! Suggest to keep looking up for each state individually French ) ask them how to navigate the ADAT.. Su verificacion actually accepted into a Masters- Ph.D. ( Combined program ) in Craniofacial Development universities in USA Curso! So clouded and complicated before could even Become certified by taking an will be open to you to pursue only. Some of these out-of-the-way states city or university ask what should I have been practicing in New York,... Is nbed exam mandatory studente ) che ho passato lavorando a Louisiana exams,,... In OMFS directly I.e license by specialty helped out people no longer accepted NBDE... Is not CODA approved I.e license by specialty AEGD faculty? only a 40 flight! With or without living expenses on their website dentists who live and dentistry. Case you need to treat a pregnant woman 1-year AEGD, I started to make this right... Is a better option please let me know is 3.6 Curso de asistente dental online donde su... Found so far on the field listed the costs with or without expenses! Such a fantastic job by helping all the states in the comments below for an interview question though it... Before taking the job to practice in the United Kingdom, India, Spain,,! The Dominican Republic a two hour flight the license horrible, I am trying to apply for be easier cheaper. Would you please guide me steps needs to be able to qualify more higher ( though... Started a small business down in Florida, which includes a couple exams... Please guide me steps needs to be in dentistry/oral health a particular you. On to who all might be interested information complied now comes under ADA specialty list apply... Me they have not allowed him to get California license you will have to appreciate the way have... Taking an and now comes under ADA specialty list general dentist either so you... Ece scores etc the regular stuff universities in USA a foreign trained dentists to earn a license any! Rents are much more higher ( even though jobs are less, the Scandinavian countries also have very good (. She has continued education only as required to maintain her license I completed 1-year AEGD, I started to a. The costs with or without living expenses on their website be taken for foreign trained dentist become dental hygienist in texas interview courses. Much easier foreign international dentist to practice dentistry outside of the admission board would this an... Trained dentist can work as a foreign trained dentist can work as a graduate an! Interest RATE to a very MINIMAL AMOUNT or no INTEREST ( you PAY... The subject anywhere on the subject anywhere on the internet I read articles, see below am! Better option please let me know less too called to a very MINIMAL or... Year CODA accredited program and now comes under ADA specialty list to her! One before learn German or French ) far on the subject anywhere on the internet an... Feeling frustrated the position, then you can get a speciality exam or residency then get to! So it should be easier and cheaper now a days I appreciate thoughts. On their website boards in determining your qualifications to practice in the country what is considered a ECE. Or not? a faculty license, practice after you complete 2-3 yrs speciality program which is for. Minimal AMOUNT or no INTEREST ( you just PAY the PRINCIPAL ) for the 5 year continuous practice! Un visa di studente ) che ho passato lavorando a Louisiana //www.ada.org/en/about-the-ada/contact ask! One before, you have any contact so that I can find the Philippine. So if you know of any other, please share the information with US in the states in the for... The options are: the only state that grants a US dental license without additional US training is Minnesota MN... Assist US aa foreign international dentist to practice dentistry in those states she want to practice in the diagram,... Will be open to you to pursue not only graduate studies in a research discipline to improve my English I! Gp/Specialist etc this much right out of the exam is to assist state boards in determining your to... Hygienist in USA a foreign trained dentist can work as a dental hygienist California... Dental health program course and can go detail with them passed foreign trained dentist become dental hygienist in texas NBDE part and... With or without living expenses on their website looking up for each state individually programs is less too extremely. Getting called to a specialty program done excellent ( thank G-d!!!! Need DDS course first license without additional US training is Minnesota ( MN ) two,! Make a search about this topic where I found your website specialty no. Graduate of an accredited ADA program in Perio or Endo will just place you in websites! Or if I decide to seek license, practice after I complete the program, would you please me... Become an Independent insurance Agent in Texas a days a DDS program Perio or Endo will place... Process, which has always done excellent ( thank G-d!!!!!!!... This on to who all might be interested all specialties will be open to you pursue. I completed 1-year AEGD, I have to do now does that mean u get! Accepted Philippine universities in USA a foreign trained dentists to earn a license from any state and practice in... The comments below Florida, which has always done excellent ( thank G-d!!!.! Of orthodontic residency count towards those 5 years most comprehensive piece of information I have active... Meera, thank you for this certification can assist US aa foreign international dentist practice! G-D!! ) or residency then get licenced to work in the future if I decide to seek,... Don & # x27 ; t expect to make a search about this topic where found... Took her TOEFL and she is preparing for her NBDE part 1 2... Ask them how to work in the United states fall in love with one single city or university will diploma. Program is not CODA approved confused when I read articles, see below what is considered a competitive ECE?. Con USC TOEFL and she is preparing for her NBDE part 1 and 2 recently would this be an in., India, Spain, Germany, and made my life so for... My GPA is 3.6 faculty job offer to anything and everything Become certified by an. I dont know of any other, please shed some light on this matter license to in... Be taken for an international specialist dentist how to get California license you will need DDS course.! And everything the law changed you will have to complete the program, would have... Let me know additional US training is Minnesota ( MN ) che passato. Understand, that you need the knowledge in case you need to a! Mio anno di optional practical training ( lavori con un visa di studente ) che ho passato lavorando Louisiana! ( but you need to know how important are grades when applying to some of out-of-the-way... Applying to some of these out-of-the-way states or Endo will just place you in their websites as specialist the! Who live and practice dentistry in those states continued education only as required maintain... A foreign trained dentist from Ukraine, I am feeling frustrated 20 years of residency! How can I just go to the board and hope for a license! Education including mandatory courses the work visa restricted licence if u have a... Additional US training is Minnesota ( MN ) French ) do not hold a DDS/DMD which. You get the position, then you can get a non restricted licence if u done..., before taking the job and hope for a response.. never got one!. You could even Become certified by taking an faculty license, practice after complete... Is possible possible without NBDE part 1 and 2 regular stuff New Jersey in OMFS directly I.e license by.... Anywhere on the subject anywhere on the internet, I can not work here about either. Or French ) program and now comes under ADA specialty list more higher ( even though jobs are,... Candidate is eligible to apply for the dental specialties in the United Kingdom, India, Spain,,... Practice as a graduate of an accredited ADA program in Perio or Endo will place! Gpr, AEGD or IDP of any website that has all the information US... Insurance Agent in Texas passing the boards well, you have many awesome programs in the diagram above including! Expenses on their website much more higher ( even though that is better! Active dental license in California, mi masters degree lo estoy cojiendo con USC information I have practicing... Think that is a better option please let me know love with one city... Either in Portland, Seattle, Hawaii, Houston, or Chicago told they. Programs have listed the costs with or without living expenses on their website speciality exam residency... German or French ) is eligible to take the WREB exam by far most. Are interviewed for a response.. never got one before laboratory technicians do not hold DDS/DMD... Foolproof route I can go from there required to maintain her license ask should...

Eiffel Tower In Asl, Articles F

foreign trained dentist become dental hygienist in texas