Orthodontics vs Periodontics

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Mmaodan

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Hello everyone,
I am planning to apply for the Residency Program this year. Very struggling between Orthodontics and Periodontics.
Does anyone have more information on those two specialties? Especially the future job hunting and income? Thanks.

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I mean do you like blood? If yes, perio. If no, Ortho. Do you like seeing a million patients a day and doing about 10% of the work while your assistant does the other 90%? Ortho. These two specialties are very different and the choice should be about what YOU like to do, not where the money is at. The money is good for both, the jobs are good for both.
 
Is ortho even worth it these days with tuition costs and not a lot of full time positions?
 
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Why the hate for Ortho?

No hate. Just a curious person researching stuff. Asked a question based off of what I see nothing else. I respect all specialties. Just looking at it in the eyes of economics.
 
Is ortho even worth it these days with tuition costs and not a lot of full time positions?
People are willing to spend $$$ to get into ortho. It's still extremely hard to get into ortho because ortho programs only select candidates with high class rank. Ortho programs have zero problem filling all the slots. The slots that are available after the match day get filled very quickly. An average applicant can't get in, unless he/she has a special connection.

When one of these things that I listed above is no longer true, that's when you'll know that ortho is no longer worth it to pursue.
 
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People are willing to spend $$$ to get into ortho. It's still extremely hard to get into ortho because ortho programs only select candidates with high class rank. Ortho programs have zero problem filling all the slots. The slots that are available after the match day get filled very quickly. An average applicant can't get in, unless he/she has a special connection.

When one of these thing that I listed above is no longer true, that's when you'll know that ortho is no longer worth it to pursue.

Well it is also the X factor. The everyday grind your average person is not accustomed too. General dentistry is a lot harder on the body yet their is no income ceiling. People flock to something in hopes of guaranteed but there are not garuntees in life in general. But when we talk about economics and people give a generalized statement that doesn't answer my question then you start to wonder. If people aren't chasing the money then what are they chasing - lifestyle. From researching, ortho may be not as much lucrative as anything else but it certainly gives you a better work life. Notice I didn't say work life balance because you can work as much or as little as you want in our professions - one of the reasons why we loved it. But if people are looking for money I cannot help to think that they are doing wrong by choosing specialties sometimes. I understand the work life balance and it being easier on your body and and what not but economically I don't think it is as viable. Correct me if I am wrong please. Just trying to do my research.
 
Well it is also the X factor. The everyday grind your average person is not accustomed too. General dentistry is a lot harder on the body yet their is no income ceiling. People flock to something in hopes of guaranteed but there are not garuntees in life in general. But when we talk about economics and people give a generalized statement that doesn't answer my question then you start to wonder. If people aren't chasing the money then what are they chasing - lifestyle. From researching, ortho may be not as much lucrative as anything else but it certainly gives you a better work life. Notice I didn't say work life balance because you can work as much or as little as you want in our professions - one of the reasons why we loved it. But if people are looking for money I cannot help to think that they are doing wrong by choosing specialties sometimes. I understand the work life balance and it being easier on your body and and what not but economically I don't think it is as viable. Correct me if I am wrong please. Just trying to do my research.
Both for the lifestyle and money. Because the job is easy and less physically demanding, the orthodontists can see 60-80 patients a day, work more days a week, and work more years (until they are 70+ yo) than general dentists and other specialists. High patient volume per day + more work days per weeks + more years of pratice = more $$$. Low chance of getting sued + good work hours + mostly young healthy friendly patients = the best work-life balance job.

There are plenty of jobs available. The question is how picky are you. If you don't mind working for the GPs, traveling to multiple offices, working on the weekends, working at low tech offices etc, you will do very well.....it's still a lot easier than working as a GP.......and a $5-600k student loan shouldn't be an issue.

I am working at the corp office right now. My shift is from 7am-3pm. There are 7 starts on the appoint book and yet, I still have plenty of time to type this post. Since it's a good production day, the office manager buys us lunch today. Easy job...good bonus ($75 per start).....and free food....I love my job.
 
Both for the lifestyle and money. Because the job is easy and less physically demanding, the orthodontists can see 60-80 patients a day, work more days a week, and work more years (until they are 70+ yo) than general dentists and other specialists. High patient volume per day + more work days per weeks + more years of pratice = more $$$. Low chance of getting sued + good work hours + mostly young healthy friendly patients = the best work-life balance job.

