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Orthodontist · 2026 salary + AI outlook

Orthodontist salary — and how to earn like the top 1%

$239,200median / year · about $115 an hour (BLS)

AI drives aligner planning and remote monitoring, letting orthodontists treat more patients per visit; pay concentrates in practice ownership, complex cases, and multi-location scale — not the setups software automates.

Entry level
$180,000
Top earners
$400,000
Job growth
+7%
AI exposure
Medium
🏆 The Top 1% Playbook

How to reach the top 1% of Orthodontists

Four moves, straight from how the highest-paid in this field use AI in 2026:

1
Own the practice Associate pay is capped; ownership is where orthodontists build wealth. Buy or start a practice, or take DSO equity — the enterprise value of a multi-location group dwarfs any clinical salary.
2
Scale with monitoring AI Adopt Dental Monitoring and iTero remote workflows to cut chair time and manage more active cases per doctor; the orthodontist who runs a high-efficiency, tech-driven practice widens margins competitors can't match.
3
Take the complex cases Build referral volume in surgical orthodontics, cleft and craniofacial, and interdisciplinary implant cases; complex treatment that direct-to-consumer aligners and AI setups can't touch commands premium fees and steady specialist referrals.
4
Build a regional group Grow from one chair to a multi-office group and market with a strong local brand and Google reviews; ownership at scale plus a recognizable name is what turns clinical income into a sellable asset.
💡 The move that pays: AI can plan a straightforward aligner case in minutes — which is exactly why the money moved to the cases it can't plan and the practices it can't own.
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Orthodontist Salary in 2026

Orthodontist pay, in real terms

Per hour
$115.00
Per week
$4,600
Every 2 weeks
$9,200
Per month
$19,933

At the national median of $239,200/year, a orthodontist earns $19,933/month before taxes. Over a 30-year career that's roughly $7,176,000 in gross earnings — and that's before raises, promotions, or bonuses.

That puts this role about 398% above the U.S. median wage for all workers (about $48,060/year, per BLS). Using the common rule of keeping housing under 30% of gross pay, this salary supports about $5,980/month in rent or mortgage.

Figures are gross (pre-tax) estimates from the national median; use the take-home and hourly calculators on PayCrunch for your exact state and situation.

Updated June 2026 · BLS Data
How much does a Orthodontist make?
$239,200per year
National median salary · $115.00/hour · $19,933/month
Hourly
$115.00
Monthly
$19,933
Weekly
$4,600
Daily
$920
Estimated take-home
$175,720/yr
Adjust Your Market Position
$239,200/yr
Entry Level · $180,000 Top Earner · $400,000
IRS.gov data
BLS.gov verified
All 50 states
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What Does a Orthodontist Do?

Orthodontists diagnose and treat misaligned teeth and jaws. They prescribe braces, clear aligners, retainers, and other corrective devices.

Orthodontist Salary by State

Select your state to see the adjusted orthodontist salary based on cost-of-living differences.

Select a state above

How to Become a Orthodontist

Education: DDS/DMD + orthodontic residency (2-3 years)

Certifications: ABO certification; state dental license with orthodontic specialty

1. Earn a bachelor's degree.

2. Complete dental school (4 years).

3. Complete orthodontic residency (2-3 years).

4. Obtain state license.

5. Consider ABO certification.

Career path:Associate Orthodontist → Orthodontist → Practice Owner → Multi-practice Owner

Orthodontist Salary by Experience

Entry level
$180,000
Mid-career
$239,200
Senior
$380,000

Estimates based on BLS percentile data and industry surveys. Actual salaries vary by employer, location, and individual qualifications.

Top 10 Highest-Paying States for Orthodontists

#StateAnnualMonthlyHourly
1Hawaii$282,256$23,521$135.70
2California$275,080$22,923$132.25
3New York$275,080$22,923$132.25
4Massachusetts$267,904$22,325$128.80
5New Jersey$267,904$22,325$128.80
6Connecticut$263,120$21,927$126.50
7Washington$263,120$21,927$126.50
8Maryland$258,336$21,528$124.20
9Alaska$251,160$20,930$120.75
10Colorado$251,160$20,930$120.75

State salaries estimated using BLS national median adjusted by regional cost-of-living factors.

Compare to Related Jobs

Job TitleMedian SalaryHourlyDifference
Orthodontist$239,200$115.00
Dentist$170,910$82.17$-68,290
Dermatologist$302,740$145.55+$63,540
Surgeon$260,000$125.00+$20,800
Anesthesiologist$302,970$145.66+$63,770
Optometrist$130,490$62.74$-108,710
Pharmacist$136,030$65.40$-103,170

Job Outlook

The BLS projects +7% growth for orthodontists through 2032, which is faster than average compared to the average for all occupations (3%).

🆕 New & Trending AI Tools for OrthodontistReviewed July 2026

We track new AI-tool launches every week and refresh this list — here’s what’s gaining traction for Orthodontist work right now.

NotebookLMNEWFree / $7.99 mo

Google tool that answers questions grounded only in the documents you give it — with citations.

How an Orthodontist uses it: load your own manuals, policies, or PDFs and ask questions that stay accurate to the source

ChatGPTFree / $20 mo

The most-used AI assistant — writing, analysis, research, and images from a plain-language chat.

How an Orthodontist uses it: draft emails and documents, summarize long files, and get instant answers to on-the-job questions

ClaudeFree / $20 mo

AI assistant known for careful writing, long-document analysis, and coding.

How an Orthodontist uses it: analyze big reports or spreadsheets and turn messy notes into clean, finished writing

Google GeminiFree / $20 mo

Google's AI assistant, built into Gmail, Docs, and Search.

How an Orthodontist uses it: draft and reply inside Google Workspace and research without leaving the page

Microsoft CopilotFree / $30 mo

AI built into Word, Excel, PowerPoint, Outlook, and Teams.

How an Orthodontist uses it: write documents, build spreadsheets, and summarize meetings inside Office

PerplexityFree / $20 mo

AI search engine that answers with live, cited web sources.

How an Orthodontist uses it: get fast, sourced answers to current questions instead of scrolling search results

Frequently Asked Questions

How much does an orthodontist make?
The national median salary is approximately $239,200 per year.
Is orthodontics a good career?
Excellent. Very high pay and good work-life balance.
How long does it take?
10-11 years: bachelor's + dental school + orthodontic residency.
Why do orthodontists make so much?
Specialized training, limited practitioners, high demand, and cash-pay treatments.
What is the difference between orthodontist and dentist?
Orthodontists are dental specialists with additional residency training in tooth and jaw alignment.
Methodology and data sources

Salary data is based on the Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (OES) program. National median, 10th percentile, and 90th percentile figures are sourced from the most recent BLS OES release. State-level salary estimates are calculated by applying regional price parity adjustments from the Bureau of Economic Analysis (BEA) to the national median. Job growth projections are from the BLS Employment Projections program. Education and certification requirements are based on BLS Occupational Outlook Handbook descriptions. All figures are approximate and updated periodically.

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