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Program Level:

Degrees

Program Type:

Face-to-Face

Department:

Career and Technical

Institute:

Health & Biosciences

College:

PAC

What is a Dental Hygienist?

A dental hygienist is a preventive oral health professional whose primary role is to aid in improving oral health to impact overall health. This role includes routine tasks of providing preventive and periodontal care to the patient based upon their specific need while performing a thorough medical history, oral cancer screening, radiographic evaluation, and developing the individualized dental hygiene treatment need for the patient.

Dental Hygiene Third Party Comments

Dental Hygienist Program Highlights

  • Our 30 chair Dental Hygiene Clinic, State-of-the-Art facility is located on the the Alamo Colleges District’s Palo Alto campus in the Rio Grande Building, which faces 410 South.
  • Dental hygiene education requires students to work with our local community members, while being supervised by State of Texas Licensed Registered Dental Hygienists, and Dentists Faculty.
  • Successful completion of the 68 credit hour – 5 Semester curriculum, allows the graduate to sit for their clinical licensing exam for the State of Texas and Other States of their choice, in addition, to sit for their Joint Commission on National Board Dental Hygiene Examination.
  • Entrance into Palo Alto College’s Dental Hygiene Program is a competitive application process and is separate from the application process of the College.

 

What is the employment Forecast?

  • According to the Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook  Handbook, Dental Hygienists:
  • The mean annual wage as of May 2024:
    • National estimates of $94,260 per year.
    • With an hourly wage of $45 to $55 per hour.
    • The job outlook is growing at a 9% rate of increase.
    • Employment change lists from 2023-33 that there are 19,600 job openings.
How Do I Become A Dental Hygienist In The State Of Texas?
  • Be at least 18 years of age or older.
  • Graduated from an accredited high school or holds a certificate of high school equivalency, General Equivalency Diploma (GED).
  • Must have successfully graduated from a Dental Hygiene Program that has been granted Accreditation Status from the Commission on Dental Accreditation of the American Dental Association
  • Must have successfully passed the Dental Hygiene Examination of the Joint Commission on Dental Hygiene Examination (known as the National Board Exam).
  • Must have taken and successfully completed of a Dental Hygiene Clinical Board exam that is approved by the Texas State Board of Dental Examiners (TSBDE).
  • Must complete a course in Human Trafficking Prevention that has been approved by the Texas Health and Human Services Commission. (Click Here for Approved Courses).

Criminal History Background:

  • If you have any doubts or concerns that you could receive a license to practice in the State of Texas, Please follow through with the process to complete the form referenced and sent to the TSBDE for approval.
  • Please follow this link.
Program Details
  • Program is a two-year, full-time program – five semesters of course work, that runs Monday to Friday, 8:00 am to 5:00 pm.
  • Course work is delivered in a Face-to-Face, on campus environment.
  • Competitive Entrance Process separate from Palo Alto College Entrance.
  • Application process is through American Dental Education Association Dental Hygiene Centralized Application Service (ADEA DHCAS)
  • Once application is verified and complete through ADEA DHCAS, top 45 applicants will be invited to take Health Science Reasoning Test (HSRT).
  • Observation hours are required in specific disciplines of an office for the applicant to observe a Dental Hygienist in their practice setting. (There is no exception to these observation hours).
  • Class enrollment is currently limited to 30 students.
  • More detailed information is outlined under the “Application” Heading.
Prerequisite and other GenEd classes
General Education Course Name SCH
Prerequisites Courses BIOL 2401 Anatomy & Physiology I 4
BIOL 2402 Anatomy & Physiology II 4
BIOL 2420 Microbiology for Nursing and Allied Health 4
Choose one of the following: One of the following can build towards the AAS Degree:
CHEM 1405 Introduction to Chemistry 4
or CHEM 1406 Introduction to Chemistry with an Allied Health Focus
or CHEM 1411 General Chemistry I
ENGL 1301 Composition I 3
 
Other GenEd to be taken PHIL 2306 Introduction to Ethics 3
Choose one of the following: One of the following can build towards the AAS Degree:
PSYC 2301 General Psychology 3
OR SOCI 1301 Introduction to Sociology
Total Credit hours for GenEd Courses 25

All courses must be completed before application submission. Deadline for course completion is December 31

Degrees Offered

Application

GPA Requirements
  • All GPA requirements must be met in order to apply to the PAC Dental Hygiene Program.
  • General Educations Courses GPA requirements are only calculated on the courses included in the curriculum.
  • All General Education courses must meet a minimum 3.0 GPA requirement.
  • All Sciences courses must meet a minimum 3.5 and must be five (5) years old or less (see chart for evaluation of age of course).
  • The GPA Calculation Worksheet is a Mandatory part of the application. If the form is missing, the application is considered incomplete and will not be processed.
  • An Applicant can schedule a meeting with an Advisor for evaluation for areas of improvement.