There are plenty of jobs available. The question is how picky are you. If you don't mind working for the GPs, traveling to multiple offices, working on the weekends, working at low tech offices etc, you will do very well.....it's still a lot easier than working as a GP.......and a $5-600k student loan shouldn't be an issue.

I am working at the corp office right now. My shift is from 7am-3pm. There are 7 starts on the appoint book and yet, I still have plenty of time to type this post. Since it's a good production day, the office manager buys us lunch today. Easy job...good bonus ($75 per start).....and free food....I love my job.

Those are all great points but $500-$600k of compounding interest rate of about 8% on average. You'd have to make at least $350k to control that amount of compounding interest debt.
 
Those are all great points but $500-$600k of compounding interest rate of about 8% on average. You'd have to make at least $350k to control that amount of compounding interest debt.
You aren't stuck at 8%, you can refinance your loans.
 
You aren't stuck at 8%, you can refinance your loans.

Correct. I am no where near that debt. I am just saying though that it will compound for time time being in school. If you can find a way though to refinance them great. But the discussion is still valid. Regardless of a 5-8% interest rate on $500-$600k - you need a substantial base too get a grasp on this.
 
Correct. I am no where near that debt. I am just saying though that it will compound for time time being in school. If you can find a way though to refinance them great. But the discussion is still valid. Regardless of a 5-8% interest rate on $500-$600k - you need a substantial base too get a grasp on this.
1200*6*49 = 352.8K
So if you work for $1200 a day (not unreasonable as associate offers for ortho range from $1000-1800) 6 days a week (not unreasonable if you are willing to travel) for 49 weeks out of the year, you can make $352K. Not too shabby.
 
Correct. I am no where near that debt. I am just saying though that it will compound for time time being in school. If you can find a way though to refinance them great. But the discussion is still valid. Regardless of a 5-8% interest rate on $500-$600k - you need a substantial base too get a grasp on this.
Another consideration is some specialty residencies are paid, and some you have to pay tuition. Like for most ortho, perio, endo, prost programs you have to pay tuition (sometimes A LOT); and for programs like pedo, anes, omfs, you are paid pgy salaries. I don't think you should base your decision off that, but it's a factor. For example, the difference between paying 60k in tuition and getting paid 60k is 120k per year of residency. That's significant, especially when interest is factored in. And specialists like pedo, anes, omfs all tend to do very well financially once they are out in practice. At the end of the day you should do what you like and what suits you best and in the long run the money will follow. But food for thought.
 
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Correct. I am no where near that debt. I am just saying though that it will compound for time time being in school. If you can find a way though to refinance them great. But the discussion is still valid. Regardless of a 5-8% interest rate on $500-$600k - you need a substantial base too get a grasp on this.

student loan interest does not compound. should be obvious if you look at your statements and see a separate principal balance and interest balance.
 
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student loan interest does not compound. should be obvious if you look at your statements and see a separate principal balance and interest balance.
Is this true? Why does everyone think it does?
 
Those are all great points but $500-$600k of compounding interest rate of about 8% on average. You'd have to make at least $350k to control that amount of compounding interest debt.
My wife and I owed $450k student loans. Our combined associate income right after graduation was slightly less than $350k and we lived very comfortably....bought (together with my sister) a $38k Lexus for my dad, bought a $385k house, took out another $120k loan to purchase an existing practice for my wife etc. In less than 3 years, we cut the student loan amount half thanks to the profit that we earned from selling our first house. By the 4th year, I set up my own office from scratch and that's when our income increased significantly. By the 5th year, the entire $450k student loan were paid off.
 
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1200*6*49 = 352.8K
So if you work for $1200 a day (not unreasonable as associate offers for ortho range from $1000-1800) 6 days a week (not unreasonable if you are willing to travel) for 49 weeks out of the year, you can make $352K. Not too shabby.
This $1000-1800/day associate pay is only 20-25% of what you produce for your boss. If you have your own office and manage to keep the overhead at around 35-40%, you can bring home 2-3 times more. And on the weekends when I have more P/T assistants to come help, I can book 1.5x more patients and make 1.5x more money than on the weekdays.

I'd rather be an ortho with $5-600k debt than being a GP with $250-300k debt. As an ortho, I can book more patients in one day and only need to work a few days in a month.....and I use the other free days to work at other offices to make more money.
 
Is this true? Why does everyone think it does?

Yes, this is true. Because many people on this forum are ignorant of basic finances.

