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Dental schooling to become an oral surgeon will take an additional four years, during which time dental students complete coursework and treat patients in a supervised setting; to become licensed as an oral surgeon, most states require passing a written and practical examination.
Oral surgeons have many years of education and training, and are consequently well-paid. According to the BLS, oral and maxillofacial surgeons earned an average wage of $104.06 per hour as of 2012, and an average salary of $216,440 per year -- more than six times as much as the average dental assistant.