Weighted GPA Calculation Sheet

Once the applicant has completed the GPA worksheet calculations and the course age determinations, this information must be printed and submitted with the applicant’s application to ADEA DHCAS.

Observation Hours
  • All applicants MUST submit a minimum of 20 hours of observation where the Applicant is observing a Dental Hygienist performing his or her skills in the three different office settings. There is NO EXCEPTION to these rules. These hours are subject to verification. Falsifying information is considered grounds for voiding an application
    1. General Dentistry
    2. Pediatric Dentistry
    3. Periodontal Dentistry

    The minimum hours of observation per dental office type is 2 hours. Therefore, if one practice only allows 2 hours, the remainder of the hours can be spread across the other office types.
  • Observation hours cannot be completed in the dental office that the applicant is employed in.
  • Each observation must have a separate form for the visit with the signature of a licensed hygienist, not a DDS.
  • Observation hours can be accrued over a three-year period.
  • Exceeding the 20 hours earns an applicant the possibility of more points.
  • These hours are allowed to be used for up to 3 (three) years
  • There is no exception to these observation requirements.
  • Applications will be considered incomplete without these hours completed.
  • Below is the form that is available for download and completion by the dental hygienist that is being observed. Hold on to the forms for their submission in the application packet. DO NOT email this information.

Verification of RDH Observation Form

Immunizations

All immunization must be completed before the start of the dental hygiene program for fall entry. At the time of application, all series immunizations (any immunization that requires more than one injection) MUST be underway with a projected completion date determined to be before the start of the Fall semester. (Example: Hepatitis B series can be started, but must have all injections completed by the start of the fall semester)

The Centers for Disease Control  and the Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter B, Rule §97.64 state required immunizations for required vaccinations for students enrolled in health-related institutions of higher education.

All vaccinations must be completed at the time of enrollment as per the Texas Administrative Code, “before they [the student] can engage in direct patient contact with potential exposure to blood or bodily fluids in educational, medical, or dental care facilities.” Below is the list for completion prior to enrollment.

There are NO exceptions to this rule.

The Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter B, Rule §97.68 state the acceptable forms of proof of vaccination(s). 

  1. Vaccines administered after September 1, 1991, shall include the month, day, and year each vaccine was administered.
  2. Documentation of vaccines administered that include the signature or stamp of the physician or physician’s designee, or public health personnel, is acceptable. Immunization records generated from electronic health record systems must include clinic contact information and the provider’s signature/stamp.
  3. An official immunization record generated from a state or local health authority is acceptable.
  4. An official record received from school officials, including a record from another state, is acceptable.

 

This information is included in this packet to allow applicants to complete these immunizations. The CDC provides The Pink Book: “Epidemiology and Prevention of Vaccine-Preventable Diseases, 14th Edition as a reference for vaccine recommendations.  Some immunizations take up to six months to complete. Please see the list of immunizations required below:

  1. Hepatitis B – Please follow the CDC reference here:
    1. If an applicant has had the Hepatitis Vaccination previously, then a blood titer level must be completed. A titer is a blood test that measures the amount of antibodies in the blood. The CDC recommends that a healthcare worker should have immunity is their blood titer level exhibits an anti-HBs at a level of 10 mlU/mL (positive), resulting in immunity to Hepatitis B. The following link is provided from the CDC reference of Pink Book’s chapter on Hepatitis B, Chapter 10, Page 146,
  2. MMR Vaccination – Measles, Mumps, Rubella – Please follow the CDC reference here:
    1. Measles requires 2 doses separated by at least 28 days
    2. Students born on or after January 1, 1957, must show, prior to patient contact, acceptable evidence of vaccination of two doses of a measles-containing vaccine administered since January 1, 1968 (preferably MMR vaccine).
    3. Students born on or after January 1, 1957, must show, prior to patient contact, acceptable evidence of vaccination of two doses of a mumps vaccine.
    4. Students must show, prior to patient contact, acceptable evidence of one dose of rubella vaccine.
    5. Mumps and Rubella may consist of one dose, unless combined with Measles.
  3. Varicella (Chicken Pox) – Vaccination for or immunity verification for the Varicella Virus – Please follow the CDC reference here:
    1. If immunization is not verified, the CDC recommends two doses of vaccine who have never had chicken pox before. If you have not had nor have been immunized, the CDC recommends immunization to healthcare providers.
  4. Flu (Influenza) – Please follow the CDC reference here:
    1. One does of influenza vaccine annually
  5. Tdap (Tetanus, Diphtheria, Pertussis – Please follow the CDC reference here:
    1. Receive a one-time dose as soon as possible if have not received a Tdap previously.
    2. Followed by a booster every 10 years.
  6. Meningococcal – Please follow the CDC reference here:
    1. The Meningitis Vaccine can result in a three-part series, depending on the type of vaccine.
  7. Tuberculosis Screening/Testing – Please follow the CDC reference here and on the Texas Health and Human Services website
    1. Two-Step TB testing is required.