Student loans are subject to capitalization. If you fail to pay on them for a period of 12 months after you graduate your interest will be added to the principal and you will then accrue interest on that new total.
 
This $1000-1800/day associate pay is only 20-25% of what you produce for your boss. If you have your own office and manage to keep the overhead at around 35-40%, you can bring home 2-3 times more. And on the weekends when I have more P/T assistants to come help, I can book 1.5x more patients and make 1.5x more money than on the weekdays.

I'd rather be an ortho with $5-600k debt than being a GP with $250-300k debt. As an ortho, I can book more patients in one day and only need to work a few days in a month.....and I use the other free days to work at other offices to make more money.

Would you rather be a GP with $150k debt or ortho with $500k debt?
 
Yes, this is true. Because many people on this forum are ignorant of basic finances.

Student loans are subject to capitalization. If you fail to pay on them for a period of 12 months after you graduate your interest will be added to the principal and you will then accrue interest on that new total.
Yes, so in the context of the discussion on this thread, you student loan interest would capitalize yearly while in residency (this is assuming you are not making large student loan payments while in residency...which is pretty much everyone). So, if we’re not nit picking semantics, your student loan interest will in fact capitalize every 12 months (meaning it will be added to the principal balance of your loan).
Now, to be helpful, SoFi offers a medical/dental resident loan refinance program, which eliminates compounding/capitalization of interest. So could look into that!
 
Would you rather be a GP with $150k debt or ortho with $500k debt?
I'd would do ortho again even for $1 million because I am not picky about the job offers, I can work 6 days/week, I am ok with treating low income patients and I am willing to travel to multiple offices. Doing general dentistry every day is hard work.....I am not sure if my hands and back can survive 20-25 years of such intense manual labor. I can do ortho even when I am 70+ yo and I plan to do so if God allows me live that long.

We were able to pay off our student loans much faster than many of our GP friends, who had much lower debt than us and graduated before us. And they have worked much harder than us. It's much easier to spend 1-2 minutes to examine the patient's teeth and get paid $120-150 per ortho office visit than spending $10-15 minutes and breaking my back to do a filling.
 
Yes, so in the context of the discussion on this thread, you student loan interest would capitalize yearly while in residency (this is assuming you are not making large student loan payments while in residency...which is pretty much everyone). So, if we’re not nit picking semantics, your student loan interest will in fact capitalize every 12 months (meaning it will be added to the principal balance of your loan).
Now, to be helpful, SoFi offers a medical/dental resident loan refinance program, which eliminates compounding/capitalization of interest. So could look into that!

Prime example right here. Complete confidence while sharing misinformation. You're loans do not capitalize while in residency. You're loans are in deferent while in residency. Capitalization and compound interested are two very different things.
 
I'd would do ortho again even for $1 million because I am not picky about the job offers, I can work 6 days/week, I am ok with treating low income patients and I am willing to travel to multiple offices. Doing general dentistry every day is hard work.....I am not sure if my hands and back can survive 20-25 years of such intense manual labor. I can do ortho even when I am 70+ yo and I plan to do so if God allows me live that long.

We were able to pay off our student loans much faster than many of our GP friends, who had much lower debt than us and graduated before us. And they have worked much harder than us. It's much easier to spend 1-2 minutes to examine the patient's teeth and get paid $120-150 per ortho office visit than spending $10-15 minutes and breaking my back to do a filling.

You'd do ortho again even if you wanted to be a practice owner?
 
Prime example right here. Complete confidence while sharing misinformation. You're loans do not capitalize while in residency. You're loans are in deferent while in residency. Capitalization and compound interested are two very different things.
Yes they do. Ask me how I know
 
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Yes they do. Ask me how I know
No they don’t. Did you take out private loans or refinance your government loans into private ones? I just called and confirmed with my loan service provider, Nelnet, government loans will be deferred while in residency and will not be subject to capitalization.
 
You'd do ortho again even if you wanted to be a practice owner?

He is a practice owner. So ... you prefer general dentistry with an "unlimited income ceiling". Good for you. I get it. Some predents or dental students are trying to "buy" themselves into the ortho profession. I agree. Not financially smart. Ortho is not the golden goose it once was, but it is still IMHO the most desirable dental specialty. Of course this is highly debatable and I am biased. 😉 Not everyone going into ortho is mortgaging their entire life to future debt service. It was a no brainer for myself since my residency paid a stipend. I was very fortunate.

