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Becoming an orthodontist assistant generally requires completion of a dental assisting certificate or degree program. Additionally, orthodontist assistants might need to be licensed, depending on the requirements of their state.
In brief: Training. Most Orthodontists want to see at least a high school diploma. Trade school training as a Dental Assistant useful but not mandatory. Many (if not most) Orthodontists train their own assistants in their offices. They're looking for bright personality, little or no body art, clean appearance, willingness to learn/to be challenged/to like kids.