The below information is provided as a resource only and is not affiliated with Alamo College Districts in any way. The City of San Antonio Metropolitan Health District provides Immunization Clinics. Please review the following links for additional information in seeking immunizations for lower costs.

There are no exceptions to immunizations as per the Texas State Legislature for any reason. All information submitted must be signed off on by a licensed practitioner for verification.
BLS CPR & AED (Adult, Child & Infant)

The application must also have a current certification in CPR. This certification must be the two-year American Heart Association certification. Please see the information below:

  • Must have a current American Heart Association Provider CPR Certification with AED experience.
  • This is typically a 2-year certification.
  • Current CPR certification must be presented with BLS/AED certification and must remain current for the duration of the educational period and licensure process.
  • Must be from the American Heart Association’s organization.
  • Note: Once accepted into the program if at any time a student's CPR expires while in the program the student will be dismissed until renewal of CPR certification.

There is no exception to this!

HSRT

Once all of the information above has been completed, 45 applicants who have successfully completed all the requirements will be offered the opportunity to sit for the Health Science Reasoning Test.  

  • Qualified applicants will be sent an access code and method of payment for the assessment fee of $20.00 along with instructions to start the exam.
  • This exam can be taken on any computer with proctoring access.
  • At the completion of the assessment, the student will provide a digital copy of the assessment tool. Upload instructions will follow shortly for this piece of the application.
  • Note: The HSRT can be taken once per application cycle.
How are Applicants Ranked
  • All applicants are vetted and verified by ADEA DHCAS.
  • It is the applicants responsibility to monitor ADEA DHCAS for any communication that would delay the verification process.
  • Palo Alto College is not responsible for the applicant not submitting all of their information for the application process.
  • All applicants that are verified through ADEA DHCAS will be assimilated in a report once all information is completed.
  • Applicants are ranked by their Science GPA, then ranked by their overall GPA.
  • Thirdly, applicants are ranked by the number of observation hours they have accumulated and that have been verified.
  • The top 45 applicants will then be invited to sit for the Health Science Reasoning Test (HSRT) on a preassigned date and time on campus.
  • Once the applicants have been ranked in the first three aspects, then the HSRT Overall Score is ranked.
  • Once all information has been finalized, if there is a tie at a position, the score from the HSRT report titled “Evaluation” is the score used to sort distribution within the categories.
  • See the example sheet provided
ADEA Application
     

Class of 2028 Application opens January 26, 2026

  • Please click on the following link to begin your application. (you will need to create an account with ADEA DHCAS if you do not have one already)
  • Deadline: March 6, 2026, 11:59 Eastern Time

  • Once the application has been submitted, allow 4-6 weeks for an invite to the HSRT reasoning test or a denial letter

  • The top 30 applicants will be selected. In addition, 15 alternates will be selected. All 45 applicants must attend a mandatory new student orientation. This is not optional. Failure to do so will result in the applicant forfeiting their position for an opportunity in the Palo Alto Dental Hygiene Program

Apply Here

NOTE: ADEA requires a fee of $45 upon submission of your application.

Contact Information

Diane Wilson

Executive Dental Director

Olga Segura

Dental Hygiene Department Administrative Assistant

210-486-3327

Rio Grande Dental Hygiene Clinic

Cecilia Del Toro

Academic Program Coordinator

Juan Venegas, M.Ed.

Certified Advisor Academic Advising

210-486-3672

Rio Grande (RIOGND 111D)