We knew about the "Minnesota route", which sounds goods on paper but it's a bureaucratic nightmare and so extremely hard, few foreign dentists are known to have successfully gone through it. Foreign-trained dentists who don't want or can't afford going through an advanced standing program,....usually choose the "Florida route", BUT....to become dental hygienists (they only need to take an exam if they have a foreign dental degree). My brother wasn't ready to downgrade his status and become an assistant, even if they can earn up to 90k per year,...more than he can ever dream of in Morocco. He could also have chosen to step back for a couple of year, take a student loan (as a permanent resident, he would have right to it plus federal grants) and enroll in a 2 year program,.....but he just wasn't ready to make sacrifices even if the reward was worth it (average salary of a dentist in the US is 150.000$),....and maybe, just wasn't that excited to leave his "comfort zone" and move to another country (most likely). Some people by nature are not ambitious,...if they have a comfortable life, they won't trade stability for a bigger reward,...and that's something to be respected.