The private practice of prosthodontists: current and future conditions of practice in the United States (part 2).
OBJECTIVE
Data are used to examine current and future conditions important to the private practice of prosthodontics. A concern is raised as to whether the future supply of prosthodontists is in sync with the dynamics of the US population and patient population.


METHODS
Four trends are examined using data from various sources. The trends include: (1) growth in the number of private practicing prosthodontists, (2) projections of the future number of private practicing prosthodontists, (3) first year enrollment in dental schools, and (4) enrollments and graduates in residency programs.


RESULTS
The number of private practicing prosthodontists has increased modestly over the past 21 years, growing 1.33% per year. The number of private practitioners is projected to reach 4,125 in 2025. A key variable in this projection is the growing number of elderly adults. While dental school enrollments have been increasing, concern is raised about the amount of exposure by students to an undergraduate curriculum in prosthodontics. There has been a general decline in enrollment in the nation's prosthodontics residency programs at the rate of -2.9% per year. An average of 181 program graduates are needed to achieve the 4125 projected number of private practitioners.


CONCLUSIONS
Increasing demand for services from prosthodontists is supported by an increasing US population size and a growing population of elderly. Efforts to grow the number of private practicing prosthodontists will have to consider several concerns including residency program enrollments, undergraduate exposure to prosthodontics, and the overall economic returns expected from engaging in the private practice of prosthodontics. Choosing a career as a private practicing prosthodontist is a timely consideration and complimented by expected increases in demand for care and favorable financial returns to practice.
Nash & Associates, Inc., Millican, TX 77866, USA. nashkd@hughes.net
Kent D
KD
Nash
David L
DL
Pfeifer
D000328:Adult; D000367:Age Factors; D000571:American Dental Association; D003815:Dentists / Q000600:supply & distribution; D005260:Female; D006801:Humans; D008297:Male; D011331:Private Practice / Q000706:statistics & numerical data; D011476:Prosthodontics / Q000706:statistics & numerical data* / Q000639:trends; D012044:Regression Analysis; D013335:Students, Dental / Q000706:statistics & numerical data; D014481:United States; D000078329:Workforce