Don't do something only for money. You will be disappointed. In dental school .... I had ZERO interest in OMFS, Endo, Perio, Pros, dental anesthesia, Pedo, and least of all ... general dentistry. Ortho was the ONLY profession I was interested in. After 27 yrs practicing ortho .... I have ZERO regrets.
 
Mine are unsubsidized. As far as I’m aware, subsidized loans are not available beyond undergrad.
 
Student loans do not get capitalized yearly lmao. There are only specific times your loan gets capitalized such as the end of grace period or end of deferment. This is just basic information you can get with a simple google research. Student loans are not compounded. This is something everyone should know when they graduate high school and take out any loans.
 
Don't do something only for money. You will be disappointed. In dental school .... I had ZERO interest in OMFS, Endo, Perio, Pros, dental anesthesia, Pedo, and least of all ... general dentistry. Ortho was the ONLY profession I was interested in. After 27 yrs practicing ortho .... I have ZERO regrets.

I agree- don't do anything for money. I think something else not mentioned is how many posts do we see that are specialty xyz vs ortho? its almost always "should I do this specialty or ortho." I'd also be very careful entering dental school with the above mindset. I agree with the two orthodontists on here that its probably the best gig in dentistry. sure the game has changed (a lot it sounds like) but i'll openly admit i'm envious of orthodontists as a GP.
 
Student loans capitalize after a 6 month grace period following a student status (predicts, postdoc). Your interest does compound all throughout the life of the loan starting in D1. However, when that interest capitalizes it gets combined with your principle balance and the compounding interest accrued significantly faster due to the larger overall balance.
 
I've heard of all sort of dental specialists going back to school to become orthodontists. I've never heard of an orthodontist who went on to specialize into something else.
 
Student loans capitalize after a 6 month grace period following a student status (predicts, postdoc). Your interest does compound all throughout the life of the loan starting in D1. However, when that interest capitalizes it gets combined with your principle balance and the compounding interest accrued significantly faster due to the larger overall balance.
Yes, this
 
No they don’t. Did you take out private loans or refinance your government loans into private ones? I just called and confirmed with my loan service provider, Nelnet, government loans will be deferred while in residency and will not be subject to capitalization.
Government. I had a different service provider though. It’s possible our terms are different? I’m just going off the terms of my government loans (I have since refinanced with SoFi)
 
Student loans capitalize after a 6 month grace period following a student status (predicts, postdoc). Your interest does compound all throughout the life of the loan starting in D1. However, when that interest capitalizes it gets combined with your principle balance and the compounding interest accrued significantly faster due to the larger overall balance.

No, this is not even close to correct. I don't think you even understand what you're talking about. Student loans do not compound interest. You can look at your statements and see that this is not true. If the interest is already compounding then what would they even be capitalizing? I think the grace period is 12 months but it could have changed.
 
Government. I had a different service provider though. It’s possible our terms are different? I’m just going off the terms of my government loans (I have since refinanced with SoFi)
If you refinanced them with SoFi then you don't still have government loans. That's what refinancing is. You took out a private loan to pay off your government loans. At that point, your contract could literally be anything which is why you might be seeing capitalization while in residency.
 
No, this is not even close to correct. I don't think you even understand what you're talking about. Student loans do not compound interest. You can look at your statements and see that this is not true. If the interest is already compounding then what would they even be capitalizing? I think the grace period is 12 months but it could have changed.
Ummm it is actually exactly how it works. The interest is calculated separately from the principle. When it CAPITALIZES, the interest balance combines with the principle forming a single balance. I think you need to have a better understanding of capitalization.
 
Ummm it is actually exactly how it works. The interest is calculated separately from the principle. When it CAPITALIZES, the interest balance combines with the principle forming a single balance. I think you need to have a better understanding of capitalization.
Lol that's not what you previously said. You did just accurately describe how capitalization works. However, you stated that your students loans are compounding while in school. They are not, it is simple interest only. Capitalization does occur after a certain period from when your deferment ends if you don't pay down the accrued interest. They are not compounding and then capitalizing. That doesn't even make sense.

Just FYI I have a business degree and worked for Amazon and Target for a period before going to dental school. Now I own several rental properties having utilized several different loans types. I am very familiar with finance and how lending works.
 
You'd do ortho again even if you wanted to be a practice owner?
Yes, for me. But I am not sure if ortho is worth pursuing for others because I don't know how hard today grad orthos are willing to work. Can they tolerate working at a corp office that has a boss, who only has a HS diploma and assistants who are unmotivated? Can they work at low tech offices? Do they know how to keep the overhead low? Are they willing to visit the GP offices to introduce themselves? Are they fast? Can they get their spouses on board with budgeting and paying off debt?

