The Road to Bring Dental Therapy to Michigan

Although dental therapy has been in other countries for over 100 years, the U.S. began realizing its potential in the early 2000's to address the oral health disparities experienced by underserved communities- largely communities of color and those with low socioeconomic status. Many of these communities are located in rural areas and urban centers where dentists are few and far between, and this is where dental therapy will make its mark.


Michigan's Dental Therapy Licensing Rules


In April 2021, Michigan's dental therapy licensing rules were approved, making dental therapy its newest licensed profession. See the licensing rules here.

Michigan's Dental Therapy Bill


SB 541 was enacted with Governor Rick Snyder's signature on December 27, 2018--establishing PA 463--


See SB 541 here.

See the press release on passage of the bill here

Legislative History


Sen. Mike Shirkey (R- Clarklake) introduced Senate Bill 541 to address significant gaps in access to oral health services across the state by licensing dental therapists to practice in Michigan. SB 541 will allow dentists to treat more patients by hiring dental therapists, similar to a physician assistant on a medical team, to provide preventive and routine restorative care such as filling cavities. 


Michigan has an uneven distribution of dentists, resulting in a shortage of dental providers in many rural and urban communities.  77 out of Michigan’s 83 counties have at least one dental shortage area, leaving millions of residents without access to necessary oral care. SB 541 will expand oral health care especially to vulnerable people, including seniors, pregnant women, children and people living in rural areas. 


“Expanding the dental team to include a dental therapist could improve overall access to oral health care for underserved patients while allowing dentists to increase their revenues and modernize and expand their practices,” said Sen. Shirkey. “When people cannot get dental care, they often resort to emergency rooms for relief which costs Michigan taxpayers money. Relying on emergency rooms doesn’t alleviate patients’ underlying problems and places an unfair burden on taxpayers.”


Access to dental care is limited or nonexistent for millions of Michigan residents:

•      More than one-third of all Michigan seniors have lost six or more natural teeth due to tooth decay or gum disease. 

•      Half of new mothers in 2014 did not receive a preventative dental visit during their pregnancy. Research shows gum disease can increase the risk of preterm birth.

•      Approximately half of the kids covered by Medicaid or Healthy Kids Dental did not receive dental services in 2016.


PA 463 increases the number of highly trained professionals able to perform these basic procedures under the supervision of a dentist and allow dentists to focus their time and skills on more complicated procedures.

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