What is the highest level of dental assisting?
What is the highest level of dental assisting?
In the field of dental assisting, the most advanced role one can achieve without becoming a dental hygienist or dentist is that of an Expanded Functions Dental Assistant (EFDA). This role represents the peak of clinical responsibility for dental assistants and offers significantly more autonomy, higher pay, and deeper involvement in patient care.
What Is an EFDA?
An Expanded Functions Dental Assistant is a certified, specially trained professional who is authorized by their state dental board to perform a range of advanced, intraoral procedures under the supervision of a licensed dentist. While general dental assistants help with tasks such as preparing instruments, taking x-rays, and supporting the dentist during procedures, EFDAs take a more active clinical role.
Common EFDA Duties Include:
Placing and contouring dental restorations (e.g., fillings)
Taking final impressions for crowns and bridges
Applying sealants and fluoride treatments
Performing coronal polishing
Fabricating temporary crowns and bridges
Cementing crowns or orthodontic appliances (in some states)
Removing cement from restorations
Using high-precision tools and intraoral cameras
These tasks are often considered irreversible procedures that require both technical knowledge and clinical judgment, and they are typically restricted to individuals with advanced training and certification.
How to Become an EFDA
To become an EFDA, a dental assistant must:
Complete a CODA-accredited dental assisting program
Most programs last from 9 to 24 months, depending on the level of certification pursued.Earn DANB Certification
The Certified Dental Assistant (CDA) credential, issued by the Dental Assisting National Board (DANB), is a common prerequisite. It requires passing three exams: General Chairside Assisting (GC), Infection Control (ICE), and Radiation Health and Safety (RHS).Enroll in a State-Approved EFDA or Expanded Duties Program
These programs focus on hands-on clinical training in advanced functions and are offered at dental schools or community colleges. Duration varies by state but typically ranges from several weeks to one year.Apply for State Licensure or Registration
Many states require EFDAs to be licensed or registered, complete continuing education, and maintain CPR certification.
Salary and Career Impact
EFDAs are among the highest-paid professionals in dental assisting. While the average U.S. dental assistant earns around $48,000 per year, EFDAs can earn between $55,000 and $75,000, with salaries exceeding $80,000 in high-cost regions or surgical specialties. They also enjoy more stable employment, leadership opportunities, and job satisfaction due to their expanded clinical role.
State Differences
Titles and allowed procedures vary by state:
California: RDAEF (Registered Dental Assistant in Extended Functions)
Ohio/Missouri: EFDA
Minnesota: LDA (Licensed Dental Assistant)
Texas: RDA with expanded duties
New York: Does not formally recognize EFDA, but expanded functions are permitted with proper training
If you're searching for more than just a job—a career with stability, respect, and long-term potential—then becoming a licensed dental assistant could be your perfect path forward. Furthermore, it's not just a fast-track into the workforce; it's a gateway to a profession that’s always in demand, deeply trusted, and personally rewarding. When you're ready to take that next step, one school rises above the rest: The New York School for Medical and Dental Assistants. Moreover, with a reputation for hands-on training, dedicated instructors, and real-world readiness, it’s the smart choice for turning ambition into achievement. Lastly, The New York School for Medical and Dental Assistants stands out as the premier institution in the state. It’s the smart choice for anyone ready to invest in a future in healthcare.