I wish I had started my own office a lot sooner. I had waited for 4 years because I thought it would take a long time for a new office start making profit.....I didn't want to downgrade the lifestyle. I set up my first office from scratch in 2006 and then the recession hit in 2008. In 2009, I took the advantage of the recession and bought another existing office for a reasonable price. Even during the recession, the parents still find ways to pay for their kids' braces.
 
Regardless of how the interests are calculated, you have to accept the loans because you don't have any other choices....you need the money to pay for your dental education or pick another career option with less debt but does not have as good job security as dentistry. Just work hard, continue to live like a poor student (or a poor medical resident) for another 2-3 years, and pay them off as fast as you can so you don't have to worry about paying too much in interest. One or two extra days of work every month should easily offset the amount of interest that accumulated during your specialty training.
 
Lol that's not what you previously said. You did just accurately describe how capitalization works. However, you stated that your students loans are compounding while in school. They are not, it is simple interest only. Capitalization does occur after a certain period from when your deferment ends if you don't pay down the accrued interest. They are not compounding and then capitalizing. That doesn't even make sense.

Just FYI I have a business degree and worked for Amazon and Target for a period before going to dental school. Now I own several rental properties having utilized several different loans types. I am very familiar with finance and how lending works.
I checked and you’re right, it is simple interest in school.
As far as compounding interest and capitalization, yes it does make sense. In school you are earning simple interest based on your principle balance, as you correctly mentioned. However compound interest can coexist with capitalization, not necessarily in student loans. Interest balance can compound off of itself, AND it can capitalize with the principle. They are two separate transactions.
Congratulations on your business degree and understanding how finance and lending works, but i think you need to study up on it. You see, I also have a business degree. And I am also very familiar with all of it. The MBA on my wall says so.
 
If you refinanced them with SoFi then you don't still have government loans. That's what refinancing is. You took out a private loan to pay off your government loans. At that point, your contract could literally be anything which is why you might be seeing capitalization while in residency.
I am well aware SoFi is private lol. I used to have government loans while in school and when I first graduated. For mine, after the 6 mo grace period after graduating dental school, then there is annual capitalization. So if you keep your gov loans and do a 2-3 year residency (and don’t make payments while in residency), then you will see annual capitalization. This is why SoFi has a medical/dental RESIDENT loan refinance program
 
Co
I checked and you’re right, it is simple interest in school.
As far as compounding interest and capitalization, yes it does make sense. In school you are earning simple interest based on your principle balance, as you correctly mentioned. However compound interest can coexist with capitalization, not necessarily in student loans. Interest balance can compound off of itself, AND it can capitalize with the principle. They are two separate transactions.
Congratulations on your business degree and understanding how finance and lending works, but i think you need to study up on it. You see, I also have a business degree. And I am also very familiar with all of it. The MBA on my wall says so.
Congrats on the MBA there aren’t many of us with a background in business. Experience to go with it? I feel like I studied up well because I was correct. But there are always plenty of opportunities for me to be wrong. Can you share with me a loan situation in which you would see compounding interest and capitalization together?
 
I am well aware SoFi is private lol. I used to have government loans while in school and when I first graduated. For mine, after the 6 mo grace period after graduating dental school, then there is annual capitalization. So if you keep your gov loans and do a 2-3 year residency (and don’t make payments while in residency), then you will see annual capitalization. This is why SoFi has a medical/dental RESIDENT loan refinance program
Maybe that’s how it used to be? I called mine and they said that was not an issue. Your loans go back into deferment and no capitalization.
 
I am well aware SoFi is private lol. I used to have government loans while in school and when I first graduated. For mine, after the 6 mo grace period after graduating dental school, then there is annual capitalization. So if you keep your gov loans and do a 2-3 year residency (and don’t make payments while in residency), then you will see annual capitalization. This is why SoFi has a medical/dental RESIDENT loan refinance program

You must have been in forbearance because that's the only thing I could think of to have your interest capitalized every year with no payments. If so that was a costly move versus going into an income based repayment plan such as repaye or paye.
 
You must have been in forbearance because that's the only thing I could think of to have your interest capitalized every year with no payments. If so that was a costly move versus going into an income based repayment plan such as repaye or paye.
No I refinanced
 
We can all agree student loans suck, so let’s be friends.

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