Real direct cost of dental education, classes 2003–11Note: Real direct cost = (tuition + fees + books + instruments + health insurance) – scholarships. Real direct cost of dental education, classes 2003–11Note: Real direct cost = (tuition + fees + books + instruments + health insurance) – scholarships. Graduation year=average of the total real direct costs over the four years of a dental education (e.g., 2003=fall 1999 through spring 2003).Data source: American Dental Association, Surveys on Dental Education. Gary L. Stafford et al. J Dent Educ 2014;78:1497-1507 Journal of Dental Education